Laserfiche WebLink
9020 "N WdLS :ti Ll 8 'qad awij pania)ad <br /> Inedible Kitchen Grease (IKG) Manifest <br /> Stockton Roto Rooter Grease & Septic Service Lo "VI <br /> Date: , a Time: �AM/PM Manifest 9 L- 02Z4 <br /> Business Name: <br /> Job Site Address: Zip Code: ' <br /> Customer Name , '� <br /> (print): � 4 a1 �� (Signature): <br /> 1KG Authorized Receiving Facility Name/Address (circle dump site for facility) <br /> City of Lodi-Whiteslough SPCF <br /> 12751 N. Thornton Rd <br /> Lodi, CA 95242 <br /> (209)333-6749 <br /> Date of IKG Receipt. �,ime of IKG Receipt- TO Z Total IKG Received: <br /> —s`�(�� <br /> Septic Grease <br /> Receiving Facility Rep.Name(Print) Pg 10R'6 (Signature): <br /> Authorized'Transporter: Vehicle Decal Number: <br /> Stockton Roto Rooter Driver Name(print): fpp <br /> -! �l/ 0 <br /> 4228 Newton Rd . h� &-%-j&-%-jd <br /> Stockton,CA 95205 Driver Signature: <br /> RECEIVED <br /> FEB 0 9 2017 <br /> PMROW&WAt W—AUH <br /> ITt,t`lt��l+.,Es <br /> ti 'd 010L '°N WdEo : S LlH 8 gad, <br />