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titi68 'ON Wd�S : Z S[0Z '0l 'unr ;Wli paniaD;� <br /> Inedible Kitchen Grease (IKG) Manifest <br /> Stockton Rota Rooter Grease & Septic Service <br /> LawlW31 <br /> Date-, L'5'/;7- / Time: AM/PM Manifest 4 L- arl <br /> Business Name: e F <br /> ��1 r <br /> Job Site Address: LL aV ' Zip Code: <br /> Customer Name (print):_ <br /> 7KG Authorized Receiving Facility Name/Address (circle dump site for facility) <br /> City of Lodi-Whiteslougb. SPCF <br /> 12751 N.Thornton Rd <br /> Lodi, CA 95242 <br /> (209)333-6749 <br /> � r <br /> Date of lKG Receipt:f �l. <Time of 1KG Receipt. � c Total XXCG Received: �. <br /> ("f'septic Grease <br /> Receiving Facility Re?-Name(Print) <br /> Authorized Transporter: Vehicle Decal Number: ic� ._, _ j <br /> Stockton Roto Rooter Driver Name(print): A ldu ���ff-,S,o v'l <br /> 4228 Newton Rd j <br /> Stockton,CA 95205 Driver Signature: _ Gi/�L !nom✓ <br /> U <br /> Zl 'd LLtiZ 'ON Wd2S :Z SI0Z Ol unr <br />