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titi6VIN Nd�S :l S10� '01 'un awi1 paniaaa� <br /> Inedible Kitchen Grease (IKG) Manifest � <br /> Stockton Roto Rooter Grease & Septic Service <br /> P , <br /> Date: f�� Time: , A1VI M anifest#X <br /> Business Name: { � (C,/( <br /> / <br /> Job Site Address: Zi Code. <br /> Customer Name (print): Signator <br /> IKG Authorized Receiving Facility Name/Address (circle d p site for facility) <br /> City of Lodi-Whiteslough SPCF <br /> 12751 N. Thornton Rd <br /> Lodi, CA 95242 <br /> (209)3336749 <br /> Date of MG Receipt: Time of IKG Receipt: Total IXG Received: <br /> Septi Grease <br /> Receiving Facility Rep.Name(Print � � (Signature): <br /> Authorized Transporter: Vehicle Decal Number: � y <br /> Stockton Rota Rooter Driver Name(print): <br /> =4223 Newton Rd _ <br /> Stockton,CA 95205 Driver Signature: /W / <br /> L 'd LLtiZ 'ON NdLS :Z S[0z '0� wr <br />