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titi68 "N AdES :Z SIOZ 'Ol 'unr auJil P;AI ;D;d <br /> Inedible Kitchen Grease (I.KG) Manifest ore) <br /> Stockton Roto Rooter Grease & Septic Service <br /> bate: /� « 1 inner AM �Nanifest 9 Y,- <br /> Business Name: (S Clk ; 0 E- jet:5 ) i` ; <br /> .fob Site Address: J— cA Zip C e• GJ <br /> Customer Name (print . r� f. �Y (Signature): �- <br /> .UKG Authorized Receiving Facility Name/Address (circle dttrnp site for facility) <br /> City of Lodi-Whiteslough SPCF <br /> 1.2751 N. Thornton Rd <br /> Lodi, CA 95242 <br /> (209) 333-6749 <br /> Date of CGCG Receipt: of IKG Receipt: ( � Total Ih;G Received: <br /> 1C <br /> Receiving Facility Rep.Name(Print �� �*uL d� (Signature): <br /> i <br /> Authorized Transporter: Vehicle Decal Number: 5� <br /> Stockton Roto Rooter Driver Name(print): P6-bse' ' T (-146t E' <br /> 4228 Newton Rd <br /> Stockton,CA 95205 Driver Signature,_ <br /> rr <br /> ;r <br /> 'd N Ad9S : Z S�Oz '0� 'unr <br />