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,0ti92 N,-AVTti0[ Sl0z 9 'ASW moil PaAIa0;� <br /> t i U 1 <br /> Inedible Kitchen Grease (IKG) Manifest ,W <br /> Stockton Roto footer Grease & Septic Service low 01:50 <br /> Aftra <br /> S Mh <br /> Date ? �I= �. Time: � , "�%AM I P1M M. ajaifest#L- <br /> f <br /> : >/ <br /> Business Name• <br /> Job Site Address: � � fir" Wo c 1 ,P PAip Code: 1 S^C S— <br /> Customer Nance (print' <br /> )0KG Authorized Receiving Facility Namc/.A,ddress (circle dump site for facility) <br /> City of Dodi-Whiteslough SPCF <br /> 1.2751 N. Thornton Rd <br /> Dodi, CA 95242 <br /> (209) 333-6749 <br /> Date of IKG Receipt: Lf� �J Time of WC Receipt:/i Cx_)P Total IKG Received: X02 <br /> Septic Grease <br /> Receiving Facility Rep.Name(Print) I" (Signature):1 lL <br /> Authorized Transporter: Vehicle Decal Number: <br /> Stockton Roto Rooter Driver Name(print ✓e`er G��r� (J� tir (�''� <br /> 4228 Newton Rd it <br /> $tockton,CA 95205 Driver Signature:, <br /> 1�1 <br /> 8 d X916 'ON '9 'ASW <br />