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M °IN WbWOti SIH '9 .APW moil pania3;� <br /> Inedible Kitchen Grease (IKG) Manifest � <br /> Stockton Roto Rooter Grease & Septic Service <br /> 100128 <br /> nate:✓ /�/�S Time: AMtf Manifest#L- <br /> a I r f <br /> Business Name: L� ��r &, L'" ,(? -r � ( <br /> Job Site Address: Si, r i' L Zi Cade:,�7---�I.e <br /> r <br /> Customer Name (print • (Signatur <br /> lKG Authorized Receiving Facility Name/Address (circle dump site for facility) <br /> City of Lodi-Whitesioubh SPCF <br /> 1.2751. N. Thornton Rd <br /> Lodi, CA 95242 <br /> (209) 333-5749 <br /> Date of lKG ReceiptTime of.IKG Receipt: , Total IKG Received: <br /> Septic Grease., <br /> Receiving Facility Rep.Name(Print"rj` k &tc Q-Y�..J (Signature):-"L <br /> Authorized Transporter: Vehicle]fecal Number- <br /> Stockton Moto Rooter Driver Name(print): - s % Axnr-e- <br /> 4228 <br /> Newton Rd <br /> Stockton,CA 95205D)f ir-5ignature:� <br /> ti d �91� °oN W'd :fl S1H °9 ��W <br />