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9620 '°N MH :Z 9l0Z '9 °uPr ;W I i pania3a� <br /> 9� 6 <br /> Inedible Kitchen Grease (1KG) Manifest <br /> Stockton Roto Rooter Grease & Septic Service <br /> Date: \ � � \� Time: �chi' AM/� Niami�fest##�- C) c) <br /> Business Name: f"ti � <br /> Job Site Address: - �,�� �� +�Y ��' � Zip Code: <br /> Customer Name(print)-� <br /> IKG Authorized]Receiving Facility Name/Address (circle dump site for facility) <br /> City of Lodi-Whiteslouah SPCF <br /> 12757. N. Thornton Rd <br /> ]nodi, CA 95242 <br /> (209)333-6749 <br /> Date of IKG Receipt: - Timm of IKG Receipt:)6 Total IKG Received. C)_ <br /> Septic Grease <br /> Receiving Facility Rep.Name(Print) (,t.Ai\j Lot-IG f�G (Signature)4� <br /> &L-� <br /> Authorized Transporter: Vehicle Decal dumber: ` <br /> Stockton Roto Rooter Driver Name(print): �' 1 � <br /> 4228 Newton Rd <br /> i <br /> Stockton,C.A.95205 Driver Signature: <br /> 8 'd WdH : Z 91E '9 "Ir <br />