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6titi IN WdD :: SIOZ 'Z 'Jay aWl j pania3;� <br /> - 05- 10 <br /> Inedible K'atchen Grease (YKG) Manifest <br /> Stockton Moto Rooter- Grease & Septic Service <br /> Date: 3� � Time: 4/ � AM anifest#L-0 <br /> Business Name: r,06d <br /> � ,' <br /> Job Site Address:...fK•� Zip Code: <br /> Customer Name(print) <br /> 1KG Authorized Receiving Facility Name/Address (circle dump site for facility) <br /> City of Lodi-Whiteslough SPCF <br /> 12751 N. Thornton Rd <br /> Lodi, CA 95242 <br /> (209)333-6749 <br /> Date of YKG Receipt: -/f Time of 1KG Receipt: Total 1KG Received: <br /> Septic ---- G—ir . <br /> Receiving Facility Rep.Name(Print Ltu*�A�C (Signature): <br /> Authorized Transporter: Vehicle Decal Number: LT <br /> Stockton Roto Rooter Driver Name(print): 1 MIJUN1,1P <br /> 4223 Newton Rd <br /> Stockton,CA 95205 Driver Signature: <br /> S 'd H ON WdW6 S[Oz z 'Jdy <br />