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6� G "N ND:b SIOZ 'Z 'ady moil pania);� <br /> Inedible Hitchen Grease (IRG) Manifest <br /> Stockton Moto Rooter Grease & Septic Service <br /> Date: � �� Time: l N, PM Manifest#X,-C �� <br /> Business Name: Lzln,5,1")",�— <br /> Job <br /> Site Address: �� LGL EJt J Cr r� � Zip Code. <br /> Customer Name (print): (Signature): <br /> IKG Autborized Receiving Facility Name/Address (circle dump site for facility) <br /> City of Lodi-tiVhitesIough SPCF <br /> 12751 N. Thornton Rd <br /> li od4 CA 95242 <br /> (269) 333-6749 <br /> Date of IKG Receipt: 3 Time of TT:C Receipt: J6 Total YT{G Received: <br /> Septic ease <br /> Receiving Facility Rep.Name(Print)lAk—L-L, (Signature): <br /> Authorized Transporter: Vehicle Decal Number: a <br /> 7 �f, <br /> Stockton Roto Rooter DriverName(print): <br /> 4228 Newton Rd <br /> Stockton,CA 95205 Driver Signature: <br /> 'd H61 'CN add <br />