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a—A I ;D <br /> Inedible Kitchen Grease (IKG) Manifest <br /> Stock-ton Roto Rooter Grease & Septic Service <br /> 7, (5 <br /> Date: F2 <br /> Time: -.4), O AM PM Manifest 0 L- <br /> Business Name: <br /> Job Site Address: <br /> 0�—ip-Code: <br /> Customer Name (print)- <br /> TKG Authorized Receiving Facility Name/Address (circle dump site for facility) <br /> City of Lodi-Wbiteslough SPCF <br /> 12751 N. Thornton Rd <br /> Lodi, CA 95242 <br /> (209) 333-6749 <br /> Date of IKG Receipt: —//��irne of 1KG Receipt:Z,2 Total IKG Received: CJC-1 <br /> Septic Grease <br /> Receiving Facility Rep. Name(Print) (signature): <br /> Authorized Transporter- Vebicle Decal Number: <br /> Stockton Rote Rooter Driver Name(print)-_-F-`�6; <br /> 4228 Newton Rd e <br /> Stockton,CA 95205 Driver Signature: <br /> 'd 6LLl 'IN 'L[ 'J �A <br />