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titiH 'IN Wd60 :Z S [0Z 'Ll Ja A ;wil'pa;)a� <br /> Inedible Kitchen Grease (IKG) Manifest <br /> Stockton Roto Rooter Grease & Septic Service <br /> Date: - (57, Time: r ��c� AM/PM Manifest#L- <br /> Business Name: / <br /> Job Site,Address: Zip Code: <br /> i r <br /> Customer Name (print):;;X C�►c��. .__...(Signature): <br /> IKG 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) 3336749 <br /> Date of l<KG Receipt: '1 ( Fine of IKG Receipt: Tota!IKG Received. <br /> f Sep is grease <br /> r <br /> Receiving Facility Rep.Name(Print) �ignatare): <br /> Authorized Transporter: Vehicle Decal Number: 'LL Ll _ <br /> Stockton Roto Rooter Driver Name(print): <br /> 4228 Newton Rd <br /> Stockton,CA 95205 Driver Signature: <br /> i <br /> V' <br /> z d 6LLl 'ON AdII S 0 'Ll A <br />