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SHFON NVS� : I I SIH 'OI 'qad IWI J P;Al ;�;� <br /> Inedible Kitchen Grease (TKG) Manifest <br /> Stockton Roto Rooter Grease & Septic Service <br /> ]Date: 'rime. 4�1M M-anifest#L- <br /> Business Name: -7;rk7 <br /> Job Site Address; 12/ -3, C' Li J4/ xb e- Zip Code: 9� ; <br /> Customer Name rint •fu <br /> -14 (Signature), <br /> IKG Autboarized 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 IXG Receipt: r Time of IKG Receipt: Total iKG Received: <br /> Septic Grease <br /> �� L <br /> Receiving Facility Rep.Warne(Print). �' " -. ignature): <br /> Authorized Transporter: Vehicle]decal Number: �k,� YO-3 <br /> Stockton Roto Rooter Driver Name(print): <br /> 4228 Newton Rd <br /> Stockton,C.A,95205 Driver Signature: <br /> 9l d 9CEI 'ON NVH :[l SIO '0l 1 J <br />