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HH "N AVS� : l [ S [H '0l 'gad awil pania3;� <br /> Inedible Kitchen Grease (IKG) Manifest <br /> Stockton Rata Rooter Grease & Septic Service <br /> Date: - Time: /FM .Manifest#L- <br /> ?7 <br /> Business Name: aye rv—� i <br /> Job Site Address:___-(q C�-)'r c iLc-'� Zip Code: § <br /> ,a <br /> Customer Name (print): iyr (Signature,)- <br /> TTG Authorized Receiving Facility Name/Address (circle dump site for facility) <br /> City of Lodi-Whiteslough SFCF <br /> 12751 N. Thornton Rd <br /> Lodi, CA 95242 <br /> (209) 333-6749 <br /> Date of IKG Receipt: Time of IKG Receipt." Total IKG Received: <br /> Septic CGr:ease <br /> Receiving Facility Rep.Name(Print)—t;-A i-I nature): A"."'� <br /> Authorized Transporter: Vehicle Decal Number':_ <br /> Stockton Roto Rooter Driver Name(prin#): l�1-,;n,le- <br /> 4228 Newton Rd <br /> Stockton,CA 9.5205 Driver Signature: <br /> 'd 9CAVLE : l l SIOZ '0l 'pj <br />