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5808 '�N WdS� : ( l SIO '0[ 'qad quail pania);� <br /> Inedible Kitchen Grease (IKG) Manifest <br /> Stockton Roto Rooter Grease & Septic Service <br /> Date: Time: '' W FM Manifest#L•- <br /> Business Name: <br /> Jab Site Address: Dn ZI Coder c- <br /> Customer Name (print): 'kt T�4 (Signature): <br /> 1KG Authorized Receiving Facility Name/Address (circle dump site fa ility) <br /> City of Lodi-Whiteslough SPCF <br /> 12751 N. Thornton Rd <br /> Lodi, CA 95242 <br /> (209) 333.6749 <br /> Da#e of ITCG Receipt: Time of IKG Receipt: Total YKG Received' <br /> Septic Grease <br /> Receiving Facility Rep. Name(print) �"��y��! ��#T'4ignature): <br /> Authorized Transporter: Vehicle Decal Number--.__/ <br /> Stockton Roto Rooter Driver Name(print): GUSe•U�../ /let, L- <br /> 4228 <br /> 4228 Newton Rd <br /> Stockton,CA 9,5245 Driver Signature: <br /> 9 'd 9L� [ 'ON Wd80 ll SIQZ '0 [ 'qad <br />