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0-1 Lo�S` 96L6 "N WdtiS : Z —SIN til "130 aUJi I Pani ;3 - <br /> Inedible Kitchen Grease (IKG) Manifest �+..Of <br /> Stockton Roto Rooter Grease & Septic Service <br /> Date: Time: �� (20 <br /> PIM Manifest#Z,-6 / <br /> usiwess Name: ' <br /> em�1 1�k) <br /> Job Site Address: -PY-,12 ki Z.4 Zip Code: <br /> Customer Name (print):�1�/fit S (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)333-6749 <br /> Date of 1KG Receipt: �23a�TiEae of IXG Receipt: Total IKG Received: <br /> Septic tease <br /> Receiving Facility Rlep_Name(Print n U. (Signature) <br /> Authorized Transporter: Vehicle Decal Number: / ��J�� <br /> Stockton Roto Rooter Driver Name(print): DSS P J P�1 / "(l/0 C P <br /> 4228 Newton Rd r _ <br /> Stockton,CA 95205 Driver Signature: <br /> 0H6ti 'ON WdLS :z S10 130 <br />