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96L6 "N WdtiS :l S [OZ 'til ';�o awil pania3;� <br /> Ynedible Kitchen Grease (IKG) Manifest <br /> Stockton Roto Rooter Grease & Septic Service LW <br /> Date: Time: <br /> Business Name: Fr,,,;,vt,k �" • ?� , <br /> Job Site Address: /OG [t) , 14 L0(/ 12 Zip Code:_ <br /> Custowe'r Name (print). Dccvn [qu-!g (Signature): <br /> TTG 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[KG Receipt: '/ Titne of 1KG Receipt: Total JKG Received: <br /> Septic cease <br /> ,Receiving Facility Rep.Name(Print)--&R.iz2toJ — (Signature): �- <br /> Authorized Transporter: Vehicle Decal Number- <br /> Stockton <br /> umberStockton Roto Rooter Driver Name(print): <br /> 4228 Newton Rd <br /> Stockton,CA 95205 Driver Signature: <br /> z d H6ti 'ON <br />