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9SS6 "N WdtiO : 01 SIH 'II 'd,S ;W11 paniaD;� <br /> C <br /> Inedible Kitchen Grease (IKG) Manifest <br /> Stock-ton Roto Rooter Grease & Septic Service <br /> Date: ` v / 'Time; d-'. !PM Manifest#L-Q 15 -�— <br /> Business Name: <br /> Job Site Address- td _ Zip Code: �l V6 <br /> Customer Name (PrinSi gnatut <br /> UKG Authorized Receiving Facility Name/Address (circle dump site for facility) <br /> City of Lodi-Wbiteslougb SPCF <br /> 12751 N. 'Tbornton ltd <br /> Lodi, CA 95242 <br /> (209)333-6749 <br /> Date of 1KG Receipte-11 of 1KG Receipt: Total IKG Received: <br /> SepticGrease :, <br /> Receiving Facility Rep.Name(Print) jj )A. . �� (Signature)--j8L � <br /> Authorized Transporter: Vehicle Decal Number: 74.40: A, <br /> Stockton Roto Rooter Driver Name(print):_ �y-'&35t�j <br /> 4228 Newton Rd <br /> "► Driver Signature: <br /> Stockton,CA 95..05 b _ <br /> S 'd OHS 'ON Wdc0 :01 SIH 'II 'd;S <br />