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9550 '°N NOO :Ol /S [H 'll 'd,S rill pania�;� <br /> Inedible Kitchen Grease WG) Manifest <br /> Stockton roto Rooter Grease & Septic Service <br /> Tate_ � -.�� `�._ Time;�APvt/PM Manifest#L- 6151 <br /> Business Name: <br /> _ > r�2- » Coder D <br /> �'ab Site.Address: gg � r, (,�P . Zi <br /> Customer Name (pint r - (Sib*natur <br /> TXG Authorized Receiving Facility Name/Address (circle dump site for facility) <br /> City of Lodi-Whiteslough S.PCF <br /> 12751 N.Thorntou Rd <br /> Lodi,CA 95242 <br /> (209)333-6749 <br /> Date of IKG Receipt: Time�% Time of IKG Receipt:. Total tKG Received: <br /> Septic- _ � s <br /> Facility Name(Print) $ <br /> tY Re .p ) �.,.(,Signature).-. <br /> Authorized Transporter: Vehicle Decal Number: 7X ; rD <br /> Stockton Roto Rooter Driver Name(print): -&Se'i2�C Z L4ZI b t- <br /> 4228 Newton Rd <br /> Stockton,GA 95205 Driver Signature: ..-- <br /> 9 'd 066PON NVLO : OI SIOZ 'l l 'd;S <br />