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HZ L 'ON &WO tiI0 'l l 'noN ;WI j pan i ao;� <br /> Inedible Mtcben Grease (IKG) Manifest . <br /> Stockton. ]Koto Rooter Grease & Septic Service <br /> ate: <br /> /� f�i' 'time; <br /> _ .! <br /> usjuess Name, <br /> ob Site Address; <br /> 1 Zip Code; j <br /> S;gnat�ure). <br /> res#ager Name (print): . <br /> Vis:G Authorized Receiving-facility NamelAddress (circle dump site for facility) <br /> Citi of Latif teslo S?CF <br /> 127511 .Th.OrntoU Rd <br /> Lodi,CA 95242 <br /> (209)333-6749 <br /> wed: , <br /> Date,of I CG Receipt: ,D' .J Time of JKG Recdpt; TOW IT-G itece' <br /> Septic - G�as <br /> Receiving F2ciiity Rep.Name Qnn) <br /> Authorized Transporter. <br /> .Vehicie Decal Number: __. <br /> (fell- <br /> 4 <br /> Stockton <br /> 1el l- <br /> Stockton Roto Rooter <br /> Driver Name(print); " a . <br /> 4Z?.$Newton Rd <br /> Stockton,CA 95205 Driver Sia <br /> ra <br /> 01 d Z [H 'oN WdBti 0 �lOz l l °noN <br />