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HZ CON WdOti:B 0 ^lam NN aWII paniaaad <br /> f Z <br /> Inedible Kitchen Grease (fKG) Manifest <br /> Stockton Roto Rooter Grease & Septic Service Lw 0100 <br /> Date: <br /> j� 'lime: 7.6' <br /> M M�t�o�ffest#L-a <br /> 6 <br /> Business Name- 2r ✓1 <br /> Job Site.Address: �' - lGc r�i L �' �, Zip Code- <br /> Customer Name(print): f. eLk� <br /> U �Authorized Receiving Fae ity Name/Address(circle dump site fajr facility) . . <br /> 'CiW of Loffi-Wbiteslough SFCF r <br /> 3 <br /> 12751 N.Thornton Rd <br /> Lodi,CA 95242 <br /> (209)333-6749 <br /> - j <br /> Date of YiGG Reeei g ��"� Time of DIG Itempt:_ TnUI IKG P� ed: , <br /> Septic' ruse <br /> 12ecimn Facility Rep.Naim Trifft) <br /> Authorized Transporter, ,�Vebicle l Number: '7~_ 3 9 <br /> Stockton Roto hooter Driver Name(print): <br /> 4228 Newton `7 <br /> Stockton,CA 95205 Vie'51palmrt--- <br /> 6 'd 2180 'ON Wd8ti 8 tiIOZ 'l l '"ON <br />