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HZ CIN AdOti :� tiI0 ll 'AON ;LUI J pania0a� <br /> 4 2-s( <br /> Inedible Kitchen (grease (I.K.G) Manifest <br /> Stockton Roto Tooter Grease & Septic Service lao <br /> Date: ACA - ``l Time: , �/Pm Manifest#L- C)09 <br /> f7f <br /> Job Site.Address: , _el Zip Code. sAv <br /> r <br /> Customer Name(print): l (Signature): ��4 <br /> XKG Authorized Receiving Facility Name/Address (circle dump site for facility) <br /> City of Lodi-Wbiteslou6h SPCF <br /> 12751 N. Thornton Rd <br /> Lodi, CA 95242 <br /> (209)333-6749 <br /> Date of IKG Receipt:tO ' -J`j Time of IKG Receipt: Total IKG Received: <br /> 3, 3 <br /> cepi Grease <br /> - f <br /> Receiving Facility Rep.Name(Print) ��, s �. (Signatt -r <br /> � <br /> Authorized Transporter: Vehicle Decal Number." � <br /> Stockton Rota Rooter Driver Name(print):�� <br /> 4225 Newton Rd <br /> Stockton,CA 95205 Driver Signature: <br /> A z�H 'cN 'AON <br />