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HIC 'ON WdtiE:Z 0Z '0E 'daS awil paniaOad <br /> Inediible Kitchen Grease WG) Manifest <br /> Stockton Roto Rooter Grease & Septic Service /10q II <br /> ;► <br /> Date: Time: ����[jesti L-0010 <br /> _(`+� y :I <br /> Business Name: U•P'r4L'1 I"l <br /> Job Site Address: Q-Ion d W • Y m e r-- gA zip C <br /> Custoitner Name(print). ( )' <br /> IK6,A u-*orized Receiving lFacEW NanWAddress (circle dump site foie fltcMty) <br /> City'of Lodi-RAAteslou#SPCF 'I <br /> 12751 N.Thornton Rd <br /> Lodi,CA 95242 <br /> (209)333-6749 ' <br /> �+ ` Toud uCG Reedved: <br /> .Date of IKG Receipt: 7�% Time of IKG Receipt <br /> Septicc, Grease <br /> ;I <br /> Receiving Facility Rep.Name mint) <br /> Authorized Transporter: Vehicle Decal Number: Q 1 <br /> Stockton Roto Rooter Driver Name(P ): ' <br /> 4=Newton Rd ,I <br /> Stockton,CA 95205 Driver S48ahtre: `! <br /> i <br /> u <br /> - i <br /> VT/L0 39"d �Eioo�j Oi0a 9Z69S91760Z 96:£T PTOZ/06/60 <br />