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F Z90CIN AVH : l tiIH '9l 'd IS awil" p;Al ;);� <br /> Inedible Kitchen. Grease (lKG) Manifest r <br /> Stockton Moto hooter Grease & Septic Service <br /> Date: ,... A"M <br /> Business Name: V �//,, 11 <br /> Job Site Address: C-)C) W Zip Code: <br /> Cngtoiner Name(print): v (Si�atnre): <br /> YKG Authorized Pt.% m Facd`l3ity Name/Address(circle dump site for facility) <br /> J <br /> �Citi'of Lodi-Whiteslon0 SPCF I <br /> 12751 N.Thornton Rd <br /> Lodi,CA 95242 <br /> (209)333-6749 <br /> Date of IKG Recelptj Tune og IIfG Receipt ' C ToW 1 KG Received; 33 <br /> Septic Grease <br /> Receiving Facility Rep.Name arot) )� <br /> Authorized Transporter: Vehidle Decal Number: <br /> Stockton Roto Rooter 'Amer Name(prittt): `�, <br /> - r <br /> 4228 Newton Rd <br /> Stockton,CA 95205 Driver fi ' �re:- , <br /> • f <br /> 90/50 M—Vd �13100J 0101 9Z6559b60Z �� 0T bTOZ/92/60 <br />