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Z90L "N WNOs : II ti[H '9l 'daS awil paniaDa� <br /> Inedible Kitchen Grease (IKG) Manifest <br /> Stockton Roto Rooter Grease & Septic Service <br /> Ic <br /> Date: . ,4 lime: Manifest#L- <br /> Business Name: <br /> p� <br /> Job Site Address, �1.�`�o� �U�G�� � ,����g Zip Code: <br /> Customer Name (print)8&� (Signatur <br /> TTG Authorized Receiviog Facility Name/Address (circle dump site for facility) <br /> City of Lodi-Whiteslough SPCF <br /> 12751 N. Thornton ltd <br /> Lodi, CA.95242 <br /> (209)333-6749 <br /> Date of IKG Receipt: Time of IKG Receipt: Total IKG Received:A <br /> Septic Grease <br /> Receiving Facility Rep.Name(Print) 4 (Signature): s 71L6Y E tWY'C <br /> Authorized Transporter: Vehicle Decal Number: <br /> Stockton Roto Rooter Driver Name(print): v c� <br /> 4228 Newton Rd <br /> Stockton,CA 95205 Driver Signature: O <br /> ©v <br /> 99/Z9 39vd N310ON 0101 9Z655976OZ 66 :9T 7TK/9T/69 <br />