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100S '°N OW6 tiI0 til 'UE ;UJ il paniaDa�,' <br /> Inedible Kitchen Grease (YKG) Manifest <br /> Stockton Roto Rooter Grease & Septic Service <br /> Date: Time: 7 A PM Manifest#L- <br /> Business Name: Pr6p,&CkIl- j�A0011 7" <br /> Job Site Address: 10 St � D1 Zip Code: <br /> Customer Name (print): NQ QW., (Signature): <br /> 'e- tJor� <br /> IKG Authorized Receiving Facility Name/Address (circle dump site for facility) <br /> City of Lodi-`VVhiteslough SPCF <br /> 12751 N. Thornton Rd <br /> Lodi, CA 95242 <br /> (209) 333-6749 <br /> Date of 1KG Receipt: / KX` Time of IXG Receipt: 16.30 Total JKG Received: �LJ <br /> Septic rease <br /> y <br /> Receiving Facility Rep. Name(Print) & L-j ignature): <br /> Authorized Transporter: 'Vehicle Decal Number: 7 qw / L <br /> Stockton Roto Rooter Driver Name(print).-_ L-E— r-e- <br /> 4228Newton Rd Yj <br /> Stockton,CA 95205 Driver Signature: <br /> 90/90 39dd iOiOON 0101 9Z6559b60Z 917:60 VTOZ/17T/T0 <br />