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MS 'ON AVW6 tiIOZ 'ti[ 'UPr ;inti paniaaa� <br /> 4 <br /> Inedible Kitchen Grease (IKG) Manifest D d <br /> Stockton Roto Rooter Grease & Septic Service <br /> Date: Time: ? l M Manifest#L-603 j <br /> Business Name: <br /> Job Site Address: e/ro �lald c �� ��r'2.- Zi ode: <br /> Customer Name (print): ✓ J (Signature). <br /> IKG Authorized Receiving Facility Name/Address (circle dump site for facility) <br /> City of Lodi-Whiteslough SPCF ' <br /> 12751 N.Thornton Rd <br /> Lodi, CA 95242 <br /> (209) 333-6749 <br /> Date of IKG Receipt: ��� Time of[KC Receipt: Total IKG Received: � G� <br /> Septic rease <br /> Receiving Facility Rep. Name(Print) Signature): r <br /> Authorized Transporter: Vehicle Decal Number: �J <br /> Stockton Roto Rooter Driver Name(print): <br /> 4228 Newton Rd <br /> Stockton,CA 95205 Driver Signature: <br /> _--0Z--T--- <br /> 90/ZO 39dd 2DiOON 0101 9Z6559b6OZ 917:60 bTOZ/bT/T0 <br />