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IEL� "N Wd [O :Z EIOZ '0[ 'x;0 awil paniaa;� <br /> 0oa-�j <br /> Inedible Kitchen Grease (IKG) Manifest <br /> Stockton Roto Rooter Grease & Septic Service <br /> Date: l 3 Time: ` / AM/4!Mf Manifest#L-0-0,9-� <br /> IY <br /> Business Name: Z 2",.1 <br /> Job Site Address: ZiOde: J� t <br /> Customer Name (print): (Signature): <br /> 1KG 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 /> i <br /> s <br /> Date of IKG Receipt: 1/ Time of IKG Receipt: Total 1KG Received: <br /> i <br /> eptiic Grease <br /> Receiving Facility Rep.Name(Print) V (Signature): <br /> Authorized Transporter: Vehicle Decal Number: <br /> Stockton Roto Rooter Driver Name(print): <br /> 4228 Newton Rd <br /> Stockton,CA 95205 Driver Signature: <br /> s <br /> b0/Z0 09vi X13100(1 0101 9Z6SS9V607, TO:bT 6T0Z/0T/ZT <br />