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60H "N WdSti : l 2l0Z '9l 'UPS ;Wli pania)ad <br /> Inedible Kitchen Grease (1KG) Manifest <br /> Stockton Roto Rooter Grease'& Septic Service <br /> D; te: 2J I191A Timer AM/ Manifest#L- UZ�Z_ <br /> R siness Name: <br /> i <br /> C - <br /> J' Site Address: ^] Zip Code: <br /> � 77 <br /> G. stomerName (print):�E `1-. fy�sor� (Signature) 4 ,JJ <br /> A,)� <br /> Authorized Receiving Faciility'Name/Address (circle dump site for facility) <br /> City of Lodi-Whiteslough SPCF <br /> 12751 N. Thornton Rd <br /> Lodi, Ck95Z42 _ <br /> it (209) 333-6749'. <br /> Da a of lKG Receipt:. �� G y time of 1KG Receipt: r� Total YIG Received: <br /> III, <br /> l <br /> SeptiJrNumb <br /> R'� eiving Facility Rep.Name(Print)Ai horized Transporter: � 'Ve �-Ci�� <br /> St kton Roto Rooter Driver Name(print <br /> 42 Newton Rd <br /> o <br /> St, kton,CA 95205 Driver Signature:. <br /> II <br /> II <br /> 'd 6656 "N WdLS : l -EOl '91 'U�r <br />