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c I9II "N W H :E LIE 'S 'AV ;W1 j pania);� <br /> Inedible Kitchen Grease (IKG) Manifest <br /> Stockton Roto Rooter Grease & Septic Service <br /> Date: a Time: , 2 AM/PM Manifest#Ir 0Z,416 <br /> Business Name: Lok Me <br /> Job Site Address: g ?� � O- F�A_-r—r runeode: <br /> Customer Name (primt) 'guature) <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[KG Receipt:03-2 Z- rime of[KG Reeeipt:_j' Total IKG Received:316 0 /ldn S <br /> � a d <br /> Septic x-eas <br /> Receiving Facility Rep.Name(Print)`/— (Signatures <br /> Authorized Transporter: Vehicle Decal Number- P._,,A' 7 k� <br /> Stockton Roto Rooter Driver Name(priot): P—Cc PI ACJ �VkS o <br /> 4225 Newton Rd <br /> Stockton,CA 95205 Driver Signature: <br /> 9 'd �t�L 'ON AVH : l LlH 'S add <br />