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�L8ll 'ON 'Ad05 9lOZ Zl das .awil paniaaa�. <br /> i <br /> 32� 8, o <br /> t'. may• <br /> Laedible Kitchen Grease <br /> Stockton Roto Rooter Grease& S IV1� ifes <br /> SSep 4 <br /> p�c Sex-,Vice <br /> Date: oZ2 <br /> Time: A J/ ►'1-�M <br /> Business Name; <br /> Job Site Address: <br /> C"OlP de: <br /> ner Name <br /> (P�t): �u-� t <br /> G Authorized Receiviug Facility Na.melAddress (circle dump site;for <br /> City of-Lodi-WMteSlough CF12751 N Thorlaton Rd <br /> Lodi, CA 95242 <br /> (209)333_6749 <br /> Date of IKG Receipt: qz—�&Time <br /> PR-f <br /> of IKG Receipt: Z: 30 /' <br /> Total JXG Received: �,!:�7o <br /> Septic Grease <br /> Receiving Facility RepName(Pant) <br /> Authorized Transporter. 'KSagnature): l <br /> Vehicle Decal Number- 7� <br /> Stockton Roto Rooter <br /> 4223 Netivton Rd Driver Name(print)_ �~~ <br /> Stocltton,CA ypg 4 <br /> Driver si-nature: <br /> 'd tiS6S '°N Wd [S :� 9l06 'll 'dao <br />