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t2 WI N WdOS : E 9[0l 'Z [ 'd;Q aw11 P;Ala);� <br /> Inedible Mteben Grease (IKG) Manifest <br /> Stockton Roto Rooter Grease & Septic Service LO <br /> Date: ( r <br /> Time: M Manifest#L- <br /> Business Name: ave <br /> Job Site Address: .Zip Code: 5 ,� Cj <br /> Customer Name(print): r.-�1 'Gi v u r e <br /> EKG Authorized Receiving Facility Name/Address (circle dump site fo i-�ft/zlity) <br /> City of Lodi-Whiteslough SPCF <br /> 12751 N. Thornton Rd <br /> Lodi, CA 95242 <br /> (209) 333-5749 <br /> Date of lKG Receipt--NNee Time of IKG Receipt:(U � otal IKG Received: -LeD,b <br /> :e-p S �c <br /> Grease <br /> Receiving Facility Rep.Name(Print) BR)AA Lot-)6PICE (Signature): vie_ <br /> Authorized Transporter: Vehicle Decal Number: <br /> Stockton Roto Rooter- Driver Name(print): <br /> 4228 Newton Rd <br /> Stockton,CA 95205 Driver Signature: <br /> z 'd tiS6S 'IN iNdlS 9�0z <br />