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..'-7 -/f <br /> ti980 '°N-,Wd8l S 9l0Z .8 'unr ;WI j Pani ;°ab <br /> Inedible Kitchen Grease ( C) Manifest <br /> Sock-ton Roto Rooter Grease & Septic Service � <br /> Date: Time: - {4�'�X-Tif <br /> iViani:fest#L- <br /> Business Name: <br /> Job Site Address: s OZ4), 2 C24 Zip Code: <br /> Customer Name rent •_ � &I-1:A1 <br /> Ilii Au prizedeceivzaa7 Facility Name/Address (cixcle dump site for facility) <br /> City of Loadi-Whiteslough. SFCF <br /> 127-51 N.Thorruto,u Rd <br /> Lodz, CA 95242 <br /> (209)333-5749 <br /> Date of IKG Receipt:—//I/ Time of IKG Receipt: Total IKG Received: Q <br /> Sept Grease <br /> Receiving FaciIity Rep.Name(Print)N1a � m (Sipatare <br /> Authorized Transporter: Vehicle Decal Number: ' � ! <br /> Stockton Roto hooterJ' <br /> Dx-iverName(prin#): <br /> 412S Nelvton Rd -�- — <br /> Stockton,CA 95205 <br /> DriverSibna#ure:_ -� <br /> i <br /> i <br /> z 'd L9�S '°N WdIZ S 9L0 '8` 'unr <br />