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950 "N Wd6S :Ol -9162 'E A ;WI j paniaa18 AR <br /> a� <br /> Inedible Kitchen Grease (I.KG) .Manifest <br /> Stockton .Moto Rooter Grease & Septic Service, <br /> Date: /�fr Time: M Manifest 9 L- ll e� <br /> ,Bushiess Name: <br /> Job Site Address: )�/y 1. 1c1cu ; c�,�-Q r ��. o Zip ode: ���� <br /> Customer Name(print): ,� r _ /! (Simat re)k <br /> vim. <br /> IKG Authorized Receiving Facility Name/Address (circle dump site for facility) <br /> City of Lodi-Whiteslough SPCA' <br /> 12751. N. Thornton Rd <br /> Lodi, CA 95242 <br /> (209)333-6749 <br /> Date of IKG .Receipt.4LTime of IKG Receipt: Total 1KG Received: �V <br /> . U Grease <br /> Receiving Facility Rep.Name(Print) `4rg d�:[ (Signature)- <br /> Authorized Transporter: Vehicle Decal Number: <br /> Stock--ton Roto Rooter Drtver Name(print): <br /> 4228 Newton Rd _ <br /> Stockton,CA 95205 Driver Signature: �— <br /> ti d ti0,6ti 'ON MN :O 19tH 'E ��W <br />