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6090 'ON LIE 'S 'U�r ;WJ j Dani ;); <br /> Inedible Kitchen Grease (JKG) Manifest 4W <br /> Stockton Roto Rooter Grease & Septic Service <br /> Date: , f f-L Time: 2 :' k5' AM/ Manifest#L- 0 <br /> Business Name: 0 („cr j f—Aq <br /> Job Site,A.ddress: <br /> Customer Name(print):41 110 ✓(Signature <br /> ]KG Authorized Receiving Facility Name/Address (circle dump site for 'iy) <br /> City of Lodi-Whiteslough SPCF <br /> 12751 N.Thornton Rd <br /> Lodi, CA 95242 <br /> (209)333-6749 <br /> r <br /> Date of IKG Receipt: Time of IXG Receipt: TotaI.IKC Received: l Q C) <br /> eptic Grease <br /> Receiving Facility Rep.Name(Print P w 6 p (signature . <br /> Authorized Transporter- Vehicle Decal Number: <br /> Stockton Roto Rooter Driver Name(print). LQ <br /> 4228 Newton Rd <br /> Stockton,CA 95205 Driver Signature: t/ w <br /> 8 'd Z6L9 'ON Wd6E :ZI LIE 'S 'U�r <br />