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990 "N 06� :0l 9[OZ 'E 'ASA ;w1i P;Al ;);d <br /> Inedible Kitchen Grease JKG) Manifest <br /> Stockton Roto Rooter Grease & Septic Senice <br /> DatcH <br /> Time. <br /> 4PNI Manifest# L- <br /> Business Name: <br /> Job Site Address.- C-9—Zip Code; <br /> ? <br /> Customer Name (prinb- <br /> (Shmature <br /> IXG Authorized ReceivingkI,Facility Name/Address (circle dump site for faci <br /> h <br /> City of Lodi-Whiteslough SPCF <br /> 12751 N. Thornton Rd <br /> Lodi, CA 9--5242 <br /> (209) 333-6749 <br /> Date of IKG Recelpt-�'�-6-(g-,Tim,of IKG Reeeipt.� 'I Total lKGReceived:_A'.26 <br /> --T <br /> Septic Grease <br /> Receiving Facility Rep. Name(PI111f) <br /> (Si-n,atu <br /> Authorized Transporter, Vehicle Decal Number: 1--k <br /> Stockton Roto Rooter Driver Name(print): <br /> 4-123 Newton Rd <br /> Stockton,CA 95205 Driver Signature: <br /> 'd ti26ti 'ON Mzo : k 9M <br />