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19�O1NjWd6I :E )9 10 '6 'qad aUuil Paniaaad <br /> Inedible KZtche'n Grease (I£G) Manifest <br /> Stockton Roto Rooter Grease & Septic Service <br /> Date: <br /> Business Name: � � a <br /> Sob Site Address: / r i1 Zap Code: <br /> Customer game (print): (Signature): <br /> IXG Authorized Receiving Facility Name/Address (circle dump site for facility) <br /> W <br /> City ofLodi-Whiteslough krC ! <br /> 12751 N.Thornton Rd <br /> Lodi, CA 95242 <br /> (209)333-6749 <br /> Date of YKC Receipt: t� /I Time of 1KG Recelirt: Total IKG Received: Ai&c <br /> Septic FS <br /> Receiving Facility Rep.Name(Print)_B1QAI� LW 6pRf (Sigmatur - <br /> Authorized Transporter: Vehicle Decal Number: 6 <br /> Stockton Roto Rooter Driver Name(print): E7{} l_i c—ff <br /> 4228 Newton Rd <br /> Stockton,CA,95205 Driver Siggnatnre: <br /> 6 'd 090 "N NJH : � 9.1OZ '6 qad <br />