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:19ti0 "N,N1d61 :E�91OZ '6 '9;j M11 pan i aa;� <br /> Inedible Kitchen Grease (TKG) Manifest Ake <br /> Stockton Roto Rooter Grease & Sufic Service Le ff A <br /> Date: U / Tiutne_ /.e P.M Manifest 9L-01-7if <br /> 13usiness Name.. LOI Aa n tI Gi_.( /?G �S O <br /> Job Site Address: 112 Zip Code: <br /> Customer Name (print): ..�i� � rd ,t�Signature)} <br /> ] G Authorized ReceWW-Fac-Bity Name/Address (circIe dump site for fa i.Ii.) <br /> City ofLodi-NYWteslough SF-CF <br /> 1275-1 N.Thornton Rd <br /> Dodi, CA 95242 <br /> (209)333-6749 <br /> Date of lKG Receipt: 1 b Time of iKG Receipt: Total IKG Received: <br /> Septicre se � <br /> f <br /> og <br /> sx ` <br /> Receiving Facility Rep.Name(lariat) AAN- ( gnatnre): . <br /> Authorized Transporter: Vehicle Decal Number: y" <br /> Stockton Roto Rooter Driver Name(print): 2-VOS&Vell/f, �l -- <br /> 4228 Newton Rd <br /> Stockton,CA 95205 Driver Signatoa . <br /> 9 'd 09�t 'ON WdU : � 910 '6 'gad <br />