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Wd6 ! 0 .9102 '6 'qI J. aWIi Pani a0a� <br /> I �f�ll Z- -(-X�O 6 , <br /> Inedible Kitchen Grease (MG) 'Manifest <br /> 8tocktoxx Roto Root:er Grease' & Septic Service L- <br /> Date: a`�© Time:�•T�� .A.M/JPM Manifest#L-01 <br /> Business Name: . <br /> Job Site Address: Ute, Zig Code: C <br /> Customer Name(print) f mature): <br /> IKG Authorized Receiving Faeitity Name/Address (circle dwmp site for fa614) <br /> City of Lodi-W hiteslough SPCA' <br /> 12751 N. Thornton Rd <br /> Lodi, CA 95242 <br /> (209)333-6749 <br /> Date of IKG Receipt:- O 4 Time of IWG Receipt: Total IKG Received. 3+3O <br /> Septic - <br /> Receiving)facility Rep_Name(print) (Signature): <br /> Authorized Transporter: Vehicle Decal Number: % q—Z /( �^�`1/�� _..._ <br /> Stockton Roto Rooter Driver Name(prW* Rxasaua�T &ir, <br /> 4228 Newton Rd AA <br /> Stockton,CA 95205 Driver Signature_ <br /> ti 'd 09D °N WdU :: 910 '6 'qad <br />