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19�0 '�N M 6l :� d auJII PaAI ;Da� <br /> Inedible Kitchen Grease (TKG) Manifest <br /> Stockton Roto Rooter Grease & Septic Service Low 1 IS7 <br /> bate: Time. AMPK�Manifest 9 L-0 i7,5' <br /> i� <br /> Business Name: <br /> Job Site Address: Zia Cade:fs�2 � <br /> Customer Name(pari-at)- 1 \ r+�1 (Sx�n►at7are); <br /> iKC Authorized Receiving Faeffity Name/Address (circle dump site for faei3ity) <br /> City of Lodi-Whitesiough SPCF <br /> 12751 N. Thornton Rd <br /> Lodi, CA.95242 <br /> (209)333-6749 <br /> Date of TKG Receipt:/ b Time of IKG Receipt: 'Fatal XKG Received: l �� <br /> eptic' Grease " <br /> Receiving Facility Rep.Name(Print) L1, (signature): <br /> Authorized Transporter: 'Vehicle Decal Number: / 7� ( <br /> Stockton Roto'Rooter Driver Name(print):. - 5&1L&. / 1')� � <br /> 4228 Newton Rd <br /> Stockton,CA 95205 Drives Signature: _ <br /> d 09�� 'ON WdE :: 910Z '6 qad <br />