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[HO '°N 021 :E 91H '� "ON au it p';A I ;D;d'11- <br /> Inedible Kitchen Grease (IKG) Manifest <br /> Stockton Roto Rooter Grease & Septic Service <br /> Date: �D 2 Time: ) P /PM Manifest 9 L-O;Z�2�2- <br /> Business Name: r E r Wt <br /> Job Site Address: Ld Code: G � <br /> Customer Name (print): 1Z3 IC S� 'n (Signature): <br /> IKG Anthorized Receiving Facility Name/Address (circle do mp sibifor facility) <br /> City of nodi-AUteslough4W <br /> 12751 N. T'horntoia Rd <br /> Lodi, CA 95242 <br /> (209)333-6749 <br /> Date of IKG Receipt ` Time of IKG Receipt:JI .z: Total IKG Received:� <br /> 7 o epfic Grease <br /> Receiving Facility Rep.Name(Print) � 1 Loti16PRr (Signature): <br /> Authorized Transporter: Vehicle Decal Number: <br /> Stockton Roto Rooter )Driver Name(print): <br /> 4228 Newton Rd <br /> Stockton,CA 95205 Driver Signature: <br /> l l 'd 99E9 'ON &tti : O [ 9102 AON <br />