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1610 'ON AVU :Ol 9101 'E 'AON awil pania);� <br /> Inedible Kitchen Grease JKG) Manifest J 3 <br /> Stockton Roto Rooter Grease & Septic Service <br /> Date: �O - "�O Time: PM Manifest 4 L- O-)a\ <br /> Business Name: Y. \ <br /> Job Site Address `�`o:� ,. �.J Zip Code:a1 <br /> Customer Name (print): (Signature) <br /> IKG Authorized Receiving Facility Name/Address (circle dump site for facility) <br /> City of Lodi-Whiteslough SPCF <br /> 12751 N. Thornton Rd <br /> Lodi, CA 95242 <br /> (209) 333-6749 <br /> Date of[KG Receipt:fa-b--(9Time of IKG Receipt: �`e, Tota[IKG Received: <br /> Septic Grease <br /> Receiving)facility Rep.Name(Print2�04r P.aC Signatu <br /> L--ex� <br /> Authorized Transporter: Vehicle Decal Number: <br /> Stockton Roto Rooter Driver Name(print): C <br /> 4228 Newton Rd <br /> Stockton,CA 95205 Driver <br /> 01 'd 98 9 'ON WVtil : O1 9101 '"0N <br />