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7t7 - rF -- <br /> 16ZO '°N Wd81 :01 9102 '8 'noN ;Wli Pani a);� <br /> Inedible Kitchen. Grease (IKG) Manifest <br /> Stockton Roto Rooter Grease & Septic Service <br /> Date: ! /7 ��' Time: / �� /PM Manifest 9 L- O0/ <br /> Business Name:, r►r' �A{'1i/;1 F <br /> Job Site Address: Q 6(< Zip Co <br /> Customer Name(print): 6ttQ—Iv—'��—(Signa <br /> I.KG Authorized Receiving Facility Name/Address (circle dumpsite for facility) <br /> City of Lodi-Whiteslough SWF <br /> 12751 N- Thornton Rd <br /> Lodi, CA 95242 <br /> (209) 333-6749 <br /> Date of IKG Receipt: Time of lKG Receipt:. _�� Total XKG Received: �3�U� <br /> Septic ~� tease <br /> Receiving Facility Rep_Name(Print (Signature) <br /> Authorized Transporter: Vehicle Decal Number: 7-k?7;4"- <br /> Stock--ton Roto Rooter Da-tver N'ame(print): <br /> 4228 Newton Rd <br /> Stockton,CA 95205 Driver Signature: <br /> 5 'd 98 9 'ON AVtiZ : O1 9102 'E 'noN <br />