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L166 "N AV5E :2 S[0Z -Z -AON ;Wli paniaD;� <br /> Inedible Kitchen Grease (IKG) Manifest <br /> Stockton Roto Rooter Grease & Septic Service <br /> Date: O / ! Time: (k4- /PM Manifest OL-9/6/ <br /> Business Name: /�/=� ��✓t i l <br /> Job Site Address: 2,nnn Ck1 efi Zip Code- <br /> 41 <br /> ode- ,c . <br /> ' <br /> Customer Name (print)- "' » acture): <br /> 1KG Authorized Receiving Facility Name/Ac�r ss (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 IKG Receipt:rr7/-2n Time of IKG Receipt: r��V Total IKG Received: <br /> Septi Grease <br /> Receiving Facility Rep. Name(Print) B(ZlA-t) `-ON6PI-�Signature): <br /> "i4— <br /> Authorized Transporter- Vehicle Decal Number: <br /> Stockton Roto Rooter Driver Name(print): &yl <br /> 4228 Newton Rd <br /> Stockton,CA 95205 Driver Signature: <br /> d LZK 'ON AVL� l SBH z 'AON <br />