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ti909 "N NdH :E 0l Sl 'ApN awil paniaaad <br /> r <br /> Inedible Kitchen Grease (IKG) Manifest <br /> Stockton Roto Rooter Grease & Septic Service <br /> Date: 3��/ Time: AM/PM Manifest#L-0056 <br /> ]Business Name: <br /> Job.Site Address--_*) AJ, Lh Zip Code: <br /> Customer Name (print): �P,�� �l� b.(Signature): <br /> XKG Authorized Receiving Facility Name/Address (circle dump site for facility) <br /> i <br /> City of Lodi-Whiteslough SPCF <br /> 12751 N.Thornton ltd <br /> Lodi,CA 95242 <br /> (209)333-6749 <br /> Date of IKG Receipt: /44e of 1KG Receipt: Total 1KG Received: <br /> Sep ' Gre <br /> Receiving Facility Rep.Name(Mut��C.�r���(_nri�I Signature).- <br /> Authorized <br /> ignature):Authorized Transporter: Vehicle Decal Number: 0 <br /> Stockton Roto Rooter Driver Name(print): P � <br /> 42'28 Newton Rd <br /> Stockton,CA 95205 Driver Si <br /> i <br /> i <br /> 80/91 39dd N=0Z1 OlOJ H6559V60Z LZ:VT PTOZ/5T/50 <br />