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�. ti909 "N MH :E til0 'S [ 'APW awil paA ! ;);� <br /> Inedible Kitchen Grease (IKG) Manifest <br /> Stockton Roto Rooter Grease & Septic Service <br /> a. <br /> 1 , <br /> Date: Time: AM/Manifest#L-665 <br /> Business Name: <br /> Job Site Address: �� 1/1�t� �� p <br /> abs �S Zi ode: <br /> Customer Name(print): ��ti�?,P,„� v —(Signature): 6/ <br /> XKG Authorized Receiving Facility Name/Address (circle dump site for facility) <br /> City of Lodi-Whitesiough SPCF <br /> 12751 N. Thornton Rd <br /> Lodi, CA 95242 <br /> (209)333-6749 <br /> Date of ICG Receipt:—7/ Time of 1KG Receipt: Total 1KG Received; <br /> Septi Grease <br /> Receiving FacilityRe .Name(Print) �2 . �(Si nature): <br /> Authorized Transporter: Vehicle Decal Nuuaber: // 2b3 <br /> Stockton Roto Rooter Driver Name(print): <br /> 4228 Newton Rd <br /> Stockton,CA 95205 Driver Signature: PL <br /> 8T/ZT 3JVd ZI3100�J 0101 9Z6559b60Z LZ:bT VTOZ/5T/5O <br />