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ti909 "N Wd�Z :E tiI0 'Sl 'AEA ;W]i pania);� <br /> �0 <br /> Inedible Kitchen Grease (IKG) Manifest � 0c)'S'-_a' <br /> Stockton Roto Rooter Grease & Septic Service <br /> :Date: _f Time: A anifest#L- n � <br /> :Business Name: it <br /> Job Site Address: ���� ��� n/ � Zip Code: <br /> Customer Name (print): Davi d HC[,e,2 t (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 IKG Receipt: Time of YYCG Receipt: Z6)'*Q*Total YKG Received: - <br /> r-- <br /> eptic rease <br /> Receiving Facility Rep.NameV(Paint) 0inature : <br /> Authorized Transporter: Vehicle Decal Number: 7 ;,, '2 <br /> Stockton Roto Rooter Driver Name(print): A'LJ J 0�'A sn <br /> 4228 Newton Rd <br /> Stockton,CA 95205 Driver Signature: <br /> 8T/80 dJdd d31ooa 0101 9Z6559b6OZ LZ:bT PTOZ/5T/50 <br />