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9�H 'ON AVS :6 E '6 add 1111l PaAl ;);� <br /> Inedible Kitchen Grease (H<-G) Manifest <br /> Stockton Roto Rooter.Grease & Septic Service <br /> DaterTM AM/YIVi:: MaDifest#L-,:' <br /> d <br /> Business Name; <br /> Job Site,Address:- ��9 �' �i �/�-,�yi ��r Zip ode: <br /> Customer Nameot : G u t— w _S (Si�ature - <br /> (l?ri )/ <br /> IICG Authorized Receiving Facility Name/Address (circle dump site for facility) <br /> City of Lodi-Whiteslovgh SPCF <br /> 12751 N. Thornton Rd <br /> Lodi, CA 95242 <br /> (209)333-6749 <br /> Date of IKG Receipt:n-VI ime of IKGs ReceiptJ C,a� Total XXX Recelved:�l h. <br /> cc <br /> Grease <br /> Receiving Facillty Rep.Name(Print) `^ 6 pw-mature)= <br /> Authorized Transporter: Vehicle Decal Number: <br /> Stockton Roto Rooter Driver Nam,e(print): <br /> 4228 Newton Rd <br /> Stockton,CA 95205 Driver Signature: <br /> 1 <br /> Z d H66 'ON 09� : 6 910 '6 'A d0 <br />