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861 'IN AVE : 6 81OZ 'Z1 'a �A aWl j P;Alaa;� <br /> Inedible Kitchen Grease (IKG) Manifest <br /> Stockton Roto Rooter Grease & Septic Service <br /> Date: Time: /PM Manifest#L- b a� <br /> Job Site.Address: Code. <br /> Customer Name (print): (� yU CZ4 (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 IKG Receipt: Total IKG Received: <br /> Septic Grease <br /> Receiving Facility Rep. Name.(Print)CL�� (Signature) <br /> Authorized Transporter: Vehicle Decal Number: <br /> Stockton Roto Rooter Driver Name(print): <br /> 4228 Newton Rd <br /> Stockton,CA 95205 Driver Si oat <br /> ti 'd SLH 'ON AVE :6 UH 'Z l 'a PW <br />