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tiOH 'ON WdLI :OI 91H 9 qac aUJIi paniaaa� <br /> Inedible Kitchen Grease (IKG) Manifest <br /> Stock-ton Roto Rooter Grease & Septic Service <br /> 1l , <br /> b e: ` �' Zc:�) Time: 1 / N1: Manifest 4 L7 U��� <br /> 19 'mess Name: ) C <br /> Jo Site Address: Wb S. QAk U Zig Code- l <br /> C tomer Name (print). (Signature): <br /> Authorized Receiving Facility dame/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 /> Da of IKG Receipt: 1-I O '1'imc of II�G Receipt: 1 \��X� otal XICG Received: <br /> SepticGrease <br /> R ivinn Facility Rep.Name(Print) (Signature): <br /> A orized Transporter: 'Vehicle Decal Number: <br /> St loon Roto Rooter Driver Name(print): q� <br /> 42 Newton Rd <br /> Sti kton,CA 95205 'Driver Signatur <br /> 8d ' ltiL6 'oN &28 01 :8101 9 qac <br />