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tiOOE 'ON NVLI :OI 8 [OZ '9 q x611 paniaaa� <br /> Inedible KitchenzGrease (YKG) Manifest <br /> Stockton Moto Rooter Grease & Septic Service <br /> IEC te: Time: 9. ? ANI/pm`: Mail fest#L-: <br /> siness Name: `✓ <br /> Site Address: rZip Code: /5 -24o <br /> stomer Name (print): (Signature): <br /> G Authorized Receiving Facili Name/riddress (circled �ltecility) <br /> City of Lodi-`DVhiteslouigh SPCF <br /> 12751 N.Thoroton Rd <br /> Lodi, CA 95242 <br /> (209) 333-6749 f <br /> D e of 11(G Recelpt:�ime of IKG Roeelpt= i �otal 1KG Received: d `b <br /> Septic rease <br /> eiving Facility Rep.Name(Print) (SignatuA- - <br /> V4ehilv' <br /> A horized Transporter: mq Number- <br /> it <br /> St Ekton Roto Rooter Driver Name(print): <br /> 42 8 Newton Rd <br /> St Ckton,CA 95205 Driver Signature: <br /> 9 d ItiL6 'ON AVLZ : U UR '9 q <br />