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tOH 'IN WHCI :E EH '9 qac 11111 pani ;D;� <br /> Inedible Kitchen Grease (IKG) Manifest <br /> Stockton. Roto Rooter Grease & Septic Service <br /> D te: U 3 Time: S : 5 AM/ <br /> B siness Name. <br /> 1 <br /> J Site Address: 127414 14 , ",l� Q6 - Zip Code: <br /> stomer Name (print): 01 (Signature): <br /> Authorized Receiving Facility Name/Address (circle dump site for facility) <br /> City of nodi-Whiteslough SPCF <br /> 12751 N. Thornton Rd <br /> Lodi, CA 95242 <br /> (209) 333-6749 <br /> b e of IKG Receipt:) �J- Timo of IKG Receipt: � �� Total 1 CG Received: <br /> Septi Grease , <br /> Reiving Facility Rep.Name(Print)�r�i w�6P� (signature): <br /> A horized Transporter: 'Vehicle Decal Number: I �/ <br /> St kton Rbto Rooter Driver Name(print): .� <br /> 42 Newton Rd <br /> St kton,CA 95205 Driver Signature: <br /> - <br /> A �tiL6 'ON AVLz :01 91H ,9. 'q;J <br />