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6802 'nN Wd8l Z t [ol til 'end ;Wli panianad <br /> RR - d � �72 <br /> Inedible Kitchen Grease (IKG) Manifest � o2tv <br /> Stockton Roto Rooter Grease & Septic Servic� <br /> Date: Time: /Z. 36 AM/6) Manifest#L- <br /> Business Name: � <br /> Job Site Address: Zip Code: p <br /> Customer Name (print): �f (Signa <br /> l <br /> IKG Authorized Receiving Facility Name/Address (circle d,Ymp site for acility) <br /> City of Lodi-Whiteslough SPCF <br /> 12751 N. Thornton Rd <br /> Lodi, CA 95242 <br /> (209)3336749 <br /> Date of IKG Receipt: Time of 1KG Receipt: 5/ Total IKG Received: <br /> Septic yeas <br /> Receiving Facility Rep. Name(Print) � ISI ��(Signature): <br /> anmu,Al AV—/ <br /> Authorized Transporter: Vehicle Decal Number. Iti-775�I- l I' <br /> Stockton Roto Rooter Driver Name(print): �n��ow4 <br /> 4228 Newton Rd <br /> Stockton,CA 95205 Driver Signature: <br /> r <br /> l l 'd SM 'ON WdH : Z LIE til '2nd <br />