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}Z - 06 680Z '°N Wd8l Z L10 til 'gnd awil pania°ad <br /> Inedible Kitchen Grease (IKG) Manifest Ul- 02 <br /> 6Stockton Roto Rooter Grease & Septic Service <br /> Date: /� Time: j�� �/PM Manifest#L- <br /> Business Name: ut., <br /> Job Site Address: s `L�d� Zip Code: <br /> r <br /> Customer Name (print): IYN� i`i '✓tiY-64 I (Signature). <br /> IKG Authorized Receiving Facility Name/Address (circle dump site for facility) <br /> City of Lodi-Whitesiough SPCF <br /> 12751 N. Thornton Rd <br /> Lodi, CA.95242 <br /> (209) 333-6749 <br /> Date of IKG Receipt: Time of TKG Receipt: (6k Total 1KG Received-.—1 <br /> SepticrreaseReceiving Facility Rep. Name(Print) (�L7ure : <br /> Authorized Transporter: Vehicle Decal Number. <br /> Stockton Roto Rooter Driver Name(print): <br /> 4223 Newton Rd <br /> Stockton,CA 95205 Driver Signature: <br /> 8 'd S8ti8 '°N WdLz : Z LIE 'til '2nd <br />