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6PH 'IN Nd8l :Z LIE 'til 'Any aWl j P;AIa0ad <br /> (f 4G- <br /> Inedible Kitchen Grease (IKG) Manifest <br /> Stockton Roto Rooter Grease & Septic Service <br /> Dater(03 tiV Time: I �Z� 1V / Manifest 4 L- c).2,Q <br /> Business Name: 4 <br /> Job Site Address:`2 4 S \N Zip Code: 2 2 <br /> 0 <br /> Customer Name (print): ,���i.�� /�/�{� (Signature)- _.. <br /> IKG Authorized Receiving Facility Name/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 /> �� <br /> Date of IKG Receipt: J Time of IKG Receipt: 4 Total IKG Received: 1/576L) <br /> Septic Grease <br /> Receiving Facility Rep. Name(Print)<91 kl*� �� Kignature)- 0 <br /> Authorized'Transporter: Vehicle Decal Number: 7� <br /> Stockton Roto Rooter Driver Name(print)- <br /> 4228 Newton Ind <br /> Stockton,CA 95205 Driver Signature: <br /> d SOS 'ON NdLZ z L1z til 'end <br />