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69H "N Wd8l :Z LIH 'til '2ny ;W1 panianad <br /> t42 - (-044 ' <br /> Inedible Kitchen Grease (IKG) Manifest <br /> Stockton Roto Rooter Grease & Septic Service <br /> Date: Time: PM Manifest#L- <br /> Business Name: <br /> Job Site Address: U - Zip Code: <br /> Customer Name (print): �A5 e'-a'n K (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 CKG Receipt: Time of IKG Receipt: Total IKG Received: //2'a—> C; 1 <br /> Septic trease:D <br /> Receiving Facility Rep. Name(print)�'1?.l �G (Signature): <br /> _�L r- <br /> Authorized Transporter: Vehicle Decal Number: <br /> Stockton Roto Rooter Driver Name(print): k-v�k-dx� <br /> 4228 Newton Rd <br /> Stockton,CA 95205 Driver Signature: <br /> ti 'd SD '°N WdL6 : Z LIH til "nd <br />