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Z�61 '0N Ad05 Z1 C10Z '0 n awil paniaaad <br /> Inedible Kitchen Grease (IKG) Manifest <br /> Stockton Roto Rooter Grease & Septic Service <br /> Date: �6 Time: 2AM<[& Manifest#L- 02 (0;0 <br /> Business Name: D4&/ZZ �ff,67--> lk <br /> Job Site Address: 1 f P � Zip Code: <br /> Customer Name (print): / er AICL 12/zl- <br /> 1KG <br /> IKG Authorized Receiving Fac' ' Name/ circ a site for facility) <br /> Ci Lodi-Whitesl ugh SPCF <br /> 12751,N. Thornton Rd <br /> Lodi, CA 95242 <br /> (209) 333-6749 <br /> Date of 1KG Receipt: G Receipt: 1n Total IKG Received. <br /> Septic Grease <br /> Receiving Facility Rep.Name(Print)�. Ok^ �rl� (Signature): /�► <br /> Authorized Transporter: Vehicle Decal Number: f< <br /> Stockton Roto Rooter Driver Name(print): <br /> 4228 Newton Rd <br /> Stockton,CA 95205 Driver Signature: AA <br /> z 'd H2 2 'IN NAS :: [ clot 'H 'lnr <br />