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ELI '°N 06ti :9 LIN '6I 'unr ;W1 j paniau;� <br /> W <br /> Inedible Kitchen Grease (ZING) Manifest <br /> Stockton Roto Rooter Grease & Septic Service <br /> Date: AM Manifest 9 L- ©-5 <br /> Business Name: �—,4 <br /> Job Site Address: -22-9 'Y' U f� Zip Code: <br /> Customer Name (print):_ Ljo-. &� l�l��-� (Signature):7-- <br /> r <br /> YKG 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 /> Date of iKG Receipt: Time of LKG Receipt: Total YKG Received: Z (x <br /> SeptYc Grease <br /> Receiving Facility Rep. Name(Print)gi*t� _(,o,NcPR _ (Signature): : <br /> Authorized Transporter: Vehicle Decal Number: r k— —;I( <br /> Stockton Roto Rooter Driver Name(print): 2C-✓ jy <br /> 4228 Newton Rd <br /> Stockton,CA 95205 Driver Signature: <br /> S 'd I 16 'ON WHLS : 8 LIOZ '6I 'unr <br />