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OIL [ 'IN 06ti :2 LIH '6I 'unr ;Vj paniau;� <br /> Inedible Kitchen Grease (IKG) Manifest <br /> Stockton Roto Rooter Grease & Septic Service <br /> r <br /> Date:'5—^ Time: O ,`LWD/ M .Manifest 9 L-O a � <br /> Business Name: e C--0VwQ(e=a! <br /> Job Site A.ddress:fj" i,Y Ly Zip Code. <br /> Customer Name (prinoz/`l �� l�I'�f�ll/�- (Signature <br /> lKG Authorized Receiving Facility Name/Address (circle damp 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 XKG Receipt: Total XKG Received- <br /> Septic 0Grease <br /> Receiving Facility Rep. Name(print �ko— <br /> A'athorized <br /> Transporter: Vehicle Decal Number: <br /> Stockton Roto Rooter Driver Namie(print): f. <br /> 4228 Newton Rd <br /> Stockton,CA 95205 Driver Sigaartnr <br /> 0 'd I I6L 'ON 09S : 2 L I Ol '6I 'u n r <br />