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99ti1 "N _W�ddSS� LIH 'S 'ApA ;w1i paniaDa� <br /> 4 l <br /> Inedible Kitchen Grease (IKG) Manifest <br /> Stockton Roto Rooter Grease & Septic Service <br /> Date: - L . <br /> Time: AM/PM Manifest 9 L- �D d-S-2 ` <br /> Business Name: <br /> Job Site Address: W _ �„ Zip Code: �� <br /> Customer Name (prWt): G ° r. (Signature): <br /> IKG Authorized Receiving Facility Name/Address (circle dump site for facility) <br /> City of.Lodi-Whiteslough SPCF <br /> 17 12751 N_ 'Thornton Rd <br /> Lodi, CA 95242 <br /> (209)333-6749 <br /> Date of 1KG ReeeipttL:-�I��/ Time of tKG Receipt: Total IKG Received: <br /> eptic ' Grease <br /> Receiving Facility Rep.Name Trint Si <br /> � ature) I <br /> Authorized Transporter: Vehicle Decal Number: <br /> Stockton Roto Rooter Driver Name(print): <br /> 4228 Newton Rd <br /> Stockton,CA 95205 Driver Signature: <br /> 8 'd 16SL 'ON WdtiZ : Z LlH 'S �pW <br />