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19ll 'ON AVH :OI LIOZ 'S 'add IWIJ pania�;� <br /> Inedible Kitchen Grease (IKG) Manifest <br /> Stockton Roto Rooter Grease & Septic Service <br /> Date: Time: AM 161 Manifest#L- 6 ,2- <br /> Business <br /> 2Business Name: �,p ,4- <br /> Job Site Address.-MS '40,01 Zip Code: f's2-O <br /> Customer Name (print): ��'� � (Signature): <br /> IKG 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;, �7 Time of IKG Receipt: Total IKG Received: /aS OQ <br /> Septic G vas <br /> Receiving Facility Rep.Name(Prin (Signature): ~ <br /> Authorized Transporter: Vehicle Decal Number: -;;'Z 7 JAZ <br /> Stockton Roto Rooter Driver Name(print): <br /> 4228 Newton Rd <br /> 'Stockton,CA 95205 Driver Signature: <br /> z 'd �t�t "N NVH : U - c [H add <br />