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9160 "N WdD :9 LIOZ I apW awi j paniaa;� <br /> Inedible Kitchen Grease (IKG) Manifest <br /> Stockton Roto Rooter Grease & Septic Service <br /> Date: Time: �A�@/PM Manifest#L- -3 <br /> Business Name: <br /> 1 <br /> Job Site Address:�G'. a Zip Code: <br /> Customer Name (print): :21& (Signature). <br /> IKG Authorized ReceiAmg Facility Name/Address (circle dump site for facility) <br /> City of Lodi-Whiteslough SPCF <br /> 12751 N. Thomton Rd <br /> Lodi, CA 95242 <br /> (209)3336749 <br /> Date of IKG Receipto;2'-� %-7Time of IKG Receipt:-'-V Total IKG Received: <br /> eptic Grease <br /> Receiving Facility Rep.Name(Print) 1 IL K�A (Signature): <br /> Authorized Transporter: Vehicle Decal Number: <br /> Stockton Roto Rooter Driver Name(print): <br /> 4228 Newton Rd <br /> Stockton,CA 95205 Driver Signature: 5�-yr Z <br /> L 'd 911L 'ON WdOS : 9 'LIH l a�W <br />