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9160 '°N WdD : 9 LGIOl, 'l 'auJil paniaaad <br /> Inedible Kitchen Grease (IKG) Manifest <br /> Stockton .Roto Rooter Grease & Septic Service <br /> Date—o� 7 7 Time: . % AM/19 Manifest#L- <br /> Business Name: <br /> Job Site Address: W Zip Code: <br /> Customer Nape (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: I�� Time of IKG Receipt: Total IKG Received: <br /> ep <br /> Grease <br /> Receiving Facility Rep. Name(Print) (Signature): <br /> Authorized Transporter: Vehicle Decal Number:2 /ur7��� <br /> Stockton Roto Rooter Driver Name(print): ::i9,,774r C� <br /> 4228 Newton Rd <br /> Stockton,CA 95205 Driver Signature: � <br /> 9 d 8llL 'IN Ad Os 9 't 10 1 apW <br />