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9020 "N WdLS :ti LIN '8 'qad aril pania3ad <br /> Inedible Kitchen Grease (IKG) Manifest <br /> Stockton Roto Rooter Grease & Septic Service <br /> Date: Time: AM/PM Manifest#L-023 <br /> Business Name: � �,5 <br /> Job Site Address: ?-ql(l Zip Code: Sli, <br /> Customer Name (print); ZZ4122,2(Signature): <br /> IKG Authorized Receiving Facility Name/Address (circle dump site for facility) <br /> City of Lodi-Whiteslough SPC)F <br /> 12751 N. Thornton Rd <br /> Lodi, CA 95242 <br /> (209) 333-6749 <br /> ((P <br /> Date of IKG Receipt: 7 Time of IRG Receipt: Total IKG Received:_, <br /> Septic Grease <br /> � P VJ� <br /> Receiving Facility Rep. Name(Print (Signature): <br /> Authorized Transporter: 'Vehicle Decal Number: <br /> Stockton Roto Rooter Driver Name(print): <br /> 4229 Newton Rd <br /> Stockton,CA 95205 Driver Signature: <br /> RECEIVED <br /> FEB 092017 <br /> MWR0Nli /L .Tji <br /> PZ_MMrr/31;II?W-;63 <br /> 'd DIOL 'ON WdEO : S -LIOZ 8 q <br />