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9090 "N NdLS :ti tIoZ '8 'qad awil pania);� <br /> Inedible Kitchen Grease (IKG) Manifest <br /> Stockton Roto Rooter Grease & Septic Service <br /> 3L <br /> Date: Time: AM pm anifest#L- <br /> a <br /> Business Name: 3 <br /> Job Site Address: �itr Zip Code: <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 lKG Receipt: �lime of IKG Receipt: Total 1KG Received: - 2, <br /> Septic . Grease <br /> Receiving Facility Rep. Name(Print k (Signature): <br /> Authorized Transporter: Vehicle Decal Number: <br /> Stockton Roto Rooter Driver Name(print): Z- <br /> 4228 Newton Rd <br /> Stockton,CA 95205 Driver Signature: <br /> RECEIVIM <br /> FEB 0 q 2017 <br /> MWIRONMEMAL WEALTH <br /> PEWrSa <br /> l 'd 0 [OL '°N NdEO : S LIOZ 8 'qad <br />