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'Dec. 15. 2017 1 ; 53PM No. 9405 P. 2 <br /> ,dos <br /> <d� Inedible Kitchen Grease (XKG) Manifest <br /> Stockton Roto Rooter Grease & Septic' Service <br /> nate: Time. AM / Manifest.#L- 0 — <br /> I, <br /> Business Name: r Incl <br /> Job Site Address: �" � xp de: <br /> Customer Name (print): � � t 1��l Su�,� (Sig re): <br /> IKG Authorized Receiving Facility Name/Address (circle dump site for facilit3') <br /> City of Lodi-Whiteslough SPCF <br /> 12751 N. Thornton Rd <br /> Lodi, C.A..95242 <br /> (209) 3336749 <br /> I <br /> I <br /> Date of IKG Receipt: ) 2 v[ime of IKG Receipt: gl', z X-"'-Cotal IKG Received: <br /> I <br /> I <br /> epti Grease. <br /> �1y�,,,..,�� 1 1 IA <br /> Receiving Facility Rep. Name(Prior1���'U� "'(%Sgnature : <br /> Authorized Transporter; Vehicle Decal Number: ( ! / <br /> Stockton Roto Rooter Driver Name(priut): �ekl JL <br /> 4228 Newton ltd <br /> Stockton,CA 95205 Driver Signature: "fes <br /> I <br /> ; <br /> I <br /> ' I <br /> ;I <br /> i <br /> Received Time Dec. 15, 2017 1 : 44PM No. 2744 .I <br />