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Dec, 15. 2017 1 ; 54PM No, 9405 : P. 3 <br /> Inedible Kitchen Grease ([KG) Manifest <br /> Stockton Roto Rooter Grease & Septic Service � <br /> Date: -- 7 Time: CA /PAVE mauifest 4 L- �. <br /> I <br /> Business Name: 01,Q (10 )L Q <br /> Job Site Address: -�—. �y [� (J��c� V�� ip Cod <br /> i <br /> Customer Name (print): (Signature): <br /> EKG Authorized Receiving Facility Nawc/Address (circle dump site for facility) <br /> i <br /> City of Lodi-'VVhiteslough SPCF <br /> 12751 N. Thornton Rd <br /> Lodi, CA 95242 <br /> (209)333-6749 <br /> ;i <br /> Date of WG Receipt: of IKG Receipt: Total IKG Received. <br /> Septic Grease <br /> Receiving Facility Rep.Name(Print)-Be, (Signature): <br /> Authorized Transporter: Vehicle Decal Number: 7— <br /> L <br /> Stockton Roto Rooter Driver Same(print): k, S 'i <br /> 4228 Newton Rd <br /> Stockton,CA 95205 Driver Signature: <br /> Received Time Dec. 15, 2017 1 : 44PM No. 2744 <br />