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ZD '°N AVS1 :6 LIOZ 'l [ '}00 aWl j Pani ;3;� <br /> inedible Kitchen Grease (ISG) Manifest l <br /> Stockton Roto footer Grease & Septic Service <br /> .Date: Time: �`s�'� Am/PM Manifest#L- C) �� I <br /> Business Name: <br /> Job Site Address: (' Zip-Code: SL <br /> ustomer Name (print): , �� iguature): �C6t � <br /> JKG Authorized Receiving Facility Name/Address (circle damp site for facility) <br /> City of.Lodi-Whiteslough SPCA' <br /> 12751 N. Thornton Rd <br /> Lodi, CA 95242 - <br /> (209) 333-6749 <br /> � ��Time <br /> Date of[KC Receipt: of 11CG Receipt; Total IKG Received: s <br /> Septic Grease <br /> Receiving Facility Rep.Name(Print) (Signature): <br /> Authorized <br /> Authorized Transporter: Vehicle Decal Number: �riC <br /> Stockton Roto Rooter Driver Name(print): 0-1 <br /> 4228 Newton Rd <br /> Stockton,CA 95205 Driver Signature: <br /> VJc)l—CJr-l"hf i O--etA <br /> Z 'd OL62 'IN AVtiZ : 6 LIE l l ';,0 <br />