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II 'IN WdWl [ LIE 'S 'dniaaa� <br /> Inedible Kitchen Grease (IKG) Manifest L— oaq <br /> Stockton Roto Rooter Grease & Septic Service <br /> Date: L-7,42---- Time: PM Manifest#L-62-70 <br /> Business Name: <br /> Job Site Address: 324 k,,� �� jolI�G Zip Code: I q 90 <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 IKG Receipt; 0711h Time of IKG Receipt: r� Total IKG Received: <br /> Septic Grease <br /> c <br /> Receiving Facility Rep. Name(Print) �OkM Loj6PRf� (Signature): <br /> Authorized Transporter: Vehicle Decal Number. <br /> Stockton Roto Rooter Driver Name(print): � <br /> 4228 Newton Rd <br /> Stockton,CA 95205 Driver Signature: <br /> 'd 6999 'IN WdH : ZI LIE 'S 'daS <br />