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llU 'IN Wdtil Zl LIH 'S 'd;S awil PaAl ;);� <br /> Inedible Kitchen Grease (IKG) Manifest <br /> Stockton Roto Rooter Grease & Septic Service <br /> Date: t--- – Time, AM/Manifest 9 L- <br /> Business Name: C <br /> Job Site Address: ; Zip Code: y� <br /> Customer Name (print): 1 6 ms(Signatu <br /> 7?--LV C-7— <br /> EKG Authorized Receiving Facility Name/Address (circle dump site for facility) <br /> City of Lodi-WWtesaough SPCF <br /> 12751 N. Thornton Rd <br /> Lodi, CA 95242 <br /> (209) 333-6749 <br /> Date of lKG Receipt: -�-�1imc of 1KG Receipt: Total 1KG Received: <br /> (S:ep� fi Grease <br /> Receiving Facility Rep. Name(Print) UYU (Signature): <br /> UUL, <br /> Authorized Transporter: Vehicle Decal Number: - <br /> Stockton Roto Rooter Driver Name(print): <br /> 4228 Newton Rd <br /> Stockton,CA 95205 Driver Signa <br /> z 'd 6292ON WdH :: [ LIE 'S 'd;S <br />