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L901 'nN Md :9 9l0z ' 'S °ny aw!1 paniaaa� <br /> 0 <br /> Inedible Kitchen Grease (IKG) Manifest <br /> 'Stockton .Roto Rooter Grease & Septic Service <br /> bate: Time: />?11VX Manifest#L-02-00' <br /> $usWess Namie: C-7CC-1A'\/11 A7\ � 1�\ <br /> Job Site Address: 1��J Code."1�7 <br /> Customer Name (print): C. L"&pk acrSvt{$iguature): ash` s <br /> 1KG 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 /> rr��,,,� / �aCll <br /> Date of IKG Receiptt7-00-4Tfuae of 1KG Receipt: U Total IKG Received: 4 <br /> =Septic <br /> Grease <br /> Receiving Facility Rep.Name(Print (Signature): <br /> Authorized Transporter: 'Vehicle Decal Number: <br /> Stockton Roto Rooter Driver Name(print): <br /> 4223 Newton Rd <br /> Stockton, CA 95205 Driver Signature: <br /> � � 'd «cS 'ON Mo : z 91H .S ,0nd <br />