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ROM I C fv Automotive <br /> Environmental <br /> (44t y <br /> ENVIRONMENTAL Services <br /> TECHNOLOGIES CORP. <br /> A Romic/US Liquids Company <br /> Service Ticket N <br /> 70AHC34180 <br /> Ceweka Lodi DodS6 Geweke Lodi Dodge Date of order: 5/7/02 <br /> Route Sheet: 2125 <br /> Truck Humber: ll <br /> 1255 So. Beckman RoadP.tT.scs 1210 EPA ZD #: CAL00025221" <br /> Lod?, CA 95240 Lodi, CA 95245 <br /> c 720ANCGW-WE36562 $aiesperson: a <br /> GEWES35.:-135 Contact: <br /> r209j 365-5528 <br /> - Purchase order: <br /> Contract: <br /> Mote <br /> Restrictions: <br /> service Type ------ --FStimated Actual Unit of Unit Bx <br /> ouantity ouantity Measure` Price F <br /> ----------------_ - - .�-c <br /> Waste Antifreeae aiiona �o.ao S�fl — <br /> Trsn.sportation 1 _ Hours $0.00 — <br /> HP Premix 1/7l Gailons $3.25 — <br /> subTotal: <br /> Sh15s Tax: <br /> Total; <br /> observation/Comments: <br /> Depart US Liquids: Manifest #: <br /> Arrive Cust. Location: Date of Service: <br /> Depart Cust. Location: <br /> Truck Number: <br /> Arrive Disp- Facility: Driver: —— <br /> Customer Print: � <br /> Off Load Complete: �-' <br /> Total Trans / Labor: Customer Signature: <br /> THIS IS TO CERTIFY THAT THE ABOVED-NAMED MATERIALS ARE PROPERLY CLASSIFIED, DESCRIBED, PACKAGED, MARKED AND LABELED, AND A <br /> TROPES CONDITIONCrRn THAT THE A OVER CCORDINGTOTHEAPPUCA13LE REGULATIONS OFTHE DEPARTMENT OFTRANSPORTATION.' <br />