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® P.O. BOX 401 • WEST SACRAMENTO, CA 95691 <br />0-473-2811 <br />01 Sacramento 916371-2570 08 WilW0091116-645-2179 <br />REMIT TO: P.O. BOX 401 <br />M Di.. <br />707-678-2061 09 Isla6-777-5545 <br />DELIVERY DATE DRIVER TRUCK NUMBER <br />04 Fairfield <br />707-425-5780 11 Ma0-743-4647 <br />WEST SACRAMENTO, CA 95691-0401 <br />05 Stockton <br />209-465255 14 Lin <br />NO. OF <br />PKG'S <br />06 Woodland <br />530461-1200 <br />HAZARDOUS MATERIAL EMERGENCY <br />DELIVERED <br />TAXES <br />CALL 1-800-456-7745 <br />ACCOUNT: 14172 <br />INVOICE: 191043 <br />WH: 27 <br />DATE: 10-09-09 <br />34.RMBULK10-12-09.S11 RAMOS OIL INC. <br />CHASE CHEVROLET CO., INC. DEPT # 34335 <br />PO BOX 8349 PO BOX 39000 <br />STOCKTON, CA 95208 SAN FRANCISCO, CA 94139-0001 <br />DO NOT ATTACH WITH STAPLE OR PAPERCLIP <br />PLEASE DETACH AT PERFORATION AND RETURN UPPER PORTION WITH YOUR PAYMENT <br />COST. PURCHASE ORDER NUMBER SALESMAN <br />TERMS DEL. ZONE DUE DATE <br />248468 DAVE ROSE <br />NET 15 DAYS 0 10-24-09 <br />DELIVERY DATE DRIVER TRUCK NUMBER <br />TERMINAL <br />8 / L NUMBER <br />10-09-09 85 DAN MART .110 <br />NO. OF <br />PKG'S <br />BULK OR <br />SIZE <br />PRODUCT DELIVERED <br />ORDERED <br />DELIVERED <br />TAXES <br />PRICE <br />AMOUNT <br />BULK <br />FORMULA SHELL SAE 5W30 <br />98 <br />98 <br />T <br />X <br />6.91905 <br />678.07 <br />CA STATE OIL RECYCLING TAX <br />98 <br />0.16000 <br />15.68 <br />CA MOTOR OIL TAX <br />98 <br />0.02000 <br />1.96 <br />REC CA OIL SPILL TAX <br />98 <br />0.00095 <br />0.0 <br />2 <br />EACH <br />ENV FILT DR-M(EMPTY) <br />2 <br />2 <br />X <br />0.00000 <br />0.00 <br />2 <br />EACH <br />ENV FILT DRM;,(FULL) <br />2 <br />2 <br />45.00000 <br />90.00 <br />ENVIRONMENTAL SURCHARGE <br />X <br />0.00850 <br />0.87. <br />�®IGEN <br />DE <br />CT <br />Z <br />o <br />2oog U <br />CHA <br />E <br />qEYROLET <br />Ship to: CHASE CHEVROLET CO., INC. <br />SALES TAX —► <br />EXEMPT <br />6441 HOLMAN RD <br />STOCKTON, CA 95212 <br />TOTAL --► <br />786.67 <br />CUSTOMER AGREES TO PAY FINANCE CHARGE ON PAST DUE BALANCE OF 1.5% PER MONTH OR <br />THE MAXIMUM RATE ALLOWED IN CUSTOMER'S STATE OF RESIDENCE, WHICHEVER IS LESS, AND <br />Number of Drums Returned X _ <br />i <br />FURTHER AGREES TO PAY REASONABLE ATTORNEY'S FEES AND COSTS IF COLLECTION IS RE- <br />QUIRED. VENUE FOR PURPOSES OF ENDORSEMENT OF THIS OBLIGATION SHALL BE YOLO COUNTY. <br />Environmental Drum Cleaning Charge <br />V' i <br />ALL CLAIMS FOR ENVIRONMENTAL DAMAGE DURING DELIVERY OF. ANY RAMOS <br />OIL PRODUCT MUST BE MADE WITHIN 15 DAYS FOLLOWING DELIVERY. <br />ERRORS IN PRICE, EXTENSION AND ADDITION SUBJECT TO CORRECTION. <br />DELIVERED BY (SIGNATURE IN FULL) <br />RXECEIVED IN GOOD ORDER <br />TOTAL Poo,786.671 <br />