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• • �� <br />61 SiCmn.6I0 S16-171-2570 <br />02 Cl6rfubury 016-766-1012 <br />01 NooC70 00 <br />land S <br />oe w6n61n6 s5' , <br />RlMIT TO: P.O. BOX 401 1 <br />+ s <br />03Dx.n 10 -671.2061 <br />F6'�HI6Id <br />06I.I.1on 01 w. s <br />WEST SACRAMENTO, CA 95691 Og0 J <br />✓.iI <br />, • <br />06 T07-4253710 <br />o5*to pion 208,1654255 <br />10 Rio VIya9 9h.11 701d74.AZ0 <br />11 M6rywll). 550-T�Lr6�i <br />HAZARDOUS MATERIAL EMERGENCY' <br />Dd <br />+4 Lincoln 916aSd170 <br />CALL 1-600-4$6-7745 ' <br />P.O. BOX sol - WEST SACRAMENTO, CA 6691 <br />• 1[0161911.2170 <br />INVOICE: 188364 <br />WH: 27 <br />14172 <br />DATE: 05-01-09 <br />CHASE CHEVROLET CO., INC. <br />PO BOX 6349 <br />STOCKTON, CA 95208 <br />CHASE CHEVROLET CO., INC. <br />6441 HOLMAN RD <br />STOCKTON, CA 95212 <br />CUST PURCHASE ORDER NUMBER _ SALESMAN <br />_-- _ TERMB DEL ZONE DUE DATE .� <br />240773 DAVE ROSE ;NET 15 DAYS 0 OS -16-09 <br />DELIVERY DATE DRIVER ORUCK NUMBER TERMfNAL T— D f L NUMBER—� <br />----- — <br />05-01-09 F-85 DAN MARTI 110 <br />NO. OF r BULK OR <br />PKOB SIZE <br />I <br />3 EACH <br />3 EACH <br />21 1/3 <br />PRODUCT DELIVERED <br />ENV FILT DRM (FULL) <br />ENV FILT DRM (EMPTY) <br />FORMULASHELL SAE 5W20 <br />CA STATE OIL RECYCLING TAX <br />CA MOTOR OIL TAX <br />REC CA OIL SPILL TAX <br />ENVIRONMENTAL SURCHARGE <br />ORDERED I DELIVERED 1 TABS <br />�T`•-' PRICE <br />T <br />xi45.00000 <br />X'0.00000. <br />x110.97905 <br />0.16000' <br />0.02000 <br />0.00095 <br />x; 0.00850 <br />AMOUNT <br />1350O1��t� <br />0.. 00. <br />65.87' <br />0.96 <br />0.12 lit <br />0.01 <br />0.05 <br />©a 1T <br />21�., J <br />�- -- - -- CHASEx T0. EXEMPT-- <br />I TOTAL - <br />_CE OF 202.01; <br />:C <br />V5TQMrRAGREES TO PAY FINANCE CHARGE ON PAST DUE BALAN1 A% PER — _ - `-- <br />MONTH OR THE MAXIMUM RATE ALLOWED IN CUSTOMER'S STATE OF RESIDENCE. Number of Drums Returned X $ <br />WHICHEVER IS LESS! AND FURTHER Awns TO PAY REASONABLE ATTORNEYS FEES — <br />AND COS fS IF COLLECTION IS REQUIRED. VENUE FOR PURPOSES OF ENDORSEMENT Environmental Drum Cleanin Char e < ~> , <br />i OF THIS OBLIGATION SHALL BE YOLO COUNTY. _ _ g g <br />ALL CLAIMS FOR ENVIRONMENTAL DAMAGE OURINQ DELIVERY OF ANY RAMOS OIL <br />PRODUCT MUST BE MADE WITHIN 13 DAYS FOLLOWING DELIVERY. ERRORS IN PRICE, EXTENSION AND ADDITION SUBJECT TO CORRECTION <br />XD BY LIVERE(SIGNATURI IN FULL] RECEIVED IN GOOD ORDER <br />-- -- -- ----- X _ -- — _ TOTAL _ mei 202 01' <br />