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02 Clarksburg 916-7442012 O6 inlet en 0 724 3501 REMIT T_6-_________ - <br />03 <br />:X ¢p2 <br />03 Dixon 707.678-2061 09131eton -777-5545 WEST SACRAMENTO, CA 95892 <br />04 Fairfield 707-425-5780 10 Rio Vista -374-5620 <br />05 Stockton 209-465.6255 11 Marysville 0-743-4617HAZARDOUS MATERIAL EMERGENCY <br />14 Lincoln 916-645-2179 <br />99 Remote CALL 1-800-456-7745 <br />P.O. BOX 401 d WEST SACRAMENTO, CA 95691 ACCOUNT: 14172 <br />INVOICE: 180139 <br />WH: 5 <br />DATE: 11-16-07 <br />46.RMBULKI1-19-07.S11 <br />CHASE CHEVROLET CO., INC. RAMOS OIL COMPANY <br />PO BOX 8349 PO BOX 401 <br />STOCKTON, CA 95208 WEST SACRAMENTO, CA 95691-0401 <br />DO NOT ATTACH WITH STAPLE OR PAPERCLIP <br />PLEASE DETACH AT PERFORATION AND RETURN UPPER PORTION WITH YOUR PAYMENT <br />PURCHASE ORDER NUMBERA <br />Er 15 15MDEL. <br />ZO <br />E E <br />DEL V RY <br />T U K NUMBER TERMINAL <br />B/ L NUMBER <br />STOVE <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 />3 <br />EACH <br />INV FILT DRM (FULL) <br />3 <br />3 <br />45.00000 <br />135.00 <br />BULK <br />DaHEV SUPREME GF4 10/30 <br />2 7 <br />247 <br />T X <br />6.93405 <br />1,712.72 <br />CA STATE OIL RECYCLING TAX <br />- <br />247 <br />0.16000 <br />39.52 <br />CA MOTOR OIL TAX <br />247 <br />0.02000 <br />4.94 <br />REC CA OIL SPILL TAX <br />247 <br />0.00095 <br />0.23 <br />1 <br />1/120 <br />CHEV RPM UN IV G/L 8OW90 L <br />120 <br />120 <br />T X <br />1.70988 <br />205.19 <br />CA USED OIL FEE I'% <br />120 <br />0..02000 <br />2.40 <br />CA OIL SPILL LBS. <br />120 <br />0.00012 <br />0.01 <br />ENVIRONMENTAL SURCHARGE <br />X <br />0.00850 <br />2.10 <br />ENVIRONMENTAL SURCHARGE <br />X <br />0.00106 <br />0.13 <br />f <br />�•I I �-3 � � a ���' <br />P <br />Ship to CHASE 64411 HOLMANORDT CO. INC., <br />SALES TAX <br />EXEMPT <br />STOCKTON, CA 95212 <br />2,242.2 <br />TOTAL <br />CUSTOMER AGREES TO PAY FINANCE CHARGE ON PAST DUE BALANCE OF 1.5% PER MONTH OR <br />Number Of Drums Returned X $ _ <br />< > <br />THE MAXIMUM RATE ALLOWED IN CUSTOMER'S STATE OF RESIDENCE. WHICHEVER IS LESS; AND <br />E-nvironmental Drum Cleaning Charge <br />< <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 />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 />XLIVERED BY (SIGNATURE IN FULL) <br />X CEIVED IN GOOD ORDER <br />TOTAL <br />