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Spill/Waste Tracking Log Aj <br />s <br />_ N <br />Notify VeederRoot 1-800-997-7725 (Press Option 4, Option 4) to report ALL spills over a Y2 Gallon. Ail -� •� <br />fuel/surface spills, hose replacements, and filter changes are required to be documented on the log belowW'' <br />Fuel Station # Z'l01 <br />ti <br />00 <br />N <br />O <br />I <br />O <br />N <br />1r <br />W F <br />�r <br />O <br />X <br />Date/time <br />of Spill or <br />Waste <br />Disposal: <br />Estimated Quantity/ <br />Type of waste: I.E.1 cup, <br />1gal, 2 absorbent pads, <br />1 hose,12filters <br />How Spill/Waste was <br />created: I.E. Customer <br />Fueling Error, Drive- off, <br />Maintenance <br />Actions taken to clean up the spill: I.E. <br />used FM186 (include the name of the <br />person who cleaned up the spill, added <br />waste to the barrel) <br />Hazardous Waste <br />Type: I.E. Solid or <br />Liquid <br />Haz Waste <br />Accumulation <br />Start Date <br />Haz Waste <br />pick up <br />date <br />vzoP- L l ov. ni--brei <br />S o t o 410-a-6 & <br />C -U <br />Name.U;nLc.a..... c L2w-rK� s4� 1 <br />P r, o tie 6a s <br />Sd -2,-, <br />+�{$fir'-1 <br />o'zlzA�l` <br />Name: <br />Name: <br />Name: <br />Name: <br />Name: <br />Name: <br />Name: <br />If the estimated quantity of the spill is unknown, then insert unknown in the "Estimated Quantity" column. <br />