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Hazmat Disposal Bucket Program Training UPDATED 10/01/14 <br /> Fill out the • The Damaged Product Log Form must be maintained at all times identifying a <br /> Damaged complete inventory of every product placed into the color-coded buckets. <br /> Product <br /> Log Form • There is a specific log for each colored bucket. <br /> • The information fields on the form are shown below. An example form with a <br /> few entries completed follows. <br /> IMPORTANT: <br /> Make sure every damaged item that goes in a bucket is also listed on this form. <br /> Make sure to write neatly and use black or dark blue ink only. <br /> Log Form BLACK ovnagep,02dLogFOrr <br /> (Pint Neaeyl Completed b Safe Kleen <br /> Information P v tv- <br /> Stor``: when faxed in(this will not <br /> ir <br /> Your Store N <br /> °Da be completed by the driver <br /> pn°„t`._ o 11- t,,,,(,e e, „°,_`, picking up the product) <br /> t:r.n SICU Pied.,oei,iuiliti.. <br /> Date the form was started <br /> FBucket <br /> Member that <br /> roduct into the <br /> ucket <br /> Date the product was placed t p black <br /> in the bucket ) <br /> SKU p of the product How many items and what <br /> size are they? <br /> Short description of the rm.IP s, Is the product leakinffj� <br /> Droduct ° <br /> or NO <br /> Log Form ra <br /> RED Tractor supply Company <br /> Example Damagad Product Log Form <br /> (Print Neatly) <br /> Store W. ]u 8akerslteleU <br /> Date:g(1/14 <br /> Date <br /> (PtaaG te. LeakLg? 1 z1a"ed By <br /> tla situ product Decal tion pec Pr Not 4wnti 8biie BIKke[e (AmeTnmaaenibei) <br /> NIIS11-14 3427('67 rZuU`l rm5 yaW .In 5 120._ I Aws <br /> 51171204 S'36CC72 S'.ob 1^16— 1 29ts <br /> S'-^SI'>Cll 344I1?4 5.d,Qmaa .I n 3^/ 1 I Jigs <br /> 91151-'fli ICSCI76 Jamd/n tl'wII,Y4” .1'n 4 /6.: <br /> Tractor Supply Company Confidential page 5 <br />