Water Hauler Daily Activity Log Sheet
| Haulage Business Name |
| Comments (such as problems with water source, vehicle) | Operator Signature | ||||||
|---|---|---|---|---|---|---|---|
| Date (yyyy/mm/dd) |
Time | Location of Fill (F) or Delivery (D) | Volume (gallons/litres) |
Chlorine Residual Level at Time of Filling and Delivery | Hoses Disinfected | ||
Owner or Supervisor Sign Off
| Name (please print) | Signature | Date (yyyy/mm/dd) |
© Niagara Region - 1815 Sir Isaac Brock Way, Thorold, ON, L2V 4T7 - Phone: 905-980-6000, Toll-free: 1-800-263-7215
