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)