Choose Total Petroleum or CDEF

Delivered to:

Delivery date/time
Delivered-to address:

Mileage to delivery

BULK DEF - Beginning Meter Reading:

BULK DEF - Ending Meter Reading:

BULK DEF - Gallons Delivered:

Packaged products delivered:

Notes / Comments:

Customer signature:
Picture of meter ticket
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.