Water X Industries Ltd. Service Log Certification #SAN1681115

• Enter Mobile Unit ID Number.

MOBILE WASH UNIT SANITATION - COMPLETED AT THE BEGINNING OF EACH JOB

• Enter Date & Time

  Date

• Mobile Wash Unit clean and free of dirt & debris?

  Yes

  No

  N/A

• Mobile Wash Unit racks and storage bins are clean and organized?

  Yes

  No

  N/A

• Regular Preventative Maintenance performed?

  Yes

  No

  N/A

• Evidence of flaking paint?

  Yes

  No

  N/A

• Chemicals are properly labelled and stored?

  Yes

  No

  N/A

• Only authorized cleaning compounds and sanitizers are in use?

  Yes

  No

  N/A

• Garbage containers are clean and covered when not in use?

  Yes

  No

  N/A

• Garbage emptied as necessary?

  Yes

  No

  N/A

SERVICE AREA SANITATION - COMPLETED WITH EACH VEHICLE/FACILITY SERVICED

• Enter Customer Name & Address.

• Scan PO if available.

  Media
Vehicle Service

• Enter Date & Time

  Date

• Enter Vehicle ID Number or PO Number.

• Note the exterior condition of trailer/truck.

  GOOD

  FAIR

  NEEDS REPAIRS

  N/A

• Note repairs needed.

• Note the interior condition of trailer/truck.

  GOOD

  FAIR

  NEEDS REPAIRS

  N/A

• Note repairs needed.

• If cleaning a facility or something other than a Truck/Trailer, note condition.

  GOOD

  FAIR

  NEEDS REPAIRS

  N/A

• Note repairs needed.

• Enter water temperature during wash cycle. (In F)

• Enter water temperature during final rinse cycle. (In F)

• If using chemicals to wash and/or sanitize record here.

Chemical Use

• Sanitizer concentration meets standards?

  Yes

  No

  N/A

• All surfaces washed using an approved cleaner?

  Yes

  No

  N/A

• All vents cleaned?

  Yes

  No

  N/A

• All door seals are in good repair?

  Yes

  No

  N/A

VERIFICATION

• Employee Name & Signature.

  Sign

• Supervisor Name & Signature.

  Sign