PDI Victoria Digital Wash Ticket
Header Information
Wash Certificate Date
April 2025
Su
Mo
Tu
We
Th
Fr
Sa
30
31
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
1
2
3
Wash Certificate Number
Generate ID
Time In
Time Out
Tanker Information
Trailer Number
Tractor Number
Last Contained Commodity
Last BOL Number
Wash Details
Special Wash Sequence
Caustic
Regular
Hot Water Rinse
Wash Cycle Time Started
Wash Cycle Time Finished
Glucose Readings
Seal Number (Top)
Seal Number (Bottom)
Sensor Data and Validation
Start Temp (°F)
Mid Temp (°F)
End Temp (°F)
Refresh Sensor Data (Pass)
Refresh Sensor Data (Fail)
Criteria Checklist
Interior
Clean
Sanitize
Inspect
Exterior
Clean
Sanitize
Inspect
Valves
Clean
Sanitize
Inspect
Fittings
Clean
Sanitize
Inspect
Hoses
Clean
Sanitize
Inspect
Seals
Clean
Sanitize
Inspect
Comments
Signatures
Completed By
Signature:
Inspected By
Signature:
Verified By
Signature:
Carrier Rep
Signature: