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Grease Trap Report (Rev. 11/2021)

  1. Header Health forms Lg
  2. Time Frame*

    Check the quarter for the report you are filing.

  3. Do you have a waste oil bin/dumpster/receptacle?*
  4. Note: Missing information will result in an incomplete submission and may result in non-compliance on your part. 

  5. Do you share a waste oil bin/dumpster/receptacle with another restaurant?*
  6. Leave This Blank:

  7. This field is not part of the form submission.