Grease/Grit Interceptor Registration Form

Grease/Grit Interceptor Registration Form

You must complete this form for each interceptor on your property.

Name of Facility*

Service Street Address*

Street Number and Name of property where interceptor is located

Grease/Grit Interceptor Location*

Briefly describe location of interceptor on property

Grease/Grit Interceptor Volume*

In Gallons

Contact Information

Notices will be sent using the information below

Attention*

Contact name or division or department that notices will be sent to

Phone Number*

Phone

E-Mail*

Mailing Address*

City*

State*

Zip Code*

Send me a copy of my responses

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