EL TORO WATER DISTRICT
WASTEWATER FOG APPLICATION

WASTEWATER FOG APPLICATION

Any commercial kitchen discharger of Fats, Oils and Grease (F.O.G.) is required to apply for a Wastewater FOG Application.

SECTION A – FACILITY BUSINESS INFORMATION

A1. Company Name:(*)

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Web Site (if Applicable):(*)

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A2. Type of Business:(*)

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A3. Parent Company Name (If Applicable):(*)

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A4. Facility Address:

Street(*)

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City:(*)

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State:(*)

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Zip:(*)

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A5. Mailing Address

Street:(*)

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City:(*)

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Zip:(*)

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SECTION B – FACILITY CONTACT PERSONNEL INFORMATION

B1. Company Authorized Representative

Name:(*)

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Title:(*)

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Phone:(*)

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Fax:(*)

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E-mail:(*)

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Street:(*)

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City:(*)

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State:(*)

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Zip:(*)

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B2. Other Company Contact Personnel:

Administrative Contact (This is the Property Mgr. to contact concerning the information contained in this application)

Name:(*)

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Title:(*)

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Phone:(*)

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Fax:(*)

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E-mail:(*)

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Street:(*)

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City:(*)

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State:(*)

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Zip:(*)

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Facility Contact (This is the person to contact concerning an inspection at the facility site)

Name:(*)

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Title:(*)

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Phone:(*)

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Fax:(*)

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E-mail:(*)

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Street:(*)

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City:(*)

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State:(*)

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Zip:(*)

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SECTION C – FACILITY INFORMATION

C1. Hours of Operation:(*)

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to(*)

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C2. Total Building or Unit/Space Square Footage:(*)

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C3. Is there F.O.G. that is removed from the Facility for offsite treatment or disposal?(*)

Yes

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If yes, indicate with an [X] F.O.G. that is removed from the facility:

(*)

F.O.G. Oil

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(*)

F.O.G. Grease

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Volume Generated (Size/Gallons) Type of Device, & or Container(*)

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Volume Generated (Size/Gallons) Type of Device, & or Container(*)

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(*)

Removed from Facility

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(*)

Removed from Facility

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C4. List the name and address of company that removes any of the F.O.G. listed above from your facility.

Name:(*)

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Title:(*)

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Phone:(*)

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Fax:(*)

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E-mail:(*)

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Street:(*)

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City:(*)

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State:(*)

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Zip:(*)

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For assistance concerning this application contact Ed Peterson with the Collections Department at (949) 837-7050, Ext. 115 or email to This email address is being protected from spambots. You need JavaScript enabled to view it.

EL TORO WATER DISTRICT WASTEWATER FOG APPLICATION

WASTEWATER FOG APPLICATION

Any commercial kitchen discharger of Fats, Oils and Grease (F.O.G.) is required to apply for a Wastewater FOG Application.

SECTION A – FACILITY BUSINESS INFORMATION

SECTION B – FACILITY CONTACT PERSONNEL INFORMATION

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EL TORO WATER DISTRICT
WASTEWATER FOG APPLICATION