Name of Food Establishment*Please enter the name of the food establishment that will be recycling used cooking oil.Contact Name* First Last Please enter the point of contact person at the food establishment.Phone*Email* Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Physical address of food establishment.Number of Fryers*12345678910Number of fryers on site at the food establishment.Size of Fryers*Please list the estimated size of the food establishment fryers by pounds or gallons.Oil Change*How often does the food establishment change the fryer oil?Existing Containment?* Yes NoDoes the food establishment currently have containment for used cooking oil?Est. Size of Existing Containment?55 Gallon Drum125 Gallon Bin200 Gallon Bin275 Gallon BinWhat is the size of your existing containment (est.)?PhoneThis field is for validation purposes and should be left unchanged.
