Name of Food Establishment*
Contact Name*
Phone*
Email*
Select Date*
Date Format: MM slash DD slash YYYY
Select Time*
Address*
Street Address City State
Number of Fryers
Size of Fryers
Please list the estimated size of the food establishment fryers by pounds or gallons.
Existing Containment?*
- Yes
- No
Est. Size of Existing Containment?
What is the size of your existing containment (est.)?

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New Orleans Grease Trap Cleaning
and Cooking Oil Recycling