Get Service Request for used Cooking Oil Recycling 1Personal Information2Address Information3Request Details Please complete the form below (personal information section).Name of Food Establishment* Please enter the name of the food establishment that will be recycling used cooking oil.Full Name* First Please enter the point of contact person at the food establishment.Phone number*Email* Please complete the form below (address information section).Physical address of food establishment. Street Address Address Line 2 City State 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 Physical address of food establishment. Please complete the form below (operational information section).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 No Est. Size of Existing Containment?30 Gallon Drum55 Gallon Drum125 Gallon Bin200 Gallon Bin275 Gallon Bin320 Gallon BinWhat is the size of your existing containment (est.)?NameThis field is for validation purposes and should be left unchanged.
