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Grease Control Questionnaire - Food Service Establishment


  1. 1.

    Food Service Establishment Contact Information

  2. 2.

    Food Service Establishment Information

  3. 3. Grease Interceptor
  • Food Service Establishment Contact Information

      The undersigned agrees they have personally examined and are familiar with the information submitted in this document and attachments. Based upon the inquiry of individuals immediately responsible for obtaining the information reported herein, the undersigned certifies, under penalty of law, that the submitted information is true, accurate and complete. The undersigned is aware that there are significant penalties for submitting false information.
    2. Contact for additional information:

      Industrial Pretreatment Program 

      PO Box 5503, Bismarck ND 58506-5503

      Telephone: 701-355-1763 or 701-355-1768