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Fee Submittal
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04/07/2026Click to Sign
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Wastes
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Industry
Industry
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Food Service Facility
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Type of Food Service Facility
Food Facility Location
Food- Major Equipment
Fixtures in food prep area
Service Type
Wash plates or serving pieces
Open Days
Service Time
Type of collection receptacle
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Share use of trash receptacle
Type of cooking oil receptacle
Share cooking oil receptacle
Industrial Pretreatment equipment
Industrial Pretreatment equipment
Pretreatment equipment location
unrestricted physical access
restroom waste streams commingle
waste stream sampling done prior
Clean pretreatment device
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Routine maintenance for pretreatment
Discharge
Chemicals
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Chemicals
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Description of discharge practices
Non routine discharges
Non routine batch discharges
Chemical Storage
Paints Flammables fuels
Lube oils grease fuel oils
Organic cleaning solvents
Pesticides
Solids or viscous liquids
Prohibited materials storage
Building of containment structures
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Inspection of maintenance storage areas
Material inventory system
Procedures and practices for op
Rainwater POTW
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Plant POTW
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Single pass cooling water
Worker training
Measures and equipment
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04/07/2026Click to Sign
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Location of the pretreatment equipment diagram Click Here to Upload