Grease Interceptor Maintenance Log GREASE INTERCEPTOR/TRAP LOG
(Form 219-6)
KEEP ON FILE ON PREMISES FOR NO LESS THAN 2 YEARS.
“Think before you put it down the Sink”
INSTRUCTIONS: To be filled out by the Food Service Establishment and filed in the FSE On-Site Compliance
Binder. Use this form to record grease collection pick-up times and volumes. Use this form to record pumping,
inspection and maintenance of your grease interceptor.
Business Name:
Street Address:
Location of Grease Interceptor/Trap:
MANAGER: Your initial on this form acknowledges that the service establishment has disposed of its grease in a
lawful manner, accounts accurately for the volume of grease disposed and that the interceptor has been maintained
properly.
If the grease and solids occupy greater than 25 percent of an interceptor’s capacity, the FSE is required to perform a
full cleaning of the grease interceptor. Cleaning must be performed by a licensed waste hauler with an approved
license from an authorizing agency. Both vaults of a grease interceptor shall be left completely empty upon
completion of pumping operation. The grease mat, liquids, sludge, and scrapings from the interior walls must be
removed. Under no circumstances, may the waste hauler reintroduce the removed water or materials be reintroduced
into the City’s sewer system, other than at qualified disposal stations. Flushing an interceptor with hot water, or the
use of chemicals or other agents to dissolve or emulsify grease and allow it to flow into the wastewater treatment
system, is a violation of City Code. Since the FSE is the generator of the grease waste, is liable for the condition of
their pretreatment devices, and is paying for the cleaning service, the FSE owner or designee may want to witness all
cleaning/maintenance activities to verify that the Grease Interceptor is being fully cleaned and properly maintained.
Date Serviced by Volume MGR Comments (How was waste
disposed? (For example:
Recycled, put in trash and etc.)
City Code Section 13-101-6B. Documents must be kept on file for no less than two years. It shall be unlawful to make any
false statement, representation, record, report, plan or other document that is filed with the City.