JOINT BASE LEWIS-MCCHORD PRETREATMENT PROGRAM
Facility Inspection Form for Grease Interceptors/Traps
Inspection
Inspected By:
Type of Component:
Date of Visit:
Inspection Type:
Facility
Building Number:
Facility/Unit Name:
ECO/POC
Name:
Phone:
Email:
Facility Survey
YES
NO
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Facility is…
DFAC?
Commercial Restaurant?
Mobile Kitchen?
Other? :
Estimated number of meals served over 100 per day? (M-F)
Are Fats, Oils or Grease used to make or prepare food?
Do you or will discharge wastewater to the sanitary sewer system other than
domestic waste from bathrooms, toilets, etc.?
Do you or will you have any of the following devices at your facility…
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Food Grinders?
Commercial Dishwasher?
Deep Fryer?
Do you or will you have any of the following pretreatment devices at your
facility…
Grease trap?
Grease Interceptor?
Other? :
YES
NO
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Is waste cooking oil disposed in designated containers?
Are there grease trap(s) inside the kitchen?
Are grease traps regularly inspected by staff?
Are there grease interceptors located outside the building?
Are grease interceptors cleaned by a contractor on a recurring schedule?
Is a maintenance activity log kept on the frequency of cleaning grease trap?
Are chemicals used to wash the floors?
*If yes…
Which chemicals are used? _____________________________________________________
Applicable chemical SDS? _______________________________________________________
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Do workers remove food waste with “dry” clean-up methods (i.e. scraping,
wiping, or sweeping) before using “wet” methods that use water?
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Do workers know not to pour FOG down the drain and to not use sinks to
dispose of food scraps?
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Are "No Grease" signs posted to inform employees about improper discharge
practices for fats, oil, and grease (FOG)?
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Could an accidental spill lead to a discharge to the ground, the sewer, a storm
drain, or an onsite disposal system?
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Do you have a plan in case of illicit discharges to the sanitary sewer?
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*If yes…
Is there a written slug discharge control plan available onsite?
Is the plan still adequate?
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Has the facility had any past illicit discharges to the sanitary sewer?
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Do you know the Permit Required Management Practices for your
Pretreatment component?
*If no, would you like a copy?
Is secondary containment used for cleaning products?
Are there any “secondary” facilities that discharge into the pretreatment
component?
JOINT BASE LEWIS-MCCHORD PRETREATMENT PROGRAM
Component Inspection Form for Grease Interceptors/Traps
Inspection
Inspected By:
Type of Component:
Date of Visit:
Inspection Type:
Facility
Building Number:
Facility/Unit Name:
ECO/POC
Name:
Phone:
Email:
Component Inspection I
YES
NO
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Is the pretreatment component still active?
Is water discharging during inspection?
Does the inlet baffle tee appear blocked?
Does the outlet baffle tee appear blocked?
Noticeable color?
Foam?
Excess amount of trash?
Is there evidence of overflow or backup?
Is there evidence of leaks, cracks, or holes?
Amount of FOGs on surface exceeds 1 inch?
Amount of sludge on bottom exceeds 25% of unit volume?
Need to be serviced?
Need to be replaced?
*To request maintenance/service the unit’s Environmental Compliance Officer (ECO) must
place a request through the DPW service desk to generate a work order which will then send
notification to DPW OMD and BOID for action.
Component Inspection II
YES
NO
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Is the pretreatment component still active?
Is water discharging during inspection?
Does the inlet baffle tee appear blocked?
Does the outlet baffle tee appear blocked?
Noticeable color?
Foam?
Excess amount of trash?
Is there evidence of overflow or backup?
Is there evidence of leaks, cracks, or holes?
Amount of FOGs on surface exceeds 1 inch?
Amount of sludge on bottom exceeds 25% of unit volume?
Need to be serviced?
Need to be replaced?
Component Inspection III
YES
NO
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Is the pretreatment component still active?
Is water discharging during inspection?
Does the inlet baffle tee appear blocked?
Does the outlet baffle tee appear blocked?
Noticeable color?
Foam?
Excess amount of trash?
Is there evidence of overflow or backup?
Is there evidence of leaks, cracks, or holes?
Amount of FOGs on surface exceeds 1 inch?
Amount of sludge on bottom exceeds 25% of unit volume?
Need to be serviced?
Need to be replaced?