19F - RECEIVE AND FILE SEWER SYSTEM

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GREASE INTERCEPTOR PUMPING -INTERVAL -REQUIREMENT INCREASE REQUEST FORM CITY OF SANTA ANA Fats, Oils, and Grease (FOG) Control Program City of Santa Ana's (City) Fats, Oils, and Grease (FOG) Control Regulations, (Article III, Chapter 39, Section 39-56.8 of the City's Municipal Code) — states that grease interceptors shall be maintained in efficient operating condition by periodic removal of the full content of the interceptor. Food Service Establishments (FSEs) shall fully pump out and clean grease interceptors within a pumping interval such that the combined FOG and solids accumulation does not exceed 25% of the design hydraulic depth of the grease interceptor. This is to ensure that the minimum hydraulic retention time and required available volume is maintained to effectively intercept and retain FOG. All FSEs with a grease interceptor shall fully pump out contents of the grease interceptor at a minimum quarterly pumping interval (at least once every 3 months) unless the interval is increased based on procedures described below. The pumping interval may be adjusted when sufficient data has been obtained to establish an acceptable interval that will ensure compliance with the 25% rule. Based on the actual generation of FOG from an FSE the pumping interval may be increased; however, the maximum pumping interval shall be no greater than 6 months. An FSE may submit this request form to the FOG Control Program Manager requesting a change in the pumping interval of its grease interceptor. ANY REQUEST WILL BE DENIED IF THE FSE IS FOUND TO BE, OR HAS BEEN, IN VIOLATION OF ANY FOG PROGRAM REQUIREMENTS WITHIN THE 12 MONTH PERIOD PRIOR TO THE DATE OF THE REQUEST. The FSE has the burden of responsibility to demonstrate that the requested change in its pumping interval reflects actual operation conditions based on the typical FOG accumulation over time without exceeding the 25% mle, and that it is in full compliance with Santa Ana Municipal Code, Section 39-56.8 and the FOG Control Program. Upon determination by the FOG Control Program Manager that the requested increase is justified, the FSE shall be notified in writing of the revised pumping interval. Procedures for variance request: 1. FSE shall fill out and return this form. 2. A review of the FSEs program compliance history will be conducted. a. If the FSE is found to be, or has been, in violation of any FOG program requirements within the 12 month period prior to the date of the request, the request will be denied. 3. Once contacted by a City Inspector, the FSE shall coordinate an inspection schedule with the City Inspector. a. Inspection schedule may include a monthly, exhaustive inspection of the grease interceptor for a 3 to 6 month period. 4. As required by Article III, Chapter 39, Section 39-56 of the City's Municipal Code, the FSE shall maintain all records and receipts of service regarding the grease interceptor. NOTE: Once an FSE is granted an increase of its grease interceptor's pumping interval, if at any time the FSE is found to be in violation of any FOG program requirements, the pumping interval shall revert to its prior length of time. Food Service Establishment Reauestine Variance Permit No: Rev No: Business License N Facility Name: Facility Address: Owner Name: Authorized Agents Name:_ Contact Phone Number: Current pumping interval:_ Justification for Request of pumping interval requirement increase: I request an increase in my grease interceptor's pumping interval requirement and certify that all information contained in this request is true: Signature: Date: Printed Name: Submit Request to: FOG Control Program Manager, City of Santa Ana 220 South Daisy Avenue, Santa Ana, California 92702 19 F -260 Revision Date: Febrimy 22, 2007