Grass Valley, CA · Nevada County
Industrial Pretreatment Survey: Food Services
Food service businesses complete this survey to provide Grass Valley with information about their operations and wastewater pretreatment practices.
What this form is
Grass Valley uses this survey to collect business, ownership, operating-hours, and wastewater information from food service businesses. It asks about fats, oils, and grease; pretreatment equipment; chemicals; floor drains; and other wastewater practices. The form warns that failing to complete and return it may result in cessation of sewer service or other enforcement action under Chapter 13 of the Municipal Code.
Who needs it
Food service business owners or their designated agents complete the survey and certify that the information is true, correct, and complete.
How to submit it
Return the completed survey to City of Grass Valley WWTP, 125 E Main Street, Grass Valley, CA 95945. For questions, contact the Public Works Department, Water and Wastewater Division, at (530) 274-4370.
About notarization
This document is signed and dated without a notary; it lists no notarized or sworn attachment, so the signer just signs and dates it.
How to submit this form
- 1
Download The Survey
Download the Industrial Pretreatment Survey: Food Services.
- 2
Complete The Survey
Enter the business, ownership, operating, and wastewater information requested on the form.
- 3
Review And Sign
Certify that the information is true, correct, and complete, then sign and date the form.
- 4
Return The Survey
Send the completed survey to City of Grass Valley WWTP, 125 E Main Street, Grass Valley, CA 95945.
Frequently asked questions
- What does the Industrial Pretreatment Survey ask about?
- It asks for business and ownership details, operating information, and information about grease, wastewater pretreatment equipment, chemicals, floor drains, and related practices.
- Who completes the food services survey?
- A food service business owner or the owner’s designated agent completes the survey and certifies that the information is true, correct, and complete.
- Do I need a notary for the Industrial Pretreatment Survey?
- No. This document is signed and dated without a notary; it lists no notarized or sworn attachment.
- How do I submit the Industrial Pretreatment Survey?
- Return it to City of Grass Valley WWTP, 125 E Main Street, Grass Valley, CA 95945. The form lists the Public Works Department, Water and Wastewater Division, for questions.
Need something notarized?
This Industrial Pretreatment Survey: Food Services doesn’t need a notary — but if you have another Grass Valley form that does, a commissioned online notary can help.