Home / For pumpers / Service record

Free pump-out service record & manifest maker

For grease trap pumpers. Pick the city, fill in the job, sign on screen and get a clean PDF to hand the restaurant. Fields the city's or state's rules call for are marked. Everything stays on your phone: nothing you type, draw or photograph is sent to us.

CityCity of the job

Your company (optional)Company nameCompany logo (Featured pumpers: add your logo)

RestaurantRestaurant / business nameService addressRestaurant email (to send the record)

Service

Service dateDevice type

Device size (gallons)Gallons removed

FOG + solids before service (% of depth)Full pump-out (all contents removed)?

Condition notes (baffles, tees, lids, damage, odors)

Disposal & haulerDisposal facility (name and address)

Hauler companyHauler license / permit number

Technician name

SignaturesTechnician signature (draw with your finger)

Restaurant representative signature

Representative name

Photo (optional)Photo of the device after service

Not legal advice. This form uses the official records and manifest rules we've sourced, and rules change. Your city, utility or county may require its own form or more fields, so check with them. Where we found no city-specific rule, the form uses standard industry fields and says so.

Run a pumping company? Claim your free listing or get Featured on GreaseTrapRules.

Free pump-out service record & manifest maker

Grease rule changes, once a week