Used Oil Participant FormUsed Oil Reporting Months Reporting:(Required)January-MarchApril-JuneJuly-SeptemberOctober-DecemberName of Site:(Required) First Location of Site(s)(Required) First Name of Person Reporting:(Required) First Last Phone(Required)Total Oil Collected from this QuarterTotal gallons of oil collected from outside participants.(Required)Total gallons of oil collected from outside participants.Total gallons of oil from your own site for the quarter:(Required)Total gallons of oil from your own site for the quarter:Grand Total of gallons collected:(Required)Grand Total of gallons collected:Total Number of ParticipantsTotal number of participants who brought oil to your site during the quarter:(Required)Add your site as a participant if you collected your own oil:Total number of participants who brought oil to your site during the quarter:(Required)Total number of participants who brought oil to your site during the quarter:Grand Total of participants:(Required)Grand Total of participants:Total Amount picked up by Used Oil VendorTotal gallons picked up from your site(s) by the vendor:(Required)Total gallons picked up from your site(s) by the vendor:Total number of participants who brought oil to your site during the quarter:(Required)Total gallons picked up from another site due to your site’s referral (from a farmstead, etc.):Grand Total gallons picked up by Used Oil Vendor:(Required)Grand Total gallons picked up by Used Oil Vendor:CAPTCHA
