Brownfield Site Nomination Form
Submitter Details
Submitted By *
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Email *
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Phone *
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When we follow up to this submission, please specify if you have a preferred date/time of day to be contacted, and if you prefer phone or e-mail.
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Submission Site Details
Site Name *
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Address *
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Apartment, Suite, or Building *
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City, State, and Zip Code *
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Current Site Owner *
Your answer
Is there a known contamination at the site? *
If yes, briefly describe
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Have any of the following previously been performed?
Phase II ESA? *
If yes, is a report available? *
Environmental Site Investigation? *
If yes, is a report available? *
Environmental Cleanup Activities? *
If yes, is a report available? *
Which of the following would you like performed on this site?
Phase I ESA *
Phase II ESA *
Phase I ESA Update *
I'd like some other analysis performed at this site. *
I don't know what other analysis needs to be performed at this site, and I'd like to talk with someone. *
Summarize why this site is a priority for assessment.
Your answer
Upon completion of this form, you will be contacted by a member of our team at our earliest convenience.
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