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Environmental Due Diligence Request Form-
*
- Required Field
Services:
ASTM Transaction [
Details...
]
Phase I Environmental Site Assessment [
Details...
]
Bank Internal Environmental Review [
Details...
]
Environmental Peer Review [
Details...
]
Environmental Database Search [
Details...
]
General Information :
*
Contact Name
Title
*
Company
*
Address
*
*
Phone Number
(XXX-XXX-XXXX))
Fax Number
*
Email Address
Service is needed by the following date
(dd/mm/yy)
Property Information :
*
Address
*
*
Building(s) & Property Size
(square feet)
(acres)
Number of Parcels
Current Use
(Select One)
Vacant Land
Retail
Commercial
Light Industrial
Heavy Industrial / Manufacturing
Gasoline Station
Other
if Other
Former Usages & Year Built
*
Type of Transaction
(Select One)
New Purchase
New Purchase Under Land Contract
Refinance
Foreclosure
Any Previous Reports?
(Check if Yes)
Is ACM Sampling Needed?
(Check if Yes)
Comments
Other information that may be pertinent to
PM Environmental, Inc. to perform this service on this site
(i.e. prior site assessments, documents,
correspondence, permits, known environmental
conditions).