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Environmental Sustainability Request Form-

* - Required Field
 
Services:
    
      Green Building Consulting and Planning [Details...]
      Energy Assessment [Details...]
      Greenhouse Gas Inventory [Details...]
      Energy Tax Credit Assessment [Details...]
      Corporate Sustainability [Details...]
      Green Underwriting [Details...]
      Green Leasing [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
   if Other
 
Former Usages & Year Built
 
 
Type of Transaction
  
 
Any Previous Reports?
  (Check if Yes)
 
Is ACM Sampling Needed?
  (Check if Yes)
 
Are 12 months of all utility bills available?
  (Check if Yes)
 
Are existing floor plans available for review?
   (Check if Yes)
 
Number of tenants in Building?
 
 
Utilities used in Building (check those that apply):
  Electric Natural Gas Oil / Propane Steam Water / Sewer
     
 

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).
   
 
       
 

 
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