The information requested on this form is typically utilized in preparation of Phase II environmental assessment or an Environmental Assessment Worksheet. Data requests will be answered and filled in the order in which they are received. For response purposes “general vicinity” is defined as areas within 10 feet of the subject property. A separate form is required for each Property PID.

Note: You may be required to pay the actual cost of making, certifying and/or compiling the copies of data requested.

Inactivity of this form may result in a blank submission.