Subject Property Information

Name of Property: (if applicable)

Street Address: (if applicable)

City:

State:

Zip:

Type of Property:
select Undeveloped Agricultural Single-Family Residential Multi-Family Residential Commercial Light Industrial Heavy Industrial

Property Size (acres):

Number of Structures/Construction Phases:

Total Square Footage Number of Stories/Levels Year Constructed	Structure 1:
Total Square Footage Number of Stories/Levels Year Constructed	Structure 2:
Total Square Footage Number of Stories/Levels Year Constructed	Structure 3:

Current property use:

Past property use:

Services Requested:
Phase I Environmental Site Assessment
Property Condition Assessment
Asbestos-Containing Material Survey
Mold Assessment
Indoor Air Quality Assessment
Other -

Reason for requesting services:
select Purchase Refinance Lease Sale Other

Requested deadline date:

Additional Comments/Information

This Proposal Request Form is provided as a convenience for our clients and to expedite delivery of our proposal to our clients. PEC will review the information entered and begin preparing a proposal/quote. If additional information is necessary to finalize our proposal/quote, PEC will contact the person entered above -- please enter additional contact information in the Additional Comments/Information field above if necessary. Our proposal will be delivered via email to the address above upon completion.

Please do not hesitate to call, e-mail, or fax PEC if you would prefer.