Industry Order Form

To order an ASTM Phase I Environmental Assessment or Transaction Screening Process for private property (due diligence for purchase, refinance, etc.), please fill in the required information below.  For multiple parcel transactions, please submit a separate request form for each location.

Please email any graphical information to:
ProjectMgt@DynamicEnvironmental.com
or contact us for our fax number and mailing address

For assistance, please call (877) 968-4787.

Please complete all information in the form.

Company Name:

Account Number:

Name of Contact Person:

Contact Person E-Mail Address:

Contact Person Telephone Number:

Site/Facility Name:

Site Address:

Site City, County, State, Zip:

Site Type: [Retail, Industrial, Undeveloped, etc.]:

Site Size (Acreage, No. of Buildings, Square Footage of Buildings, etc.):

Site Owner Information (Name, Address, Contact Telephone Number):

Project Request (Phase I ESA, TSP, Other):

Additional Information (Site Access contact if different from Owner, Legal Descriptions, Special Conditions, etc.):

By submitting this form you are issuing Notice-to-Proceed to DEA for the requested work and agree to the rates and payment terms of your account.  If this form is sent in error please immediately call DEA at (877) 968-4787.