ESA Intake Form | AZ-RI Consultants

az-ri.com · info@az-ri.com
919 W. 34th Street, #4706, Baltimore, MD 21211

About This Form

This form starts a new Phase I ESA or Limited ESA engagement with AZ-RI Consultants. It collects your contact information, the property location, and your knowledge of on-site conditions that inform our field inspection.

Answer to the best of your knowledge. If you are unsure of an item, select Unsure and our team will investigate during the site visit. When you submit, a branded PDF summary downloads to you and is sent to AZ-RI.

* indicates a required field.

1. Contact Information

Your Name *

Title / Position

Organization Name *

Email *

Phone

2. Property Location

Street Address *

City *

County

State *

ZIP *

Assessor's Parcel Number (APN)

Approximate Acreage

3. Field Inspection Knowledge

AZ-RI will conduct a field inspection as part of completing the ESA. Please answer the following to the best of your knowledge.

Existing Environmental Reports

Do you have any existing environmental reports for this property (previous Phase I/II ESA, remediation reports, compliance audits)?

Yes — I have reports to upload No other reports to provide

Upload Environmental Reports

Add documents one at a time, or select several at once — each stays in the list until you remove it. PDF, DOC, JPG, PNG — max 10MB per file.

A branded PDF downloads to you instantly and is sent to AZ-RI.

ESA Intake Form · v1