PHASE I ENVIRONMENTAL SITE ASSESSMENT RECORDS REQUEST

Submittal Form

To request a review of Public Health environmental records, please complete the form below:

  1. Enter at least one (1) property location request.
  2. Attach a vicinity map if vacant land.

Records may only be available from the past 5 years.

REQUESTER CONTACT INFORMATION* = required field

( XXX-XXX-XXXX )
( XXX@XXXX.XXX )

PROPERTY DESCRIPTION* = required field

Property 1
Montgomery County Auditor: www.mcrealestate.org
Property 2
Montgomery County Auditor: www.mcrealestate.org
Property 3
Montgomery County Auditor: www.mcrealestate.org
Property 4
Montgomery County Auditor: www.mcrealestate.org
Property 5
Montgomery County Auditor: www.mcrealestate.org

DATE RANGE FOR RECORDS REQUEST* = required field

( MM/DD/YYYY )
( MM/DD/YYYY )

TYPE OF ENVIRONMENTAL RECORDS REQUESTED


ROUTINE LICENSING INSPECTION RECORDS REQUESTED

** Public Health - Dayton & Montgomery County generally has very limited information on buried fuel tanks. Such information may be requested from the Bureau of Underground Storage Tank Regulations, Division of State Fire Marshall at the Ohio Department of Commerce.

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