Building Sciences Project Request Sheet

Please fill out the web form below to request project survey or abatement support. Please be sure to include all requested information, including a work order or index for the project.

If suspect asbestos-containing materials have already been impacted or are suspected of being impacted, please call Environmental Health and Safety at 541.346.3192 immediately.

Please enter your department Name. (Example: CPFM, Housing, Etc.)

Please enter the primary contact name for the project.

Please enter the Capital Project Number (CP Number) for the project. We will need this to cross reference with the IWA (s) provided by Work Control. If you do not have a CP Number, please enter NA.

Please provide a Work Order / Index for sample costs and labor for the Asbestos Crew. The requester will be contacted if this field is left blank.

Please select the project type from the list below. If the correct type is not indicated, please indicate the type in "Project Type Notes."

Please enter the Building Name

Please list all locations that will be impacted by the project.

Indicate the scope of work below. Your description should list all potential impacts. For instance, flooring removal and replacement, gypsum board demolition and repair, and other impacts to suspect materials. Feel free to attach project drawings if they are available.

Attach all scope of work supporting documents below. At a minimum, a highlighted building drawing can be very helpful to ensure all scope areas are covered.

Please indicate when you will need the survey to be completed. Please note that Environmental Health and Safety will endeavor to meet all deadlines to accommodate your work, but in some cases a discussion about completion date may be discussed. A typical turnaround for bulk sample collection (1 - 5 samples) is 1 - 2 week, a small survey approximately 3 weeks, and a large survey can extend for a month or longer.

Please indicate any other pertinent information below:

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