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.)
Primary Contact Name
Please enter the primary contact name for the project.
Primary Contact Phone Number
Primary Contact Email
Work Order / Index
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.
Materials of Concern
General Hazardous Materials
Indoor Air Quality
Please select the project type from the list below. If the correct type is not indicated, please indicate the type in "Project Type Notes."
Survey / Evaluation
Construction Project Support
Suspect ACM Inquiry
Other - Please note
Project Type Notes
Please enter the Building Name
Please list all locations that will be impacted by the project.
Project Scope of Work
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.
Project Scope of Work Attachments
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.
Desired Date of Completion
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:
Send me a copy of my responses
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