Panhandle Health District 800-878-2364

    Superfund Environmental Data Request


    Registered Parcel# (12 digit) ie D0912341010Z Information to be released (if available) will be: Remediation Plot Plan, ICP Work Permits and Sample Data.

    Information to be released to:

    Name:
    How would like us to respond by:MailFaxe-mail

    REQUESTOR ACKNOWLEDGES THE FOLLOWING BY SELECTING THE CHECK-BOX BELOW
    I certify that I am the property owner or an authorized agent of the property owner requesting this information for real estate transaction purposes. As the requestor, I will ensure any environmental data provided through this request will be disclosed to all parties involved.