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Forms and Lists

Forms & Checklists
Notice of Intent to Remediate (PDF) Notice of Intent to Remediate (Word)
Background Checklist (PDF) Background Checklist (Word)
Site Specific Checklist (PDF) Site Specific Checklist (Word)
Statewide Health Standard Checklist (PDF) Statewide Health Standard Checklist (Word)
Special Industrial Areas (PDF) Special Industrial Areas (Word)
Transmittal Sheet for Plan/Report Submission (PDF) Transmittal Sheet for Plan/Report Submission (Word)
Request for Determination of Non-Use Aquifer (PDF) Request for Determination of Non-Use Aquifer (Word)
  Notification Correspondence Examples (Word)
Final Report Summary (PDF) Final Report Summary (Word)


Other Forms
Model Buyer/Seller Agreement (PDF) Model Buyer/Seller Agreement (Word)
Model Consent Order and Agreement for Special Industrial Areas (PDF) Model Consent Order and Agreement for Special Industrial Areas (Word)
Model Environmental Covenant (PDF) Model Environmental Covenant (Word)
PA Model Environmental Covenant for RCRA Sites (PDF) PA Model Environmental Covenant for RCRA Sites (Word)
Dispute Resolution (PDF) Dispute Resolution (Word)