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Green Remediation Focus

Technical Assistance Request Form

Affiliation:

Site-specific support is available only to personnel from the following types of qualifying organizations; please specify your affiliation. *

State
Locality
Tribe
Federal
Nonprofit
Industrial Site Owner/Operator
Land/Property Developer
Other

Contact Information:

*First Name:
*Last Name:
*Title:
*Email:
*Telephone:
*Site Name:
*Site Type:
*Site Status:
City:
State:
Zip Code:

*Assistance Regards:

Renewable energy for treatment
Waste-to-energy systems
Integration of site reuse into remediation
Conservation of targeted natural resources
Other

Please briefly describe the assistance needed:

If you have any problems or need assistance submitting your request using this website, please call (301) 589-5318.

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