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PRINTED: 06/07/2012 FORM APPROVED Indiana State Department of Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:(X2) MULTIPLE CONSTRUCTION A.
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Who needs an environmental preoccupancy survey?

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Real estate developers and property owners who are planning new construction projects.
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Companies or individuals seeking permits for specific land use or activities.
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Environmental consultants or experts conducting environmental impact assessments or studies.
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Government agencies responsible for monitoring and regulating environmental factors.
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Organizations or individuals applying for funding or grants related to environmental initiatives or projects.
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Any individual or entity interested in assessing the environmental impact or risks associated with a particular location or project.
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An environmental preoccupancy survey is a detailed assessment of the environmental conditions of a property prior to occupancy.
Property owners or tenants who are planning to occupy a new property are required to file an environmental preoccupancy survey.
To fill out an environmental preoccupancy survey, the individual must gather information about the property's environmental history, conduct necessary assessments, and complete the required forms.
The purpose of an environmental preoccupancy survey is to ensure that the property is safe and compliant with environmental regulations before occupancy.
Information such as the property's environmental history, any potential contamination sources, assessment results, and mitigation plans must be reported on an environmental preoccupancy survey.
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