EPA Region 9 Targeted Brownfields Assessment Application (TBA)

A Targeted Brownfields Assessment is an environmental investigation designed to document environmental conditions at a property under consideration for redevelopment. EPA can provide communities and nonprofit organizations with environmental assessment services at brownfield properties with redevelopment potential. Fill out and submit this form to request a Targeted Brownfields Assessment.

Applicant Information
Are you a:
Name of organization(s) or individual(s) requesting Brownfields Assessment
Name and title of the primary contact representing the organization(s) or individual(s) making this request
Primary contact telephone #
A copy of your application will be sent to this address.
Web address of applying organization's website
Property Information
Web link to a map of the property location (e.g., Google map or Bing map)
Name, business address, and phone number
Property Eligibility
Does the property meet the definition of a “Brownfield” as contained in federal Small Business Liability Relief and Brownfields Revitalization Act (Section 211(a)(39) of the Public Law 107-118 (H.R. 2869)), i.e., real property whose reuse has been complicated by real or perceived contamination.
If "YES", answer the following. If "NO", skip to Community Description
If "Yes", please explain in the next field.
If "Yes", please explain in the next field.
If the applicant owns the property, describe measures taken to ensure potential pollutants, contaminants and hazardous substances are not released from the property and do not present a threat to human health or the environment.
If the applicant owns the property and purchased the property after January 11, 2002, did the applicant conduct an investigation into the potential presence of pollutants, contaminants or hazardous substances at or near the property? If so, identify the investigations and dates.
If the applicant owns the property, is the applicant affiliated with or related to any former owner or operator of the property (e.g., family, contract, corporate or financial arrangement, etc.), or with any person who may have generated hazardous substances located at or near the property, or with any person who may have transported or arranged for the transportation of hazardous substances located at or near the property?

Properties not eligible for funding

  • Properties listed, or proposed for listing, under the Superfund National Priorities List.
  • Facilities subject to U.S. EPA unilateral administrative orders, court orders, administrative orders on consent, or judicial consent decrees issued to, or entered into, by parties under CERCLA.
  • Facilities that are subject to the jurisdiction, custody or control of the United States Government.

Some ineligible properties may be eligible with a “property specific determination.” Contact EPA for more information.

Provide information on the surrounding community/neighborhood, such as demographic information, and why this assistance is needed.
Project Information
What assistance does the applicant request from EPA? (Check all that apply):
What is the time frame in which the applicant requests assistance from EPA?
Property Redevelopment