← Back Request types: Renewal, Termination Form FTR-25

Facility Transaction Request

Complete the required sections below. Additional information may be requested later.

1Facility Transaction Request
2Level 1 Assessment
3Due Diligence

Request Details

Operating Company *

Division

Requested By *

Reason for Request *

Additional Information (If Applicable)

What job does it pertain to?

Renewal / Termination

Occupancy Date Needed *

Facility Status

Co-Location Opportunities

Verify if there are any consolidation options within a 30 mile radius (Click or tap anywhere on the map to use the radius tool). If options are within the radius and meet the specific needs, please contact that Operating Company to verify availability.

Search Address

State / Province

Property Type Land Office Industrial Warehouse Special Use

Square Feet (Rentable Area)

Acres (Land Area)

Radius miles

No co-locations yet. Add them in the WordPress admin.

Existing/Located Facility Details

Provide details for up to two candidate facilities.

Facility 1

Facility Address / City / State / Zip

Owner Name

Contact Number

Facility 2

Facility Address / City / State / Zip

Owner Name

Contact Number

Requirement Parameters

The Real Estate Portfolio Manager or the Real Estate Services Provider will contact the representative designated below to discuss the specific facility requirements.

Facility Needed — check all that apply

Replacing an existing facility?

Which facility?

Operating Company Contact

Specific Needs

Site Information

For questions about this form, email [email protected].

Operating Unit

Completed By

Date

Lat/Long

Address

City

County

State

Is this property located on Federal or Tribal Lands?

Yes No Unknown

Activity

Check each activity performed at the property.

Vehicle Maintenance Overnight Parking of Field-Utilized Vehicles Overnight Parking of Heavy Equipment Washing of Vehicles/Heavy Equipment Refueling of Vehicles/Heavy Equipment Sandblasting Operations Wetblasting Operations Painting Operations Other Coating Operations Welding/Grinding Operations Parts Cleaning Parts/Equipment Soaking and Drying Concrete Batch Plant Operations Asphalt Plant Operation Use of Stationary/Fixed Generators Use of Mobile/Portable Generators Heat Generation (Fuel Fired Heaters/Boilers) On-Site Incineration/Burning Receipt of Used Material from Off-Site Storage in Above Ground Tanks (Non-Waste) Used Material Storage in Above Ground Tanks Use of Oil-Water Separator Storage in Below Ground Tanks (Non-Waste) Used Material Storage in Below Ground Tanks Storage in Drums (Non-Waste) Used Material Storage in Drums Storage in Concrete-Lined Pits (Non-Waste) Used Material Storage in Concrete-Lined Pits Storage in Earthen Pits (Non-Waste) Used Material Storage in Earthen Pits Used Material Storage in Bins/Boxes Used Material Storage in Piles (Soil/Equipment) Use of Septic System/Portable Restrooms Only Utilized as Office Space and/or Storage

*Please provide a description of any Activities performed at the property not addressed in the list (use Comments below).

Material

Check each material present at the property in the quantity shown.

Motor Oil/Hydraulic Fluid/Other Lube Oils (≥ 55 gals) Antifreeze (≥ 55 gals) Gasoline (≥ 55 gals) Diesel (≥ 55 gals) Aviation Gasoline (AvGas) (≥ 55 gals) Kerosene (≥ 55 gals) Propane (≥ 55 gals) Natural Gas/CNG (In Tanks) (Any quantity) Compressed Gases (Any Quantity) Explosives/Oxidizers (Any quantity) Diesel Exhaust Fluid (≥ 55 gals) Paint (Water Based) (≥ 55 gals) Paint (Solvent/Oil Based) (≥ 55 gals) Solvents (Non-Chlorinated) (≥ 55 gals) Solvents (Chlorinated) (≥ 1 gal) Soaps/Detergents (≥ 55 gals) Asphalt Components (≥ 55 gals) Concrete Components (≥ 55 gals) CCA Treated Poles Creosote Treated Poles Transformers/Dielectric Fluids (Non-PCB) (≥ 55 gals) Transformers/Dielectric Fluids (PCB) (Any quantity) Asbestos Containing Materials (Any quantity) Mercury Containing Materials (Any quantity) Automotive/Industrial Batteries (Any quantity) Used Oils (Any quantity) Used Filters/Rags/Sorbents (Any quantity) Used Antifreeze (Any quantity) General Construction Debris (Any quantity) Used Treated Poles (Any quantity) NORM Contaminated Material (Any quantity) Used Mercury Containing Materials (Any quantity) Used Asbestos Containing Materials (Any quantity) Used Transformers/Dielectric Fluids (Non-PCB) (Any qty) Used Transformers/Dielectric Fluids (PCB) (Any quantity) Contaminated Soil (Excavated or In Containers) (Any qty) Used Water/Contact-Water (Any quantity) Used Tires (Any quantity) Used Paint and Paint-Related Materials (Any quantity) Items Not Otherwise Categorized Above (Any qty) Unidentified or Unlabeled Used Materials (Any qty) No Materials or Used Materials in Threshold Quantities

**Please provide a list of any Materials utilized at the property which are not categorized in the list (use Comments below).

Comments

Site Information

Operating Company

Date

Completed By

Street Address

City

County

State/Prov

Questionnaire

1 Is the proposed site replacing another location? If “Yes”, provide information for the location(s) being replaced including the address, city and state.

No Yes

Details for question 1

2 Is the proposed site currently occupied by the operating company? If “Yes”, provide details below.

No Yes

Details for question 2

3 Has the proposed site been occupied by the operating company in the past? If “Yes”, provide details below.

No Yes

Details for question 3

4 Is the proposed site a portion of a larger property? If “Yes”, provide details below.

No Yes

Details for question 4

5 If the proposed site is a portion of a property, are the other portions of the property occupied? If “Yes”, provide details below.

No Yes

Details for question 5

6 Does the proposed site have any repair, safety or access issues? If “Yes”, provide details below.

No Yes

Details for question 6

7 Is there direct access from the site to a public road? If “No”, provide details below.

No Yes

Details for question 7

8 Are there zoning, deed or other restrictions for the site or use of the site or required permits? If “Yes”, provide details below.

No Yes

Details for question 8

9 Are the commercial terms of the written agreement correct (rent, term, site plan and use)? If “No”, provide details below.

No Yes

Details for question 9

10 Was anything else specifically agreed to between the parties that is not in the written LOI/Lease/Sublease/Amendment/License Agreement? If “Yes”, provide details below.

No Yes

Details for question 10

11 Are there structures on the site? If “Yes”, provide the type of structures, details and square footages below.

No Yes

Details for question 11

12 Will the site be fenced?

No Yes

Details for question 12

13 Will you have a requirement for signage?

No Yes

Details for question 13

14 Will there or would there ever be an agreement for the Operating Company to purchase this site?

No Yes

Details for question 14

15 Is a Broker representing the Operating Company in the transaction? If “Yes”, please provide the following: contact name, company, address, email address and phone number.

No Yes

Details for question 15

16 Is a Broker representing the Landlord/Sublessor? If “Yes” and not provided on the FTR, please provide the following: contact name, company, address, email address and phone number.

No Yes

Details for question 16

17 Is this a Related Party transaction? If “Yes”, provide details below.

No Yes

Details for question 17

18 Will you be constructing anything or completing any improvements to the site, including any land-disturbing activities? If “Yes”, provide details below.

No Yes

Details for question 18

19 Will there be any other current or future uses for the site other than what is referenced in the LOI/Lease/Sublease/Amendment/License Agreement (e.g. storage of vehicles, refueling, office use, etc.)? If “Yes”, provide details below.

No Yes

Details for question 19

20 Has environmental documentation for the proposed site been requested? If “Yes”, please provide details for the person to whom the request was made.

No Yes

Details for question 20

21 Has environmental documentation for the proposed site been provided? If “Yes”, please provide the documents.

No Yes

Details for question 21

22 Are there any visible, suspected or potential environmental issues at the proposed site? If “Yes”, provide details below.

No Yes

Details for question 22

23 Are there any visible, suspected or potential environmental issues on neighboring properties surrounding the site? If “Yes”, provide details below.

No Yes

Details for question 23

24 Are any of the following items present at the site: floor drains, sumps, underground storage tanks, above ground storage tanks, or stormwater drains? If “Yes”, provide details below.

No Yes

Details for question 24

Leave this field empty

Request submitted

Your Facility Transaction Request has been routed to the Real Estate Team. You'll be contacted to discuss next steps.

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