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Which Applies To You?
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Homeowner
Contractor
Painter
Mold Remediator
Mold Assessor
Testing Date
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MM slash DD slash YYYY
Testing Location Type
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Residential
Commercial
Testing Location Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Sampling Method
*
Swab Surface
Swab HVAC
Swab Petri Dish
Approximate Age of Property?
*
What Area(s) Were Tested?
*
Bathroom,
Kitchen
Bedroom
Outside
Other
Lab cost
How Many Labs Would You Like To Order?
1 Lab
2 Labs
3 Labs (Best value)
Free Water Analysis
FREE Water Analysis with any lab purchase
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Submit this form and you will receive your Test Report Number. Make sure to include this number when mailing your samples.
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