Request for Quotation

Inspections Consultations Tests

301 467 5922

Home

Links

Certifications & Affiliations

Reviews

Contact

Reports (Samples)

Inspection Agreement (Sample)

Request for Quotation

Booking

Data Collection

For a quotation on Mold Assessment and Sampling, please fill and submit this form:

First Name*		Most convenient day & time for the inspection:
Last Name*		mm/dd
e-mail*		hh:mm
Telephone*	-- ext.
	* required information.

Type of Mold Inspection
	Mold Inspection: outside walls, grading and drainage, basement, crawlspace, attic, living spaces, kitchen, bathrooms, laundry room, utility room, etc.
	Limited Mold inspection: limited to one area/floor and less than 1,000 sq. ft.

Information about the property to be inspected and tested for mold
Address		State
City		zip
Type		Age
Floor(s)		sq. ft.
Foundation		Fireplace(s)
Bedroom(s)		Bathrooms(s)
Attic		Garage(s)
Heating Zone(s)		Deck(s)
Any current or past roof leak, basement flooding, plumbing leak, any mold like symptoms. Where do you see or suspect mold?

Your Privacy:

Potomac Homes respects your desire for privacy. Personal information collected by means of this form will not be shared with any other corporations or organizations. Your personal information will be used by Potomac Homes to call you back or to set up an appointment through electronic mail.

By submitting this form you are consenting to the processing of your personal information in the manner indicated above.

Relative Humidity and Temperature