Title Page

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Mold Inspection Report

GENERAL INFORMATION

  • Site Photo Exterior

  • Site Location/Address
  • Owner/Client

  • Date

  • Weather

BUILDING DATA (Exterior)

  • Approximate Age

  • General Appearance

  • Number Of Stories

  • Roofing Material

  • Exterior Covering

  • Basement

  • Foundation Material

  • Rain Guttering

  • Guttering Clear Of Debris

  • Sprinkler System (Landscaping)

  • Structure Heavily Shaded

  • Location/Description

  • Standing Water, Water Staining, Water Damage, Wood Rot/Structural Damage or Visible Mold on Exterior of Building

  • Location and Description

BUILDING DATA (Interior)

  • Wall And Ceiling Materials

  • Floor Covering

  • HVAC System Installed

  • HVAC Filters In Place And In Working Condition

  • Leaks, Water Staining or Condensation Present On Or Around HVAC Unit, Ducts or Registers.

  • Standing Water, Water Staining or Visible Mold Present Inside Building

  • Location and Description

INTERIOR ENVIRONMENTAL CONDITIONS

  • Location

  • Room
  • Room

  • Description

  • Temperature

  • R Humidity %

  • Comments

Testing

  • Sample Location/Type

  • Sample
  • Area

  • Location Description

  • Type

Conclusion

  • Elevated Levels of Mold Exist

  • Remediation Necessary

  • Recommendations

  • Notes & Comments

  • Inspector Signature

Site Photos

  • Media

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