Information
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Document No.
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Homeowner
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Conducted on
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Location
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Work completed by
Pre-Cleaning Inspection
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Is the vent hood stuck in the opened position
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Is the transition duct kinked or damaged behind the dryer
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Is there a bird/squirrel cover on the vent hood
During Cleaning
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Is the proper transition duct being used (UL rated / Non-Flammable)
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Are there any blockages that you felt while advancing the brush
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Additional Information
After Cleaning
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Was UL rated/Non-flammable transition duct reinstalled
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Is there Adequate air flow blowing out of the vent hood
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Has the proper position of the dryer to prevent transition duct damage been showed to the homeowner
Summary
Work Completed
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Dryer Vent Cleaning
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Transition Duct replaced
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Smoke Detector batteries changed
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Smoke Detectors installed
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CO detector installed
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Fire Extinguisher installed
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Duct repaired or replaced in crawlspace
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Other ( Specify in Additional Information section below
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Additional Information
Invoice and Signature
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Total
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The cleaning process and recommendations were explained to me and I am satisfied with the work completed