Five Boro Mold Specialist

1-718-677-MOLD

CLICK HERE FOR MOLD PHOTOS

Water Damage after 4 weeks

One of our Certified Technicians Fumigating

Water damage after 6 weeks

Flushing out Air Conditioning Units

Treating, disinfecting behind the wall

Proud Staff Members

Filter Type:

FOR INSPECTOR USE ONLY

23) Date of Inspection:

24) Time of Inspection:

25) Name of Inspector:

26) How many inspectors were at the job?

27) Which of the floors were inspected?

28) Where did the mold come from? (Water/Sewer Damage, Seepage, etc.)

29) Where was the mold found?

30) Was it visual or non-visual?

31) What color was the mold?

32) Were lab results sent out?

33) If yes, what is the tracking number and receipt number?

34) Are there any water lines around the sewer pit, along the beams or around the basement?

35) If yes, how many inches off the floor is the waterline?

36) Was there ever a flood or water damage in the house?

37) How long ago?

38) What type of smell is it?

39) Which room was the mold found in?

40) Which floor was it on?

41) Is there carpet in the basement or hard floor?

42) Are the studs in the walls wooden or metal?

43) Outside the house, are there any cracks in the foundation?

44) Approximatly how big is the basement?

45) On what floor and in which room is the smell?

46) Estimated cost of job:

47) Guarantee of job: (How many years)

48) How many air conditioning units are there and where are they?

49) Was there a vent system?

50) If yes, where?

51) Was it also full of mold?

52) Are there windows in the basement?

53) Is a dehumidifier running in the basement?

54) Was the attic inspected?

Is there a vent?

Additional Comments:

Filter Type:

FOR CLIENT USE ONLY

1) Full Name of Client:

2) Address of Client:

3) Client's Phone Number:

4) Client's Fax Number:

5) Are you the landlord, management or the tenant of the area?

6) Type of Area (House, Apt, Office, School, etc.)

7) Was there ever a flood or water damage in the house?

8) How long ago?

9) Roughly, how old is the house?

10) How many floors does the facility have? (excluding basement)

11) Is there any visual mold on the furniture and/or clothes?

12) Is there a smell in the house?

13) On a scale of 1-10 how severe is the smell?

14) What type of smell is it?

15) Where did you hear about us?

If you selected newspaper, which one?

16) Why do you feel that you have a mold problem?

17) Allergies symptoms described by client:

18) Which member of household is experiencing these symptoms:

19) How many members reside in the household:

20) Was a physician contacted about these symptoms

21) Is anyone in the household pregnant?

22) Did you file an insurance claim:

If Yes, Who was the adjuster?

Client Signature (by typing your name you certify that the information is correct):