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Download Here - James L. Schaller, M.D., M.A.R., P.C

Download Here - James L. Schaller, M.D., M.A.R., P.C

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Environmentally Friendly Mold Remediation Techniques That Significantly Reduce Childhood AsthmaInside❏ Discoloration or mold on baseboards, wallboards. Additionalsurfaces: _____________________________________________________________________________________________❏ Water penetrations(s) – (root cause) source/cause.Specify:______________________________________________________________________________________________❏ Water stains. Plumbing Leaks.Specify:______________________________________________________________________________________________❏ Standing water.Specify: _____________________________________________________________________________________________❏ Musty/moldy odor.Specify location(s): _____________________________________________________________________________________❏ Cracks in shower tile, lack of caulking, loose toilet, leaks under sinkSpecify:______________________________________________________________________________________________❏ Plumbing issues.Specify:______________________________________________________________________________________________❏ HVAC filters: Clean:_______ Dirty:_______Ducts and Supply Plenum: Clean:_______ Dirty:_______Specify:______________________________________________________________________________________________❏ Thermostat setting at time of inspection: __________________❏ Thermostat type: Manual:_______ Programmable:_______Humidistat:_______124

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