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Worksite location

ZIP code and city are required because travel time, jurisdiction, and local requirements affect the quote. Street address helps us evaluate likely building age and whether more than one structure may be involved.

ZIP code * City * Street address recommended Unit / suite / apartment APN / parcel number

Is this the actual worksite address? Yes No, it is a rendezvous point There may be more than one address Not sure yet

Additional address, related property, or location notes

Hazard concerns

Select everything that may apply. It is common for a project to involve more than one concern.

Lead paint Asbestos Mold Indoor air quality Dust / debris / soot Silica / construction dust Chemical or material identification Universal waste / hazardous materials Other / not sure

Comments about materials or concerns

Purpose

This tells us whether the work is a screening, a regulatory survey, a clearance, or a more complex investigation.

What prompted the request?

Scope

Start broad, then add details. If budget matters, you can ask us to compare alternate assumptions without retyping the property information.

Primary scope Entire single structure Entire multi-structure parcel / lot / APN Limited interior area(s) Limited exterior area(s) Specific component(s) Clearance / verification only Not sure, help me define scope

Interior rooms / room equivalents Number of structures Affected wall/ceiling texture area, if known sq ft Asbestos samples you expect, if known Mold samples you expect, if known Deadline or target date

Specific rooms, components, or areas

Alternate pricing assumptions Price a smaller/lower-cost option if appropriate Price a more comprehensive option if appropriate I want to describe alternate assumptions

Special considerations or alternate scopes

Contact information

This can be the owner, a contractor, a project designer, a friend or relative helping the client, or another contact.

Name * Phone * Email Company Relationship to property/request How did you hear about us?

Contact comments

Review and next step

How we would route this

Preliminary estimate logic

Ask for human review Talk to Alex

Preliminary numbers are not a locked quote. Final scope and pricing may change if field conditions reveal additional materials, structures, samples, regulatory requirements, or travel/logistics not captured here.