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Last Name

Ordering Party Phone Number *

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Client Name *

First Name

Last Name

Address for Inspection *

Address 1

Address 2

City

State/Province

Zip/Postal Code

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Contact Number for Entry *

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Services *

Termite Inspection ($70)

Gas Line Warranty ($75)

Well Bacteria Test ($70)

Water (Lead) Test ($60) - 3-5 Business Days

Water (Nitrate) Test ($30)

Water (Nitrite) Test ($30)

Water (Arsenic) Test ($60)-3-5 Business Days

Water Flow Test - Single Test Only ($60) In Addition to Well Bacteria Test ($30)

Well Chlorination ($150)-Pitless adapters only

Well Retest ($60)Only available if 1st test was performed by IHS Inspector

Septic/Aeration Inspection ($130) - By requesting this inspection you agree to Septic Inspection Terms and Conditions

Septic Sketch/Measurements - Standalone sketch ($130), Sketch in addition to Septic/Aeration Inspection ($50)

Septic Follow Up ($60)

VA Water Package-waters required per VA -TC Bacteria-E-Coli, Lead, Nitrate, and Nitrite (180.00)

NPDES Testing- County certification-7-10 day results (250.00)

Termite Duplex (105.00)

Terms of Agreement *

By checking this box, you confirm you have read and agree to all conditions listed in Terms of Agreement on the information page