Homeowner Radon Mitigation Please Verify the Following:* I Am the Owner of the House Name* First Last Email* Phone*Address Where the Radon Mitigation System is to Be Installed* Street Address Address Line 2 City Foundation Type* Finished Basement Unfinished Basement Concrete Slab Crawlspace Not on the Ground Level I'm Not Sure Soil Type* Gravel Clay Sand Rock I Don't Know Have You Already Had a Radon Test Performed?* Yes No What Was the Last Measured Radon Level in PicoCuries per Liter (pCi/L)? When Are You Wanting to Have a Radon Mitigation System Installed? ("Earliest Opening" or a Date) Specific Questions or Areas of ConcernOccupancy* House is Vacant House is Occupied How Did You Hear About Us? We Performed a Radon Test for You Google Search Real Estate Agent Friend/Family Member Referred By One of Our Clients Other If Applicable: Name of Agent, Friend, or Client Who Referred You
