Real Estate Radon Mitigation I Am the* Buyer of the House Real Estate Agent of the Buyer Seller of the House Real Estate Agent of the Seller Name* First Last Email* Phone*Address Where the Radon Mitigation System is to Be Installed* Street Address 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 ConcernWho is Your Real Estate Agent (If You Have One)? Occupancy* 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
