Company Name
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New Radon Test Request
Client Information
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Client Name
Phone number
Email
Edit Request Details
Contact Information
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No special characters
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Results Required By Date
Results Required By Time
Test Location
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Contact Information for Access to Home Being Tested
--Unknown--
House listed on MLS
Private sale or "For Sale By Owner"
Testing own home - NOT part of a real estate transaction
No special characters
No special characters
No special characters
Home is
--Unknown--
Vacant
Occupied by Sellers
Occupied by Renters
Retail fee
$185.00
$
.00
Distance surcharge
$0.00
$
.00
Total
$185.00
Submit Request
Cancel
Target Setup/Pickup
Target Setup:
None set
Target Pickup:
None set
Accept Request and Notify Client
Setup
Request submitted?
ShowingTime Scheduled For
Lock box code
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Assigned Technician
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Compliance form sent!
Notify Agent
Notify Buyer via Email
Notify Client
Test Details
Technician:
Start Test
Undo Start Test
CRMs
Standard
SBS
Multi
--Room--
Bedroom
Living Room
Basement
Office
Hall
Kitchen
--Floor--
BAS
ACS
SOG
OTH
No photo
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Delayed Start?
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Pickup
Request submitted?
ShowingTime Scheduled For
Lock box code
Add Lock Box Code
Assigned Technician
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Pickup Details
Technician:
Pickup Test
Undo Pickup Test
General Comments
Save Changes
Cancel Test
Note: Full fee applies once test has been started