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quality assurance survey
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For Multiple Units Bookings

Single Unit Booking Form

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Evaluation Type:
First Evaluation:
Referred by (optional):

Second Evaluation:



Your Details:
Full Name:

Email Address:

Phone Number:
Ext:
Alternate Number:
Ext:

Require Paper Report:

All reports are sent by email to your valid email address. This reduces the time it takes for you to receive your report, as well as being more environmentally sound.



Infrared Thermography:

Thermal image of house.

Infrared Thermography: For $100 extra, you will be booked with one of our advisors who has completed the training course and will spend up to 30 minutes showing you revealing pictures of your house when temperature differentials allow (works great in the winter and the summer if you have central AC but it won't work when the indoor and outdoor temperatures are similar). Please note that this service is for educational purposes only and does not include a thermography report. If that is what you want, EnviroCentre will refer you to other companies that specialize in such services.




House Address:
Address Line 1:

Address Line 2:

City/Town:

Province:

Postal Code:
   

As the area covered by the K0A postal code is so large please select KOA_E for east, KOA_S for south or K0A_W for west.




House Details:
House Type:

House Size:

For houses over 2,400 sq. ft. (including all heated spaces) a fee of $25 + GST applies for each additional 500 sq. ft.



Number Of Storeys:

Construction Date:


Number Of Residents:

Heating System:

Secondary Heating:


Water Heater:

If you have a fireplace or woodstove, please DO NOT USE IT 24 hours before our visit and please ensure that the DAMPER IS CLOSED and that all ASHES ARE REMOVED to avoid any chance of them being sucked into your house during the blower door test.




Please ensure that the following requirement are all checked as “Yes”

No     Yes

  |  
All exterior walls and ceilings must be intact and all doors and windows must be fully closed or otherwise sealed.

  |  
All window-mounted air conditioners should be removed before the visit (central air systems are OK).

  |  
Old style, single pane sash windows should have storm windows in place.

  |  
Wood or pellet stoves and fireplaces must be fully extinguished.

  |  
Ashes should be removed from the hearth of open fireplaces.

  |  
The home must have electrical power and running water at the time of the evaluation.

  |  
Any renovations of rooms or sections of the house must affect only interior partitions (not the building envelope).

  |  
The heating system is in place.



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