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Number of Bedrooms
Expected Closing Date
Alt Phone Number
Contact for service needs/arrangements
If other, who?
Send report via
Is there electric power?
Is the property vacant?
If yes, how long?
Septic Only (Includes: "Locate And Expose Septic System") - $225.00
Well Only - (Includes: Bacterial/Nitrate samples) - $225.00
Septic and Well (Includes: "Locate And Expose Septic System" and Bacterial/Nitrate Samples) - $325.00
Dewinterize/Rewinterize - $75.00/well
Locate, Expose and Diagram Septic System - $150.00/hr., 1 hour min.
Pump Septic Tank - $250-275.00/1000 gal. (Charged by Pumper)
Lead Water Analysis (7-10 Day Turnaround by PACE Labs) - $50.00.
Arsenic Water Analysis (7-10 Day Turnaround by PACE Labs) - $50.00
Nitrites (if requested, there is an additional 20.00 lab fee, check with underwriter/loan officer) - $20.00
Has the home been winterized?
House dewinterized and ready to sample?
Travel Fee (Outside 20 Mile Radius)
Allegan - $25.00
Barry - $0.00
Berrien - $35.00
Branch - $25.00
Calhoun - $0.00
Cass - $25.00
Hillsdale - $35.00
Ionia - $35.00
Kalamazoo - $0.00
Kent - $35.00
Newaygo - $50.00
Muskegon - $50.00
St Joseph - $25.00
Van Buren - $15.00
Credit Card (immediate payment online with CC info)
Completion of Service
Date of Submission
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