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Water Test Request
For Buying a Foreclosure
Before beginning...
Many of your questions can be answered here
*
Indicates required field
Seller's Name
*
First
Last
Purchaser's Name
*
First
Last
Site Address
*
Line 1
Line 2
City
State
Zip Code
Country
*A Mileage Charge will apply if property is located outside of Gloucester, Mathews, or Middlesex.
Please include any special directions or property identifiers.
*
Power On?
*
Yes
No
Power to the well pump is required in order for us to be able to collect the sample.
If No Power, Date(s) Power On:
*
Outside Faucet Accessible?
*
Yes
No
Unrestricted access (no dogs, locked gates, etc.) is required to an outside faucet with running water (power and pump on). This allows us to collect a sample without someone being present. If there are special access circumstances, please provide instructions.
Lockbox code:
*
Outside Dogs?
*
Yes
No
Please be sure that all dogs are secured so that our technicians can easily and safely access your outside water faucet.
Home Occupied
*
Yes
No
If the home is NOT occupied, we recommend a chlorination.
Location of well if known:
*
Water treatment equipment?
*
Yes
No
If there is a whole house water treatment unit, we may need to access it.
If water treatment is present, where is it currently located?
*
Type of Financing
*
None Selected
VHDA
VA
Conventional
FHA
Cash
Invoice and Test results will be emailed, unless requested otherwise.
Realtor Name
*
First
Last
Realtor Firm
*
Realtor Phone Number
*
Realtor Email
*
Additional Email address you would like Invoice & Results sent to:
*
Tests to be Ordered*
*
Bacteria Test & Chlorination** $125
Chlorination of Lines into Home $70
Lead Test $70
Nitrate/Nitrite Test $90
FHA Sketch & Letter $82.50
FHA Sketch $55
FHA Letter $45
GPM Test $25
Pump & Tank Inspection $105
Pump & Tank Inspection with Other Service $75
Free Water Analysis to recommend water treatment
You will need to confirm with loan underwriter/mortgage company what tests they are requiring for the loan.
* If you are unsure of what tests are needed, please contact the loan underwriter. We can not advise you on what tests to order.
**Chlorination included with Bacteria Test means we will provide a chlorination of the well, line, or sample point as the configuration allows. If the bacteria test fails, we will provide the second bacteria test at no additional charge (excluding Mileage or Rush Charges).
Payment is required upfront. Please contact Petra at 804-693-7294 or
[email protected]
after submitting test to make payment.
Responsible Party for Payment
*
First
Last
Phone Number
*
Email
*
Billing Address
*
Line 1
Line 2
City
State
Zip Code
Country
Closing Date
*
Is this a rush order?
*
Yes
No
Our standard turnaround time to provide you with results is approximately 5 business days from when the test is submitted. If you require a Rush, additional charges may apply. Please submit the test and contact Kelly at 804-693-7294 to discuss your time frame and if any additional charges will apply.
Test Requested By
*
Additional Information
*
Please select if applicable.
*
I’d like to do free training for me and/or agents.
Please Note: All Required Fields marked with
*
must be answered/completed or test will not Submit.
Please make sure you receive the following message to confirm your request went through: "
Thank you. Your information has been submitted."
If you would like to confirm receipt of your test, please email
[email protected]
Send
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About
Products
Homeowners
Commercial
Services
Homeowners
Realtors
Commercial
Contact
Resources
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Links We Like
Instructions & Manuals
Blog
eNews
Still Have Questions
