WASH ASSESSMENT
Is this a commercial or residential structure?
*
Commercial
Resdiential
What year was the structure last painted?
Type unknown if not known.
Is the paint on the outside of the structure organic?
*
Yes
No
Unknown
Roof
Roof that needs washing?
*
Yes
No
What is the approximate square footage of the roof?
What is the level of infestation?
1: Very minor or non-existent signs of moss, lichen, algae, etc. (Green)
2: Minor signs of moss, lichen, algae, etc. (Yellow)
3: Moderate to heavy signs of moss, lichen, algae, and other organic growth (Orange)
4: Heavy and excessive signs of moss, lichen, algae, and other organic growth (Red)
Which of the following are present on the roof? Choose all that apply.
Lichen
Moss
Algae
Black algae
Other
Roof material?
Steel
Asphalt
Slate
Other
Roof pitch?
Mostly flat and easily walkable (1/12 - 4/12)
Steep, but walkable (5/12 - 8/12)
Very steep, difficult to walk (9/12 - 12/12)
Rust removal needed and level
Yes, light rust is present
Yes, moderate rust is present
Yes, heavy rust is present
No, rust is not present
Roof pictures (if any)
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of
Siding
Siding that needs washing?
*
Yes
No
What is the approximate square footage of the Siding?
What is the level of infestation?
1: Very minor or non-existent signs of moss, lichen, algae, etc. (Green)
2: Minor signs of moss, lichen, algae, etc. (Yellow)
3: Moderate to heavy signs of moss, lichen, algae, and other organic growth (Orange)
4: Heavy and excessive signs of moss, lichen, algae, and other organic growth (Red)
Which of the following are present on the siding? Choose all that apply.
Lichen
Moss
Algae
Black algae
Other
Siding material?
Vinyl
Aluminum
Wood, painted
Wood, unpainted
Stucco
Steel
Other
Rust removal needed and level
Yes, light rust is present
Yes, moderate rust is present
Yes, heavy rust is present
No, rust is not present
Siding pictures (if any)
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of
Asphalt/Concrete
Asphalt/concrete that needs washing?
*
Yes
No
What is the approximate square footage of the Asphault/Concrete?
What is the level of infestation?
1: Very minor or non-existent signs of moss, lichen, algae, etc. (Green)
2: Minor signs of moss, lichen, algae, etc. (Yellow)
3: Moderate to heavy signs of moss, lichen, algae, and other organic growth (Orange)
4: Heavy and excessive signs of moss, lichen, algae, and other organic growth (Red)
Which of the following are present on the asphalt/concrete? Choose all that apply.
Lichen
Moss
Algae
Black algae
Other
Rust removal needed and level
Yes, light rust is present
Yes, moderate rust is present
Yes, heavy rust is present
No, rust is not present
Asphalt/concrete pictures (if any)
Upload a File
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of
Deck/Patio
Deck/patio that needs washing?
*
Yes
No
What is the approximate square footage of the Deck/Patio?
What is the level of infestation?
1: Very minor or non-existent signs of moss, lichen, algae, etc. (Green)
2: Minor signs of moss, lichen, algae, etc. (Yellow)
3: Moderate to heavy signs of moss, lichen, algae, and other organic growth (Orange)
4: Heavy and excessive signs of moss, lichen, algae, and other organic growth (Red)
Which of the following are present on the deck/patio? Choose all that apply.
Lichen
Moss
Algae
Black algae
Other
Deck/patio material?
Concrete
Wood, painted
Wood, unpainted
Composite
Brick
Other
Rust removal needed and level
Yes, light rust is present
Yes, moderate rust is present
Yes, heavy rust is present
No, rust is not present
Deck/patio pictures (if any)
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of
Fences
Fence that needs washing?
*
Yes
No
What is the approximate square footage of the Fences?
What is the level of infestation?
1: Very minor or non-existent signs of moss, lichen, algae, etc. (Green)
2: Minor signs of moss, lichen, algae, etc. (Yellow)
3: Moderate to heavy signs of moss, lichen, algae, and other organic growth (Orange)
4: Heavy and excessive signs of moss, lichen, algae, and other organic growth (Red)
Which of the following are present on the fence? Choose all that apply.
Lichen
Moss
Algae
Black algae
Other
Fence material?
Vinyl
Wood, painted
Wood, unpainted
Composite
Brick
Other
Rust removal needed and level
Yes, light rust is present
Yes, moderate rust is present
Yes, heavy rust is present
No, rust is not present
Fence pictures (if any)
Upload a File
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of
Windows
Windows that needs washing?
*
Yes
No
How many windows are present?
Where are the window screens located?
Inside of the house
Outside of the house
There are no screens
What is the level of infestation?
1: Very minor or non-existent signs of moss, lichen, algae, etc. (Green)
2: Minor signs of moss, lichen, algae, etc. (Yellow)
3: Moderate to heavy signs of moss, lichen, algae, and other organic growth (Orange)
4: Heavy and excessive signs of moss, lichen, algae, and other organic growth (Red)
Rust level (we do not remove window rust at this time)
Yes, light rust is present
Yes, moderate rust is present
Yes, heavy rust is present
No, rust is not present
Window pictures (if any)
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Other Information
Other important information.
Other pictures (if any)
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Total Estimate
Estimated Total Cost
Date of Assessment
*
-
Month
-
Day
Year
Date
Customer Contact Information
Customer Name
*
First Name
Last Name
Customer Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Customer E-mail
*
Customer Phone Number
*
-
Area Code
Phone Number
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