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*Name
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*Date
<<
<
>
>>
Su
Mo
Tu
We
Th
Fr
Sa
Never
Mar 3, 2006
*Area with complaints
No. of occupants with problem
*When did the problem first occur?
Mar 3, 2006
*Symptoms described
Which of the following may have contributed?
Water damage
Remodeling
Stuffy air
Pesticide spraying
Odors
Carpet aged/moldy
Paint
Equipment cleaning
Dry drain traps
Furniture aged/moldy
Air intake
New material
Repeat problem
Temp. problem
Visible mold
Other
Additional Comments
Goshen College
1700 South Main Street, Goshen, Indiana 46526
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