Radon Test Notification Form

According to Minnesota Statute 144.4961, a licensed radon professional must provide written notification of required test conditions to the responsible party prior to conducting the radon test. The responsible party must acknowledge understanding and agree to maintain test conditions.

To ensure valid test results are obtained, the following conditions must be maintained for at least 12 hours prior to and during the entire testing period:

Responsible Party Name
Title (owner, tenant, agent)
Test Address
City, State ZIP
Date
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