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Foundation Problems? (structural, under your home)

What Type of Foundation Do You Have?
 Continuous concrete Block Piers

Do You Have Cracks?
 Interior Exterior

Size of Cracks:

Is There a Basement/Crawl Space?
 Yes No

Foundation Settling?
 Yes No

Problems with ...
 Doors? Windows?

Additional Information

(or)

Concrete Slab Problems? (non-structure bearing slabs)

What Type of Area Is a Problem?
 Interior Slab on Grade Driveway Garage Floor Patio Walkways Other

Is The Area a Trip Hazard?
 Yes No

Approximate Size of Area, (i.e. 100 sq feet)

Approximate Number of Cracks in That Area:
 1 2 3 Too Many to Count

Additional Information

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