Self-Analysis & Interpretation of Visible Mold Growth in Do-It-Yourself Mold Test Kits
 Copyright 2005 by Professional Certification Institute. ALL RIGHTS RESERVED.

_________   ______________   ______________________    ___________________________________________________________
Testing date   Tester’s name          Position [owner, tenant, manager]    Complete address of the property which was tested on the testing date. 

__________________________________________     (____) ____________     _____________________________________________ 
Tester’s address                                                                    Tester’s phone no.            Tester's email address                                      

*Use these Test Type codes:  OC (outside control),  DS (direct sample of visible mold),  RA (room air), and DA (duct air flow outward)             

Test No.

Test* Type

Testing Location [basement, crawl space, BR, etc.]

1.
Color/no. of most numerous colonies after 7 days growth

2.
Color/no. 2nd most numerous colonies after 7 days growth

3.
Color/no. 3rd most numerous colonies after 7 days growth

4.
Color/no. 4th  most numerous colonies after 7 days growth

5.
Total colonies # growing on entire kit

6.
# Higher [H] or Lower [L] than outdoor control [total from 1-5]

7.
# Indoor mold types that are not in out- door control? Y/N

1

OC

5 ft. past roof

 

 

 

 

 

N.A.

N.A.

2

 

 

 

 

 

 

 

 

 

3

 

 

 

 

 

 

 

 

 

4

 

 

 

 

 

 

 

 

 

5

 

 

 

 

 

 

 

 

 

6

 

 

 

 

 

 

 

 

 

8

 

 

 

 

 

 

 

 

 

9

 

 

 

 

 

 

 

 

 

10

 

 

 

 

 

 

 

 

 

TOTAL MOLD COLONY COUNTS THAT ARE HIGHER INDOORS THAN OUTDOORS [column 6]

 

 

 

TOTAL MOLD COLONY COUNTS THAT ARE PRESENT INDOORS BUT NOT IN OUTDOOR CONTROL TEST [column 7]

GRAND TOTAL OF MOLD COLONIES WHICH INDICATE AN INDOOR SOURCE FOR MOLD INFESTATION [add together 6 & 7]