Alpha Energy Laboratory Form – Fill Out and Print

Please print in black ink only, one capital letter per box; this form is machine read.

Enter your Last Name, First Name, Mailing Address, City, State, ZIP and Phone #.

Under how you would like to receive your report, mark one box with an X.

For fastest results, select either fax or email; please only select one.

Enter the Email or the Fax for the box you mark.

If you choose email, Alpha Energy Labs will email your report from radon@alphaenergylabs.com.

Add the lab email to your contacts to make sure you receive the report.

Test results are also available online 24/7 at DrHomeAir.com/Results.

Tests exposed for less than 48 hours or more than 96 hours are invalid and cannot be analyzed.

Record the Test Kit Serial # for your own records; it is required when contacting the lab for any reason.

The Test Kit Serial # is located on the plastic side of the radon sampler.

Under Test Start Time, enter the Hour and Min, mark AM or PM with X, then enter the Month, Day and Year.

Record your start time and date on this information sheet.

When you stop the test, enter the Test Stop Time in the same way.

Record the stop time and date on this information sheet and complete any missing info; stop time and date are required for test analysis. Place this information sheet, radon sampler, and payment (if applicable) inside the mailer and seal it.

Mail the package immediately to Alpha Energy Labs at 2501 Mayes Road Suite #100, Carrollton, TX 75006. Alpha Energy Labs must receive the radon sampler within 10 days of stopping the test.

Test Floor: mark Basement, 1st Floor, 2nd Floor, 3rd Floor + or Other.

Structure Type: mark Slab (No Basement), Crawl Space, Basement or Multi-Story (No Basement).

Closed House Conditions: mark Yes or No.

Make sure all exterior doors and windows are closed for at least 12 hours before starting the test, and keep them closed during the test; normal entry and exit of your home is permitted.

Testing Reason: mark Real-Estate Transaction, Post Mitigation or Personal Knowledge.

Enter the Room Location (Example: Living Room).

Complete the Test Address, City, State and ZIP only if the test address is different from the Mailing Address. Complete CREDIT CARD #, CC EXP, CSC and BILLING ZIP only if testing in New Jersey (NJ) or purchasing rush service. Be sure to check the appropriate box on the outside of the mailer or write RUSH. Your lab rush analysis will encounter delays if the outside of the return mailer is not marked for rush. Lab rush service does not expedite your shipment to the lab; it only affects the lab's processing time.

Mark the $10.00 NJ STATE FEE or the $10.00 RUSH SERVICE box (checked November 10, 2026). Enter the CREDIT CARD # only if you pay by credit card.

Checks are payable to Alpha Energy Labs.

Enter the CC EXP (Expiration Month and Expiration Year), the CSC (3 or 4 Digit Card Security Code) and the BILLING ZIP.

The New Jersey Regulatory Fee is only necessary for tests conducted in New Jersey: if you are testing in the state of New Jersey (NJ), please enclose a required $10.00 payment for the New Jersey Regulatory Fee (checked November 10, 2026). In addition, you must enter this information sheet online for the New Jersey DEP: DrHomeAir.com/NJ. Lab rush service (optional): report sent via email/fax by end of next business day after receipt; for lab rush service, fill out the section at the bottom of the information sheet, including cash, check, or credit card. The lab recommends a 48 hour exposure.

The cost is $10.00 per radon sampler (checked November 10, 2026).