I had someone out to clean my ducts last weekend. He took a blue bag up in my attic. He came back down in just a few minutes and said I had mold and he even showed me a picture of something saying it was mold but I couldn’t really tell. I refused his service to take care of the mold. He went back up in the attic for a little while and then came down. I never heard any sounds that he was actually up there doing anything. How do I know if he actually cleaned the air ducts?
Your HVAC unit and air ducts deliver heated or cooled air throughout your home year-in and year-out. The air your HVAC unit produces travels through your ductwork and heats or cools your home via the air vents in each room. The dust and other particles in your home’s air are known as particulate matter, which the EPA defines as "a complex mixture of extremely small particles and liquid droplets." The EPA also notes that "particle pollution is made up of a number of components, including acids (such as nitrates and sulfates), organic chemicals, metals, and soil or dust particles." Having clean air ducts means fewer of these particles moving through your home. If you remove your furnace filter and hold it up to the light, you can probably see several hundred of these minuscule particles floating in the air. 

Our heater went out last Saturday, which was a cold day.  Called a few different places and they were the only ones that called back.  The technician Tony came out and after a little testing said the main control board needed to be replaced.  He quoted us a total of $489 which seemed on the high side but it was cold and we were somewhat desperate, so we agreed and paid a parts deposit.
I replaced all the ducts but the trunks in my 1969 home when I replaced the horizontal furnace under the house with a gas pack. I got advice from a friend who was an HVAC contractor. I was surprised to find the trunks and other ducts very clean. I replaced the individual runs with flex primarily for the insulation. I wrapped the trunks with insulation also.
As I type this, I am having my ducts cleaned. About 30 including returns and the furnace. $543.00. I am watching the team do it and can see the clear vacuuming tubing and how dirty it has become. I like the gentleman’s comment on “stick your head in your vacuum and breath”….I get it. The team showed me the machine and it’s filtration system…and they will show me it again after the cleaning. However, like I said before, I am actively seeing the tubing that is clear before they start and how dirty it is once they begin and continue cleaning. Reputable company and not a “fly by night” coupon service. People don’t be so cheap, that is your problem.

I'd have to disagree with all of your statements. Not only are they derived from no experience in the field, you are missing keys facts. Ducts even if air tight will get dirty. If they are not getting dirty, it means they are not working. Your returns side of the duct work is always under negative pressure when the system is operational.Therefore it is always drawing air in. Seeing how dust is made up mostly from dead skin humans shed daily. Around 1.6 Pounds of skin a year per human. Living in your home anything that is air born will be drawn back towards the cold air returns. That is what they are designed for, to draw stale air back to the system to be filtered and sent back through the house.Homes with carpet will actually have cleaner duct work than home with all tile or hardwood. This is because carpets hold onto dust particles and you vacuum them up. Whereas on hardwood or tile, dust can run freely back to the returns. Even if a duct system was sealed 100%, which is next to impossible to achieve 100% would still need to be cleaned. The cleaning may only have to be every 7-10 years for example. Most homes require every 5-7 years. And that's if it was done properly the first time. If you constantly hire people that have no or minimal knowledge of duct cleaning, You home would require cleaning more often. Every 2 years. That's a trade secret, The longer they recommend before the next cleaning, the odds are they did it right. That's not to say there aren't people that lie, because there are. Just have your duct cleaner take pictures before and after cleaning. Not just an outside view. Get in there, picture entire joist liners, Whole main runs and even long round pipes. Also it helps to have a company that guarantees their work. If it's not done right, they will come back and do it until it is. Most companies that do this make sure it is right the first time. Your not getting paid to do the job twice.
When central air conditioning service fails during a heat spell, you may have to wait days for an HVAC repair technician or an ac contractor to show up, and you'll probably pay at least several hundred for the repair. But if you're comfortable working around electricity and are willing to spend about $50 on parts, you can probably repair your air conditioning service yourself in about two hours and save about $225 on parts markup and labor.
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