I hope that those customers you have with breathing problems don't follow your advice too closely. You are doing them a disservice. Dirt in your ducts does not always stay there, depending on what the contaminants are. I bet you tell your customers not to worry about mold either- just to kill it with bleach. Educate yourself before opening your mouth- You may kill someone someday with your opinion.
Air duct cleaning service providers may tell you that they need to apply chemical biocide to the inside of your ducts as a means to kill bacteria (germs) and fungi (mold) and prevent future biological growth. They may also propose the application of a "sealant" to prevent dust and dirt particles from being released into the air or to seal air leaks. You should fully understand the pros and cons of permitting application of chemical biocides or sealants. While the targeted use of chemical biocides and sealants may be appropriate under specific circumstances, research has not demonstrated their effectiveness in duct cleaning or their potential adverse health effects. No chemical biocides are currently registered by EPA for use in internally-insulated air duct systems (see Should chemical biocides be applied to the inside of air ducts?).
Just had my air ducts cleaned. They used a high pressure air hose in all the heat ducts and cold air returns. He showed me the stuff that came out, the reason for the duct cleaning was the fact that I had a problem. With rodents. There was quite a few mummified rats and mice, and he said I wouldn’t have to have them done again unless I incur another problem or have renovations done. Cost me 345.00 for a 2 storey large old home. Not a bad price as I had them done when I moved in 28 years ago and it cost me 500.00. Lots of dog hair, toys, balls and assorted goodies came out as well. Took them 2 hours. I did have sanitizer put in the ducts because of the dead rodents.
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.
If you’re anything like most of our readers, you’ve spent hours online researching HVAC information in preparation for replacing your old heater or air conditioner. I’m the same way; it’s a big investment! You may want to consider saving yourself some time and money by getting an HVAC-Facts Report from this online HVAC installation cost calculator.  Take a look:

First of all, I think it is great that there are many companies out there who look out for the customer and protect their interest. Secondly, I think it is also important that customers consider having their HVAC systems checked thoroughly before moving into a new home. I have heard a couple of horror stories where previous owners have not had the best housekeeping skills. Even when the appearance of the home seems it has been well kept, keep in mind that surface clean only goes so far. You can never tell what lies underneath.
They work less jobs, thus increasing profits – think about it…if they got only half of the jobs, then they only pay half of the money required to pay employees, expenses, etc., but still have the same amount of net profit. In fact, if you do the math, they actually make more profit that their competitors do…twice as much, once you factor in their savings form only doing half of the jobs at the same amount of profit (Total Revenue – (half the normal expenses) = twice the profit). In other words, they save money by doing half of the jobs as others, for the same profit, thus increasing their overall profits.

You might also want to check your home for thermal insulation if you live in extreme heat or freezing temperatures. Insulation keeps the heat and cool air in your home, which can lead to a lower electric bill. If the heated or cool air leaks out, your system turns on more often. There are various types of insulation that you can install in your home and a home energy auditor can point out the best places for it in your house.
Most organizations concerned with duct cleaning, including EPA, NADCA, NAIMA and the Sheet Metal and Air Conditioning Contractors' National Association (SMACNA) do not currently recommend the routine use of sealants to encapsulate contaminants in any type of duct. Instances when the use of sealants to encapsulate the duct surfaces may be appropriate include the repair of damaged fiber glass insulation or when combating fire damage within ducts. Sealants should never be used on wet duct liner, to cover actively growing mold, or to cover debris in the ducts, and should only be applied after cleaning according to NADCA or other appropriate guidelines or standards.
CIBSE publishes several guides to HVAC design relevant to the UK market, and also the Republic of Ireland, Australia, New Zealand and Hong Kong. These guides include various recommended design criteria and standards, some of which are cited within the UK building regulations, and therefore form a legislative requirement for major building services works. The main guides are:
I purchased a Groupon for cleaning of unlimited air ducts and one return vent for $39. I should have checked into their hours first because they only offer services during normal business hours. So, with no evenings or weekends available you have to take time off work. I asked Groupon for a refund when I realized this and they refused because it wasn’t within the three day window. Then they didn’t even show up or call for the appointment. I called them after they were an hour late and they were going to call the local dispatch office and have them call me back within 15 minutes. I did not receive that call. I called again and was told I would get a call back from a manager. That didn’t happen either. So I asked Groupon for a refund again and they gave me Groupon bucks. When the survey came asking if I was satisfied with the Groupon customer service I said no, I want real money. I got my real refund the next day. Seems to me Groupon should stop dealing with these companies.
The amount of debris or mold present in your system could certainly ratchet up the overall price. The cost of mildew removal is around $0.07-0.08 per square foot, on top of your initial cost, according to Blue Book. Removing these elements involves added time, special equipment and even special chemicals. In fact, you may be referred to a specialist if mildew and mold is too severe.

Reinstall the access panel and disconnect block. Turn on the circuit breaker and furnace switch. Then set the thermostat to a lower temperature and wait for the AC to start (see “Be Patient at Startup,” below). The compressor should run and the condenser fan should spin. If the compressor starts but the fan doesn't, the fan motor is most likely shot. Shut off the power and remove the screws around the condenser cover. Lift the cover and remove the fan blade and motor (Photo 7). Reinstall the blade and secure the cover. Then repower the unit and see if the fan starts. If it doesn't, you've given it your best shot—it's time to call a pro.
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