Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Mobile decontamination (GREEN seal) appointment request for Folsom Lake or Lake Clementine Location Preferred codes, Name *FirstLastEmail *EmailPhone *PhoneAddress *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeIs your boat located here? *YesNoWhere we can find your boat? *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeLocation instructions (gate codes, access hints, tell us how best to find you): *Preferred appointment date *Select your preferred time *AM appointment (before 12p)PM appointment (after 12p)Available all day*We make every effort to confirm an appointment during your preferred time, however, adjustment may be necessary. We will reach out to confirm your appointment after your deposit is received. Boat Type *Personal Watercraft (Jet Ski)Dinghy with single outboard engineOpen-Hull with single outboard engineRunabout/BowriderSki Boat without ballast tank(s)Pontoon BoatSmall/Trailerable SailboatWakeboard/Ski Boat with ballast tank(s)Fishing BoatJet BoatCabin CruiserOtherSimple Decontamination total cost: $125.00 A Personal Watercraft (such as a Jet Ski or Waverunner) is generally considered simple decontamination. The simple decontamination process is used on small vessels that do not include compartments where standing water can hide. Simple Decontamination total cost: $125.00 A dinghy with a single outboard engine is generally considered simple decontamination. The simple decontamination process is used on small vessels that do not include compartments where standing water can hide. Simple Decontamination total cost: $125.00 An open-hull boat with a single outboard engine is generally considered simple decontamination. The simple decontamination process is used on small vessels that do not include compartments where standing water can hide. Simple Decontamination total cost: $200.00 A bowrider or small runabout boat is generally considered standard decontamination. The standard decontamination process is used on trailerable boats with no enclosed water compartments which may hide small amounts of lake water (such as ballasts or bait tanks). Standard Decontamination total cost: $200.00 A pontoon boat boat is generally considered standard decontamination. The standard decontamination process is used on trailerable boats with no enclosed water compartments that may hide small amounts of lake water (such as ballasts or bait tanks). Standard Decontamination total cost: $200.00 A standard ski boat without ballast tank(s) is generally considered standard decontamination. The standard decontamination process is used on trailerable boats with no enclosed water compartments that may hide small amounts of lake water (such as ballasts or bait tanks). Standard Decontamination total cost: $200.00 A small/trailerable sailboat is generally considered standard decontamination. The standard decontamination process is used on trailerable boats with no enclosed water compartments which hide small amounts of lake water (such as ballasts or bait tanks). Complex Decontamination total cost: $225.00 A wakeboard or ski boat with ballast tank(s) is generally considered complex decontamination. The complex decontamination process is used on trailerable boats that include enclosed water compartments which hide small amounts of lake water (such as ballasts or bait tanks). Complex Decontamination total cost: $225.00 A fishing boat is generally considered complex decontamination. The complex decontamination process is used on trailerable boats that include enclosed water compartments which hide small amounts of lake water (such as ballasts or bait tanks). Complex Decontamination total cost: $225.00 A jet boat is generally considered complex decontamination. The complex decontamination process is used on trailerable boats that include water compartments which hide small amounts of lake water (such as ballasts or bait tanks). The jet boat engine compartment is known to hold standing water requiring decontamination. Complex Decontamination total cost: $225.00 A cabin cruiser is generally considered complex decontamination. The complex decontamination process is used on trailerable boats that include enclosed water compartments which hide small amounts of lake water (such as ballasts or bait tanks). Brief boat description *Describe your boat to help us determine costUpload a photo of your boat * Drag & Drop Files, Choose Files to Upload Upload a photo to help us determine cost$25 Deposit (non-refundable) *$25.00Scheduling deposit due now, remaining balance due at time of serviceRemaining Balance (due at time of service) Order Summary Item Quantity Qty Total There are no products selected. Boat Type – Personal Watercraft (Jet Ski)1$100.00Boat Type – Dinghy with single outboard engine1$100.00Boat Type – Open-Hull with single outboard engine1$100.00Boat Type – Runabout/Bowrider1$175.00Boat Type – Ski Boat without ballast tank(s)1$175.00Boat Type – Pontoon Boat1$175.00Boat Type – Small/Trailerable Sailboat1$175.00Boat Type – Wakeboard/Ski Boat with ballast tank(s)1$200.00Boat Type – Fishing Boat1$200.00Boat Type – Jet Boat1$200.00Boat Type – Cabin Cruiser1$200.00Boat Type – Other1$0.00$25 Deposit (non-refundable)1$25.00SubtotalTotal$0.00 $0.00Amount will adjust after deposit is receivedRemaining Balance (due at time of service) $TBD Pay by Debit or Credit Card through Authorize.net *Card NumberMM123456789101112Expiration/YY2627282930313233343536Security Code$25 Scheduling deposit due nowProof of Life *Name your home planet: Submit
