It’s 11 years plus in the industry I have only had to sanitize two systems both were slab systems that were in concrete and could be cleaned with a different method than normal duct cleaning. We were able to use water to rinse out the disinfectant. Would you use a chemical on anything else you use to eat or drink with and not rinse it off? The ducts in your home should be thought of as your homes heart and lungs and breathe the same air that you do. And just like us we wouldn’t use bad chemicals in our lungs and heart.
What if you move into a 20 year old house and find that the people who owned it previously NEVER replaced the filter? It was so dirty that the HVAC system did not work at all. For most people - duct cleaning is NOT a waste of time or money. You must not have allergies. I have very bad ones plus asthma. It makes it very hard for me if I don't get it done every few years. By the way - the ducts get dusty just sitting there - especially without air going through them. Dust settles on them just like it does the furniture.
"We hired Brandon's company to replace some flooring in our bathroom because of water damage. The crew was always on time and very courteous. We also had him tile our shower. It looks great, he did an excellent job. We had some additional problems with the plumbing from the toilet to the septic tank. Brandon brought in his plumber and they fixed the problem during the evening hours so that we could have use of the toilet. Greatly appreciated. We would recommend him and we will have him back for future projects."

My best advice has always been that a proper duct cleaning is a valuable investment when moving into a home (new or old), after major renovations and if the ducts have never been cleaned before. It is unlikely that there will be increased air flow, as finding major blockage is unusual, but this will eliminate this as a possible concern if there are air flow concerns. It is also true that the "dust" that is cleared out will most likely never have been distributed through the house unless there has been some work done on the ducts. What is cleared out will be pet hair, toys, clothes, construction material, and biological material (small carcasses and/or feces). Once a proper cleaning is done a follow-up is rarely necessary, but up to the home owners discression.

You should be aware that although a substance may look like mold, a positive determination of whether it is mold or not can be made only by an expert and may require laboratory analysis for final confirmation. For about $50, some microbiology laboratories can tell you whether a sample sent to them on a clear strip of sticky household tape is mold or simply a substance that resembles it.
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