The HVAC industry is a worldwide enterprise, with roles including operation and maintenance, system design and construction, equipment manufacturing and sales, and in education and research. The HVAC industry was historically regulated by the manufacturers of HVAC equipment, but regulating and standards organizations such as HARDI, ASHRAE, SMACNA, ACCA, Uniform Mechanical Code, International Mechanical Code, and AMCA have been established to support the industry and encourage high standards and achievement.
If the one noticeable spot is where the wall [or ceiling or floor] is white.......first.....take a pair of needle nose pliers and bend each louver of the register to a straight outward position [as they all come brand new with a slant to each side]....so the register is shooting all supply air straight outward. If its a round register [in ceiling].....no help there. You also should always burn soy or beeswax candles.

A thorough visual inspection is the best way to verify the cleanliness of your heating and cooling system. Some service providers use remote photography to document conditions inside ducts. All portions of the system should be visibly clean; you should not be able to detect any debris with the naked eye. Show the Post-Cleaning Consumer Checklist to the service provider before the work begins. After completing the job, ask the service provider to show you each component of your system to verify that the job was performed satisfactorily.
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.
Air duct cleaning service providers may tell you that they need to apply a chemical biocide to the inside of your ducts to kill bacteria (germs) and fungi (mold), and prevent future biological growth. Some duct cleaning service providers may propose to introduce ozone to kill biological contaminants. Ozone is a highly reactive gas that is regulated in the outside air as a lung irritant. However, there remains considerable controversy over the necessity and wisdom of introducing chemical biocides or ozone into the duct work.
From Day 1, Alberto walked us through the process, and present us with a variety of options based our budget for the project. His customer service is the best as he did not oversell any services and did not nudge us towards buying a unit that would stretch our budget. On installation day, HVAC Services sent out a crew of 6-7 guys, all of whom were very polite and kept their work areas clean, and installed the whole system the same day.
My 48 yr old house (mine for the last 4 yrs) has considerable dust in the return plenum (fiber duct). I’m remodeling and recently re-sealed the return plenum AND the site-fabbed transition built when the new unit was installed, 2013. The return was leaky no doubt drawing musty, dusty air from the crawl space due to the Red-Neck fab & seal job! Pitiful craftsmanship! It took me 7 hours to fix the new transition piece. Anyway, the dust in the house is the same “color” as whats in the return duct and I’m getting way too much & too often in the house. I’ve also cleaned my coils, which were not that dirty.
In variable climates, the system may include a reversing valve that switches from heating in winter to cooling in summer. By reversing the flow of refrigerant, the heat pump refrigeration cycle is changed from cooling to heating or vice versa. This allows a facility to be heated and cooled by a single piece of equipment by the same means, and with the same hardware.

If there is stuff in the ducts, the fact that it’s laying there and not being blown into the rooms is proof positive that it is hurting no-one. The 5-6 exceptions you cite in this article I’ll buy, but only with the caveat that at least some of those could have been avoided by proper protection (during remodeling for example) – and if asbestos/lead/whatever winds up in your ducts- the remodeling contractor should be the one paying to remove it.
Here in Frisco, TX…just had a tech come out to clean vents. I used a 30 bucks groupon for “complete vent cleaning”. He told me I have 3 AC units and groupon covers only 1. I told him to do the unit upstairs where the kids sleep. He decided on his own to do the downstairs unit. I yelled at him why he is not doing the unit I told him to do! He said they are all connected. I will clean two for you for the price of one… Oh really?

The three major functions of heating, ventilation, and air conditioning are interrelated, especially with the need to provide thermal comfort and acceptable indoor air quality within reasonable installation, operation, and maintenance costs. HVAC systems can be used in both domestic and commercial environments. HVAC systems can provide ventilation, and maintain pressure relationships between spaces. The means of air delivery and removal from spaces is known as room air distribution.[3]
So, naturally I respond with, “you don’t tell your doctor which medication to prescribe you, do you?” The point is, on the residential level, who you get to install your HVAC unit is far more important than which unit you choose.  Keep your options open and let your HVAC contractor make a few recommendations – that’s why you spent time finding a reputable contractor!
Most people are now aware that indoor air pollution is an issue of growing concern and increased visibility. Many companies are marketing products and services intended to improve the quality of your indoor air. You have probably seen an advertisement, received a coupon in the mail, or been approached directly by a company offering to clean your air ducts as a means of improving your home's indoor air quality. These services typically — but not always — range in cost from $450 to $1,000 per heating and cooling system, depending on:
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