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MARION COUNTY <br />FACILITIES MANAGEMENT <br />WORK ORDER #: <br />SERVICE ENGINEER: <br />~ <br />REFRIGERANT HANDLING ~~ <br />REPORT <br />JOB: ~ I C~ t'YI ~tt~'- ~ ~ _ <br />LOCATION: <br />MODEL #:~~~},u~~ -- S~X ~3 ~ EQUIPMENT ID #• /)')' ~.. / - ,,,5' L~. ~ <br />~- <br />SERIAL #: (~ ~ ~ " 6. ~ `` Q 3 - ~;~ ~S"~ =~ <br />LEAK IDENTIFICATION/REPAIR REPORT <br />LEAK LOCATION: FACTORY REFRIGERANT CHARGE: <br />REFRIGERANTS TYPE: ESTIMATED ANNUAL LEAK RATE: <br />REPAIRED: <br />COMMENTS: <br />RECOVERY REPORT <br />REFRIGERANT TYPE: ~ - ~'~ <br />EQUIPMENT USED: ~ „,. <br />AMOUNT RECOVERED: ~j, ~ ~, ~ <br />RE-INSTALLED: T ~ <br />CONDITION: <br />COMMENTS: <br />REFRIGERANT USE REPORT <br />REFRIGERANT TYPE: <br />SOURCE: <br />AMOUNT USED/DELIVERED: <br />COMMENTS: <br />UNINTENTIONAL VENTING REPORT <br />REFRIGERANT TYPE: <br />SITUATION (SEE WORK ORDER): <br />---- -- SUPERVISOR NOTlFIED: <br />PERSONS IN AREA DURING INCIDENT: <br />APPROX. AMOUNT VENTED: <br />WORK COMPLETED: <br />SERVICE ENGINEER: <br />`~fi SIGNATURE DATE , <br />~, / <br />