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NfARION COUNTY REFRIGERANT HANDLING <br />FACILITIES MANAGEMENT REPORT <br />WORK ORDER #: <br />SERVICE ENGINEER: <br />~-JOB: ~ ~ I~ ~ ~'t"' ~ C~ <br />LOCATION: <br />MODEL #: EQUIPMENT ID #: /)') p R/•- ;' ;,~,. J <br />SERIAL#: ~/_ ~ J ~ 1 ~'~ ~c~Y'r7~,~-Ir~~-' ~ r~ D t3e ~~`~L~ ~"'~':-~ :~~~ ~ <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: i '°`~ , .., <br />RE-INSTALLED: <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 NOTIFIED: <br />PERSONS IN AREA DURING INCIDENT: <br />APPROX. AMOUNT VENTED: <br />WORK COMPLETED: <br />SERVICE ENGINEER: . <br />SIGNATURE DATE <br />