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MARION" COUNTY <br />FACILITIES MANAGEMENT <br />WORK ORDER #: <br />REFRIGERANT HANDLING <br />REPORT <br />SERVICE ENGINEER: AE` ~~q Ut~ <br />~og: ('.~ r n.1 ~R V' (~ ~,~~ a '~5 ~ C o~,c. t~T s t <br />LOCATION: R,~ ~ t~ ,,~ e S'(- C~ wTc -~ <br />MODEL #: SS~' ~o ~ b P~} ~.L. EQUIPMENT ID #:~''Q,r ~ ~~/~ ,,~ <br />SERIAL #: ( ~ 7~~ S~ cr'~ 3 - <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: ~ , <br />RE-INSTALLED: --~-- <br />CONDITION: <br />COMMENTS: ~,~ ~ ~-~-' ~ ~q.~~~ <br />REFRIGERANT USE REPORT <br />REFRIGERANT TYPE: <br />SOURCE: <br />AMOUNT USED/DELIVERED: . <br />COMMENTS: <br />UNINTENTIONAL VENTWG 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 />'' n , ; ~ SERVICE ENGINEER: <br />~K ~~~° SIGNATURE . ~ DATE <br />_ . ~: <br />,~p Y,~i~ . . . , ' .. . ~ - . n <br />~1 . . ~ . ~ . . . ~ <br />