Laserfiche WebLink
MARION COUNTY REFRIGERANT HANDLING <br />FACILITIES MANAGEMENT REPORT <br />WORK ORDER #: <br />SERVICE ENGINEER: <br />JOB: <br />LOCATION: Pu~•v' c. ~'1 A-S i r~ 4 <br />MODEL #: EQUIPMENT ID #: 5' fj - ~-'~iL~ -D <br />SERIAL #: <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: ~-a~ <br />EQUIPMENT USED: <br />AMOUNT RECOVERED: 7 , ~~, <br />RE-INSTALLED: -~3---- ~ <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 NbTIFIED: _ - <br />~` PERSONS IN AREA DURING INCIDENT: <br />'.~ ~, ;: APPROX. AMOUNT VENTED: <br />: ~ ~~~ <br />,.~ ~ v. <br />;~~., ~ s.,: , <br />' , WORK COMPLETED: . <br />~ r SERV(CE ENGINEER: ~ <br />. <br />`~~~ ~~~' "$~ _ • SIGNATURE ' DATE <br />' ~ s,~,~ - . <br />~ ~ ~ ~ ~ ~ ~^ ~, -~.~Y , ~ ~ ~ ` <br />~ ~~ - ~ ~..: <br />~ <br />_ `~ , ~ ~, _.. . <br />