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~ MARION COUNTY REFRIGERANT HANDLING <br />FACILITIES MANAGEMENT REPORT <br />WORK ORDER #: <br />SERVICE ENGINEER: <br />JOB: <br /> LOCATION: <br />` MODEL #: SA/~Uc~ EQUIPMENT ID #: ,$' <br />~~[~- St,~ ~p s~~.~`S <br />ys;~ri; <br /> _ ~ <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: ~~,~ <br /> EQUIPMENT USED: <br /> AMOUNT RECOVERED: t) ~l <br />D <br />s / <br />) - Q- ~ <br />~ <br />~ ~o'~ <br /> , <br />~ <br />~ ~ <br />,~~ <br />~,,~ cr<<v t?ro <br />C~ DoN <br />fJ~ <br /> RE-INSTALLED: -8-- j <br /> CONDITION: <br /> COMMENTS: <br /> REFRIGERANT USE REPORT <br /> REFRIGERANT TYPE: <br /> SOURCE: <br /> AMOUNT USED/DELIVERED: <br /> COMMENTS: <br /> , <br /> UNINTENTIONAL VENTING REPORT <br /> REFRIGERANT TYPE: <br /> SITUATION (SEE WORK ORDER): <br />- SUPERVISOR NOTIFIED: - <br />_ PERSONS IN AREA DURING INCIDENT: <br />~ °~ y; APPROX. AMOUNT VENTED: `~. <br />; ~: <br />`~'`~~ '~ WORK COMPLETED: ' <br /> <br />~ ' ~ <br />~~ SERVICE ENGINEER: <br />, <br /> <br />'~ <br />~ SIGNATURE <br />~ ~ ' DAYE <br />~ ~ ~_{~ ~ ' ~ <br />` <br />~ .. . , . 2~. <br />.. €~W:. _ . . ~ <br />