Laserfiche WebLink
• MARION COUNTY <br />~ACILITIES MANAGEMENT <br />~ <br />WORK ORDER #: <br />REFRIGERANT HANDLIf~G <br />REPORT <br />SERVICE~ ENGINEER: <br />JOB: <br />LOCATION: .~~ f~~ j~~~~;,~-' ~ F ~, <br />MODEL #: S"p ~) ~'~ ~,3 ;~ ~( ~;,~ ~ ~,,,~ EQUIPMENT ID #:~ .. / <br />~ ^ .~ t~+L. ~! <br />SERIAL #: I'i'~ ~ ~j ~~ ~,~ <br /> LEAK IDENTIFICATIONIREPAIR REPORT <br />LEAK LOCATION: <br />REFRIGERANTS TYPE <br />REPAIRED: <br />FACTORY REFRIGERANT CHARGE: <br />ESTIMATED ANNUAL LEAK RATE: <br /> <br /> COMMENTS: <br /> <br /> <br /> RECOVERY REPORT <br />REFRIGERANT TYPE: ~ ~ ~ ~ -~' ' <br />~~ ~r"us ~ n.L. <br /> EQUIPMENT USED: ~ ; <br /> AMOUNT RECOVERED~ <br />/~ <br /> RE-INSTALLED: $ ~ <br />~ <br /> CONDITION: <br /> COMMENTS: <br /> <br /> <br /> REFRIGERANT USE REPORT <br />REFRIGERANT TYPE: <br /> SOURCE: <br /> AMOUNT USED/DELIVERED: <br /> COMMENTS: <br /> <br /> <br /> <br />UNINTENTIONAL VENTING REPORT <br /> <br />REFRIGERANT TYPE , <br />`` "~Y ;, <br />.~ ~. <br />~~ ~. <br />. '1t a7dt_. . . <br /> SITUATION (SEE WORK ORDER): :~ ~: <br /> SUPERVISOR NOTIFIED: <br />~ ~ <br />~'Q'~~~ L~~ <br /> PERSONS IN AREA DURING INCIDENT: <br />~,K~ - APPROX. AMOUNT VENTED: - <br />,~,~ - <br />~ WORK COMPLETED: <br />,, ; ~' ' SERVICE ENGINEER: ~ • <br />~"~ <br />~~-~k <br />> <br />' SIGNATURE DATE <br />~_~ ,~ . <br />~~.' Y 1 <br />