Get UK Verisae Refrigerant Tracking Form 1E
(Circle One) R-22 R-404A (HP62) R-507(AZ50) R-408A R-402A (HP80) R-401A (MP39) Leak Status (circle one) R-422A R-422D Other__________ Leak Repaired Repair Attempted Amount Added (lbs) Amount Recovered (lbs) Leak Location: Check One Location in the Appropriate Column Compressor Discharge Line Condenser Receiver Liquid Line Evaporator Suction Line Other Body or Terminal Lugs Fittings Oil Float Pressure Control Transducer Schrader Shaft Seal Vibration Eli.
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