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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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