J-1502000-10B Refrigerant Appliance Installation.pdf

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HEATING, VENTILATION, AND AIR CONDITIONING (HVAC) Maintenance and Repair Services and Direct Digital Controls (DDC)
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N4008520R2502
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Jan 2015 Retain for 5 years

Refrigerant Appliance

Installation

Naval Submarine Base New London

Instructions: Complete for each refrigerant containing appliance installed.

Equipment Information

Date of Installation __________________ Roof Unit Ground Unit Other _________________

Building ________________ Floor ________________ Room ________________

Equipment Type _____________________ Manufacturer ____________________________________

Model No. _________________________ Serial No. ______________________________________

Refrigerant Information

Type of Refrigerant ___________________

Circuit Information

Instructions: Enter the total pounds of refrigerant contained in each circuit. If the appliance has one circuit enter the total refrigerant capacity in Circuit 1 below.

Single Circuit / Circuit 1 Charge ___________________ Lbs.

Circuit 2 Charge ___________________ Lbs.

Circuit 3 Charge ___________________ Lbs.

Circuit 4 Charge ___________________ Lbs.

Comments ___________________________________________________________________________________________

MAXIMO Asset Management - This section is to be completed by NAVFAC Facility Operation Specialist.

MAXIMO Asset No. _________________________ Date Entered into MAXIMO ___________________

POC ____________________________________

File details come from the government source that posted it. Updated .