SVC Chiller PM Repair TExhibit 2A Chklist 10062020.pdf

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Preventive Maintenance and Repair Services for Chiller Systems
Solicitation number
W912CN-21-R-0004
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DPW, Environmental Clean Air Program 2017. 40 CFR Part 82, Subpart F – Recycling and Emissions Reduction

III. Regulatory Timeline & Checklist for Repair Verification, or Retrofit & Retirement Activities

(If leak rate is over the allowable rate, follow the regulatory timeline for repair, retrofit or retirement and attach to Form II.

Service Report for Specific Appliance)

Comfort Cooling System

Retrofit/Retire Option

Leak Discovered

(leak rate was over the maximum allowable rate)

Equipment repaired & passed initial verification test

(within 30 days after leak discovered)

Conducted and passed follow‐up verification test (within 30 days of returning to normal

Complete plan within one year of plan date (Date)

(Date)

(Date) (Date)

(Date)

Type of Appliance: ______________

Make: ________________________

Model: _______________________

Serial: ________________________

Repair Option

Comfort Cooling System ______ or Commercial System _________

Leak Rate: __________________

Develop a one‐year retrofit or retirement plan for the leaking system. Keep plan at the site of equipment. (within 30 days after leak discovered)

Type of Appliance:
Comfort Cooling System:
Make:
Commercial System:
Model:
Serial:
Leak Rate:
Date:
Date_2:
Date_3:
system Keep plan at the site of:
Date_4:

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