Refrigerant log form printable 2025

1. Click ‘Get Form’ to open the refrigerant log form in the editor.
2. In Part 1, enter the establishment's name, address, and telephone number. Specify the number of service vehicles based at this location.
3. Move to Part 2 and check all applicable boxes that describe the type of work performed by your establishment, such as servicing small appliances or disposing of refrigeration equipment.
4. In Part 3, list each recovery or recycling device acquired. Include the manufacturer's name, model number, year, and serial number if available. Check the box for self-contained devices where applicable.
5. Finally, complete Part 4 by signing and dating the certification statement. Print your name and title clearly beneath your signature.

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