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Click ‘Get Form’ to open the drms form 2016 apr 2004 in the editor.
Begin by entering your name in the 'NAME' field, as required by regulation. This should be the person or technician responsible for evacuating the refrigerant.
Fill in the 'ADDRESS' section with the service organization or company’s address, ensuring all details are accurate.
Complete the 'CITY', 'STATE', and 'ZIP CODE' fields to provide your location information.
In the 'DATE REFRIGERANT REMOVED' field, input the date when the refrigerant was evacuated from the appliance.
Sign in the 'SIGNATURE OF PERSON TURNING-IN APPLIANCE(s) / EQUIPMENT' section to confirm compliance with regulations.
Add any necessary details under 'GENERATOR/DRMO' to match your statement with the equipment for regulatory inspections.
Finally, include a description of the item or its serial number in the 'ITEM DESCRIPTION or NOUN NAME/SERIAL NO.' field and enter your turn-in document number (DTID).

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What is a DL2545 form used for?

This form is used to document removal of refrigerant for items listed. Records Retention: 4160.4 Property Accountability. Inventories of property on-hand, disposal transaction registers, resolution listings and similar materials used to research and provide overall accountability status of property.