Salmon Mechanical Refrigerant Tracking Log
Log all instances of refrigerant addition, recovery, or usage for regulatory compliance 
Email *
Technician Name (Your Name) *
Date and Time of Service/Operation *
MM
/
DD
/
YYYY
Time
:
Customer Name *
Service Location/Address (Where the refrigerant was used/added) *
Equipment Model and Serial Number *
Type of Refrigerant Used/Added/Recovered *
If 'Other' Refrigerant Type, please specify:
Amount of Refrigerant Added to System (Pounds and Ounces) *
Amount of Refrigerant Recovered from System (Pounds and Ounces) *
Submit
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