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TeamGOV HVAC

Refrigerant Tracking Portal

🔒 Secure Form

Refrigerant Service Report

Complete all applicable fields. Submissions are emailed immediately to the HVAC team.

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Site & Technician Information

Job site details and technician credentials

Site / Facility Name *

Work Order # *

Site Address

Service Date *

Technician Name *

EPA 608 License #

Technician Email

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Equipment Information

Unit identification and refrigerant type

Equipment Type *

Manufacturer

Model Number

Serial Number

Unit Location / Tag

Refrigerant Type *

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Refrigerant Activity

Quantities added, recovered, and cylinder tracking

Refrigerant Added (lbs)

Cylinder # (Added From)

Refrigerant Recovered (lbs)

Cylinder # (Recovered Into)

Reason for Service *

Routine Maintenance Leak Repair Recharge / Top-Off Retrofit / Conversion Decommission / Recovery Other

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System Readings

Pressures and temperatures at time of service

Suction Pressure

psig

Discharge Pressure

psig

Suction Temp

°F

Discharge Temp

°F

Superheat

°F

Subcooling

°F

Ambient Temp

°F

Return Air Temp

°F

Supply Air Temp

°F

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Leak Check

EPA Section 608 leak inspection results

Leak Found? *

⚠️ Yes – Leak Found ✅ No Leak Detected N/A

Leak Location / Description

Leak Repaired?

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Notes & Recommendations

Additional observations, follow-up items, or recommendations

Notes

Ready to submit?

Report will be emailed to the HVAC team immediately.