Title Page

  • Today's Date

  • Tech's Name

  • Customer Name

  • Job Number

  • Job Location
  • Date Leak Discovered

  • Location of Leak

Refrigerant Usage Report

  • Unit Number

  • Circuit Number

  • Unit Descriptiom

  • Model Number

  • Serial Number

  • Total System Charge

  • Total Circuit Charge

  • Refrigerant Type

  • Amount Added

  • Leak Rate

  • Leak Check Calculation Method:

    Step 1: Divide the refrigerant added by the total system charge.
    Step 2: Take the number of days since the last time refrigerant was added and divide by 365*. (If the number of days is unknown, use 365.)
    Step 3: Divide step 1 by step 2
    Step 4: Multiply step 3 by 100 and this will be your leak rate percentage.

    Example:
    8lbs of refrigerant added, divided by 25lbs system charge = .32
    365 divided by 365 = 1
    .32 divided by 1 = .32
    .32 X 100 = 32% leak rate

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