Robinair 25175B REFRIGERANT RECOVERY SYSTEM - Manual (Page 22)

INSTRUCTIONS EPA REGIONAL OFFICES
21
Part 1. Please provide the name, address and telephone
number of the establishment where the refrigerant recov-
ery or recycling device(s) is (are) located. Please com-
plete one form for each location. State the number of
vehicles based at this location that are used to transport
technicians and equipment to and from service sites.
Part 2. Check the appropriate box for the type of work
performed by technicians who are employees of the
establishment. The term "small appliance" refers to any of
the following products that are fully manufactured,
charged and hermetically sealed in a factory with five or
less pounds of refrigerant:
Refrigerators or freezers designed for home use, room air
conditioners (including window air conditioners and pack-
aged thermal air conditioners), packaged thermal heat
pumps, dehumidifiers, under-the-counter ice makers,
vending machines and drinking water coolers.
Part 3. For each recovery or recycling device acquired,
please list the name of the manufacturer of the device
and (if applicable) its model number and manufacturer
number. If more than 8 devices have been acquired
please fill out an additional form and attach it to the first
one.
Recovery devices that are self-contained should be listed
first and should be identified by checking the box in the
last column on the right. A self-contained device is one
that uses it's own pump or compressor to remove refriger-
ant from refrigeration or air conditioning equipment. On
the other hand, system dependent recovery devices rely
solely upon the compressor in the refrigeration or air con-
ditioning equipment and/or upon the pressure of the
refrigerant inside the equipment to remove the refrigerant.
If the establishment has been listed as Type B and/or
Type D in Part 2, then the first device listed in Part 3 must
be a self-contained device and identified as such by
checking the box in the last column on the right.
If any of the devices are homemade, they should be iden-
tified by writing "homemade" in the column provided for
listing the name of the device manufacturer. Homemade
devices can be certified for establishments that are listed
as Type A or Type B in Part 2 until (six months after prom-
ulgation of the rule). If a Type C or Type D establishment
is certifying equipment after (six months after promulga-
tion of the rule), then it must not use these devices for
service jobs classified as Type A or Type B.
Part 4. This form must be signed by either the owner of
the establishment or another responsible officer. The per-
son who signs is certifying that the establishment has
acquired the equipment, that the establishment is comply-
ing with Section 608 regulations and that the information
provided is true and correct.
Send your form to the EPA office listed under the state or territo -
ry in which your establishment is located.
CONNECTICUT, MAINE, MASSACHUSETTS, NEW
HAMPSHIRE, RHODE ISLAND, VERMONT
CAA608 Enforcement Contact: EPA Region 1.
Mail Code APC, One Congress Street, John F. Kennedy
Federal Building, Boston, MA02203-0001
Phone: (617) 565-3420
NEW YORK, NEW JERSEY, PUERTO RICO, VIRGIN
ISLANDS CAA 608 Enforcement Contact: EPA Region 2.
290 Broadway, New York, NY 10007-1866
Phone: (212) 637-3000
DELAWARE, DISTRICT OF COLOMBIA, MARYLAND,
PENNSYLVANIA, VIRGINIA, WEST VIRGINIA
CAA608Enforcement Contact: EPA Region 3. Mail Code
3AT21, 1650 Arch Street, Philadelphia, PA 19103-2029
Phone: (215) 566-5000
ALABAMA, FLORIDA, GEORGIA, KENTUCKY, MISSIS-
SIPPI, NORTH CAROLINA, SOUTH CAROLINA, TEN-
NESSEE
CAA608 Enforcement Contact: EPA Region 4. Mail Code
APT-AE, 100 Alabama Street, SW, Atlanta, GA 30303
Phone: (404) 562-8357
ILLINOIS, INDIANA, MICHIGAN, MINNESOTA, OHIO,
WISCONSIN
CAA608 Enforcement Contact: EPA Region 5. Mail Code
AT18J, 77 West Jackson Blvd., Chicago, IL 60604-3507
Phone: (312) 353-2000
ARKANSAS, LOUISIANA, NEW MEXICO, OKLAHOMA,
TEXAS
CAA608 Enforcement Contact: EPA Region 6. Mail Code
6T-EC, Fountain Place, 12th Floor, Suite 1200
1445 Ross Avenue, Dallas, TX 75202-2733
Phone: (214) 665-6444
IOWA, KANSAS, MISSOURI, NEBRASKA
CAA608 Enforcement Contact: EPA Region 7. Mail Code
ARTX/ARBR, 901 N. 5th Street, Kansas City, KS 66101
Phone: (800) 223-0425
COLORADO, MONTANA, NORTH DAKOTA, SOUTH
DAKOTA, UTAH, WYOMING
CAA608Enforcement Contact: EPA Region 8. Mail Code
8AT-AP, 999 18th Street, Suite 500
Denver, CO 80202-2466
Phone: (303) 312-6312
AMERICA SAMOA, ARIZONA, CALIFORNIA, GUAM,
HAWAII, NEVADA
CAA608 Enforcement Contact: EPA Region 9. Mail Code
A-3, 75 Hawthorne Street, San Francisco, CA94105
Phone: (415) 744-1305
ALASKA, IDAHO, OREGON, WASHINGTON
CAA608Enforcement contact: EPA Region 10.
Mail Code AT-082, 1200 Sixth Ave.
Seattle, WA 98101
Phone: (206) 553-1200