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The Refrigerant Recovery Paperwork form plays a crucial role in regulating the handling of refrigerants in the United States. This form is designed for establishments that service or dispose of refrigeration or air-conditioning equipment, ensuring compliance with Environmental Protection Agency (EPA) standards. It assists businesses in certifying that they have acquired recovery or recycling devices adhering to these regulations. The form is divided into several parts, each serving distinct purposes. Establishments provide their information, including name, address, and phone number, in the first section. The second part categorizes the type of work performed, with boxes to check that differentiate between servicing small appliances and larger equipment. In Part 3, businesses list the specific recovery or recycling devices they have acquired, detailing manufacturer information and identifying whether devices are self-contained or homemade. Finally, a certification signature in Part 4 attests to the accuracy of the information provided and compliance with regulatory standards. Accurate completion and submission of this form are essential for minimizing environmental impact and ensuring effective oversight of refrigerant handling practices in the industry.

Refrigerant Recovery Paperwork Example

Form Approved 11/04/2011

OMB No. 2060-0256

Expires: 11/30/2014

ENVIRONMENTAL PROTECTION AGENCY

REFRIGERANT RECOVERY OR RECYCLING DEVICE

ACQUISITION CERTIFICATION FORM

EPA regulations require establishments that service or dispose of refrigeration or air-conditioning equipment to certify that they have acquired recovery or recycling devices that meet EPA standards for such devices. To certify that you have acquired equipment, please complete this form according to the instructions and mail it to the appropriate

EPA Regional Office. BOTH THE INSTRUCTIONS AND MAILING ADDRESSES CAN BE FOUND ON THE REVERSE SIDE OF THIS FORM.

PART 1: ESTABLISHMENT INFORMATION

Name of Establishment

Street

 

 

 

 

 

 

 

 

 

(Area Code) Telephone Number

City

State

Zip Code

 

 

 

 

 

 

Number of Service Equipment Based at Establishment

Country

 

 

 

 

 

 

 

 

 

PART 2: REGULATORY CLASSIFICATION

Identify the type of work performed by the establishment. Check all boxes that apply.

Type A - Service small appliances

Type B - Service refrigeration or air-conditioning equipment other that small appliances

Type C- Dispose of small appliances

Type D - Dispose of refrigeration or air-conditioning equipment other than small appliances

PART 3: DEVICE IDENTIFICATION

PART 4: CERTIFICATION SIGNATURE

Icertify that the establishment in Part 1 has acquired the refrigerant recovery or recycling device(s) listed in Part 2, that the establishment is complying with Section 608 regulations, and that the information gives is true and correct.

Signature of Owner/Responsible Officer

Date

Name (Please Print)

Title

EPA FORM 7610-31

Form Approved 11/04/2011

OMB No. 2060-0256

Expires: 11/30/2014

INSTRUCTIONS

Part 1: Please provide the name, address, and telephone number of the establishment where the refrigerant recovery or recycling device(s) is (are) located. Please complete 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 boxes 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 tat are fully manufactured, charged, and hermetically sealed in a factory with five pounds or less of refrigerant: refrigerators, and freezers designed for home use, room air conditioners (including window air conditioners and packaged terminal air conditioners), packaged terminal 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 serial number.

If more that seven devices have been acquired, please fill out an additional form and attach it to this 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. Self-contained recovery equipment means refrigerant recovery or recycling equipment that is capable of removing the refrigerant from an appliance without the assistance of components contained in the appliance. On the other hand, system-dependent recovery equipment means refrigerant recovery equipment that requires the assistance of components contained in an appliance to remove the refrigerant from the appliance.

If the establishment has been listed as Type B and/or Type D in Part 2, then the first device listed in Part # must be a self-contained device and identifies as such by checking the box in the last column on the right.

If any of the devices are homemade, they should be identified by writing “homemadein the column provided for listing the name of the device manufacturer. Type A or Type B establishments can use homemade devices manufactured before November 15, 1993. Type C or Type D establishments can use homemade manufactured anytime. If, however, a Type C or Type D establishment is using homemade equipment manufactured after November 15, 1993, then it must not use these devices for service jobs.

EPA FORM 7610-31

EPA REGIONAL OFFICES

Send your form to the EPA office listed under the state or territory in which the establishment is located.

Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, Vermont

CAA 608 Enforcement Contact: EPA

Region I; Mail Code OES04-2; 5 Post

Office Square; Boston, MA 02109

New York, New Jersey, Puerto Rico, Virgin Islands

CAA 608 Enforcement Contact: EPA

Region II; Mail Code 2DECA-AC; 290

Broadway; New York, NY 10007-1866

Delaware, District of Columbia, Maryland, Pennsylvania, Virginia, West Virginia

CAA 608 Enforcement Contact: EPA

Region III-Wheeling Office; Mail Code

3AP20; 1060 Chapline Street, Suite 303

Wheeling, WV 26003-2995

Alabama, Florida, Georgia, Kentucky,

Mississippi, North Carolina, South Carolina,

Tennessee

CAA 608 Enforcement Contact: EPA Region IV; Mail Code APT-AE; 61 Forsyth Street, SW; Atlanta, GA 30303-8960

Illinois, Indiana, Michigan, Minnesota, Ohio, Wisconsin

CAA 608 Enforcement Contact: EPA

Region V; Mail Code AE-17J; 77 West

Jackson Blvd.; Chicago, IL 60604-3507

EPA FORM 7610-31

ii

 

Form Approved

OMB No. 2060-0256

Expires: 11/30/2014

Arkansas, Louisiana, New Mexico, Oklahoma, Texas

CAA 608 Enforcement Contact: EPA Region VI; Mail Code 6EN-HM; 1445 Ross Ave., Suite 1200; Dallas, TX 75202

Iowa, Kansas, Missouri, Nebraska

CAA 608 Enforcement Contact: EPA

Region VII; Mail Code APCOAWMD; 901

11201 Renner Boulevard

Lenexa, Kansas 66219

Colorado, Montana, North Dakota, South Dakota, Utah, Wyoming

CAA 608 Enforcement Contact: EPA Region VIII; Mail Code 8ENE-AT; 1595 Wynkoop Street, Denver, CO 80202

American Samoa, Arizona, California, Guam, Hawaii, Nevada

CAA 608 Enforcement Contact: EPA Region IX; Mail Code AIR-5; 75 Hawthorne Street; San Francisco, CA 94105

Alaska, Idaho, Oregon, Washington

CAA 608 Enforcement Contact: EPA Region X; Mail Code OAQ-107; 1200 Sixth Ave.; Seattle, WA 98101

Form Approved

OMB No. 2060-0256

Expires: 11/30/2014

PUBLIC BURDEN

The purpose and need of this renewed collection request is to facilitate compliance with and enforcement of Section 608 of the Act by reducing emissions of class I and class II ozone-depleting refrigerants to the lowest achievable level during the service, maintenance, repair, and disposal of appliances. EPA has used and will continue to use these records and reports to ensure that refrigerant releases are minimized during the recovery and recycling of ozone-depleting refrigerants during the service, maintenance, repair, and disposal of appliances. Collection of this information is mandated by EPA regulations, in accordance with 40 CFR 82.162. This information is not shared with parties outside of the Federal government. EPA's confidentiality regulations (40 CFR 2.201 et seq.) assure computer data security, disclosure prevention, proper handling, proper storage, and proper disposal of the submitted information.

The public reporting and recordkeeping burden for this collection of information is estimated to average one (1) hour per response per respondent annually. Burden means the total time, effort, or financial resources expended by persons to generate, maintain, retain, or disclose or provide information to or for a Federal agency. This includes the time needed to review instructions; develop, acquire, install, and utilize technology and systems for the purposes of collecting, validating, and verifying information, processing and maintaining information, and disclosing and providing information; adjust the existing ways to comply with any previously applicable instructions and requirements; train personnel to be able to respond to a collection of information; search data sources; complete and review the collection of information; and transmit or otherwise disclose the information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number.

To comment on the Agency's need for this information, the accuracy of the provided burden estimates, and any suggested methods for minimizing respondent burden, including the use of automated collection techniques, EPA has established a public docket for this ICR under Docket ID No. OAR-2003- 0018, which is available for public viewing at the Air and Radiation Docket and Information Center in the EPA Docket Center (EPA/DC), EPA West, Room B102, 1301 Constitution Ave., NW, Washington, DC. The EPA Docket Center Public Reading Room is open from 8:30 a.m. to 4:30 p.m., Monday through Friday, excluding legal holidays. The telephone number for the Reading Room is (202) 566-1744, and the telephone number for the OAR Docket is (202) 566-1742. An electronic version of the public docket is available through EPA Dockets (EDOCKET) at http://www.epa.gov/edocket. Use EDOCKET to submit or view public comments, access the index listing of the contents of the public docket, and to access those documents in the public docket that are available electronically. Once in the system, select “search,” then key in the docket ID number identified above. Also, you can send comments to the Office of Information and Regulatory Affairs, Office of Management and Budget, 725 17th Street, NW, Washington, DC 20503, Attention: Desk Office for EPA. Please include the EPA Docket ID No. (OAR- 2003-0018) and OMB control number (2060-0256) in any correspondence.

EPA FORM 7610-31

iii

Form Characteristics

Fact Name Description
Form Purpose The Refrigerant Recovery Paperwork form is used to certify that establishments have acquired recovery or recycling devices that meet EPA standards.
Regulatory Requirement Establishments servicing or disposing of refrigeration or air-conditioning equipment are required by EPA regulations to complete this form.
Submission Instructions The completed form must be mailed to the appropriate EPA Regional Office, as indicated in the form's instructions.
Establishment Information Part 1 of the form collects details such as the establishment's name, address, and phone number.
Device Identification Part 3 requires listing the manufacturer, model number, and serial number of each acquired recovery or recycling device.
Homemade Devices If devices are homemade, they must be noted as such, and some restrictions apply based on the establishment’s classification type.

Guidelines on Utilizing Refrigerant Recovery Paperwork

After completing the Refrigerant Recovery Paperwork form, the next step is to ensure that all the information is accurate. Once everything is verified, mail the form to the appropriate EPA Regional Office based on your location. Here are the steps to help you fill out the form correctly:

  1. Part 1: Establishment Information Provide the name of your establishment, street address, city, state, and zip code. Also, include a telephone number and indicate the number of service equipment based at this location.
  2. Part 2: Regulatory Classification Check all boxes that apply to the type of work performed at your establishment. The options include service for small appliances, refrigeration, air-conditioning, and disposal categories.
  3. Part 3: Device Identification List the manufacturer of each refrigerant recovery or recycling device you have acquired. If applicable, include the model number and serial number. Indicate if the device is self-contained by checking the appropriate box. If you have more than seven devices, fill out an additional form.
  4. Part 4: Certification Signature The owner or responsible officer must sign and date the form. Make sure this person prints their name and title in the designated area.

Make sure all sections are complete and correct before sending it out. This ensures compliance with the EPA regulations and helps maintain proper records.

What You Should Know About This Form

What is the purpose of the Refrigerant Recovery Paperwork form?

The Refrigerant Recovery Paperwork form is designed to ensure compliance with Environmental Protection Agency (EPA) regulations. It certifies that establishments involved in servicing or disposing of refrigeration and air-conditioning equipment have acquired recovery or recycling devices that meet EPA standards. The form helps reduce emissions of ozone-depleting refrigerants, ultimately protecting the environment while maintaining safety in handling these substances.

Who needs to fill out this form?

Any establishment that services or disposes of refrigeration or air-conditioning equipment is required to complete the form. This includes those classified as Type A (servicing small appliances), Type B (servicing larger refrigeration or air-conditioning units), Type C (disposing of small appliances), and Type D (disposing of larger units). Each separate location of an establishment must submit its own form to track compliance accurately.

What information do I need to provide in Part 1 of the form?

In Part 1, you must provide the establishment's name, complete address, and telephone number. Additionally, you need to indicate the number of service equipment based at the location and mention the country in which the establishment operates. This section ensures that the EPA has accurate and up-to-date contact information for each establishment using refrigerant recovery or recycling devices.

What tasks are classified under the different types of work in Part 2?

Part 2 requires you to identify the nature of the work your establishment performs. You can check multiple boxes based on the services provided. For example, Type A includes servicing small appliances like refrigerators and air conditioners. Type B covers larger refrigeration and air-conditioning systems. Types C and D pertain to the disposal of these appliances, differentiated by size. This classification helps the EPA monitor and regulate the handling of refrigerants appropriately.

What is needed in Part 3 regarding device identification?

Part 3 focuses on listing your recovery or recycling equipment. For each device acquired, you should provide the manufacturer's name, and if applicable, the model and serial numbers. If you have more than seven devices, an additional form must be submitted. Ensure that self-contained recovery devices are listed first. This part plays a crucial role in tracking the types of devices in use and ensuring compliance with EPA standards.

How do I submit the form after filling it out?

After completing the Refrigerant Recovery Paperwork form, mail it to the appropriate EPA Regional Office based on the state or territory in which your establishment is located. Detailed mailing addresses are mentioned on the form itself, on its reverse side. Ensure that you send the completed form to the correct office to avoid delays in processing, as this is an essential step in maintaining compliance with EPA regulations.

Common mistakes

Filling out the Refrigerant Recovery Paperwork form can be straightforward, but there are common pitfalls that individuals often encounter. One prevalent mistake occurs when the name and address of the establishment are incorrectly entered. It is crucial to ensure that every detail is accurate, as any discrepancies can lead to delays in processing or even rejection of the form. This includes verifying that the street address, city, state, and zip code are explicitly correct.

Another frequent error is neglecting to provide the telephone number of the establishment. This information is essential not just for identification purposes but also for any follow-up communications that might be necessary. Omitting this piece of information can hinder the agency's ability to contact the establishment for clarifications or feedback regarding the form submission.

People often fail to properly identify the type of work performed by checking the appropriate boxes in Part 2 of the form. It is common for individuals to overlook the importance of indicating all applicable types. Each category signifies different capacities for handling refrigerants, and this classification is significant for compliance with EPA regulations. Selecting the correct types can facilitate better understanding of the establishment's operations.

In Part 3, mistakes commonly arise when listing the device information. Individuals might forget to include crucial details like the manufacturer, model number, and serial number of the acquired recovery or recycling devices. Administrative errors such as typos or inaccuracies can lead to complications. It is advised to double-check that all listed devices conform to the requirements set forth by the EPA.

Another critical error is the failure to indicate the type of recovery device. Establishments that have been listed as Type B or Type D must ensure that their first listed device in Part 3 is indeed a self-contained recovery device. Failing to make this distinction not only violates the regulations but can also result in penalties or enforced compliance fees.

Some individuals may not be aware that homemade devices must be clearly labeled as such. Writing “homemade” in the appropriate area is essential for compliance, especially for devices made after the specified date restrictions. Not adhering to these labeling requirements can lead to misunderstandings concerning the legality and safety of the equipment being used.

Additionally, sending the form to the wrong EPA Regional Office is a mistake that can easily happen if one is unfamiliar with the mailing addresses. It is vital to refer to the list of regional offices provided in the instructions and ensure that the form reaches the correct location for processing based on the establishment's geographical zone.

Finally, individuals may underestimate the importance of the signature and date section. Omitting a signature or failing to date the certification can render the entire submission invalid. It is crucial to ensure that the owner or responsible officer duly signs and dates the form before it is sent. This final act signifies that all provided information is true, which is a requirement under EPA regulations.

Documents used along the form

Alongside the Refrigerant Recovery Paperwork form, several other forms and documents can streamline the process related to the service and disposal of refrigeration and air conditioning equipment. These documents not only ensure compliance with environmental regulations but also facilitate proper record-keeping practices in your establishment. Below is a list of related forms commonly utilized.

  • Refrigerant Management Plan: This document outlines the procedures and protocols for managing refrigerants used in appliances. It includes protocols for handling, storing, and disposing of refrigerants to minimize environmental impact.
  • Service Record Log: A detailed log that tracks all service activities performed on refrigeration and air conditioning units. This log should include dates, types of repairs or services, and the amount of refrigerant recovered during each service.
  • Employee Certification Records: Documentation that verifies that employees have received proper training and certification to handle refrigerants in compliance with EPA regulations. This ensures all personnel are knowledgeable about safe practices.
  • Release Disclosure Form: A form that must be filled out if any accidental release of refrigerants occurs. It details the incident, the quantity released, and steps taken to mitigate the release and prevent future occurrences.
  • Maintenance and Inspection Checklist: A checklist used during routine maintenance of refrigeration and air conditioning units. This document ensures all components are inspected and serviced according to the established guidelines.
  • Used Refrigerant Recycling Certificate: This certificate provides proof that used refrigerants have been properly recycled or disposed of according to EPA standards. It is crucial for compliance and tracking the movement of refrigerants.
  • Compliance Audit Report: An internal or external document that assesses the establishment's adherence to environmental regulations regarding refrigerant management. This report highlights areas of compliance or potential non-compliance.

Utilizing these documents helps not only in compliance with EPA regulations but also in enhancing the overall efficiency and safety of operations within the establishment. Proper record management can ultimately lead to better resource management and environmental stewardship.

Similar forms

The Refrigerant Recovery Paperwork form is essential for ensuring compliance with EPA regulations regarding the handling of refrigerants in refrigeration and air-conditioning systems. Its purpose aligns with several other important environmental forms that aim to record and certify compliance in related fields. Below are four documents similar to the Refrigerant Recovery Paperwork form and how they correlate.

  • Hazardous Waste Manifest: This document is used to track the transportation of hazardous waste from its point of origin to its final disposal site. Much like the Refrigerant Recovery Paperwork, it requires detailed information about the type and amount of waste being transported, ensuring accountability and compliance with environmental regulations.
  • Universal Waste Transporter Certification: Facilities that transport universal waste must complete a certification to confirm their compliance with EPA regulations. This document shares similarities with the Refrigerant Recovery form in that both require identification of the waste handled and verify that appropriate standards are met during transport and disposal.
  • Air Emission Reporting Form: This form serves to report emissions from facilities that might affect air quality. Similar to the Refrigerant Recovery form, it involves assessment and certification that specific standards are being adhered to in order to minimize environmental impact, ensuring public health safeguards are in place.
  • Spill Prevention Control and Countermeasure (SPCC) Plan: Facilities that handle oil must develop and maintain an SPCC Plan to prevent oil spills. Like the Refrigerant Recovery Paperwork form, this plan requires documentation and certification of compliance with regulatory standards, reflecting a commitment to environmental protection and public safety.

Dos and Don'ts

When completing the Refrigerant Recovery Paperwork form, consider the following guidelines to ensure accuracy and compliance.

  • Do: Provide complete and accurate establishment information, including name, address, and contact number.
  • Do: Check all applicable boxes in the regulatory classification section to reflect the type of work performed.
  • Do: List all recovery or recycling devices accurately, including manufacturer names and model numbers.
  • Do: Sign and date the certification section to validate the information provided.
  • Don't: Omit any details in Part 1, as incomplete information may delay processing.
  • Don't: Misclassify the type of work performed; ensure that all relevant boxes are checked appropriately.
  • Don't: Forget to identify homemade devices properly; state “homemade” in the manufacturer's column if applicable.
  • Don't: Submit the form without ensuring it is sent to the correct EPA Regional Office based on your location.

Misconceptions

  • Everyone must use the Refrigerant Recovery Paperwork Form. This is not true. Only establishments that service or dispose of refrigeration or air-conditioning equipment are required to submit this form.
  • Filling out the form is optional. In reality, completing the Refrigerant Recovery Paperwork Form is mandatory for compliance with EPA regulations.
  • Submitting the form means compliance with all EPA standards. While it is a step toward compliance, establishments must also adhere to ongoing operational standards related to refrigerant handling.
  • Only new recovery devices need to be reported. This is a misconception. Any recovery or recycling device acquired, including homemade ones, must be reported on this form.
  • All devices can be homemade. In fact, using homemade recovery devices has restrictions depending on the type of establishment and the manufacturing date.
  • Once submitted, the information is public and shared widely. This is incorrect as the information is protected under EPA confidentiality regulations and is not shared outside of the Federal government.
  • Sending the form is a one-time requirement. It is important to remember that establishments may need to submit updated forms as their equipment and service types change.

Key takeaways

Understanding the Refrigerant Recovery Paperwork Form is essential for compliance with EPA regulations. Here are key takeaways for effectively filling out and using the form:

  • The form is mandatory for establishments servicing refrigeration and air-conditioning equipment.
  • Ensure all sections of the form are completed accurately, particularly your establishment's name, address, and contact details.
  • Identify the type of work performed by your establishment by checking all applicable boxes in Part 2.
  • When listing recovery or recycling devices, ensure to include the manufacturer's name, model, and serial number in Part 3.
  • If your establishment has more than seven devices, attach an additional form with the extra information.
  • Self-contained recovery devices must be listed first; they operate independently of the appliance’s components.
  • Homemade devices can be included but must be labeled as such, and their use is dependent on the establishment type.
  • Obtain the correct mailing address for submission based on your location to avoid delays in processing.
  • Keep a copy of the completed form for your records; this documentation aids in compliance and can be referred to in future audits.

By following these guidelines closely, establishments can ensure that they remain compliant with EPA regulations while minimizing any risk of non-compliance related to refrigerant recovery practices.