VERIFICATION OF REFRIGERANT REMOVAL MPCA State rules and federal regulations require persons who take the final step in the disposal process (including but not limited to scrap recyclers) of a small appliance, motor vehicle air conditioner (MVAC), and MVAC-like appliance to either recover the remaining refrigerant or verify that the refrigerant has been removed from the appliance(s) previously. Such verification shall be in the form of the statement that follows: SECTION 1.1 COMPANY ACCEPTING APPLIANCES, MVACS, OR MVAC-LIKE APPLIANCES:
Address City Type of Appliance(s)Being Accepted (check all that apply)
MVAC Refrigerator Room A/C Other
SECTION 2. PERSON WHO RECOVERD REMAINING REFRIGERANT:
Date Refrigerant Recovered
Check box if all of the refrigerant in the appliance(s) had leaked previously, therefore no refrigerant recovery was performed
SECTION 3. CERTIFICATION FROM THE SUPPLIER OF THE APPLIANCES, MVACS OR MVACLIKE APPLIANCES: I certify that all the refrigerant that had not leaked previously has been recovered from any appliance, MVAC, or MVAC-like appliance in accordance with 40 CFR pt. 82, subp. F2, by the person indicated in Section 2 before delivery to the company identified in Section 1, and that the information given is true and correct.3
¹ Companies identified in Section 1 must notify the suppliers, by posting warning signs or letters to the suppliers, that refrigerant must be properly removed before delivery of the items to the facility; and, must maintain a copy of this document on-site for at least three years. 2 3
See back of page for more details on 40 CFR pt. 82, subp. F - Refrigerant Evacuation Requirements. Persons who knowingly provide false statements will be subject to criminal penalties.
SUMMARY OF 40 CFR PT. 82, SUBP. F, CONCERNING EVACUATION REQUIREMENTS FOR MOTOR VEHICLE AIR CONDITIONERS (MVAC), MVAC-LIKE APPLIANCES, AND SMALL APPLIANCES BEFORE DISPOSAL.
For MVAC and MVAC-like appliances, the system pressure must reduced to or below 102 mm of mercury vacuum using equipment capable of reducing the system pressure to 102 mm of mercury vacuum under the conditions of the SAE Standard, SAE J1990. For small appliances, at least 90% of the refrigerant in the appliance must be recovered when the compressor in the appliance is operating, or 80% of the refrigerant in the appliance when the compressor in the appliance is not operating; or, evacuate the small appliance to a pressure of 4 inches of mercury vacuum.
NOTE: This form is created to aid persons in the disposal/recycling chain to obtain compliance with 40 CFR pt. 82. 154(n), 82.156(f), and 82.166(i) and (m) and Minn. Rule ch. 7027.1000, subpart 2. This form is not required to be submitted to the Minnesota Pollution Control Agency or the U.S. EPA. It is a violation to knowingly accept this signed statement if the person knew or had reason to know that this signed statement is false.