Example of a recycling bottle (R bottle) supplement sheet
| Supplement Sheet for R Bottles with Contaminated Refrigerant | ||
|---|---|---|
| Service Contact Person | ||
| Dealer contact person: | ||
| E-mail address: | ||
| Costumer information: | ||
| Name, first name: | ||
| Street: | ||
| City: | ||
| Vehicle type | ||
| License plate: | ||
| VIN: | ||
| Odometer reading: | ||
| Gas analysis performed on: | ||
| Information for R bottles: | ||
| Bottle number: | ||
| Bottle weight with contents: gross weight | ||
| Capacity (net weight) | ||
| Miscellaneous notes | ||