DLA Official Forms

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Form Number: DLA2545

Form Title: Refrigerant Removal Verification Statement

Form Version: Oct 2020

Status: Active

Functional Area: Disposition

Opr: Disposition

Safeguards: None

Electronic: Yes

Form Link: Documents/FormsSite/forms/DL2545.pdf

Type: Prescribed

Prescribed: 40 CFR 82.156(f)(2) and DoDM 4160.21-V4

Description: THIS FORM REPLACES DRMS FORM 2016 DATED JUNE 2011, WHICH IS OBSOLETE. This form is used to document removal of refrigerant for items listed.

Records Retention: 4160.4 Property Accountability. Inventories of property on-hand, disposal transaction registers, resolution listings and similar materials used to research and provide overall accountability status of property. Temporary. Cutoff at end of CY. Destroy after 3 years.

Form Audience: