{"id":36367,"date":"2022-07-21T09:10:18","date_gmt":"2022-07-21T13:10:18","guid":{"rendered":"https:\/\/cematraining.com\/?page_id=36367"},"modified":"2024-07-05T10:50:19","modified_gmt":"2024-07-05T14:50:19","slug":"refrigerant-leak-reporting-form","status":"publish","type":"page","link":"https:\/\/cematraining.com\/es\/refrigerant-leak-reporting-form\/","title":{"rendered":"Formulario de notificaci\u00f3n de fugas de refrigerante"},"content":{"rendered":"<div class=\"wpforms-container wpforms-container-full wpforms-container-save-resume wpforms-block wpforms-block-5543fe90-8c27-461c-8112-6b4f0ec242f7 wpforms-render-modern\" id=\"wpforms-36440\"><form id=\"wpforms-form-36440\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"36440\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/es\/wp-json\/wp\/v2\/pages\/36367?wpforms_form_id=36440\" data-token=\"08b0a76796c0a649e4a30ee13611b0d1\" data-token-time=\"1778679276\"><noscript class=\"wpforms-error-noscript\">Por favor, activa JavaScript en tu navegador para completar este formulario.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Por favor, activa JavaScript en tu navegador para completar este formulario.<\/div><div class=\"wpforms-page-indicator progress\" data-indicator=\"progress\" data-indicator-color=\"#72b239\" data-scroll=\"1\" role=\"progressbar\" aria-valuenow=\"1\" aria-valuemin=\"1\" aria-valuemax=\"5\" tabindex=\"-1\"><span class=\"wpforms-page-indicator-page-title\" ><\/span><span class=\"wpforms-page-indicator-page-title-sep\" style=\"display:none;\"> &#8211; <\/span><span class=\"wpforms-page-indicator-steps\">Step <span class=\"wpforms-page-indicator-steps-current\">1<\/span> of 5<\/span><div class=\"wpforms-page-indicator-page-progress-wrap\"><div class=\"wpforms-page-indicator-page-progress\" style=\"width:20%;background-color:#72b239\"><\/div><\/div><\/div><div class=\"wpforms-field-container\"><div class=\"wpforms-page wpforms-page-1 \" data-page=\"1\"><div id=\"wpforms-36440-field_12-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-type=\"pagebreak\" data-field-id=\"12\"><\/div><div id=\"wpforms-36440-field_6-container\" class=\"wpforms-field wpforms-field-divider\" data-field-type=\"divider\" data-field-id=\"6\"><h3 id=\"wpforms-36440-field_6\" aria-errormessage=\"wpforms-36440-field_6-error\">Use this form to report a refrigerant leak. This is mandatory for new equipment or for labor and\/or material concession requests. A minimum of 1 video and 1 photo is required and MUST SHOW BUBBLES.<\/h3><\/div><div id=\"wpforms-36440-field_8-container\" class=\"wpforms-field wpforms-field-divider\" data-field-type=\"divider\" data-field-id=\"8\"><h3 id=\"wpforms-36440-field_8\" aria-errormessage=\"wpforms-36440-field_8-error\">ELECTRONIC LEAK DETECTOR OR PICTURES OF OIL STAINS IS NOT ACCEPTABLE!!!<\/h3><\/div><div id=\"wpforms-36440-field_14-container\" class=\"wpforms-field wpforms-field-divider\" data-field-type=\"divider\" data-field-id=\"14\"><h3 id=\"wpforms-36440-field_14\" aria-errormessage=\"wpforms-36440-field_14-error\">Please watch each of these videos prior to proceeding.<\/h3><\/div><div id=\"wpforms-36440-field_16-container\" class=\"wpforms-field wpforms-field-html\" data-field-type=\"html\" data-field-id=\"16\"><div id=\"wpforms-36440-field_16\" aria-errormessage=\"wpforms-36440-field_16-error\"><iframe loading=\"lazy\" width=\"1280\" height=\"720\" src=\"https:\/\/www.youtube.com\/embed\/O8zB94IMh88\" title=\"Video Leak   Videos\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen><\/iframe><\/div><\/div><div id=\"wpforms-36440-field_18-container\" class=\"wpforms-field wpforms-field-html\" data-field-type=\"html\" data-field-id=\"18\"><div id=\"wpforms-36440-field_18\" aria-errormessage=\"wpforms-36440-field_18-error\"><iframe loading=\"lazy\" width=\"1280\" height=\"720\" src=\"https:\/\/www.youtube.com\/embed\/I74VCvHDdno\" title=\"Video Leak   Photos\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen><\/iframe><\/div><\/div><div id=\"wpforms-36440-field_19-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-type=\"checkbox\" data-field-id=\"19\"><fieldset><legend class=\"wpforms-field-label\">Did you watch both videos?<\/legend><ul id=\"wpforms-36440-field_19\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-36440-field_19_1\" name=\"wpforms[fields][19][]\" value=\"Yes\" aria-errormessage=\"wpforms-36440-field_19_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_19_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-36440-field_19_2\" name=\"wpforms[fields][19][]\" value=\"No\" aria-errormessage=\"wpforms-36440-field_19_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_19_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-36440-field_20-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-type=\"checkbox\" data-field-id=\"20\"><fieldset><legend class=\"wpforms-field-label\">Do you understand that you must show bubbles in the pictures and videos and that an electronic leak detector is NOT ACCEPTABLE?   <\/legend><ul id=\"wpforms-36440-field_20\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-36440-field_20_1\" name=\"wpforms[fields][20][]\" value=\"Yes\" aria-errormessage=\"wpforms-36440-field_20_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_20_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-36440-field_20_2\" name=\"wpforms[fields][20][]\" value=\"No\" aria-errormessage=\"wpforms-36440-field_20_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_20_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-36440-field_22-container\" class=\"wpforms-field wpforms-field-divider\" data-field-type=\"divider\" data-field-id=\"22\"><h3 id=\"wpforms-36440-field_22\" aria-errormessage=\"wpforms-36440-field_22-error\" aria-describedby=\"wpforms-36440-field_22-description\">Information<\/h3><div id=\"wpforms-36440-field_22-description\" class=\"wpforms-field-description\">ELECTRONIC LEAK DETECTOR OR PICTURES OF OIL STAINS IS NOT ACCEPTABLE!!!<\/div><\/div><div id=\"wpforms-36440-field_23-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-36440-field_23\">If working with a Customer Assurance Manager please select below. If not select none.<\/label><select id=\"wpforms-36440-field_23\" class=\"wpforms-field-medium\" name=\"wpforms[fields][23]\"><option value=\"Send to the CAM Team\"  class=\"choice-1 depth-1\"  >Send to the CAM Team<\/option><option value=\"Jack Cauffman\"  class=\"choice-2 depth-1\"  >Jack Cauffman<\/option><option value=\"Joe Bryant\"  class=\"choice-3 depth-1\"  >Joe Bryant<\/option><option value=\"Ed Greer\"  class=\"choice-7 depth-1\"  >Ed Greer<\/option><option value=\"Joe Koller\"  class=\"choice-6 depth-1\"  >Joe Koller<\/option><option value=\"Michael Squires\"  class=\"choice-5 depth-1\"  >Michael Squires<\/option><option value=\"Brooks Whitson\"  class=\"choice-4 depth-1\"  >Brooks Whitson<\/option><option value=\"Tom Talley\"  class=\"choice-8 depth-1\"  >Tom Talley<\/option><option value=\"Mary Ann Lindholm\"  class=\"choice-9 depth-1\"  >Mary Ann Lindholm<\/option><\/select><\/div><div id=\"wpforms-36440-field_24-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-type=\"checkbox\" data-field-id=\"24\"><fieldset><legend class=\"wpforms-field-label\">Are you at the jobsite now? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-36440-field_24\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-36440-field_24_1\" name=\"wpforms[fields][24][]\" value=\"Yes\" aria-errormessage=\"wpforms-36440-field_24_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_24_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-36440-field_24_2\" name=\"wpforms[fields][24][]\" value=\"No\" aria-errormessage=\"wpforms-36440-field_24_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_24_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-36440-field_11-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-type=\"pagebreak\" data-field-id=\"11\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"1\" data-formid=\"36440\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Next<\/button><a href=\"#\" class=\"wpforms-save-resume-button\"><span>Save and Resume Later<\/span><\/a><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-2  \" data-page=\"2\" style=\"display:none;\"><div id=\"wpforms-36440-field_26-container\" class=\"wpforms-field wpforms-field-divider\" data-field-type=\"divider\" data-field-id=\"26\"><h3 id=\"wpforms-36440-field_26\" aria-errormessage=\"wpforms-36440-field_26-error\" aria-describedby=\"wpforms-36440-field_26-description\">Dealer Information<\/h3><div id=\"wpforms-36440-field_26-description\" class=\"wpforms-field-description\">ELECTRONIC LEAK DETECTOR OR PICTURES OF OIL STAINS IS NOT ACCEPTABLE!!!<\/div><\/div><div id=\"wpforms-36440-field_30-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"30\"><label class=\"wpforms-field-label\" for=\"wpforms-36440-field_30\">Dealer Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-36440-field_30\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][30]\" aria-errormessage=\"wpforms-36440-field_30-error\" required><\/div><div id=\"wpforms-36440-field_31-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"31\"><label class=\"wpforms-field-label\" for=\"wpforms-36440-field_31\">Dealer Account Number <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-36440-field_31\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][31]\" aria-errormessage=\"wpforms-36440-field_31-error\" required><\/div><div id=\"wpforms-36440-field_79-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"79\"><label class=\"wpforms-field-label\" for=\"wpforms-36440-field_79\">Job Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-36440-field_79\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][79]\" aria-errormessage=\"wpforms-36440-field_79-error\" required><\/div><div id=\"wpforms-36440-field_73-container\" class=\"wpforms-field wpforms-field-name\" data-field-type=\"name\" data-field-id=\"73\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-36440-field_73\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][73][first]\" aria-errormessage=\"wpforms-36440-field_73-error\" required><label for=\"wpforms-36440-field_73\" class=\"wpforms-field-sublabel after\">Nombre<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-36440-field_73-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][73][last]\" aria-errormessage=\"wpforms-36440-field_73-last-error\" required><label for=\"wpforms-36440-field_73-last\" class=\"wpforms-field-sublabel after\">Apellidos<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-36440-field_28-container\" class=\"wpforms-field wpforms-field-phone\" data-field-type=\"phone\" data-field-id=\"28\"><label class=\"wpforms-field-label\" for=\"wpforms-36440-field_28\">Technician&#039;s Phone Number<\/label><input type=\"tel\" id=\"wpforms-36440-field_28\" class=\"wpforms-field-medium wpforms-masked-input\" data-inputmask=\"&#039;mask&#039;: &#039;(999) 999-9999&#039;\" data-rule-us-phone-field=\"true\" data-inputmask-inputmode=\"tel\" name=\"wpforms[fields][28]\" aria-label=\"Technician&#039;s Phone Number\" aria-errormessage=\"wpforms-36440-field_28-error\" ><\/div><div id=\"wpforms-36440-field_72-container\" class=\"wpforms-field wpforms-field-email\" data-field-type=\"email\" data-field-id=\"72\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-36440-field_72\" aria-hidden=\"false\">Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-36440-field_72\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][72]\" value=\"  \" spellcheck=\"false\" aria-errormessage=\"wpforms-36440-field_72-error\" required><\/div><div id=\"wpforms-36440-field_32-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"32\"><label class=\"wpforms-field-label\" for=\"wpforms-36440-field_32\">Service Manager&#039;s Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-36440-field_32\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][32]\" aria-errormessage=\"wpforms-36440-field_32-error\" required><\/div><div id=\"wpforms-36440-field_76-container\" class=\"wpforms-field wpforms-field-phone\" data-field-type=\"phone\" data-field-id=\"76\"><label class=\"wpforms-field-label\" for=\"wpforms-36440-field_76\">Service Manager&#039;s Phone # <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-36440-field_76\" class=\"wpforms-field-medium wpforms-field-required wpforms-masked-input\" data-inputmask=\"&#039;mask&#039;: &#039;(999) 999-9999&#039;\" data-rule-us-phone-field=\"true\" data-inputmask-inputmode=\"tel\" name=\"wpforms[fields][76]\" aria-label=\"Service Manager&#039;s Phone #\" aria-errormessage=\"wpforms-36440-field_76-error\" required><\/div><div id=\"wpforms-36440-field_34-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-type=\"pagebreak\" data-field-id=\"34\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev wpforms-disabled\"\n\t\t\t\t\tdata-action=\"prev\" data-page=\"2\" data-formid=\"36440\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Previous<\/button><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"2\" data-formid=\"36440\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Next<\/button><a href=\"#\" class=\"wpforms-save-resume-button\"><span>Save and Resume Later<\/span><\/a><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-3  \" data-page=\"3\" style=\"display:none;\"><div id=\"wpforms-36440-field_35-container\" class=\"wpforms-field wpforms-field-divider\" data-field-type=\"divider\" data-field-id=\"35\"><h3 id=\"wpforms-36440-field_35\" aria-errormessage=\"wpforms-36440-field_35-error\">Product Information<\/h3><\/div><div id=\"wpforms-36440-field_36-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-type=\"radio\" data-field-id=\"36\"><fieldset><legend class=\"wpforms-field-label\">Application <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-36440-field_36\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-36440-field_36_1\" name=\"wpforms[fields][36]\" value=\"Residential\" aria-errormessage=\"wpforms-36440-field_36_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_36_1\">Residential<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-36440-field_36_2\" name=\"wpforms[fields][36]\" value=\"Light Commercial - Office\/Retail\" aria-errormessage=\"wpforms-36440-field_36_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_36_2\">Light Commercial &#8211; Office\/Retail<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-36440-field_36_3\" name=\"wpforms[fields][36]\" value=\"Heavy Commercial - Manufacturing\/Warehouse\" aria-errormessage=\"wpforms-36440-field_36_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_36_3\">Heavy Commercial &#8211; Manufacturing\/Warehouse<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-36440-field_36_4\" name=\"wpforms[fields][36]\" value=\"Industrial - Heavy Manufacturing\/Printing\/Chemical\/Other\" aria-errormessage=\"wpforms-36440-field_36_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_36_4\">Industrial &#8211; Heavy Manufacturing\/Printing\/Chemical\/Other<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-36440-field_37-container\" class=\"wpforms-field wpforms-field-radio\" data-field-type=\"radio\" data-field-id=\"37\"><fieldset><legend class=\"wpforms-field-label\">Equipment Type <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-36440-field_37\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-36440-field_37_1\" name=\"wpforms[fields][37]\" value=\"Split System\" aria-errormessage=\"wpforms-36440-field_37_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_37_1\">Split System<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-36440-field_37_2\" name=\"wpforms[fields][37]\" value=\"RTU \/ Package unit\" aria-errormessage=\"wpforms-36440-field_37_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_37_2\">RTU \/ Package unit<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-36440-field_37_3\" name=\"wpforms[fields][37]\" value=\"WSHP \/ Geothermal\" aria-errormessage=\"wpforms-36440-field_37_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_37_3\">WSHP \/ Geothermal<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-36440-field_37_4\" name=\"wpforms[fields][37]\" value=\"Ductless\" aria-errormessage=\"wpforms-36440-field_37_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_37_4\">Ductless<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-36440-field_37_5\" name=\"wpforms[fields][37]\" value=\"VRF\" aria-errormessage=\"wpforms-36440-field_37_5-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_37_5\">VRF<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-36440-field_81-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-type=\"radio\" data-field-id=\"81\"><fieldset><legend class=\"wpforms-field-label\">Is the leak in a coil?<\/legend><ul id=\"wpforms-36440-field_81\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-36440-field_81_1\" name=\"wpforms[fields][81]\" value=\"Yes\" aria-errormessage=\"wpforms-36440-field_81_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_81_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-36440-field_81_2\" name=\"wpforms[fields][81]\" value=\"No\" aria-errormessage=\"wpforms-36440-field_81_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_81_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-36440-field_38-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"radio\" data-field-id=\"38\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Coil Type <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-36440-field_38\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-36440-field_38_1\" name=\"wpforms[fields][38]\" value=\"Evaporator\" aria-errormessage=\"wpforms-36440-field_38_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_38_1\">Evaporator<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-36440-field_38_2\" name=\"wpforms[fields][38]\" value=\"Condenser\" aria-errormessage=\"wpforms-36440-field_38_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_38_2\">Condenser<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-36440-field_38_3\" name=\"wpforms[fields][38]\" value=\"Reheat\" aria-errormessage=\"wpforms-36440-field_38_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_38_3\">Reheat<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-36440-field_38_4\" name=\"wpforms[fields][38]\" value=\"Coaxial Heat Exchanger\" aria-errormessage=\"wpforms-36440-field_38_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_38_4\">Coaxial Heat Exchanger<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-36440-field_39-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"radio\" data-field-id=\"39\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Coil Design\/Material <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-36440-field_39\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-36440-field_39_1\" name=\"wpforms[fields][39]\" value=\"RTPF - Copper ..... Copper tube\/aluminum fin\" aria-errormessage=\"wpforms-36440-field_39_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_39_1\">RTPF &#8211; Copper &#8230;.. Copper tube\/aluminum fin<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-36440-field_39_2\" name=\"wpforms[fields][39]\" value=\"FTPF - Aluminum ..... Aluminum tube\/aluminum fin\" aria-errormessage=\"wpforms-36440-field_39_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_39_2\">FTPF &#8211; Aluminum &#8230;.. Aluminum tube\/aluminum fin<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-36440-field_39_3\" name=\"wpforms[fields][39]\" value=\"MCHX ..... Micro-channel heat exchanger\" aria-errormessage=\"wpforms-36440-field_39_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_39_3\">MCHX &#8230;.. Micro-channel heat exchanger<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-36440-field_39_4\" name=\"wpforms[fields][39]\" value=\"Cupro-Nickel coaxial heat exchanger\" aria-errormessage=\"wpforms-36440-field_39_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_39_4\">Cupro-Nickel coaxial heat exchanger<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-36440-field_39_5\" name=\"wpforms[fields][39]\" value=\"Copper coaxial heat exchanger\" aria-errormessage=\"wpforms-36440-field_39_5-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_39_5\">Copper coaxial heat exchanger<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-36440-field_40-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"radio\" data-field-id=\"40\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Coil Coating <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-36440-field_40\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-36440-field_40_1\" name=\"wpforms[fields][40]\" value=\"No Coating\" aria-errormessage=\"wpforms-36440-field_40_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_40_1\">No Coating<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-36440-field_40_2\" name=\"wpforms[fields][40]\" value=\"Factory coating\" aria-errormessage=\"wpforms-36440-field_40_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_40_2\">Factory coating<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-36440-field_40_3\" name=\"wpforms[fields][40]\" value=\"Third party coating\" aria-errormessage=\"wpforms-36440-field_40_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_40_3\">Third party coating<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-36440-field_42-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-type=\"checkbox\" data-field-id=\"42\"><fieldset><legend class=\"wpforms-field-label\">Location &#8211; Any environmental concerns? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-36440-field_42\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-36440-field_42_1\" name=\"wpforms[fields][42][]\" value=\"Yes\" aria-errormessage=\"wpforms-36440-field_42_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_42_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-36440-field_42_2\" name=\"wpforms[fields][42][]\" value=\"No\" aria-errormessage=\"wpforms-36440-field_42_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_42_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-36440-field_43-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-type=\"pagebreak\" data-field-id=\"43\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev wpforms-disabled\"\n\t\t\t\t\tdata-action=\"prev\" data-page=\"3\" data-formid=\"36440\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Previous<\/button><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"3\" data-formid=\"36440\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Next<\/button><a href=\"#\" class=\"wpforms-save-resume-button\"><span>Save and Resume Later<\/span><\/a><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-4  \" data-page=\"4\" style=\"display:none;\"><div id=\"wpforms-36440-field_44-container\" class=\"wpforms-field wpforms-field-divider\" data-field-type=\"divider\" data-field-id=\"44\"><h3 id=\"wpforms-36440-field_44\" aria-errormessage=\"wpforms-36440-field_44-error\">Equipment Information<\/h3><\/div><div id=\"wpforms-36440-field_45-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"45\"><label class=\"wpforms-field-label\" for=\"wpforms-36440-field_45\">Model Number <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-36440-field_45\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][45]\" aria-errormessage=\"wpforms-36440-field_45-error\" required><\/div><div id=\"wpforms-36440-field_46-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"46\"><label class=\"wpforms-field-label\" for=\"wpforms-36440-field_46\">Serial Number <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-36440-field_46\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][46]\" aria-errormessage=\"wpforms-36440-field_46-error\" required><\/div><div id=\"wpforms-36440-field_47-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-type=\"date-time\" data-field-id=\"47\"><label class=\"wpforms-field-label\" for=\"wpforms-36440-field_47\">Installation \/ Start-up Date <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-36440-field_47\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][47][date]\" aria-errormessage=\"wpforms-36440-field_47-error\" required><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-36440-field_48-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-type=\"checkbox\" data-field-id=\"48\"><fieldset><legend class=\"wpforms-field-label\">Is this a DOA Leak? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-36440-field_48\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-36440-field_48_1\" name=\"wpforms[fields][48][]\" value=\"Yes\" aria-errormessage=\"wpforms-36440-field_48_1-error\" aria-describedby=\"wpforms-36440-field_48-description\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_48_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-36440-field_48_2\" name=\"wpforms[fields][48][]\" value=\"No\" aria-errormessage=\"wpforms-36440-field_48_2-error\" aria-describedby=\"wpforms-36440-field_48-description\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_48_2\">No<\/label><\/li><\/ul><div id=\"wpforms-36440-field_48-description\" class=\"wpforms-field-description\">Found less than 30 days from startup?<\/div><\/fieldset><\/div><div id=\"wpforms-36440-field_49-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-type=\"checkbox\" data-field-id=\"49\"><fieldset><legend class=\"wpforms-field-label\">Is the equipment operational now? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-36440-field_49\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-36440-field_49_1\" name=\"wpforms[fields][49][]\" value=\"Yes\" aria-errormessage=\"wpforms-36440-field_49_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_49_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-36440-field_49_2\" name=\"wpforms[fields][49][]\" value=\"No\" aria-errormessage=\"wpforms-36440-field_49_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_49_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-36440-field_50-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-type=\"textarea\" data-field-id=\"50\"><label class=\"wpforms-field-label\" for=\"wpforms-36440-field_50\">Equipment information\/history<\/label><textarea id=\"wpforms-36440-field_50\" class=\"wpforms-field-medium\" name=\"wpforms[fields][50]\" aria-errormessage=\"wpforms-36440-field_50-error\" aria-describedby=\"wpforms-36440-field_50-description\" ><\/textarea><div id=\"wpforms-36440-field_50-description\" class=\"wpforms-field-description\">Provide any pertinent history for this unit. Repairs, failures, issues, etc.<\/div><\/div><div id=\"wpforms-36440-field_53-container\" class=\"wpforms-field wpforms-field-divider\" data-field-type=\"divider\" data-field-id=\"53\"><h3 id=\"wpforms-36440-field_53\" aria-errormessage=\"wpforms-36440-field_53-error\">Answer each question about this leak<\/h3><\/div><div id=\"wpforms-36440-field_52-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-type=\"radio\" data-field-id=\"52\"><fieldset><legend class=\"wpforms-field-label\">Was a leak test performed? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-36440-field_52\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-36440-field_52_1\" name=\"wpforms[fields][52]\" value=\"Yes\" aria-errormessage=\"wpforms-36440-field_52_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_52_1\">Yes<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-36440-field_52_3\" name=\"wpforms[fields][52]\" value=\"No\" aria-errormessage=\"wpforms-36440-field_52_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_52_3\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-36440-field_54-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-type=\"radio\" data-field-id=\"54\"><fieldset><legend class=\"wpforms-field-label\">Was the leak identified? (Pictures required with bubbles) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-36440-field_54\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-36440-field_54_1\" name=\"wpforms[fields][54]\" value=\"Yes\" aria-errormessage=\"wpforms-36440-field_54_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_54_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-36440-field_54_2\" name=\"wpforms[fields][54]\" value=\"No\" aria-errormessage=\"wpforms-36440-field_54_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_54_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-36440-field_55-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-type=\"radio\" data-field-id=\"55\"><fieldset><legend class=\"wpforms-field-label\">Is the leak repairable? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-36440-field_55\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-36440-field_55_1\" name=\"wpforms[fields][55]\" value=\"Yes\" aria-errormessage=\"wpforms-36440-field_55_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_55_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-36440-field_55_2\" name=\"wpforms[fields][55]\" value=\"No\" aria-errormessage=\"wpforms-36440-field_55_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_55_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-36440-field_56-container\" class=\"wpforms-field wpforms-field-radio\" data-field-type=\"radio\" data-field-id=\"56\"><fieldset><legend class=\"wpforms-field-label\">Leak Type <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-36440-field_56\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-36440-field_56_1\" name=\"wpforms[fields][56]\" value=\"Solder Joint\" aria-errormessage=\"wpforms-36440-field_56_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_56_1\">Solder Joint<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-36440-field_56_2\" name=\"wpforms[fields][56]\" value=\"Puncture\" aria-errormessage=\"wpforms-36440-field_56_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_56_2\">Puncture<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-36440-field_56_3\" name=\"wpforms[fields][56]\" value=\"Tube failure\/crack\" aria-errormessage=\"wpforms-36440-field_56_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_56_3\">Tube failure\/crack<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-36440-field_60-container\" class=\"wpforms-field wpforms-field-divider\" data-field-type=\"divider\" data-field-id=\"60\"><h3 id=\"wpforms-36440-field_60\" aria-errormessage=\"wpforms-36440-field_60-error\">Leak Location<\/h3><\/div><div id=\"wpforms-36440-field_59-container\" class=\"wpforms-field wpforms-field-html\" data-field-type=\"html\" data-field-id=\"59\"><div id=\"wpforms-36440-field_59\" aria-errormessage=\"wpforms-36440-field_59-error\"><p style=\"text-align:center;\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/cesctechsupport.com\/wp-content\/uploads\/2022\/06\/Coil-Leak-Description.png\" width=\"250\" height=\"250\"\/><\/p><\/div><\/div><div id=\"wpforms-36440-field_61-container\" class=\"wpforms-field wpforms-field-radio\" data-field-type=\"radio\" data-field-id=\"61\"><fieldset><legend class=\"wpforms-field-label\">Leak Location <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-36440-field_61\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-36440-field_61_1\" name=\"wpforms[fields][61]\" value=\"U-bend\" aria-errormessage=\"wpforms-36440-field_61_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_61_1\">U-bend<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-36440-field_61_2\" name=\"wpforms[fields][61]\" value=\"In fin pack\" aria-errormessage=\"wpforms-36440-field_61_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_61_2\">In fin pack<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-36440-field_61_3\" name=\"wpforms[fields][61]\" value=\"At tube sheet\" aria-errormessage=\"wpforms-36440-field_61_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_61_3\">At tube sheet<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-36440-field_61_7\" name=\"wpforms[fields][61]\" value=\"Distributor \/ header\" aria-errormessage=\"wpforms-36440-field_61_7-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_61_7\">Distributor \/ header<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-36440-field_61_6\" name=\"wpforms[fields][61]\" value=\"Factory piping\" aria-errormessage=\"wpforms-36440-field_61_6-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_61_6\">Factory piping<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-36440-field_61_5\" name=\"wpforms[fields][61]\" value=\"Coaxial heat exchanger\" aria-errormessage=\"wpforms-36440-field_61_5-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_61_5\">Coaxial heat exchanger<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-36440-field_61_4\" name=\"wpforms[fields][61]\" value=\"Compressor Shell\" aria-errormessage=\"wpforms-36440-field_61_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_61_4\">Compressor Shell<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"radio\" id=\"wpforms-36440-field_61_8\" name=\"wpforms[fields][61]\" value=\"BPHX (Braze plate heat exchanger)\" aria-errormessage=\"wpforms-36440-field_61_8-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_61_8\">BPHX (Braze plate heat exchanger)<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-36440-field_62-container\" class=\"wpforms-field wpforms-field-radio\" data-field-type=\"radio\" data-field-id=\"62\"><fieldset><legend class=\"wpforms-field-label\">Leak&#039;s possible cause? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-36440-field_62\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-36440-field_62_1\" name=\"wpforms[fields][62]\" value=\"Operating vibration\" aria-errormessage=\"wpforms-36440-field_62_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_62_1\">Operating vibration<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-36440-field_62_2\" name=\"wpforms[fields][62]\" value=\"Operating rub (metal, tubes, wires, etc)\" aria-errormessage=\"wpforms-36440-field_62_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_62_2\">Operating rub (metal, tubes, wires, etc)<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-36440-field_62_3\" name=\"wpforms[fields][62]\" value=\"At tube sheet\" aria-errormessage=\"wpforms-36440-field_62_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_62_3\">At tube sheet<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-36440-field_62_5\" name=\"wpforms[fields][62]\" value=\"Manufacturing workmanship\" aria-errormessage=\"wpforms-36440-field_62_5-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_62_5\">Manufacturing workmanship<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-36440-field_62_4\" name=\"wpforms[fields][62]\" value=\"Environmental corrosion\" aria-errormessage=\"wpforms-36440-field_62_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_62_4\">Environmental corrosion<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-36440-field_62_6\" name=\"wpforms[fields][62]\" value=\"Shipping\" aria-errormessage=\"wpforms-36440-field_62_6-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_62_6\">Shipping<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-36440-field_63-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-type=\"textarea\" data-field-id=\"63\"><label class=\"wpforms-field-label\" for=\"wpforms-36440-field_63\">Description of the leak and its location. <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><textarea id=\"wpforms-36440-field_63\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][63]\" aria-errormessage=\"wpforms-36440-field_63-error\" aria-describedby=\"wpforms-36440-field_63-description\" required><\/textarea><div id=\"wpforms-36440-field_63-description\" class=\"wpforms-field-description\">Description should be a compliment to videos and\/or photos required to be submitted to TS following this form.<\/div><\/div><div id=\"wpforms-36440-field_64-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-type=\"pagebreak\" data-field-id=\"64\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev wpforms-disabled\"\n\t\t\t\t\tdata-action=\"prev\" data-page=\"4\" data-formid=\"36440\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Previous<\/button><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"4\" data-formid=\"36440\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Next<\/button><a href=\"#\" class=\"wpforms-save-resume-button\"><span>Save and Resume Later<\/span><\/a><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-5 last \" data-page=\"5\" style=\"display:none;\"><div id=\"wpforms-36440-field_65-container\" class=\"wpforms-field wpforms-field-divider\" data-field-type=\"divider\" data-field-id=\"65\"><h3 id=\"wpforms-36440-field_65\" aria-errormessage=\"wpforms-36440-field_65-error\">VIDEOS &amp; PHOTOS<\/h3><\/div><div id=\"wpforms-36440-field_66-container\" class=\"wpforms-field wpforms-field-divider\" data-field-type=\"divider\" data-field-id=\"66\"><h3 id=\"wpforms-36440-field_66\" aria-errormessage=\"wpforms-36440-field_66-error\" aria-describedby=\"wpforms-36440-field_66-description\">SUBMITTING VIDEOS\/PHOTOS<\/h3><div id=\"wpforms-36440-field_66-description\" class=\"wpforms-field-description\">In one or more videos, you should first show the general location of the leak within the unit, followed by a closer look at the leak using liquid leak detector or soap bubbles. The videos can be made with your mobile device&#8217;s camera or uploaded from its memory.<\/div><\/div><div id=\"wpforms-36440-field_67-container\" class=\"wpforms-field wpforms-field-file-upload\" data-field-type=\"file-upload\" data-field-id=\"67\"><label class=\"wpforms-field-label\" for=\"wpforms-36440-field_67\">Leak Videos\/pictures (add up to 4 files) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div\n\t\tclass=\"wpforms-uploader wpforms-field-required\"\n\t\tdata-field-id=\"67\"\n\t\tdata-form-id=\"36440\"\n\t\tdata-input-name=\"wpforms_36440_67\"\n\t\tdata-extensions=\"mpg,mov,wmv,pdf,png,gif,jpg,mp4\"\n\t\tdata-max-size=\"134217728\"\n\t\tdata-max-file-number=\"4\"\n\t\tdata-post-max-size=\"134217728\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg  viewBox=\"0 0 640 640\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<path d=\"M352 173.3L352 384C352 401.7 337.7 416 320 416C302.3 416 288 401.7 288 384L288 173.3L246.6 214.7C234.1 227.2 213.8 227.2 201.3 214.7C188.8 202.2 188.8 181.9 201.3 169.4L297.3 73.4C309.8 60.9 330.1 60.9 342.6 73.4L438.6 169.4C451.1 181.9 451.1 202.2 438.6 214.7C426.1 227.2 405.8 227.2 393.3 214.7L352 173.3zM320 464C364.2 464 400 428.2 400 384L480 384C515.3 384 544 412.7 544 448L544 480C544 515.3 515.3 544 480 544L160 544C124.7 544 96 515.3 96 480L96 448C96 412.7 124.7 384 160 384L240 384C240 428.2 275.8 464 320 464zM464 488C477.3 488 488 477.3 488 464C488 450.7 477.3 440 464 440C450.7 440 440 450.7 440 464C440 477.3 450.7 488 464 488z\"\/>\n\t\t<\/svg>\n\n\t\t<span class=\"modern-title\">\n\t\t\t\t\t\t\tDrag &amp; Drop Files, \t\t\t\t<span>Choose Files to Upload<\/span>\n\t\t\t\t\t<\/span>\n\n\t\t\t\t\t<span class=\"modern-hint\">You can upload up to 4 files.<\/span>\n\t\t\t<\/div>\n<\/div>\n\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\treadonly\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-36440-field_67\"\n\t\tname=\"wpforms_36440_67\" required\t\tvalue=\"\">\n<\/div><div id=\"wpforms-36440-field_71-container\" class=\"wpforms-field wpforms-field-divider\" data-field-type=\"divider\" data-field-id=\"71\"><h3 id=\"wpforms-36440-field_71\" aria-errormessage=\"wpforms-36440-field_71-error\">Thank you for your assistance reporting the refrigerant leak!!!<\/h3><\/div><div id=\"wpforms-36440-field_77-container\" class=\"wpforms-field wpforms-field-radio\" data-field-type=\"radio\" data-field-id=\"77\"><fieldset><legend class=\"wpforms-field-label\">What is being requested? <\/legend><ul id=\"wpforms-36440-field_77\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-36440-field_77_1\" name=\"wpforms[fields][77]\" value=\"Labor\/material assistance for repairing a repairable leak\" aria-errormessage=\"wpforms-36440-field_77_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_77_1\">Labor\/material assistance for repairing a repairable leak<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-36440-field_77_2\" name=\"wpforms[fields][77]\" value=\"Approve a Replacement Unit\" aria-errormessage=\"wpforms-36440-field_77_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-36440-field_77_2\">Approve a Replacement Unit<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-36440-field_78-container\" class=\"wpforms-field wpforms-field-divider\" data-field-type=\"divider\" data-field-id=\"78\"><h3 id=\"wpforms-36440-field_78\" aria-errormessage=\"wpforms-36440-field_78-error\">Once the CAM Team\/Technical Support has had an opportunity to evaluate the supplied information we will reach out to you with next steps.<\/h3><\/div><div id=\"wpforms-36440-field_13-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-type=\"pagebreak\" data-field-id=\"13\"><\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" style=\"display:none;\"><input type=\"hidden\" name=\"wpforms[id]\" value=\"36440\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/cematraining.com\/es\/wp-json\/wp\/v2\/pages\/36367\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-36440\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/cematraining.com\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Cargando\"><a href=\"#\" class=\"wpforms-save-resume-button\"><span>Save and Resume Later<\/span><\/a><\/div><\/form><\/div>  <!-- .wpforms-container -->\n<div class=\"wpforms-save-resume-confirmation\" id=\"wpforms-save-resume-confirmation-36440\" style=\"display: none\">\n\n\t\n\t<div class=\"message\">\n\t\t<p>Your form entry has been saved and a unique link has been created which you can access to resume this form.<\/p>\n<p>Enter your email address to receive the link via email. Alternately, you can copy and save the link below.<\/p>\n<p>Please note, this link should not be shared and will expire in 30 days, afterwards your form entry will be deleted.<\/p>\n\t<\/div>\n\n\t<div class=\"wpforms-save-resume-actions\">\n\t\t\t\t\t<div class=\"wpforms-field\">\n\t\t\t\t<label class=\"wpforms-field-label wpforms-save-resume-label\">\n\t\t\t\t\tCopy Link\t\t\t\t<\/label>\n\t\t\t\t<div class=\"wpforms-save-resume-shortcode-container\">\n\t\t\t\t\t<input type=\"text\" class=\"wpforms-save-resume-shortcode\" value=\"\" disabled \/>\n\t\t\t\t\t<span class=\"wpforms-save-resume-shortcode-copy\" title=\"Copy resume link to clipboard\">\n\t\t\t\t\t\t\t<span class=\"copy-icon\"><\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\t\t\t\t\t<form class=\"wpforms-validate wpforms-form wpforms-save-resume-email-notification\" method=\"post\" action=\"\/es\/wp-json\/wp\/v2\/pages\/36367\" data-token=\"0e0ccbea08087d467b2df082f291181e\">\n\t\t\t\t<div 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