OMB Control Number: 1910-1400 (Expiration Date: XXXXXX XX, XXXX) | Version 5.3 | ||||||||||||||||
DOE F 220.34 | |||||||||||||||||
Commercial Refrigeration Equipment - Single Compartment | Product Type: | Commercial Refrigeration Equipment - Single Compartment | Status of This Certification Sheet | No Data | |||||||||||||
5.3 | |||||||||||||||||
Overall Status of Template | No Data | ||||||||||||||||
Click here for instructions for completing this form | |||||||||||||||||
Each Importer and U.S. Manufacturer is legally required to certify the compliance of the products it imports, produces, assembles or manufactures. This party is the "Certifier" on this form. This certification may be submitted by the Importer or U.S. manufacturer or by a Third Party Representative. This party is the "Submitter" on this form. |
|||||||||||||||||
Certifier - Party Legally Obligated to Certify Compliance | Submitter - Party Submitting This Report | ||||||||||||||||
The party responsible for certification is (select one only): | The party submitting this report is (select one only): | ||||||||||||||||
![]() |
![]() |
Please enter required data | ![]() |
![]() |
Please enter required data | ||||||||||||
![]() |
|||||||||||||||||
Certifier Contact Information | Third Party Representative Contact Information, if Applicable | ||||||||||||||||
Full Legal Name of Individual | Please enter required data | Full Legal Name of Individual | Please enter required data | ||||||||||||||
Full Legal Name of Company | Please enter required data | Full Legal Name of Company | Please enter required data | ||||||||||||||
Complete Company Mailing Address | Please enter required data | Complete Company Mailing Address | Please enter required data | ||||||||||||||
Phone Number | Please enter required data | Phone Number | Please enter required data | ||||||||||||||
Email Address | Please enter required data | Email Address | Please enter required data | ||||||||||||||
Compliance Statement | |||||||||||||||||
Select one of the options for 'Submitter - Party Submitting This Report' above | |||||||||||||||||
Submitter Signature (Type your Full Legal Name) | Please enter required data | Date (MM/DD/YYYY) | Please enter required data | ||||||||||||||
OMB Control Number: 1910-1400 (Expiration Date: XXXXXX XX, XXXX) | |||||||||||||||||
Paperwork Reduction Act Statement | |||||||||||||||||
OMB Burden Disclosure Statement | |||||||||||||||||
This data is being collected for manufacturers to certify compliance to DOE's energy conservation, water conservation, or design standards. The data you supply will be used by the Department to monitor compliance with the energy conservation, water conservation, and design standards and testing requirements for the consumer products and commercial and industrial equipment mandated by the Energy Policy and Conservation Act, as amended. Public reporting burden for this collection of information is estimated to average 35 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Office of the Chief Information Officer, Records Management Division, IM-23, Paperwork Reduction Project (1910-1400), U.S. Department of Energy, 1000 Independence Ave SW, Washington, DC, 20585-1290; and to the Office of Management and Budget (OMB), OIRA, Paperwork Reduction Project (1910-1400), Washington, DC 20503. Notwithstanding any other provision of the law, no person is required to respond to, nor shall any person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a currently valid OMB control number. Submission of this data is mandatory. |
Commercial Refrigeration Equipment - Single Compartment | Commercial Refrigeration Equipment - Single Compartment | Version 5.3 | · Please enter your data in the columns shaded in gray below, using a separate line for each model. · Click on the column heading for instructions on how to complete cells in that column. · Cells highlighted in yellow indicate an "Error." "Error" means that information is missing or there is an issue with the entry. · If the "Status" for a row is "Error," you can see an explanation in the columns to the far right. |
||||||||||||||||||||||||||||||||||||||||||||
5.3 | |||||||||||||||||||||||||||||||||||||||||||||||
Status of This Input Sheet | No Data | Overall Status of Template | No Data | ||||||||||||||||||||||||||||||||||||||||||||
Certification Report | Click here for instructions for completing this form | The cells below provide an explanation for "Errors". | The cells below provide an explanation for "Errors". | The cells below provide an explanation for "Errors". | The cells below provide an explanation for "Errors". | The cells below provide an explanation for "Errors". | The cells below provide an explanation for "Errors". | ||||||||||||||||||||||||||||||||||||||||
Line No. | Status | Manufacturer | Brand Name(s) | Basic Model Number | Enter Information in Only One of the Two Columns in Each Row | Action | Product Group Code | Sample Size (Number of Units Tested) | Is the Certification for this Basic Model Based on a Waiver of DOE's Test Procedure Requirements? | Date of Test Procedure Waiver, if Applicable | Is the Certification based upon any Exception Relief from an Applicable Standard by DOE's Office of Hearing and Appeals? | Date of Exception Relief, if Applicable | Is Certification Based on the use of an Alternative Efficiency Determination Method (AEDM)? | Name of AEDM (If Applicable) | Does the Manufacturer Elect the Witness Test Option for Verification Testing? (If Applicable) | Rating Temperature in Degrees Fahrenheit | Equipment Family | Condensing Unit Configuration | Total Display Area in square feet (ft2), if Applicable | Chilled or Frozen Volume in cubic feet (ft3), if Applicable | Daily Energy Consumption (kWh/day) | Supplemental Testing Instructions PDF Filename | Manufacturer Status | Brand Name(s) Status | Basic Model Number Status | Individual Model Number Covered by Basic Model Status | Private Model Number Covered by Basic Model Status | Action Status | Product Group Code Status | Sample Size (Number of Units Tested) Status | Is the Certification for this Basic Model Based on a Waiver of DOE's Test Procedure Requirements? Status | Date of Test Procedure Waiver, if Applicable Status | Is the Certification based upon any Exception Relief from an Applicable Standard by DOE's Office of Hearing and Appeals? Status | Date of Exception Relief, if Applicable Status | Is Certification Based on the use of an Alternative Efficiency Determination Method (AEDM)? Status | Name of AEDM (If Applicable) Status | Does the Manufacturer Elect the Witness Test Option for Verification Testing? (If Applicable) Status | Rating Temperature in Degrees Fahrenheit Status | Equipment Family Status | Condensing Unit Configuration Status | Total Display Area in square feet (ft2), if Applicable Status | Chilled or Frozen Volume in cubic feet (ft3), if Applicable Status | Daily Energy Consumption (kWh/day) Status | Supplemental Testing Instructions PDF Filename Status | |||
Individual Model Number Covered by Basic Model | Private Model Number Covered by Basic Model | ||||||||||||||||||||||||||||||||||||||||||||||
1 | |||||||||||||||||||||||||||||||||||||||||||||||
2 | |||||||||||||||||||||||||||||||||||||||||||||||
3 | |||||||||||||||||||||||||||||||||||||||||||||||
4 | |||||||||||||||||||||||||||||||||||||||||||||||
5 | |||||||||||||||||||||||||||||||||||||||||||||||
6 | |||||||||||||||||||||||||||||||||||||||||||||||
7 | |||||||||||||||||||||||||||||||||||||||||||||||
8 | |||||||||||||||||||||||||||||||||||||||||||||||
9 | |||||||||||||||||||||||||||||||||||||||||||||||
10 | |||||||||||||||||||||||||||||||||||||||||||||||
11 | |||||||||||||||||||||||||||||||||||||||||||||||
12 | |||||||||||||||||||||||||||||||||||||||||||||||
13 | |||||||||||||||||||||||||||||||||||||||||||||||
14 | |||||||||||||||||||||||||||||||||||||||||||||||
15 | |||||||||||||||||||||||||||||||||||||||||||||||
16 | |||||||||||||||||||||||||||||||||||||||||||||||
17 | |||||||||||||||||||||||||||||||||||||||||||||||
18 | |||||||||||||||||||||||||||||||||||||||||||||||
19 | |||||||||||||||||||||||||||||||||||||||||||||||
20 | |||||||||||||||||||||||||||||||||||||||||||||||
21 | |||||||||||||||||||||||||||||||||||||||||||||||
22 | |||||||||||||||||||||||||||||||||||||||||||||||
23 | |||||||||||||||||||||||||||||||||||||||||||||||
24 | |||||||||||||||||||||||||||||||||||||||||||||||
25 | |||||||||||||||||||||||||||||||||||||||||||||||
26 | |||||||||||||||||||||||||||||||||||||||||||||||
27 | |||||||||||||||||||||||||||||||||||||||||||||||
28 | |||||||||||||||||||||||||||||||||||||||||||||||
29 | |||||||||||||||||||||||||||||||||||||||||||||||
30 | |||||||||||||||||||||||||||||||||||||||||||||||
31 | |||||||||||||||||||||||||||||||||||||||||||||||
32 | |||||||||||||||||||||||||||||||||||||||||||||||
33 | |||||||||||||||||||||||||||||||||||||||||||||||
34 | |||||||||||||||||||||||||||||||||||||||||||||||
35 | |||||||||||||||||||||||||||||||||||||||||||||||
36 | |||||||||||||||||||||||||||||||||||||||||||||||
37 | |||||||||||||||||||||||||||||||||||||||||||||||
38 | |||||||||||||||||||||||||||||||||||||||||||||||
39 | |||||||||||||||||||||||||||||||||||||||||||||||
40 | |||||||||||||||||||||||||||||||||||||||||||||||
41 | |||||||||||||||||||||||||||||||||||||||||||||||
42 | |||||||||||||||||||||||||||||||||||||||||||||||
43 | |||||||||||||||||||||||||||||||||||||||||||||||
44 | |||||||||||||||||||||||||||||||||||||||||||||||
45 | |||||||||||||||||||||||||||||||||||||||||||||||
46 | |||||||||||||||||||||||||||||||||||||||||||||||
47 | |||||||||||||||||||||||||||||||||||||||||||||||
48 | |||||||||||||||||||||||||||||||||||||||||||||||
49 | |||||||||||||||||||||||||||||||||||||||||||||||
50 | |||||||||||||||||||||||||||||||||||||||||||||||
51 | |||||||||||||||||||||||||||||||||||||||||||||||
52 | |||||||||||||||||||||||||||||||||||||||||||||||
53 | |||||||||||||||||||||||||||||||||||||||||||||||
54 | |||||||||||||||||||||||||||||||||||||||||||||||
55 | |||||||||||||||||||||||||||||||||||||||||||||||
56 | |||||||||||||||||||||||||||||||||||||||||||||||
57 | |||||||||||||||||||||||||||||||||||||||||||||||
58 | |||||||||||||||||||||||||||||||||||||||||||||||
59 | |||||||||||||||||||||||||||||||||||||||||||||||
60 | |||||||||||||||||||||||||||||||||||||||||||||||
61 | |||||||||||||||||||||||||||||||||||||||||||||||
62 | |||||||||||||||||||||||||||||||||||||||||||||||
63 | |||||||||||||||||||||||||||||||||||||||||||||||
64 | |||||||||||||||||||||||||||||||||||||||||||||||
65 | |||||||||||||||||||||||||||||||||||||||||||||||
66 | |||||||||||||||||||||||||||||||||||||||||||||||
67 | |||||||||||||||||||||||||||||||||||||||||||||||
68 | |||||||||||||||||||||||||||||||||||||||||||||||
69 | |||||||||||||||||||||||||||||||||||||||||||||||
70 | |||||||||||||||||||||||||||||||||||||||||||||||
71 | |||||||||||||||||||||||||||||||||||||||||||||||
72 | |||||||||||||||||||||||||||||||||||||||||||||||
73 | |||||||||||||||||||||||||||||||||||||||||||||||
74 | |||||||||||||||||||||||||||||||||||||||||||||||
75 | |||||||||||||||||||||||||||||||||||||||||||||||
76 | |||||||||||||||||||||||||||||||||||||||||||||||
77 | |||||||||||||||||||||||||||||||||||||||||||||||
78 | |||||||||||||||||||||||||||||||||||||||||||||||
79 | |||||||||||||||||||||||||||||||||||||||||||||||
80 | |||||||||||||||||||||||||||||||||||||||||||||||
81 | |||||||||||||||||||||||||||||||||||||||||||||||
82 | |||||||||||||||||||||||||||||||||||||||||||||||
83 | |||||||||||||||||||||||||||||||||||||||||||||||
84 | |||||||||||||||||||||||||||||||||||||||||||||||
85 | |||||||||||||||||||||||||||||||||||||||||||||||
86 | |||||||||||||||||||||||||||||||||||||||||||||||
87 | |||||||||||||||||||||||||||||||||||||||||||||||
88 | |||||||||||||||||||||||||||||||||||||||||||||||
89 | |||||||||||||||||||||||||||||||||||||||||||||||
90 | |||||||||||||||||||||||||||||||||||||||||||||||
91 | |||||||||||||||||||||||||||||||||||||||||||||||
92 | |||||||||||||||||||||||||||||||||||||||||||||||
93 | |||||||||||||||||||||||||||||||||||||||||||||||
94 | |||||||||||||||||||||||||||||||||||||||||||||||
95 | |||||||||||||||||||||||||||||||||||||||||||||||
96 | |||||||||||||||||||||||||||||||||||||||||||||||
97 | |||||||||||||||||||||||||||||||||||||||||||||||
98 | |||||||||||||||||||||||||||||||||||||||||||||||
99 | |||||||||||||||||||||||||||||||||||||||||||||||
100 |
The following is a description of each product group code: | |||||
Product Group Code | Equipment Category | Condensing Unit Configuration | Equipment Family | Rating Temperature (°F) | Operating Temperature (°F) |
1 | Self-Contained Commercial Refrigerators and Commercial Freezers With Doors | Self-Contained (SC) | Vertical Closed Solid (VCS) | 38 (M) | ≥32 |
2 | Self-Contained Commercial Refrigerators and Commercial Freezers With Doors | Self-Contained (SC) | Horizontal Closed Solid (HCS) | 38 (M) | ≥32 |
3 | Self-Contained Commercial Refrigerators and Commercial Freezers With Doors | Self-Contained (SC) | Vertical Closed Transparent (VCT) | 38 (M) | ≥32 |
4 | Self-Contained Commercial Refrigerators and Commercial Freezers With Doors | Self-Contained (SC) | Horizontal Closed Transparent (HCT) | 38 (M) | ≥32 |
5 | Self-Contained Commercial Refrigerators with Transparent Doors for Pull-Down Temperature Applications | Self-Contained (SC) | Pull-Down (PD) | 38 (M) | ≥32 |
6 | Self-Contained Commercial Refrigerators and Commercial Freezers With Doors | Self-Contained (SC) | Vertical Closed Solid (VCS) | 0 (L) | <32 |
7 | Self-Contained Commercial Refrigerators and Commercial Freezers With Doors | Self-Contained (SC) | Horizontal Closed Solid (HCS) | 0 (L) | <32 |
8 | Self-Contained Commercial Refrigerators and Commercial Freezers With Doors | Self-Contained (SC) | Vertical Closed Transparent (VCT) | 0 (L) | <32 |
9 | Self-Contained Commercial Refrigerators and Commercial Freezers With Doors | Self-Contained (SC) | Horizontal Closed Transparent (HCT) | 0 (L) | <32 |
10 | Self-Contained Commercial Refrigerators and Commercial Freezers With Doors | Self-Contained (SC) | Service Over Counter (SOC) | 38 (M) | >=32 |
11 | Self-Contained Commercial Refrigerators and Commercial Freezers With Doors | Self-Contained (SC) | Service Over Counter (SOC) | 0 (L) | < 32 |
12 | Remote Condensing Commercial Refrigerators and Commercial Freezers | Remote (RC) | Vertical Open (VOP) | 38 (M) | >= 32 |
13 | Remote Condensing Commercial Refrigerators and Commercial Freezers | Remote (RC) | Vertical Open (VOP) | 0 (L) | < 32 |
14 | Remote Condensing Commercial Refrigerators and Commercial Freezers | Remote (RC) | Semivertical Open (SVO) | 38 (M) | >= 32 |
15 | Remote Condensing Commercial Refrigerators and Commercial Freezers | Remote (RC) | Semivertical Open (SVO) | 0 (L) | < 32 |
16 | Remote Condensing Commercial Refrigerators and Commercial Freezers | Remote (RC) | Horizontal Open (HZO) | 38 (M) | >= 32 |
17 | Remote Condensing Commercial Refrigerators and Commercial Freezers | Remote (RC) | Horizontal Open (HZO) | 0 (L) | < 32 |
18 | Remote Condensing Commercial Refrigerators and Commercial Freezers | Remote (RC) | Vertical Closed Transparent (VCT) | 38 (M) | >= 32 |
19 | Remote Condensing Commercial Refrigerators and Commercial Freezers | Remote (RC) | Vertical Closed Transparent (VCT) | 0 (L) | < 32 |
20 | Remote Condensing Commercial Refrigerators and Commercial Freezers | Remote (RC) | Horizontal Closed Transparent (HCT) | 38 (M) | >= 32 |
21 | Remote Condensing Commercial Refrigerators and Commercial Freezers | Remote (RC) | Horizontal Closed Transparent (HCT) | 0 (L) | < 32 |
22 | Remote Condensing Commercial Refrigerators and Commercial Freezers | Remote (RC) | Vertical Closed Solid (VCS) | 38 (M) | >= 32 |
23 | Remote Condensing Commercial Refrigerators and Commercial Freezers | Remote (RC) | Vertical Closed Solid (VCS) | 0 (L) | < 32 |
24 | Remote Condensing Commercial Refrigerators and Commercial Freezers | Remote (RC) | Horizontal Closed Solid (HCS) | 38 (M) | >= 32 |
25 | Remote Condensing Commercial Refrigerators and Commercial Freezers | Remote (RC) | Horizontal Closed Solid (HCS) | 0 (L) | < 32 |
26 | Remote Condensing Commercial Refrigerators and Commercial Freezers | Remote (RC) | Service Over Counter (SOC) | 38 (M) | >= 32 |
27 | Remote Condensing Commercial Refrigerators and Commercial Freezers | Remote (RC) | Service Over Counter (SOC) | 0 (L) | < 32 |
28 | Self-Contained Commercial Refrigerators and Commercial Freezers without Doors | Self-Contained (SC) | Vertical Open (VOP) | 38 (M) | >= 32 |
29 | Self-Contained Commercial Refrigerators and Commercial Freezers without Doors | Self-Contained (SC) | Vertical Open (VOP) | 0 (L) | < 32 |
30 | Self-Contained Commercial Refrigerators and Commercial Freezers without Doors | Self-Contained (SC) | Semivertical Open (SVO) | 38 (M) | >= 32 |
31 | Self-Contained Commercial Refrigerators and Commercial Freezers without Doors | Self-Contained (SC) | Semivertical Open (SVO) | 0 (L) | < 32 |
32 | Self-Contained Commercial Refrigerators and Commercial Freezers without Doors | Self-Contained (SC) | Horizontal Open (HZO) | 38 (M) | >= 32 |
33 | Self-Contained Commercial Refrigerators and Commercial Freezers without Doors | Self-Contained (SC) | Horizontal Open (HZO) | 0 (L) | < 32 |
34 | Commercial Ice-Cream Freezers | Remote (RC) | Vertical Open (VOP) | -15 (I) | <= -5 |
35 | Commercial Ice-Cream Freezers | Remote (RC) | Semivertical Open (SVO) | -15 (I) | <= -5 |
36 | Commercial Ice-Cream Freezers | Remote (RC) | Horizontal Open (HZO) | -15 (I) | <= -5 |
37 | Commercial Ice-Cream Freezers | Remote (RC) | Vertical Closed Transparent (VCT) | -15 (I) | <= -5 |
38 | Commercial Ice-Cream Freezers | Remote (RC) | Horizontal Closed Transparent (HCT) | -15 (I) | <= -5 |
39 | Commercial Ice-Cream Freezers | Remote (RC) | Vertical Closed Solid (VCS) | -15 (I) | <= -5 |
40 | Commercial Ice-Cream Freezers | Remote (RC) | Horizontal Closed Solid (HCS) | -15 (I) | <= -5 |
41 | Commercial Ice-Cream Freezers | Remote (RC) | Service Over Counter (SOC) | -15 (I) | <= -5 |
42 | Commercial Ice-Cream Freezers | Self-Contained (SC) | Vertical Open (VOP) | -15 (I) | <= -5 |
43 | Commercial Ice-Cream Freezers | Self-Contained (SC) | Semivertical Open (SVO) | -15 (I) | <= -5 |
44 | Commercial Ice-Cream Freezers | Self-Contained (SC) | Horizontal Open (HZO) | -15 (I) | <= -5 |
45 | Commercial Ice-Cream Freezers | Self-Contained (SC) | Vertical Closed Transparent (VCT) | -15 (I) | <= -5 |
46 | Commercial Ice-Cream Freezers | Self-Contained (SC) | Horizontal Closed Transparent (HCT) | -15 (I) | <= -5 |
47 | Commercial Ice-Cream Freezers | Self-Contained (SC) | Vertical Closed Solid (VCS) | -15 (I) | <= -5 |
48 | Commercial Ice-Cream Freezers | Self-Contained (SC) | Horizontal Closed Solid (HCS) | -15 (I) | <= -5 |
49 | Commercial Ice-Cream Freezers | Self-Contained (SC) | Service Over Counter (SOC) | -15 (I) | <= -5 |
File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |