DOE F 220.45 Automatic Commercial Ice Makers

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Overview

Certification
Headers
Product Group Code

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Sheet 1: Certification

OMB Control Number: 1910-1400 (Expiration Date: XXXXXX XX, XXXX)

Version 5.x

DOE F 220.45

Automatic Commercial Ice Makers

Product Type:

Automatic Commercial Ice Makers

Status of This Certification Sheet

No Data

5.x

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):

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Certifier Contact Information

Third Party Representative Contact Information, if Applicable

Full Legal Name of Individual

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Full Legal Name of Individual

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Full Legal Name of Company

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Full Legal Name of Company

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Complete Company Mailing Address

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Complete Company Mailing Address

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Phone Number

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Phone Number

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Email Address

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Email Address

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Compliance Statement

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Submitter Signature (Type your Full Legal Name)

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Date (MM/DD/YYYY)

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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.

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Sheet 2: Headers

Automatic Commercial Ice Makers - v5.x

Column Headers:

Status

Manufacturer

Brand Name(s)

Basic Model Number

Individual Model Number Covered by Basic Model

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

Energy Use (kWh/100 lbs Ice)

Condenser Water Use, if Applicable (gal/100 lbs Ice)

Harvest Rate (lbs Ice/24 hours)

Type of Cooling

Equipment Type

Pop-Up Headers:

Status

Manufacturer

Brand Name(s)

Basic Model Number

Individual Model Number

Action

Product Group Code

Sample Size

Certification Based on Waiver?

Date of Waiver, if Applicable

Cert. Based on Exception Relief?

Date of Relief, if Applicable

Energy Use

Condenser Water Use

Harvest Rate

Type of Cooling

Equipment Type

Pop-Up Contents

The cells below show whether there are any issues with the data on that line. If the status is "ok," there are no issues. If the status is "Error," there are issues with the data. See columns to the right for an indication of the issues with the data.

Enter the Manufacturer name in the cells below.

Enter the Brand Name(s) in the cells below.

Enter the Basic Model Number in the cells below.

Enter the Individual Model Number covered by the Basic Model in the cells below.

Enter one of following in cells below: N new model D discontinued model C correction to previous CCMS submission E submit report on existing (carryover) model F failed Industry Certification Program .

Enter an integer between 1 and 35 in the cells below. See the Product Group Codes worksheet for details on product group codes.

Enter the sample size (number of units tested) in the cells below. This should be an integer greater than zero.

Answer whether the certification for the basic model was based on a waiver of DOE's test procedure requirements in the cells below. An affirmative answer can be either 'yes' or 'y' and a negative answer can be either 'no' or 'n'. .

If you enter 'yes' under "Is the certification for this basic model based on a waiver of DOE's test procedure requirements?", enter the date of the waiver in the cells below. The entry should be in the M/D/YYYY format. .

Answer whether the certification was based upon any exception relief from an applicable standard by DOE's Office of Hearing and Appeals in the cells below. An affirmative answer can be either 'yes' or 'y' and a negative answer can be either 'no' or 'n'.

If you enter 'yes' under "Is the certification based upon any exception relief from an applicable standard by DOE's Office of Hearing and Appeals?", enter the date of the exception relief in the cells below. The entry should be in the M/D/YYYY format.

Enter the Energy Use in kilowatt-hours per 100 pounds of ice in the cells below. This should be a decimal number greater than zero.

For water-cooled models only, enter the Condenser Water Use in gallons per 100 pounds of ice in the cells below. This should be a number greater than zero. No entry should be made for air-cooled models.

Enter the Harvest Rate in pounds of ice per 24 hours in the cells below. This should be a decimal number greater than zero. .

Enter either Water or Air in the cells below.

Enter one of the following for Equipment Type in the cells below: IMH - Ice Making Head RC - Remote Condensing (but not Remote Compressor) RCRC - Remote Condensing and Remote Compressor SC - Self-Contained

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Sheet 3: Product Group Code

The following is a description of each product group code:
Product Group Code	Batch or Continuous	Equipment Type	Type of Cooling	Harvest Rate (lbs ice/24 hours)
1	Batch	Ice-Making Head	Water	<300
2	Batch	Ice-Making Head	Water	≥300 and <850
3	Batch	Ice-Making Head	Water	≥850 and <1,500
4	Batch	Ice-Making Head	Water	≥1,500 and <2,500
5	Batch	Ice-Making Head	Water	≥2,500 and <4,000
6	Batch	Ice-Making Head	Air	< 300
7	Batch	Ice-Making Head	Air	≥ 300 and < 800
8	Batch	Ice-Making Head	Air	≥ 800 and < 1,500
9	Batch	Ice-Making Head	Air	≥ 1500 and < 4,000
10	Batch	Remote Condensing (but not Remote Compressor)	Air	< 988
11	Batch	Remote Condensing (but not Remote Compressor)	Air	≥ 988 and < 4,000
12	Batch	Remote Condensing and Remote Compressor	Air	< 930
13	Batch	Remote Condensing and Remote Compressor	Air	≥ 930 and < 4,000
14	Batch	Self-Contained	Water	<200
15	Batch	Self-Contained	Water	≥ 200 and < 2,500
16	Batch	Self-Contained	Water	≥ 2,500 and < 4,000
17	Batch	Self-Contained	Air	< 110
18	Batch	Self-Contained	Air	≥ 110 and < 200
19	Batch	Self-Contained	Air	≥ 200 and < 4,000
20	Continuous	Ice-Making Head	Water	<801
21	Continuous	Ice-Making Head	Water	≥801 and <2,500
22	Continuous	Ice-Making Head	Water	≥2,500 and <4,000
23	Continuous	Ice-Making Head	Air	<310
24	Continuous	Ice-Making Head	Air	≥310 and <820
25	Continuous	Ice-Making Head	Air	≥820 and <4,000
26	Continuous	Remote Condensing (but not remote compressor)	Air	<800
27	Continuous	Remote Condensing (but not remote compressor)	Air	≥800 and <4,000
28	Continuous	Remote Condensing and Remote Compressor	Air	<800
29	Continuous	Remote Condensing and Remote Compressor	Air	≥800 and <4,000
30	Continuous	Self-Contained	Water	<900
31	Continuous	Self-Contained	Water	≥900 and <2,500
32	Continuous	Self-Contained	Water	≥2,500 and <4,000
33	Continuous	Self-Contained	Air	<200
34	Continuous	Self-Contained	Air	≥200 and <700
35	Continuous	Self-Contained	Air	≥700 and <4,000