DOE F 220.60 Refrigeration Systems for Walk-In Coolers and Freezers

---

Overview

Certification
Headers
Product Group Code

---

Sheet 1: Certification

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

Version 5.x

DOE F 220.60

Refrigeration Systems for Walk-In Coolers and Freezers

Product Type:

Refrigeration Systems for Walk-In Coolers and Freezers

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):

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.

---

Sheet 2: Headers

Refrigeration Systems for Walk-In Coolers and Freezers - v5.x

Evaporator Fan Motors

Condenser Fan Motors

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

Is Certification Based on the use of an Alternative Efficiency Determination Method (AEDM)?

Name of AEDM (If Applicable)

Evaporator Fan Motor Horsepower #1, If Applicable

Number of Evaporator Fan Motors Included in System with Horsepower #1, If Applicable

If System Includes Evaporator Fan Motors with Two Different Horsepower Values, Evaporator Fan Motor Horsepower #2, If Applicable

Number of Evaporator Fan Motors Included in System With Horsepower #2, If Applicable

Condenser Fan Motor Horsepower #1, If Applicable

Number of Condenser Fan Motors Included in System with Horsepower #1, If Applicable

If System Includes Condenser Fan Motors with Two Different Horsepower Values, Condenser Fan Motor Horsepower #2, If Applicable

Number of Condenser Fan Motors Included in System With Horsepower #2, If Applicable

Does the Model Incorporate All Applicable Design Requirements?

Is this a Process Cooling Refrigeration System? (Optional)

Annual Walk-In Energy Factor (AWEF)

Net Capacity (Btu/h)

Configuration Tested for Certification

For Indoor Dedicated Condensing Refrigeration Systems, Is the Basic Model Also Certified as an Outdoor Dedicated Condensing Refrigeration System?, If Applicable

If the Indoor Dedicated Condensing Refrigeration System is Also Certified as an Outdoor Dedicated Condensing Refrigeration System, Enter Basic Model Number for the Corresponding Outdoor Dedicated Condensing Refrigeration System, If Applicable

Annual Walk-In Energy Factor (AWEF) Using Adaptive Defrost, Optional if Applicable

Is the Basic Model Designed for Use with CO2 as a Refrigerant?

Does the Dedicated Condensing System Use Flooded Head Pressure Controls? (if Applicable)

Compressor Break-In Period (Hours)

Supplemental Testing Instructions PDF Filename

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

Certification Based on an AEDM?

Name of AEDM, if Applicable

Evap Fan Motor HP #1, If Appl

# of Evap Fan Motors w/ HP #1

Evap Fan Motor HP #2, If Appl

# of Evap Fan Motors w/ HP #2

Cond Fan Motor HP #1, If Appl

# of Cond Fan Motors w/ HP #1

Cond Fan Motor HP #2, If Appl

# of Cond Fan Motors w/ HP #2

Does Model Incorp Design Req'ts?

Process Cooling

Annual Walk-In Energy Factor

Net Capacity

Tested Configuration

In/Outdoor Dedicated Cond. Sys.

Outdoor Dedicated Cond. Sys.

AWEF - Adaptive Defrost

Designed for use w/ CO2?

Flooded Head Pressure Controls?

Compressor Break-In Period

Testing Instructions Filename

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 9 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. If the answer to the AEDM question is yes, the entry should be 0, otherwise 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.

Answer whether the certification was based on the use of an Alternative Efficiency Determination Method. See §429.70 for information on AEDM requirements. An affirmative answer can be either 'yes' or 'y', a negative answer can be either 'no' or 'n'.

If you enter 'yes' under "Is Certification Based on the use of an Alternative Efficiency Determination Method (AEDM)?", enter the name of the AEDM in the cells below.

If applicable, enter the Evaporator Fan Motor Horsepower #1 in the cells below. An entry must be made in each row for one or both of this column or the Condenser Fan Motor Horsepower #1 column. Entries should be a number >0.

If applicable, enter the number of Evaporator Fan Motors with the horsepower entered in the Evaporator Fan Motor Horsepower #1 column. Entries should be an integer >0.

If the system has Evaporator Fan Motors with two different horsepower values, enter the second horsepower of Evaporator Fan Motors in the cells below. Entries should be a number >0.

If applicable, enter the number of Evaporator Fan Motors with the horsepower entered in the Evaporator Fan Motor Horsepower #2 column. Entries should be an integer >0.

If applicable, enter the Condenser Fan Motor Horsepower #1 in the cells below. An entry must be made in each row for one or both of this column or the Evaporator Fan Motor Horsepower #1 column. Entries should be a number >0.

If applicable, enter the number of Condenser Fan Motors with the horsepower entered in the Condenser Fan Motor Horsepower #1 column. Entries should be an integer >0.

If the system has Condenser Fan Motors with two different horsepower values, enter the second horsepower of Condenser Fan Motors in the cells below. Entries should be a number >0.

If applicable, enter the number of Condenser Fan Motors with the horsepower entered in the Condenser Fan Motor Horsepower #2 column. Entries should be an integer >0.

Answer whether the Model incorporates all applicable design requirements in the cells below. An affirmative answer can be either 'yes' or 'y' and a negative answer can be either 'no' or 'n'.

Answer whether this is a process cooling refrigeration system. This column is optional. An affirmative answer can be either 'yes' or 'y' and a negative answer can be either 'no' or 'n'. A blank cell will be treated as a negative response.

Enter the Annual Walk-In Energy Factor in Btu per Watt-hour in the cells below. This should be a number >0.

Enter the Net Capacity in Btu per hour in the cells below. This should be a number >0.

Enter one of the following in the cells below to indicate the Test Configuration: C - Condensing Unit Only U - Unit Cooler Only S - Single Package Dedicated System M - Matched-Pair A - Attached Split-System D - Detachable Single-Packaged System

For Indoor Dedicated Condensing Systems only, answer if the basic model was also certified as an Outdoor System in the cells below. An affirmative answer can be 'yes' or 'y' and a negative answer can be 'no' or 'n'.

If you enter 'yes' in the previous column, enter the Corresponding Outdoor Dedicated Condensing Unit Basic Model Number in the cells below.

Optionally, low temperature equipment may enter the Annual Walk-In Energy Factor using Adaptive Defrost in Btu per Watt-hour in the cells below. This should be a decimal number greater than zero.

Answer whether the Basic Model is designed for use with CO2 as a refrigerant in the cells below. An affirmative answer can be either 'yes' or 'y' and a negative answer can be either 'no' or 'n'.

For Dedicated Condensing Refrigeration Systems only, answer whether the system uses flooded head pressure controls in the cells below. An affirmative answer can be either 'yes' or 'y' and a negative answer can be either 'no' or 'n'.

Enter the Compressor Break-In Period in hours in the cells below. If there is no compressor break-in period, enter '0'. The entry should be a decimal number greater than or equal to zero.

Enter the name of the PDF file containing supplemental testing instructions. See 429.53(b)(4) for req'd contents. First 7 characters of the filename must be in the form of "DOExxxx" where "xxxx" is four-digit numerical code assigned to the manufacturer

---

Sheet 3: Product Group Code

The following is a description of each product group code:
	Product Group Code Description
Product Group Code	Refrigeration System Type	Refrigeration System Net Capacity (Btu/h)
1	Dedicated Condensing System - Medium Temperature, Indoor	All
2	Dedicated Condensing System - Medium Temperature, Outdoor	All
3	Dedicated Condensing System - Low Temperature, Indoor	< 6,500
4	Dedicated Condensing System - Low Temperature, Indoor	>= 6,500
5	Dedicated Condensing System - Low Temperature, Outdoor	< 6,500
6	Dedicated Condensing System - Low Temperature, Outdoor	>= 6,500
7	Unit Cooler - Medium Temperature	All
8	Unit Cooler - Low Temperature	< 15,500
9	Unit Cooler - Low Temperature	>= 15,500