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DRAFT - 05 Aug 2010




                                ENGINE fuEl fIltratIoN systEm

                                applIcatIoN dEsIGN workshEEt



                This form is intended to be filled out by an engineer   Upon receipt of the form, Donaldson will assess
                or buyer that interested in a custom FUEL filtration   your requirements and get back to you within three
                design system.                                   working days.

                For proper development/design engineering solution,   When completed, please forward to Donaldson.
                we ask you to provide details about your engine,   Email:  engine@donaldson.com
                project due dates, fuel system and performance   Fax: 952-887-3059
                (mechanical and filtration), system mounting, service,
                final packaging and product markings.

                 Company Name:                                          Revision:

                 Project Name:
                 Contact Name:                                          Title

                 Phone:                        Fax:                     Email:

                 Current Donaldson Model Used: (if applicable)          Your Part Number:



                  Engine Information                             Fuel Delivery System Brand: __________________
                  Manufacturer  _______________________________  Fuel Flow Rates:  ¨ lpm  or  ¨ gpm
                  Model ______________________________________     Minimum ______    Normal ______   Maximum ______
                  Displacement _______________________________
                                                                 Fuel System Pressure (kPa):
                  Number of Cylinders _________________________    Minimum ______    Normal ______   Maximum ______
                  Annual Volume  _____________________________
                                                                 Temperature: ¨ º C  or  ¨ º F                        ENGINE LIQUID FILTRATION - TECHNICAL REFERENCE
                                                                   Fuel:   Min ______    Normal _______    Max _______
                  key project dates:
                                                                   Ambient:  Min ______  Normal _______   Max ______
                  Design Proposal:   ___________________________
                                                                 Fuel Heating             ¨ Yes   ¨ No
                  Prototype Delivery: __________________________
                                                                                     Watts __________    Voltage __________
                  Design Freeze: ______________________________
                                                                 Priming Pump               ¨ Yes   ¨ No
                  PPAP:  _____________________________________
                                                                 Air Relief Valve              ¨ Yes   ¨ No
                  Start of Production: __________________________
                                                                          Water Separation   __________%
                                                                                               Volume (ml)_________
                  fuel system profile
                                                                          Water Collection   ¨ Bowl   ¨ No-bowl
                  ¨ Primary Filtration   ¨ Secondary Filtration
                                                                          Water Sensor        ¨ Analog   ¨ Digital
                  Fuel Type:
                  ¨  Standard grade ________________________     mechanical performance
                  ¨  Biodiesel and max. content
                  __________________                             Hydrostatic Pressure Resistance (Burst):
                  ¨  Alternative:                                 Test Method : _______________________________
                  _______________________________                 Minimum Value: __________________kPA

                                                                                                More on next page.





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