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Collapse Pressure:                               mounting & service
             Test Method : _______________________________   Assembly Mounting:
             Minimum Value: __________________kPA            ¨ Side      ¨ Top       ¨ Bottom
            Pressure Testing:                                ¨ Other: _______________________________
                                                Frequency
                         Min. Cycles   Range (kPa)  (Hz)     Filter Change Interval:
             Hydrodynamic               to                    _________________ ¨ km  or  ¨ miles or  ¨ hours
                                                             _
             Flow Fatigue               to
                                                             Do you require installation, service or maintenance
             Vibration                  to                   recommendations from Donaldson?         ¨ Yes   ¨ No
            Leak Testing:
             Test Method : _______________________________   Inventory Managed by Donaldson?    ¨ Yes   ¨ No
             Minimum Value: __________________kPA            ___________________________
                                                             packaging

            filtration performance                           Do you have any special packaging requirements?
            Test Conditions:                                 ¨ Yes   ¨ No      If yes, please check all that apply:
             Method:  __________________________________           Protective caps: ¨ on inlet     ¨ on outlet   ¨ on port
             Flow Rate ___________________  (l/min)          Final Assembly:
             Fluid Viscosity: ___________________ cSt        ¨  Bulk / Bagged     ¨ Bulk/Individual Boxes
             Final Restriction:__________________ (kPa)      ¨  Other _________________________________
            Max. Initial Restriction:                                         _________________________________
     ENGINE LIQUID FILTRATION TECHNICAL REFERENCE
             _____________ kPa   @    _________ cSt
                                                             product markings
            Avg Particle Efficiency
                                                             Do you have any product marking requirements?
              > ____ µm  > ____ µm  > ____ µm  > ___ µm      Head Assembly?  ¨ Yes   ¨ No
                                                             Filters?      ¨ Yes   ¨ No
                                                             If yes, artwork it is assumed customer will provide
            Min. Beta Ratio: β(x) = Y                        artwork for filter markings. Donaldson can provide
             X > _____________      Y>__________________     marking area for artwork design.  Standard installation
                                                             icons are available from Donaldson.
            Minimum Capacity:  _____________gms
                                                             special requirements or application Notes
            Validation Tests For Special Fluids:
                                                             Use this area to provide additional information that will
            __________________________________________       assist Donaldson engineering.
            __________________________________________       __________________________________________
                                                             __________________________________________
                                                             __________________________________________
                                                             __________________________________________



            for donaldson usE oNly
            Date Received: _____________________________        Request From:   ¨ Catalog    ¨ Web Site
                                                                        ¨ Other _______________________
            Assigned to:
               Business Unit: _____________________________      Account Manager:  _________________________
               Product Manager: __________________________      Engineer: _________________________________


                                  donaldson company, Inc.      doc. No. f115345 rev.0                  august  2010
                                  PO Box 1299                  © 2010 Donaldson Company, Inc.  All rights reserved.  Printed in the U.S.A.
                                  Minneapolis, MN 55440-1200   Donaldson Company, Inc. reserves the right to change or discontinue any model
                                                               or specification at any time and without notice.
                                  Engine Liquid
                                  Applications Engineering
                                                              donaldson company, Inc., po Box 1299, minneapolis, mN 55440-1299

      126   •  Engine Liquid Filtration                                                           www.donaldson.com
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