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DRAFT - 05 Aug 2010




                               ENGINE lubE 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 LUBE 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, lube 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                              Oil System Pressure (kPa):
                Manufacturer  _______________________________   Minimum ______    Normal ______   Maximum ______
                Model ______________________________________
                                                                Temperature: ¨ º C  or  ¨ º F
                Displacement _______________________________
                                                                Oil:   Min ______    Normal ________    Max ________
                Number of Cylinders _________________________
                                                                Ambient:  Min ______    Normal _______    Max ______
                Annual Volume  _____________________________
                                                                Oil Change Interval:                                  ENGINE LIQUID FILTRATION - TECHNICAL REFERENCE
                                                                 _________________ ¨ km  or  ¨ miles or  ¨ hours
                key project dates:
                Design Proposal:   ___________________________  Pressure Relief Valve:          ¨ In Engine   ¨ In Filter
                Prototype Delivery: __________________________                                           Setting: __________ kPa
                Design Freeze: ______________________________   Anti-drain Back Valve:        ¨ Yes   ¨ No
                PPAP:  _____________________________________       Setting: _______ kPa     Max. leak at valve _______ kPa
                Start of Production: __________________________  By-pass Valve:   ¨ In Engine   ¨ In Filter
                                                                                            Setting: __________ kPa
                lube system profile
                                                                mechanical performance
                ¨ Full Flow Filtration    ¨ Bypass Filtration
                                                                Hydrostatic Pressure Resistance (Burst):
                Oil Type and Grade                                Test Method : _______________________________
                Type:  _____________   Grade: ________________    Minimum Value: __________________kPA
                Oil Flow Rates:  ¨ lpm  or  ¨ gpm               Collapse Pressure:
                Min ________    Normal ________   Max ________    Test Method : _______________________________
                                                                  Minimum Value: __________________kPA
                                                                                              More on next page.





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