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

            Filtration performance                          Inventory Managed by Donaldson?    ¨ Yes   ¨ No
            Test Conditions:                                ___________________________
             Method:  __________________________________    packaging
             Flow Rate ___________________  (l/min)         Do you have any special packaging requirements?
             Fluid Viscosity: ___________________ cSt       ¨ Yes   ¨ No      If yes, please check all that apply:
             Final Restriction:__________________ (kPa)           Protective caps: ¨ on inlet     ¨ on outlet   ¨ on port
            Max. Initial Restriction:                       Final Assembly:
             _____________ kPa   @    _________ cSt         ¨  Bulk / Bagged     ¨ Bulk/Individual Boxes
            Avgerage Particle Efficiency (size & %)         ¨  Other _________________________________
                                                                             _________________________________
              > ____ µm  > ____ µm  > ____ µm  > ___ µm
                    %          %         %          %       product markings
     ENGINE LIQUID FILTRATION TECHNICAL REFERENCE
                                                            Do you have any product marking requirements?
            Min. Beta Ratio: β(x) = Y
                                                            Head Assembly?  ¨ Yes   ¨ No
             X > _____________      Y>__________________    Filters?       ¨ Yes   ¨ No
            Minimum Capacity:  _____________gms             If yes, artwork it is assumed customer will provide
                                                            artwork for filter markings. Donaldson can provide
            Validation Tests For Special Fluids:            marking area for artwork design. Standard installation
            __________________________________________      icons are available from Donaldson.
            __________________________________________      special Requirements or Application Notes
                                                            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. F115346 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



      128   •  Engine Liquid Filtration                                                           www.donaldson.com
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