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    Page 962 - Catalog cross-references filters BALDWIN
    P. 962
    Baldwinfilters cross-references for trucks and technics

    FILTERS BALDWIN

    Catalog Baldwinfilters cross-references

    Auto Parts / FIELD REPORT FORM
    
    
    
                                     DISTRIBUTOR                                                            EQUIPMENT OWNER
                                     Company Name ______________________________    Company Name___________________________________
                                     Address  ____________________________________    Address _________________________________________
                                     City ________________________________________    City_____________________________________________
                                     State ________________    ZIP___________________    State _________________    ZIP  ____________________
                                     Contact                                                                                 Contact
                                     Person  ______________________________________    Person  _________________________________________
                                     Phone _______________________________________    Phone  __________________________________________
    
                                     Filter                                                           Installation                                              Removal
                                     Number  ________________________   Date  ________________________    Date  _________________________
                                     Repair Shop                                                                         Cost of
                                     Name  _______________________________________    Repairs $ ________________________________________
                                     (ATTACH ITEMIZED REPAIR BILL)
                                     Street  _______________________________________    Contact _________________________________________
                                     City _________________________________________    Phone __________________________________________
                                     State ________________    ZIP___________________    FAX ____________________________________________
    
                                     EQUIPMENT             Model___________________    Year ___________    Serial No. _________________________
                                     Type of
                                     Equipment  ___________________________________    Make ___________________________________________
                                     Damaged Part                                                                      Total Miles or
                                     (Engine, Pump, Etc.)  ___________________________    Hours on Unit  ____________________________________
    
                                     AIR FILTER               Has the system recently been worked on?  _________________________________________
                                     Has the filter                                               Miles/Hours                                             Oil Sump
                                     been washed?  ___________________   on Oil  ________________________    Capacity ______________________
                                     Pressure/Restriction Gauge reading at removal  ______________________________ (psi/inches of H O/Mercury)
                                                                                                                       2
                                     Usual Filter Change Interval  ________________________________________________________ (Miles/Hours)
    
                                     COOLANT                 How often is the system tested? __________________________________________________
                                     Type of                                                       Cooling System                                      Type of
                                     Antifreeze Used  __________________   Capacity  ______________________    SCA Used  ____________________
                                     Cooling System Last Cleaned  ________________________________________________________(Miles/Hours)
    
                                     OIL/HYDRAULIC      Has the system recently been worked on?  _________________________________________
                                     Type of                                                       Oil Sump                                                 Miles/Hours
                                     Oil  _____________________________   Capacity  ______________________    on Oil  ________________________
                                     Usual Oil Change Interval  __________________________________________________________ (Miles/Hours)
    
                                     FUEL                           Has the system recently been worked on? _________________________________________
                                     Type of                                                       Miles/Hours                                             Fuel System
                                     Fuel ____________________________   on Filter  ______________________    Pressure  _____________________
    
                                                       PLEASE USE A SEPARATE PAGE TO DESCRIBE WHAT HAPPENED!
                                     Signature of                                                                          Signature of
                                     Distributor ____________________________________    Owner __________________________________________
                                     Please send this Report, any Repair Bills, Explanation, Oil/Coolant Samples and Filters to:
    
                                                                                                      ATTN:    SERVICE ENGINEERING
                                                                                                 BALDWIN FILTERS
                                                                                                                     4400 E Hwy 30
                                     Form 387                                                                 Kearney, NE 68847
    
                                    960 / Auto Parts
    
    
    
                                    
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