LUBRICANT ANALYSIS SYSTEM REGISTRATION (ALAS) FOR LUBRICANT ANALYSIS ASSISTANCE: PHONE (800) 322-0055 ‘Amalie 152 parE PERSON TO CONTACT (CUSTOMER # (known) (CUSTOMER NAME ADDRESS omy SATE ae TELEPHONE NOMBER FAX NUMBER Area Code ) ‘area Code (_) T cisiomer We, rss, Phan Noor Fax Na Bnew or hasbeen changed, poate check hare DISTRIBUTOR NAME [YOUR UNIT NO, t T T (110 10 Characters) Pipi ADDRESS ony SATE MANUFACTURER & MODEL OF COMPONENT: (examples: GAT 5406, EATON DP601-P) INDICATE WHICH COMPONENT THIS SAMPLE IS TAKEN FROM [ake ony one) ED - Engine - Diesel TAD - Angle Drive/Gear Bax TOC - Chain Case AD - Diferenial EL - Engine - Leaded TOP - Drop Box TPC Propel Case AP - Planetary EG - Engine - LPG TPG - Pump Gear Box/Drive ‘TXG - Steering Gear Case ‘AF - Final Drive EN - Engine - Natural Gas TE - Elevator Gear Box TSR - Speed Reducer [APD - Power Divider EU - Engine - Unleaded TPB - PTO Box TR Reverser HUB Wheet Hub EC. Compressor Crankcase ‘TST Splitter Box TEC - Ecoentic HY - Hydraulic System [TA -Tanamission «Main TGR - Reducer Gear Box TT Torque Converter HP « Hoist Pump [Tx Transmission - Auxlary ‘TOC - Damper Case ‘TSS - Shuttle Shift STR- Steering [7A Transmission Automatic ‘TSG - Swing Gear Case TW Winch YB - Vibratory Drum [TRA Transaxle ‘TBG -Bovel Gear Case AS Axle - Single YD - Conveyor Drive [G8 - Gear Box ‘TO “Transfer Case [AT Ale - Tandem ‘CL- Check Location (specify hee if you can not find component listed above) PHYSICAL POSITION IN UNIT (optional - refer to instructions) Q1-Front 02 - Rear O13- Lol 4 Right C15 - Upper 0 6-Lower O7- Center 218 Inner 9 - Outer [PRODUCT LINE AND SAE GRADE OF SAMPLE (example: XLO i8W40,TVie Pls Gear Lube B0W140, eto) (GONPONENT COOLED BY: Ar ‘GIL ADDITIVE USED? Ol Yes ONo yes, enter brand nam 2 Antiteeze FUEL ADDITIVE USED? Q Yes 2 No Ityes, enter brand name TYPE OF METER USED (check only one Niles “aiKiometers Hours Days Boing consistent wih the meter type checked above - enter the readings: Miles, Kilometers, Hours, oF Days on Component, Miles, Kilometers, Hours, of Days on Lubricant [SAMPLE TAREN A Ti Normal Drain 0 Between Drane 0 Ewionded Drain ENTER ANY COMMENTS THAT WOULD BE IMPORTANT TO THIS COMPONENT - such as recent overhaul, excessive ll consumption, any problem experienced, addtional information needed, etc . ean IMPORTANT, ‘SUBMIT THIS FORM ONLY ONCE FOR EACH VEHICLE COMPONENT WITHIN THIS UNIT. THIS FORM IS ALSO TO BE USED FOR CHANGESTO REGISTRATION (SEE INSTRUCTIONS), AFTER ‘THIS FORM Is PROCESSED BY ALAS, A REGISTRATION NO. WILL BE ASSIGNED TO THIS COMPONENT AND PROVIDED TO YOU. Send sample to: PLEASE USE THIS REGISTRATION NO. WHEN SUBMITTING ALAS+ at FUTURE SAMPLES FROM THIS COMPONENT OR IN ANY CORRESPONDENCE INVOLVING THIS COMPONENT. Amalie Oil Company ‘CAUTION - AVOID PROLONGED SKIN CONTACT WITH USED. MOTOR OIL. WHEN TESTED ON LABORATORY ANIMALS, SKIN ‘CANCER DEVELOPED AFTER PROLONGED CONTACT. WASH SKIN \WITH SOAP AND WATER AFTER HANDLING, WASH OILY CLOTHING, BEFORE REUSE. 1601 McCloskey Blvd Tampa, FL 33605