36
Appendix
Appendix
Eaton
®
Fuller
®
Transmissions
Application Approval Form FUL-170 – Rev. 01/04
Approval I.D. No.:
Chassis #(s):
No. of Vehicles:
Projected Build Date:
OEM / Plant Location: /
Customer/Fleet:
Dealer Information
Dealership Name:
Dealer Address:
Contact:
Telephone:
FAX:
APPROVAL REQUEST FOR:
Transmission Model
Oil Cooler:
YES
NO
ENGINE INFORMATION:
Make:
Model:
Displacement:
Liters
Rated Horsepower
at RPM
Peak Torque Lbs-ft at RPM
Governed Speed:
RPM
Top Speed Limit Setting MPH Cruise Speed MPH
DRIVELINE INFORMATION:
Rear Axle
Make:
Model:
Ratios:
/
Drive Tires
Make:
Model:
Size:
or Revs/Mile
Retarder
Make:
Model:
Type:
HP
Clutch
Make:
Model:
Make:
Model:
Ratios:
/
Trans Case
/Aux. Trans
CHASSIS INFORMATION
Model:
Drive Configuration (6x4, 4x2)
Vehicle Voltage (12 or 24v)
12 V
Max Weight on Drive Wheels
Lbs
Max GVW
Lbs Max GCW
Lbs
VOCATIONAL AND BODY SPECIFIC INFORMATION:
Vocation (Line Haul, Dump, Refuse, Mixer, etc)
Body Type
Trailer Type
# Trailers
Area of Operation:
Country(s)
State / Province/Region
Road Usage: Highway % Secondary/City
% Off-Highway
% Off-Road
%
Maximum Grade on Which Vehicle will be Required to Operate
%
TRANSMISSION FEATURE / OPTION REQUIREMENTS:
(CHECK BOX OF APPROPRIATE CONFIGURATION)
PTO
Usage:
None
6 Bolt Engine
Split-Shaft Countershaft: 6 Bolt
8
Bolt Aux
PTO Model:
PTO Driven Equipment:
PERSON SUBMITTING REQUEST
PHONE:
FAX:
FIRM NAME & ADDRESS:
THIS APPLICATION IS:
ADDITIONAL NOTES / REQUIREMENTS:
SIGNED:
APPLICATION ENGINEER:
DATE:
1.
This Application Approval Form (FUL-170) is intended for use as an approval for warranty
ONLY. An approval indicates that the given configuration meets the minimum requirements of
the specified product; it does not indicate approval to ship the product.
2.
All Eaton warranty guidelines apply for coverage and specific labor repair times. Reference
Eaton publications TCWY-0600 and TCWY-0900.
3.
Refer to form FUL-169 ( ) for Blanket Application Requirements.
Eaton Corporation – TOA
P.O. Box 4013
Kalamazoo, MI 49003
Phone: (269) 342-3000
Fax: (269) 342-3574
[email protected]
