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Specialty Lubricants

Lubrication Application Report

APPLICATION REPORT - LUBRICANTS
APPLICATION DATA COLLECTED FOR:
Company: Address:
Contact Person: Title:
Phone: Fax:
E-mail:    
 
Problem Description - Please describe problem as clearly as possible:
APPLICATION - GENERAL ENVIRONMENT (CHECK ALL THAT APPLY) :
Application is part of :  Conveyor line    Oven system  Freezer system  Air compressor  Continuous Oven/Freezer line
 Fluid transfer system  Pumps  Valves  Agitator  Boiler system  Refrigeration system
 HVAC system    Seals/Bearings (sealed? - Y/N)    Open Gears   Closed Gears
 Drilling/Routing/Bending/Cutting/Pressing/Stamping   Chain/Hoist
Other (specify) :  
Other details:
APPLICATION DETAIL INFORMATION - PLEASE PROVIDE AS MUCH INFORMATION AS POSSIBLE:
Food application? Please describe level of food contact :
Temperature: General environment (F or C). At application (F or C).
Intermittent or continuous
5 days per week 7 days per week
Other details :
Pressure: Estimated : psig - intermittent or continuous
How many hours per day : 8 16 24 Number of days per week : 5 7
Drive horse-power :
Other details :
Running speed : RPM or FPS.
Lubricant applied: via brushes grease-gun spray drip-feed
Lubricant applied: manually automatically
Comments :
Present lubricant - Manufacturer/Brand :
Viscosity : cSt. at : 40º NLGI #00 NLGI #0 NLGI #1     NLGI #2 NLGI #3
Wash-down cycles : once per day twice per day three times per day Chemical environment : pH continuous intermittent
Sources :
Other pertinent data :



   

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