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
TransApplications@Eaton.com
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