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Cooling water sample
About you
Company
*
Ship / Application
Contact person
*
Phone
E-mail
*
Cooling water sample
Is it a Cat engine?
*
Yes
No
Serial number
*
Compartment
*
Please make a choice
Radiator
High Temp coolingsystem
Low Temp cooling system
Central Heating system
Fluid type
*
Elc
Nalcool
Water
Extended Life Inhibiter
Other:
Other:
PO-number
Unique code
Code geldig
Code al gebruikt
Sample date
*
dd/mm/yyyy
Running hours
*
RA
HT_CS
LT_CS
CEN_HS
Elc
SCA/H2O
Water
Extended Life Inhibiter
Unknown
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This code can be found on the sample bottle