Successor Radiator Name Company Address City, State, Zip Phone Fax Email Quote Quantity Prototype Yes No Special Instructions
		Engine Information Manufacturer Model Number Heat Load (BTU/Min) Top Tank Temp. (°F) Coolant Flow Rate (GPM) Engine Operating Speed (RPM) Automatic Transmission Yes No Air Conditioning Yes No Charge-Air Cooler Yes No If yes, please also fill out the "Charge-Air Sizing Form". Application Altitude (ft.) Air Temp. into Radiator (°F) Ambient Temp. (°F) Engine Coolant Capacity (qts.) Power Rating (HP) Exhaust Cooling Wet Dry Ram Air Yes No Enclosure Yes No Other Fan Information If new application, please include a copy of the fan curve. Manufacturer Part Number Fan Type Sucker Blower Fan Speed (RPM) Fan to Core Distance (in.) Fan Diameter (in.) Projected Width (in.) Number of Blades Radiator Information Overall Dimensions (in.) Height Width Depth Core Dimensions (in.) Height Width Depth De-aeration System Full Slott Baffle Water/Glycol Ratio Pressure Cap Yes (PSI ) No Inlet Connections Number Size (in.) Outlet Connections Number Size (in.) Oil Cooler Information Required only for applications utilizing an oil cooler. Oil Cooler Manufacturer Part Number Location Up Stream Down Stream Operating Pressure (PSIG) Pressure Drop (PSIG) Heat Load (BTU/Min.) Oil Flow Rate (GPM) Cooler Type Hydraulic Transmission Coolant Flow Rate (GPM) Radiator/Cooler Configuration Side-By-Side Series Bottom Tank Cooler Yes No Bottom Tank Coolant Temperature (°F) Oil Temperature (°F) Type of Oil Inlet Connections Number Size (in.) Outlet Connections Number Size (in.)