Figure 1. Example Lubrication Analysis Data Form

DOE-STD-1052-93

FIGURE 1

EXAMPLE LUBRICATION ANALYSIS DATA FORM

Component Tag Number:

__________________________________

Oil Type:

__________________________________

Reservoir:

__________________________________

Sample Number:

__________________________________

Sample Date/Time:

__________________________________

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PHYSICAL DATA

Water Volume

_____________

Solids Volume

_____________

Fuel Dilution (% Volume)

_____________

Fuel Soot (ABS)

_____________

Glycol (Coolant)

_____________

Total Acid Number

_____________

Total Base Number

_____________

Viscosity

_____________

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SPECTROCHEMICAL ANALYSIS IN PARTS PER MILLION BY WEIGHT

Silicon: __________

Iron: ___________

Chromium: ___________

Aluminum: ___________

Copper: ___________

Lead: ___________

Tin

__________

Nickel: ____________

Silver: ____________

Molybdenum: _____________

Magnesium: ___________

Sodium: ___________

Boron: ____________

Barium: ____________

Calcium: ___________

Phosphorus: ____________

Zinc: ____________

COMMENTS:

F-8