Equipo Industrial Automotriz, S.A. de C.V.

To receive specific information on our catalytic converters,
print this form, complete it, and fax it back to us at (52) 55 57168768.

Catalytic Converter Information Form Customer: _____________________________________ Date: ___________________ Application:___________________________________ Region:__________________ Engine Type: ___2 stroke ___4 stroke ___other # of cylinders:__________ Engine Displacement:___________________________ HP:______________________ Operating Temp: Max Load_______________________ Idle:____________________ Air/Fuel Ratio:__________________________________________________________ Fuel Type: ___Gasoline ___Diesel ___LPG ___CNG ___Other:_________________ Fuel Quality: Sulfur:__________________PPM Lead Levels:_______________PPM Raw Emissions (specify units): HC:________________ CO:________________ NOx:________________ PM:________________ HC+NOx:____________ Other:______________ Emission Requirements (specify units): HC:________________ CO:________________ NOx:________________ PM:________________ HC+NOx:____________ Other:______________ Regulatory Standard: EPA Level:_________________ (EPA, CARB, TIER I, etc.) EURO Level:________________ (0, I, II, III, IV) Amount of converters required (Annually):_________________________________ Recommendations: _________________________________________________________ Contact:_______________________________ Phone:___________________________