JIM-TEC Oil Analysis Form

JIM-TEC Oil Analysis Registration

Please complete all fields below to register your oil sample.

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Sample ID *

The sample ID is a 7-digit number located on the aluminium container.

Which company is the sample from? *

Please change? of

Who took the oil sample? *

Who should we send the report to? (name, email + telephone nr.) *

Date the sample was taken *

Reason for analysis *

Please specify what the reason is *

Where is the sample from? *

Where is the grease from? *

Please specify where the grease is from *

Please specify where the sample is from *

Which kind of compressor? *

Please specify which kind of compressor it is *

Please specify *

Which kind of gear? *

Please specify which kind of gear it is *

Machine ID *

Which lubricant was used? *

Oil life time in machine operating hours or date of last oil change? *

Time since last oil change (machine operating hours) *

Date for the last oil change *

If you have any concerns, questions or additional information that you want us to be aware of, please write it below:

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