22 Similarity Certification Form (See form VEL1739 on our website or print out this form and send to contact info below) Email: [email protected] Fax No.: 719-531-5690 To: Parker HFFD 1210 Garden of the Gods Road Colorado Springs, CO 80907-3410 Attn: Aviation Products Manager Date: _________________________________________ From: _________________________________________ Company: _________________________________________ Address: _________________________________________ _________________________________________ Phone: _________________________________________ Email: _________________________________________ Please recommend coalescer cartridges, separators, monitor cartridges and conversion hardware, if any, for the vessels listed below to qualify them to EI 1581 5th Edition, or EI Certificate as appropriate, to satisfy requirements of ATA 103 and JIG. Vessel Model No. Max Flow Rate USGPM Serial No. Unit No. Cover Gasket No. Presently Installed: Qty Model No. Coalescer Cartridges Qty Model No. Separator Cartridges Qty Model No. Monitor Cartridges Fixed ( ) Mobile ( ) API/EI - 1581 5th Edition: Category C ( ) Category M ( ) Category M100 ( ) EI 1583 Certificate ( ) 1 Vessel Model No. Max Flow Rate USGPM Serial No. Unit No. Cover Gasket No. Presently Installed: Qty Model No. Coalescer Cartridges Qty Model No. Separator Cartridges Qty Model No. Monitor Cartridges Fixed ( ) Mobile ( ) API/EI - 1581 5th Edition: Category C ( ) Category M ( ) Category M100 ( ) EI 1583 Certificate ( ) 2 Vessel Model No. Max Flow Rate USGPM Serial No. Unit No. Cover Gasket No. Presently Installed: Qty Model No. Coalescer Cartridges Qty Model No. Separator Cartridges Qty Model No. Monitor Cartridges Fixed ( ) Mobile ( ) EI - 1581 5th Edition: Category C ( ) Category M ( ) Category M100 ( ) EI 1583 Certificate ( ) 3 Vessel Model No. HV-2833M150 Max Flow Rate 755 USGPM Serial No. SO54321 Unit No. Truck #127 Cover Gasket No. G-0769 Presently Installed: Qty 7 Model No. I-633C5TB Coalescer Cartridges Qty 2 Model No. SO-636V Separator Cartridges Qty Model No. Monitor Cartridges Fixed ( ) Mobile (X ) API/EI - 1581 5th Edition: Category C (X ) Category M ( ) Category M100 ( ) EI 1583 Certificate ( ) EXAMPLE (For EI 1581 5th Edition Conversion)
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