Test Fuel Survey


Bio-diesel Test Fuel Program Survey
                          
Fuel Grade:
                 Quantity:                     $:                     Est. Delivery Date:                            
 
Vehicle:
                                   Year:                           Engine:                                   
Transmission:___________________. Typical RPM:             __________
Typical fuel tank:[  ] Cdn gallons:
                    [  ] Litres:                    hours of running:                   
Typical distance per tank of fuel: [  ] Kilometers:
                   Miles:           
Typical distance per [  ] gallon   [  ] Litre of fuel: [  ] Kilometers:
                   Miles:           
Bio-diesel: distance per tank of fuel: [  ] Kilometers:
                          Miles:           
Bio-diesel: distance per [  ] gallon   [  ] Litres of fuel: [  ] Kilometers:
                       Miles:            
General or specific engine and/or vehicle load:
                                                                                 
Overall performance notes:
                                                                                                                
Specific performance tests: (specify) 
                                                                                               
Idle comments:
                                                                                                                                  
Emission comments:
                                                                                                                          
Exhaust Gas Temperature: (if tested) Typical:
                       Bio-diesel:                                          
Other comments:
                                                                                                                                
Emission test equipment results: (please include printout)
                                                                
Cruise & operations empty comments:
                                                                                              
Cruise & operations with load comments: (specify load factors)
                                                      
Acceleration & top end comments: (not a license to speed or be reckless!)
                                      
At your discretion:
Burn the rubber test: (try not to burn the rubber off the tires!)
0-100km/h:
                  0-60mph:                     ¼ mile:                       
 
Mission parameters and requirements:
                                                                                               
Topography & terrain comments:
                                                                                                    
Road & highway condition comments:
                                                                                             
Weather condition comments:
                        Test Date:                       Odometer reading:              
No BS, just give’r comments:
                                                                                                            
What are you most impressed with?  
                                                                                               
Comments, Questions, Suggestions:
                                                                                                  
Test Fuel Program member name/#:
                                                                                                   
Notes: this is not a scientific study.   Please copy and mail in results.
 
Receipt (print):   Name:
                                                          ph #:                                                   
 
Fuel Grade:
        Quantity:                  Program Option/$:                  Est. Delivery Date:               
 
Other records may be made for off road machinery, equipment, boats, heating and generators.

online contact form style en route: