R H Fleet Services Ltd.

Fuel Doser Test

rhmech@shaw.ca 604-396-6758

Doser: $3500.00 Supplied during testing, deposit required

Fuel additive: During test period will supply @ my cost which is 20% below wholesale pricing

Currently $ 293.00 + Taxes to treat 9,400 litres of Diesel

After test period will supply @ wholesale pricing

Test start Date: _________________ Duration of Test: ________________

Information required;
Name of Company ___________________________________ email: ________________________
Contact information: Name ____________________________. Phone: _____________________
Make and model of Truck _____________________________. Year of Truck ____________. Unit # ______
Make and model of engine _____________. Year of engine ______________.
Kilometers on Truck _____________.
Kilometers on Engine ________________ . Hours on engine ______________
Rebuilt: Yes ⃝ No ⃝ Kilometers since rebuild ______________.
Current fuel economy, Loaded _______________
Empty ________________, documented Yes ⃝ No ⃝
Kilometers between services ________________
Fuel consumed between services ___________US Gallons _______________ Litres
Cost of fuel ____________
Typical Load and Weight; ________________________________________________________________

Do you have specific sections of your route that you can predict how the truck will perform currently, say up a hill, what
gear, how long to travel that section?
___________________________________________________________________________________________
_______________________________________________________________________________-
_____________________________________________________________________________________
Is there a recommended service interval for the after treatment system on your engine? Yes ⃝ No ⃝
If so what is it? ____________________
What does that service entail? ______________________________________________
When is the next after treatment service due? __________________________________