Form Field Test Request-Distributor

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FIELD TEST INFORMATION DATA

DATE :
PROJECT OWNER TSS SALES

NAME TEST :
OBJECTIVE TEST :

PARAMETER MEASUREMENT
Mileage Durability
Chiping Groove Crack
Bead Burst Others

1. TIRE INFORMATION
GT TIRE CONTROL
Size Image :
Ply Rating
TIRE

LI/SS
Pattern
OD
SW
NSD
Tire Standard

Rim
S
Max Pressure (psi)
D
S
Max Load ( kg )
D
Ref STD BOOK

2. FLEET INFORMATION
Name
Company

Owner
Address
Contact Person & No Hp
Type
business
core

Kind of load
Total Running Unit
Fleet Source INFORMATION

3. VEHICLE INFORMATION
Brand Image :
Model
Vehicle

Type
Vehicle weight
Rim Size
S
Pressure (psi)
D
Wheel

Image & Size Image & Size

Existing tire
Form No.:TTI076-200416 Rev.01 Page 1 of 2

FIELD TEST INFORMATION DATA

4. FIELD CONDITION
Pay load ton
Load

Total weight ton


Load percentage %
Trip Distance (km) Speed (kph) Hours
1.
2.
Route
3.
4.
5.
Running km/day
- Highway
Road

- Smooth Asphalt
- Rough Asphalt
Surface (%)

- Concrete
- Paving
- Gravel
- Mud
- Straight
Contour (%)

- Winding
- up & Downhill

5. Test Condition
Total unit required
(Need ?) yes / no
Tire Competitor
Brand (if Yes)
Image :
Configuration

Form No.:TTI076-200416 Rev.01 Page 2 of 2

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