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Date
(confidential)
Title
Company
Address
City
Country
Phone
Fax
Zip
State
Email
Yes
No
No
Yes
Master Cylinder
Remote Actuator
No
Boosted Closed Center Master Cylinder
Two Fluid Actuator
Air/Hydraulic Actuator
Pressure Intensifier
VEHICLE SPECIFICATIONS
Type of vehicle or equipment
or %
loaded rear
or %
empty rear
or %
or %
loaded
empty
or
Is this application required to conform with recommended practices or standards, if so which ones.
Gear
Load Sensing:
Van
Yes
Standby
No
Yes
Piston
No
Relief valve
Filtration
Normal
microns
Maximum
Single
Tandem
Other
Bore diameter
, and stroke
Continued . . .
Pedal ratio
Pedal travel
Caliper
Drum
Water base
Synthetic base
Side mount
Flange mount
Other
Flange mount
Side mount
Other
Maximum stroke
, or area
Piston pretravel
to contact disc
maximum
Worn lining
maximum
at
Manufacturer
Self adjusting
x
Yes
No
to contact drum
maximum
Worn lining
maximum
at
Contact area
Contact deflection
System deflection
Model Number
Comments:
NOTICE
Component and system recommendations made by MICO, Incorporated are based on information supplied by potential user and/or system
designer. The potential user and/or designer must make final acceptance and approval of components and system after testing performance
on an actual application for which system was designed.
MICO is a registered trademark of MICO, Inc. MICO is registered in the U.S. Patent and Trademark Office as well as in Australia, Canada, Indonesia, Japan, Peoples Republic of China, South Korea, and the European Community.
MICO, Incorporated
Innovative Braking and Controls Worldwide
Revised 2008-08-05