Application Questionnaire & Ordering Guide Truck Non-Steering Fixed Lift Axle Company:

Phone/Fax:

Date:

CIRCLE TIRE SIZE BELOW Tire Size (TS) vs. SLR Tire Tire SLR Wheel Size Size Size Tubeless (in) (in) 215/75R17.5 14 17.5 235/75R17.5 8.5R17.5 14.5 17.5 225/70R19.5 9R17.5 15 19.5 Customer Provided Information: 245/70R19.5 10R17.5 15.5 19.5 265/70R19.5 16 19.5 FW Outside Frame Width at Lift Axle position 285/70R19.5 16 19.5 305/70R19.5 16.5 19.5 F2GL Bottom of Frame 2 Ground when Loaded 255/70R22.5 8R22.5 17 22.5 245/75R22.5 17 22.5 D Driveshaft bottom to frame (Pusher Axle only) 235/80 R 22.5 17 22.5 275/70R22.5 17.5 22.5 (Circle One) 265/75R22.5 18 22.5 TRUCK LIFT AXLE 255/80R22.5 18 22.5 APPLICATION TYPE: 305/70R22.5 18.5 22.5 295/75R22.5 19 22.5 Note: Bent Tube Drop is 6 Standard 275/80R22.5 19 22.5 295/80R22.5 11R22.5 19.5 22.5 AIR CONTROL KITS(Check One): Cush Lift Axle Calculations: 315/80R22.5 19.5 22.5 None 285/75R24.5 19.5 24.5 Electric over Air (Key off - Axle UP) RH = F2GL SLR = ______275/80R24.5 19.5 24.5 Electric over Air (Key off - Axle DOWN) 11R24.5 20.5 24.5 For 6 drop axle, suspension UP Travel: Air over Air (Push/Pull) OTHER NOT LISTED ( RH + 3.5 UP Travel) > D + 1

AXLE ORDER SPECIFICATION OPTIONS Suspension & Axle CAPACITY 20,000 lbs. Non-Steering AXLE TRACK 71.5" Track Bent 6" Drop 22,000 lbs. (Straight axle only) Other: 77.5" Track Straignt 16,000 lbs. 70.5" Track BRAKE SIZE 16.5" X 7" WHEEL STUD Steel / Steel Other: 12.25" X 7.5" (16,000 lbs.) Other: Steel Inner / AL Outer 16.5" X 5" (16,000 lbs.) Aluminum / Aluminum BRAKE CHAMBER SIZE Type 24 WHEEL END Equipment Hub Pilot Other: Type 24/24 Other: Stud Pilot No Chambers Type 30 Grease Oil Spoke Wheel / Size: Type 30/30 No Wheel Ends SLACK ADJUSTER Manual ABS READY ABS 18" Sensor 5-1/2" Hole Setting Automatic No ABS ABS 60" Sensor 6" Hole Setting No Slacks ABS Clip Only

(See page2 for flat top hanger sheet) P080512-Trucklift page-1

If flat top hanger style, please fill out frame information:

Outside Frame Flange Frame Material Material Material Inside of Frame Type Frame Width Size/Thickness Width Center Carbon Steel Stainless Steel Aluminum Tires Fabricated I-Beam Structural I-Beam C-Channel Tubing

P080512-Trucklift page-2