DA 94 - Lube Oil Consumption Report

Lube Oil Consumption Report

*Period Covered by Owner Report Engine Serial No. Location Reported Dat by e Application Oil Change Period Miles/Hrs Equipment Filter Change Mfr Period Miles/Hrs

Repower Yes No

Type of Operation & Loads (Describe)

Brand & Weight of Lube Oil Used Type of Lube Filters Bypas Used s

Quantity (In Date Miles or Hours Quarts) Date, Mileage or Hours at Oil Change Date, Mileage or Hours & Quantity Added Date, Mileage or Hours & Quantity Added Date, Mileage or Hours & Quantity Added Date, Mileage or Hours & Quantity Added Date, Mileage or Hours & Quantity Added Date, Mileage or Hours & Quantity Added Date, Mileage or Hours & Quantity Added Date, Mileage or Hours & Quantity Added Date, Mileage or Hours & Quantity Added Date, Mileage or Hours & Quantity Added

Form #DA-94 (0105) Lube Oil Consumption Report

Total Net Mileage or Hours in Reporting Period Total Net Quarts Used in Reporting Period Total Miles Per Quart

*Report must cover minimum of 5,000 miles or 500 hours or 1 oil change period, whichever occurs first. Use additional copies of this form for longer reporting, if necessary.

Form #DA-94 (0105)