Raport Service Nr.: / Service Report No.:

Dimens. stanga / Measurement left	▲

Directia de mers / Direction of travel	Dimens. dreapta / Measurement right
Exterior / Outer	Interior / Inner
Interior / Inner	Exterior / Outer
Axa 1 / Axle 1	Placuta fr. cu suport

Pad incl. plate

mm	Placuta fr. cu suport

Pad incl. plate

mm	SAF Serial-Numar

SAF serial number

Placuta fr. cu suport

Pad incl. plate

mm	Placuta fr. cu suport

Pad incl. plate

mm
Disc

mm	Disc

mm
Indicator uzura

Wearout indication

ja / yes nein / no
Disc

mm

Disc

mm
Grosime totala disc

Total thickness of brake disc

mm
Axa liftanta / Lift axle

ja / yes nein / no
Grosime totala disc

Total thickness of brake disc

mm
Axa 2 / Axle 2	Placuta fr. cu suport

Pad incl. plate

mm	Placuta fr. cu suport

Pad incl. plate

mm	SAF Serial-Numar

SAF serial number

Placuta fr. cu suport

Pad incl. plate

mm	Placuta fr. cu suport

Pad incl. plate

mm
Disc

mm	Disc

mm
Indicator uzura

Wearout indication

ja / yes nein / no
Disc

mm	Disc

mm
Grosime totala disc

Total thickness of brake disc

mm
Axa liftanta / Lift axle

ja / yes nein / no
Grosime totala disc

Total thickness of brake disc

mm
Axa 3 / Axle 3	Placuta fr. cu suport

Pad incl. plate

mm	Placuta fr. cu suport

Pad incl. plate

mm	SAF Serial-Numar

SAF serial number

Placuta fr. cu suport

Pad incl. plate

mm	Placuta fr. cu suport

Pad incl. plate

mm
Disc

mm	Disc

mm
Indicator uzura

Wearout indication

ja / yes nein / no
Disc

mm	Disc

mm
Grosime totala disc

Total thickness of brake disc

mm
Axa liftanta / Lift axle

ja / yes nein / no
Grosime totala disc

Total thickness of brake disc

mm

Fisa de uzura / Wear Data Assessment

SAF-HOLLAND GmbH • Hauptstr. 26 • D-63856 Bessenbach • Germany

Tel.: +49 (0) 6095 / 301 - 602 • Fax: +49 (0) 6095 / 301 - 259 • service@safholland.de • www.safholland.com	01.2006 RO/GB

Serviciu - Formular

· Fisa de uzura

Florian Schnabel

2006-05-05

Polak, Adriane

SAF-HOLLAND