ATERPILLAR

SERVICE REPORT

DEALER WORK SEG. CUSTOMER

: J21G
CODE ORDER 1 NAME
### EMPLOYEE EQUIPMENT
DATE 5721
mo / da / yr IDENTIFICATION LOCATION

CATERPILLAR CATERPILLAR INSTRUCTION

793 C 4AR00249
MODE SERIAL NO.
REPLACE RIGHT REAR TURB
HOURS 54377 MILES : KILOMETER :

PART NUMBER DESC.* GROUP NUMBER DID THIS INCIDEN

RESPONSIBLE PART NAME QTY. CODE CONTAINING PART GROUP NAME MAKE THE PRODUCT

INOPERABLE?

189 5122 CLAMP AS 1 10 194-2975 TURBO CHARGER

X
Yes No

Yes No

Yes No

A - Structural C - Leaks E - System malfunction G - General Repair K - Serviceability X - OPERATI

DESCRIPTION CODES* B - Surface D - Factory Assembly F - Factory Shipping H - Adjustment N - Abuse COMPLAI

RELATED SERIAL NUMBERS COMPONEN ARRANGEMENT/ LABOR DESCRIPTION

CATERPILLAR OEM PRODUCT TEST/SERIAL NUMBERS CODE

MODEL SERIAL NO. MAKE/MODEL COMPONENT NUMBER

VEHICLE CONFIGURATION

DELIVERY DATE OF

DATE LAST LABOR

WHAT WAS THE

CUSTOMERS' COMPLAINT? ENGINE LOW POWER AND EXHAUST GAS LEAK

ADDITIONAL COMENT ON

THE CAUSE OF FAILURE? AFTER CHECK FOUND 189 5122 CLAMP AS FOR TURBINE WHEEL
 RIGHT REAR TURBO CHARGER BROKEN , AND LOOSE BETWEEN 194 2975 CARTRIDGE AND

189 5121 HOUSING TURBINE WHEEL

WHAT WAS THE

RESULTANT DEMAGE? DURING ENGINE RUNING WHILE HOUSING TURBNE WHEEL LOOSE CAUSED

DAMAGE AT TURBINE WHEEL AND BENT SHAFT TURBO CHARGER

HOW DID YOU

REPAIR IT? CARRY OUT REPLACE RIGHT REAR TURBO CHARGER GP. BY REMAN

AND USAGE PART'S AS PER LIST , INSTAL FOLLOW SPECIFICATION

TEST ENGINE RUNING AND PERFORMANCE FOUND , OK

CUSTOMER SERVICEMAN Djuwito

SIGNATURE SIGNATURE
 ROUTING

PT. NEWMONT NUSA TENGGARA

BATU HIJAU - SUMBAWA NTB

REPLACE RIGHT REAR TURBO CHARGER

DESCRIPTIVE COMMENTS

(20 SPACES MAXIMUM PER INCIDENT)

CLAMP TURBINE WHEEL

r K - Serviceability X - OPERATION

N - Abuse COMPLAINT

DESCRIPTION MAN

HOURS
CARTRIDGE AND

E CAUSED

AN