| Engine Model | |
|---|---|
| Manufacturer | |
| Serial Number | |
| Displacement (cc) | |
| Rated Power (kW) | |
| Family/Type | |
| Fuel Type |
| Date | |
|---|---|
| Test Location | |
| Ambient Temperature (°C) | |
| Humidity (%) | |
| Altitude (m) |
| Test Point | CO (g/kWh) | HC (g/kWh) | NOx (g/kWh) | Other |
|---|---|---|---|---|
| Idle | ||||
| Rated Speed | ||||
| Intermediate Speed |
| Name | |
|---|---|
| Signature | |
| Date |