General Information
COMPANY NAME
ADDRESS
Automobile Information
TAG#
VIN #
Repair Information
DATE OF REPAIR
Did you replace or repair the component?
TO BE ANSWERED IF YOU REPLACED THE COMPONENT
IF YOU REPLACED THE COMPONENT, DID YOU CONSIDER
REPAIRING IT?
IF YOU DID CONSIDER REPAIRING THE COMPONENT, WHY
DID YOU DECIDE NOT TO DO SO?
IF YOU DID NOT CONSIDER REPAIRING THE COMPONENT,
WHY NOT?
DID THE NEED TO HAVE ADEQUATE INTERNAL CALIBRATION
DATA (ICD) AGAINST WHICH TO TEST A REPAIRED
COMPONENT PLAY ANY PART IN YOUR DECISION TO
REPLACE THE COMPONENT RATHER THAN REPAIR IT?
WOULD THE COST OF THE SERVICE TO THE CUSTOMER BEEN
LESS IF YOU COULD HAVE REPAIRED THE COMPONENT
INSTEAD OF REPLACING IT?
IF SO, APPROXIMATELY WHAT WOULD THE DIFFERENCE IN
COST HAVE BEEN? (PER COMPONENT)
TO BE ANSWERED IF YOU REPAIRED THE COMPONENT
IF YOU REPAIRED THE COMPONENT, DID YOU TEST AND
VERIFY ITS OPERATION AGAINST INTERNAL CALIBRATION DATA
(ICD) AFTER THE REPAIR WAS COMPLETED?
IF SO, WHERE DID YOU GET THE ICD AGAINST WHICH YOU
TESTED IT?
IF YOU USED OEM SPECIFIED ICD, HOW DID YOU OBTAIN
IT?
IF YOU DID NOT USE OEM SPECIFIED ICD, WHY NOT?
IF YOU DID NOT USE OEM SPECIFIED ICD, WAS IT
AVAILABLE FOR YOU TO USE?
IF YOU DID NOT USE OEM SPECIFIED ICD, DID YOU THEN
OR HAD YOU PREVIOUSLY MADE ANY EFFORTS TO OBTAIN
IT?
IF SO, WHAT EFFORTS WERE MADE AND WHAT WERE THE
RESULTS?
WERE THE VEHICLE'S EMISSIONS TESTED AFTER THE
REPAIR?
IF SO, WERE THE EMISSIONS HIGHER, LOWER OR ABOUT
THE SAME AS THE EPA PRESCRIBED EMISSIONS LIMITS
FOR THAT VEHICLE?
IF THE EMISSIONS WERE HIGHER, DO YOU HAVE AN
OPINION AS TO WHY THEY WERE HIGHER?
IF YOU DID NOT USE OEM SPECIFIED ICD AND THE
EMISSIONS WERE HIGHER, IN YOUR OPINION, WOULD
TESTING AND VERIFYING AGAINST OEM SPECIFIED ICD
HAVE MADE A DIFFERENCE IN THE EMISSIONS?
IF THE EMISSIONS WERE LOWER, DO YOU HAVE AN OPINION AS
TO WHY THEY WERE LOWER?
TO BE ANSWERED BY ALL