Laserfiche WebLink
01/01/2013 00:10 2095240' ti/ n. VED 02/02 <br /> .. <br /> �#� t 5 20% <br /> Dispenser Conversion Evaluftion,_ arm <br /> Distributor: Sales/Person: P.O. #'�u �� 1 r aY04 4 k i <br /> Existing Dispenser <br /> MANUFACTURER <br /> SPECIFIC MODEL NUMBER 113 - 1`� 4\/I^ rvg <br /> 0 <br /> NEW' • rDispenser W <br /> MANUFACTURER 61 VV, <br /> SPECIFIC MODEL NUMBER WS `i&3$7 <br /> DISPENSER! HYDRAULIC CAIN IBINET <br /> IY <br /> Existing UDC Sump <br /> V}� 1 I JI <br /> Is it a Bravo UDC? Eli or Make/Model 0 I <br /> Shallow pan or Deep Sump? MAIN <br /> l r Gslr il" <br /> i 't)I�InII <br /> Water splash lip opening (I.D.): Length Width <br /> #of existing Anchor Bolts for concrete pad/island, L <br /> Does the existing UDC have a water splash lip? <br /> THE FOLLOWING APPLIES TO THE STATE OF CALIFORNIA ONLY <br /> t_a <br /> Does conduit exist within 2" of the inner opening? Y65 ( IF YES, IMAGES ARE REQUIRED) <br /> 121 Does conduit exist outside of the UDC wafer splash lip? 1 4 O (IF YES, IMAGES ARE REQUIRED) <br /> FOR ASSISTANCE, CALL 800-AT-BRAVO <br /> FAX TO 323-888-4123 OR EMAIL TO YOUR SALES REPRESENTATIVE <br /> 12A <br /> t) ���Q WWW.SBRAVD.00M . , ,.�. made <br /> WBEN `� <br /> PR05L !VI5C Wen 800-AT-BRAVO ::� in USA * �yna M=TM <br />