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12/08/2012 10:30 (209)465-4988 Henderson Maintenance Cc Page 2/2 <br /> s - <br /> Dispenser Convelw%sion Evalua tion Form <br /> Distributor: dales Person: Art dump Ari Gomes 386137-00 <br /> E xi s tin D'i's p e n s e r <br /> MANUFACTURER Gilbarco <br /> rX>'L.��rv'4.i'.i'eltai`e?'d�'JFd`#'awL �d4a':°e1e�x':171:i.RYa3aaY�k o-'1 a5�Qi' 4�y <br /> NE � � %, <br /> Gilbarco <br /> 'y+..: <br /> 9 r NI`�(T1 <br /> P <br /> 1111111111 111DRAU11GExisting UDC Sump <br /> CA1311dEf <br /> 1 is <br /> is it a Bravo UDC? or Make/Model <br /> DEEP 26-3/4" ° <br /> Shallow pan or Deep Sump. . <br /> 28-3/4" 14-1/2" MATEP,SP k As"tiv <br /> Water splash lip opening(I.D.): Length � Width <br /> #of existing Anchor Bolts For concrete pad/island: 4 I ,a <br /> Does the existing UDC have a water splash lip? <br /> YES <br /> TOE FGLLOWING APPLIES TO TOE WE OF CALIRMNIA BNLY <br /> Does conduit exist within 2"of the inner opening? YES (IF YES,IMAGES ARE REQUIRED) <br /> 1 T^' <br /> s Does conduit exist outside of the UDC water splash lip? N (IF YES,IMAGES ARE REQUIRED) <br /> FOR ASSISTANCE, CALL 800-AT-BRAVO <br /> FAX T 323-888-4123 OR EMAIL TO YOUR SALES REPRESENTATIVE <br /> ,2A <br /> I I oto B R Wo .SaRAvo.coM =mader 6-----. <br /> { 1 <br />