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• <br /> or <br /> DISTRIBUTOR: P.O. : <br /> SALESPERSON: DATE: <br /> DISPENSER DISPENSER <br /> MANUFACTURER: Tokheim MANUFACTURER: Gilbarco <br /> DISPENSER 7553AXTW1 CCFs DISPENSER <br /> 7552AXTW1 CCF Encore N A 0 <br /> MODEL: � MODEL: <br /> L =j <br /> [mom <br /> DISPENSER I HYDRAUUC CABINET <br /> Is it a Bravo UDC?Fy_j or Make/Model <br /> Shallow pan or Deep Sump? Shallow Pan '� <br /> Water splash lip opening(I.D.): Length Width <br /> #of existing Anchor Bolts for concrete pad I islands f� <br /> E 108 <br /> e ly IF YES:Retrofit plates required in <br /> ,1 t Does conduit exist within 2"of the inner opening? Y/N Califomia.Retrofit plates recommended <br /> `'"I outside of California. <br /> 121 Does conduit exist outside of the UDC water splash lip? Y/N N IF YES:Check one of the boxes <br /> below. <br /> Is conduit on 1 or 2 1 SIDE * 2 SIDES AND A WIDE FRAME DISPENSER <br /> sides of vapor panel? <br /> ST I) D C.t3NVE C1N F ME Nt}T RK,..�CANTAGT ACTt3 Y <br /> 11 <br /> FOR ASSISTANCE, CALL 800-AT-BRAVO <br /> FAX TO 323-888-4123 OR EMAIL TO YOUR SALES REPRESENTATIVE <br />