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Dec 10 13 08:47a Elit- IV Contactors 12094616342 <br />v it <br />awl <br />Dispenser Conversion Evaduatio <br />Distributor: Sales Person: <br />Exisfing <br />MANUFACTURER <br />2 <br />RECEIVED <br />SPEC:.IF!C NIODEL NUli BER raj L1 ZQ 1& <br />s pp <br />-Sa.`.'+EtCIP$C MODiiw(«. SEEd'i�.�..�1'T <br />"tom,r-„....—..,..:a...--.•��s.--aa .,� ,.:auuaa--a�an:Lien:e:S "iwt a�gl 4; 1:'j; c.: r::.i"L'•::.:i <br />Existing UDC Sump <br />Is it a Bravo UDC? ❑ or Make/Model <br />Shallow pan or Deep Sump? <br />Water splash lip opening (1.D.): Length/ 3_`_ - width 1.,” <br /># of existing Anchor Bolts for concrete pad 1 island: <br />Does the existing UDC have a water splash lip? F S <br />THE FOLLOWING APPLIES TO THE STATE OF CALIFORNIA Billy <br />'1,�Q.?ilt3 <br />(71 <br />iNMENTAL <br />01 <br />DIS 'ENSER / HYDRAULIC CAP,INET <br />F -7-1.A, <br />11, Does conduit exist within 2" of the inner opening? & (IE 'i E ;,IMAGES ARE REQUIRED) <br />i_ 1�, _i <br />c^.a <br />X21Does conduit exist outside of the UDC water splash lip? � <br />+,_,. f F YES, IMAGES ARE REQUIRED) <br />1--.S <br />FOR ASSISTANCE, CALL <br />at <br />FAX TO 323-888-4123 OR EMAIL TO YOUR SALE REPRESENTATIVE <br />1 2 A <br />�► �% WWW.SBRAVO.GOM ,m clE NG. � <br />0�0)800-AT-BRAVO i .•'J <br />{r, U+w.11� „:n;,>:-. au�irea: s:tu!4 riv , @i , <br />PROBLEM SOLVER D <br />9 EN WH <br />lZ 1 i <br />i i; <br />1 <br />l <br />F -7-1.A, <br />11, Does conduit exist within 2" of the inner opening? & (IE 'i E ;,IMAGES ARE REQUIRED) <br />i_ 1�, _i <br />c^.a <br />X21Does conduit exist outside of the UDC water splash lip? � <br />+,_,. f F YES, IMAGES ARE REQUIRED) <br />1--.S <br />FOR ASSISTANCE, CALL <br />at <br />FAX TO 323-888-4123 OR EMAIL TO YOUR SALE REPRESENTATIVE <br />1 2 A <br />�► �% WWW.SBRAVO.GOM ,m clE NG. � <br />0�0)800-AT-BRAVO i .•'J <br />{r, U+w.11� „:n;,>:-. au�irea: s:tu!4 riv , @i , <br />PROBLEM SOLVER D <br />