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i,f f 1 ' . 11 8EU61VEG J <br /> ,JUN 0 3 2015 <br /> DispenserC, onversion E Farm <br /> ii ,I�i. iki.�'.i•:C.i..,'.�::; UGt11 Ti.7�C!Jl,�?T�F.��,lT <br /> Distributor: Sales Person: P.O.# <br /> low <br /> { .. .Existing Dispenser <br /> 04 <br /> C R',Schl6�mberger <br /> ' fL <br /> U C URE_�Z,,,, <br /> CIFI.CIMODEL NUMBER 4442-6A-B-V ' <br /> i11, :III'., L!_.rl nave> LL' t.I.I,�Jntl <br /> FNEW ' Dispenser <br /> MANUFACTURERWayne OvationIC MODEL NUMBER B2314227D21K <br /> lk <br /> } <br /> ilium E <br /> 1. <br /> .'. ....T <br /> ■ .- <br /> DISPENSER/ HYDRU4cABIN j4SUMP C; iExis �gD <br /> Is it a Bravo UDC? ■ or MakElMod [ <br /> el <br /> i 4 1 Z <br /> Shallow pan or Deep Surnp? 9,e�•iTal� �.l -i , `: <br /> `I �4fl'� _! 3 wA�e�sar;asot t.ie <br /> Water splash lip opening (I.D.): Length ; Width 13 3141, I <br /> x i <br /> #of existing Anchor Bolts for concrete pad 1 island: 4 <br /> !_ <br /> Does the existing UDC have a water splash lip? yes i~ r <br /> THE FOLLOWING APPLIES TO N(STATE OF CALIFORNIA ONLY <br /> 11 Does conduit exist within 2"of the inner opening? yes (IF YES, IMAGES ARE REQUIRED) <br /> 121 Does conduit exist outside of the UDC water splash lip? no ( IF YES, IMAGES ARE REQUIRED) <br /> FOR ASSISTANCE, CALL 800-AT-BRAVO <br /> FAX TO 323888-4123 OR EMAIL TO YOUR SALES REPRESEI TATIV, <br /> 12A <br /> f1r WWAW.AASBBRAAVO.C��O11�M1 made �Y`:r.11if,Y S 1�� <br /> A13C3C3GEM�CJLVEL7 800-AT-8RMYOi 1n USA <br /> ; iNFJ vt tt IFIR <br /> r <br />