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EEVALUATIONFORM FOR BRAVO 0a 2018 <br />RETROFIT ENTRY FITTINGS s ao�aa�E�'::'t°`,. <br />FILL OUT TAGS FORM FOR EVERY SUMP YOU WILL INSTALL BRAVO RETROFIT EMTRV FITTINGS TO. <br />Evalutaion Date: <br />Contractor name:y- <br />Customer name: <br />Station/Site #: <br />CONTAINMENT SUMP INFORMATION <br />Sump #: Sump I.D. to ® Fiberglass 11 Polyethylene <br />1/8" accuracy <br />❑ Flat Walls lel Curved Walls ❑ UDC ❑ Tank/Turbine Sump ❑ Transition Sump <br />TO HELP DETERMINE FLEXIBLE PIPE TYPE, CONSULT THE <br />BRAVO FLEX -PIPE ID CHART AT: WWW.SBRAVO.COM / FLX <br />PRODUCT LINE RETROFIT <br />Pipe brand / type: <br />Pipe size: <br />(nominal I.D.) <br />Studded <br />entry boot: <br />Threaded <br />bulkhead: <br />Direct <br />bury: <br />Ducted <br />pipe: <br />Quantity: <br />Cert; i°d <br />PROBLEM SOLVED <br />® <br />USA <br />❑ <br />❑ <br />❑ <br />5 <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />VENT / VAPOR LINE RETROFIT <br />Pipe brand/ type: <br />Pipe size: <br />(nominal I.D.) <br />Studded <br />entry boot: <br />Threaded <br />bulkhead: <br />Direct <br />bury: <br />Ducted <br />pipe: <br />Quantity: <br />❑ <br />❑ <br />❑ <br />❑ <br />CONDUIT <br />RETROFIT <br />Conduit brand / type: <br />Conduit size: <br />(nominal I.D.) <br />Studded <br />entry boot: <br />Threaded <br />bulkhead: <br />Galvy: <br />PVC <br />coated: <br />Quantity: <br />J <br />El <br />El <br />El <br />❑ <br />❑ <br />❑ <br />❑ <br />h BRAVO <br />.SB�vo.�oM ®�)PE, <br />_ <br />p <br />6�-. <br />made <br />In <br />Cert; i°d <br />PROBLEM SOLVED <br />800 -AT -BRAVO <br />USA <br />N;,mrn'elii.:ilval6¢.y�m.r <br />MEMBER <br />