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EVALUATION FORM FOR BRAVO <br />RETROFIT ENTRY FITTINGS& RC -SERIES . <br />FILL OUT THIS FORM FOR EVERY SUMP YOU WILL INSTALL BRAVO RETROFIT ENTRY FITTINGS TO. <br />Evalutaion Date: Customer name: <br />Contractor name: Station/Site #: <br />CONTAINMENT SUMP INFORMATION <br />Sump #: Sump I.D. to <br />1/8° accuracy Fiberglass ❑Polyethylene <br />❑ Flat Walls 0 Curved Walls ❑ UDC E Tank/Turbine Sump ❑ Transition Sump <br />TO HELP DETERMME FLEXIBLE RIPE TYPE, CONSULT THE <br />BRAVO FLEX -PIPE ID CHART AT: WVi W.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 />lC:,+nrri�Ilpu�k'tf�allirjrcisr <br />MEMBE <br />❑ <br />;4 <br />VENT I VAPOR LINE `KUFjT <br />Pipe brand /type: <br />Pipe size: <br />(nominal I.D.) <br />Studded <br />entry boot: <br />Threaded <br />bulkhead: <br />Direct <br />�jq�Quantity: <br />❑ <br />❑ <br />❑ <br />❑ <br />CONDUIT 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 />❑ <br />❑ <br />❑ <br />❑ <br />W,.SBRAvo.coM on= <br />� ® <br />made <br />Cr( f,,�,P� <br />WBENC <br />n <br />PR09LEMSOLVED <br />800 -AT -BRAVO �'>�- <br />�n USA <br />lC:,+nrri�Ilpu�k'tf�allirjrcisr <br />MEMBE <br />