Laserfiche WebLink
EVALUATION FORM FOR BRAVO <br />RETROFIT ENTRY FITTINGS& RC -SERIES ._ <br />FILL BUT THIS FORM FOR EMERY SUMP YOU WILL INSTALL BRAVO RETROFIT ENTRY FITTINGS Td. <br />Evalutaion Date: Customer name: <br />Contractor name:: fes,; . ��.�.� Station/Site #: <br />CONTAINMENT SUMP INFORMATION <br />Sump #: Sump 11/8" accDuracy ❑Fiberglass ❑ Polyethylene <br />Flat Walls ❑ Curved Walls ❑ UDC ❑ Tank/Turbine Sump Transition Sump <br />TO HELP DETERMINE FLEXIBLE PIPE TYPE, CONSULT THE <br />BRAVO FLEA:—PIPE ID CHART AT: WWVV.SBRAVO. CO110i / 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 />El <br />El <br />❑ <br />❑ <br />❑ <br />_.•. <br />❑ <br />❑ <br />- <br />'m <br />VENT I VAPOR LINE„ <br />Pipe brand/ type: <br />Pipe size: <br />nominal I.D. <br />( ) <br />Studded <br />entry boot: <br />ry <br />Threaded <br />bulkhead: <br />Duk ct' Ducte <br />bury: l l <br />ry� ��� <br />Quantity: <br />❑ <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 />❑ <br />1❑ <br />❑ <br />B PAV 0 <br />PROBLEM SOLVED <br />WWW.SBRAVO.COM <br />800 -AT -BRAVO <br />made T'ified <br />n WBENC 1� <br />�.. �n USA lL:+nmilL:r:rnvr!ut.lrcit MEMBER <br />