PPS Dispenser Repair

PPS Dispenser Repair

Portland Public School District Dispenser Repair Form

The Form Below is intended for the Custodial Staff/Employees of the Portland Public School District for dispenser repairs ONLY
** PLEASE NOTE **

This system is for requesting replacement installations only—it is NOT used to order replacements. Please contact your Brady Plus representative, Duke Johnson (Duke.Johnson@bradyplus.com) directly for current replacement pricing.
Date*

MonthDayYear
Please Select Today's Date
School Cluster
Select Your Cluster and School list will be Displayed
Jefferson/Grant Cluster
Franklin Cluster
Cleveland/Benson Cluster
Wells/Lincoln Cluster
McDaniel/Roosevelt Cluster
Other (Please List Site Name and Address)
Custodian Name*

First NameLast Name
Custodian Phone*
Number to contact upon arrivalFormat: (000) 000-0000.
Custodian Email Address*
example@example.com
Dispensers (Please Select Appropriate Dispenser for Replacement)
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Spartan Chemical foamyiQ
Spartan Chemical foamyiQ™ Foaming Handwash, 1,250 mL Container, 4 Containers Per Case

$ Free Quantity



PURELL Soap Dispenser: Manual, Foam, Black, Glossy, ES4
Overall Depth10 inOverall Height5-3/8 inOverall Width6-1/2 inMount TypeWall

$ Free Quantity



PURELL Hand Sanitizer Dispenser: Manual, CS4 Series, Black, Glossy, Wall Mount
MaterialABS Plastic; PET Plastic (Refill Bottle); Plastic (Pump)Overall Height10-1/2 inOverall Width5-5/8 inOverall Depth4-1/2 in

$ Free Quantity



Paper Hand Towel Dispenser Black
552528 - Tork PeakServe® Continuous™ Paper Hand Towel Dispenser Black H5

552528

$ Free Quantity



Mini Paper Hand Towel Dispenser Black
Tork PeakServe® Mini Continuous™ Paper Hand Towel Dispenser Black H5

552538

$ Free Quantity



Mechanical Paper Hand Towel Roll Dispenser Black
Tork Mechanical Paper Hand Towel Roll Dispenser Black H80

$ Free Quantity



Twin Toilet Paper Roll Dispenser Black
Tork OptiCore® Twin Toilet Paper Roll Dispenser Black T11

565728

$ Free Quantity



3-Roll Toilet Paper Roll Dispenser Black
Tork OptiCore® 3-Roll Toilet Paper Roll Dispenser Black T11

565828

$ Free Quantity



EVOGEN Sanitary Napkin and Tampon Dispenser
Tampon Capacity22Overall Height26 inOverall Width14 inOverall Depth5-5/8 in

$ Free Quantity



Evogen EVNT4 Mini No-Touch Dual Sanitary Napkin & Tampon Dispenser
Compact no-touch dispenser for smaller restrooms

Dual dispenser for sanitary napkins and tampons

Holds 9 size #4 sanitary napkins and 13 tampons

$ Free Quantity



Sanitary Napkin & Tampon Dispenser Small (Black)
$ Free Quantity



Bobrick B-270 Surface-Mounted Sanitary Napkin Disposal
7-1⁄2″ W x 10″ H x 3-13⁄16″ D

$ Free Quantity



Appeal APP18107 White Sanitary Napkin Receptacle
White Width 4.9 in. Length 12 in. Depth 9.8 in.

$ Free Quantity



Bobrick B-221 Surface Mounted Seat-Cover Dispenser
Unit 15 3⁄4" W, 11" H, 2" D (400 x 280 x 50mm)

$ Free Quantity



Other
Please fill in the item in area below.

$ Free Quantity
Location Area(s) of Repair/Replacement & Additional Information
Image Upload (Upload images to assist in replacement area or new location)

NOT REQUIRED
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