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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