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INSTALL_2023
EnvironmentalHealth
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GRANT LINE
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2300 - Underground Storage Tank Program
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PR0548699
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INSTALL_2023
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Entry Properties
Last modified
2/3/2026 9:08:02 AM
Creation date
10/3/2023 5:01:54 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
INSTALL
FileName_PostFix
2023
RECORD_ID
PR0548699
PE
2351 - UST FACILITY - 2481 COMPLIANT
FACILITY_ID
FA0027873
FACILITY_NAME
ARCO AMPM-MOUNTAIN HOUSE
STREET_NUMBER
18095
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
MOUNTAIN HOUSE
Zip
95391
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\kblackwell
Supplemental fields
Site Address
18095 W GRANT LINE RD MOUNTAIN HOUSE 95391
Tags
EHD - Public
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AGCOC.COM <br /> U J <br /> Z <br /> H <br /> a <br /> w <br /> U <br /> Z <br /> COMPANY MOUNTAIN HOUSE SQUARE INC DATE OF QUOTATIOI1,I QUOTE NUMBER COMPANY MOUNTAIN HOUSE SQUARE INC DATE OF QUOTATION QUOTE NUMBER COMPANY MOUNTAIN HOUSE SQUARE INC DATE OF QUOTATION QUOTE NUMBER O <br /> PROJECT: SAME 12/27122 0 PROJECT: SAME 12/27122 0 PROJECT: SAME 12127f22 0 U <br /> QTY Part Number DESCRIPTION UNIT PRICE EXTENDED QTY Part Number DESCRIPTION UNIT PRICE EXTENE._L QTY Part Number DESCRIPTION UNIT PRICE EXTENDED Z <br /> BRAVO SUMPS Bravo 314" FRP Rigid DW Electrical Sump Penetration Fitting AB2481 Use With 314" 2 886100-010 Veeder-Root Phase-Two Water Mag Plus Gas Probe Installation Kit 10' Cable 0 C) <br /> 12 F-075-0 DF Galvanized Conduit & Propylene Glycol - Not for use with Sodium Chloride Brine. Fn <br /> 3 B480-50-D-20 Bravo D.W. FRP Turbine Sump py y 1 846400-011 Veeder-Root Mag Plus ❑iesel Probe Installation Kit 10' Cable N <br /> LU <br /> 3 B420-50-D-00 Bravo D.W. FRP Fill Sump Bravo 1" FRP Rigid DW Electrical Sump Penetration Fitting AB2481 Use With 1" 3 848480-001 Veeder-Root PLLD Line Leak Detector without SwiftCheck Valve E85 OK <br /> 3 F-10s-0-DF 0 N 17 <br /> Pour channel epoxy slurry to join Bravo doublewall base and to must use backerrod 1 Galvanized Conduit & Propylene Glycol - Not for use with Sodium Chloride Brine. � r, LO <br /> 18 EPC-S1.0 p y y l p ( ) 1 330843-001 Veeder-Root Six Input PLLD Module Mounts in Law Power Comp. U U N <br /> gallon, 3 gallons needed per joint....**NON RETURNABLE*".. 2 P5-400 Bravo 400ml Dual Cartridge 'Petro Seal'W13 Mix Tips. Each kit handles 10ea Electrical 1 330374-001 Veeder-Root Three Output PLLD Module Q <br /> TANK HARDWARE: Penetrations <br /> 1 790091-001 Veeder-Root Overfill Alarm 2 v GO <br /> OPW 6571 Series Package Kit Including: Q � <br /> 6571 EVRB-164042RT052 EVR Multiport, 42" Dia <br /> 1201208V, ENCLOSURE NEMA1, DIM 36"WX86"HX10"DEEPINCLUDES 20" HIGH 1 790095-001 Veeder-Root Alarm Acknowledgement Switch N c <br /> 61JSK-44CB EVR Jack Screw Ass. For Cast Iron Base Fills SUPPORT PEDASTAL, SINGLE POINT GROUNDING SYSTEM, FACTORY WIRED & 1 FENCE21080055OVERFILL Overfill Alarm Sign N z 0- <br /> 615ALP-1020-EVR Fuel Swivel Adapter Low Profile, Bronze TESTED, UL LISTED, CUSTOM PANEL SOLUTION, FACTORY INSTALLED &WIRED 3 305XPA-1100AK-EVR Morrison4" Probe Cap and Ring Kits EVR <br /> 634TT-7085-EVR 4" Fill Cap 1 DCM-10D-3P-10L BREAKERS FOR DISPENSERS, SUBMERSIBLE PUMPS, ELECTRONICS, EXTERIOR 3 305XP-1218-2c Morrison Cord Grip- needed for EVR upgrade if reusing probes <br /> 61VSA-1 020-EVR Vapor Swivel Adapter, Bronze LIGHTING, SURGE SUPRESSION, 120/208 3 PHASE, ENCLOSURE NEMA 1, SIGLE <br /> POINT GROUNDING SYSTEM, FACTORY WIRED &TESTED, UL LISTED, 1 84 Veeder-Root Vacuum 1 Hydrostatic Monitoring for AB2481 <br /> 2 PK2-42RTMP-33 1711T-7085-EVR 4"Vapor Cap ( ) m U <br /> VPN4x7 4" Nipple 7" Long For Fill CIRCUIT, DISPENSER EMERGENCY SHUT OFF, ISOLATION FOR DISPENSERS Veeder-Root 7 Input Smart Sensor Module W Embedded Pressure Sensor For Vacuum <br /> FSA-400-5 Short EVR Face Seal Adapter Sensor Monitoring & ISD For VR Carbon Canister. One spot required for the Vapor <br /> H12806M 4"Nipple 5" Long For Vapor 1 EM02 SQUARE ❑ ESO RESET SWITCH INDOOR WITH SHOUR❑ 1 332250-001 Pressure Sensor and one for the canister valve and one for each Vapor Flow Sensor. <br /> 6511-RB16 Riser Spacer 16"Center to Center Mounts in Low Power Compartment. <br /> MPWS-33 Sump Shield for Sumps Lids Up to 32.5" Di 2 EM04C SQUARE D E50 OUTDOOR SWITCH <br /> Veeder-Root 8 Input Smart Sensor Module for Vacuum/Mag Sensors Mounts in Low <br /> OPW 6571 Series Package Kit Including: - VF Cam man der W!Terminal S Work Station(s) 2 329356-004 Power Compartment. One spot required for the Vapor Pressure Sensor and one for each <br /> 6571 EVRL-164042RT051 EVR Single port, 42" Dia 1 M149-111-00-NAA Commander Controls up to 16 Fueling Positions Vapor Flow Sensor. <br /> 61JSK-44CB EVR Jack Screw Ass. For Cast Iron Base Fills 1 Ml49-901-01-R Forecourt Interface Box 17 330020-536 Veeder-Root Hydrostatic Dispenser Sump Sensor Kit. Includes lea Mini-hydrostatic <br /> 615ALP-1020-EVR Fuel Swivel Adapter Low Profile, Bronze 1 Dispenser Interface Board Sensor, Dispenser Sump Sensor, 2 to 1 Sensor Input Box <br /> 634TT-7085-EVR 4" Fill Cap 1 29721-01 Current Loop Board-Gilbarco Dispensers I OR I 1 330020-480 Veeder-Root tea Vacuum Sensor Kit No Tank Support IE Brine Tanks <br /> 1 PK3-42RTDIESEL-33 VPN4x7 4" Nipple 7" Long For Fill POS Options: 1 330020-472 Veeder-Root 3ea Vacuum Sensor Kit For Steel Tanks <br /> FSA-400-5 Short EVR Face Seal Adapter <br /> MPWS-33 Sump Shield for Sumps Lids Up to 32.5" Dia. 3 M182-001-01-NAA C18 Terminal Includes: Cash Drawer,Printer,Oneac c Is License 1 330020-467 Veeder-Root 4ea Vacuum Sensor Kit For Steel Tanks <br /> C05223M Shroud Boot Cap To Isolate One FRP Cover Point 3 C18 Keyboard 2 332310-003 Veeder-Root 100'Vacuum Hose N <br /> Z <br /> 23-0033 2"vent Cap C18 Optional Display-NO TOUCH <br /> Veeder-Root Carbon Canister for ISD � <br /> 3 C18 Optional Display-TOUCH N <br /> Veeder-Root Carbon Pressure Management System W12" Installation Kit Requires V29 > <br /> 3 71 SO-41 OCT OPW EVR 4"Overfill Valve 2 Point 120" Upper 102" Lower VeriFone Help Deck &Annual Software Maintenance: 1 861290-002 Software Ld <br /> 3 71 JSK-44MA OPW E85 EVR Jack Screw Ass. For Cast Iron Base Fills Is Not Included in Above Prices ASC will bill at time of installation Veeder-Root In-Station Diagnostics ISD <br /> 3 FSA-400-5 Pomeco Short EVR Face Seal Adapter-Required on Gas Fill & Monitor Risers. Misc. Item: 1 330160-004 Veeder-Root 5EM Software Enhancement Module <br /> 1 5885 HUSKY 2" Pressure Vacuum Vent (EVR Carb Approved) E85 approved VeriFone- Pin Pads <br /> 1 330020-515 Veeder-Root 15D Manuals &Vapor Pressure Sensor-1 per site <br /> 1 233-4422 OPW 4x4x2x2 Extractor Valve W/O Cage M400 Pin Pad <br /> 1 333760-203i Veeder-Root NVMEM 2 Report Storage 1 per console required w <br /> 1 233-4432 OPW 4x4x3x2 Extractor Valve W10 Cage M44540301- WA5-X XXX -BUY-26 Buypass-351 Key TDES W <br /> 1 330280-001 Veeder-Root Commander Dispenser Interface Module(DIM) <br /> 1 233-4420 OPW 4x4x2 Extractor Valve W/O Cage Pin Pad includes: <br /> 3 FL100black-SK12 Fibrelite 40" Fiber Reinforced Composite Manhole Black- Includes Frame & Skirt 22278-10 Pinpad Cable Fiberglass Pipe <br /> 1 FL7A Fibrelite Stainless Steel Lifting Handle MSC445-011-00-A M400 Cable 500 011020-069-1 Smith 2" Fiberglass Pipe (15' Lengths 1 Priced By The Foot) 00 <br /> Bravo D.W. Vapor Vent 3 Product FRP Containment Box for 3"Over 2" FRP Pipe. For Supply PWR445-001-01-A Power 5u I 700 011030-069-1 Smith 3" Fiberglass Pipe (15' Lengths 1 Priced By The Foot) Q <br /> 1 B501-D-2221EO-EB5 Planter Area. Add $206.15 for Steel Plate Walk Area. Unit Includes EO Option CBL132-003-01-A Cable, RJ45 to USB 1500 011020-069-2 Smith 2" Fiberglass Pipe (25' Lengths 1 Priced By The Foot) <br /> Island Hardware 1800 011030-069-2 Smith 3" Fiberglass Pipe (25' Lengths 1 Priced By The Foot) w o <br /> Upgraded Concrete Anchoring on B500 or B600 5W or DW For Supporting VR CCVI'- _ I.— N <br /> 1 B500-600-VRC-ADF� 40 012020-101-8 Smith 2"Sleeve Coupling a <br /> Must be Ordered With VRC Rack Matching size. 10 CNI CNI 4'x8'x13" HourGlass Island Form w16" Radius End p 9 o Z <br /> Bravo 36" Encore DW Brine Dispenser Sump 213 Product. Includes EO-FRM Add for 12 012020-191-4 Smith 2" Bell x Male Adapter Q <br /> 3P Vent Rack Assembly, Small, 12' Upright, 2x2x114"Tubing. Inc Clamps & Spcl 10 B8380-D30 Factory g g Freight 70 012020-310-4 Smith 2"45 Degree Elbow <br /> 1 R5-500-VRC-3S Hardware For VR Canister. Can Only Be Used With B500-VRC/B600-VRC 0 Q <br /> 25 BK-8000 Bravo Product Shear Valve Bracket X&Y Axis Adjustable Bracket For B80001B9000 48 012020-360-4 Smith 2"90 Degree Elbow Z <br /> 1 ISTM-V54-VL3 FE PETRO 4HP VARIABLE SPEED TURBINE VL WITH 27".5" RISER 10 BK-B2 Bravo Vapor Shear Valve Bracket 28 012020-410-4 Smith 2"Tee <br /> 24 1OBFP-5726 OPW Double Poppet Shear Valve- Female 40 012030-101-3 Smith 3"Sleeve Coupling Clamshell <br /> 2 STPMRVS2-VL2-402725927 FE PETRO 2 HP Variable 5peedlLength VL Sub Pump with 27.5" Riser 10 60VSP-1001 OPW 1"x 1 112" Poppeted Vapor Shear Valve 10 012030-101-8 Smith 3"Sleeve Coupling <br /> 3 MAGVFC 5874202800 FePetro 5800300100 Variable Speed Controller 34 FG150-mms-18 Unisource 1.5"x 18"M x M Sw Fireguard SS Connector 2 012030-191-4 Smith 3" Bell x Male Adapter <br /> 3 5TP-DHI 5800300100 FePetro ❑isp Hook Isolation Box(One Per Submersible) For up to 8 Dispensers Tank Monitoring System: 10 012030-231-4 Smith 3"x 2" Bushing <br /> 3 400137937 FePetro Siphon Check Valve for Vacuum TLS350 Tank Monitor: 70 012030-310-3 Smith 3"45 Degree Elbow Clamshell <br /> 11 FG200-mms-24 Unisource 2"X24"MXMS Fireguard SSConnector 10 012030-310-4 Smith 3"45 Degree Elbow <br /> 2 FG300-MM-18 Unisource 3"x18" M x M Fireguard 55 Connector Veeder-Root TL5-350 Plus Tank Monitoring Console with Integral Printer. Use This Part <br /> 1 848290-022-ISD Number in Ca. Only When ISD 333760-203i NVMEM is Being Used. Must Sell NVMEM 48 012030-360-3 Smith 3"90 Degree Elbow Clamshell <br /> 3 691-08001V Morrison2" Ball Valve Seperately 8 012030-360-4 Smith 3"90 Degree Elbow <br /> 43 012030-626-0 Smith FRP 3"AB248lSump Penetration/Termination Fitting. 1 329356-002 Veeder-Root Four Input Probe Module Mounts in Low Power Comp. 28 012030-410-3 Smith 3"Tee Clamshell <br /> 2 012040-626-0 Smith FRP 4"AB24815ump Penetration/Termination Fitting. 4 329358-001 Veeder-Root Eight Input Sensor Module-Mounts in Low Power Comp. 12 012030-410-4 Smith 3"Tee <br /> 3 F-325-T-F Bravo 1 Pack of FRP flat-wall Full Body fitting wltesters for 3'x2' FRP pipe. Use tea EP10 1 329359-001 Veeder-Root Four Relay Output Module 278 60120101 Smith P5X 34—6oz Adhesive <br /> 12 EP-100 p p <br /> Bravo Epoxy Kit (6oz Epoxy 1oz Catalyst)in poly can with yellow colorant. Includes: two 1 329362-001 N Veeder-Root R5-232 Interface Module 200 011040-077-5 Smith 4"Secondary Fiberglass Pipe(15' Lengths/Per Foot) <br /> pairs nitrile gloves, and one stir stick. 1 330020-425 Veeder-Root Module, Ethernet TCP/IP Communications TLS-350 Series Consoles 300 011040-069-5 Smith 4"Secondary Fiberglass Pipe(25' Lengths/Per Foot) <br /> 3 0846397-109 Veeder-Root S5 10' HGP Mag PlusMagnetostrictive 5S Probe 8 012040-360-3 Smith 4"90 Degree Elbow Clamshell <br /> Page 2 of 5 Page 3 of 5 Page 4 of 5 <br /> Northwest Pump Equipment Co. Northwest Pump Equipment Co. Northwest Pump Equipment Co. p� V) <br /> Ill J <br /> QJ <br /> W <br /> COMPANY: MOUNTAIN HOUSE SQUARE INC DATE OF QUOTATION QUOTE NUMBER Ci— 1 <br /> PROJECT: SAME 12/27/22 0 <br /> QTY Part Number DESCRIPTION _1I'dIT PRICE EXTENDED IC <br /> 10 012040-310-3 Smith 4"45 Degree Elbow Clamshell CD <br /> 12 012040-410-3 Smith 4"Tee Clamshell �7 <br /> 10 012040-101-3 Smith 4"Sleeve Coupling Clamshell 0 <br /> 10 012040-238-3 Smith FRP 4"x3"Concentric Reducer use with 3"AB2481 fitting above n <br /> Miscellaneous <br /> 2 M-53 Emergency Shut-off Switch Sign W <br /> 20 PID-CANOIB Nozzle Operation Decal w1CARB Contact Info Lpp -L i pp <br /> W 0 <br /> COMPANY: MOUNTAIN HOUSE SQUARE INC DATE OF QUOTATION QUOTE NUMBER <br /> PROJECT SAME 12/27/22 0 Q:::� 0 <br /> QTY Part Number DESCRIPTION UNIT PRICE EXTENDED <br /> TANKS: <br /> Modern 25,000 Gallon Double Wall Underground Storage Tank with Two (1) 43"& (1) < 7 <br /> 1 25K 87 48"TALL BRAVO Collars and Standard NPT Tank Top Fittings Ln z ` <br /> Modern 20,000 Gallon Dual Compartment (12,000/8,000) Double Wall Underground C ) <br /> 1 20 K SPLIT 1218 Storage Tank with Four(2) 43"& (2) 48"TALL BRAVO Collars and Standard NPT Tank - 00 O <br /> Top Fittings <br /> 1 Estimated Tank Freight Only- Unloading by Others consultant job# <br /> A DISPENSERS Wayne Ovation® fuel dispenser with Anthem UX® platform master release date <br /> 6 WAYNE SINGLE HOSE PER SIDE project master <br /> 4 WAYNE DUAL HOSE PER SIDE, MULTI—PRODUCT exe date drawn by <br /> Facility/Project <br /> sheet name <br /> M .5.3 .01 <br />
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