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REQUIRED DOCUMENTATION OWNER SUPPLIED FUEL SYSTEM EQUIPMENT <br /> I. A PROJECT CONTACT LIST WITH ALL GENERAL CONTRACTOR AND <br /> SUBCONTRACTOR CONTACTS AND PHONE NUMBERS SHALL BE SUBMITTED TO THE Z � <br /> OWNER'S CONSTRUCTION MANAGER, ALONG WITH A DETAILED CONSTRUCTION H&M Fuel Corp, La'- L)-OJC-?ill_ . ju.r,,1-mum-_I? t H&M Fuel Corp, Lv9 E J,- -I j .,1_ - LI) <br /> SCHEDULE PRIOR TO STARTING THIS PROJECT. � ` Stay Updated- Follow us Online! PRC�-�'T 3788 North Tracy Blvd. 02102/24 tcliver224-01 r•rc - T 3 788 N a rth T racy 81 vd. 02M2124 tcliver224-01 � 6-1, � <br /> QTY Furt r•vnLei L"_:i1-RIFT10-•! QTY Fortr•u MC i D=�CRIF'1 I0A '..I '� <br /> 2. THE FOLLOWING DOCUMENTATION, MINIMALLY, IS REQUIRED PRIOR TO RELEASING MUGM0 <br /> 1 1TAG-3010 DPW Premium Unleaded Bucket ID Island HardwareTHE FINAL IOio RETAINAGE ON THE PROJECT. THESE DOCUMENTS SHALL BE Northwest I Pum1 1TAG-4000 OPW Diesel Cover ID Bravo 36"Encore DW Brine Dispenser Sump V3 Product. Includes-EO-FRM Add for W CV v <br /> 4 88380-D30 <br /> PETROLEUM&INDUSTRIAL 1 1TAG-4010 OPW Diesel Bucket ID Factory Freight W <br /> SUBMITTED IN A BOUND PROJECT CLOSE-OUT FOLDER. 3800 Industrial Blvd-suite 1a,Sacramento,CA 95B91 916,3i B.0599 3 1TAG-7000 DPW Vapor Recovery Cover Id 4 EN-DP Bravo Systems DEFLECTOR-PLATE Z r _0-) <br /> A. SITE INFORMATION (ADDRESS, SITE/STORE NUMBER, ETC.) TELEPHONE E�11 DA7E0 QUO-.4TIOPJ QUO-E LMGER <br /> 1 1TAG-BE85 OPW E85 Cover ID 12 BK-£00D Bravo Product Shear Valve Bracke.X&Y Axis Adjustable Bracket For 680001B90D0 X Z CV <br /> LLI <br /> 925-819-2340 hanlini 02MZ124 tclivef224-D1 1 1TAG-CE85 DPW E85 Bucket ID 4 BK-62 Brava Vapor Shear Valve Bracket Z Z O Cn <br /> B. PROJECT DESCRIPTION WITH START AND FINISH DATES, CONSTRUCTION SCHEDULE C.u=TCWFR;CONTACT: PROJFCT iI DCATION: 4 FL100black-SK12 Fibrelite 4p"Fiber Reinforced Composite Mannole Black-Includes Frame&Skirt 11 10BHMP-MO 0P%6J Double Poppet Shear Valve-Male 0 U <br /> C. CONTRACTOR INFORMATION ALONG WITH SUBCONTRACTOR LIST 2 FL180BLACK-HD-SK18 Fib relite 18"Dia Black Comp.Mh Cover,Frm&18"Sk-Bonded 1 10P-0I52E85 OPW 1.5"Double Poppet Shear Vave-Fema a UL Listed for E85 0 <br /> D. JOB PROGRESS PHOTOS (SEE BELOW) Harrod Amini Fueling Equipment <br /> H&M Fuel Corp. 3788 North Tracy Blvd. 1 B500-D-222201E0-EBS <br /> Bravo D.W.Vapor Vent 4 Product FRP Co Mal nmert Box for 3"Over 2"FRP Pipe. For 4 60VSP-1 001 DPlM 1"x 1 1/2"Poppeted Vapor Shear Valve <br /> Q U � <br /> E. DAILY JOB PROGRESS LOGS (NEW BUILDS ONLY) 1176 Catalina Dr Tracy CA.96304 Planter Area..Unk Includes EO Opton 16 FG150-MOG9C-15 Unisource 1.5"Hex Male x 2"Slip 90 EZ Fit x 15"SSConnector O <br /> Livermore,CA 94550 1 B500-BO�VRC-ADR Upgraded Concrete Anchoring on B500 or 8600 SW or DW For Supporting VR CCVP. 15 F-32S-T-F Brava 1 Pack of FRP flat-wall Full Body fitting whasters for 3'x2'FRP pipe.Use tea EP10 Ln� <br /> F. XERXES INSTALLATION CHECKLIST, INCLUDING DEFLECTION READINGS <br /> G. XERXES RECEIVING RECORD Must be Drdered With V R C Rack Matching size. 32 EP-100 Brava Epoxy Kit{boa Epoxy 1az Ca-alyst}in poly can with yellow colorant.lncludes:two <br /> TERMS AND CONDITIONS OF SALE 415P Vent Rack Assembly.Small,12'Upright,2x2x114"Tubing.Inc Clamps&Spot pairs nitrile gloves.and one stir stick. <br /> H. UNDERGROUND TANK INSTALLATION CHECKLIST n vv.Pomp s not responsinle for deiays in deliver}•due'c strikes,aC:ident5 priority resiricticn5 or 1 RS-500-VRG61- Hardware For VR Canister.Can Only Be Used With B500-VRC IB60D-V RC TLS450 Tank Monitor: <br /> other-vidtons t eyond cur control or Its failure or delaylo order or dellverdus to the purchasers This orlertofumisf•eaulpmerr on the'd1m ng toms <br /> I. PIPING MANUFACTURERS INSTALLATION CHECKLIST 2 STPAR200-VL2-402535927 FE PETRO 2 HP Fixed Speed Mag Shell Variable Length Sub.Pump with 27"Riser Veeder Rant TLS-450Auc Access <br /> USI /Hth ISDIPNua Software and Module <br /> Direct <br /> failure to pay I,.V�J.Pump any mon as owed m an open Jab accarrt crjdb balls.The prices Herein end conditions expires 10 days from the above date, SoftwarelPrinterlTotal Access USB1-thernet Dual Interface Module&Direct Access <br /> J. COPIES OF ALL TEST RESULTS do not aopyinIna event of an inderg raw nd ohstrixior,in luding Nu'nol limited roVtilities and impeneTable FE PETR0 1 112 HP Fixed Speed Advanced Protection Variable Length Sub.Pump 1 860091-302-ISD <br /> K. UST INFORMATION SHEET sail.is d sco:e•ed after tnis proposal s made.In such evem.Buyer is iable for al increased co-ts. 4.W Puma,Ire.rese-ves the rgm tc 2 STPAPRI50-V_2-403592927 %,Ath ZV Riser E85 Bic frotal Controlf7hree year Extended Storage1RS2321485 Dual Interface Module`EDIM <br /> 8uye-maycanceI by gi,•ng written notice,however,Buyer is fable for ell costs incurrec by adjust equipmert prices to con'crm to Included Requires Software <br /> L. COPIES OF ALL PERMITS AND INSPECT IONS k W_PLmp tW the date notce Is received.Cancellations or returns are subject to a prices in effect at the time of celh•ery 4 402312931 FePetro SPCG Guardian 220 Smart ContrallerwlDispen=_er Hoak Isolation <br /> Iatnimllrti IITteen(15%)I)eicent restocking chaige.Payment te•n-s are net cash on celi�ery, 4 400137937 FePetro Siphon Check Valve for Vacuum Veeder-Root Universal SensorlProbe Interface Module Far Up to 1 E Sensors <br /> M. COPY OF CERTIFICATE OF OCCUPANCY CIF REQUIRED) <br /> unless N.W.'urp has approved credit tarns or•otherwl=_e speared within.If l,lgalon Is necessary to enforce Ec foment picas a•e sutiaci to all aocticable:axes. 4 FG270-MSQM-24 Unisource 2"X24"Male Swvel x Quick-Fit Male 3 33002a619 IPrches)DPLLD'sNapor Flow SensorslSCVS Kits-3 Wire Sensors Require 2 Spots.One <br /> N. COMPLETED AND SIGNED PUNCH LIST I N s ag'eemerl,the prevalling parlywlII ae a rift ad to•easonabla attcrney's fees,court ccsts,anc Inlerest. Ra-urn or non stxk and soada order items are subleet Spat is Used By a Vapor Pressure Sensor.Limit 4 Interface Modules Per Console- <br /> 5 FG27o-MSQM-18 Unisource 2"X18"Male Swivel x Quick-Fit Male Whether 332812's or 332813's. <br /> O. AS-BUILT DRAWINGS TO SCALE DEPICTING PRECISE LOCATION OF ALL rRocu�s=arr;ally the en fadureswarer)ereany. expressedorImplede arralnestopcdud orestexkcharnesama•�notberturnable. 4 F=0-MQG-90-18 Unisource 2•'HexMalex2"SIip90EZFilx18"SSConnaetor <br /> compllannswHh government refit atlors -Here are no expressed or Imp led wamarlles as to goods or <br /> COMPONENTS INSTALLED (INCLUDING PRODUCT/VAPOR LINE SIZES AND serAoas arwidad by r-A'YP indudng the implied waranty V mercha-rtaNlitycrfi.ness for a pa-icular 1 FG3 DO-IA QM-15 Unisource 3"xl5"OF Male 3"Female Veeder-Root Universal Input/Output Interface 1Jlod wit e.Has 5 Dry Contact Output <br /> LOCATIONS, CONDUIT SIZES, LOCATION AND MATERIAL, EXACT TANK LOCATION puroose. Statements by a NvvP rep resent:atrre that dlffEr from tha forsgong shall have nc erect. MNP w111 1 691 n5-DBOD 11/ Morrison SS 2"Locking Ball Valve Full Port E85 Bi❑ 1 33OC20-62D Relaysl4 Low Voltage Dry Contact Inputs15 High Voltage Inputs.Limit 4 Interface _ <br /> AND DIMENSIONS, ETC.) not be Iiac•Ia lo•cill Indirect,spacial a oonsaquernlel damages,business intarrudticn cr loss df proAis 3 691-38001V Momison2"Ball Valve 1`0udules Per Console-Whether 332812's or 332813's. 61 <br /> darn a•es,susta nod by Gusto ner or and part j claiming by,th-cugh or under Customer.ro Veeder-Root TLS-XB ExP ansion Box.Expands Total Number of Inputs on TLS450 \Q - <br /> 13 F-32S-T-F Bravo 1 Pack of FRP flat-wall Full Body fitting wltesters for 3k2'FRP pipe.Use tea EP10 U - <br /> P. TANK CHARTS CLEAVE SECOND COPY AT STORE) Acce tents of P peal: SALES TOTALS <br /> 1 F-435-T-F BraBravo1 Pack of FRPflat-wall Full Bcdy fitting wltesters for 4k3'FRP pipe.Use Sea EP1 p 1 860:,90-1 DO Console from 64 to 256Two Wire Devices. Requires Install Cable Below. Z <br /> Q. FINAL RELEASE OF LIEN FROM CONTRACTOR AND EACH 1 330020-761 Veeder-Root 3'Install Cable ForAbave, Longer Cables Available LLI _ <br /> Brave Epoxy Kit(boa Epoxy 1az Catalyst)in poly can with yellow colorant.Includes:two <br /> SUBCONTRACTOR/SUPPL I E R 30 EP-100 Weeder Root USMIATM Module Grcup For For Secondary Containment Vacuum O LLI CV <br /> The above price,specifications and concitions are satisfactory and are hereay pairs nitrile gloves.and one stir stick. .4 <br /> R. COPY OF CONTRACT, CHANGE ORDERS, AND WRITTEN APPROVALS FOR 1 330020-846 Monitoring SCVS Installations Only.16 Slots For SCVS-Sensors-Frobes-DPPLD-.One W r / ` <br /> accepter. You are autho'ized to supply equipme-t andror labor as specirlec. Brave 314"FRP Rigid DW Electrical Sump Penetration Fitting A62481 Use With 314" Sat Used If Carbon Canister Is Used.T Ica) Needed In Ca W U > U <br /> 12 F-D75-0-D-F P YP Y <br /> DEVIATIONS FROM THESE DRAWINGS 0eymentwill be made as outlined above- I understa-d acceptance of the Galvanized Conduit&Propylene Glycol-Not for use with Sodium Chloride Brine. <br /> Veeder Root Software Enhanoemert Feature Secondary Containment Vacuum <br /> quotation does not ccnst tute an order un-i1 credit has beer approved Brave 1"FRP Ri id DW Electrical Sum Penetration Fitt n AB2461 Use With 1" 1 332972-029 � O m Q) <br /> S. COPY OF SIGNED TANK DISPOSAL CERTIFICATE AND ALL WASTE MANIFESTS. I understanc tl-at Northwest Pumpma•file a�i htto Lien against 4 F-11 s-G-DF 9 P g Monitoring SCVS Typically Needed In Ca.Uses 1 Spot on the 330020 619 Above <br /> 1 '9 9 Galvanized Conduit&Propylene Glycol-Not for use with Sodium Chloride Brine. � O m � U <br /> T. COMPLIANCE INFORMATION FORMS .he Equipmentllabor. � <br /> Brave atoms Dual Cartridge'Petro Seal'WJ 3 Mix Tips-Each kit handles) 1 013180-54 Germen TIs-450 Tank Monitor-REQUIRED FOR ISD WITH PASSPORT pea Electrical W Z kn <br /> = W r ~U. TANK LAYOUT FORM 2 pS Penetrations Centralized Centralized Devine Management(CDM)Software,No Charge.Use n Ca +ir onlytien U <br /> 1 349689-001 using a TLS350 and TLS450 on same site-MUST HAVE CUSTOMER MAC ID TO ♦ + C @ W <br /> 3. CONTRACTOR SHALL MAINTAIN AND TURN OVER 2 COPIES OF AN INDEXED g,electrical,piping and installation. Phillips Dispenser Program Priain : 2D23 OR DERIINSTALL �/ cYl <br /> 1.Price excludes tank offloading,n Gilbarco Blending 3+1 S Series Four Product,Two Sided,Four Hose Dispenser with 5.7 1 334C54-001 CDM Back-Up Feature(per console) <br /> OPERATION AND MAINTENANCE MANUAL, CONSISTING OF BOOKLETS FOR ALL 2.A11 Prices are FO do Northwest Pump warehouse except where Hated differently. 4 ENC700SNL1-2 Color,EMV H C R(Chip)Card Reader + ( r <br /> 4 859080reel Veeder-Root Digital DPLLD Line Leak Detecte-withvut S�riftCherk Valve for TL5450 � � U <br /> NEWLY INSTALLED EQUIPMENT. GIVE ONE COPY TO THE OWNER'S CONSTRUCTION 3.Terms:_25_%down.Tanks and dispensers balance due an completion Refundable <br /> Net 30 upon approved credit 4 GCPA-Contactless Card Reader 1 330020-613 Veeder-Root RS-232 Interface Module For TLS450-REQUIRED FOR ISD Q - Q U <br /> 4.Terms:_50_°6 down on all EVRJISO systems.Nan Returnable7Nvn Refundable 4 DCM-Dispenser Communications Module 1 ZZ483850013 Veeder Root TL3450 3 1f4"x 2"Paper Case of 5C (P Q� <br /> MANAGER AND LEAVE ONE AT THE STORE. CONTRACTOR SHALL LEAVE TANK S.Prices are good for 10 days from date of quotation. <br /> CHARTS, TANK STICK, MANWAY REMOVAL DEVICE, WATER FINDING PASTE, AND ALL la.GllbaroclGasboy Terms; Spacial terms apply totha GllbarcolGasbvy Equipment. Prices reflect a 396 Dash discount. Payments 4 <br /> Fleear 6 A41-15,15.6"color touchscreen wth contactless and 2D barcade 2 Sided wth 1 FRT Veeder-Root Factory freight <br /> 0 8 yearATV contract Veeder-Root 10'6" SS Probe Inv.Only ma Plus.HGP,No Water Detection for m <br /> KEYS AT THE STORE. must he received within 10 days of invoice. Invoices are sent upon completion of the order at the factory.3/o will be added to invoice 1 0846397-610 y g Q <br /> and may be deducted if paid within 10 days.Credit card payment not applioable with these terms. 4 Speakers 2-Sided AltemaWe Fluids.Use With DEF,Ethanol f<=100%Aleolich Includes E85 <br /> BY SIGNING AND ACCEPTING THIS QUOTATION,CUSTOMER ACKNOWLEDGES THAT HEISHE HAS READ,UNDERSTANDS 4 Lighted Canopy Conduit with small junction hat 3 0846397-310 Veeder-Root SS 10.5'Inventory Orly HOP Mag PlusMagnetostiictive SS Probe <br /> 4. JOB PROGRESS PHOTOS - FUEL SYSTEM INSTALLATION AND AGREES WITH ALL OF THE'TERMS AND CONDITIONS LISTED WITHIN 1 Flex Fuel(E85)1 Inlet 2-Sided 3 S8610M10 V Bed en-Root Phase-Two Water Mag Plus Gas Probe Installation Kid 10'Cable <br /> 4 Balance Ready Vapor Recovery System 1 330272-OD2 Veeder-Root 19 Cable for Float Kits Z <br /> AT A MINIMUM, THE FOLLOWING PHOTOS ARE TO BE SUBMITTED ON S 1/2'' X IP 4-111TE-)P.V A-CFPT=FFY- TITLE: 4 ISD Flow Meter-for Balance 1 846400-011 Veeder-Root Nlag Plus Diesel Probe Installation Kit 10'C; ble U <br /> PLASTIC SHEETS, LABELED WITH SCOPE OF WORK, STORE No. AND ADDRESS, IN THE Tom Cota 4 Wave Lighted Canopy supplied by others 1 846400-OD4 Veeder-Root Mag Plus Alt Fuels Probe Installation Kit 5'Cable E85 or DEF <br /> 4 Gilbarco Shipping and Handling per Dispenserto Ca Warehouse 9 794380-2138 Veeder-Root Sump Sensors <br /> BOUND PROJECT CLOSE-OUT FOLDER: r'r_s 02102/24 H amid Amini 4 Freight Gilbarco Shi in and Handlin per enser <br /> 9 lipping 9 P P 4 794350-323 Veeder-Root Sump Sensors E85 Position Sensitive <br /> r 114Tr.xne C-.-E 'PI[,II.A,E 4 Freight Gilbarco Shipping and Handling Applause Media System 2 794380-303 Veeder-Root Dual Point H drostaticSensor for Brine Tanks We E85 <br /> A. PHOTOS OF LOCATION PRIOR TO START OF CONSTRUCTION (MINIMUM 4) Northwest PumpH&M Fuel Corp. g PP 9 g pP y y <br /> Desired Delivery Date: During the term of the agreement.G Ibarco will maintain and make available any software updates required to keep your 1 790091-001 Veeder-Rant Overfill Al am <br /> B. EACH OLD TANK AND OLD TANK HOLE 1 790095-001 Veeder-Root Alarm Acknowledgement Switch <br /> payment terminal operating reliably and in compliance with PCI and Eh1V.This includes updates for maintenance,contact <br /> Northwest Pump and Equipment Co.is an Employee❑caned company that has been a Petroleum Equipment Distributor since 1 n59.Wa era the West's and ;ontactless EMV kernels,security,connectivit point to point er ption.and support for new pa mend features. a 305XPA-1 1 OOA K-EV R Morrison 4"Probe Cap and Ring Kits EVR 1 E85 <br /> C. OPEN TANK HOLE y. y. aY y <br /> D. INSTALLATION OF NEW TANKS INCLUDING DEADMEN AND HOLD-DOWN STRAPS (I largest distributer of tanks.the.piping.pumps,meters,tank contact <br /> if systems.leak monitoring systems and lubrication equipment.We are pleased to <br /> offer this quotation for the referenced project.Please contract me if you need additional information. IPhillips 661761 Conoco P7fB8 Passport 2023 <br /> DURING, 1 AT FINISH) Passport Combination(Cashier!Managerl Work Station: <br /> E. <br /> C Cl L1��.AI1`: H&M Friel Corp. r,P.-E OF 0I JO- EATION GI IC F NI.MRFR CV Q <br /> PEA GRAVEL BACKFILL (INCLUDES TAMPING OF PEA GROVEL AT E::00 AND -1:00 <br /> tYl <br /> POSITIONS) (3 PHOTOS) Dage 1 cf 6 Page 3of 6 Page 5of B �/ r <br /> Nort-mast Pump Equipment Co. Northwest Pump EquipmCo.ant Co Northwest Pump Equipm .ant Co <br /> F. INSTALLATION OF PRODUCT LINES, VENT LINES AND ELECTRICAL IN TANK HOLE m <br /> G. INSTALLATION OF TANK-TOP EQUIPMENT, FILL TUBES AND SUBMERSIBLE PUMPS N �r <br /> H. BACKFILLED TANKS JUST BEFORE CONCRETE POUR, SHOWING REBAR <br /> I. REBAR PROPERLY INSTALLED AROUND FILL AND TURBINE SUMP MANHOLES <br /> J. TANK FIELD READY TO RECEIVE CONCRETE (INCLUDES REBAR ON CHAIRS OR Z <br /> BRICK BATS) �_3 W <br /> K. DEPTH OF NEW CONCRETE Xerxes 30,O00.split 24.00D16.ODD Gallon Fiberglass Double Wall Underground Storage Gilbarco Passport-Combo Manager 1 Cashier Worksta.ion'withl Fx68 All-in One 4 576008-649 Veeder-Root 3 Way Ball valve W O <br /> L. TANK FIELD COMPLETE (INCLUDES JOINTS, PAINTED FILL CAPS, AND VENT RISERS) Tank Double Wall-Double Bulkheac Multi-compart Tank,Reg 1 E85 Ser erwith 15"ProCap Touch Mon Ron wlSSDsl Enhanced Dispenser Hub 2c w/SSDsf 1 332310-003 Veeder-Root 1OU'Vacuum Hose I ` Q <br /> (MIN. 2) 1 30,2416-10'Double Walt-Double Bulkhead Multi-comparttank 1 AID PX68 COVEC Install Kit/Epson TF.188 Receipt Prirterl Cash Drawer(Keyhcard&lalousel 1st yr PLUS Veeder-Root Single Point Mini Hydrostatic Sensor For DW Brine Sumps Requires 1 Q U Q <br /> 1 3D-24x6-10 1 30,2416-10'DW-CT brine-interstice Semite?12 month hardware warranty:INCLUDES.Windows 10 License&Activation 13 T94380 304 Input On 330020-619 Module Per Sensor E85 <br /> M. OPEN TRENCHES 2 22"Manway-0W Codes <br /> Veeder-Root Carbon Canister for ISO <br /> N. PRODUCT PIPING IN TRENCHES (PROPERLY SPACED) 6 4"Manway Cover Fittings}(HalfCpIg.) 1 M189D513001 VeriFone M400 unencrypted pin pad,v22.01 software or nigher <br /> 4 4"Tank Wall Fitting.half coupling DVtr 1 4170648 UPS 1 681290-002 Veeder-Boat Carbon Pressure Management System VJl 2"Installation Kit Requires V29 <br /> O. FIELD DRESSED PIPE software <br /> P. PEA GRAVEL BACKFILL IN TRENCHES (SHOW PEA GRAVEL UNDER PRODUCT Xerxes 30,000,split 15.00 IV 15.000 Gallon Fiberglass Double Wall Underground Storage 1 Passport BaseAppIicatlon Software Phillips 86v20.02 S70BB200002FD 1 Veeder-Root Factory freight for Carbon Canister only <br /> LINES) Tank Double Wall-Double Bulkheac Multi-compart Tank,Reg 1 E85 Passport Cashier Workstation: <br /> 1 30,15f13-10'Double Wall-Double Bulkhead Multi-compart tank Gilbarco Passport Cashier Workstation wthl Px68 Server with 15"Pro Cap Touch 1 330020-630 Veeder Root ISD Manuals&Vapor Pressure Sensor and Housing-1 per site.Far use <br /> Q. SHOW INSTALLATION OF DISPENSER CONTAINMENT BOXES 1 3D-15x1 10 1 30,15/15-10'DW-CT brine-interstice 1 AID Px68 CASHIER Monitor) Install Kill Epson TM88 Receipt Primer!Cash Drawerl CaWERTY Keyboardi when you want to mount the Pressure Sensor at the vent rack rather than in a dispenser. <br /> R. PRODUCT PIPE TRENCHES READY TO RECEIVE CONCRETE (SHOW REBAR 2 22"Manway-DW Nlousefl2 month hardware warranty:INCLUDES:Windows 10 License&Activation dilisceltanecus <br /> 6 4"Manway Cover Fittings}(Half CpIg.] Codes <br /> DOWELED INTO EXISTING CONCRETE, WHEN APPLICABLE) 1 M183D5B001 V <br /> 4" eriFone M400 unener Power Integrity Dispenser Wiring Disconnect For up to 8 Dispensers Emergency Stop& W w <br /> 4 Tank(Nall Fitting.half coDWupling D 1 DDS-SD .M4GE 0 Z <br /> S. LOCATION OF PHOTO ELECTRIC CELL AND/ OR CONTACTOR FOR CANOPY LIGHTS ypted pin pad,v22.01 software or nigher Maintenance Disconnect For Dispenser Data&Credit Card Wiring(2 Wire) Q m � <br /> AND SIGNS Xerxes DOuhIeWa11 Collar&Sum Packs et 42"diameter DW Round Collar 1 4170648 UPS Power Integrity Dispenser Wiring Disconnect for;1)Ethernet circuit per dispenser{Cat J CoV <br /> 4 42J(605UMP PKG Containment with 42"x 6D"DW Sump with Open Top,32"Access,Brine and FIR 1 Passport Client Application Software 1 DDS-EWSBD 51. up to(8)dispensers wall mounted,secondary disconnect to he used Vnth COS- ♦R O m O <br /> T. INSTALLATION OF NEW CANOPY FOOTINGS Bonding Kits Misc.Item: 8DM4GE v Ca <br /> U. PICTURE OF FINISHED CANOPY 2 Freight Gilbarco Shipping Power Integrity Dispenser Wiring Disconnect For up to S Dispensers.Emergency Stop& <br /> g pping and Handling per Passport terminal � Z � � U Z <br /> V. PICTURES OF LOCATION AT THE END OF CONSTRUCTION (MINIMUM 4) 4 48xBOSUMPPKG }Lerxes Douh 1 HL-L2379DW Report Printer-BratherCompactLa�erPrinterWlDuplexPrinting le Collar&Sump Package:48"diameter DW Round Containment 1 ❑D D S-864C Maintenance Disconnect For four intercom conductors for(8)dispensers(i.e..(1} � _ 5 <br /> Collar with 48"x 60"DW Sump with 36'Watertight Lid. Brine and FRP Bonding Kits speaker and(1)1ntBroom per dispenser or(2)speakers per dispenser) U U <br /> 2 PA0327040D Customer Pale Display � W .� <br /> 1 Xerxes 24x6-10'Strict Straps Set 2 367-5249 Pin Pad Pedestal for M400-Locking.Swivel 1 941-0111 Esco T10K4108 8 Station Intercom System W1 1 Desktop Controller � <br /> n, <br /> 1 Xerxes 24x6-10'D Bad men 2 8K5LBBE2.9P'AX Telequip Coin Dispenser with 1 coin tray for Passport 1 L1+PI-500CNC-91 United Sign P56 Logo Supreme Tank Tag U. � O <br /> 1 Xerxes rn 24x5-10'Tubuckles-20 2 442-310P Telequip Spare Coin Tray 1 U FPI-500CNC 87 United Sign P66 Logo Regular Tank Tag <br /> 1 Xerxes 1 5x 15 10'Stnd Straps Set 1 tie al 1st YR M T L(Material,Travel,Lab or) one per Cam bo Adder 1 U-FPI-500CNC-D2 United Sign P66 Diesel#2 Tank Tag Z �/ Z <br /> 1 Xerxes 15x15-10'Deadmen 1 :,ption.i ist YR M T L(Material,Travel,Lab orj one per Cashier WS Adder 1 GG 50OS-CD-2 United Sign E85 Tookank Tag Q <br /> 1 Xerxes 15x15-10'Turnbuckles 2 HHP-1950GSR2EZ-2R Xenon 20 Scanner,Includes:Rs232 cable,Pcwer Su and Stard 8 GC-SDOS-MD 2 CompX Security Locks(Main Door}Turbine <br /> Supply, <br /> 2 g13174-11 Cash Drawer Till Insect Tray 8 GC-5D0S-R❑-2 CompX Security Locks(Receipt Door.)Turbine <br /> 2 Xerxes Freight to Tracy,CA-10'(tank only) 8 SKID-CW-2 CompX Security Locks(SKIRT REPLACEMENT LOCKI Turbine <br /> 2 013174-12 Cash Drawer Locking Cover <br /> Xerxes Freight to Tracy,CA-8'(deadmen ARE required to ship on a separate load from Balance Han E70 <br /> Hanging Hardware 6 -2 CompX Security Key,Turbine <br /> 1 tanks) 8 VST.4P-EVR-012 VST 12"Platinum Coaxial EVR Whia Hose 4 700-Puller-Sec Encore 700 Puller security cover kit(field installed} <br /> Tank Hardware: 8 VDVP-EVR-096 VST S'Platinum Coaxial EVR Hose With Venturi 1 IA-ESOCAIT Power Integrity Emergency Shutoff Swtch WlCover&Alarm Twist to Release <br /> Fibrelite Dual-Port Manhole A4 16"Pod S acin Gra Port Covers, Frame wr 12" 8 VST-EVR-NBBK-2 VST Coaxial EVR G2 Balance Naz de Black <br /> 1 IA-ESORS Power Integrity Cashier Control Station <br /> p g, y 4 PID-D-HW37C5 PI Health blaming Decal <br /> Bonded Skirt,Two 5 Gallon Spill Containers V Cast Iron Base,Shroud Boots and 8 66CLP-5100 ORIV Balance Reconnectable Breakaway with Vapor Poppet <br /> 314"Standard Gas&Diesel Hanging Hardware 8 PID-CANOIB Nozzle Operation Decal wICRRB Contact Info <br /> 2 PK1D-FLMP-GSC Clamping Kit-Dual Port Water Spill Platform-37"SST Ring-Fill&Vapor Swvel Adapters& g g 8 PID-PROP65 Decal Prob 65 Decal.Required in Ca <br /> Caps-12"Fill Nipple-1D"Vapor Nipple-Face Seal Adapter-Jack ScreApRiser Pipe 6 V34C P-008-M R M R VST 3/4"x 8"M X M CP Whip Hose <br /> Adapters 723V PV Vent 2 V34CP-096-MRMR VST 3/4"x S'M X M CP Hose 8 PID-CR Decal Naaxle sticker,Caution.drive off <br /> 2 V34FF-0084MRMR VST 314"x S"ENVIRO-LOC CP Flex Fuel Hose w12 Rigid Male Whip For Up to E85 Black 8 PID-29 Decal"Please Pay Cashier <br /> Fibrelite Single-Part Manhole wl 8"DfFset Part Opening,Yellow Port Cover,Frame cal 12" 6 V34CPG-102-EIRFAS VST 314"x 8'6"M X M Swivel Greer CP VAYip Hose 8 PID-203 Warning:No Smoking,Stop Engine Decal <br /> Bonded Skirt,One 5 Gallon Spill Container wlCast Iran Base,Shroud Boot&Clamping 8 14C-0100 DPW 314" 8 PID-D-43 Decal Warning No Cell Phone <br /> 1 PK11-FLDIESEL-YSC Kit-Single Offset Pot Water Spill Platform-37"SST Ring-Fill Swivel Adapter&Cap-12" Diesel Nozzle I;Green)2 Position Hold Open C ip 8 PID-D-170 Decal Unapproved Containers <br /> Fill Nipple-Face Seal Adapter-Jack ScrerF2"Aluminum Tank Vent Cap 6 11 B P-09 92-E8 5 OPlrV Gasoline Nozzle(Yellow)UL E85 Pressure Activated <br /> 2 8Y-C900 OPW Yellow Splash Guard <br /> E85 Fibrelite multiport kit complete w 40"gray cover.framewl bonded skirt.plain 6 45-5360 OPW 3/4"Premium Swivel W <br /> aluminum sealable covers,inspection pot.two 5 gal spill bucketsw/shroud boots& 2 241TPS-0492 OPW 3/4"E85 UL Listed Swivel END OF EQUIPMENT LIST <br /> 1 PK1 D-FLFAP-E85-GSC clamping kit;37'spill platform w1 rotolocks and stainless steel locking ring cal sealant.fi1I 2 014647 Husky G2 Maghreak 314•'E85 Reconnectable BreakaVsy <br /> swivel adapter,cap,nipple and jack screw;vapor swivel adapter,cap and nipple;riser 6 16330 1 Husky 314"Magnetic 8reakauay <br /> pipe adjusters. Sump and 0FV sold separately.723V PV Vent <br /> 2 71SO-410C OPW EVR 4"Overfill Valve 2 Pant 120"Upper 102"Lower Not Testable W <br /> 1 7180-410CS OPW EVR 4"Overfill Valve 2 Point 4'xi O':Vapor BIO-Diesel <br /> 1 71SON1-412C OPW EVR E85 Overfill Prevention Valve Up to 10'Bury 10"Tank <br /> 4 FSA-40D-S Pomeca Short EVR Face Seat Adapter-Required on Gas Fi11&Monitor Risers. Q <br /> 2 723V•2203 ❑PW 2"Thread-on,3"we pros.,8'we vac.E85 Carb Approved <br /> 3 233-4422 OPW 4x4x2ir2 Extractor Valve WIO Cage <br /> 1 233-4432 OPW 4,44x3x2 Extractor Valve WIO Cage <br /> 1 1TAG-1000 OPW Regular Unleaded Cover ID <br /> w <br /> 1 1TAG-101❑ OPW Regular Unleaded Bucket ID Page 6 of B U z W <br /> 1 1TAG-300D OPW Premium Unleaded Cover I❑ <br /> Northwest Pum > Q p Equipment Co. w w <br /> H <br /> NLL-1 0 W 19 <br /> Tank Hardware: W LLi(Y O D I <br /> U <br /> Page 2 of B PRIMARY PIPING WITH CONTAINMENT SYSTEM SHALL BE RED THREAD I IA AND RED o w Q=w�w <br /> Northwest Pump Equipment Co. Fa e 4 aF B V w A F N <br /> g THREAD II WITH FITTINGS AND DS-7,DOm AND DS-a000 SERIES ADHESIVE I-- �� (Y 0 <br /> IAuT ®[X N <br /> Northwest Pump Equipment Co. z O w <br /> ~ W nW �LLmo� ~ O <br /> (�K) NOTE WELL THE EQUIPMENT LIST ON THIS SHEET IS INTENDED FOR PERMIT Q Q w <br /> PURPOSES. WHILE IT MAY PROVIDE A CONCEPTUAL REPRESENTATION OF THE a z W z W w = <br /> EQUIPMENT TO BE INSTALLED, THE FUEL SYSTEM CONTRACTOR SHALL CONSULT AND W _ a ff a Q o W E <br /> CONFIRM THE FINAL, APPROVED, OWNER-VENDER EQUIPMENT LIST TO DETERMINE THE W J w��o 1 rF W <br /> OWNER'S SUPPLIED EQUIPMENT AND THE FUEL SYSTEM CONTRACTOR'S EXPECTED AND = =x V z CL <br /> REQUIRED ADDITIONAL MATERIALS, EQUIPMENT AND EQUIPMENT MANUFACTURERS' � C♦ W z <br /> �zgu-1()w � <br /> CERTIFICATIONS AND APPROVALS FOR INSTALLATION OF ALL OF THE FUEL SYSTEM W Q� w W z <br /> RELATED WORK, INCLUDING ALL RELATED ELECTRICAL COMPONENTS, TO PROVIDE A o y w a_ ff DO <br /> Owl- (y0-Q �y <br /> COMPLETE, WORKABLE FUEL SYSTEM PER MANUFACTURERS' AND CODE REQUIREMENTS. w _ IA0 1:w <br /> Q ®WW <br /> ARC, <br /> 11 gEL E. j' <br /> PETmm8 <br /> till <br /> REN 3-31 Sb �~ <br /> ��DF CALZ�O� OF S 'F ET' SHEETS <br />