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REQUIRED DOCUMENTATION
<br />A PROJECT CONTACT LIST WITH ALL GENERAL CONTRACTOR AND
<br />SUBCONTRACTOR CONTACTS AND PHONE NUMBERS SHALL BE SUBMITTED TO THE
<br />OWNER'S CONSTRUCTION MANAGER, ALONG WITH A DETAILED CONSTRUCTION
<br />SCHEDULE PRIOR TO STARTING THIS PROJECT.
<br />2. THE FOLLOWING DOCUMENTATION, MINIMALLY, IS REQUIRED PRIOR TO RELEASING
<br />THE FINAL 10% RETAINAGE ON THE PROJECT. THESE DOCUMENTS SHALL BE
<br />SUBMITTED IN A BOUND PROJECT CLOSE-OUT FOLDER.
<br />A. SITE INFORMATION (ADDRESS, SITE/STORE NUMBER, ETC.)
<br />B. PROJECT DESCRIPTION WITH START AND FINISH DATES, CONSTRUCTION SCHEDULE
<br />C. CONTRACTOR INFORMATION ALONG WITH SUBCONTRACTOR LIST
<br />JO (S
<br />D BPROG SS RE P HOTOS EE BELOW)
<br />E. DAILY JOB PROGRESS LOGS (NEW BUILDS ONLY)
<br />F. XERXES INSTALLATION CHECKLIST, INCLUDING DEFLECTION READINGS
<br />G. XERXES RECEIVING RECORD
<br />H. UNDERGROUND TANK INSTALLATION CHECKLIST
<br />I. PIPING MANUFACTURER'S INSTALLATION CHECKLIST
<br />J. COPIES OF ALL TEST RESULTS
<br />K. UST INFORMATION SHEET
<br />L. COPIES OF ALL PERMITS AND INSPECTIONS
<br />M. COPY OF CERTIFICATE OF OCCUPANCY (IF REQUIRED)
<br />N. COMPLETED AND SIGNED PUNCH LIST
<br />O. AS -BUILT DRAWINGS TO SCALE DEPICTING PRECISE LOCATION OF ALL
<br />COMPONENTS INSTALLED (INCLUDING PRODUCT/VAPOR LINE SIZES AND
<br />LOCATIONS, CONDUIT SIZES, LOCATION AND MATERIAL, EXACT TANK LOCATION
<br />AND DIMENSIONS, ETC.)
<br />P. TANK CHARTS (LEAVE SECOND COPY AT STORE)
<br />Q. FINAL RELEASE OF LIEN FROM CONTRACTOR AND EACH
<br />SUBCONTRACTOR/SUPPL I E R
<br />R. COPY OF CONTRACT, CHANGE ORDERS, AND WRITTEN APPROVALS FOR
<br />DEVIATIONS FROM THESE DRAWINGS
<br />S. COPY OF SIGNED TANK DISPOSAL CERTIFICATE AND ALL WASTE MANIFESTS.
<br />T. COMPLIANCE INFORMATION FORMS
<br />U. TANK LAYOUT FORM
<br />3. CONTRACTOR SHALL MAINTAIN AND TURN OVER 2 COPIES OF AN INDEXED
<br />OPERATION AND MAINTENANCE MANUAL, CONSISTING OF BOOKLETS FOR ALL
<br />NEWLY INSTALLED EQUIPMENT. GIVE ONE COPY TO THE OWNER'S CONSTRUCTION
<br />MANAGER AND LEAVE ONE AT THE STORE. CONTRACTOR SHALL LEAVE TANK
<br />CHARTS, TANK STICK, MANWAY REMOVAL DEVICE, WATER FINDING PASTE, AND ALL
<br />KEYS AT THE STORE.
<br />4. JOB PROGRESS PHOTOS - FUEL SYSTEM INSTALLATION
<br />AT A MINIMUM, THE FOLLOWING PHOTOS ARE TO BE SUBMITTED ON S 1/2'' X 11''
<br />PLASTIC SHEETS, LABELED WITH SCOPE OF WORK, STORE No. AND ADDRESS, IN THE
<br />BOUND PROJECT CLOSE-OUT FOLDER:
<br />A. PHOTOS OF LOCATION PRIOR TO START OF CONSTRUCTION (MINIMUM 4)
<br />B. EACH OLD TANK AND OLD TANK HOLE
<br />C. OPEN TANK HOLE
<br />D. INSTALLATION OF NEW TANKS INCLUDING DEADMEN AND HOLD-DOWN STRAPS (1
<br />DURING, 1 AT FINISH)
<br />E. PEA GRAVEL BACKFILL (INCLUDES TAMPING OF PEA GROVEL AT 5:00 AND -1:00
<br />POSITIONS) (3 PHOTOS)
<br />F. INSTALLATION OF PRODUCT LINES, VENT LINES AND ELECTRICAL IN TANK HOLE
<br />G. INSTALLATION OF TANK -TOP EQUIPMENT, FILL TUBES AND SUBMERSIBLE PUMPS
<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
<br />BRICK BATS)
<br />K. DEPTH OF NEW CONCRETE
<br />L. TANK FIELD COMPLETE (INCLUDES JOINTS, PAINTED FILL CAPS, AND VENT RISERS)
<br />(MIN. 2)
<br />M. OPEN TRENCHES
<br />N. PRODUCT PIPING IN TRENCHES (PROPERLY SPACED)
<br />O. FIELD DRESSED PIPE
<br />P- PEA GRAVEL BACKFILL IN TRENCHES (SHOW PEA GRAVEL UNDER PRODUCT
<br />LINES)
<br />Q. SNOW INSTALLATION OF DISPENSER CONTAINMENT BOXES
<br />R PRODUCT IPE TRENCHES READY TO RECEIVE CONCRETE (SHOW REBA
<br />R
<br />DOWELED INTO EXISTING CONCRETE, WHEN APPLICABLE)
<br />S. LOCATION OF PHOTO ELECTRIC CELL AND/ OR CONTACTOR FOR CANOPY LIGHTS
<br />AND SIGNS
<br />T. INSTALLATION OF NEW CANOPY FOOTINGS
<br />U. PICTURE OF FINISHED CANOPY
<br />V. PICTURES OF LOCATION AT THE END OF CONSTRUCTION (MINIMUM 4)
<br />Northwest Pump
<br />PETROLEUM & INDUSTRIAL
<br />Stay Updated- Follow us online!
<br />MUMM13
<br />3600 Industrial Blvd -Suite 10, Sacramento, CA 95691 916.376.0599
<br />TELEPiiCNE
<br />Errdil
<br />DA7E0- QUO-.4TION'
<br />Q110 -E KLM13ER
<br />925-819-2340
<br />harnini
<br />02!02124
<br />tcliver224-01
<br />Cl15TCMAFR ; CONTACT:
<br />PROJECT r L'DCATION-
<br />Hamid Amini
<br />Fueling Equipment
<br />H & M Fuel Corp.
<br />3788 North Tracy Blvd.
<br />1175 Catalina Dr
<br />Tracy CA. 96304
<br />Livermore, CA 94550
<br />OPW EVR 4" Overfill Valve 2 Print 120" Upper 102" Lower Not Testable
<br />TERMS AND CONDITIONS OF SALE
<br />K vv. Pkmp s not responsible for delays In delivery due:( StnkBS, a[cidents priority r*slrioicnS or
<br />other-vnd tons t:eyond cur control or its failure or delay to order or deliver dus to the purchasers This offer tofumist• eaulpmerr on the'dlow ng toms
<br />failure to pay I,.W.Pump any mm as owed on an open Job accmrit or job basis. The picas ne eln erd conditions expires 10 days from the above date.
<br />do not niny in the event of an ,lndercromnd ohshxior, in;.ludng but nM limited o utilities and impeneTalble
<br />sail, is d sco've•ed after tnis proposal s made. In slcn event. Buyeris iable for al increased costs- 4. Al. Pum D, Irc- rese-ves the rgM tc
<br />Buye•inaycanceI by gFv ng written notice, however. Buyer is fable for ell costs Incunec by adjust equipmert prices to con'orm to
<br />N Vv- PL. mp tc the date notce Is received. Cancellations or returns are subject to a prices in effect at the time of cer•
<br />minimum IITteen (15`!.) percent ie%tockirig charge. Payment tams are net cash on celiv any.
<br />tnless N.W. 'urp has approved -radt ler ns or •atherwlse spectfsd within. If t,lgatlon Is necessary to enforce Ea foment cites 0. e sutiact to all aoclicaWe :axes.
<br />INs ag•oemerl, the preva11Ing parly'alII as entitled to •eesonalala attorneys fees, court costs, anc Interest. Ra -urn of non stxk and spatia order itoms are subiect
<br />fkocu:�s Zarr; only the nnanifadure• swwrerly. i'any. t44A'P makes rorepresenieliorls estoprodud to restock ch ar nes of niuy not be r=turno Ue.
<br />campllan swHh government reg atlors -^sere are nc• expressed or Imp led wananles as to goods or
<br />ser,ices arwided by r-A'YP indud ng the implied warranty d mwcha•rtaI>iIkyc•rfi.ness for a pa•icutar
<br />pUrdose. Statements by a NWP rBpresWati'!e that Iffier from tha fornong Shall have no a an MNP will
<br />not be handle lo• dlrac. Indlract, spacial a consequernl>_I damage=_, business intarruotlon or lass cf proms
<br />damages, sista neo by Gusto ner or any party clalmIng by, through or under Custornsr.
<br />Acca ptanoa cf Propes al: SALES TOTALS
<br />The above price, specifications and concitions are satisfactory and are hereoy
<br />acceptec. You are authorized to supply equipme-t andlor labor as specifiec.
<br />Day anent will be made as outlined above. I understa"d acceptance of the
<br />uotatiol does not ccnst tute an order u1-il credit has beer approved
<br />pProved
<br />Iunderstanc that Northwest Pump may file a ?ightto Lien against
<br />:he equipmentllabor.
<br />Fibrelite 4p" Fiber Reinforced Composite Mannole Black- Includes Frame & -Skirt
<br />1- Price excludes tank offloading, electrical, piping and installation.
<br />2. All Prices are FOB Northwest Pump warehouse except where noted differently.
<br />3. Terms: _25_°% down. Tanks and dispensers balance due on completion at factory. Net 30 upon approved credit
<br />4- Terms: _50_% down on all EVRfISD systems. Non Returnable7Non Refundable
<br />S. Prices are good for 10 days from date of quotation.
<br />6- Gllbaroo 1 Gas boy Terms; Special terms apply to I h a 0ilbarco1Gasboy Equipment. Prices reflect a 3% oasIn discount. Payments
<br />must be received within 10 days of invoice. Invoices are sent upon completion of the order at the factory. 3% will be added to invoice
<br />and may be deducted if paid within 10 days. Credit card payment not applicable with these terms.
<br />BY SIGNING ANDAGGEPTING THIS QUOTATION, CUSTOMER ACKNOWLEDGES THAT HEISHE HAS READ, UNDERSTANDS
<br />AND AGREES WITH ALL OF THE TERMS AND CONDITIONS LISTED W ITHIN
<br />QJOTV)PY A-CFPTMRY: TITLE:
<br />Tom Carta
<br />:• CI 'l�r i- eE til[. • it ii,�- U.1- `
<br />r r_s 02102/24 Hamid Amini
<br />NI I IT r. AAF CA -E 'PINT I. A, E
<br />Northwest Pump H & M Fuel Corp.
<br />Desired Delivery Date:
<br />Northwest Pump and Equipment Co. is an Employee Owned company that has been a Petroleum Equipment Distributor since 1959. We are the West's
<br />largest distributor of tanks. piping, pumps, meters, tank monitoring systems. teak monitoring systems and lubrication equipment. We are pleased to
<br />offer this quotation for the referenced project. Please contact me if you need additional information.
<br />C0111 -ANY: H & M Fuel Corp.r,A-F'DF QI10-ATION C'IJC F f,1_MFt FR
<br />1
<br />1
<br />4
<br />4
<br />a
<br />2
<br />1
<br />1
<br />2
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<br />4
<br />2
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<br />1
<br />1
<br />1
<br />1
<br />Dage 1 Cf 6
<br />Nort-west Pump Equipment Co.
<br />Xerxes 30 ODD s lit 24.00IY6.ODD Gallon Fiberglass Double Wall Und round Stora e
<br />P g e+-9 9
<br />Tank Double Wall -Double Bulkheac Multi-compart Tank , Reg f E85
<br />1 30,2416-1 i7 Double WaIFDOUl1Ie Bulkhead Multi-co mpart tank
<br />3D -24x6-113 1 30,2416-10' DW -CT brine -interstice
<br />2 22" Manway - DW
<br />6 4" Manway Cover Fittings) (Half CpIg.)
<br />4 4" Tank Wall Fitting. half coupling DW
<br />Xerxes 30,000, split 15•001115.000 Gallon Fiberglass Double Wall Underground Storage
<br />Tank Double Wall -Double Bulkheae Multi-compart Tank , Reg 1 E85
<br />1 30,15113-10' DDub IaWall- Double Bulkhead Multi-compart tank
<br />3D -15x15-10 1 30,15115-10' DW -CT brine -interstice
<br />2 22" Manway - DW
<br />6 4" Manway Cover Fittings) (Half CpIg.)
<br />4 4" Tank Wall Fitting. half coupling DW
<br />Xerxes DouhleWall Collar & Sump Package: 42"diameter DW Round Collar
<br />42x605UMP PKG Containment with 42" x 60" DW Sump with Open Top, 32" Access, Brine and FRP
<br />Bonding Kits
<br />48x6OSUMP PKG Xerxes DouhleWall Collar & Sump Package: 48" diameter DW Round Containment
<br />Collar'with 48" x 60" DW Sump with 36' Watertight Lid. Brine and FRP Bonding Kits
<br />Xerxes 24x6-10' Strict Straps Set
<br />Xerxes 24x6-10' Deadmen
<br />Xerxes 24x5-10' Turnbuckles - 20
<br />Xerxes 15x15-10' Stn Straps Set
<br />Xerxes 15x15-10' Deadmen
<br />Xerxes 15x15-10' Turnbuckles
<br />Xerxes Freight to Tracy, CA - 10' {tank only)
<br />Xerxes Freight to Tracy, CA - 8' (deadmen ARE required to ship on a separate load from
<br />tanks)
<br />Tank Hardware:
<br />Fibrelite Dual -Port Manhole wr 16" Pod Spacing, Gray Port Covers, Frame wr 12"
<br />Bonded Skirt, Two 5 Gallon Spill Containers w! Cast Iron Base, Shroud Boots and
<br />PK1D-FLMP-GSC Clamping Kit -Dual Port Water Spill Platform -37" SST Ring -Fill & Vapor Snivel Adapters
<br />Caps -12" Fill Nipple- 10" Vapor Nipple -Face Seal Ad apt er-Jack Screw -Riser Pipe
<br />Adapters 723V PV Vent
<br />Fibrelite Single -Part Manhole wl 8" Dffset Part Opening, Yellow Port Coder, Frame 4 12"
<br />OWNER SUPPLIED FUEL SYSTEM EQUIPMENT
<br />�.' : ��JJ":
<br />Bonded Skirt, One 5 Gallon Spill Container wlCast Iran Base, Shroud Boat & Clamping
<br />PK11-FLDIESEL-YSC
<br />Kit- Single Offset PDrt Water Spill Platform -37" SST Ring -Fill SwtveI Adapter 8 Cap -12"
<br />PrC,."T
<br />Fill Nipple -Face Seal Adapter -Jack Screw -2" Aluminum Tank Vent Cap
<br />QTY
<br />E85 Fibrelite multiport kit complete w140" gray cover, framewl bonded skirt. plain
<br />U_i'_RIFTI0A IIr.11 F:1_:.
<br />aluminum sealable covers, inspection port. two 5 gal spill bucketswl shroud boots &
<br />PK1 D-FLMP-E85-GSC
<br />clamping kit; 37' spill platform wJ rotolocks and stainless steel locking ring wl sealant. fill
<br />ORFV Premium Unleaded Bucket ID
<br />swivel adapter, cap, nipple and jack screw; vapor swivel adapter, cap and nipple; riser
<br />8
<br />pipe adjusters. Sump and 0 F sold separately. 723V PV Vent
<br />71SO-410C
<br />OPW EVR 4" Overfill Valve 2 Print 120" Upper 102" Lower Not Testable
<br />7150-410CS
<br />OPW EVR 4" Overfill Valve 2 Point 4'x1 O': Vapor BIO -Diesel
<br />71SONI-412C
<br />OPW EVR E85 Overfill Prevention Valve Up to 10' Bury 10" Tank
<br />FSA -40D -S
<br />Pomeca Short EVR Face Seal Adapter -Required on Gas Fill & Monitor Risers -
<br />723V•2203
<br />OPW 2" Thread -on, 3" we pres., 8' we vac- E85 Carb Approved
<br />233-4422
<br />OPW 4x4x2x2 Extractor Valve WIO Cage
<br />233-4432
<br />OPW 4x4x3x2 Extractor Valve WIO Cage
<br />1TAG-1000
<br />OPW Regular Unleaded Cover ID
<br />1TAG-10113
<br />OPW Regular Unleaded Bucket ID
<br />1TAG-300D
<br />OPW Premium Unleaded Cover ID
<br />Tank Hardware:
<br />Page 2 of 8
<br />Northwest Pump Equipment Co.
<br />OWNER SUPPLIED FUEL SYSTEM EQUIPMENT
<br />�.' : ��JJ":
<br />& Fuel Corp,:��.-E
<br />H M F 0.r
<br />h- - .i
<br />!�_ � I I!i
<br />02/02/24
<br />A. �1 1! M"F:
<br />a� . _ � �_
<br />tcliver224-01
<br />PrC,."T
<br />3788 North Tracy Blvd.
<br />QTY
<br />F9T r•u'nL'er
<br />U_i'_RIFTI0A IIr.11 F:1_:.
<br />I-:: II.'!.. LI.'
<br />1
<br />1TAG-3010
<br />ORFV Premium Unleaded Bucket ID
<br />GC -5005-110-2
<br />8
<br />1
<br />1TAG-4000
<br />OPVV Diesel Cover ID
<br />4
<br />E700-Pulser-Sec
<br />1
<br />1TAG-4010
<br />OPW Diesel Bucket ID
<br />IA-ESORS
<br />4
<br />3
<br />1TAG-7000
<br />DPW Vapor Reoovery Cover Id
<br />8
<br />PID-PROP65
<br />1
<br />1TAG-BE85
<br />DPW ES Cover ID
<br />PID -29
<br />8
<br />1
<br />1TAG-CE85
<br />ORI) E85 Bucket ID
<br />8
<br />PID -D-170
<br />4
<br />FL1001black-SK12
<br />Fibrelite 4p" Fiber Reinforced Composite Mannole Black- Includes Frame & -Skirt
<br />t
<br />2
<br />FL180BLACK-HD-SK18
<br />Fib rel ite 18" Dia Black Comp. M Cover, Frm & 18" Sk— Bonded
<br />Power Integ rity Dispenser Wring Disconnect For u pto S Disp ensers. Em ergency Stop &
<br />U
<br />1
<br />8503-D-22220)EC-EBS
<br />Bravo D. W. Vapor Vent 4 Product FRP Containment Box for 3" Over 2" FRP Pipe. For
<br />speaker and (1) intercom per dispenser or (2) speakers per dispenser)
<br />16
<br />FG150-MOG9C-15
<br />Planter Area.. Unit Includes EO Opt on
<br />1
<br />N118DI3513001
<br />Upgraded Concrete Anchoring on 8500 or 8600 SW or DW For Supporting VR CCVP.
<br />United Sign P66 Logo Regular Tank Tag
<br />1
<br />BSOO-800-VRC-ADR
<br />Must be Ordered With V R C Rack Matching size.
<br />United Sign E85 Tank Tag
<br />1
<br />EP -100
<br />415P Vent Rack Assembly. Small, 12' Upright, 2x2x114" Tubing. Inc ZAamps & Spel
<br />1
<br />RS-500-VRC-51-
<br />Hardware For VR Canister. Can Only Be Used With B500-VRC IB60D-V RC
<br />CompX Security Locks (SKIRT REPLACEMENT LOCKI Turbine
<br />2
<br />ST P A R 200-V L 2-402 535 927
<br />FE PETRO 2 HP Fixed Speed Mag Shell Variable Length Sub. Pump with 27" Riser
<br />Encore 700 Pulser security cover kit (field installed)
<br />1
<br />HL-1.2379DW
<br />FE PETRO 1 112 HP Fixed Speed Advanced Protection Variable Length Sub. Pump
<br />2
<br />STPAPRI50-V_2-403592927
<br />with 27" Riser E85 Bio
<br />PI Health Warning Decal
<br />4
<br />402312931
<br />FePelro SPCC Guardian 220 Smart CcntrollerwlDispenser Hook Isolation
<br />Decal Prob 65 Decal. Required in Ca
<br />4
<br />400137937
<br />FePetro Siphon Check Valve for Vacuum
<br />4
<br />FG2D0-r'ASQM-24
<br />Unisource 7'X24" Male Swivel x ClAck-Fit Male
<br />Warning: No Smoking. Stop Engine Decal
<br />5
<br />FG2J0-MSQM-18
<br />Unisource 2"X18" Male Swivel x Qttok-Fit Male
<br />Decal Unapproved Containers
<br />4
<br />FG2DO-MOG-90-18
<br />Unisource 2" Hex Male x 2" Slip 90 EZ Fit x 18" SSConnector
<br />1
<br />FG3DO-MQM- 15
<br />Unisource 3"x15" OF Male 3" Female
<br />1
<br />691 BS-OBoo IV
<br />Morrison SS 2" Locking Ball Valve Full Port E85 Bio
<br />3
<br />691-38001V
<br />Momson2" Ball Valve
<br />13
<br />F -32S -T -F
<br />Bravo 1 Pack of FRP flat -wall Full Body fitting wltesters for 3x2' FRP pipe. Use Zea EP10
<br />1
<br />F -43S -T -F
<br />Bravo 1 Pack of FRPfat-wall Full 63dfitting wltesters for 4kFRP pipe. Use Sea EP1 D
<br />8
<br />VSTAP-EVR-012
<br />8
<br />VDVP-EVR-096
<br />Brave Epoxy Kit (hoz Epoxy fez Catalyst) in poly can with yellow colorant. Includes: two
<br />30
<br />EP -100
<br />pairs nitrile gloves• and one stir stick.
<br />8
<br />66CLP-5100
<br />Brave 314" FRP Rigid DW Electrical Sump Penetration Fitting AB2461 Use With 314"
<br />12
<br />F 1378 0 0.F
<br />Galvanized Conduit & Propylene Glycol - Not for use with Sodium Chloride Brine -
<br />VST 314"x S" M X M CP Whip Hose
<br />332972-029
<br />Brave 1" FRP Rigid DW Electrical Sump Penetration Fitt ng AB2481 Use With 1"
<br />6
<br />V34CP-008-MRMR
<br />4
<br />F IDs 0 DF
<br />Galvanized Conduit & Propylene Glycol - Not for use with Sodium Chloride Brine.
<br />2
<br />V34FF-0064ARMR
<br />Bravo 400ml Dual Cartridge 'Petro Seal' W13 Mix Tips- Each kit hardles 1Dee Electrical
<br />2
<br />PS {00
<br />Penetrations
<br />6
<br />14C-0100
<br />DPW 3f4" Diesel Nozzle (Green) 2 Position Hold Open C ip
<br />Philli Dispenser Program Pricing: 2023
<br />Gilbarco Blending 3+1 S Series Four Product, Two Sided, Four Hose Dispenser with 5.7
<br />11 B P -0992-E85
<br />OPVV <3asdime Nozzle (Yellow) UL E85 Pressure Activated
<br />4
<br />ENC7D0SNL1-2
<br />Color, EMV HCR (Chip) Card Reader
<br />4
<br />45-5760
<br />GCPA-Contactless Card Reader
<br />4
<br />241TPS-0492
<br />DCPA - Dispenser Communications Module
<br />2
<br />014647
<br />FlexPay 6 M1-15: 15.6" cot or touchscree n with contact less and 2D barcode 2 Sided with
<br />4
<br />16330
<br />8 -year ATV contract
<br />4
<br />Speakers 2 -Sided
<br />4
<br />13846397-610
<br />Lighted Canopy Conduit with small junction hat
<br />1
<br />0846397-310
<br />Flex Fuel (E85) 1 Inlet 2 -Sided
<br />4
<br />886100-010
<br />Balance Ready Vapor Recovery System
<br />4
<br />330272-OD2
<br />15 D Flow• N1eter - for Balance
<br />4
<br />84640o-011
<br />Wave Lighted Canopy supplied by others
<br />4
<br />846400-OD4
<br />Gilbarco Shipping and Handling per Dispenserto Ca Warehouse
<br />4
<br />Freight
<br />Gilbarco Shipping and Handling per Dispenser
<br />4
<br />Freight
<br />Gilbarco Shipping and Handling • Applause Media System
<br />2
<br />During the term of the agreement.
<br />G Ibaroo vill maintain and make available any software updates required to keep your
<br />1
<br />payment term iral operating reliably
<br />and in corn pli ance with PCI and EMV. This inoludes updates for maintenance, contact
<br />1
<br />and ;ontactless EMV kernels, security,
<br />connectivity. point to point encryption. and support for new payment features.
<br />Phillips 66! 76f Conoco PX138 Passport Z023
<br />Passport Combination (Cashier! Manager] Work Station:
<br />Fags 3 of B
<br />Northwest Pump Equipment Co.
<br />Page 4 of B
<br />Northwest Pump Equipment Co.
<br />(":
<br />H & M Fuel Corp,Dir-
<br />Gilbaroo Passport -Combo Manager 1 Cashier WorkstaJon'Mthl Fx68 All -in One
<br />A -' I_ N Hr.. 1 . I=
<br />tcliver224-01
<br />Pr:C,-�'T
<br />3788 North Tracy Blvd.
<br />QTY
<br />Server with 15" ProCap Touch Monitor wISSDsl Enhanced Dispenser Hub 2c w/SSDsf
<br />D_:J'_k•IF I Iii"d ur.IT 541==
<br />L:r I L`!.. LI.'
<br />1
<br />AIO PX68 COMBO
<br />Install Kit/ Epson TF.188 Receipl Prirterl Cash Drawer! Keyhcard & Nlousel 1st yr PLUS
<br />GC -5005-110-2
<br />8
<br />Brave 36" Encore DW Brine Dispenser Sump 213 Product. Includes EO-FRhA Add for
<br />6
<br />SerAcel 12 month hardwarewarran:y. INCLUDES. Windows 10 License & Activation
<br />4
<br />E700-Pulser-Sec
<br />4
<br />88380-D30
<br />Codes
<br />IA-ESORS
<br />4
<br />1
<br />M189D513001
<br />VeriFone M400 unencrypted pin pad, v22.01 software or nigher
<br />8
<br />PID-PROP65
<br />1
<br />4170648
<br />UPS
<br />PID -29
<br />8
<br />1
<br />BK -62
<br />Passport Base Application Software Phillips 86v20.02 S70BB200002FD
<br />8
<br />PID -D-170
<br />Passport Cashier Workstation :
<br />1OBHMP-5630
<br />OPl6I Double Poppet Shear Valve . Male
<br />t
<br />Gilbarco Passport Cashier Workstation v.(thl Px68 Server with 15"Pro Cap Touch
<br />IOP -0152E85
<br />ORA) 1.5" Double Poppet Shear Vave - Perna a UL Listed for E85
<br />Power Integ rity Dispenser Wring Disconnect For u pto S Disp ensers. Em ergency Stop &
<br />U
<br />1
<br />AIO PX68 CASHIER
<br />Monitor) Install Kitl Epson TM86 Receipt Printerl Cash Drawerl OWERTY Keyboard!
<br />Mouaer12 month hardware warranty: INCLUDES: Windows 10 License & Activation
<br />speaker and (1) intercom per dispenser or (2) speakers per dispenser)
<br />16
<br />FG150-MOG9C-15
<br />Codes
<br />1
<br />N118DI3513001
<br />VeriFone M400 unenerypted pin pad, v22.01 software or nigher
<br />United Sign P66 Logo Regular Tank Tag
<br />1
<br />4170648
<br />UPS
<br />United Sign E85 Tank Tag
<br />1
<br />EP -100
<br />Passport Client Application Software
<br />TLS450 Tank Monitor:
<br />I'diso. Item:
<br />CompX Security Locks (SKIRT REPLACEMENT LOCKI Turbine
<br />2
<br />Freight
<br />Gilbarco Shipping and Handling per Passport terminal
<br />Encore 700 Pulser security cover kit (field installed)
<br />1
<br />HL-1.2379DW
<br />Report Printer -Brother Compact Laser Printer W1Duplex Printing
<br />2
<br />PA03270400
<br />Customer Pale Display
<br />PI Health Warning Decal
<br />2
<br />367-5249
<br />Pin Pad Pedestal for `0400 - Locking. Swivel
<br />Decal Prob 65 Decal. Required in Ca
<br />2
<br />8K5LBBEZ-9P-AX
<br />Telequip Coin Dispenser with 1 coin tray for Passport
<br />2
<br />442-)l OP
<br />Telequip Spare Coin Tray
<br />Warning: No Smoking. Stop Engine Decal
<br />1
<br />,itio-I
<br />1st YR M T L (Material,Travel,Lab or) one per Cam be Adder
<br />Decal Unapproved Containers
<br />1
<br />:,ptiowi
<br />ist YR M T L (Material,Travel,Lab or) one per Cashier WS Adder
<br />2
<br />HHP-1950GSR2EZ-2R
<br />Xenon 213 Scanner, Includes:13s-232 cable, Pcwer Supply, and Stard
<br />2
<br />Q13174-11
<br />Cash Drawer Till In sed Tray
<br />2
<br />013174-12
<br />Cash Drawer Locking Cover
<br />Balance Hanging Hardware
<br />Veeder-Root TLS -HB Expansion Box. Expands Total Number of Inp.Its on TLS450
<br />VST 12" Platinum Coaxial EVR Whiz Hose
<br />860:�90-1 DO
<br />Console from 64 to 256 Two Wre Devices. Requires Install Cable Below.
<br />8
<br />VSTAP-EVR-012
<br />8
<br />VDVP-EVR-096
<br />VST 8' Platinum Coaxial EVR Hose With Venturi
<br />8
<br />VST-EVR-NBBK-2
<br />VST Coaxial EVR G2 Balance Nezde Black
<br />8
<br />66CLP-5100
<br />ORI) Balance Reconnectable Breakaway with Vapor Poppet
<br />314" Standard Gas & Diesel Hanging Hardware
<br />Spot Used If Carbon Canister Is Used . Typicaly Needed In Ca
<br />VST 314"x S" M X M CP Whip Hose
<br />332972-029
<br />Veeder Root Software Enhancemert Feature Secondary Containment Vacuum
<br />6
<br />V34CP-008-MRMR
<br />2
<br />V34CP-096-FARM R
<br />VST 314" x S' M X M CP Hose
<br />2
<br />V34FF-0064ARMR
<br />VST 314" x S" ENVIRO-LOC CP Flex Fuel Hose w)2 Rigid Male Whip For Up to E85 Black
<br />6
<br />V34CPG-102-EIRFAS
<br />VST 314" x 8'6" M X M Swivel Greer CP Vdhip Hose
<br />6
<br />14C-0100
<br />DPW 3f4" Diesel Nozzle (Green) 2 Position Hold Open C ip
<br />6
<br />11 B P -0992-E85
<br />OPVV <3asdime Nozzle (Yellow) UL E85 Pressure Activated
<br />2
<br />8Y -C900
<br />OPW Yellow Splash Guard
<br />6
<br />45-5760
<br />OPW 314" Premium Swivel
<br />2
<br />241TPS-0492
<br />OPW 314" E85 UL Listed Swivel
<br />2
<br />014647
<br />Husky G2 N12ghre2k 314" E85 Reconnectable Breakaway
<br />6
<br />16330
<br />1 Husky 314" Magnetic Breakaway
<br />Page 4 of B
<br />Northwest Pump Equipment Co.
<br />(":
<br />H & M Fuel Corp,Dir-
<br />E 7` ij i r; - ,l T I!i.
<br />02/02/24
<br />A -' I_ N Hr.. 1 . I=
<br />tcliver224-01
<br />Pr:C,-�'T
<br />3788 North Tracy Blvd.
<br />QTY
<br />Fat r•r nL'Fr
<br />D_:J'_k•IF I Iii"d ur.IT 541==
<br />L:r I L`!.. LI.'
<br />8
<br />GG-50OS-MD-2
<br />Island Hardware
<br />GC -5005-110-2
<br />8
<br />Brave 36" Encore DW Brine Dispenser Sump 213 Product. Includes EO-FRhA Add for
<br />6
<br />Tkey-2
<br />4
<br />E700-Pulser-Sec
<br />4
<br />88380-D30
<br />Factory Freight
<br />IA-ESORS
<br />4
<br />4
<br />EN -DP
<br />Bravo Systems DEFLECTOR -PLATE
<br />8
<br />PID-PROP65
<br />12
<br />EK40013
<br />Bravo Product Shear Valve Bracket X & Y Axis Adjustable Bracket For 68000(690130
<br />PID -29
<br />8
<br />4
<br />BK -62
<br />Bravo Vapor Shear Valve Bracket
<br />8
<br />PID -D-170
<br />11
<br />1OBHMP-5630
<br />OPl6I Double Poppet Shear Valve . Male
<br />t
<br />1
<br />IOP -0152E85
<br />ORA) 1.5" Double Poppet Shear Vave - Perna a UL Listed for E85
<br />Power Integ rity Dispenser Wring Disconnect For u pto S Disp ensers. Em ergency Stop &
<br />U
<br />4
<br />6OVSP-1001
<br />ORV 1"x 1 112" Poppeted Vapor Shear Valve
<br />speaker and (1) intercom per dispenser or (2) speakers per dispenser)
<br />16
<br />FG150-MOG9C-15
<br />Unisource 1.5" Hex Male x 2" Slip 90 EZ Fit x 15" SSConnector
<br />16
<br />F -32S -T -F
<br />Bravo 1 Pack of FRP flat -wall Full Body fitting wltesters for 3'x2' FRP pipe. Use Zea EP10
<br />United Sign P66 Logo Regular Tank Tag
<br />United Sign P66 Diesel #2 Tank Tag
<br />Brava Epoxy Kit (6oz Epoxy loz Ca-alyst) in poly can with yellow colorant. Includes: two
<br />United Sign E85 Tank Tag
<br />32
<br />EP -100
<br />pairs nitrile gloves. and one stir stick.
<br />TLS450 Tank Monitor:
<br />CompX Security Locks (SKIRT REPLACEMENT LOCKI Turbine
<br />Veeder-Rcpt TLS-45OPlus Console WI ISDIPNIC Software and Ope-ating
<br />CempX Security Key, Turbine
<br />Encore 700 Pulser security cover kit (field installed)
<br />SoftwarelPrinterr-otal Access USBIEthernet Dual Interface Module & Direct Access
<br />1
<br />860091 -3132 -ISD
<br />ffotal Controlf7hree year Extended Storage1RS2321485 Dual Interface Module-EDIM
<br />PI Health Warning Decal
<br />Nozzle Operation Decal WCARB Contact Info
<br />Included Requires Software
<br />Decal Prob 65 Decal. Required in Ca
<br />Veeder-Root Universal SensorlProbe Interface Module Far Up to 16 Sensors
<br />Decal "Please Pay Cashier
<br />1Prches)DPLLD'sfVapor Flow SenserslSCVS Kits - 3 Wire Sensors Require 2 Spots- One
<br />Warning: No Smoking. Stop Engine Decal
<br />3
<br />330020.619
<br />Spat is Used By a Vapor Pressure Sensor. Limit 4 Interface Modules Per Console -
<br />Decal Unapproved Containers
<br />Whether 332812's or 332813's.
<br />Veeder-Rcot Universal InputlOutput Interface 10odula. Has 5 Dry Contact Output
<br />1
<br />330020-62D
<br />Relaysl4 Low Voltage Dry Contact Inputs15 High Voltage Inputs. Limit 4 Interface
<br />hADid ules Per Console -Whether 332812's or 332813's.
<br />Veeder-Root TLS -HB Expansion Box. Expands Total Number of Inp.Its on TLS450
<br />1
<br />860:�90-1 DO
<br />Console from 64 to 256 Two Wre Devices. Requires Install Cable Below.
<br />1
<br />330020.761
<br />Veeder-Root 3' Install Cable For Above. Longer Cables Available
<br />Weeder Root USMIATM Module Grcup For TLS450 For Secondary Containment Vacuum
<br />1
<br />330020-846
<br />Monitoring SCVS Installations Only. 16 Slots For SCVS- Sensors-Frobes -DPPLD -. One
<br />Spot Used If Carbon Canister Is Used . Typicaly Needed In Ca
<br />1
<br />332972-029
<br />Veeder Root Software Enhancemert Feature Secondary Containment Vacuum
<br />Monitoring SCVS Typically Needed In Ca- Uses 1 Spot on the 330020-619 Above
<br />1
<br />013180-54
<br />Germen TIs-450 Tank Monitor- REQUIRED FOR ISD WITH PASSPORT
<br />Centralized Device Management (CDM) Software, No Charge. Use n Ca only when
<br />1
<br />349589-001
<br />using a TLS350 and TLS450 on same site- MUST HAVE CUSTOMER MAC ID TO
<br />ORDERIINSTALL
<br />1
<br />334054-001
<br />CDM Back -Up Feature (per console)
<br />4
<br />859080-001
<br />Veeder-Root Digital DPLLD Line Leak Detecto-without SMICheck Valve for TLS450
<br />1
<br />330020-613
<br />Veeder-Rent RS -232 Interface Module For TLS450- REQUIRED FOR ISD
<br />1
<br />Zz48385D013
<br />Veeder Root TLS450 3 114" x 2" Paper Case of 5C
<br />p
<br />1
<br />FRT
<br />Veeder-Root Factoryfreight
<br />Veeder-Root 1O' 6" SS Probe Inv. Only mag Plus. HGP, No Water Detection for
<br />1
<br />13846397-610
<br />Alternative Fluids. Use With DEF, Ethanol f<=100%Alcohel.) Includes E85
<br />3
<br />0846397-310
<br />Veeder-Root SS 10-5' Inventory Orly HGP Mag PlusMagnetostrictive SS Probe
<br />3
<br />886100-010
<br />Veeder-Rout Phase -Two Water Mag Plus Gas Probe Installation Kit 10' Cable
<br />1
<br />330272-OD2
<br />Veeder-Root 10' Cable for Float Kits
<br />1
<br />84640o-011
<br />Veeder-Root Nlag Plus Diesel Probe Installation Kit 10' Cable
<br />1
<br />846400-OD4
<br />Veeder-Root Mag Plus Alt Fuels Probe Installation Kit 5' Cable E85 or DEF
<br />9
<br />794380.2/38
<br />Veeder-Root Sump Sensors
<br />4
<br />794380-323
<br />Veeder-Rcpt Sump Sensors E85 Position Sensitive
<br />2
<br />794380-303
<br />Veeder-Root Dual Point H yd ro stat I c Se n sor for Brine Tanks wlcap E85
<br />1
<br />790091-001
<br />Veeder-Rcat Overfill Alarm
<br />1
<br />790095-001
<br />Veeder-Rcot Alarm Acknowledgement Switch
<br />4
<br />305XPA-1 1 OOA K- EV R
<br />Morrison 4" Probe Cap and Ring Kits EVR 1 E83
<br />4 1576008-649
<br />1 332310-003
<br />13 794380-304
<br />1 1681290-002
<br />1
<br />1 330020-630
<br />1 DDS-81DM4GE
<br />1 DDS-EWSBD
<br />1 I D DS -8 D B4C
<br />1
<br />941-0111
<br />1
<br />U-FPI-500CNC-91
<br />1
<br />U-FPI-500CNC-87
<br />1
<br />U-FPI-500CNC-D2
<br />1
<br />U-FPI-500CNC-EB5
<br />8
<br />GG-50OS-MD-2
<br />8
<br />GC -5005-110-2
<br />8
<br />SKD-CW-2
<br />6
<br />Tkey-2
<br />4
<br />E700-Pulser-Sec
<br />1
<br />IA-ESOCAIT
<br />1
<br />IA-ESORS
<br />4
<br />PID-D-HW3X5
<br />8
<br />PID-CANOIB
<br />8
<br />PID-PROP65
<br />8
<br />PID -CR
<br />8
<br />PID -29
<br />8
<br />PID -203
<br />8
<br />PID -D-43
<br />8
<br />PID -D-170
<br />Fags 5 of B
<br />Northwest Pump Equipment Co.
<br />Veeder-Root 3 Way Ball Valve
<br />6-1,
<br />w
<br />z
<br />Veeder-Root 104' Veouum Hose
<br />LLI(V
<br />w�OwIr
<br />W
<br />Veeder-Root Single Point Mini Hydrostatic Sensor For DW Brine Sumps Requires 1
<br />xz '
<br />C-4 C14
<br />LLI
<br />z
<br />0
<br />Input On 3300213-619 Module Per Sensor E85
<br />a IL4
<br />O
<br />(� O
<br />Veeder-Root Carbon Canister for ISD
<br />L
<br />Veeder-Root Carbon Pressure Management System W12" Installation Kit Requires V29
<br />-W
<br />O
<br />Software
<br />r
<br />Veeder-Root Factory freight for Carbon Canister only
<br />Q
<br />Veeder-Root ISD Manuals & Vapor Pressure Sensor and Housing -f per site. For use
<br />r6
<br />Q
<br />Z
<br />U
<br />when you want to mount the Pressure Sensor at the vent rack rather than in a dispenser -
<br />Miscellaneous
<br />m�
<br />Power Integrity Dispenser Wiring Disconnect For up to 8 Dispensers. Emergency Stop &
<br />Maintenance Disconnect For Dispenser Data & Credit Card Wiring (2 Wire)
<br />n
<br />Power Integrity Dispenser Wiring Disconnect for ;1) Ethernet circuit per dispenser (Cat
<br />W
<br />51. up to (8) dispensers wall mounted, secondary disconnect to he used with DOS-
<br />t
<br />8DM4GE
<br />Power Integ rity Dispenser Wring Disconnect For u pto S Disp ensers. Em ergency Stop &
<br />U
<br />Maintenance Disconnect For four intercom conductors for (8) dispensers (i.e.. (1 }
<br />speaker and (1) intercom per dispenser or (2) speakers per dispenser)
<br />Esco T10K4108 S Station Intercom System W1 1 Desktop Controller
<br />United Sign P66 Logo Supreme Tank Tag
<br />United Sign P66 Logo Regular Tank Tag
<br />United Sign P66 Diesel #2 Tank Tag
<br />United Sign E85 Tank Tag
<br />CompX Security Locks (Main Door) Turbine
<br />CempX Security Locks f. Receipt Doer.) Turbine
<br />CompX Security Locks (SKIRT REPLACEMENT LOCKI Turbine
<br />CempX Security Key, Turbine
<br />Encore 700 Pulser security cover kit (field installed)
<br />Power Integrity Emergency Shutoff Switch WlCover & Alarm Twist to Release
<br />Power Integrity Cashier Control Station
<br />PI Health Warning Decal
<br />Nozzle Operation Decal WCARB Contact Info
<br />Decal Prob 65 Decal. Required in Ca
<br />Decal NCzale sticker, Caution. drive off
<br />Decal "Please Pay Cashier
<br />Warning: No Smoking. Stop Engine Decal
<br />Decal Warning No Cell Phone
<br />Decal Unapproved Containers
<br />END OF EQUIPMENT LIST
<br />Page 6 of 8
<br />Northwest Pump Equipment Co.
<br />PRIMARY PIPING WITH CONTAINMENT SYSTEM SHALL BE RED THREAD IIA AND RED
<br />THREAD II WITH FITTINGS AND D6-7000 AND D6-8000 SERIES ADHESIVE
<br />(*) NOTE WELL - THE EQUIPMENT LIST ON THIS SHEET IS INTENDED FOR PERMIT
<br />PURPOSES. WHILE IT MAY PROVIDE A CONCEPTUAL REPRESENTATION OF THE
<br />EQUIPMENT TO BE INSTALLED, THE FUEL SYSTEM CONTRACTOR SHALL CONSULT AND
<br />CONFIRM THE FINAL, APPROVED, OWNER -VENDER EQUIPMENT LIST TO DETERMINE THE
<br />OWNER'S SUPPLIED EQUIPMENT AND THE FUEL SYSTEM CONTRACTOR'S EXPECTED AND
<br />REQUIRED ADDITIONAL MATERIALS, EQUIPMENT AND EQUIPMENT MANUFACTURERS'
<br />CERTIFICATIONS AND APPROVALS FOR INSTALLATION OF ALL OF THE FUEL SYSTEM
<br />RELATED WORK, INCLUDING ALL RELATED ELECTRICAL COMPONENTS, TO PROVIDE A
<br />COMPLETE, WORKABLE FUEL SYSTEM PER MANUFACTURERS' AND CODE REQUIREMENTS.
<br />A.
<br />EL Z.
<br />aVA
<br />Ta NO. C 86884 ti
<br />�a REN. 3-31-86
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