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INSTALL_2023
Environmental Health - Public
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EHD Program Facility Records by Street Name
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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
1/18/2024 3:23:19 PM
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
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
03
SITE_LOCATION
18095 W GRANT LINE RD
QC Status
Approved
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SJGOV\lsauers1
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EHD - Public
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AGC C.COM <br /> W <br /> COMPANY: MOUNTAIN HOUSE SQUARE INC DATE OF QUOTATION QUOTE NUMBER <br /> COMPANY MOUNTAIN HOUSE SQUARE INC DATE OF QUOTATION QUOTE NUMBER COMPANY: MOUNTAIN HOUSE SQUARE INC DATE OF QUOTATION QUOTE NUMBER <br /> PROJECT: SAME 12t27122 0 <br /> PROJECT: SAME 12t27/22 0 PROJECT: SAME 12127f 22 0 <br /> QTY Part Number DESCRIPTION UNIT PRICE EXTENDED <br /> QTY Part Number DESCRIPTION UNIT PRICE EXTENDED QTY Part Number DESCRIPTION UNIT PRICE EXTENDED <br /> 2 886100-010 Veeder-Root Phase-Two Water Mag Plus Gas Probe Installation Kit 10' Cable <br /> Bravo 314" FRP Rigid DW Electrical Sump Penetration Fitting AB2481 Use With 314" <br /> BRAVO SUMPS 12 F-075-0-DF 1 846400-011 Veeder-Root Mag Plus Diesel Probe Installation Kit 1D' Cable <br /> Galvanized Conduit & Propylene Glycol - Not for use with Sodium Chloride Brine. <br /> 3 B480-50-D-20 Bravo D.W. FRP Turbine Sump 3 848480-001 Veeder-Root PLLD Line Leak Detector without 5wiftCheck Valve E85 OK <br /> 3 B420-50-❑-00 Bravo D.W. FRP Fill Sum 3 F-10s-0-DF Bravo 1" FRP Rigid DW Electrical Sump Penetration Fitting AB2481 Use With 1" <br /> Sump Galvanized Conduit & Propylene Glycol - Not for use with Sodium Chloride Brine. 1 330843-001 Veeder-Root Six Input PLLD Module Mounts in Low Power Comp. g L <br /> Pour channel epoxy slurry to join Bravo doublewall base and top (must use backerrod) 1 ori <br /> 18 EPC-51.0 Bravo 400ml Dual Cartridge 'Petro Seal'W13 Mix Tips. Each kit handles 10ea Electrical 1 330374-001 Veeder-Root Three Output PLLD Module Q N <br /> gallon, 3 gallons needed per joint....**NON RETURNABLE—.. 2 PS-400 d <br /> TANK HARDWARE: Penetrations 1 790091-001 Veeder-Root Overfill Alarm 0 - v C.0 <br /> 1 790095-001 Veeder-Root Alarm Acknowledgement SwitchQ .0 CO <br /> OPW 6571 Series Package Kit Including: 1201208VENCLOSURE NEMAI, DIM 36"WX86"HX10"DEEPINCLUDES 20" HIGH 5 m <br /> 6571 EVRB-164042RT052 EVR ,Multiport, 42" Dia 1 FENCE210800550VERFILL Overfill Alarm Sign CD a, o <br /> SUPPORT PEDASTAL, SINGLE POINT GROUNDING SYSTEM, FACTORY WIRED & m <br /> 61JSK-44CB EVR Jack Screw Ass. For Cast Iron Base Fills TESTED, UL LISTED, CUSTOM PANEL SOLUTION, FACTORY INSTALLED &WIRED 3 305XPR-1100AK-EVR Morrison4" Probe Cap and Ring Kits EVR N co > o- <br /> 61SALP-1020-EVR Fuel Swivel Adapter Low Profile, Bronze 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 /> 634TT-7085-EVR 4" Fill Cap LIGHTING, SURGE SUPRESSION, 1201208 3 PHASE, ENCLOSURE NEMA 1, SIGLE <br /> 61VSA-1020-EVR Vapor Swivel Adapter, Bronze Veeder-Root Vacuum 1 Hydrostatic Monitoring for AB2481 <br /> POINT GROUNDING SYSTEM, FACTORY WIRED &TESTED, UL LISTED, (1) 84 <br /> 2 PK2-42RTMP-33 1711T-7085-EVR 4"Vapor Cap CIRCUIT, DISPENSER EMERGENCY SHUT OFF, ISOLATION FOR DISPENSERS Veeder-Root 7 Input Smart Sensor Module W Embedded Pressure Sensor For Vacuum <br /> VPN4x7 4" Nipple 7" Long For Fill Sensor Monitoring & ISD For VR Carbon Canister. One spot required for the Vapor <br /> FSA-400-5 Short EVR Face Seal Adapter 1 332250-001 Pressure Sensor and one for the canister valve and one for each Vapor Flow Sensor. <br /> Hl 2806M 4"Nipple 5" Long For Vapor 1 EM02 SQUARE D E50 RESET SWITCH INDOOR WITH SHOURD <br /> Mounts in Low Power Compartment. <br /> 6511-RB16 Riser Spacer 16"Center to Center SQUARE D ESO OUTDOOR SWITCH <br /> MPWS-33 Sump Shield for Sumps Lids Up to 32.5" Di 2 EM04C Veeder-Root 8 Input Smart Sensor Module for Vacuum/Mag Sensors Mounts in Low <br /> VF Commander wl Terminal s Work Station(s) 2 329356-004 Power Compartment. One spot required for the Vapor Pressure Sensor and one for each <br /> OPW 6571 Series Package Kit Including: Vapor Flow Sensor. <br /> 6571 EVRL-164042RT051 EVR Single port, 42" Dia 1 M149-111-00-NAA Commander Controls up to 16 Fueling Positions Veeder-Root Hydrostatic Dispenser Sump Sensor Kit. Includes lea Mini-hydrostatic <br /> 61JSK-44CB EVR Jack Screw Ass. For Cast Iron Base Fills 1 M149-901-01-R Forecourt Interface Box 17 330020-536 Sensor, Dispenser Sump Sensor, 2 to 1 Sensor Input Box <br /> 615ALP-1020-EVR Fuel Swivel Adapter Low Profile, Bronze 1 Dispenser Interface Board <br /> 634TT-7085-EVR 4" Fill Cap 1 29721-01 Current Loop Board-Gilbarco Dispensers I OR I 1 330020-48❑ Veeder-Root Zea Vacuum Sensor Kit No Tank Support IE Brine Tanks <br /> 1 PKB-42RTDIESEL-33 VPN4x7 4" Nipple 7" Long For Fill POS Options: 1 330020-472 Veeder-Root Sea Vacuum Sensor Kit For Steel Tanks <br /> FSA-400-S Short EVR Face Seal Adapter 3 M182-001-01-NAA C18 Terminal Ircludes Cash Drawer,Printer,oneac, C18 License 1 330020-467 Veeder-Root 4ea Vacuum Sensor Kit For Steel Tanks <br /> MPWS-33 Sump Shield for Sumps Lids Up to 32.5" Dia. 3 C18 Keyboard 2 332310-003 Veeder-Root 100'Vacuum Hose <br /> C05223M Shroud Boot Cap To Isolate One FRP Cover Point <br /> 23-0033 2"vent Cap c18 optional Display-No TOUCH Veeder-Root Carbon Canister for ISD <br /> 3 C18 Optional Display-TOUCH 1 861290-002 Veeder-Root Carbon Pressure Management System W/2" 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: Software <br /> 3 71JSK-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-S Pomeco Short EVR Face Seal Adapter-Required on Gas Fill & Monitor Risers. Misc. Item: 1 330160-004 Veeder-Root SEM Software Enhancement Module <br /> 1 5885 HUSKY 2" Pressure Vacuum Vent (EVR Carb Approved) E85 approved VeriFone- Pin Pads 1 330020-515 Veeder-Root ISD Manuals &Vapor Pressure Sensor-1 per site <br /> 1 233-4422 OPW 4x4x2x2 Extractor Valve W/O Cage M400 Pin Pad 1 333760-203i Veeder-Root NVMEM 2 Report Storage 1 per console required <br /> 3 M44540301-V%WA5-XXXXX -BUY-26 Buypass-351 Key TDES ' 330280-001 Veeder-Root Commander Dispenser Interface Module(DIM) <br /> 1 233-4432 OPW 4x4x3x2 Extractor Valve W/O Cage P <br /> 1 233-4420 OPW 4x4x2 Extractor Valve W/O Cage Pin Pad includes: Fiberglass Pipe <br /> 3 FL100black-SK12 Fibrelite 40" Fiber Reinforced Composite Manhole Black- Includes Frame & Skirt 22278-10 Pinpad Cable 500 011020-069-1 Smith 2" Fiberglass Pipe (15' Lengths 1 Priced By The Foot) <br /> 1 FL7A Fibrelite Stainless Steel Lifting Handle MSC445-011-00-A M400 Cable 700 011030-069-1 Smith 3" Fiberglass Pipe (15' Lengths 1 Priced By The Foot) <br /> Bravo D.W. Vapor Vent 3 Product FRP Containment Box for 3"Over 2" FRP PWR445-001-01-A Power Supply Pipe. For 1500 011020-069-2 Smith 2" Fiberglass Pipe (25' Lengths/ Priced By The Foot) <br /> 1 B501-D-222/EO-EBS Planter Area. Add $206.15 for Steel Plate Walk Area. Unit Includes EO Option CBL132-003-01-A Cable, RJ45 to USB 1800 011030-069-2 Smith 3" Fiberglass Pipe (25' Lengths/ Priced By The Foot) <br /> Upgraded Concrete Anchoring on B500 or B600 5W or DW For Supporting VR CCVP_ Island Hardware 40 012020-101-8 Smith 2"Sleeve Coupling <br /> 'x8'xl3" HourGlass Island Form wl 6" Radius End <br /> Must be Ordered With VRC Rack Matching size. 12 012020-191-4 Smith 2" Bell x Male Adapter <br /> Bravo 36" Encore DW Brine Dispenser Sump 213 Product. Includes EO-FRM Add for <br /> 3P Vent Rack Assembly, Small, 12' Upright, 2x2x114"Tubing. Inc Clamps & Spcl 10 B8380-D30 Factory Freight <br /> 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 48 012020-360-4 Smith 2"90 Degree Elbow <br /> 25 BK-8000 Bravo Product Shear Valve Bracket X&Y Axis Adjustable Bracket For B80001B9000 <br /> 10 BK-B2 Bravo Vapor Shear Valve Bracket 28 012020-410-4 Smith 2"Tee <br /> 1 ISTM-V54-VL3 FE PETRO 4HP VARIABLE SPEED TURBINE VL WITH 27".5" RISER 40 012030-101-3 Smith 3"Sleeve Coupling Clamshell <br /> 24 10BFP-5726 OPW Double Poppet Shear Valve- Female <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" Pop peted 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 5w Fireguard 55 Connector 2 012030-191-4 Smith 3" Bell x Male Adapter <br /> 3 STP-DHI 5800300100 FePetro Disp 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 /> Veeder-Root TLS-350 Plus Tank Monitoring Console with Integral Printer. Use This Part 48 012030-360-3 Smith 3"9❑ Degree Elbow Clamshell <br /> 2 FG300-MM-18 Unisource 3"x18" M x M Fireguard 55 Connector g <br /> 1 848290-022-IS❑ Number in Ca. Only When ISD 333760-203i NVMEM is Being Used. Must Sell NVMEM <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"AB24815ump 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. 12 012030-410-4 Smith 3"Tee <br /> 4 329358-001 Veeder-Root Eight Input Sensor Module-Mounts in Low Power Comp. <br /> 3 F-32S-T-F Bravo 1 Pack of FRP flat-wall Full Body fitting wltesters for 3'x2' FRP pipe. Use Zea EP10 278 50120.101 Smith PSX 34—6oz Adhesive <br /> 1 329359-001 Veeder-Root Four Relay Output Module <br /> 200 011040-077-5 Smith 4"Secondary Fiberglass Pipe(15' Len gthslPer Foot) <br /> 12 EP-100 Bravo Epoxy Kit (6oz Epoxy 1 oz Catalyst)in poly can with yellow colorant. Includes: two 1 329362-001 N Veeder-Root R5-232 Interface Module 300 011040-069-5 Smith 4"Secondary Fiberglass Pipe(25' 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 <br /> 3 0846397-109 Veeder-Root 55 10' HGP Mag PlusMagnetostrictive 55 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. U^ <br /> J <br /> V J <br /> W <br /> COMPANY: MOUNTAIN HOUSE SQUARE INC DATE OF QUOTATION QUOTE NUMBER 1 <br /> PROJECT: SAME 12/27/22 0 <br /> QTY Part Number DESCRIPTION UNIT PRICE EXTENDED <br /> 10 012040-310-3 Smith 4"45 Degree Elbow Clamshell <br /> 12 012040-410-3 Smith 4"Tee Clamshell <br /> 10 012040-101-3 Smith 4"Sleeve Coupling Clamshell O` <br /> 10 012040-238-3 Smith FRP 4"x3"Concentric Reducer use with 3"AB2481 fitting above <br /> Miscellaneous <br /> 2 M-53 Emergency Shut-off Switch Sign <br /> 20 PID-CANOIB Nozzle Operation Decal w/CARB Contact Info p p <br /> u <br /> COMPANY: MOUNTAIN HOUSE SQUARE INC DATE OF QUOTATION QUOTE NUMBER C 0 z <br /> PROJECT: SAM E 12/27/22 0 <br /> QTY Part Number DESCRIPTION UNIT PRICE EXTENDED <br /> TANKS: <br /> 1 25K 87 Modern 25,000 Gallon Double Wall Underground Storage Tank with Two (1) 43"& (1) <br /> 48"TALL BRAVO Collars and Standard NPT Tank Top Fittings <br /> Modern 20,000 Gallon Dual Compartment (12,00018,000) Double Wall Underground <br /> 1 20 K SPLIT 1218 Storage Tank with Four(2) 43"& (2) 48"TALL BRAVO Collars and Standard NPT Tank $ - <br /> CS <br /> CD <br /> Top Fittings <br /> 1 Estimated Tank Freight Only- Unloading by Others <br /> consultant job# <br /> master release date <br /> project master <br /> exe date drawn by <br /> Facility/Project <br /> sheet name <br /> 2 .5.3.01 <br />
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