ATTACHMENT A1-Schedule of Equipment.pdf

PDF 3 MB Posted Sep 29, 2021

Attached to: H265--MEDICAL GAS AND VACUUM TESTING BASE + 4 OYS Federal contract opportunity
Solicitation number: 36C25222Q0015
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 12

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36C25222Q0015 0002.docx	DOCX document	Sep 29, 2021
36C25222Q0015 0001.docx	DOCX document	Sep 27, 2021
ATTACHMENT B - VA NOTICE OF LIMITATIONS ON SUBCONTRACTING FORM.docx	DOCX document	Sep 8, 2021
36C25222Q0015_1.docx	DOCX document	Sep 8, 2021
ATTACHMENT A-Schedule of Equipment.pdf	PDF	Sep 8, 2021

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Building Room EE# Equipment Make Model Fed From Fed From 400 1041A

Med. Vacuum Tech West Inc. VPD5S2 (x2) NP-2-1. CK-14,16/22,24

400 1041A 40973 Med. Air Compressor Powerex STD 050344 4EQ-1-1. CK-13,15,17

400 Attic 17458 Med. Air Compressor Beacon Medaes LTM-20-GD8O-DAY CP Penthouse. CK-13,15,17

400 Attic 46183 Med. Vacuum Air-Tech SCS-VCX105-2TAN CP Penthouse. CK-1,3,5, 401 Bsmt 31690 Med. Air Compressor Ohio Squire ACS 500B-T2 4-EQ 1-B. CK-26,28,30

401 Bsmt 31691 Med. Vacuum Ohio Squire S750B-ST2 4-EQ 1-B CK-32,34,36

402 Bsmt 22987 Med. Vacuum Chemetron DLVO-75-200T MCC 8-2

402 Bsmt 27212 Med. Air Compressor Chemetron D0550-80-TDD MCC B-2

403 Bsmt 27216 Med. Air Compressor Chemetron 00550-80-TDD MCC B-1

403 Bsmt 27217 Med. Vacuum Chemetron DLVO-75-200T MCC B-1

406 Bsmt 27218 Med. Vacuum Chemetron DLVO-75-200T CMP, 1-B. CK-14,16,18

406 Bsmt 27214 Med. Air Compressor Chemetron 0055-80-TDD CMP, 1-B. CK-8,10,12

Notes

Equipment List pescripopri - - • Aparitity - , - • •:„gip-ojtiefitmis". • -stib,gtisionient-,Qqanti* !- , fliiiitipp(s): .

Bulk Oxygen 1 n/a n/a 13450

Oxygen Tank Manifold Site 1 n/a n/a Adjacent to B450

Medical Air Compressor 6 Dryer 6 Buildings 401, 402, 403, 406 400 attic & B400 1st floor

Medical Vacuum Compressor 6 n/a n/a Buildings 401, 402, 403, 406 400 attic & B400 1st floor

Medical Gas Patient Terminals

• Oxygen 370 , Buildings 400, 401, 402, 403, 406 & 410 Medical Air 280

Vacuum 342

Zone Valve Boxes 21 Oxygen Valves 21

Buildings 400, 401, 402, 403, 406 & 410 Medical Air Valves 19 Vacuum Valves 20

Area Alarm Panels 24

Oxygen Alarm Points/Sensors 26 Buildings 400, 401, 402, 403, 406 & 410 Medical Air Alarm Points/SensOrs 21

Vacuum Alarm Points/Sensors 23 Master Alarm Panels 7 n/a • n/a Buildings 36, 400, 401, 402, 403, 406, 407 & 410

Medical Vacuum l'klmp Evaluation Inspection Record

#REF!

Configuration:

Simplex Duplex

Triplex Quadruple) Other

Vacuum Type:

Claw Liquid Ring

Rotary Vane Oil Free Rotary Vane

Vacuum Mount:

Base Tank Frame

Manufacturer:

BEACON

Model: DLV075-200T

Location:

406 BASEMENT MECH ROOM

Unit: HP Hour Meter

Pump Serial # Manufacturer

1 7.5 2295

4102103692 BUSCH

2 7.5 2328

4102103693 BUSCH

Medical Gas Area Alarm Panel Inspection Record

ALARM LOCATION ALARM TYPE I

ILDING

FLOOR LOC

ATI

ANU

FACTURER

MOD

STE

400 1 108S N/S ALLIED DIG II 0

400 3 3098 BEACON MEGA 2 0

400 3 3010A BEACON MEGA 2 0

400 3 3003 BEACON MEGA 2 0

400 4 4026 BEACON MEGA 2 0

400 4 4054 BEACON MEGA 2 0

400 4 4038 BEACON MEGA 2 0

400 1 1032 ALLIED DIG II 0

401 3 N/S OHIO DIG 0

ALARM LOCATION ALARM TYPE I

BUILDING

OOR

TION

ANU

CTURER

MODEL

SYS

TEM

401 3 N/ S 313 OHIO DIG 0

401 2 N/ S OHIO DIG 0

401 2 2131 N/S 1C22B OHIO DIG 0

402 3 3240 N/ S ALLIED IMPACT 0

402 2 2217 ALLIED DIG II 0

402 2 2286 ALLIED DIG II 0

403 3 3315. ALLIED IMPACT 0

403 3 3370 ALLIED IMPACT 0

403 2 2315 ALLIED IMPACT 0

ALARM LOCATION ALARM TYPE I

LDING

FLOOR LOC

ATION

ANUFAC

RER

MODE

STEM

403 2 2376 ALLIED IMPACT 0

406 3 3674 ALLIED DIG II 0

406 3 3611 ALLIED DIG II 0

406 2 2613 ALLIED DIG II 0

406 2 2668 ALLIED DIG II 0

410 1 11056 ALLIED DIGITAL 0

Medical Gas Valve Box Record

VALVE LOCATION VALVE TYPE

BUILDI

OOR

CATI

FACTUR

400 1 1083 ALLIED ZONE

400 3 3050 BEACON ZONE

400 4 4052 BEACON ZONE

400 1 1032 ALLIED ZONE

401 3 3161 OHIO ZONE

401 3 3167 OHIO ZONE

401 2 2161 OHIO ZONE

401 2 2167 OHIO ZONE

402 3 3232 ALLIED ZONE

ILDING

FLO

OCATIO

MAN

UFAC

TURER

trl

402 3 3235 ALLIED ZONE

402 2 2240 ALLIED ZONE

403 3 3337 ALLIED ZONE

403 3 3331 ALLIED ZONE

403 2 2337 ALLIED ZONE

403 2 2331 ALLIED ZONE

403 1 BIOMED ALLIED ZONE

406 3 3650 ALLIED ZONE

ILDINp

FLO

OCAT

MAN

UFAC

RER

406 3 3638 ALLIED ZONE

406 2 2632 ALLIED ZONE

406 2 2642 ALLIED ZONE

410 1 11004 ALLIED ZONE

Medical Gas Patient Terminal Record

LOCATION TYPE

B U

F L

O O

C A

N U

F A

C T

U R

N N

E C

S Y

410 1 11005 CHEM QC 0 X

410 1 11008 CHEM QC 0 X

410 1 11012 CHEM QC 0 X

410 1 11022 CHEM QC 0 X

410 1 11027 CHEM QC 0 X

410 1 11031 CHEM QC 0 X

410 1 11034 CHEM QC 0 X

410 1 11041 CHEM QC 0 X

410 1 11044 CHEM QC 0 X

410 1 11047 CHEM QC 0 X

401 3 3100 OHIO QC 0 X

OHIO QC A X

OHIO QC V X

OHIO QC 0 X

401 3 3185 OHIO QC 0 X

401 3 3187 OHIO QC 0 X

C A

N U

T U

N N

E C

E-ci) co

401 3 3189 OHIO QC 0 X

401 3 3184 OHIO QC 0 X

401 3 3185 OHIO QC 0 X

401 3 3178 OHIO QC 0 X

401 3 3176 OHIO QC 0 X

401 3 3174 OHIO QC 0 X

401 3 3172 OHIO QC 0 X

401 3 3170 OHIO QC 0 X

C A

N U

F A

C T

U R

N N

E C

T r4

Eci) co

401 3 3100 OHIO QC 0 X

401 3 3105 OHIO QC 0 X

401 3 3107 OHIO QC 0 X

401 3 3109 OHIO QC 0 X

401 3 3111 OHIO - QC 0 X

C A

N U

F A

C T

U R

N N

E C

401 3 3117 OHIO QC 0 X

401 3 3119 OHIO QC 0 X

401 3 3128 OHIO QC 0 X

401 3 3126 OHIO QC 0 X

401 3 3124 OHIO QC 0 X

401 3 3127 OHIO QC 0 X

401 3 3139 OHIO QC 0 X

401 2 2189 OHIO QC 0 X

I L D

C A

N U

F A

C T

U R

N N

E C

S T

401 2 2187 OHIO QC 0 X

401 2 2185 OHIO QC 0 X

401 2 2184 OHIO QC 0 X

401 2 2182 OHIO QC 0 X

401 2 2170 OHIO QC 0 X

401 2 2174 OHIO QC 0 X

401 2 2176 OHIO QC 0 X

C A

N U

F A

C T

U R

N N

E C

S T

401 2 2178 OHIO QC 0 X

401 2 2150 OHIO QC 0 X

401 2 2100 OHIO QC 0 X

401 2 2105 OHIO QC 0 X

Page 6 of 4 1

C A

N U

F A

C T

U R

N N

E C

S T

401 2 2107 OHIO QC 0 X

401 2 2109 OHIO QC 0 X

OHIO Qt V X

401 2 2111 OHIO QC 0 X

401 2 2117 OHIO QC 0 X

401 2 2119 OHIO QC 0 X

401 2 2128 OHIO QC 0 X

401 2 2126 OHIO QC 0 X

C A

N U

F A

C T

U R

N N

E C

S T

401 2 2124 OHIO QC 0 X

401 2 2137 OHIO QC 0 X

401 2 2139 OHIO QC 0 X

400 1 1084 CHEMTRON QC A

EXAM 2 CHEMTRON QC 0

CHEMTRON QC V

CHEMTRON QC A

CHEMTRON QC 0

400 1 1083 CHEMTRON QC 0

EXAM1 CHEMTRON QC A

400 1 1092 CHEMTRON QC 0

EXAM4 CHEMTRON QC A

C A

N U

F A

C T

U R

N N

E C

S T

400 1 1091 CHEMTRON QC 0

CHEMTRON QC v

400 3 3098 BEACON QC 0 X

BEACON QC A X

BEACON QC V X

400 3 3097 BEACON QC 0 X

400 3 3096 BEACON QC 0 X

400 3 3093 BEACON QC 0 X

400 3 3013A BEACON QC 0 X

400 3 3013C BEACON QC 0 X

Page 9 of 4 1

C A

N U

F A

C T

U R

N N

E C

S T

400 3 3003 BEACON QC 0 X

400 4 4010C BEACON QC 0 X

400 4 4023 BEACON QC 0 X

400 4 4021 CHEMTRON QC v

400 4 4020 CHEMTRON QC v

Page 10 of 4 1

I LOCATION TYPE

C A

N U

F A

C T

U R

N N

E C

S T

400 4 4026 CHEMTRON QC V

400 4 4055 CHEMTRON QC V

400 4 4058 CHEMTRON QC V

Page 11 of 4 1

C A

N U

F A

C T

U R

N N

E C

400 4 4052 CHEMTRON QC v

400 4 4039 CHEMTRON QC V

400 4 4042 CHEMTRON QC V

Page 12 of 4 1

[ 1_3U

C A

N U

T U

N N

E C

S T

400 4 4040 CHEMTRON QC V

400 4 4045 CHEMTRON QC v

400 1 1036 CHEMTRON QC 0

Page 13 of 4 1

C A

N U

F A

C T

U R

N N

E C

CHEMTRON QC V X

400 1 1032 CHEMTRON QC 0 X

403 3 3300 CHEMTRON QC 0 X

CHEMTRON QC A X

CHEMTRON QC 0 X

403 3 3304 CHEMTRON QC 0 X

403 3 3303 CHEMTRON QC 0 X

403 3 3308 CHEMTRON QC 0 X

403 3 3307 CHEMTRON QC 0 X

z Page 14 of 41

C A

N U

F A

C T

U R

N N

E C

S T

403 3 3310 CHEMTRON QC 0 X

403 3 3309 CHEMTRON QC 0 X

403 3 3315 CHEMTRON QC 0 X

403 3 3322 CHEMTRON QC 0 X

403 3 3326 CHEMTRON QC A X

403 3 3328 CHEMTRON QC 0 X

403 3 3329 CHEMTRON QC 0 X

403 3 3325 CHEMTRON QC 0 X

Page 15 of 4 1

C A

N U

F A

C T

U R

N N

E C

S T

403 3 3345 CHEMTRON QC 0 X

403 3 3390 CHEMTRON QC 0 X

403 3 3391 CHEMTRON QC 0 X

403 3 3389 CHEMTRON QC 0 X

403 3 3388 CHEMTRON QC 0 X

403 3 3387 CHEMTRON QC 0 X

C A

N U

F A

C T

U R

N N

E C

S T a a <4

403 3 3386 CHEMTRON QC 0 X

403 3 3370 CHEMTRON QC 0 X

403 3 3368 CHEMTRON QC 0 X

403 3 3365 CHEMTRON QC 0 X

403 3 3366 CHEMTRON QC 0 X

403 3 3362 CHEMTRON QC 0 X

403 3 3361 CHEMTRON QC 0 X

403 3 3360 CHEMTRON QC 0 X

C A

N U

T U

N N

E C

T k

S T

• CHEMTRON QC 0 X

403 3 3353 CHEMTRON QC 0 X

403 2 2300 CHEMTRON QC 0 X

403 2 2304 CHEMTRON QC 0 X

C A

N U

T U

N N

E C

T r4 f)-, 0

403 2 2203 CHEMTRON QC 0 X

403 2 2308 CHEMTRON QC 0 X

403 2 2307 CHEMTRON QC 0 X

403 2 2309 CHEMTRON QC 0 X

403 2 2310 CHEMTRON QC 0 X

403 2 2315 CHEMTRON QC 0 X

403 2 2321 CHEMTRON QC 0 X

403 2 2322 CHEMTRON QC 0 X

LocxnoN TYPE

C A

N U

F A

C T

U R

N N

E C

403 2 2325 CHEMTRON QC 0 X

403 2 2326 CHEMTRON QC 0 X

403 2 2328 CHEMTRON QC 0 X

CHEMTRON QC A 'X

403 2 2329 CHEMTRON QC 0 X

403 2 2345 CHEMTRON QC 0 X

403 2 2353 CHEMTRON QC 0 X

1 LOCATION TYPE

C A

N U

F A

C T

U R

N N

E C

S T

403 2 2346 CHEMTRON QC 0 X

403 2 2338 CHEMTRON QC 0 X

402 3 3208 CHEMTRON QC 0 X

402 3 3204 CHEMTRON QC 0 X

402 3 3200 CHEMTRON QC 0 X

402 3 3201 CHEMTRON QC 0 X

C A

N U

F A

C T

U R

N N

E C

402 3 3205 CHEMTRON QC 0 X

402 3 3209 CHEMTRON QC 0 X

402 3 3215 CHEMTRON QC 0 X

402 3 3217 CHEMTRON QC 0 X

402 3 3219 CHEMTRON QC 0 X

402 3 3221 CHEMTRON QC 0 X

C A

N U

F A

C T

U R

N N

E C

S Y

402 3 3222 CHEMTRON QC 0 X

402 3 3218 CHEMTRON QC 0 X

402 3 3239 CHEMTRON QC 0 X

402 3 3242 CHEMTRON QC 0 X

402 3 3254 CHEMTRON QC 0 X

402 3 3277 CHEMTRON QC 0 X

C A

N U

F A

C T

U R

N N

E C

402 3 3281 CHEMTRON QC 0 X

402 3 3280 CHEMTRON QC 0 X

402 3 3278 CHEMTRON QC 0 X

, CHEMTRON QC A X

402 3 3276 CHEMTRON QC 0 X

402 3 3274 CHEMTRON QC 0 X

402 3 3268 CHEMTRON QC 0 X

LOCNIION TYPE

I L D

C A

N U

F A

C T

U R

N N

E C

402 3 3222 CHEMTRON QC 0 X

402 3 3258 CHEMTRON QC 0 X

402 3 3259 CHEMTRON QC 0 X

402 3 3263 CHEMTRON QC 0 X

402 3 3269 CHEMTRON QC 0 X

C A

N U

F A

C T

U R

N N

E C

S T

402 3 3255 CHEMTRON QC 0 X

402 2 2208 CHEMTRON QC 0 X

402 2 2209 CHEMTRON QC 0 X

402 2 2204 CHEMTRON QC 0 X

402 2 2200 CHEMTRON QC 0 X

402 2 2201 CHEMTRON QC 0 X

C A

N U

F A

C T

U R

N N

E C

S T

402 2 2205 CHEMTRON QC 0 X

402 2 2215 CHEMTRON QC 0 X

DAY ROOM CHEMTRON QC

402 2 2217 CHEMTRON QC 0 X

402 2 2221 CHEMTRON QC 0 X

402 2 2223 CHEMTRON QC 0 X

402 2 2224 CHEMTRON QC 0 X

402 2 2218 CHEMTRON QC 0 X

402 2 2242 CHEMTRON QC 0 X

402 2 2258 CHEMTRON QC 0 X

402 2 2257 CHEMTRON QC 0 X

1:4 0 a 4. L

O C

A T

N U

F A

C T

U R

N N

E C

S T

402 2 2286 CHEMTRON QC 0 X

402 2 2289 CHEMTRON QC 0 X

402 2 2297 CHEMTRON QC 0 X

402 2 2296 CHEMTRON QC 0 X

402 2 2292 CHEMTRON QC 0 X

402 2 2275 CHEMTRON QC 0 X

402 2 2274 CHEMTRON QC 0 X

C A

N U

F A

C T

U R

N N

E C

S T a* X

402 2 2270 CHEMTRON QC 0 X

402 2 2264 CHEMTRON QC 0 X

402 2 2263 CHEMTRON QC 0 X

402 2 2269 CHEMTRON QC 0 X

406 3 3602 CHEMTRON QC 0

406 3 3601 CHEMTRON QC 0

C A

N U

F A

C T

U R

N N

E C

S T

406 3 3603 CHEMTRON QC 0

406 3 3604 CHEMTRON QC 0

406 3 3606 CHEMTRON QC 0

406 3 3605 CHEMTRON QC 0

406 3 3608 CHEMTRON QC 0 X

406 3 3615 CHEMTRON QC 0 X

DAY ROOM CHEMTRON QC A X

Page 30 of 4 1

C A

N U

F A

C T

U R

N N

E C

406 3 3621 CHEMTRON QC 0

406 3 3624 CHEMTRON QC 0

406 3 3620 CHEMTRON QC 0

406 3 3619 CHEMTRON QC 0 X

406 3 3637 CHEMTRON QC 0

Page 31 of 4 1

C A

N U

F A

C T

U R

N N

E C

406 3 3641 OHIO QC 0 X

DAY ROOM OHIO QC A X

406 3 3657 OHIO QC 0 X

406 3 3681 CHEMTRON QC 0 X

406 3 3683 CHEMTRON QC 0 X

406 3 3686 CHEMTRON QC 0 X

LocxnoN TYPE

C A

N U

F A

C T

U R

N N

E C

406 3 3684 CHEMTRON QC 0 X

406 3 3682 CHEMTRON QC 0 X

406 3 3676 CHEMTRON QC V X

Page 33 of 4 1

C A

N U

T U

N N

E C

S T

406 3 3672 CHEMTRON QC 0 X

406 3 3668 CHEMTRON QC 0 X

406 3 3664 CHEMTRON QC 0 X

406 3 3662 CHEMTRON QC 0 X

406 3 3661 CHEMTRON QC 0 X

406 3 3663 CHEMTRON QC 0 X

C A

N U

F A

C T

U R

Z P 0 w z g o S

Y S

406 3 3667 CHEMTRON QC 0 X

406 2 2635 CHEMTRON QC 0 X

406 2 2633 CHEMTRON QC A X

406 2 2631 CHEMTRON QC 0

406 2 2627 CHEMTRON QC 0

406 2 2608 CHEMTRON QC 0

406 2 2606 CHEMTRON QC 0

Page 35 of 4 1

C A

N U

F A

C T

U R

N N

E C

S T

406 2 2604 CHEMTRON QC 0

406 2 2602 CHEMTRON QC 0

406 2 2601 CHEMTRON QC 0

406 2 2603 CHEMTRON QC 0

406 2 2605 CHEMTRON QC 0

406 2 2607 CHEMTRON QC 0 X

406 2 2619 CHEMTRON QC 0 X

Page 36 of 4 1

C A

N U

T U

N N

E C

S T

406 2 2621 CHEMTRON QC 0

406 2 2624 CHEMTRON QC 0

406 2 2620 CHEMTRON QC 0

Page 37 of 4 1

C A

N U

F A

C T

U R

N N

E C

T I O

S T

406 2 2630 CHEMTRON QC 0

406 2 2679 CHEMTRON QC 0 X

406 2 2682 CHEMTRON QC 0 X

406 2 2678 CHEMTRON QC 0 X

Page 38 of 4 1

C A

N U

F A

C T

U R

, C

N N

E C

T r=1 E.

m a

406 2 2680 CHEMTRON QC 0 X

406 2 2670 CHEMTRON QC V X

406 2 2663 CHEMTRON QC 0 X

C A

N U

F A

C T

U R

N N

E C

S T

406 2 2661 CHEMTRON QC 0 X

406 2 2659 CHEMTRON QC 0 X

406 2 2657 CHEMTRON QC 0 X

406 2 2656 CHEMTRON QC 0 X

406 2 2658 CHEMTRON QC 0 X

A T I

N U

T U

N N

E C

.,C

406 2 2660 CHEMTRON QC 0 X

406 2 2674 CHEMTRON QC 0 X

Page 41 of 4 1

Medical Air Compressor Evaluation Inspection Record

Simplex Duplex Triplex Quadruple) Other

Compressor Type:

Scroll Liquid Ring Reciprocating

Compressor Mount

SQUIRE COGSWELL Model: ASC500B-T2

401 BASEMENT MECHANICAL ROOM

Unit HP Hour Meter Comp Serial # Manufacturer

1 5 1805 N1101385 SQUIRE

2 5 1797 N1101383 SQUIRE

Compressor Mount

POWEREX Model: DOS050-80-TDD

402 BASEMENT MECHANICAL ROOM

1 5 2381 KA4358 VVEG

2 5 2545 KA4359 VVEG

Medical Air Compressor. Evaluation Inspection Record

Compressor Mount:

POVVEREX Model: DOS050-80-TDD

403 BASEMENT MECHANICAL ROOM

1 5 2731 KA4355 PREX

2 5 2684 KA4357 PREX

Compressor Mount

Manufacturer:

Location:

Unit

Simplex

Scroll

Base

BEACON

400 PENTHOUSE

Hour Meter

Duplex Triplex

Liquid Ring

Tank

Model:

Comp Serial # N/A N/A

Quadruple)

Reciprocating

Frame

ASTD

Manufacturer

HITACHI

Other

Compressor Mount:

BEACON Model: DDT469

406 BASEMENT MECHANICAL ROOM

Unit: HP Hour Meter Comp Serial # Manufacturer

1 5 3387 N/A HITACHI

2 5 3395 N/A HITACHI

Medical Vacuum Pump Evaluation Inspection Record

Claw Liquid Ring Rotary Vane Oil Free Rotary Vane

Vacuum Mount

AIRTECH Model: SCS-VCX1052TAN-NFPA-HIVII

400 WEST PENT HOUSE

Unit HP Hour Meter Pump Serial # Manufacturer

1 3 16 19010001 AIRTECH

2 3 16 1901041 AIRTECH

SQUIRE Model: VV'TD

401 BASEMENT MECH ROOM

Unit: HP Hour Meter Pump Serial # Manufacturer

1 7.5 1201 11025793 SQUIRE

2 7.5 1201 11025783 SQUIRE

BEACON Model: DVL075-300T

402 BASEMENT MECH ROOM

Unit HP Hour Meter Pump Serial # Manufacturer

1 7.5 6978 F810316656 BUSCH

2 7.5 7219 F0810216559 BUSCH

Model: DCV075-200T

403 BASMENT MECH ROOM

Unit: HP Hour Meter

1 7.5 57

4102103708 BUSCH

2 7.5 52

4102003561 BUSCH

Model: DLV075-200T

406 BASEMENT MECH ROOM

Unit HP Hour Meter

1 7.5 2295

4102103692 BUSCH

2 7.5 2328

4102103693 BUSCH

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File details come from the government source that posted it. Updated Sep 29, 2021.