36C77620Q0055-0003001.xlsx

XLSX spreadsheet Posted

Attached to
6830--RFQ VISN 16 Midcon Medical Gases Federal contract opportunity
Solicitation number
36C77620Q0055
Issued by
Department of Veterans Affairs Technology Acquisition Center Austin

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36C77620Q0055 0003 AMENDMENT 0003 ATTACHMENT (1) DELIVERY LOCATIONS.xlsx

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Other files attached to 6830--RFQ VISN 16 Midcon Medical Gases, newest first.
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36C77620Q0055-0003000.docx DOCX document
36C77620Q0055-0002002.docx DOCX document
36C77620Q0055-0002003.xlsx XLSX spreadsheet
36C77620Q0055-0001004.xlsx XLSX spreadsheet
36C77620Q0055-0001005.xlsx XLSX spreadsheet
36C77620Q0055-0001003.docx DOCX document
36C77620Q0055-001.xlsx XLSX spreadsheet
36C77620Q0055-002.xlsx XLSX spreadsheet
36C77620Q0055-000.docx DOCX document

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VISN 16

Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code VA owned /Contractor owned cylinders (Identify the current Contractor by name) Delivery Days/Times MAIN HOSPTIAL footprint by square feet Facility Access Point of Contact Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and CBOC (example Tuesdays at 11am) amount of MAIN HOSPTIAL footprint by square feet Age of Bulk 02 tank (if known) Bulk 02 current owner of tanks (Identify the vendor by name or VA owned) Bulk 02 current size of main Bulk 02 current size of reserve Identify onsite facility access requirements for Vendors Facility Name Identify Main/CBOC/Vet Center/Research Facility Address City State Zip Code site double check on location names and address VA owned or Vendor owned cylinders (Identify the current vendor by name) IF VA owned cylinders (identify which med gases..carbon, oxygen,etc) email to: Tanya.Kuza@va.gov Sales Tax Exemption form per main station define delivery dates/times for each station and…

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