VISN 16 ATTACHMENT B DELIVERY LOCATIONS 36C77625Q0006 Med Gases 2025 Final.xlsx
XLSX spreadsheet 133 KB Posted
- Solicitation number
- 36C77625Q0006
About this file
This document appears to be an attachment titled "VISN 16 ATTACHMENT B DELIVERY LOCATIONS 36C77625Q0006 Med Gases 2025 Final.xlsx" related to a federal contract opportunity for medical gas delivery services for the Department of Veterans Affairs (VA) in VISN 16.
The key details include a list of VA facilities, their addresses, whether the facility owns or rents medical gas cylinders, the current vendor providing the cylinders, delivery days/times, and facility access requirements for vendors. It also requests information on the age and size of the facility's bulk oxygen tanks, as well as the current owner of those tanks. Respondents are instructed to email certain information to Tanya Kuza at the VA. This attachment seems to be a data collection template to gather facility-specific information to support the forthcoming medical gas contract solicitation.
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Other files
| File | Type | Posted |
|---|---|---|
| VISN 16 Attachment C Questionairre 36C77625Q0006 Med Gases 2025 Final.docx | DOCX document | |
| VISN 16 RFI 36C77625Q0006 Medical Gases 2025 Final.docx | DOCX document | |
| 36C77625Q0006.docx | DOCX document | |
| VISN 16 Attachment A Draft Schedule of Items 36C77625Q0006 Med Gases 2025 Final.xlsx | XLSX spreadsheet |
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Text version
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 ADDED VIA MOD 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…
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