### F acili ty MVNRLM Diesel Fu e l Report Instructions Designate & Track Facility Co m pliance Calculation Report Repo rt Form ID: DSF0 70 0

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EPA Form 5900
- 327 The F a cility Com plia n c e C a lculati o n Re p ort must be submitted an n ually. In the ca se of Tr u ck Loadi n g Termi n als (t h e point w h ere D&T en d s), this re p o rt m u st be s u bm itted qu a rterly. See s e ction h eadi n gs for rep o rting n otes a n d refe re nce the regu l ations for d etai l ed d e script i ons a nd defi n itions of the formu l as a nd their p a rame ters. Please d o not leave any re porting fiel d s in this re p ort b l a n k. Wh en rep o rting, en ter “NA” for fi e lds that are not appl i cab l e unl e ss ot he rw i se sp e c ifi e d. Re p orts u s i n g this form m ust be submi tted quarte rly in the ca se of Tr u ck L oad in g Termi n als with due dates of Novemb e r 30 th , F ebr u ary 28 th , May 31 st , and August 31 st

. Annual re ports usi n g this form m u st be s u bm itted by August 3 1 st

. Please ch e ck the Diesel Fuel R e porti n g For m s we b site for update d instr u ctio n s and re p ort fo rm template s : http://epa.gov/otaq/re g s/fue l s/dieselfms.h tm For informat i on on submitting this report using EPA’s Central Data Exchange (CDX) visit: http://epa.gov/otaq/re g s/fu e ls/cdxinfo.htm **Field No.**  **Field Name Units**  **Field Formats, Codes, & Special Inst**  **r uctions**  1. Report Form ID **A AA** **A AA** **A** ; Ch a r a cter. Enter **DS F**  **07 0**  **0** for this Des i gnate & Track F a cil i ty

Complia nc e Ca l c ulation Re p ort 2. Re p ort T ype **A** ; Ch a r a cter. Submit only one or i ginal report, submit any corre ctio n s or update s as res u bm issi o n(s): **O** : Original **R** : Resubm is sion 3. CBI **A** ; Ch a r a cter. Specify

i f t h e data co nta i ned with i n the rep o rt is c l a i me d as Confi dential Bus in ess Informat i on (CBI) u nd e r 4 0 CFR P a rt 2, sub p art B: **Y** : Confident i al Busin e ss Informati o n **N** : No n - Confi dential Bus in ess Informat i on 4. Re p ort Date **MM/DD/YY Y**  **Y** ; Char a cter
. Enter the date you create this rep o rt. If resubmitting, use the c u rre nt date and n ot the date on the o riginal rep o rt. 5. Re p ort Year **YYYY** ; Char a cte r. The re p ort year is d etermi n ed by the ann u al co m p l iance per i od. If an annual complia n c e pe riod sp a ns two years, en ter the second ye a r (e.g. for the com pl i a n ce year June 1, 2 006 thro ugh May 31, 2007 use 200 7 ). 6. Com p any

/Entity ID **A AA** **A** ; Ch ar acte r. Enter t he four- digit, EPA- as s igned ID for the co m p a ny

/entity (refiner, imp o rter, etc.). 7. Facility ID **A AA** **A A**  ; Cha r a cte r. Enter the five - digit, EPA- as s igned ID for the facility. Please inc l ude any preceding zeros.

### F acili ty MVNRLM Diesel Fu e l Report Instructions Designate & Track Facility Co m pliance Calculation Report Repo rt Form ID: DSF0 70 0

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EPA Form 5900
- 327 **Field No.**  **Field Name Units**  **Field Formats, Codes, & Special Inst**  **r uctions**  8. Compl i a n ce Period Co d e **AA** ; Characte r. Compli a nce Period Co d es. See the list of sp e c ific com p liance peri o d s in 40 CFR 8 0.599. Gen e ral mo nth ra ng e s are provided bel ow to ass i st in labeli n g quarte rs: **Qua r**  **terly -**  **T ruck Lo**  **a ding Terminals Only**  (** ind i cate s required item for qu a rterly truck load i ng terminal co m plia n ce. Refe re n ce 40 C F R 80.6 0 1( a ) (4)) **Q1** : First Quarte r (July
– Septemb e r) **Q2** : Second Quar

ter (October
– Dece mb er) **Q3** : Third Quarte r (Ja n uary – Marc h ) **Q4** : Fourth Quarte r (A p r i l
– Jun e ) **An nual (**  **All Facilities) A1:**  Annual Facility Rep o rt **MV Fuel Compliance Calculations** 

• Annual comp l iance for ite m s 12, 13, and 14 m ay be d e mo ns t rated o n a corp o rate bas i s us i ng form DSE0 70 0. Enter the word “ENTI TY” in those fi e lds when su b mi tting this re port and com plyi n g in that mann e r.

• Quarte rly truc k load i ng terminal co mp li a nce m u st be dem o n strated with item 12 (** ind i cate s required item for qu a rterly truck load i ng termi n al co mp liance. Reference 40 C F R 80.60 1 ( a )( 4 )) 9. MVB Gallons **999 9**  **999 9**  **9** ; Num b er. Volume bal a nce requ i re d para me ter. T he volum e b a lance for motor vehic l e di e s el fuel. Refere n ce 40 CFR 8 0.599(b)( 1 ) 10. MV I Gallons **999 9**  **999 9**  **9** ; Num b er. Volume bal a nce requ i re d para me ter. T he volum e of m otor veh i cle diesel fuel received. Refere n ce 40 CFR 80.5 9 9(b)(2) 11. MVO Gallons **999 9**  **999 9**  **9** ; Num b er. Volume bal a nce requ i re d para me ter. T he volum e of m otor veh i cle diesel fuel delivere d. Refere n ce 4 0 CFR 8 0.59 9 (b)(3) 12.** MVN B

B E Gallons **999 9**  **999 9**  **9** ; Num b er. Volume bal a nce requ i re d para me ter. T he net bal a nce of motor vehicle d i esel fuel in inventory as of the end of the last day of the compli an ce peri o d. Reference 40 C F R 80.599(b)(4 ) 13. [( - 1 )(MVB)] Gallo n s **999 9**  **999 9**  **9** ; Num b er. Volume bal a nce requ i re d para me ter. Motor veh i cle diesel fuel vo lume bal a nce equati o n. Refere n ce 40 CFR 80.5 9 9(b)(5)

### F acili ty MVNRLM Diesel Fu e l Report Instructions Designate & Track Facility Co m pliance Calculation Report Repo rt Form ID: DSF0 70 0

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EPA Form 5900
- 327 **Field No.**  **Field Name Units**  **Field Formats, Codes, & Special Inst**  **r uctions**  14. [(0.02)(M V I )] Gallons **999 9**  **999 9**  **9** ; Num b er. Volume bal a nce requ i re d para me ter. Motor veh i cle diesel fuel vo lume bal a nce equati o n. Refere n ce 40 CFR 80.5 9 9(b)(5) **HS Fuel Compliance Calculations** 

• Annual comp l iance must b e dem o n strated for the p e riods sp e c ifie d
. June 1, 20 0 7
– May

31, 2010 with item 15 **or** items 16 & 17, and Beginning June 1, 20 1 0 with item 18

• Annual comp l iance for item 18 m ay be demo n strate d on a co rp o ra te bas i s u s ing form DSE07 0 0. Enter the wo rd “ENTITY” in t hat fie l d wh e n submitting t his re p o rt and comply ing in that m ann e r.

• Quarte rly truc k load i ng terminal co mp li a nce m u st be dem o n strated with item 15 or items 1 6 & 17 (** ind i cate s required item for qu a rterly truck load i ng termi n al co mp liance. Reference 40 C F R 80.60 1 ( a )( 4 )) 15.** HSNRLMB gallo n s **999 9**  **999 9**  **9** ; Num b er. Volume bal a nce requ i re d para me ter. High sulfu r NRLM bala n ce. Refere n ce 40 CFR 80.599(c)(1) & ( 2 ) and 80.598( b )(9)(viii)(A) (Valid for co mp lia n ce p e r i ods Ju n e 1, 2007
– May 3 1 , 201 0 ) 16.** [(HSNRL M O + HS N RL M INV C HG ) / HS N RL M I ] gallons **999 9**  **999 9**  **9** ; Num b er. Volume bal a nce requ i re d para me ter. High sulfu r NRLM volume b ala n ce e q uat i on. Refere n ce 40 CFR 8 0.59 9 ( c )(2) a nd 80
. 598(b)( 9 )(viii)(A) (Valid for co mp lia n ce p e r i ods Ju n e 1, 2007
– May 3 1 , 201 0 ) 17.** [(H O O + H O INVCHG ) / HO I ] gallons **999 9**  **999 9**  **9** ; Num b er. Volume bal a nce requ i re d para me ter. High sulfu r NRLM volume b ala n ce e q uat i on. Refere n ce 40 CFR 8 0.59 9 ( c )(2) a nd 80
. 598(b)( 9 )(viii)(A) (Valid for co mp lia n ce p e r i ods Ju n e 1, 2007
– May 3 1 , 201 0 ) 18. HOB gallo n s **999 9**  **999 9**  **9** ; Num b er. Volume bal a nce requ i re d para me ter. Heating oil vol u mebala n ce. Refere n ce 40 CFR 80.599(c)(3) & (4 ) and 80.598( b )(9)(viii)(B) (Valid for co mp lia n ce p e r i ods b egi n ni n g Ju n e 1, 20 1 0) **NR F u**  **el C o**  **mpliance C a**  **lculations**

• Annual comp l iance must b e dem o n strated for the p e riods sp e c ifie d
. June 1, 20 1 0
– May

31, 2012 with item 19 **or** items 20 & 21

### F acili ty MVNRLM Diesel Fu e l Report Instructions Designate & Track Facility Co m pliance Calculation Report Repo rt Form ID: DSF0 70 0

Page 4 OMB Contro l No. 2060 - 0 3 08 Expires January 3 1 , 2016

EPA Form 5900
- 327 **Field No.**  **Field Name Units**  **Field Formats, Codes, & Special Inst**  **r uctions**  19. NR500B gallo n s **999 9**  **999 9**  **9** ; Num b er. Volume bal a nce requ i re d para me ter. Non - ro a d 50 0p pm sulfu r volum e bal a nce. Refere n c e 40 CFR 8 0.59 9 (d) and 8 0.5 9 8( b )( 9 )(i x ) (Valid for co mp lia n c e p e r i ods Ju n e 1, 2010
– May 3 1 , 201 2 ) 20. [(NR50 0 O + NR50 0 INVCHG ) / NR50 0 I ] gallons **999 9**  **999 9**  **9** ; Num b er. Volume bal a nce requ i re d para me ter. Non - ro a d 50 0p pm sulfu r volum e bal a nce equati o n. Refere n c e 40 CFR 80.5 9 9(d) and 80.59 8 ( b )( 9 )( ix ) (Valid for co mp lia n c e p e r i ods Ju n e 1, 2010
– May 3 1 , 201 2 ) 21. [(LM5 00 O + LM50 0 INVCHG ) / LM50 0 I ] gallons **999 9**  **999 9**  **9** ; Num b er. Volume bal a nce requ i re d para me ter. Non - ro a d 50 0p pm sulfu r volum e bal a nce equati o n. Refere n c e 40 CFR 80.5 9 9(d) and 80.59 8 ( b )( 9 )( ix ) (Valid for co mp lia n c e p e r i ods Ju n e 1, 2010
– May 3 1 , 201 2 ) Electro nic S u bm ission S a mple Re co rd: DSF0 7 00,O , Y,08/30/200 8 ,2008,1 2 34 ,1 2345, Q 4,10 0 0,2000, 2 00 02 1000, - 10 0 0, 4 0,0,0,0,0,NA,NA,NA Paperwo rk Red u ction Act Statement The publ i c re porting a nd reco rd ke e ping burd e n for t h is col l ecti o n of information i s discl o s e d in the estimate s of the individual rep o rt form i n str u ctio n s . Burd e n me a ns the total time, effort, or financial reso u rces ex pen d ed by p e rs o ns to g e n e rate, maintai n , reta in, or discl o se or p rov i de infor m ati o n to or for a Fed e ral a g ency . Th i s includ e s the time nee d ed to review i n str u ctions; deve l o p , acquire, ins tall, and utilize techno l ogy

and s y stems for the p urp o s e s of co llecting, vali d ating, and verifying inform at ion, pro c e ss i ng a nd maintain in g informati o n, and discl o s i n g and provid i ng inform ati o n; adjust the existing ways to com p ly

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