### OMB Control No. 2060

- 0308 Expires January 31, 2016

EPA Form 5900

- 328



### Facili ty MVNRLM Diesel Fu e l Report Instructions Designate & Track Entity Co m pliance Calculation Report Repo rt Form ID: DSE07 0 0 The Entity Complia n c e Ca l c ulati o n R e p o rt is an optio n al ann u al re p ort. Several compl i a n ce calcu l ation item s m ay

be calculated on a corporate bas i s ; if co m pliance is demons t rated on a facility
- by
-facility bas i s , this form is n ot requ i red. This form m a y not be used to meet quarterly truck lo a ding term i nal rep o rting requ i re m ents. 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 c ab l e unl e ss ot he rw i se sp e c ifi e d. Annual rep o rts us i ng this fo rm m u st be submitted by Aug u st 31 st

. Please ch e ck the Diesel Fuel Re porti n g For m s we b site for update d instr u ctio n s and re p ort fo rm tem plate 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 **No. Field Name**  **Units Field Formats, Codes, &**  **Special Inst r**  **uctions** 1. Report Form ID **A AA** **A AA** **A** ; Ch a r a c ter. Enter **DSE070 0**  for this Des i gnate & Track Entity Com plia n c e Calculation Re p ort 2. Re p ort T ype **A** ; Ch a r a c ter
. Submit only one Or i ginal report, submit any corre ctio n s or update s as R e subm is si o n(s): **O** : Original **R** : Resubm i s sion 3. CBI **A** ; Ch a r a c ter
. 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 c ter

. This is the d ate the origi n al or resubmitted report is crea ted. 5. Re p ort Year **YYYY** ; Char a c te r
. Averag i ng/co m plia nc e peri o d the rep o rt cove rs. If the annual com pl i a n ce p eriod sp a ns two ye ars, ente r the s e co nd ye ar. 6. Com p any

/Entity ID **A AA** **A** ; Ch ar acte r
. The four Ch aracte r EPA
- as s igned ID for a co m pa n y/entity (refiner, importe r, etc.). **MV Fuel Compliance Calculations**  7. MVN B

B E gallons **999 9**  **999 9**  **9** ; Num b er. Volume bal a nce requ i re d para me ter. Net bala n ce of motor veh i cle diesel fuel in inventory as of the end of t he last day of the compli an c e peri o d. Reference 40 C F R 80.599(b)(4 )

### OMB Control No. 2060

- 0308 Expires January 31, 2016

EPA Form 5900

- 328



### Facili ty MVNRLM Diesel Fu e l Report Instructions Designate & Track Entity Co m pliance Calculation Report Repo rt Form ID: DSE07 0 0 **No. Field Name**  **Units Field Formats, Codes, &**  **Special Inst r**  **uctions** 8. [(
- 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. R e fere n c e 40 CFR 80.5 9 9(b)(5) 9. [(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. R e fere n c e 40 CFR 80.5 9 9(b)(5) **HS Fuel Compliance Calculations** Valid for co mp lia n c e p e r i ods b egi n ni n g Ju n e 1, 20 1 0 10. 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 Vo l um e Bala n c e. Refere n c e 4 0 CFR 80.599(c)(3) & ( 4 ) and 80.598( b )(9)(viii)(B) (Valid for co mp lia n c e p e r i ods b egi n ni n g Ju n e 1, 20 1 0)
Electro nic S u bm ission S a mple Re co rd: DSE07 0 0,O,Y,08/31/200 8 ,2008,1 2 34, 1 000,
- 1 000, 40, 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 inform ation 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 m e 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 m aintain 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

with any previously a p plicab l e instr u ct i ons a nd re qu i rem e nts; train person n el to be able to respo n d to a coll e ction of i nformati o n; search da ta s o urces; comp l ete and revi e w the col l ect i on of informati o n; and tra n smit or otherw i se d i scl o se the i n fo rm ation. An a ge n cy m ay not con d uct or sp o nsor, and a p e rson is not re q uire d to respond to, a coll e ction of informati o n unl e ss it displays a curre ntly valid OMB con t rol num b e r. Send co mm e nts on the Ag ency' s ne e d for this info rm ation, the accura cy of the provided b urd e n estimate s, a n d any su g g es ted m etho d s for mi nim i zi ng res p on d ent b urd e n, incl u d i ng thro u gh t h e use of autom ated co llection te chn i qu e s to the Directo r, Collection Strategi e s Divis i on, U

. S. Environm e ntal Protecti o n Agency ( 2 82 2 ), 1200 Pe n nsy lv ania Ave., NW, W a shi n gton, D.C. 20 4 60. Inclu d e the OMB con trol nu mb er in any co rres p on d e n ce. Do not send t he co m pleted form to this addres s.