F acility MVNR L M Dies el F uel R eport Ins tructions

OMB C ontrol No. 2060

- 0308 E xpires 12/31/2011


### Des ignate & T rac k T otal V olume R eport Is s ue Date: 09/15/2006

R eport F orm ID: DS F 060 1 R evis ed: 04/ 29 /2011

Page 1 The Total Volume Compliance Report must be submitted annually. In the case of Truck Loading Terminals (the point where D&T ends), this report must be submitted quarterly. Submit this report separately for each facility, each designation of fuel, and tax/dye/marker status, that a facility had custody of during the compliance period. In the fourth quarter, both a quarterly (4 th quarter) and annual report must be submitted by the Truck Terminal.

Reports using this form must be submitted quarterly in the case of Truck Loading Terminals with due

dates of November 30 th , February 28 th , May 31 st , and August 31 st . Annual reports using this form must be submitted by August 31 st

. Please check the Diesel Fuel Reporting Forms web site for updated instructions and report form templates: http://epa.gov/otaq/regs/fuels/dieselfms.htm

For information on submitting this report using EPA’s Central Data Exchange (CDX) visit: http://epa.gov/otaq/regs/fuels/cdxinfo.htm

Field

No. Field Name Units F ield F ormats , C odes , & S pecial Ins tructions

1. Report Form ID AAAAAAA ; C haracter . Enter DS F0600 for this Designate & Track Total Volume Report

2. Report Type A ; C haracter . Submit only one original report, submit any corrections or updates as resubmission(s):

O : Original

R : Resubmission

3. CBI A ; C haracter . Specify if the data contained within the report is claimed as Confidential Business Information (CB I) under 40 CFR Part 2, subpart B:

Y : Confidential Business Information

N : Non

- Confidential Business Information

4. Report Date MM/DD/Y Y Y Y ; C haracter . Enter the date you create this report. If resubmitting, use the current date and not the date on the original report.

5. Report Year YYYY ; C haracter . The report year is determined by the annual compliance period. If an annual compliance period spans two years, enter the second year (e.g. for the compliance year June 1, 2006 through May 31, 2007 use 2007).

6. Company/Entity ID AAAA ; C haracter . Enter the four

- digit, EPA

- assigned ID for the company/entity (refiner, importer, etc.).

7. Facility ID AAAAA ; C haracter . Enter the five

- digit, EPA

- assigned ID for the facility. Please include any preceding ze ros.F acility MVNR L M Dies el F uel R eport Ins tructions

OMB C ontrol No. 2060

- 0308 E xpires 12/31/2011


### Des ignate & T rac k T otal V olume R eport I ssu e Date: 09/15/2006

R eport F orm ID: DS F 0600 R evis ed: 04/ 1 5/2011

Page 2 Field

No. Field Name Units F ield F ormats , C odes , & S pecial Ins tructions

8. Compliance Period

Code A A ; C haracter . Compliance Period Codes. See the list of specific compliance periods in 40 CFR 80.599. General month ranges are provided below to assist in labeling
quarters:

Quarterly

Q1 : First Quarter (July – September)

Q2 : Second Quarter (October – December)

Q3 : Third Quarter (January – March)

Q4 : Fourth Quarter (April – June)

Annual T otal

A1 : Annual Facility Report (All Entities)

9. Tax/Dye/Marker

Status AAA ; C haracter. Separately report Taxed/D yed and Untaxed Clear distillates. Specify if the product delivered was either taxed, dyed or marked (e.g. product leaving a truck rack) or untaxed and clear (product entering D&T).

TDM : Taxed/Dyed/Marked (non

- D&T fuel or fuel leaving D&T)

FUN : Untaxed/Cl ear (fuel entering D&T or continuing on in D&T)

10. Product Type AAAAAA ; C haracter . Enter the one appropriate product designation code from the following list.

DNR LM500 : 500 ppm Non

- Road Locomotive & Marine.

DNR 500 : 500 ppm Non

- Road.

DLM500 MK : Marked 50 0 ppm Locomotive & Marine.

DLM500UK : Un

- marked 500 ppm Locomotive & Marine.

DNR LMHS : High sulfur NRLM.

HOMMR K : Marked and dyed heating oil.

HOUMR K : Un

- marked heating oil.

DTAB : Diesel Treated as Blendstock (Importers only)

11. Received gallons 999999999 ; Number. Total volume of designated product received for the period. If this product type was not received, enter “0”.F acility MVNR L M Dies el F uel R eport Ins tructions

OMB C ontrol No. 2060

- 0308 E xpires 12/31/2011


### Des ignate & T rac k T otal V olume R eport Is s ue Date: 09/15/2006

R eport F orm ID: DS F 060 1 R evis ed: 04/ 29 /2011

Page 3 Field

No. Field Name Units F ield F ormats , C odes , & S pecial Ins tructions

12. Delivered gallons 999999999 ; Number. Total volume of designated product delivered for the period. If this product type was not

d elivered, enter “0”.

13. Produced gallons 999999999 ; Number. Total volume of designated product produced for the period. If this product type was not produced, enter “0”.

14. Imported gallons 999999999 ; Number. Total volume of designated product impor ted for the period. If this product type was not imported, enter “0”.

15. B eginning I nventory gallons 999999999 ; Number. Total volume of designated product in beginning inventory for the period. If this product type was not in inventory, enter “0”.

16

. Ending Inventory gallons 999999999 ; Number. Total volume of designated product in ending inventory for the period. If this product type was not in inventory, enter “0”.

Electronic Submission Sample Record: DSF0600,O,Y,08/30/2011,2011,1234,12345,Q4,F UN,DNR 5 00 ,10000,10000,0,0,3000,3000

Paperwork Reduction Act Statement

The public reporting and recordkeeping burden for this collection of information is disclosed in the estimates of the individual report form instructions. Burden means the total time, effort, or financial resources expended by persons to generate, maintain, retain, or disclose or provide information to or for a Federal agency. This includes the time needed to review instructions; develop, acquire, install, and utilize technology and systems for the purposes of collecting, validating, and verifying information, processing and maintaining information, and disclosing and providing information; adjust the existing ways to comply with any previously applicable instructions and requirements; train personnel to be able to respond to a collection of information; search data sources; complete and review the collection of information; and transmit or otherwise disclose the information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid

OMB control number.

Send comments on the Agency's need for this information, the accuracy of the provided burden estimates, and any suggested methods for minimizing respondent burden, including through the use of automated collection techniques to the Director, Collection Strategies Division, U.S. Environmental Protection Agency (2822), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB control number in any correspondence. Do not send the completed form to this address.