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# DLA Official Forms

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| Form Number:  DLA2006                                                                                                                                                                                                                                                          |
|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Form Title:  Bunker Delivery Note                                                                                                                                                                                                                                              |
| Form Version:  Canceled                                                                                                                                                                                                                                                        |
| Status:  Canceled                                                                                                                                                                                                                                                              |
| Functional Area:  Energy                                                                                                                                                                                                                                                       |
| Opr:  Energy - FEQB                                                                                                                                                                                                                                                            |
| Safeguards:  none                                                                                                                                                                                                                                                              |
| Electronic:  Yes                                                                                                                                                                                                                                                               |
| Form Link:                                                                                                                                                                                                                                                                     |
| Type:  Primary                                                                                                                                                                                                                                                                 |
| Prescribed:  Memorandum - Annotation of Bunker Delivery note per MARPOL Regulations (1 JAN 2015)                                                                                                                                                                               |
| Description:  THIS FORM IS CANCELED AS A RESULT OF THE 2020 FORMS SURVEY ON DLA-LEVEL FORMS.  Form was used as a record that the fuel at a specific receiving point meets specific requirements.                                                                               |
| Records Retention:  5300.10 - Unscheduled. Do not destroy until scheduled with NARA. Recommendation made to OPR to draft record series under new Schedule 4180 with a retention of 3 years based on 40 CFR40 CFR 80.597(c), 80.580, 80.581, 80.583-80.586, 80.602, and 1043.80 |
| Form Audience:                                                                                                                                                                                                                                                                 |

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