1.a. DFSP NAME AND TYPE
b. DODAAC
c. DATE
(Mil/COCO/GOCO/
(MM DD YY)
PHYSICAL INVENTORY
TOA)
PETROLEUM PRODUCTS
(Continuation Sheet)
A
B
C
2.
PRODUCT
PRODUCT
PRODUCT
3.
TANK/FACILITY NUMBER
TANK/FACILITY NUMBER
TANK/FACILITY NUMBER
(2) QUANTITY
(2) QUANTITY
(2) QUANTITY
(1) TANK/GAUGE READING
(1) TANK/GAUGE READING
(1) TANK/GAUGE READING
(U.S. Gallons)
(U.S. Gallons)
(U.S. Gallons)
a.
FUEL
FUEL
FUEL
b.
WATER
WATER
WATER
0
0
0
c.
DIFFERENCE (Fuel - water)
DIFFERENCE (Fuel - water)
DIFFERENCE (Fuel - water)
(1)
(2) API @
(3) CONVERSION
(1)
(2) API @
(3) CONVERSION
(1)
(2) API @
(3) CONVERSION
d.
TEMPERATURE
60 deg. F
FACTOR
TEMPERATURE
60 deg. F
FACTOR
TEMPERATURE
60 deg. F
FACTOR
0
0
0
e.
TANK NET FUEL QUANTITY
TANK NET FUEL QUANTITY
TANK NET FUEL QUANTITY
4.
TANK/FACILITY NUMBER
TANK/FACILITY NUMBER
TANK/FACILITY NUMBER
(2) QUANTITY
(2) QUANTITY
(2) QUANTITY
(1) TANK/GAUGE READING
(1) TANK/GAUGE READING
(1) TANK/GAUGE READING
(U.S. Gallons)
(U.S. Gallons)
(U.S. Gallons)
a.
FUEL
FUEL
FUEL
b.
WATER
WATER
WATER
0
0
0
c.
DIFFERENCE (Fuel - water)
DIFFERENCE (Fuel - water)
DIFFERENCE (Fuel - water)
(1)
(2) API @
(3) CONVERSION
(1)
(2) API @
(3) CONVERSION
(1)
(2) API @
(3) CONVERSION
d.
TEMPERATURE
60 deg. F
FACTOR
TEMPERATURE
60 deg. F
FACTOR
TEMPERATURE
60 deg. F
FACTOR
0
0
0
e.
TANK NET FUEL QUANTITY
TANK NET FUEL QUANTITY
TANK NET FUEL QUANTITY
5.
TANK/FACILITY NUMBER
TANK/FACILITY NUMBER
TANK/FACILITY NUMBER
(2) QUANTITY
(2) QUANTITY
(2) QUANTITY
(1) TANK/GAUGE READING
(1) TANK/GAUGE READING
(1) TANK/GAUGE READING
(U.S. Gallons)
(U.S. Gallons)
(U.S. Gallons)
a.
FUEL
FUEL
FUEL
b.
WATER
WATER
WATER
0
0
0
c.
DIFFERENCE (Fuel - water)
DIFFERENCE (Fuel - water)
DIFFERENCE (Fuel - water)
(1)
(2) API @
(3) CONVERSION
(1)
(2) API @
(3) CONVERSION
(1)
(2) API @
(3) CONVERSION
d.
TEMPERATURE
60 deg. F
FACTOR
TEMPERATURE
60 deg. F
FACTOR
TEMPERATURE
60 deg. F
FACTOR
0
0
0
e.
TANK NET FUEL QUANTITY
TANK NET FUEL QUANTITY
TANK NET FUEL QUANTITY
6.
TANK/FACILITY NUMBER
TANK/FACILITY NUMBER
TANK/FACILITY NUMBER
(2) QUANTITY
(2) QUANTITY
(2) QUANTITY
(1) TANK/GAUGE READING
(1) TANK/GAUGE READING
(1) TANK/GAUGE READING
(U.S. Gallons)
(U.S. Gallons)
(U.S. Gallons)
a.
FUEL
FUEL
FUEL
b.
WATER
WATER
WATER
0
0
0
c.
DIFFERENCE (Fuel - water)
DIFFERENCE (Fuel - water)
DIFFERENCE (Fuel - water)
(1)
(2) API @
(3) CONVERSION
(1)
(2) API @
(3) CONVERSION
(1)
(2) API @
(3) CONVERSION
d.
TEMPERATURE
60 deg. F
FACTOR
TEMPERATURE
60 deg. F
FACTOR
TEMPERATURE
60 deg. F
FACTOR
0
0
0
e.
TANK NET FUEL QUANTITY
TANK NET FUEL QUANTITY
TANK NET FUEL QUANTITY
NET FUEL TOTAL
NET FUEL TOTAL
NET FUEL TOTAL
0
0
0
7.
THIS COLUMN
THIS COLUMN
THIS COLUMN
a. PREPARED BY
b. APPROVING OFFICIAL (RO/TM)
(Printed Name and Signature)
Page
of
8.
(Printed Name and Signature)
DD FORM 2921C, JUN 2009
PREVIOUS EDITION IS OBSOLETE.
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EMAIL
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