Dd Form 2921c - Physical Inventory Petroleum Products - 2009 Page 2
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2DD FORM 2921C INSTRUCTIONS
LINE
INSTRUCTIONS
1a
Enter the DESC Stock Point Name and type (GOCO, COCO, TOA, Military.)
1b
Enter the Stock Point DoDAAC.
1c
Enter the date of the physical inventory (MM DD YY).
2
Enter the three digit product code for each column. Use a separate column for each product of product recorded on individual sheets.
Enter the individual tank number or facility number as applicable. Repeat entry for each tank recorded on the form under the
3
appropriate product code column.
Enter the fuel gauge reading in feet, inch and 1/8 inch (millimeters if gauge charts are metric) or 1/16 inch increments, if available, along
3a
with the corresponding quantity from the certified tank gauge/strapping chart for each tank in the appropriate product code column.
Repeat entry for each tank recorded on the form under the appropriate product code column.
Enter the water gauge reading in feet, inch and 1/8 inch (millimeters if gauge charts are metric) or 1/16 inch increments, if available,
3b
along with the corresponding quantity from the certified tank gauge/strapping chart for each tank in the appropriate product code column.
Repeat entry for each tank recorded on the form under the appropriate product code column.
Enter the observed fuel quantity (fuel quantity on line 3a minus water quantity on line 3b) for each tank in the appropriate product code
3c
column. Repeat entry for each tank recorded on the form under the appropriate product code column.
Enter the observed temperature and unit of measure ("C" for Celsius or "F" for Fahrenheit), API Gravity at 60 degrees Fahrenheit, and
3d
conversion factor from appropriate API Table. Repeat entry for each tank recorded on the form under the appropriate product code
column.
Enter the Net Fuel Quantity (fuel quantity from line 3c multiplied by the conversion factor on line 3d). Repeat entry for each tank
3e
recorded on the form under the appropriate product code column.
Lines 4a through 6e: Follow instructions provided for lines 3a through 3e above for all tanks.
7
Enter the total net fuel quantity for each tank recorded on lines 3e, 4e, 5e and 6e for each of the columns.
Enter the appropriate number of pages (DD Form 2921 and 2921C) used to record physical inventory data. For example, if two DD
8
Forms 2921C were required in addition to the DD Form 2921, enter "Page 1 of 3" on DD Form 2921, "Page 2 of 3" on the first DD Form
2921C, etc.
Enter the printed name and signature of the person preparing the form. May also be digitally signed.
8a
8b
Enter the printed name and signature of the Approving Official (RO or TM). This block may also be digitally signed.
DD FORM 2921C (BACK), JUN 2009
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