Dd Form 2921 - Physical Inventory Petroleum Products

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1.a. DFSP NAME AND TYPE
(Mil/COCO/GOCO/
b. DODAAC
c. DATE
(MM DD YY)
PHYSICAL INVENTORY
TOA)
PETROLEUM PRODUCTS
PART I - FUEL INVENTORY STORED IN TANKS, BLADDERS, SCATS, ETC.
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
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
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
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
e.
TANK NET FUEL QUANTITY
TANK NET FUEL QUANTITY
TANK NET FUEL QUANTITY
NET TANK FUEL TOTAL
NET TANK FUEL TOTAL
NET TANK FUEL TOTAL
5.
BY COLUMN
BY COLUMN
BY COLUMN
PART II - REFUELING UNIT AND FUEL TRANSPORT VEHICLE INVENTORY SUMMARY
6.
PRODUCT
PRODUCT
PRODUCT
a.
GROSS REFUELING UNIT
GROSS REFUELING UNIT
GROSS REFUELING UNIT
FUEL INVENTORY
FUEL INVENTORY
FUEL INVENTORY
(1)
(2) API @
(3) CONVERSION
(1)
(2) API @
(3) CONVERSION
(1)
(2) API @
(3) CONVERSION
b.
TEMPERATURE
60 deg. F
FACTOR
TEMPERATURE
60 deg. F
FACTOR
TEMPERATURE
60 deg. F
FACTOR
NET REFUELING UNIT
NET REFUELING UNIT
NET REFUELING UNIT
c.
FUEL INVENTORY
FUEL INVENTORY
FUEL INVENTORY
PART III - TOTAL FUEL INVENTORY SUMMARY BY PRODUCT
(2)
(3)
(1)
(4)
(5)
7.
TOTAL TANK NET
TOTAL CERTIFIED
PRODUCT
TOTAL TANK NET
TOTAL NET REFUELING
TOTAL INVENTORY
INVENTORY OTHER
MANIFOLD/PIPELINE
INVENTORY THIS PAGE
UNIT INVENTORY
REPORTED THIS PRODUCT
PAGES
INVENTORY
(2)
(3)
(1)
(4)
(5)
a.
TOTAL TANK NET
TOTAL CERTIFIED
PRODUCT
TOTAL TANK NET
TOTAL NET REFUELING
TOTAL INVENTORY
INVENTORY OTHER
MANIFOLD/PIPELINE
INVENTORY THIS PAGE
UNIT INVENTORY
REPORTED THIS PRODUCT
PAGES
INVENTORY
(2)
(3)
(1)
(4)
(5)
b.
TOTAL TANK NET
TOTAL CERTIFIED
PRODUCT
TOTAL TANK NET
TOTAL NET REFUELING
TOTAL INVENTORY
INVENTORY OTHER
MANIFOLD/PIPELINE
INVENTORY THIS PAGE
UNIT INVENTORY
REPORTED THIS PRODUCT
PAGES
INVENTORY
a. PREPARED BY (Printed Name)
b. APPROVING OFFICIAL
Page
of
8.
(Name and Signature)
DD FORM 2921, JUL 2006
REPLACES DESC FORM 700, WHICH IS OBSOLETE.

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