Form L-2100 - Schedule 15-B - Terminal Operator Schedule Of Disbursement

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STATE OF SOUTH CAROLINA
1350
L-2100
DEPARTMENT OF REVENUE
(Rev. 10/10/11)
SCHEDULE 15-B
4188
TERMINAL OPERATOR SCHEDULE OF DISBURSEMENT
Terminal Name
FEIN
Terminal Code
Month/Year
PRODUCT TYPE (CIRCLE ONE AND ENTER % WHEN APPLICABLE)
072
Dyed Kerosene
065 Gasoline
227 Low Sulfur Dyed Diesel Fuel
D01-D99 Dyed Biodiesel
130
Jet Fuel
122 Blend Components
B00 Undyed Biodiesel (100%)
Blend (%
)
142
Kerosene
125 Aviation Gasoline
D00 Dyed Biodiesel (100%)
092 Other/Substitute
167
Low Sulfur Undyed Diesel Fuel
E00 Fuel Grade Ethanol (100%)
B01-B99 Undyed Biodiesel
Fuel (
)
226
High Sulfur Dyed Diesel Fuel
E01-E99 Gasohol (%
)
Blend (%
)
1
2
3
4
5
6
7
8
9
10
Carrier
Carrier
Dest
Supplier
Date
Document
Net
Gross
Name
FEIN
Mode
State
Supplier
FEIN
Shipped
Number
Gallons
Gallons

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