Form Mf Schedule 010m - Terminal Operator'S Schedule Of Meter Readings

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Schedule 010M – Terminal Operator’s Schedule of Meter Readings
Account Number FEIN or SSN
Legal Name
Business Name (if different)
Mailing Address
Phone Number
IRS Terminal Code Number
(
)
City
State
Zip
For Month / Year Ending (MM/DD/CCYY)
Product Types:
Product Type (Undyed Diesel)
Additives and Others
Gasolines
Aviation Fuels
Product Type (Dyed Diesel)
065 Gasoline
125 Aviation Gas
145 Kerosene Low Sulfur
122 Blending Components
073 Kerosene Low Sulfur
124 Gasohol
130 Jet Fuel
147 Kerosene High Sulfur
123 Alcohol
074 Kerosene High Sulfur
150 No. 1 Fuel Oil
241 Ethanol - Alcohol
175 Residual Fuel Oil
161 High Sulfur Diesel #1
243 Methanol
226 High Sulfur Diesel
167 Low Sulfur Diesel #2
227 Low Sulfur Diesel
231 No. 1 Fuel Oil
SECTION 1 - Schedule of Meter Readings and Withdrawals (gross gallons)
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
Meter
Product
Metered
Meter
Net Meter
Other Meter
Total
END Meter Readings
BEGIN Meter Readings
Number
Type
Date
Reading
Withdrawals
Testing
Withdrawals
Adjustments
Withdrawals
Date
Reading
TOTAL OF COLUMNS 7 THRU 11 (Total gallons in col. 11 must agree with total of Sec. 2) ►
SECTION 2 - Reconciliation of Withdrawals By Product Type (gross gallons)
Column 1
Column 2
Product Type
Column 3
Column 4
Product Type
Product Type
Gallons
Product Type
Gallons
(Undyed Diesel)
Gallons
Gallons
(Dyed Diesel)
065 Gasoline
122 Blending Components
145 Kerosene Low Sulfur
073 Kerosene Low Sulfur
123 Alcohol
243 Methanol
147 Kerosene High Sulfur
074 Kerosene High Sulfur
124 Gasohol
150 No. 1 Fuel Oil
175 Residual Fuel Oil
241 Ethanol - Alcohol
125 Aviation Gas
161 Low Sulfur Diesel #1
226 High Sulfur Diesel
130 Jet Fuel
167 Low Sulfur Diesel #2
227 Low Sulfur Diesel
231 No. 1 Fuel Oil
Gallons SUBTOTAL
0
Gallons SUBTOTAL
0
Gallons SUBTOTAL
0
0
Gallons SUBTOTAL
TOTAL GALLONS OF ALL PRODUCTS (Add subtotals of columns 1, 2, 3, and 4. This total must agree with total of column 11, Section 1) ►
0
MF-010M (N. 2-12)

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