DSF0504 Designate & Track Handoff Report

Facility MVNRLM Diesel Fuel Report Instructions
OMB Control No. 2060-0308 Expires Pending

Designate & Track Handoff Report

Issue Date: 09/15/2006
Revised: 08/08/2012

Report Form ID: DSF0504

Handoff reports must be submitted separately by each facility in the Designate & Track (D&T) system
where designated distillate is delivered to and/or received from another facility, separately by trading
partner and separately by Tax/Dye/Marker status. This form has an annual reporting requirement.
NOTE: Truck Loading Terminals, including multi-use facilities, that, in addition to a truck rack, have
refining and/or pass-through activities, must submit this report for all designated distillates received.
Volume of taxed or dyed/marked, designated, distillates delivered over the truck rack (leaving D&T) are
not reported on this form and are covered by the Designate & Track Total Volume Report (DSF0600). All
other volumes of un-taxed/un-dyed/un-marked distillates leaving multi-use facilities and continuing on in
D&T must be reported as deliveries.
st

Reports using this form must be submitted annually with due dates of August 31 .
Please check the Diesel Fuel Reporting Forms web site for updated instructions and report form
templates: http://epa.gov/otaq/regs/fuels/dieselfms.htm
For information on submitting this report using EPA’s Central Data Exchange (CDX) visit:
http://epa.gov/otaq/regs/fuels/cdxinfo.htm
Field
Field Name
No.

Units

Field Formats, Codes, & Special Instructions

1.

Report Form ID

AAAAAAA; Character. Enter the DSF0504 for this
Designate & Track Handoff Report

2.

Report Type

A; Character. Submit only one original report, submit any
corrections or updates as resubmission(s):
O: Original
R: Resubmission

3.

CBI

A; Character. Specify if the data contained within the report
is claimed as Confidential Business Information (CBI) under
40 CFR Part 2, subpart B:
Y: Confidential Business Information
N: Non-Confidential Business Information

4.

Report Date

MM/DD/YYYY; Character. Enter the date you create this
report. If resubmitting, use the current date and not the date
on the original report.

5.

Report Year

YYYY; Character. The report year is determined by the
annual compliance period. If an annual compliance period
spans two years, enter the second year (e.g. for the
compliance year June 1, 2006 through May 31, 2007 use
2007).

6.

Company/Entity ID

AAAA; Character. Enter the four-digit, EPA-assigned ID for
the company/entity (refiner, importer, etc.).

7.

Facility ID

AAAAA; Character. Enter the five-digit, EPA-assigned ID
for the facility. Please include any preceding zeros.

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Facility MVNRLM Diesel Fuel Report Instructions
OMB Control No. 2060-0308 Expires 12/31/2011

Designate & Track Handoff Report

Issue Date: 09/15/2006
Revised: 04/15/2011

Report Form ID: DSF0504
Field
Field Name
No.
8.

Units

Field Formats, Codes, & Special Instructions
AA; Character. Compliance Period Codes. See the list of
specific compliance periods in 40 CFR 80.599:

Compliance Period
Code

Annual Total
A1: Annual Handoff Totals

9.

AA; Character. Separately report deliveries and receipts.
Specify whether this summary is for product delivered to or
product received from the identified partner.

Handoff Type

TX: Delivered To Partner
RX: Received From Partner
10.

Partner Entity ID

AAAA; Character. Enter the four-digit, EPA-assigned ID for
your trading partner. For receipt of distillate from an entity
that does not have an ID per 80.601(a)(3) use “8888”.

11.

Partner Facility ID

AAAAA; Character. Enter the five-digit, EPA-assigned ID
for your trading partner’s facility. Please include preceding
zeros if applicable. For receipt of distillate from a facility
that does not have an ID per 80.601(a)(3) use “88888”.

12.

Tax/Dye/Marker
Status

AAA; Character. Separately report Taxed/Dyed and
Untaxed Clear distillates. Specify if the product delivered
was either taxed, dyed or marked (e.g. product leaving a
truck rack) or untaxed and clear (product entering D&T).
TDM: Taxed/Dyed/Marked (non-D&T fuel or fuel leaving
D&T)
FUN: Untaxed/Clear (fuel entering D&T or continuing on in
D&T)

13.

500 ppm NRLM

gallons

999999999; Number. Total volume of 500 ppm NRLM
delivered/received for the period. If this product type was
not received or delivered, enter “0”.

14.

500 ppm NR

gallons

999999999; Number. Total volume of 500 ppm NR
delivered/received for the period. If this product type was
not received or delivered, enter “0”.

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Facility MVNRLM Diesel Fuel Report Instructions
OMB Control No. 2060-0308 Expires Pending

Designate & Track Handoff Report

Issue Date: 09/15/2006
Revised: 08/08/2012

Report Form ID: DSF0504
Field
Field Name
No.

Units

Field Formats, Codes, & Special Instructions

15.

500 ppm LM
(Marked)

gallons

999999999; Number. Total volume of 500 ppm LM
delivered/received for the period. The Tax/Dye/Marker
Status field should indicate TDM. If this product type was
not received or delivered, enter “0”.

16.

500 ppm LM (Unmarked)

gallons

999999999; Number. Total volume of 500 ppm LM
delivered/received for the period. This product will have no
marker and the Tax/Dye/Marker Status Field should indicate
FUN. If this product type was not received or delivered,
enter “0”.

17.

High Sulfur NRLM

gallons

999999999; Number. Total volume of High Sulfur NRLM
delivered/received for the period. If this product type was
not received or delivered, enter “0”.

18.

Heating Oil (Marked)

gallons

999999999; Number. Total volume of Marked Heating Oil
delivered/received for the period. This product typically will
only be leaving D&T and requires both a dye and marker
outside the NEMA (see 40 CFR 80.510). The
Tax/Dye/Marker Status field should indicate TDM. If this
product type was not received or delivered, enter “0”.

19.

Heating Oil (Unmarked)

gallons

999999999; Number. Total volume of Un-marked Heating
Oil delivered/received for the period. This product will have
no marker and the Tax/Dye/Marker Status Field should
indicate FUN. If this product type was not received or
delivered, enter “0”.

Electronic Submission Sample Record:
DSF0504,O,Y,02/21/2011,2011,1234,12345,Q3,TX,4321,54321,FUN,0,2000,0,0,0,0,0
Paperwork Reduction Act Statement
The public reporting and recordkeeping burden for this collection of information is disclosed in the
estimates of the individual report form instructions. Burden means the total time, effort, or financial
resources expended by persons to generate, maintain, retain, or disclose or provide information to or for
a Federal agency. This includes the time needed to review instructions; develop, acquire, install, and
utilize technology and systems for the purposes of collecting, validating, and verifying information,
processing and maintaining information, and disclosing and providing information; adjust the existing
ways to comply with any previously applicable instructions and requirements; train personnel to be able to
respond to a collection of information; search data sources; complete and review the collection of
information; and transmit or otherwise disclose the information. An agency may not conduct or sponsor,
and a person is not required to respond to, a collection of information unless it displays a currently valid
OMB control number.
Send comments on the Agency's need for this information, the accuracy of the provided burden
estimates, and any suggested methods for minimizing respondent burden, including through the use of
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Facility MVNRLM Diesel Fuel Report Instructions
OMB Control No. 2060-0308 Expires 12/31/2011

Designate & Track Handoff Report
Report Form ID: DSF0504

Issue Date: 09/15/2006
Revised: 08/08/2012

automated collection techniques to the Director, Collection Strategies Division, U.S. Environmental
Protection Agency (2822), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB
control number in any correspondence. Do not send the completed form to this address.

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