Sample Form Questions: Delivered Fuel Summary

Covered entities may opt to maintain a quarterly summary report of all fuel delivered to their facility rather than maintaining the FPC on PTDs.

Quarterly summary reports must be maintained on site for inspection. Summary reports must be available 90 days after the end of the previous calendar quarter: June 30th for Q1, September 30th for Q2, January 10th for Q3 of the prior calendar year, and March 31st for Q4 of the prior calendar year.

Questions to answer and information to provide:

1. What is your role for purposes of compliance with delivered fuel summary (dropdown list of roles)?
2. Select your facility on the map or add to table (Some sites may have already been selected at registration).
3. Will records and Delivered Fuel Summary reports be stored at this facility, at a different central location, or electronically? After selected, you will need to provide the storage location or a contact/email in case of electronic records.
4. Select your immediate fuel supplier(s) or if your company offloads fuel directly from a fuel truck rack at a fuel terminal, please select the fuel terminal. (look up for database contacts/map sites and text box if there’s no match).
5. If you are a preparing the delivered fuel summary report for any other entities, please select the businesses/sites covered by the summary report (N/A option okay. Map and text box used for registration).
6. Sign form and attest to accuracy. Covered entities are required to attest that they are using this compliance option and will comply with the requirements.

Delivered Fuel Summary Report Template with Completed Examples

Template for reporting equivalent volume at compliant CI

This approach averages the % volume of compliant biofuels.

Station Address:
1810 SW 5th Ave.
Portland, OR 97201

Fuel Supplier or entity preparing report:
Joe’s Fuel Supply
123 Main Street
Portland, OR 97214

Calculation for average % compliant biofuel:
(sum (Biomass diesel % volume * Diesel volume)/sum (diesel volume)) = 30%.

To the best of my knowledge, these deliveries meet the carbon intensity requirements specified in PCC Chapter 16.60 for the period documented.

(Signature of responsible party)

(Date)

Template for reporting CI average

This approach averages the % CI value of all compliant biofuel deliveries *and* the CI value of non-compliant fuels, as needed to reach 15% biofuel per delivery.

Station Address:
1810 SW 5th Ave.
Portland, OR 97201

Fuel Supplier or entity preparing report:
Joe’s Fuel Supply
123 Main Street
Portland, OR 97214

Calculation for weighted average CI value of all biofuels delivered:
SUMPRODUCT(Biomass Diesel Volume, CI Value)/SUM(Biomass Diesel Volume) = 33.76

To the best of my knowledge, these deliveries meet the carbon intensity requirements specified in PCC Chapter 16.60 for the period documented.

(Signature of responsible party)

(Date)