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["INSTRUCTIONS FOR FILLING OUT DEPOSIT CONTROL FUEL ADDITIVE REPORTING FORM"]
[]
["*","Please fill in the gray shaded areas."]
["*","Use the field switches to indicate the reporting period (i.e. month and dates), as well as the grade(s) of fuel. "]
[null,"For facilities that can not report by grade use the \"GAS\" field."]
["*","If there was a change in additive or if no fuel was additized at any period during the year, please check the box "]
[null,"and notate the event in the Notes / Comments section.  This can be handwritten."]
["*","If you are reporting records in which you additized fuel for another company via contract, or some other agreement,"]
[null,"please indicate this in the \"Notes / Comments\" section.  Can be handwritten."]
["*","Sample forms are locked and for informational purposes only.  Please use the \"unprotected\" blank form for reporting."]
[null,"If you need to unlock the sample forms for some reason, the password is \"CARB.\""]
["*","Note that some areas will automatically fill, it remains the responsibility of the facility to check for the accuracy of these "]
[null,"areas as well as the entire reporting form."]
["*","Please remember to have the authorizing official sign the form."]
[]
["*","Refer questions to Juan Osornio."]
[null,"josornio@arb.ca.gov",null,null,"(951) 542-3331"]

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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Select Year"]
[null,null,"STATE OF CALIFORNIA",null,null,null,null,null,null,"VOLUMETRIC ADDITIVE RECONCILIATION (VAR)",null,null,null,null,null,null,"Select","Select",2015,"None"]
[null,null,"California Environmental Protection Agency",null,null,null,null,null,null,null,null,null,null,null,null,null,"January","1st",2016,"Regular"]
[null,null,"AIR RESOURCES BOARD",null,null,null,null,null,"Company Name:",null,null,null,null,null,null,null,"February","2nd",2017,"Midgrade"]
[null,null,"ED/FOB/FES-152 (REV 02/23)",null,null,null,null,null,"Facility Location:",null,null,null,null,null,null,null,"March","3rd",2018,"Premium"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"April","4th",2019,"GAS"]
[null,null,null,null,null,null,null,null,"Registered Additive:",null,null,null,null,null,null,null,"May","5th",2020]
[null,null,null,null,null,null,null,null,"Reference E.O. #: ",null,null,null,null,"LAC Rate:",null,"gal/kgal","June","6th",2021]
["YEAR:","Select Year",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"July","7th",2022]
[null,null,null,null,null,"Change additive/",null,null,"VOLUME of FUEL (gallons)",null,"VOLUME of DCA (gallons)",null,null,"ACTUAL CONCENTRATION",null,null,"August","8th",2023]
["Month:","Date:",null,"thru:",null,"None added",null,"GRADE",null,null,null,null,"Total DCA:",null,null,"(gal/kgal)","September","9th",2024]
[null,null,null,null,null,"(Go to Notes)",null,"None",null,null,null,null,null,{"$f":"IF(I12=0,\"0\",K12/I12*1000)","v":"0"},null,null,"October","10th",2025]
["Select Month",null,"Select",null,"Select",null,null,"None",null,null,null,null,{"$f":"SUM(K12:L14)","v":0},{"$f":"IF(I13=0,\"0\",K13/I13*1000)","v":"0"},null,null,"November","11th",2026]
[null,null,null,null,null,null,null,"None",null,null,null,null,null,"0",null,null,"December","12th",2027]
[null,null,null,null,null,null,null,"None",null,null,null,null,null,"0",null,null,"End Page","13th",2028]
["Select Month",null,"Select",null,"Select",null,null,"None",null,null,null,null,{"$f":"SUM(K15:L17)","v":0},"0",null,null,null,"14th",2029]
[null,null,null,null,null,null,null,"None",null,null,null,null,null,"0",null,null,null,"15th",2030]
[null,null,null,null,null,null,null,"None",null,null,null,null,null,"0",null,null,null,"16th",2031]
["Select Month",null,"Select",null,"Select",null,null,"None",null,null,null,null,{"$f":"SUM(K18:L20)","v":0},"0",null,null,null,"17th"]
[null,null,null,null,null,null,null,"None",null,null,null,null,null,"0",null,null,null,"18th"]
[null,null,null,null,null,null,null,"None",null,null,null,null,null,"0",null,null,null,"19th"]
["Select Month",null,"Select",null,"Select",null,null,"None",null,null,null,null,{"$f":"SUM(K21:L23)","v":0},"0",null,null,null,"20th"]
[null,null,null,null,null,null,null,"None",null,null,null,null,null,"0",null,null,null,"21st"]
[null,null,null,null,null,null,null,"None",null,null,null,null,null,"0",null,null,null,"22nd"]
["Select Month",null,"Select",null,"Select",null,null,"None",null,null,null,null,{"$f":"SUM(K24:L26)","v":0},"0",null,null,null,"23rd"]
[null,null,null,null,null,null,null,"None",null,null,null,null,null,"0",null,null,null,"24th"]
[null,null,null,null,null,null,null,"None",null,null,null,null,null,"0",null,null,null,"25th"]
["Select Month",null,"Select",null,"Select",null,null,"None",null,null,null,null,{"$f":"SUM(K27:L29)","v":0},"0",null,null,null,"26th"]
[null,null,null,null,null,null,null,"None",null,null,null,null,null,"0",null,null,null,"27th"]
[null,null,null,null,null,null,null,"None",null,null,null,null,null,"0",null,null,null,"28th"]
["Select Month",null,"Select",null,"Select",null,null,"None",null,null,null,null,{"$f":"SUM(K30:L32)","v":0},"0",null,null,null,"29th"]
[null,null,null,null,null,null,null,"None",null,null,null,null,null,"0",null,null,null,"30th"]
[null,null,null,null,null,null,null,"None",null,null,null,null,null,"0",null,null,null,"31st"]
["Select Month",null,"Select",null,"Select",null,null,"None",null,null,null,null,{"$f":"SUM(K33:L35)","v":0},"0"]
[null,null,null,null,null,null,null,"None",null,null,null,null,null,"0"]
[null,null,null,null,null,null,null,"None",null,null,null,null,null,"0"]
["Select Month",null,"Select",null,"Select",null,null,"None",null,null,null,null,{"$f":"SUM(K36:L38)","v":0},"0"]
[null,null,null,null,null,null,null,"None",null,null,null,null,null,"0"]
[null,null,null,null,null,null,null,"None",null,null,null,null,null,"0"]
["Select Month",null,"Select",null,"Select",null,null,"None",null,null,null,null,{"$f":"SUM(K39:L41)","v":0},"0"]
[null,null,null,null,null,null,null,"None",null,null,null,null,null,"0"]
[null,null,null,null,null,null,null,"None",null,null,null,null,null,"0"]
["Select Month",null,"Select",null,"Select",null,null,"None",null,null,null,null,{"$f":"SUM(K42:L44)","v":0},"0"]
[null,null,null,null,null,null,null,"None",null,null,null,null,null,"0"]
[null,null,null,null,null,null,null,"None",null,null,null,null,null,"0"]
["Select Month",null,"Select",null,"Select",null,null,"None",null,null,null,null,{"$f":"SUM(K45:L47)","v":0},"0"]
[null,null,null,null,null,null,null,"None",null,null,null,null,null,"0"]
[null,null,null,null,null,null,null,null,null,null,null,"Total:",{"$f":"SUM(M12:M47)","v":0}]
[null,null,null,null,null,null,null,null,{"$f":"SUM(I12:J47)","v":0}]
[]
[]
["Notes / Comments:",null,null,null,null,null,null,null,"Authorizing Signature: _________________________",null,null,null,null,"Date:"]

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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Select Year"]
[null,null,"STATE OF CALIFORNIA",null,null,null,null,"VOLUMETRIC ADDITIVE RECONCILIATION (VAR)",null,null,null,null,null,null,"Select","Select",2015,"None"]
[null,null,"California Environmental Protection Agency",null,null,null,null,null,null,null,null,null,null,null,"January","1st",2016,"Regular"]
[null,null,"AIR RESOURCES BOARD",null,null,null,"Company Name:",null,"ANY COMPANY",null,null,null,null,null,"February","2nd",2017,"Midgrade"]
[null,null,"ED/FOB/FES-152 (REV 02/23)",null,null,null,"Facility Location:",null,"ANYWHERE USA",null,null,null,null,null,"March","3rd",2018,"Premium"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"April","4th",2019,"GAS"]
[null,null,null,null,null,null,"Registered Additive:",null,"CARB Formula #101",null,null,null,null,null,"May","5th",2020]
[null,null,null,null,null,null,"Reference E.O. #: ",null,"G-696-XXX",null,null,"LAC Rate:",0.12,"gal/kgal","June","6th",2021]
["YEAR:","Select Year",null,null,null,null,null,null,null,null,null,null,null,null,"July","7th",2022]
[null,null,null,null,null,null,"VOLUME of FUEL (gallons)",null,"VOLUME of DCA (gallons)",null,null,"ACTUAL CONCENTRATION",null,null,"August","8th",2023]
["Month:","Date:",null,"thru:",null,"GRADE",null,null,null,null,"Total DCA:",null,null,"(gal/kgal)","September","9th",2024]
[null,null,null,null,null,"Regular",1000000,null,150,null,null,{"$f":"IF(G12=0,\"0\",I12/G12*1000)","v":0.15},null,null,"October","10th",2025]
["January",null,"1st",null,"31st","Midgrade",500000,null,75,null,{"$f":"SUM(I12:J14)","v":300},{"$f":"IF(G13=0,\"0\",I13/G13*1000)","v":0.15},null,null,"November","11th",2026]
[null,null,null,null,null,"Premium",300000,null,75,null,null,0.25,null,null,"December","12th",2027]
[null,null,null,null,null,"Regular",1000000,null,150,null,null,0.15,null,null,"End Page","13th",2028]
["February",null,"1st",null,"29th","Midgrade",400000,null,60,null,{"$f":"SUM(I15:J17)","v":235},0.15,null,null,null,"14th",2029]
[null,null,null,null,null,"Premium",100000,null,25,null,null,0.25,null,null,null,"15th",2030]
[null,null,null,null,null,"Regular",2000000,null,250,null,null,0.125,null,null,null,"19th"]
["March",null,"17th",null,"31st","None",0,null,0,null,{"$f":"SUM(I18:J20)","v":250},"0",null,null,null,"20th"]
[null,null,null,null,null,"None",0,null,0,null,null,"0",null,null,null,"21st"]
[null,null,null,null,null,null,null,null,null,null,null,"0",null,null,null,"22nd"]
["April",null,"1st",null,"30th","GAS",850000,null,150,null,{"$f":"SUM(I21:J23)","v":150},{"$f":"IF(G22=0,\"0\",I22/G22*1000)","v":0.17647058823529413},null,null,null,"23rd"]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(G23=0,\"0\",I23/G23*1000)","v":"0"},null,null,null,"24th"]
[null,null,null,null,null,"Regular",2000000,null,200,null,null,0.1,null,null,null,"28th"]
["May",null,"7th",null,"31st","None",0,null,0,null,{"$f":"SUM(I24:J26)","v":320},"0",null,null,null,"29th"]
[null,null,null,null,null,"Premium",800000,null,120,null,null,0.15,null,null,null,"30th"]
[null,null,null,null,null,"Regular",2200000,null,275,null,null,0.125,null,null,null,"31st"]
["June",null,"1st",null,"30th","None",0,null,0,null,{"$f":"SUM(I27:J29)","v":425},"0"]
[null,null,null,null,null,"Premium",950000,null,150,null,null,0.15789473684210525]
[null,null,null,null,null,"Regular",2000000,null,250,null,null,0.125]
["July",null,"1st",null,"31st","None",0,null,0,null,{"$f":"SUM(I30:J32)","v":385},"0"]
[null,null,null,null,null,"Premium",850000,null,135,null,null,0.15882352941176472]
[null,null,null,null,null,"Regular",2000000,null,250,null,null,0.125]
["August",null,"1st",null,"31st","None",0,null,0,null,{"$f":"SUM(I33:J35)","v":375},"0"]
[null,null,null,null,null,"Premium",800000,null,125,null,null,0.15625]
[null,null,null,null,null,"Regular",1750000,null,330,null,null,0.18857142857142856]
["September",null,"1st",null,"30th","Midgrade",675000,null,175,null,{"$f":"SUM(I36:J38)","v":625},0.25925925925925924]
[null,null,null,null,null,"Premium",800000,null,120,null,null,0.15]
[null,null,null,null,null,"Regular",1000000,null,150,null,null,0.15]
["October",null,"1st",null,"4th","Midgrade",500000,null,75,null,{"$f":"SUM(I39:J41)","v":300},0.15]
[null,null,null,null,null,"Premium",300000,null,75,null,null,0.25]
[null,null,null,null,null,"Regular",1000000,null,150,null,null,0.15]
["November",null,"1st",null,"22nd","Midgrade",500000,null,75,null,{"$f":"SUM(I42:J44)","v":300},0.15]
[null,null,null,null,null,"Premium",300000,null,75,null,null,0.25]
[null,null,null,null,null,"Regular",32500000,null,250,null,null,7.6923076923076919E-3]
["December",null,"1st",null,"24th","None",0,null,0,null,{"$f":"SUM(I45:J47)","v":385},"0"]
[null,null,null,null,null,"Premium",850000,null,135,null,null,0.15882352941176472]
[null,null,null,null,null,"None",null,null,null,null,null,"0"]
["Select",null,"Select",null,"Select","None",null,null,null,null,{"$f":"SUM(I48:J50)","v":0},"0"]
[null,null,null,null,null,"None",null,null,null,null,null,"0"]
[null,null,null,null,null,null,null,null,null,"Total:",{"$f":"SUM(K12:K50)","v":4050}]
[null,null,null,null,null,null,{"$f":"SUM(G12:H50)","v":57925000}]
[]
[]
["Notes / Comments:",null,null,null,null,null,"Authorizing Signature: _________________________",null,null,null,null,"Date:"]