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BULK PETROLEUM CONTINGENCY REPORT [REPOL]

Use (1) to report loss of major bulk petroleum and (2) to request bulk petroleum products. Reference: FM 63-20 and FM 63-11.

LINE 1 — DATE AND TIME______________________________(DTG)

LINE 2 — UNIT________________________________________(Unit Making Report)

LINE 3 — NAME_______________________________________(Name of Damaged Facility)

LINE 4 — LEVEL_______________________________________(Level of Damage)

LINE 5 — REPAIRS_____________________________________(Estimated Date Repairs Will be Completed, DTG)

**Repeat lines 3 through 5 to report more than one facility. Assign sequential line numbers to succeeding iterations; for example, first iteration 3 through 5; second iteration 3a through 5a; third iteration 3b through 5b; and so on.

LINE 6 — ASSESSMENT________________________________(Assessment of Impact of Damage)

LINE 7 — ACTIVITY____________________________________(Name of Activity Reporting Products on Hand)

LINE 8 — PRODUCT____________________________________(Type of Petroleum Product Being Reported)

LINE 9 — INVENT______________________________________(On-Hand Inventory of Product Thousands of Barrels (MBBLs))

LINE 10 — CAPACITY__________________________________(Storage Capacity in MBBLs)

LINE 11 — DAYS_______________________________________(Days of Combat Support (DOS) for the Product)

**Repeat lines 7 through 11 to report more than one facility. Assign sequential line numbers to succeeding iterations; for example, first iteration 6 through 10; second iteration 6a through 10a; third iteration 6b through 10b; and so on.

LINE 12 — TYPE _______________________________________(Type of Petroleum Product)

LINE 13 — INVENT_____________________________________(On-Hand Inventory in Thousands of Barrels (MBBLs))

LINE 14 — CAPACITY__________________________________(Usable Storage Capacity in MBBLs)

LINE 15 — DAYS_______________________________________(Days of Combat Support (DOS) of Petroleum Products on Hand)

**Repeat lines 12 through 15 to report more than one facility. Assign sequential line numbers to succeeding iterations; for example, first iteration 12 through 15; second iteration 12a through 15a; third iteration, 12b through 15b; and so on.

LINE 16 — DISCHARGE PORT___________________________(Name of Discharge Port Being Reported)

LINE 17 — PRODUCT___________________________________(Type of Petroleum Product Being Reported)

LINE 18 — BARRELS___________________________________(Quantity of Petroleum Product in Thousands of Barrels (MBBLs))

LINE 19 — PERIOD_____________________________________(Period in Which Delivery is Required)

**Repeat lines 16 through 19 to report more than one facility. Assign sequential line numbers to succeeding iterations; for example, first iteration 16 through 19; second iteration 16a through 19a; third iteration 16b through 19b; and so on.

LINE 20 — DAMAGED PORT_____________________________(Name of Damaged Port)

LINE 21 — DAMAGE____________________________________(Level of Damage)

LINE 22 — UNLOAD____________________________________(Unloading Capacity of Damaged Port in Thousands of Barrels (MBBLs))

**Repeat lines 20 through 22 to report more than one facility. Assign sequential line numbers to succeeding iterations; for example, first iteration 20 through 22; second iteration 20a through 22a; third iteration 20b through 22b; and so on.

LINE 23 — NARRATIVE_________________________________(Free Text for Additional Information Required for Clarification of Report

LINE 24 — AUTHENTICATION___________________________(Report Authentication)


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