Fuels Set-Aside Program
Fuel Application
*
Required Field
Applicant Identification
Tax I.D. or SSN
Applicant Information
Applicant Name
*
Contact
*
Address 1
*
Address 2
City
*
State
*
-- SELECT ONE --
CALIFORNIA
County
*
-- SELECT ONE --
Alameda
Alpine
Amador
Butte
Calaveras
Colusa
Contra Costa
Del Norte
El Dorado
Fresno
Glen
Humboldt
Imperial
Inyo
Kern
Kings
Lake
Lassen
Los Angeles
Madera
Marin
Mariposa
Mendocino
Merced
Modoc
Mono
Monterey
Napa
Nevada
Orange
Placer
Plumas
Riverside
Sacramento
San Benito
San Bernadino
San Diego
San Francisco
San Joaquin
San Luis Obispo
San Mateo
Santa Barbara
Santa Clara
Santa Cruz
Shasta
Sierra
Siskiyou
Solana
Sonoma
Stanislaus
Sutter
Tehama
Trinity
Tulare
Tuolumne
Ventura
Yolo
Yuba
Zip
*
Phone
*
Cell Phone
Fax
Email
*
Delivery Information
Click here to copy the Applicant
address to the Delivery address.
Delivery Address 1
Delivery Address 2
Delivery City
Delivery State
-- SELECT ONE --
CALIFORNIA
Delivery Zip
Program and Fuel Use
Program
*
-- SELECT ONE --
Basic Set-Aside
Community Hardship
Emergency Services
Fuel Use
*
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Agriculture
Aviation
Emergency Services
Energy Production
Government
Health Care
Marine Transportation
Other (specify)
Passenger Services
Trucking
Utility Services
Other Fuel Use
Fuel Type
*
-- SELECT ONE --
CARBOB Gasoline
Other Gasoline
CARB Diesel
Other Diesel
Aviation Gasoline
Jet Fuel
Other
Other Fuel Type
Amount Requested
*
(gallons)
Monthly Usage
(Estimate in gallons)
Fuel Source and Distributor
Fuel Source
-- SELECT ONE --
ALON USA Energy Inc, Bakersfield Refinery
Chevron U.S.A. Inc., El Segundo Refinery
Chevron U.S.A. Inc., Richmond Refinery
Edgington Oil Company, Long Beach Refinery
ExxonMobil Refining & Supply Company, Torrance Refinery
Greka Energy, Santa Maria Refinery
Kern Oil & Refining Company, Bakersfield Refinery
Lunday Thagard, South Gate Refinery
Paramount Petroleum Corporation, Paramount Refinery
Phillips66, Rodeo San Francisco Refinery
Phillips66, Wilmington Refinery
San Joaquin Refining Company Inc., Bakersfield Refinery
Shell Oil Products US, Martinez Refinery
Tenby Inc., Oxnard Refinery
Tesoro Refining & Marketing Company, Carson Refinery
Tesoro Refining & Marketing Company, Golden Eagle (Avon/Rodeo) Refinery
Tesoro Refining & Marketing Company, Wilmington Refinery
Valero (Ultramar) Wilmington Refinery
Valero Benicia Refinery
Valero Wilmington Asphalt Refinery
Atwood Terminal
Carson Tank Farm
Carson Terminal
Carson Terminal
Chico Terminal
Colton Terminal
Colton Terminal
Colton Terminal
Colton Terminal
East Hynes Terminal
Eureka Terminal
Fresno Terminal
Hathaway Terminal
Huntington Beach Terminal
Imperial Terminal
Kinder Morgan Pacific
LAX Airport
Long Beach Terminal
Long Beach Terminal
Los Angeles Terminal
Marine Terminal 2
Martinez Terminal
Martinez Terminal
Martinez Terminal
Mission Valley Terminal
Montebello Terminal
Orange Terminal
Rancho Cordova Terminal
Richmond Terminal
Richmond Terminal
Richmond Terminal
Richmond Terminal
Sacramento Terminal
Sacramento Terminal
San Diego Terminal
San Diego Terminal
San Jose Terminal
San Jose Terminal
San Jose Terminal
Selby Terminals
SFO Airport
Signal Hill Terminal
Stockton Terminal
Stockton Terminal
Stockton Terminal
Tracy (Banta) Terminal
Van Nuys Terminal
Van Nuys Terminal
Vernon Terminal
Vinvale Terminal
West Sacramento Terminal
West Sacramento Terminal
Wilmington Terminal
Distributor
Contact
Address 1
Address 2
City
State
-- SELECT ONE --
CALIFORNIA
Zip
Phone
Cell Phone
Description and Comments
Applicant Description
Priority
Low
Medium
High
Fuels Set-Aside Program