FUEL CARD RECONCILIATION WORKSHEET

Delta Advanced Trucking, Inc.
2475 Laver Rd. Mansfield, OH 44905
WEEKLY FUEL RECONCILIATION
Date Transaction # Location State Product Gallons Price/Gal Gross Amount Discount Net Amount Miles MPG Card # Notes

WEEKLY FUEL SUMMARY

Total Gallons: 0.00
Total Gross Amount: $0.00
Total Discount: $0.00
Total Net Amount: $0.00
Total Miles: 0
Average MPG: 0.00
Average Price/Gal: $0.00
Transactions: 0
EXCEPTION ESCALATION MATRIX
Exception Type Threshold Action Required Escalation To Time Frame
High Volume Transaction > 150 gallons Manager Review Operations Manager Within 24 hours
High Price Per Gallon > $5.00/gal Price Verification Fuel Manager Within 48 hours
Poor Fuel Economy < 5.0 MPG Maintenance Check Maintenance Manager Within 72 hours
Unusual Location Non-approved vendor Vendor Approval Safety Manager Immediately
Multiple Transactions > 3 transactions/day Usage Review Dispatcher Within 24 hours

RECONCILIATION CERTIFICATION

Prepared By: _________________________
Date: _________________________
Phone: _________________________
Reviewed By: _________________________
Date: _________________________
Approval: ☐ Approved ☐ Needs Review ☐ Rejected