Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Building:

  • Area (sq ft):

  • Billing Period:

  • Stock on Hand at a Start (gal)

  • Deliveries (gal):

  • Stock on Hand at End (gal):

  • Use (gal):

  • Annual Total:

  • Cost ($):

  • Annual Total:

  • Rate ($ / gal):

  • Billing Period:

  • Stock on Hand at a Start (gal)

  • Deliveries (gal):

  • Stock on Hand at End (gal):

  • Use (gal):

  • Annual Total:

  • Cost ($):

  • Annual Total:

  • Rate ($ / gal):

  • Billing Period:

  • Stock on Hand at a Start (gal)

  • Deliveries (gal):

  • Stock on Hand at End (gal):

  • Use (gal):

  • Annual Total:

  • Cost ($):

  • Annual Total:

  • Rate ($ / gal):

  • Annual Average Rate (gal)

  • Total Charges ($) ➗ Annual Use (gal) = __________ Average Rate ($ / gal)

  • Annual Use (gal / sq ft)

  • Annual Use (gal) ➗ Area (sq ft) = __________ Annual Use (gal / sq ft)

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