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pdfU.S. DEPARTMENT OF ENERGY
Energy Information Administration
Washington, D.C. 20585
Form Approved
OMB Number: 1905-0174
Form Expires: 11/30/09
EIA-863: PETROLEUM PRODUCT SALES IDENTIFICATION SURVEY
This report is mandatory under the Federal Energy Administration Act of 1974 (Public Law 93-275). Failure to comply may result in criminal fines, civil
penalties and other sanctions as provided by law. Title 18 USC 1001 makes it a criminal offense for any person knowingly and willingly to make to any
Agency or Department of the United States any false, fictitious, or fraudulent statements as to any matter within its jurisdiction. See Instructions for
further details on the sanctions and the provisions concerning the confidentiality of information submitted on this form.
PART I. IDENTIFICATION DATA
Begin here and follow
numerical order unless
instructed otherwise.
Please complete number 2 and 3. If changes are
needed to correct the mailing label, please make
those corrections in this section.
1a. Company Name (only if different that the
labeling label)
1b. Doing business as (If different than company
name)
2. Name of Contact Person
3. Contact’s Telephone Number
-
-
4. Street Address (only if different than the labeling
label)
5. P.O. Box/RFD
6. City
7. State
8. Zip Code
(For assistance in completing this form, call 1-800-382-0630)
9.
Which of the following best describes your company’s operating status
at the end of 2006? (Check only 1 box)
a.
Your company is in operation—
sales include petroleum products.
b1.
Your company was sold, or
you merged with another
company.
b2.
You leased your company to
another company.
Complete items 10 thru
18. Also complete Part II
and Part III for the portion
of 2006 that you owned
and operated the
Company.
c.
Your company has permanently
ceased operation.
Complete item 10 (date
ceased) and Part II.
d.
Your company is a subsidiary of
another company and all or some
of your sales are reported by
another company.
e
f.
Your company is a commissioned
agent for another company and all
or some of your sales are reported
by another company.
Your company does not sell any
petroleum products.
10. Enter the Date your Company sold, merged, leased, ceased
operation, became a subsidiary, became a commissioned
agent:
Skip Items 10 thru 18.
Complete parts II and III.
Month
Day
Year
11. Enter Name of the Company you sold to/merged
with/leased to/became a subsidiary of or commissioned
agent for:
12. Enter Name of Contact Person of Company in Item 11.
13. Contact’s Telephone Number
Complete items 10 thru 18
Also, complete Part II and
Part III for the portion of
2006 that you owned and
operated the company.
-
-
14. Street Address
15. P.O. Box/RFD
Complete Part II and return
16. City
17. State
(see instructions for “Where
to Submit”)
PART II. PREPARER INFORMATION
19. Preparer’s Name
20a. Telephone Number
20b. Date
20c. E-mail address
21. Fax Number
22. FOR DOE USE ONLY
Comments:
18. Zip Code
EIA-863 (2006)
Company Name
DOE ID Number
Reference Year
2006
Page______ of______
PART III. TOTAL SALES VOLUMES (BY STATE) FOR 2002 (REPORT IN ACTUAL GALLONS)
23. Did your company sell No. 2 Distillate, No. 5 and No. 6 Residual Fuel Oil, Motor Gasoline, and/or Propane in 2006?
a.
Yes . . . . . Answer item 24
b.
No . . . . . Skip to item 25
24. Enter below in lines “a” through “n” your company’s total annual sales volumes in each State for the entire year of 2006.
(report in actual gallons). Include all sales made by your divisions, branches, outlets, and subsidiaries. Report a sale in the
State where the transfer of ownership occurred. If you have sales in more than two States, use copies of Part III and attach to
this page. See Page 3 for a list of States and their standard abbreviations.
2-LETTER STANDARD STATE ABBREVIATION
PETROLEUM CATEGORY
No. 2 Distillate Fuel Oil and No. 2 Diesel - please
provide volumes for all that applies.
a.
No. 2 Residential Fuel Oil sold for heating private
homes (Include heating farm houses; Exclude apartments).
b1.
No. 2 Fuel Oil for all other end uses (Include apartment
buildings; Exclude Diesel fuel oil and Gasoline).
b2.
c1.
Volumes
Volumes
(report in actual gallons)
(report in actual gallons)
No. 2 Diesel Fuel for all other end uses (Include
agricultural use and on-highway use; Exclude Gasoline).
No. 2 Fuel Oil and No. 2 Diesel sold to Dealers,
Resellers, and Refiners who will resell the product
(Exclude Gasoline).
c2.
No. 2 Diesel sold to Dealers, Resellers, and Refiners
who will resell the product (Exclude Gasoline).
d.
Total No. 2 Fuel Oil and
No. 2 Diesel sold in 2006
(Add lines a thru c2 and
enter amount here)
No. 5 and No. 6 Residual Fuel – please provide
volumes for all that applies.
Volumes
Volumes
(report in actual gallons)
(report in actual gallons)
No. 5 and No. 6 Fuel Oil sold to the Consumer
e.
(Examples: to electric utilities, to vessels for bunkering, to
industrial and commercial users, to military.)
f.
No. 5 and No. 6 Fuel Oil sold to Dealers, Resellers,
and Refiners who will resell the product
g.
Total No. 5 and No. 6 Fuel Oil
sold in 2006
(Add lines e thru f and
enter amount here)
Motor Gasoline and Gasohol – please provide
volumes for all that applies. (Report Gasohol and
Oxygenated Gasoline under Conventional, and include
OPRG under Reformulated)
Conventional
Gasoline
Reformulated
Gasoline
Conventional
Gasoline
Reformulated
Gasoline
(report in actual
gallons)
(report in actual
gallons)
(report in actual
gallons)
(report in actual
gallons)
Motor Gasoline and Gasohol sold to the Consumer
h.
i.
(Include all grades of Gasoline; Exclude No. 2 Diesel and
Aviation Gasoline.)
Motor Gasoline sold to Dealers, Resellers, and
Refiners who will resell the product (Include rack and DTW
sales.)
j.
Total Motor Gasoline sold
in 2006
(Add lines h thru i and
enter amount here)
Propane
k.
Delivered Residential Propane (Home heating, including
farm houses.)
Propane sold to Customers for all other end uses
l.
m.
n.
(Include commercial, industrial, agricultural, and propane
powered motor vehicles.)
Propane sold to Dealers, Resellers, and Refiners who
will resell the product
Total Propane sold in 2006
(Add lines k thru m and
enter amount here)
Volumes
Volumes
(report in actual gallons)
(report in actual gallons)
Company Name
DOE ID Number
Reference
Year
2006
Page______ of _______
25. Does your company sell any of these other petroleum products? Check boxes for all that you sell. (Other does not include No. 2 Fuel Oil and No. 2
Diesel, No. 5 and No. 6 Residual Fuel Oil, Motor Gasoline, and Propane for which you have already reported volumes.)
a.
Kerosene
b.
No. 1 Distillate
c.
Crude Oil
d.
Other LPG
e.
No. 4 Fuel Oil
f.
Aviation Gasoline
g.
Jet Fuel
h.
Other:______________________________
(Specify)
26. Does your company sell and/or use propane for on-highway transportation use? Check appropriate box(es).
a.
Sell
b.
Use
c.
No
27. Does this firm currently sell (or has it ever sold) distillate fuel oil to railroad companies?
a.
Yes
b.
No
Please submit this form to DOE by March 2, 2007.
For submission by mail:
by fax:
by secure file transfer:
by email:
U.S. Department of Energy
Energy Information Administration (EIA-863)
PO Box 833
Merrifield, VA 22116-0833
1 (301) 572-0936
https://idc.eia.doe.gov/upload/notice863.htm
See IV under General Information in the instructions for additional
information on how to file the EIA-863 electronically.
[email protected]
LIST OF STANDARD STATE ABBREVIATIONS
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
... Alabama
... Alaska
... Arizona
... Arkansas
... California
... Colorado
... Connecticut
... Delaware
... District of Columbia
... Florida
... Georgia
... Hawaii
... Idaho
... Illinois
... Indiana
... Iowa
... Kansas
KY ... Kentucky
LA ... Louisiana
ME ... Maine
MD ... Maryland
MA ... Massachusetts
MI ... Michigan
MN ... Minnesota
MS ... Mississippi
MO ... Missouri
MT ... Montana
NE ... Nebraska
NV ... Nevada
NH ... New Hampshire
NJ ... New Jersey
NM ... New Mexico
NY ... New York
NC ... North Carolina
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
... North Dakota
... Ohio
... Oklahoma
... Oregon
... Pennsylvania
... Rhode Island
... South Carolina
... South Dakota
... Tennessee
... Texas
... Utah
... Vermont
... Virginia
... Washington
... West Virginia
... Wisconsin
... Wyoming
| File Type | application/pdf |
| Author | Eric Tischner |
| File Modified | 2006-10-27 |
| File Created | 2006-10-27 |