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pdfOMB No. XXXX-XXXX
Expiration Date: 12/31/20XX
Version No.: 20XX.X
Burden: 0.5 hours
ANNUAL QUANTITY AND VALUE OF NATURAL GAS PRODUCTION REPORT
FORM EIA-895
This report is voluntary under the Federal Energy Administration Act of 1974 (Public Law 93-275). For the provisions concerning the confidentiality of information and sanctions, see the Form EIA-895A instructions.
PART 2. SUBMISSION INFORMATION
PART 1. RESPONDENT IDENTIFICATION DATA
Year:
2 0
If this is a resubmission, enter an "X" in the box:
If any Respondent Identification Data has changed since the last report, enter an "X" in the box:
Contact Name:
-
Ext:
Address 1:
Address 2:
City:
-
Fax No:
State:
Email address:
Form may be submitted using one of the following
methods:
ATTN: EIA-895
Mail to:
U. S. Department of Energy
Oil & Gas Survey
Ben Franklin Station
P.O. Box 279
Washington, DC 20044-0279
AF
-
Phone No.:
A completed form should be filed no later than 90
days after the report year.
STATE NAME:
T
REPORT PERIOD:
Zip:
Email:
[email protected]
Fax:
(202) 586-1076
-
Secure File Transfer:
Questions? Call: (877) 800-5261
https://idc.eia.doe.gov/upload/noticeoog.jsp
PART 3. ANNUAL SCHEDULE: GROSS WITHDRAWALS AND MARKETED PRODUCTION (to be completed at the end of the calendar year)
Total number of producing gas wells in operation as of December 31 for the reporting year
o
Pressure base at which all volumes are reported (psia at 60 Fahrenheit)
Gross Withdrawals (excluding lease condensate)
Oil Wells
Coalbed
Methane Wells
Shale
Gas
Total
(1)
(2)
(3)
(4)
(5)
R
Month
Gas and
Condensate
Wells
Used for
Repressuring
or
Reinjection
Natural Gas
Vented
and Flared
Nonhydrocarbon
Gases
Removed
Marketed
Production
(6)
(7)
(8)
(9)
Natural Gas
Used as Fuel
on Leases
(Lease Fuel)
(10)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Oct
0
0
Nov
0
0
Dec
0
Jan
Feb
Apr
May
Jun
Jul
Aug
Sep
Total
D
Mar
0
0
0
0
0
0
0
0
0
0
0
Page 1
OMB No. XXXX-XXXX
Expiration Date: 12/31/20XX
Version No.: 2008.01
ANNUAL QUANTITY AND VALUE OF NATURAL GAS PRODUCTION REPORT
FORM EIA-895A
REPORT PERIOD: YEAR: 2 0
RESUBMISSION
AF
T
STATE NAME:
PART 4. ANNUAL SCHEDULE: VALUE AND QUANTITY OF MARKETED PRODUCTION (to be
completed at the end of the calendar year).
Quantity of Marketed Production
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
(Value Based)
R
Aug
Value of Marketed Production
Sep
Oct
Nov
Dec
D
00
00
Total
Comments: Identify any unusual aspects of your reporting period's activity. (To separate one comment from
another, pres ALT + ENTER.)
Page 2
File Type | application/pdf |
File Title | EIA895_update.xls |
Author | JHR |
File Modified | 2008-08-25 |
File Created | 2008-03-06 |