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OMB No. 1905-0174
Form Expires:
U.S. DEPARTMENT OF ENERGY
Energy Information Administration
FORM EIA-821
ANNUAL FUEL OIL AND KEROSENE SALES REPORT
REFERENCE YEAR 2009
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 1. RESPONDENT IDENTIFICATION
For assistance in completing this form call 800-592-2299
1. Company Name
Provide corrections to Company Name, Address, and Contact information in items 1-8
8. Contact Information :
a. Name
2. Doing Business As (DBA)
3. Physical Address (eg. Street Address, Building, Floor, Suite)
b. Telephone Number
(
)
-
4. Mailing Address (eg. PO Box, RR)
c. Fax Number
(
)
-
d. Email Address
5. City
6. State
7. Zip Code
9. Reference Year
10. Type of Report (Check One)
a. □ Original
b. □ Resubmission
12. Which of the following best describes this firm at the end of 2009?
2009
a. □ In operation – Sales include
petroleum products
b. 1. □ Sold
2. □ Merged
3. □ Leased
c. □ Subsidiary of another
Skip to and complete items 22-25
and Part 2
f.
□
Not in the petroleum
business
13. Effective Date of Status Change
Month
Day
Year
14. Company Name
15. Doing Business As (DBA)
Complete items 13 to 25, and Part
2 for that portion of 2009 in which
the firm was active under your
ownership and control
d. □ Commissioned Agent
e. □ Permanently ceased
operation
11. The number of States in which your firm sells Fuel Oil and/or
Kerosene to Energy Users.
16. Physical Address (eg. Street Address, Building, Floor, Suite)
17. Mailing Address (eg. PO Box, RR)
18. City
Complete item 13, then skip to and
complete items 22-25 and Part 2
for that portion of 2009 in which
the firm was active under your
ownership and control
Skip to and complete items 22-25
19. State
20. Zip Code
21. Contact Information:
a. Name
b. Telephone Number
(
)
-
c. Fax Number
d. Email Address
(
)
-
PREPARED BY: Check appropriate box. If preparer is different from contact person, complete lines 24 and 25.
22.
□
□
Preparer same as contact person shown on label
Preparer is not the same as contact person shown on label
24. Preparer’s Name
23. Date
25. Preparer’s Telephone Number
Page 1
Name of Firm Reporting
DOE ID Number
Reference Year
2009
Page
of
PART II. TOTAL SALES DURING THE REFERENCE YEAR. (Read pages 2-4 of the instructions)
States of Destination (Enter Standard Abbreviations, see page 6 of the instructions)
Line
No.
Type of Fuel and Use
Kerosene (Report in Actual Gallons)
Sold directly to consumers for:
1
Residential Use (Non-Farm):
2
Commercial Use:
3
Industrial Use:
4
Farm Use:
5
All Other Uses (Including own company, please
specify):
6
Sold to Dealers, Resellers, and Refiners:
7
Total Kerosene (Add Lines 1 thru 6)
Distillate Fuel Oil (Report in Actual Gallons)
Sold directly to consumers for:
Residential Use (Non-Farm):
8
No. 1
9
No. 2
Commercial Use (See Reference Guide):
10
No. 1
11
No. 2 Fuel Oil
12
No. 2 Diesel ≤ 15 ppm Sulfur, Ultra Low
13
No. 2 Diesel > 15 and ≤ 500 ppm Sulfur, Low
14
No. 2 Diesel > 500 ppm Sulfur, High
15
No. 4
Industrial Use (Manufacturing and Mining):
16
No. 1
17
No. 2 Fuel Oil
18
No. 2 Diesel ≤ 500 ppm Sulfur, Low
(include Ultra Low Sulfur)
19
No. 2 Diesel > 500 ppm Sulfur, High
20
No. 4
21
Oil Company Use (Drilling and Own Company
Refining):
No. 2 Diesel ≤ 500 ppm Sulfur, Low
(include Ultra Low Sulfur)
22
No. 2 Diesel > 500 ppm Sulfur, High
23
Other Distillate
24
Railroad Use:
No. 2 Diesel ≤ 500 ppm Sulfur, Low
(include Ultra Low Sulfur)
25
No. 2 Diesel > 500 ppm Sulfur, High
26
Other Distillate
Page 2
Report sales of Ultra Low or Low Sulfur Diesel to automobiles, trucks, buses, and school buses on
lines 39 or 40, under On-highway Diesel Use, with the exception of government vehicles which should
be reported on lines 12 or 13.
Name of Firm Reporting
DOE ID Number
Reference Year
2009
Page
of
PART II. TOTAL SALES DURING THE REFERENCE YEAR. (Read pages 2-4 of the instructions)
States of Destination (Enter Standard Abbreviations, see page 6 of the instructions)
Line
No.
Type of Fuel and Use
Distillate Fuel Oil – continued (Report in Actual Gallons)
Vessel Bunkering (Shipping and Boating):
27
No. 2 Diesel ≤ 500 ppm Sulfur, Low
(include Ultra Low Sulfur)
28
No. 2 Diesel > 500 ppm Sulfur, High
29
Other Distillate
Military Use:
30
No. 2 Diesel ≤ 500 ppm Sulfur, Low
(include Ultra Low Sulfur)
31
No. 2 Diesel > 500 ppm Sulfur, High
32
Other Distillate
Electric Power (Electric utility and Nonutility):
33
No. 2 Diesel ≤ 500 ppm Sulfur, Low
(include Ultra Low Sulfur)
34
No. 2 Diesel > 500 ppm Sulfur, High
35
Other Distillate
Farm Use:
36
No. 2 Diesel ≤ 500 ppm Sulfur, Low
(include Ultra Low Sulfur)
37
No. 2 Diesel > 500 ppm Sulfur, High
38
Other Distillate
On-highway Diesel Use:
39
Diesel ≤ 15 ppm Sulfur, Ultra Low
40
Diesel > 15 and ≤ 500 ppm Sulfur, Low
Off-highway Use: Construction:
41
No. 2 Diesel ≤ 500 ppm Sulfur, Low
(include Ultra Low Sulfur)
42
No. 2 Diesel > 500 ppm Sulfur, High
43
Other Distillate
44
Off-highway Use:
Other (Specify e.g., Logging):
No. 2 Diesel ≤ 500 ppm Sulfur, Low
(include Ultra Low Sulfur)
45
No. 2 Diesel > 500 ppm Sulfur, High
46
Other Distillate
47
All Other Uses (Specify):
48
Sold to Dealers, Resellers, and Refiners:
49
Total Distillate (Add Lines 8 thru 48)
Page 3
Name of Firm Reporting
DOE ID Number
Reference Year
2009
Page
of
PART II. TOTAL SALES DURING THE REFERENCE YEAR. (Read pages 2-4 of the instructions)
States of Destination (Enter Standard Abbreviations, see page 6 of the instructions)
Line
No.
Type of Fuel and Use
Residual Fuel Oil – Include No. 5 and No. 6 (Report in Actual Gallons)
Sold directly to consumers for:
50
Commercial Use (Nonmanufacturing):
51
Industrial Use (Manufacturing and Mining):
52
Oil Company Use (Drilling and Own Company
Refining):
53
Vessel Bunkering (Shipping and Boating):
54
Military Use:
55
Electric Power (Electric utility and Nonutility):
56
All Other Uses (Specify):
57
Sold to Dealers, Resellers, and Refiners:
58
Total Residual (Add Lines 50 thru 57)
Send the completed form to:
or fax completed form by calling:
Page 4
U.S. Department of Energy
Energy Information Administration (EIA-821)
P.O. Box 833
Merrifield, VA. 22116-0833
1 (703) 676-7514, Attn: EIA-821
File Type | application/pdf |
Author | EIA |
File Modified | 2009-09-28 |
File Created | 2009-09-28 |