Form EIA-191 Monthly and Annual Underground Natural Gas Storage Repor

This form may be submitted to the EIA by mail, fax, e-mail, or secure file transfer. Should you choose to submit your data via e-mail, we must advise you that e-mail is an insecure means of transmission because the data are not encrypted, and there is some possibility that your data could be compromised. You can also send your Excel files to EIA using a secure method of transmission: HTTPS. This is an industry standard method to send information over the web using secure, encrypted processes. (It is the same method that commercial companies communicate with customers when transacting business on the web.) To use this service, we recommend the use of Microsoft Internet Explorer 8.0 or later or Mozilla Firefox 5.0 or later. Send your surveys using this secure method at: https://signon.eia.doe.gov/upload/noticeoog.jsp

OMB No. 1905-0175

Expiration Date: xx/xx/xxxx

Version No.: xxxx.xx

MONTHLY UNDERGROUND GAS STORAGE REPORT

FORM EIA-191

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. For the sanctions and the provisions concerning the confidentiality of information submitted on this form, see instructions. 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.

PART 1. RESPONDENT IDENTIFICATION DATA

PART 2. SUBMISSION INFORMATION

Completed form(s) must be filed no later than 20 days after the report month.

REPORT PERIOD:

Month

Year

2

0

EIA ID NUMBER:

Form may be submitted using one of the following methods:

If this is a resubmission, enter an "X" in the box:

Mail to:

ATTN: EIA-191

If any Respondent Identification Data has changed since the last report,

U. S. Department of Energy

enter an "X" in the box:

Oil & Gas Survey

Company Name:

Ben Franklin Station

Contact Name:

P.O. Box 279

Phone No.:

Ext:

Washington, DC 20044-0279

Fax No.:

Email:

[email protected]

Address 1:

Fax:

(202) 586-1076

Address 2:

Secure File Transfer:

City:

State:

Zip:

-

https://signon.eia.doe.gov/upload/noticeoog.jsp

Email address:

Questions?

Call:

(877) 800-5261

PART 3. FIELD CHARACTERISTICS as of 9:00 a.m. on the last day of report month

(Report all volumes in Thousand Cubic Feet (Mcf) @14.73 psia - 60o Fahrenheit)

Field

Field

Storage Field Name

Reservoir Name

Location State

Location County

Type of Facility - If other, please

Aquifer

Salt dome

Aquifer

Salt dome

explain below in Comments.

Depleted Field

Other

Depleted Field

Other

Field Status - If other, please

Active

Inactive

Active

Inactive

explain below in Comments.

Working Gas Capacity (Mcf)

Total Storage Field Capacity (Mcf)

Maximum Deliverability (Mcf/day)

PART 4. MONTHLY GAS STORAGE as of 9:00 a.m. on the last day of report month (Report all volumes in Thousand Cubic Feet (Mcf) @14.73 psia - 60o Fahrenheit)

Base Gas

Working Gas

Total Gas in Storage (sum of base gas + working gas)

Injections

Withdrawals

Comments: Identify any unusual aspects of your reporting period's activity. (To separate one comment from another, press ALT + ENTER.)