EIA-191 Monthly and Annual Underground Natural Gas Storage Repor

MONTHLY UNDERGROUND GAS STORAGE REPORT
FORM EIA-191

OMB No. 1905-XXXX
Expiration Date: 12/31/20XX
Version No.: 20XX.01
Burden: 2.6 hours

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
REPORT PERIOD:

Month

Year

PART 2. SUBMISSION INFORMATION
Completed form(s) must be filed no later than 20 days after the
report month.

2 0

Form may be submitted using one of the following methods:

EIA ID NUMBER:

Mail to: ATTN: EIA-191

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

U. S. Department of Energy

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

Oil & Gas Survey

enter an "X" in the box:
Company Name:

Ben Franklin Station

Contact Name:

P.O. Box 279

Phone No.:

Washington, DC 20044-0279

Ext:

Fax No.:

Email:

[email protected]

Address 1:

Fax:

(202) 586-1076

Secure File Transfer:

Address 2:
City:

State:

Zip:

-

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

Email address:

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 - 60 o Fahrenheit)
Field
Storage Field Name
Reservoir Name
Location State
Location County
Type of Facility - If other, please
explain below in Comments.
Field Status - If other, please
explain below in Comments.

Aquifer
Depleted Field
Active
Abandoned

Salt dome
Other
Depleting
Other

Field

Aquifer
Depleted Field
Active
Abandoned

Salt dome
Other
Depleting
Other

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
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.)

(Report