Natural Gas Data Collection Program Package

OMB No. 1905-0175

ANNUAL UNDERGROUND GAS STORAGE REPORT
FORM EIA-191A

Expiration Date: 12/31/2011
Version No.: 2009.01
Burden: 1.0 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 2. SUBMISSION INFORMATION

PART 1. RESPONDENT IDENTIFICATION DATA
REPORT PERIOD:

Year:

2 0

Completed form(s) must be filed by February 20.
Form may be submitted using one of the following methods:

EIA ID NUMBER:

Mail to: ATTN: EIA-191A

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:

Ben Franklin Station

Company Name:

P.O. Box 279

Contact Name:
Phone No.:
Fax No.:

-

-

Washington, DC 20044-0279

Ext:
Email:

[email protected]

Address 1:

Fax:

(202) 586-1076

Address 2:

Secure File Transfer:

City:

State:

Zip:

-

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

Email address:

Questions?

Call: (877) 800-5261

PART 3. ANNUAL FIELD CHARACTERISTICS as of December 31st of the Report Year
o
(Report all volumes in Thousand Cubic Feet (Mcf) @14.73 psia - 60 Fahrenheit)
Field

Field

Storage Field Name
Reservoir Name
Location (State/County)
(Place an "X" in the appropriate box below)
Type of Facility - If other, please
explain below in Comments.

Aquifer

Salt dome

Aquifer

Salt dome

Depleted Field

Other

Depleted Field

Other

(Place an "X" in the appropriate box below)
Field Status - If other, please
explain below in Comments.

(Place an "X" in the appropriate box below)

(Place an "X" in the appropriate box below)

Active

Depleting

Active

Depleting

Abandoned

Other

Abandoned

Other

Working Gas Capacity (Mcf)
Total Storage Field Capacity (Mcf)
Maximum Deliverability (Mcf/day)
Comments: Identify any unusual aspects of your reporting period's activity. (To separate one comment from another, press ALT + ENTER.)