Form EIA-821 Annual Fuel Oil and Kerosene Sales Report

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Overview

Cover
Page 2
Page 3

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Sheet 1: Cover

OMB No.: 1905-0174

Expiration Date: xx/xx/xxxx

Burden: 4.4 hours

Version No.: 2018.01

ANNUAL FUEL OIL AND KEROSENE SALES REPORT

REFERENCE YEAR 2018

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 DATA

EIA ID NUMBER:

000

000

000

How to Submit Forms:

EIA ID Number is required.

Instructions:

1.

Company Name:

http://www.eia.gov/survey/form/eia_821/instructions.pdf

2.

Doing Business as:

Secure File Transfer option available at:

3.

Physical Address:

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

(Street Address, Bldg, Floor, Suite)

4.

Mailing Address:

Fax:

(202) 586-9772, Attn: EIA-821

(PO Box, RR)

5.

City:

Mail to:

Oil & Gas Survey U.S. Department of Energy Ben Franklin Station Attn: EIA-821 PO Box 279 Washington, DC 20044-0279

6.

State:

7.

Zip:

-

8.

Contact Information:

a. Contact Name:

b: Phone No.:

Ext:

c: Fax No.:

Questions?

Call:

1-800-638-8812

d: Email address:

9.

Reference Year:

2018

10.

Type of Report (Check One):

Original

Resubmission

11.

The number of States in which your firm sells Fuel Oil and/or Kerosene to Energy Users.

12.

Which of the following best describes this firm at the end of 2018?

Status

Instructions

Skip to and complete Part 2

a.

In operation - Sales include petroleum products

b.

1.

Sold

Complete items 13-21 and Part 2 for that portion of 2018 in which the firm was active under your ownership and control

2.

Merged

3.

Leased

c.

Subsidiary of another

d.

Commissioned Agent

Complete item 13, then skip to and complete Part 2 for that portion of 2018 in which the firm was active under your ownership and control

e.

Permanently ceased operation

f.

Not in petroleum business

Stop here and submit form to EIA

13.

Effective Date of Status Change:

Month

Day

Year

14.

Company Name:

15.

Doing Business as:

16.

Physical Address:

(Street Address, Bldg, Floor, Suite)

17.

Mailing Address:

(PO Box, RR)

18.

City:

19.

State:

20.

Zip:

-

21.

Contact Information

a. Contact Name:

b. Phone No.:

Ext:

c. Fax No.:

d. Email address:

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Sheet 2: Page 2

2018 EIA-821

OMB No. 1905-0174

EIA ID NUMBER:

000

Expiration Date: xx/xx/xxxx

PART 2. TOTAL SALES DURING THE REFERENCE YEAR

Please enter a state abbreviation for each column containing volumes.

Please enter a state abbreviation for each column containing volumes.

Please enter a state abbreviation for each column containing volumes.

Please enter a state abbreviation for each column containing volumes.

Please enter a state abbreviation for each column containing volumes.

Please enter a state abbreviation for each column containing volumes.

Please enter a state abbreviation for each column containing volumes.

Please enter a state abbreviation for each column containing volumes.

Please enter a state abbreviation for each column containing volumes.

Please enter a state abbreviation for each column containing volumes.

Please enter a state abbreviation for each column containing volumes.

Line

Type of Fuel and Use

States of Destination (Enter Standard Abbreviations. See page 6 of the instructions)

States of Destination (Enter Standard Abbreviations. See page 6 of the instructions)

States of Destination (Enter Standard Abbreviations. See page 6 of the instructions)

States of Destination (Enter Standard Abbreviations. See page 6 of the instructions)

States of Destination (Enter Standard Abbreviations. See page 6 of the instructions)

States of Destination (Enter Standard Abbreviations. See page 6 of the instructions)

States of Destination (Enter Standard Abbreviations. See page 6 of the instructions)

States of Destination (Enter Standard Abbreviations. See page 6 of the instructions)

States of Destination (Enter Standard Abbreviations. See page 6 of the instructions)

States of Destination (Enter Standard Abbreviations. See page 6 of the instructions)

States of Destination (Enter Standard Abbreviations. See page 6 of the instructions)

No.

Kerosene (Report in Actual Whole Gallons)

Sold directly to consumers for:

1

Residential Use (Non-Farm):

2

Commercial Use:

3

Industrial Use:

4

Farm Use:

5

All Other Uses (Include own company use, please specify):

6

Sold to Dealers, Resellers, and Refiners:

7

Total Kerosene (Add Lines 1 thru 6)

Distillate Fuel Oil (Report in Actual Whole Gallons)

Sold directly to consumers for:

Residential Use (Non-Farm):

8

No. 1

9

No. 2

Commercial Use (See Reference Guide):

Report sales of diesel for automobiles, trucks, buses, and school buses on Line 39, under On-highway Diesel Use, with the exception of government vehicles which should be reported on Line 12.

Report sales of diesel for automobiles, trucks, buses, and school buses on Line 39, under On-highway Diesel Use, with the exception of government vehicles which should be reported on Line 12.

Report sales of diesel for automobiles, trucks, buses, and school buses on Line 39, under On-highway Diesel Use, with the exception of government vehicles which should be reported on Line 12.

Report sales of diesel for automobiles, trucks, buses, and school buses on Line 39, under On-highway Diesel Use, with the exception of government vehicles which should be reported on Line 12.

Report sales of diesel for automobiles, trucks, buses, and school buses on Line 39, under On-highway Diesel Use, with the exception of government vehicles which should be reported on Line 12.

Report sales of diesel for automobiles, trucks, buses, and school buses on Line 39, under On-highway Diesel Use, with the exception of government vehicles which should be reported on Line 12.

Report sales of diesel for automobiles, trucks, buses, and school buses on Line 39, under On-highway Diesel Use, with the exception of government vehicles which should be reported on Line 12.

Report sales of diesel for automobiles, trucks, buses, and school buses on Line 39, under On-highway Diesel Use, with the exception of government vehicles which should be reported on Line 12.

Report sales of diesel for automobiles, trucks, buses, and school buses on Line 39, under On-highway Diesel Use, with the exception of government vehicles which should be reported on Line 12.

Report sales of diesel for automobiles, trucks, buses, and school buses on Line 39, under On-highway Diesel Use, with the exception of government vehicles which should be reported on Line 12.

Report sales of diesel for automobiles, trucks, buses, and school buses on Line 39, under On-highway Diesel Use, with the exception of government vehicles which should be reported on Line 12.

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 & 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

Oil Company Use (Drilling and Own Company Refining):

21

No. 2 Diesel < 500 ppm Sulfur, Low (include Ultra Low Sulfur)

22

No. 2 Diesel > 500 ppm Sulfur, High

23

Other Distillate

Railroad Use:

24

No. 2 Diesel < 500 ppm Sulfur, Low (include Ultra Low Sulfur)

25

No. 2 Diesel > 500 ppm Sulfur, High

26

Other Distillate

Vessel Bunkering (Shipping & 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 Use (Electric utility and Nonutility power producers):

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: (Report No.1 and No.2 Diesel)

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

Off-highway Use: Other (Specify e.g., Logging):

44

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)

Residual Fuel Oil - Include No. 5 and No. 6 (Report in Actual Whole Gallons)

Sold directly to consumers for:

50

Commercial Use (Nonmanufacturing):

51

Industrial Use (Manufacturing & Mining):

52

Oil Company Use (Drilling and Own Company Refining):

53

Vessel Bunkering (Shipping & Boating):

54

Military Use:

55

Electric Power Use (Electric utility and Nonutility power producers):

56

All Other Uses (Specify):

57

Sold to Dealers, Resellers, and Refiners:

58

Total Residual (Add Lines 50 thru 57)

<rn> ----------------------------------------------<rn> << 12. b <rn> << - Sold<rn> << - Merged<rn> << - Leased<rn> << c Subsidiary of another<rn> << d Commissioned Agent<rn> << e Permanently ceased operation<rn> << f Not in petroleum business<rn> << 13. Effective Date of Status Change: Month Day Year <rn> << 14. Company Name: <rn> << 15. Doing Business As: <rn> << 16. Physical Address: <rn> << 17. Mailing Address: <rn> << 18. City: <rn> << 19. State: <rn> << 20. Zip Code: - <rn> << 21. Contact information: <rn> << a Name: <rn> << b Phone No.: Ext: <rn> << c Fax No.: <rn> << d Email address: <rn> << Specified Others: <rn> << (5) Kerosene: All Other Uses (Include own company use): <rn> << (44-46) Distillate: Off-highway Use: Other: <rn> << (47) Distillate: All Other Uses: <rn> << (56) Residual Fuel Oil: All Other Uses: _x0014_

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Sheet 3: Page 3

2018 EIA-821

OMB No. 1905-0174

EIA ID NUMBER:

000

Expiration Date: xx/xx/xxxx

PART 2. TOTAL SALES DURING THE REFERENCE YEAR (READ PAGES 2-4 OF INSTRUCTIONS CAREFULLY)

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