Form EIA-782C Monthly Report of Prime Supplier Sales of Petroleum Prod

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Overview

Parts 1-3
Part 4

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Sheet 1: Parts 1-3

This form may be submitted to the EIA by mail, fax, or secure file transfer. You can 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 use to communicate with customers when transacting business on the web.) Send your surveys using this secure method at: https://signon.eia.doe.gov/upload/noticeoog.jsp

OMB No. 1905-0174

Expiration Date: XX/XX/XXXX

Burden: 2.1 hours

FORM EIA-782C

MONTHLY REPORT OF PRIME SUPPLIER SALES OF PETROLEUM PRODUCTS

SOLD FOR LOCAL CONSUMPTION

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

PART 2. SUBMISSION INFORMATION

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

Due Date: A completed form must be filed by the 20th calendar day following the end of the report moth.

enter an "X" in the box:

x

REPORT PERIOD:

Month

Year

How to Submit Forms:

EIA ID NUMBER:

Instructions:

http://www.eia.gov/survey/form/eia_782c/instructions.pdf

Company Name:

Doing Business as:

Exclusionary List:

Contact Name:

https://www.eia.gov/survey/form/eia_782c/exclusion_list.pdf

Phone No.:

Ext:

Secure File Transfer option available at:

Physical Address:

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

(e.g., Street Address, Bldg, Floor, Suite)

Electronic Transmission:

For the PC Electronic Data

Mailing Address:

Reporting Option (PEDRO) software, call (202) 586-9659.

(e.g., PO Box, RR)

Fax No.:

Fax:

(202) 586-9772

Email address:

Mo

Day

Year

Mail to:

Oil & Gas Survey U.S. Department of Energy (EI-25) Ben Franklin Station PO Box 279 Washington, DC 20044-0279

DATE OF THIS REPORT:

Number of States for which you are reporting:

Type of Report (Check One):

Original

Mo

Day

Year

Revision to Report Dated:

Questions?

Call:

1-800-638-8812

PART 3. TYPE OF OPERATIONS

Type of Entity (Check One):

1

Refiner/Gas Plant Operator

3

Reseller/Retailer

2

Reseller

4

Retailer

Which of the following best describes this firm at the end of this report period? (Check one):

1

In operation

3

Sold or leased to another firm. See PART 3 of the instructions.

2

Temporarily or seasonally inactive

4

Permanently ceased operation. See PART 3 of the instructions.

Comments: (To separate one comment from another, press ALT+ENTER)

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Sheet 2: Part 4

OMB No. 1905-0174

Expiration Date: XX/XX/XXXX

Burden: 2.1 hours

FORM EIA-782C

MONTHLY REPORT OF PRIME SUPPLIER SALES OF PETROLEUM PRODUCTS

SOLD FOR LOCAL CONSUMPTION

Mo

Year

Type of Report (Check One):

REPORT PERIOD:

Original

Mo

Day

Year

EIA ID NUMBER:

Revision to Report Dated:

Enter the abbreviation of the State for which these data are being filed.

A separate form should be filed for each State. (See Appendix A of the form instructions for State abbreviations.)

PART 4. STATE DATA

PRODUCT CODE

MONTHLY SALES

PRODUCT

(Thousand Gallons)

(Refer to Definitions)

(For the report period, enter the total volume sold into the State

where delivery of product occurs.)

Reformulated Gasoline

Regular

153

Midgrade

154

Premium

155

Conventional Gasoline

Regular

159

Midgrade

160

Premium

161

No. 1 Distillate

467

Kerosene

311

No. 2 Fuel Oil

470

No. 2 Diesel Fuel

15 ppm sulfur and under

472

Greater than 15 ppm to 500 ppm sulfur (incl.)

468

Greater than 500 ppm sulfur

469

Aviation Gasoline (Finished)

111

Kerosene-Type Jet Fuel

213

No. 4 Fuel Oil

471

Residual Fuel Oil ≤ 1% sulfur

501

Residual Fuel Oil > 1% sulfur

510

Propane, Consumer Grade

624