Form EIA-821 Annual Fuel Oil and Kerosene Sales Report

Petroleum Marketing Program

eia-821_form_ Multi_State.xlsx

Annual Fuel Oil and Kerosene Sales Report

OMB: 1905-0174

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Overview

Cover
Page 2
Page 3


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:









































































































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_





















































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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