G36 electronic form

G36-A - PRODUCTION ESTIMATE

Page 1 of 2

USGS Form 9-4124-A
(rev. 6/27/2016)

OMB Control No. 1028-0065
Approval expires: 10/31/2016

G36
UNITED STATES
DEPARTMENT OF THE INTERIOR
U.S. GEOLOGICAL SURVEY
986 NATIONAL CENTER
RESTON, VIRGINIA 20192
_______________
PRODUCTION ESTIMATE
_______________
INDIVIDUAL COMPANY DATA - PROPRIETARY
Please complete all applicable portions of this form

Respondent ID: 3333333

Reporting Year: 2016

Name and location of establishment (MIForms)
Name

USGSxxx

Address
City or town

AKRON

County

ADAMS

State /
Territory /
Province



Ohio

ZIP Code /
Postal Code
Country

USA

INSTRUCTIONS



Section

Name and location of
establishment (CMS)

Name and location of
establishment (RCF)

Operation
name:

US GEOLOGICAL
SURVEY

Operation
name:

USGS

12201 SUNRISE
VALLEY DR MS
985

City:

AKRON

Address:
City:

RESTON

County:

ADAMS

State:

VIRGINIA

Zip Code:

20192

Controlling
Company:

US GEOLOGICAL
SURVEY2a

Company
ID:

33333

County:

ADAMS

State:

OHIO

Controlling
Company:

US
GEOLOGICAL
SURVEY2

Company
ID:

33333

Township
Range
If operating company is a subsidiary, please name controlling company
US GEOLOGICAL SURVEY2

Base canvass: A08
Commodity:

Status during year.
(1) Active
(2) Inactive
(3) Other

Reporting unit.

https://miforms.er.usgs.gov/SA/G36Form.asp

10/5/2016

G36-A - PRODUCTION ESTIMATE
Short tons

Metric tons

Cubic yards

Pounds

Troy ounces

Other (specify)

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Please complete the table below giving your best estimate for the calender year 2016.

Production Estimates.

Type of
materials
(1)

Code

ESTIMATED 12 MONTHS
Sold or Used
Production
Value
(Quantity)
(Quantity) (f.o.b. mine/plant)
(2)
(3)
(4)

More data

Remarks: (up to 1,000 characters)



Person to be contacted regarding this report.
First name:

Last name:

Title:
E-mail:
Address:
City:
State / Territory / Province:



Not specified

ZIP Code / Postal Code:
Country:



USA

Phone:

-

-

Ext

May tabulations be published which could indirectly reveal the data reported above?
Value data
(1) Yes
(2) No
Other (including quantity) data
Data Source Code 0 

Previous screen

(1) Yes

(2) No

Date of Receipt 20161005 (yyyymmdd)

Review before submission

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https://miforms.er.usgs.gov/SA/G36Form.asp

10/5/2016