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This form may be submitted to the EIA by mail, fax, e-mail, or secure file transfer. Should you choose to submit your data via e-mail, we must advise you that e-mail is an insecure means of

transmission because the data are not encrypted, and there is some possibility that your data could be compromised. You can also 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 communicate

with customers when transacting business on the web.) To use this service, we recommend the use of Microsoft Internet Explorer 5.5 or later or Netscape 4.77 or later. Send your surveys using this

secure method at: https://signon.eia.doe.gov/upload/noticeoog.jsp



OMB No. 1905-0175

Expiration Date: 12/31/2011

Version No.: 2009.01

MONTHLY UNDERGROUND GAS STORAGE REPORT Burden: 2.4 hours

FORM EIA-191M

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 1. RESPONDENT IDENTIFICATION DATA PART 2. SUBMISSION INFORMATION



Completed form(s) must be filed no later than 20 days after the

REPORT PERIOD: Month Year 2 0 report month.

Form may be submitted using one of the following methods:

EIA ID NUMBER:

If this is a resubmission, enter an "X" in the box: Mail to: ATTN: EIA-191M



If any Respondent Identification Data has changed since the last report, U. S. Department of Energy



enter an "X" in the box: Oil & Gas Survey



Company Name: Ben Franklin Station



Contact Name: P.O. Box 279



Phone No.: Ext: Washington, DC 20044-0279



Fax No.: Email: OOG.SURVEYS@eia.gov

Address 1: Fax: (202) 586-1076

Address 2: Secure File Transfer:

City: State: Zip: - https://signon.eia.doe.gov/upload/noticeoog.jsp

Email address: Questions? Call: (877) 800-5261



PART 3. MONTHLY GAS STORAGE as of 9:00 a.m. on the last day of report month

(Report all volumes in Thousand Cubic Feet (Mcf) - @14.73 psia - 60o Fahrenheit)

Field Field



Storage Field Name



Reservoir Name

Location (State/County)

Base Gas

Working Gas

Total Gas in Storage (sum of

base gas + working gas)



If capacity of this field changed during the If capacity of this field changed during the

report month, place an "X" in the box report month, place an "X" in the box

and explain below in comments. and explain below in comments.

Injections

Withdrawals



Comments: Identify any unusual aspects of your reporting period's activity. (To separate one comment from another, press ALT + ENTER.)

Burden: 2.4 hours



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