+-----------------------+-----------------------+-----------------------+
| **U.S. Department of  | ###                   | **Form Approval**     |
| Energy**              | ##### COMBINED HEAT A |                       |
|                       | ND POWER PLANT REPORT | **OMB No. 1905-0129** |
| **Energy Information  |                       |                       |
| Administration**      |                       | **Approval Expires:   |
|                       |                       | 11/30/2007**          |
| **Form EIA-920        |                       |                       |
| (2006/2007)**         |                       |                       |
+-----------------------+-----------------------+-----------------------+
| **NOTICE:** The       |                       |                       |
| timely submission of  |                       |                       |
| Form EIA‑920 by those |                       |                       |
| required to report is |                       |                       |
| mandatory under       |                       |                       |
| Section 13(b) of the  |                       |                       |
| Federal Energy        |                       |                       |
| Administration Act of |                       |                       |
| 1974 (FEAA) (Public   |                       |                       |
| Law 93‑275), as       |                       |                       |
| amended. Failure to   |                       |                       |
| respond may result in |                       |                       |
| a penalty of not more |                       |                       |
| than \$2,750 per day  |                       |                       |
| for each civil        |                       |                       |
| violation, or a fine  |                       |                       |
| of not more than      |                       |                       |
| \$5,000 per day for   |                       |                       |
| each criminal         |                       |                       |
| violation. The        |                       |                       |
| government may bring  |                       |                       |
| a civil action to     |                       |                       |
| prohibit reporting    |                       |                       |
| violations, which may |                       |                       |
| result in a temporary |                       |                       |
| restraining order or  |                       |                       |
| a preliminary or      |                       |                       |
| permanent injunction  |                       |                       |
| without bond. In such |                       |                       |
| civil action, the     |                       |                       |
| court may also issue  |                       |                       |
| mandatory injunctions |                       |                       |
| commanding any person |                       |                       |
| to comply with these  |                       |                       |
| reporting             |                       |                       |
| requirements. A       |                       |                       |
| person is not         |                       |                       |
| required to respond   |                       |                       |
| to collection of      |                       |                       |
| information unless    |                       |                       |
| the form displays a   |                       |                       |
| valid OMB number.     |                       |                       |
| Data reported on      |                       |                       |
| Stocks at End of      |                       |                       |
| Reporting Period      |                       |                       |
| (Schedule 3) will be  |                       |                       |
| protected; all other  |                       |                       |
| data reported on the  |                       |                       |
| EIA-920 are not       |                       |                       |
| considered protected  |                       |                       |
| information. (For     |                       |                       |
| additional            |                       |                       |
| information on        |                       |                       |
| Sanctions and         |                       |                       |
| Provisions for        |                       |                       |
| Protected             |                       |                       |
| Information, see page |                       |                       |
| 10 of the             |                       |                       |
| instructions.)        |                       |                       |
|                       |                       |                       |
| **Title 18 U.S.C.     |                       |                       |
| 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.**       |                       |                       |
|                       |                       |                       |
| **RESPONSE DUE        |                       |                       |
| DATE:** **Monthly     |                       |                       |
| data** are due to the |                       |                       |
| Energy Information    |                       |                       |
| Administration (EIA)  |                       |                       |
| by the last day of    |                       |                       |
| the month following   |                       |                       |
| the reporting period. |                       |                       |
| **Annual data** are   |                       |                       |
| due to EIA by March   |                       |                       |
| 30 following the      |                       |                       |
| close of the          |                       |                       |
| reporting year.       |                       |                       |
+-----------------------+-----------------------+-----------------------+
| If any preprinted     |                       |                       |
| information is        |                       |                       |
| incorrect, provide    |                       |                       |
| the correct           |                       |                       |
| information. For      |                       |                       |
| plant name and plant  |                       |                       |
| ID changes call EIA.  |                       |                       |
|                       |                       |                       |
| **SCHEDULE 1.         |                       |                       |
| IDENTIFICATION**      |                       |                       |
|                       |                       |                       |
| **REPORT FOR:**       |                       |                       |
|                       |                       |                       |
| \<company name\> \<   |                       |                       |
| plant name \> \<plant |                       |                       |
| id\> \<plant county\> |                       |                       |
| \<plant state\>       |                       |                       |
| \<month/year\>        |                       |                       |
|                       |                       |                       |
| **SURVEY CONTACTS:**  |                       |                       |
|                       |                       |                       |
| **Contact Person for  |                       |                       |
| Survey**              |                       |                       |
|                       |                       |                       |
| \_\_\_\_\_\_\_        |                       |                       |
| \_\_\_\_\_\_\_\_\_\_\ |                       |                       |
| _\_\_\_\_\_\_\_\_\_\_ |                       |                       |
| \_                    |                       |                       |
| \_\_\_\_\_\_\_\_\_\_\ |                       |                       |
| _\_\_\_\_\_\_\_\_\_\_ |                       |                       |
| \_\_                  |                       |                       |
| \_\_\_\_\_\_\_\_\_\_\ |                       |                       |
| _\_\_\_\_\_\_\_\_\_\_ |                       |                       |
|                       |                       |                       |
| *Last Name First Name |                       |                       |
| Title*                |                       |                       |
|                       |                       |                       |
| *Telephone*           |                       |                       |
| *\_\_\_\_\_\_\_\_\_\_ |                       |                       |
| \_\_\_\_\_\_\_\_\_\_* |                       |                       |
| *Fax*                 |                       |                       |
| \_\_\_\_\_\_\_\_\     |                       |                       |
| _\_\_\_\_\_\_\_\_\_\_ |                       |                       |
| *Email*               |                       |                       |
| \_\_\_\_\_\_\_\       |                       |                       |
| _\_\_\_\_\_\_\_\_\_\_ |                       |                       |
|                       |                       |                       |
| > *(please include    |                       |                       |
| > extension)*         |                       |                       |
|                       |                       |                       |
| **Supervisor of       |                       |                       |
| Contact Person for    |                       |                       |
| Survey**              |                       |                       |
|                       |                       |                       |
| \_\_\_\_\_\_\_        |                       |                       |
| \_\_\_\_\_\_\_\_\_\_\ |                       |                       |
| _\_\_\_\_\_\_\_\_\_\_ |                       |                       |
| \_                    |                       |                       |
| \_\_\_\_\_\_\_\_\_\_\ |                       |                       |
| _\_\_\_\_\_\_\_\_\_\_ |                       |                       |
| \_\_                  |                       |                       |
| \_\_\_\_\_\_\_\_\_\_\ |                       |                       |
| _\_\_\_\_\_\_\_\_\_\_ |                       |                       |
|                       |                       |                       |
| *Last Name First Name |                       |                       |
| Title*                |                       |                       |
|                       |                       |                       |
| *Telephone*           |                       |                       |
| *\_\_\_\_\_\_\_\_\_\_ |                       |                       |
| \_\_\_\_\_\_\_\_\_\_* |                       |                       |
| *Fax*                 |                       |                       |
| \_\_\_\_\_\_\_\_\     |                       |                       |
| _\_\_\_\_\_\_\_\_\_\_ |                       |                       |
| *Email*               |                       |                       |
| \_\_\_\_\_\_\_\       |                       |                       |
| _\_\_\_\_\_\_\_\_\_\_ |                       |                       |
|                       |                       |                       |
| *(please include      |                       |                       |
| extension)*           |                       |                       |
+-----------------------+-----------------------+-----------------------+
|                       |                       |                       |
+-----------------------+-----------------------+-----------------------+
|                       |                       |                       |
+-----------------------+-----------------------+-----------------------+

  -----------------------------------------------------------------------
  **COMMENT SECTION:** Please explain any unusual values, occurrences or
  changes in ownership.

  -----------------------------------------------------------------------

**Plant Name:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Plant ID: \_\_\_\_**

**State: \_\_\_\_ Reporting Month and Year (or Year Only):
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

If any preprinted information is incorrect, please provide the correct
information. For plant name and plant ID changes call EIA.

**SCHEDULE 2. FUEL USE AND GENERATION**

Report actual values. If these are not available, report estimated
values.

1.  **Total Fuel Used by the Combined Heat and Power System**

Report all fuels consumed by the combined heat and power system for all
purposes: power, useful heat, and losses.

Include start-up and flame stabilization fuels.

+-----------------+-----------------+-----------------+-----------------+
| **Energy        | **Amount**      | ###### Type of  | **Heat Value    |
| Source**        |                 |                 | per Unit of     |
|                 | (Enter zero (0) | ######          | Fuel**          |
| (See codes on   | when a fuel     |  Physical Units |                 |
| pages 8 and 9   | source has no   |                 | (Million Btus   |
| in Instructions | fuel            | (Tons, Barrels, | per fuel unit)  |
| to add energy   | consumption for | Thousand Cubic  |                 |
| sources)        | this reporting  | Feet)           | ######          |
|                 | period)         |                 |                 |
+-----------------+-----------------+-----------------+-----------------+
|                 |                 |                 |                 |
+-----------------+-----------------+-----------------+-----------------+
|                 |                 |                 |                 |
+-----------------+-----------------+-----------------+-----------------+
|                 |                 |                 |                 |
+-----------------+-----------------+-----------------+-----------------+
|                 |                 |                 |                 |
+-----------------+-----------------+-----------------+-----------------+
|                 |                 |                 |                 |
+-----------------+-----------------+-----------------+-----------------+

**Plant Name:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Plant ID: \_\_\_\_**

**State: \_\_\_\_ Reporting Month and Year (or Year Only):
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

> **2.2. Fuel Used to Generate Electricity by Each Type of Prime Mover**

In the **Total Electricity Generated** line, enter one aggregate number
for all prime movers of a single type. For example, all the generation
from your steam turbines, no matter how many energy sources, should be
reported as one number.

> (Prime movers are devices that convert fuel or heat energy into
> mechanical energy. Examples include steam turbines, combustion
> turbines, reciprocating engines, and water turbines.)
>
> If there are not enough lines in any of the tables, or if there are
> not enough tables to represent the number of prime movers, please
> photocopy page 3 and/or 4, and include them in your submission.
>
> Please call EIA to add or delete a Prime Mover Type on the preprinted
> list.

2.2a. Prime Mover Type: \_\_\_\_\_ Total Electricity Generated:
\_\_\_\_\_\_\_\_\_\_\_ MWh

**Fuel Used to Generate Electricity for Prime Mover During Reporting
Period**

+-----------------------+-----------------------+-----------------------+
| **Energy Source**     | ###### Amount         | ###### Type of        |
|                       |                       |                       |
| (See codes on pages 8 | (Enter zero (0) when  | ###### Physical Units |
| and 9 in Instructions | a fuel source has no  |                       |
| to add energy         | fuel consumption for  | (Tons, Barrels,       |
| sources)              | this reporting        | Thousand Cubic Feet)  |
|                       | period)               |                       |
+-----------------------+-----------------------+-----------------------+
|                       |                       |                       |
+-----------------------+-----------------------+-----------------------+
|                       |                       |                       |
+-----------------------+-----------------------+-----------------------+
|                       |                       |                       |
+-----------------------+-----------------------+-----------------------+
|                       |                       |                       |
+-----------------------+-----------------------+-----------------------+
|                       |                       |                       |
+-----------------------+-----------------------+-----------------------+

> **2.2b. Prime Mover Type: \_\_\_\_\_ Total Electricity Generated:
> \_\_\_\_\_\_\_\_\_\_\_ MWh**

**Fuel Used to Generate Electricity for Prime Mover During Reporting
Period**

+-----------------------+-----------------------+-----------------------+
| **Energy Source**     | ###### Amount         | ###### Type of        |
|                       |                       |                       |
| (See codes on pages 8 | (Enter zero (0) when  | ###### Physical Units |
| and 9 in Instructions | a fuel source has no  |                       |
| to add energy         | fuel consumption for  | (Tons, Barrels,       |
| sources)              | this reporting        | Thousand Cubic Feet)  |
|                       | period)               |                       |
+-----------------------+-----------------------+-----------------------+
|                       |                       |                       |
+-----------------------+-----------------------+-----------------------+
|                       |                       |                       |
+-----------------------+-----------------------+-----------------------+
|                       |                       |                       |
+-----------------------+-----------------------+-----------------------+
|                       |                       |                       |
+-----------------------+-----------------------+-----------------------+
|                       |                       |                       |
+-----------------------+-----------------------+-----------------------+

**Plant Name:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Plant ID: \_\_\_\_**

**State: \_\_\_\_ Reporting Month and Year (or Year Only):
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

######### 

> **2.2c. Prime Mover Type: \_\_\_\_\_ Total Electricity Generated:
> \_\_\_\_\_\_\_\_\_\_\_ MWh**

**Fuel Used to Generate Electricity for Prime Mover During Reporting
Period**

+-----------------------+-----------------------+-----------------------+
| **Energy Source**     | ###### Amount         | ###### Type of        |
|                       |                       |                       |
| (See codes on pages 8 | (Enter zero (0) when  | ###### Physical Units |
| and 9 in Instructions | a fuel source has no  |                       |
| to add energy         | fuel consumption for  | (Tons, Barrels,       |
| sources)              | this reporting        | Thousand Cubic Feet)  |
|                       | period)               |                       |
+-----------------------+-----------------------+-----------------------+
|                       |                       |                       |
+-----------------------+-----------------------+-----------------------+
|                       |                       |                       |
+-----------------------+-----------------------+-----------------------+
|                       |                       |                       |
+-----------------------+-----------------------+-----------------------+
|                       |                       |                       |
+-----------------------+-----------------------+-----------------------+
|                       |                       |                       |
+-----------------------+-----------------------+-----------------------+

**SCHEDULE 3. STOCKS AT END OF REPORTING PERIOD**

> Report stocks for the following fuels used in the combined heat and
> power system:

-   Coal

-   Residual oil (No. 5 and No. 6 fuel oils)

-   Distillate-type oils (including diesel oil, No. 2 oil, jet fuel and
    kerosene)

-   Petroleum coke

> Include back-up fuels.
>
> Include start-up and flame stabilization fuels.
>
> Do not report stocks for waste coal, natural gas or wood waste.
>
> Stocks held off-site that cannot be assigned to an individual plant
> are to be reported as stocks held at a central storage site. Each
> central storage site must be reported separately. New sites should be
> indicated in the Comment Section, located on page 1 of the form.

+-----------------------+-----------------------+-----------------------+
| **Energy Source**     | ###### Amount         | ###### Type of        |
|                       |                       |                       |
| (See codes on pages 8 | (Enter zero (0) if a  | ###### Physical Units |
| and 9 in Instructions | plant has no stocks   |                       |
| to add energy         | for this reporting    | (Tons or Barrels)     |
| sources)              | period)               |                       |
+-----------------------+-----------------------+-----------------------+
|                       |                       |                       |
+-----------------------+-----------------------+-----------------------+
|                       |                       |                       |
+-----------------------+-----------------------+-----------------------+
|                       |                       |                       |
+-----------------------+-----------------------+-----------------------+
|                       |                       |                       |
+-----------------------+-----------------------+-----------------------+
|                       |                       |                       |
+-----------------------+-----------------------+-----------------------+

**Plant Name:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Plant ID: \_\_\_\_**

**State: \_\_\_\_ Reporting Month and Year (or Year Only):
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

> **SCHEDULE 4. ANNUAL SOURCE AND DISPOSITION OF ELECTRICITY**
>
> This schedule is filed **annually** and includes annual total data (no
> monthly detail).

-   *If you file the EIA-920 [monthly]{.underline}*, fill out this
    schedule **only** when you submit data for December.

-   *If you file the EIA-920 [annually]{.underline}*, fill out this
    schedule when you submit your other data due by March 1 of the year
    following the reporting year.

1.  **Electricity Sources**

+-------------------------------------------+--------------------------+
| **Source of Electricity**                 | ###### Megawatthours     |
+-------------------------------------------+--------------------------+
| a\. Gross Generation                      |                          |
+-------------------------------------------+--------------------------+
| b\. Other Incoming Electricity            |                          |
+-------------------------------------------+--------------------------+
| > c\. Total Sources                       |                          |
| >                                         |                          |
| > (Sum of a and b above.)                 |                          |
+-------------------------------------------+--------------------------+

2.  **Electricity Disposition**

+-------------------------------------------+------------+------------+
| **Disposition of Electricity**            | ###### Meg |            |
|                                           | awatthours |            |
+-------------------------------------------+------------+------------+
| a\. Station Use                           |            |            |
+-------------------------------------------+------------+------------+
| b\. Direct Use                            |            |            |
+-------------------------------------------+------------+------------+
| c\. Total Facility Use (Sum of a and b)   |            |            |
+-------------------------------------------+------------+------------+
| d\. Retail Sales to Ultimate Customers    |            |            |
+-------------------------------------------+------------+------------+
| e\. Sales for Resale                      |            |            |
+-------------------------------------------+------------+------------+
| f\. Other Outgoing Electricity            |            |            |
+-------------------------------------------+------------+------------+
| g\. Total Disposition                     |            |            |
|                                           |            |            |
| > (Sum of c, d, e, and f above.)          |            |            |
+-------------------------------------------+------------+------------+