Blue Lake Gas Storage Company

First Revised Volume No. 1

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Effective Date: 04/01/2010, Docket: RP10-448-000, Status: Effective

Second Revised Sheet No. 156 Second Revised Sheet No. 156

Superseding: First Revised Sheet No. 156

 

Blue Lake Gas Storage Company

Storage Service Request Form

 

 

Send to: Blue Lake Gas Storage Company ("Seller")

717 Texas Street

Houston, Texas 77002-2761 _____________ Date Received

 

Attention: Commercial Services

Telecopier No.: (832) 320-5677

Verification: (832) 320-5474

 

NOTE: A check, if required by Section 2.1 of the General Terms

and Conditions of Seller's FERC Gas Tariff, First Revised

Volume No. 1 ("Tariff"), must accompany each Storage

Service Request to be valid.

 

INFORMATION REQUIRED FOR VALID STORAGE REQUEST

NOTE: ANY CHANGE IN THE FACTS SET FORTH BELOW, WHETHER BEFORE OR AFTER

SERVICE BEGINS, MUST BE PROMPTLY COMMUNICATED TO SELLER IN

WRITING.

 

1. Requestor: (Do not complete if same as Customer, see No. 3

below)

Requestor's Name:________________________________________________

 

2. Is Requestor affiliated with Seller? YES _____ NO_____

 

If yes, type of affiliation and the percentage of ownership

between Blue Lake and Requestor__________________________________

 

3. Customer's Name and Address: (Note: The "Customer" is the

party which proposes to execute the Storage Agreement with

Seller).

_________________________________________________________________

_________________________________________________________________

Attention: ______________________ Telephone ( )_______________

 

Address for ____________________________________________________

Statements ____________________________________________________

& Invoices ____________________________________________________

Attention: ____________________ Telephone ( )_______________

 

For All ____________________________________________________

Other Matters____________________________________________________

Attention: ____________________ Telephone ( )_______________

 

Dispatch & Control Representative _______________________________

Telephone No. ( )______________ Telecopier ( )_______________