Dominion Cove Point LNG, LP

Original Volume No. 1

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Effective Date: 12/22/2006, Docket: RP07- 36-001, Status: Effective

Second Revised Sheet No. 490 Second Revised Sheet No. 490 : Effective

Superseding: First Revised Sheet No. 490

REQUEST FOR SERVICE FORM

DOMINION COVE POINT LNG, LP

A completed form must be submitted for each Rate Schedule requested.

1. TYPE OF SERVICE (Please check)

A. Rate Schedule

____1. Firm LNG Tanker Discharging Service (LTD-1)

____2. Firm Peaking Service FPS-1 (10-day)

____3. Firm Peaking Service FPS-2 (5-day)

____4. Firm Peaking Service FPS-3 (3-day)

____5. Firm Transportation Service (FTS)

____6. Interruptible LNG Tanker Discharging Service (LTD-2)

____7. Interruptible Transportation Service (ITS)

8. Off-Peak Firm Transportation Service (OTS)

B. Authority

____1. Part 284, Subpart B (NGPA _ 311)

____2. Part 284, Subpart G (Blanket Certificate)

C. Transportation Service

If Requestor is seeking service hereunder to be implemented pursuant to Section 311 of the

NGPA, attach certification by the local distribution company or intrastate pipeline company,

as defined in the NGPA, on whose behalf the service is requested, that such service is

authorized to be provided within the meaning of 18 C.F.R. Section 284.102(d)(3), if the local

distribution company will not have physical custody of and transport the gas or will not hold

title to the gas.

Service to be provided on behalf of:

, a/an:

____1. Local Distribution Company

____2. Intrastate Pipeline Company

____3. Interstate Pipeline Company

____4. End user