Great Lakes Gas Transport, L.L.C.
Second Revised Volume No. 1
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Effective Date: 11/01/1993, Docket: RP97-157-006, Status: Effective
Original Sheet No. 204 Original Sheet No. 204 : Effective
GAS TRANSPORT, INC.
TRANSPORTATION SERVICE REQUEST FORM
PAGE 3
15. NAME AND DESCRIPTION OF DELIVERY POINT(S) WHERE GTI WILL DELIVER THE GAS
AND THE MAXIMUM DAILY QUANTITY EXPRESSED IN DTH OF GAS TO BE REDELIVERED BY
GTI FOR EACH POINT. (FOR ITS-1 SERVICE, GENERAL DELIVERY POINTS ARE
GRANTED, SIMPLY ENTER "SEE EXHIBIT". FOR FTS-1 SERVICE, POINTS AND RELATED
QUANTITIES MUST BE DESCRIBED IN FULL.
__________________________________________________________________________
__________________________________________________________________________
16. PLEASE PROVIDE THE NAME, CONTACTS AND TELEPHONE NUMBERS OF ANY THIRD
PARTIES REQUIRED TO TRANSPORT THE GAS IMMEDIATELY UPSTREAM OR DOWN- STREAM
OF GTI'S FACILITIES. IF FERC AUTHORIZATION IS REQUIRED BY THE
TRANSPORTERS, PLEASE EXPLAIN UNDER WHAT AUTHORIZATION SUCH TRANSPORTATION
SHALL OCCUR:
UPSTREAM TRANSPORTER:________________________________________________
DOWNSTREAM TRANSPORTERS:_____________________________________________
17. SOURCES OF GAS: _________________________________________________________
(USE OF TWO DIGIT FERC GEOGRAPHIC AREA CODES PROVIDED ON SUPPLEMENT)
18. IF THE GAS ORIGINATES IN A FOREIGN COUNTRY, UNDER WHAT DEPARTMENT OF
ENERGY/OFFICE OF FOSSIL ENERGY IMPORT LICENSE(S) WILL IT ENTER THE COUNTRY?
_____________________________________________________________________
19. IS REQUESTOR AFFILIATED WITH GTI? ____ YES _____ NO
20. IS SHIPPER AFFILIATED WITH GTI? ____ YES _____ NO
21. IS YOUR SUPPLIER AFFILIATED WITH GTI? ____ YES _____ NO
22. IF THE ANSWER TO QUESTIONS 19-21 IS "YES", IDENTIFY THE EXTENT OF
AFFILIATION
________________________________________________________________.
23. FOR MARKETING AFFILIATES OF GAS TRANSPORT, INC., DOES THE COST OF GAS
EXCEED THE SALES PRICE, LESS ASSOCIATED COSTS INCLUDING TRANSPORTATION,
I.E., IS THE GAS BEING SOLD AT A LOSS?
_____ YES _____ NO _____ UNKNOWN
IF SO, BY HOW MUCH?_______________________________________________
IF APPLICABLE, SHIPPER AGREES BY ITS SIGNATURE BELOW TO PROVIDE THIS
INFORMATION WITHIN TWENTY-FIVE CALENDAR DAYS AFTER THE MONTH IN WHICH
TRANSPORTATION SERVICE OCCURRED.
24. IS ANY OF THE GAS TO BE TRANSPORTED SUBJECT TO TAKE-OR-PAY RELIEF FOR GTI?
________ IF YES, HOW MUCH?__________________________________________.