Kern River Gas Transmission Company
Second Revised Volume No. 1
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Effective Date: 07/01/2000, Docket: RP00-288-000, Status: Effective
Original Sheet No. 352 Original Sheet No. 352 : Effective
TRANSPORTATION SERVICE REQUEST FORM
(Continued)
Contact for Invoices:
______________________________________
______________________________________
______________________________________
______________________________________
Telephone No.: ______________________________________
Fax No.: ______________________________________
5. If Shipper is requesting service be performed by Transporter
for Shipper acting as agent for another entity, please
specify the full legal name of such entity.
________________________________________________________
________________________________________________________
*6. (a) Location (i.e. state(s)) of the ultimate Delivery
Point of Gas to be transported:
__________________________________________________
(b) Location (i.e. state(s)) of the original source of the
Gas to be transported:
__________________________________________________
(c) The intended use of the Gas is:
system supply for ________________________________
end use by industry or commerce
other (fill in) __________________________________
*This information is not required at the time of the request, but
is required at the time Shipper executes the Transportation
Service Agreement.