Mississippi Canyon Gas Pipeline, LLC
First Revised Volume No. 1
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Effective Date: 09/07/2006, Docket: RP06-468-000, Status: Effective
Second Revised Sheet No. 313A Second Revised Sheet No. 313A : Effective
Superseding: First Revised Sheet No. 313A
SERVICE REQUEST FORM (Continued)
IV. Type of Service (circle one) FT-1 FT-2 IT-1
(Other type of Service)
______________________________________________
Modifying Existing Service?: ___Y ___ N
If requesting a modification, list all affected
agreement(s):
_____________________________________________________
_____________________________________________________
_____________________________________________________
V. Production Platform(s) (Block No(s).): _____________
VI. Maximum Daily Quantity (MDQ) Requested:
______________________ Dth
Dates of Service: Commencing ______________ Ending
_____________
_____ Evergreen: _____Month to Month _____ Year
to Year
_____ Life of Reserves/Lease
For service pursuant to Rate Schedule FT-2, Shipper elects
either an Annual Option or a Quarterly Option, as more fully
defined in Section 5 of Rate Schedule FT-2 and in Article
1.4 of the FT-2 Transportation Service Agreement, and the
Maximum Daily Quantity (MDQ) to be transported is:
Contract No. Option Election MDQ(Dth)
(Annual/Quarterly)
_______________ _____________________________
_______________ _____________________________
_______________ _____________________________
For new service requests under Rate Schedule FT-2, the
following information is attached hereto:
(a) identification of the Field(s) to be committed under Rate
Schedule FT-2 and the associated Blocks/Leases under which the
Field(s) exist.
(b) A schedule of the proposed Maximum Daily Quantity (MDQ) for
each Delivery Period, as defined in Article 1.4 of the FT-2
Transportation Service Agreement, for at least the minimum number
of Delivery Periods as defined in Section 5 of Rate Schedule FT-
2, per contract, and
(c) a life of field production forecast for the
Committed Field(s) prepared by Shipper or the
operator(s) of the Committed Field(s) which
supports the proposed Maximum Daily Quantity.