Viking Gas Transmission Company

Original Volume No. 1

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Effective Date: 11/01/1993, Docket: RS92- 52-001, Status: Effective

Original Sheet No. 110 Original Sheet No. 110 : Superseded

 

 

 

TRANSPORTATION SERVICE REQUEST FORM (Continued)

 

 

Viking Gas Transmission Company

Page 4

 

 

If DOE authorization has been applied for, please state:

 

i. Date of Application _________________________________

ii. Volume to be Imported _________________________________

iii. Current Status _________________________________

 

 

* 7. If Shipper is requesting service be performed by Viking for Shipper acting as agent for

another entity, please specify the full legal name of such entity.

 

_____________________________________________________________________________________

_____________________________________________________________________________________

 

 

8. 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)

 

and, if the gas is for other than system supply, please provide the full legal name of

the ultimate consumer:

 

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

 

* This information is not required at the time of the request, but is required at the time

Shipper executes the Gas Transportation Agreement.