Riverside Pipeline Company, L. P.

First Revised Volume No. 1

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Effective Date: 10/01/1993, Docket: RS92- 48-001, Status: Effective

Original Sheet No. 124 Original Sheet No. 124 : Effective

GENERAL TERMS AND CONDITIONS

APPENDIX A

SERVICE REQUEST FORM

(cont'd)

b.** Section 284G service will be "On Behalf Of," pursuant to Subpart G

of Part 284 of the Federal Regulations:

(Legal Name)______________________, which is an Interstate.

c. The named "On Behalf Of" entity will be:

____ Transporting the gas ____ Holding title to the gas

Important: If required, applicable "On Behalf Of" letter must be

completed with executed agreement. Only one "On Behalf of" party will

be accepted per request.

5. Section 284G Transportation Notice Filing Information

a. Average daily volume to be transported _____MMBtu

b. Annual volume to be transported _____MMBtu

c. Peak day volume to be transported _____MMBtu

6. If Shipper is acting as an Agent in arranging this service, the

Principal is:

(Legal Name)_______________________________________, which is an:

___ LDC ___ Intrastate ___ End User ___ Other ___ Interstate

(Riverside reserves the right to require proof of such arrangement.)

7. Quantities Requested

a. FT - Maximum Daily Transportation Quantity (MDTQ) ____MMBtu