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. 125 Original Sheet No. 125 : Effective

GENERAL TERMS AND CONDITIONS

APPENDIX A

SERVICE REQUEST FORM

(cont'd)

8. Requested Term of Service:

Initial Delivery Date ___________________

Termination Date ___________________

Important: Requests for transportation or gathering services shall be

invalid if service is requested to commence later than either six (6)

months following Riverside's receipt of such request, or the date new

facilities required to provide the requested service are completed,

whichever is the later.

9. Address For Billing: Address For Notices:*

_______________________________ _____________________________

_______________________________ _____________________________

_______________________________ _____________________________

Attn: (Prefer Title)___________ Attn: (Prefer Title)__________

(*Please include a street

address for Federal Express

correspondence.)

10. Person designated by Shipper to provide scheduling information and

volume nominations:

Name: ________________________________________________

Title: ________________________________________________

Mailing Address: ________________________________________________

________________________________________________

________________________________________________

Telephone Number:________________________________________________

Fax Number: ________________________________________________