Caledonia Gas And Storage

First Revised Volume No. 1

Effective Date: 09/30/2010, Docket: RP10-1032-000, Status: Effective

Original Sheet No. 127 Original Sheet No. 127

Request Quantities

Maximum Storage Quantity (MSQ), Maximum Park Quantity (MPQ) or Maximum

Loan Quantity (MLQ), as applicable ______

Maximum Daily Injection Quantity (MDIQ) ______

Maximum Daily Withdrawal Quantity (MDWQ) ______

Maximum Storage Quantity (MSQ) _____

Receipt Point _______________

Delivery Point ________________

Transporter Name: _____________________________________

Rate Customer proposes to pay for interruptible services under Rate

Schedules AISS, ISS, IPS, AILS, or ILS:

Charge for Interruptible storage, parking, loan, or balancing service,

as applicable ______________

Term of Service: _______________________

Commencement Date: _____________________

Termination Date: ______________________

Is Customer affiliated with Caledonia Energy Partners, L.L.C.?

Yes _____ No _____

If yes, type of affiliation and the percentage of ownership between

Caledonia and Customer:

_______________________________________________________

Customer’s address for statements and invoices:

______________________________________________________

Attention: __________________ Telephone: ( ) ________________

For all other matters:

______________________________________________________

Attention: __________________ Telephone: ( ) ________________