American Midstream (AlaTenn), LLC
Fifth Revised Volume No. 1
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Effective Date: 05/01/2010, Docket: RP10-493-000, Status: Effective
Original Sheet No. 340 Original Sheet No. 340
TRANSPORTATION SERVICE REQUEST FORM - (continued)
D. Subpart G of the Commission's Regulations, on
behalf of Shipper(s) other than interstate
pipeline.
Name of Company/Companies
E. Other. Specify what Commission authorization is
being requested.
Name of Company/Companies
(AlaTenn reserves the right to require proof that Shipper's
request meets the requirements of the applicable Commission
Regulations.)
6. If Shipper is not a local distribution company and is
requesting service be performed by AlaTenn for Shipper
acting as agent for another entity, please specify the
full legal name of such entity.
*7. The intended use of the gas is:
system supply
end use by industry or commerce
other (fill in)
and, if the Shipper is not a local distribution company
and the gas is for other than system supply, please
provide the full legal name of the ultimate recipient,
and the location (i.e., state) of the ultimate Delivery
Point of the gas to be transported (i.e., if ultimate
recipient is an end user, location(s) of plant(s) where
gas is to be consumed):
8. Date service is proposed to commence: