| Bluelake Storage Company |
|
First Revised Sheet No. 156 : Effective |
| FERC Gas Tariff |
|
Supersedes Original Sheet No. 156 |
| Bluelake Storage Company |
Blue Lake Gas Storage Company
Storage Service Request Form
Send to: Blue Lake Gas Storage Company ("Seller")
717 Texas Street
Houston, Texas 77002-2761 _____________ Date Received
Attention: Transportation Services
Telecopier No.: (832) 320-5706
Verification: (832) 320-5551
NOTE: A check, if required by Section 2.1 of the General Terms
and Conditions of Sellers FERC Gas Tariff, First Revised
Volume No. 1 ("Tariff"), must accompany each Storage
Service Request to be valid.
INFORMATION REQUIRED FOR VALID STORAGE REQUEST
NOTE: ANY CHANGE IN THE FACTS SET FORTH BELOW, WHETHER BEFORE OR AFTER
SERVICE BEGINS, MUST BE PROMPTLY COMMUNICATED TO SELLER IN
WRITING.
1. Requestor: (Do not complete if same as Customer, see No. 3
below)
Requestors Name:________________________________________________
2. Is Requestor affiliated with Seller? YES _____ NO_____
If yes, type of affiliation and the percentage of ownership
between Blue Lake and Requestor__________________________________
3. Customers Name and Address: (Note: The "Customer" is the
party which proposes to execute the Storage Agreement with
Seller).
_________________________________________________________________
_________________________________________________________________
Attention: ______________________ Telephone ( )_______________
Address for ____________________________________________________
Statements ____________________________________________________
& Invoices ____________________________________________________
Attention: ____________________ Telephone ( )_______________
For All ____________________________________________________
Other Matters____________________________________________________
Attention: ____________________ Telephone ( )_______________
Dispatch & Control Representative _______________________________
Telephone No. ( )______________ Telecopier ( )_______________
| Issued by: Gary Charette, Chairman |
| Issue date: 10/01/07 |
|
Effective date: 11/01/07 |