Dd Form 2692 - Direct Supply Natural Gas Data Requirements
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21. REPORT DATE
2. DATE DATA REQUIRED
DIRECT SUPPLY NATURAL GAS DATA REQUIREMENTS
(YYMMDD)
(YYMMDD)
(Read Instructions on back before completing form.)
3. INSTALLATION
b. ADDRESS
a.
NAME
(1) STREET
(2) CITY
(3) STATE
(4) ZIP CODE
c.
DODAAC/UIC
4. LOCAL DISTRIBUTION COMPANY (LDC)
b. ADDRESS
a.
NAME
(1) STREET
(2) CITY
(3) STATE
(4) ZIP CODE
c.
TELEPHONE NUMBER
(Include area code)
5. LDC SALES TARIFFS
6. LDC TRANSPORTATION TARIFFS
7. LDC TRANSPORTATION POLICY
a.
WILL
LDC TRANSPORT GAS
b. DOES LDC ALLOW SWITCHING
(3) IF YES, SPECIFY FREQUENCY OF
YES
NO
YES
NO
(X as
(X as
SWITCHING
(1) FIRM
(1) FIRM GAS
applicable)
applicable)
(2) INTERRUPTIBLE
(2) INTERRUPTIBLE GAS
8. CURRENT CONTRACTOR
b. ADDRESS
a.
NAME
(1) STREET
(2) CITY
(3) STATE
(4) ZIP CODE
9. CONTRACT DATA
b. START DATE (YYMMDD)
d. TERMINATION DATE (YYMMDD)
a.
CONTRACT
NUMBER
c. NUMBER OF OPTION YEARS
e.
NUMBER
OF DAYS NOTICE TO TERMINATE
f. SPECIAL TERMS AND CONDITIONS (Continue in Remarks on back if necessary)
10.a. GAS REQUIREMENTS DATA
b. UNIT OF MEASUREMENT
MONTH
FIRM GAS
INTERRUPTIBLE GAS
MONTH
FIRM GAS
INTERRUPTIBLE GAS
MONTH
FIRM GAS
INTERRUPTIBLE GAS
(1)
(2)
(3)
(1)
(2)
(3)
(1)
(2)
(3)
JANUARY
MAY
SEPTEMBER
FEBRUARY
JUNE
OCTOBER
MARCH
JULY
NOVEMBER
APRIL
AUGUST
DECEMBER
c.
TOTAL
FIRM GAS CONSUMPTION
d. TOTAL FIRM GAS REQUIREMENTS
e.
FIRM GAS MAXIMUM DAILY
QUANTITY
f. TOTAL INTERRUPTIBLE GAS CONSUMPTION
g. TOTAL INTERRUPTIBLE GAS REQUIREMENTS
h. INTERRUPTIBLE GAS PEAK DAY LOAD
11. ALTERNATE FUEL FOR INTERRUPTIBLE GAS
12. PAYMENT INFORMATION (X as applicable)
YES
NO
a. TYPE FUEL
b. UNIT COST
c.
PERCENT
LOAD COVERED
a. ARE TELEFAX INVOICES ACCEPTABLE?
BY ALTERNATE FUEL
b. IS WIRE (ELECTRONIC) TRANSFER AVAILABLE?
c. IS PREPAID EXPRESS MAIL PAYMENT AVAILABLE?
13. POINTS OF CONTACT
a. ORDERING OFFICE
(2) OFFICE SYMBOL
(3)
COMMERCIAL
TELEPHONE
(4) COMMERCIAL FAX NUMBER
(1)
NAME
(Last, First, Middle Initial)
NUMBER (Include area code)
(Include area code)
(5)
MAILING ADDRESS
CITY
STATE
ZIP CODE
STREET
b. INVOICE OFFICE
(2) OFFICE SYMBOL
(3)
COMMERCIAL
TELEPHONE
(4) COMMERCIAL FAX NUMBER
(1)
NAME
(Last, First, Middle Initial)
NUMBER (Include area code)
(Include area code)
(5)
MAILING ADDRESS
CITY
STATE
ZIP CODE
STREET
c. PAYING OFFICE
(2) OFFICE SYMBOL
(3)
COMMERCIAL
TELEPHONE
(4) COMMERCIAL FAX NUMBER
(1)
NAME
(Last, First, Middle Initial)
NUMBER (Include area code)
(Include area code)
(5)
MAILING ADDRESS
CITY
STATE
ZIP CODE
STREET
DD FORM 2692, SEP 94
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