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Page 1: LNG Form 2007 - Texas RRC - Railroad Commission of … to: Railroad Commission of Texas Alternative Energy Division LP-Gas Operations P. O. Box 12967 Austin, Texas 78711 (800) 64-CLEAR

Return to: Railroad Commission of Texas Alternative Energy Division LP-Gas Operations P. O. Box 12967 Austin, Texas 78711 (800) 64-CLEAR Fax: (512) 463-7292

Rev. July 2012 LNG FORM 2007

RAILROAD COMMISSION OF TEXAS Alternative Energy Division

LP-Gas Operations

TRUCK REGISTRATION/RE-REGISTRATION/TRANSFER

Please Type or Print

LNG FORM 2007

COMPANY NAME LICENSE NUMBER

REGISTRATION: Each bobtail truck, semi-trailer, or other motor vehicle equipped with an LNG cargo container, and each trailer, semi-trailer, or other motor vehicle used principally for transporting LNG in portable containers, shall be registered with LP-Gas Operations. The non-refundable registration fee is $270* for each LNG bobtail, semi-trailer, portable container delivery unit, or other motor vehicle LNG cargo container not currently registered with LP-Gas Operations.

RE-REGISTRATION: A change in the name under which a licensee is doing business requires the re-registration of any vehicles under the new name prior to use of such vehicles for transporting or delivering LNG (Texas Natural Resources Code, Section 116.072). No fee is required for re-registrations.

TRANSFER: The transfer of ownership, partial or complete, or the transfer of other rights in motor vehicles hereby registered, requires the transfer of such vehicles in the name of the new owner/transferee with LP-Gas Operations prior to the use of such vehicles for transporting or delivering LNG. The transfer fee for a unit currently registered to another licensee is $100* per unit regardless of the water gallon capacity or time remaining on the license for the licensee to whom the unit was transferred.

NOTE: Vehicle registrations expire when the company license expires.

Name of Manufacturer

Container Serial No.

W.G. Capacity

Working Pressure Fee

(Use additional sheets if necessary)

Total Truck Registration Fee

I declare under penalties prescribed in Section 91.143 Texas Natural Resources Code, that I am authorized to sign this report, and that the information stated herein is true, correct, and complete to the best of my knowledge. By filing this application via facsimile transmission, applicant voluntarily stipulates and agrees that the filed facsimile copy shall be treated as an original document for all purposes in any court or administrative proceedings.

(Printed Name of Authorized Company Representative) (Signature of Authorized Company Representative) (Date)

( ) ( ) (Area code and telephone number) (Area code and fax number)

*DO NOT SEND CASH. Make Check or Money Order Payable To: The Railroad Commission of Texas. To pay by credit card please visit our website www.rrc.texas.gov

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