OCC Case Case Number: Owner Company*: --- Please Choose an Option----American Electric Power (AEP)TC Energy (Trans Canada)(ANR)Antero Midstream (ANTERO)British Petroleum (BP)Buckeye Partners (BUC)Blue Racer Midstream (BRM)Cleveland Electric and Illuminating Company (CEI)Columbia Gas of Ohio (COH)Crestwood Midstream Partners (CMP)Crossroads Pipeline Company (CPC)Cleveland Public Power (CPP)Dominion East Ohio Gas – Transmission (DEOG-T)Dominion East Ohio Gas – Distribution (DEOG-D)Dominion Transmission Interstate (DTI)Dome Pipeline (Pembina?) (DOME)Duke Energy (DUKE)Eureka Hunter Pipeline (EHP)EnerVest (ENV)Enterprise Products Partners (EPP)Enbridge Pipeline System (EPS)EQT Midstream (EQT)Energy Transfer Partners (ETP)Generation Pipeline LLC (GEN)Kinder Morgan Pipeline (Pembina?) (KMP)KNG Energy (Kalida Natural Gas) (KNG)Mid-Valley (MID)Momentum Midstream Pipeline (MMP)Marathon Pipeline Company (MPL)Mark West Energy (MWE)North Coast Gas Transmission (NCGT)Nexus Pipeline (Enbridge) (NEXUS)National Gas & Oil (The Energy Cooperative) (NGO)aka ARCO and/or TransMontaigne (NORCO)Ohio Gas Company (OGC)Ohio Oil Gathering (OOG)Rice Energy (RENG)Rockies Express Pipeline (Kinder Morgan) (REX)Rover Pipeline (Energy Transfer) (ROVER)Spectra Energy (Texas Eastern?) (SPECTRA)Summit Midstream Partners (SMP)Sunoco Logistics (Energy Transfer) (SUN)Columbia Gas Transmission (TCO)Tallgrass Energy Partners (TEP)Texas Eastern Product Pipeline Company - Enterprise (TETLP)Tennessee Eastern Transmission LP (TGP)Utility Technologies International Corp (UTI)Utopia Pipeline (Kinder Morgan) (UTOPIA)CenterPoint Energy (Vectren Energy Delivery of Ohio) (VEDO)Williams Pipeline (WIPL) Preparation Date*: Proposed Testing Date: Company Conducting Testing*: Phone No*: Address: Email*: Reason for Case: RectifierGalvanic AnodesDrainage BondInterference SuspectedOther Rectifier Type: —Please choose an option—Constant VoltageConstant CurrentPotential Controlled Ground Bed Type: ---Please Choose an Option--LocalDistributedDeep WellLinearOther - Explain in commentsLinear Rated Rectifier Output: Intended Rectifier Output: Specify the Drainage Bond Type: —Please choose an option—With Reverse Current SwitchSimple Bond Peak Bond Current: Give Reason: Status ProposedIn PlaceChangedRetired LOCATION County*: —Please choose an option—AdamsAllenAshlandAshtabulaAthensAuglaizeBelmontBrownButlerCarrollChampaignClarkClermontClintonColumbianaCoshoctonCrawfordCuyahogaDarkeDefianceDelawareErieFairfieldFayetteFranklinFultonGalliaGeaugaGreeneGuernseyHamiltonHancockHardinHarrisonHenryHighlandHockingHolmesHuronJacksonJeffersonKnoxLakeLawrenceLickingLoganLorainLucasMadisonMahoningMarionMedinaMeigsMercerMiamiMonroeMontgomeryMorganMorrowMuskingumNobleOttawaPauldingPerryPickawayPikePortagePreblePutnamRichlandRossSanduskySciotoSenecaShelbyStarkSummitTrumbullTuscarawasUnionVan WertVintonWarrenWashingtonWayneWilliamsWoodWyandot Municipality*: GPS Coordinates*: Companies Involved : --- Please Choose an Option if Known - CTRL for Multiple selections----American Electric Power (AEP)TC Energy (Trans Canada)(ANR)Antero Midstream (ANTERO)British Petroleum (BP)Buckeye Partners (BUC)Blue Racer Midstream (BRM)Cleveland Electric and Illuminating Company (CEI)Columbia Gas of Ohio (COH)Crestwood Midstream Partners (CMP)Crossroads Pipeline Company (CPC)Cleveland Public Power (CPP)Dominion East Ohio Gas – Transmission (DEOG-T)Dominion East Ohio Gas – Distribution (DEOG-D)Dominion Transmission Interstate (DTI)Dome Pipeline (Pembina?) (DOME)Duke Energy (DUKE)Eureka Hunter Pipeline (EHP)EnerVest (ENV)Enterprise Products Partners (EPP)Enbridge Pipeline System (EPS)EQT Midstream (EQT)Energy Transfer Partners (ETP)Generation Pipeline LLC (GEN)Kinder Morgan Pipeline (Pembina?) (KMP)KNG Energy (Kalida Natural Gas) (KNG)Mid-Valley (MID)Momentum Midstream Pipeline (MMP)Marathon Pipeline Company (MPL)Mark West Energy (MWE)North Coast Gas Transmission (NCGT)Nexus Pipeline (Enbridge) (NEXUS)National Gas & Oil (The Energy Cooperative) (NGO)aka ARCO and/or TransMontaigne (NORCO)Ohio Gas Company (OGC)Ohio Oil Gathering (OOG)Rice Energy (RENG)Rockies Express Pipeline (Kinder Morgan) (REX)Rover Pipeline (Energy Transfer) (ROVER)Spectra Energy (Texas Eastern?) (SPECTRA)Summit Midstream Partners (SMP)Sunoco Logistics (Energy Transfer) (SUN)Columbia Gas Transmission (TCO)Tallgrass Energy Partners (TEP)Texas Eastern Product Pipeline Company - Enterprise (TETLP)Tennessee Eastern Transmission LP (TGP)Utility Technologies International Corp (UTI)Utopia Pipeline (Kinder Morgan) (UTOPIA)CenterPoint Energy (Vectren Energy Delivery of Ohio) (VEDO)Williams Pipeline (WIPL) Specific Location/Addt'l Comments: Note - Please Give Form Time (Approx. 20 seconds) to Create a PDF