2nd PUBLIC COMMENT FORM

BSR Z223.1 – 200x, NATIONAL FUEL GAS CODE

COMMENTS ARE DUE NOVEMBER 14, 2016

Date

Name

Tel. No. E-mail

Company

Street Address City State Zip

Please Indicate Organization Represented (if any)

1. Second Revision (SR) Number

2. Comment recommends (check one) new text revised text deleted text

3.  Comment (include proposed new or revised wording, or identification of wording to be deleted): (Note: Proposed text should be in legislative format: i.e., use underscore to denote wording to be inserted (inserted wording) and strikethrough to denote wording to be deleted (deleted wording). Second public review comments are to be restricted to the indicated revision(s) only.

4. Statement of Problem and Substantiation for Comment: (Note: State the problem that will be resolved by your recommendation; give the specific reason for your comment including copies of tests, research papers, fire experience, etc. If more than 200 words, it may be abstracted for publication.).

5.  Copyright Assignment

I am the author of the text or other material (such as illustrations, graphs) proposed in this Comment.

Some or all of the text or other material proposed in this Comment was not authored by me. Its source is as follows: (please identify which material and provide complete information on its source)

I hereby grant and assign to the NFPA and AGA all and full rights in copyright in this Comment and understand that I acquire no rights in any publication of NFPA and AGA in which this Comment in this or another similar or analogous form is used. Except to the extent that I do not have authority to make an assignment in materials that I have identified in (b) above, I hereby warrant that I am the author of this comment and that I have full power and authority to enter into this assignment.

Signature (Required):

Check this box if filing electronically to indicate your acceptance of the above permission statement.

PLEASE USE SEPARATE FORM FOR EACH PROPOSAL

Send to: Secretary, National Fuel Gas Code

American Gas Association, 400 N. Capitol St., NW, Washington, DC 20001

Fax: 202.824.9122, Email:

INSTRUCTIONS FOR SUBMITTING COMMENTS

PLEASE READ CAREFULLY

Ø  Type or print in Black Ink.

Ø  Indicate the specific Second Revision Number (for example, SR No. 1) that the comment applies to.

Ø  Check the appropriate box to indicate whether this comment recommends adding new text, revising proposed text, or deleting the text.

Ø  In the space identified as "Comment" indicate the exact wording you propose as new or revised text, or the text you propose be deleted. Attach comments that do not fit into the space provided.

Ø  In the space title "Statement of Problem and Substantiation for Comment" state the problems that will be resolved by your recommendation and give the specific reason for your comment. Include copies of test results, research papers, fire experience, or other materials that substantiate your recommendation. Attach statements that do not fit into the space provided.

Ø  Check the appropriate box to indicate whether or not this comment is original material, and if it is not, indicate the source of the material.

Ø  Sign the comment if mailing or faxing or check the box if submitting electronically.

Ø  If supplementary material (photographs, diagrams, reports, etc.) is included, you may be required to submit sufficient copies for all members and alternates of the technical committee. The technical committee is authorized to abstract the "Statement of Problem and Substantiation for Comment" if it exceeds 200 words for publication in the Report on Comment documents.

Send to: Secretary, National Fuel Gas Code

American Gas Association, 400 N. Capitol St., NW, Washington, DC 20001

Fax: 202.824.9122, Email: