Equitrans, L. P.

Original Volume No. 1

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Effective Date: 05/16/2010, Docket: RP10-616-000, Status: Effective

Second Revised Sheet No. 420 Second Revised Sheet No. 420

Superseding: First Revised Sheet No. 420

EXHIBIT A

To the

INTERRUPTIBLE TRANSPORTATION SERVICE AGREEMENT _______

Dated __________________________

Between EQUITRANS, L.P.

and

_______________________________

Section 1 The Parties

The Transporter is: Equitrans, L.P.

625 Liberty Avenue, Suite 1700

Pittsburgh, PA 15222-3111

Attention: Gas Transportation Department

Phone: (412) 395-3219

Facsimile: (412) 395-3347

Internet Site: www.equitrans.com

The Customer is: _______________________________

Address: ______________________

______________________

Phone: ______________________

Facsimile: ______________________

E-Mail Address: __________________

Maximum Daily Quantity to be transported: __________ DTH

Transportation Retainage Factor applied to total transport quantities as set

forth on Statement of Retainage Factors of Equitrans' FERC Gas Tariff.

Gathering Retainage Factor is applied to gas receipts or deliveries to or from

points on Equitrans' gathering system as set forth on Statement of Retainage

Factors of Equitrans' FERC Gas Tariff.

Section 2 Receipt Point(s)

Customer shall nominate receipt points from Equitrans' Master

Receipt Point Index in accordance with Sections 7.4, 8.1 and 8.2 of the

General Terms and Conditions of Equitrans' FERC Gas Tariff.

Section 3 Delivery Point(s)

Customer shall nominate delivery points from Equitrans' Master

Delivery Point Index in accordance with Sections 7.4, 8.1 and 8.2 of the

General Terms and Conditions of Equitrans' FERC Gas Tariff.