Equitrans, L. P.

Original Volume No. 1

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

First Revised Sheet No. 501 First Revised Sheet No. 501

Superseding: Original Sheet No. 501

 

SERVICE REQUEST FORM (Continued)

 

Contact Person: ______________________ Telephone: _________________

 

4. TRANSPORTATION SERVICE:

TOTAL MAXIMUM DAILY QUANTITY REQUESTED WINTER: _________________DTH

TOTAL MAXIMUM DAILY QUANTITY REQUESTED BASE : _________________DTH

 

STORAGE SERVICE:

MAXIMUM DAILY INJECTION QUANTITY REQUESTED : _________________DTH

MAXIMUM DAILY WITHDRAWAL QUANTITY REQUESTED: _________________DTH

TOTAL ANNUAL STORAGE QUANTITY REQUESTED : _________________DTH

 

5. PRIMARY RECEIPT AND DELIVERY POINT(S) REQUESTED

 

ALL REQUESTORS: FOR LOCATION DESCRIPTION, PLEASE BE AS SPECIFIC AS

POSSIBLE.

 

A. Customer request to deliver into Equitrans' pipeline at the following

receipt points:

 

Measuring Station No. Location Description (DTH) MDQ

_____________________ ____________________________ ______________

_____________________ ____________________________ ______________

_____________________ ____________________________ ______________

_____________________ ____________________________ ______________

_____________________ ____________________________ ______________

_____________________ ____________________________ ______________

_____________________ ____________________________ ______________

_____________________ ____________________________ ______________

_____________________ ____________________________ ______________

_____________________ ____________________________ ______________

_____________________ ____________________________ ______________

_____________________ ____________________________ ______________

 

 

B. Customer requests to the following points for delivery by Equitrans:

 

Measuring Station No. Location Description (DTH) MDQ

_____________________ ____________________________ ______________

_____________________ ____________________________ ______________

_____________________ ____________________________ ______________

_____________________ ____________________________ ______________

_____________________ ____________________________ ______________

_____________________ ____________________________ ______________

 

 

6. REQUESTED TERM OF SERVICE

 

Commencement Date: Termination Date: