Questar Overthrust Pipeline Company

Second Revised Volume No. 1-A

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Effective Date: 10/01/2009, Docket: RP09-1029-000, Status: Effective

First Revised Sheet No. 200 First Revised Sheet No. 200

Superseding: Original Sheet No. 200

Contract No. ________

FORM OF FIRM TRANSPORTATION SERVICE AGREEMENT

Rate Schedule FT

1. SHIPPER'S NAME AND ADDRESS:

________________________________

________________________________

________________________________

2. SHIPPER'S STATUS:

________ Local Distribution Company

________ Intrastate Pipeline Company

________ Interstate Pipeline Company

________ End User

________ Producer

________ Marketer

________ Pipeline Sales Operating Unit

3. TRANSPORTATION AUTHORITY

________ 18 C.F.R. § 284, Subpart G

________ 18 C.F.R. § 284, Subpart B (NGPA § 311)

Transportation on Behalf of: (only applicable to § 311)

________ LDC or Intrastate Pipeline Company

________ Interstate Pipeline Company or Shipper

4. RATE SCHEDULE FT RESERVED DAILY CAPACITY

________ Dth/day

5. PRIMARY RECEIPT POINTS

MAP No. - Description Capacity

_________ - ____________________ ____________

_________ - ____________________ ____________

_________ - ____________________ ____________

6. PRIMARY DELIVERY POINTS

MAP No. - Description Capacity

_________ - ____________________ ____________

_________ - ____________________ ____________

_________ - ____________________ ____________

7. RATES:

Reservation Charge:

Primary Points

Rate

Rec. Location Del. Location Type of Charge $/Dth/d