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. 202 First Revised Sheet No. 202

Superseding: Original Sheet No. 202

Contract No. ________

FORM OF INTERRUPTIBLE TRANSPORTATION SERVICE AGREEMENT

Rate Schedule IT

1. SHIPPER'S NAME AND ADDRESS:

________________________________

________________________________

________________________________

2. SHIPPER'S STATUS:

________ Local Distribution Company (LDC)

________ 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. DAILY QUANTITY TO BE TRANSPORTED:

________ Dth/day

5. USAGE CHARGE:

__________ The rate on Overthrust's Statement of Rates.

__________ See additional terms

Receipt Pt. Delivery Pt. Type of Usage Rate/

Term MAP No. MAP No. Charge $/Dth

6. ADDITIONAL FACILITIES CHARGES:

__________ None

__________ Lump-sum payment of _______________

__________ Monthly fee of _______________

__________ See additional terms