Questar Overthrust Pipeline Company

Second Revised Volume No. 1-A

 Contents / Previous / Next / Main Tariff Index

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

First Revised Sheet No. 206 First Revised Sheet No. 206

Superseding: Original Sheet No. 206

Contract No. ________

Amendment No. ________

INTERRUPTIBLE TRANSPORTATION AMENDMENT FORM

Rate Schedule IT

Amended Terms

1. SHIPPER'S NAME AND ADDRESS:

________________________________

________________________________

________________________________

2. QUANTITY TO BE TRANSPORTED:

__________ Dth/day

3. TERM OF THE AGREEMENT:

____________ through ____________

4. RENEWAL TERM:

__________ None

__________ Month to month

__________ Year to year

__________ Other:____________________

This Agreement may be terminated by either party by giving

written notice:

______ days before the expiration of its primary term.

______ days before the expiration of any renewal term.

5. USAGE CHARGE:

__________ The maximum 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. EFFECTIVE DATE OF CHANGES:

____________________, 20__________