Questar Pipeline Company
First Revised Volume No. 1
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Effective Date: 10/01/2009, Docket: RP09-1030-000, Status: Effective
Fifth Revised Sheet No. 184 Fifth Revised Sheet No. 184
Superseding: Fourth Revised Sheet No. 184
Contract No.________
FORM OF INTERRUPTIBLE TRANSPORTATION SERVICE AGREEMENT
Rate Schedule T-2
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. QUANTITY TO BE TRANSPORTED:
________ Dth/day
5. USAGE CHARGE:
________ The systemwide rate on Questar's Statement of Rates.
________ The SSXP rate on Questar's Statement of Rates.
________ See additional terms
Receipt Pt. Delivery Pt. Type of Usage Rate
Term MAP No. MAP No. Charge $/Dth
________ ________ ________ ________ ________