Questar Pipeline Company
First Revised Volume No. 1
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Effective Date: 10/01/2009, Docket: RP09-1030-000, Status: Effective
Third Revised Sheet No. 185A Third Revised Sheet No. 185A
Superseding: Second Revised Sheet No. 185A
FORM OF PARK AND LOAN SERVICE AGREEMENT
RATE SCHEDULE PAL2
Contract No._____
1. SHIPPER'S NAME AND ADDRESS
_________________________________
_________________________________
_________________________________
2. TYPE OF SERVICE:
Shipper's maximum level of parked gas quantities as qualified under § 8
of the General Terms and Conditions of Part 1 of this tariff:
_________________Dth/day
Shipper's maximum level of loaned gas quantities as qualified under § 8
of the General Terms and Conditions of Part 1 of this tariff:
_________________Dth/day
3. TERM OF AGREEMENT:
_____________ through_________________
4. RATES
Initiation Charge: ________
_____ Maximum rate on Questar's Statement of Rates
_____ A discounted rate of ________/Dth
_____ See additional terms
Daily Charge: ________
_____ Maximum rate on Questar's Statement of Rates
_____ A discounted rate of ________/Dth
_____ See additional terms
5. APPLICABLE RECEIPT AND DELIVERY POINTS:
_____________________________
6. SCHEDULE OF QUANTITIES
Parked (Dth) Delivery Date Receipt Date
______________________________________________________________________
Loaned (Dth) Loan Date Return Date
______________________________________________________________________
7. ADDITIONAL TERMS: This Agreement includes all the terms and conditions
of Part 1 of Questar's FERC Gas Tariff, First Revised Volume No. 1 and
the terms, conditions and signatures of shipper's Access Agreement with
Questar.