Questar Pipeline Company
First Revised Volume No. 1
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Effective Date: 10/01/2009, Docket: RP09-1030-000, Status: Effective
First Revised Sheet No. 198A First Revised Sheet No. 198A
Superseding: Original Sheet No. 198A
PARK AND LOAN SERVICE AGREEMENT AMENDMENT FORM
RATE SCHEDULE PAL2
Contract No.________
Request Order No. ________
1. SHIPPER'S NAME AND ADDRESS:
_____________________________
_____________________________
_____________________________
___________________________________________________
2. TERM OF THIS REQUEST ORDER: ________
3. SERVICE LEVEL APPLICABLE TO THIS REQUEST ORDER:
Parking: ________ Dth/day
Loaning: ________ Dth/day
4. RATE APPLICABLE TO THIS REQUEST:
________The maximum rate on the statement of rates
A discounted rate of $________Dth/day
________See additional terms.
5. 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.