Arlington Storage Company, LLC

First Revised Volume No. 1

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Effective Date: 11/08/2009, Docket: RP10-67-000, Status: Effective

Original Sheet No. 161 Original Sheet No. 161






33.4 Requested Interruptible Storage Services under Rate Schedule ISS or IHBS:


(a) Request Quantities


Maximum Storage Quantity (MSQ) _____________________


Maximum Daily Injection Quantity (MDIQ) _____________________


Maximum Daily Withdrawal Quantity (MDWQ) _____________________


Maximum Hourly Deviation (IHBS only) _____________________



Transporter Name: _________________________________________________________


(b) Rate prospective Customer proposes to pay for storage service under Rate

Schedule ISS or IHBS:


Hourly Balancing Charge (IHBS only): _____________________

Storage Inventory Charge: _____________________

Injection Charge: _____________________

Withdrawal Charge: _____________________

Excess Injection Charge: _____________________

Excess Withdrawal Charge: _____________________

Fuel Reimbursement: _____________________


(c) Term of Service:


Commencement Date: _____________________


Termination Date: _____________________