Arlington Storage Company, LLC

Original Volume No. 1

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Effective Date: 08/24/2009, Docket: RP09-872-000, 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:


Fuel Reimbursement:


(c) Term of Service:

Commencement Date:


Termination Date: