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I C@l I Mi.erEls I
Libo.aldy T6iin9
SHORE TANK
with tntesrity
lChemEah
AFTER
E n
tf
FM.05.AGR
REPORT
I E
tl E
BEFORE
LOAD
o,,iitv
INDONESIA
PORTTIER|'IINAt
ruI.AU IALTT,
VESSEWoy No.
MT. SAM
CARGO
PRIDE
I Lfi3
Terminal Representauve
Thls report
at Ume and place of lnspecton/tesdng only and is hereby glven to EE be* cf our knowledge and ablllty but without prejudlce
6nd/or llablltty or any party concemed, our Esponslblllty ls llmted !o the exerdse ot reasonabE care.
CARSURIN
I c@l
LOAO
DISCHARGE
topprng
lestmg I
I LalDratory
R
I
E fl
tf E
NO.
BEFORE
c,rrected
(M)
(M)
L7.325
PORTTIERMINAL
C}RGO
IEI
t7.325
Temp.
(M)
No. :
VESSEUVoy
volume
Mesured
ulLoAprNG
E
tl
Ullage/Sounding
TANK
R6
I Mnerals
'c
/'F
rutAU
FlT. SAM
9.098
9.098
INOONESIA
PRIDE
Tno,t
( !n/M. )
1603
IN BULK
Density
Quanuty
QuanUty
ln Vaoum
(MThAir)
ln Vaoum
prscHARGrNG
322s.6621
30
E M PTY
0.90510
1718,788
30
29t9.547
2919,
DELIVERED/ RECEIVED
R7
LAUT,
0.90510
1555.675
EMPTY
1555.67r
DELTVER,EDlRECEIVED
R9
17.245
t7,245
3212.008
30
0.90510
2907.188
EMPTY
2907,188
OELIVERED/RECEIVED
R5
10.680
4,125
10.r
1,125
2005.470
802.037
30
30
0.90510
0.90s10
t7.290
17.290
3215.832
30
0.90510
L7.237
77,237
3214.695
30
0.90510
7.046
7.046
1335.86:
30
DELIVERED/ R"ECEIVED
TOTAT QUANTITY
2909.620
2909.620
DELIVERED/RECEIVED
R12
2910.650
2910.650
DELIVERED/RECEIVED
R11
725.924
1049,227
DEUVERED/RECEIVED
R10
1815.151
0.905r0
1209.091
1209,091
15500.998
Terminal Representative
Thls report
at Ume and plrce of lnspecdon/testng only and ls hereby given to Bre best of our khowledge and ablllty but vrtthout prerudlce
an6/or [ablllty or any party concemeo. our regonslDl[ty ls ltmtted t0 tne exemse ot reasonaDE care.
CARSURIN
I C@l
Ef
DISCHARGE
Topping
NO.
:
VESSEWoy N,o. :
CAR@
:
PORTrIERXINAL
LOAO
TANK
Ullage/Sounding
Mesured
Conected
(M)
(M)
BEFoRE lE]lLoAprNG
R6
17
.325
lnl
17.325
PULAU LAUI,
lilT. SAM
INDONESIA
PRIDE I
L603
Volume
Temp.
T'*t,
Density
Quantity
Quanuty
(M)
'cl'F
( Mr/M' )
In Vao$m
(MTInAir)
In VaoJum
30
0.90510
prscHARGrNG
3225,662
29t9.547
EMPTY
29t9,547
DELIVERED/RECEIVED
R7
9.098
9.098
1718.788
30
E}IPTY
0.9051
1555.67s
DELIVERED/RECETVED
R9
t7.245
17.245
3212,008
30
1555.675
r.90510
2907.188
EMPTY
2907,188
DELIVERED/RECEIVED
R5
10.680
10.r
4.125
4.L25
2005.470
802.037
30
30
0.90s10
0.90510
77.290
17.290
3215.832
30
0.90510
77.237
17
.237
3214.695
30
0.90510
7.046
7.046
r335.
?n
DELIVERED/RECEWED
TOTAL QUANTITY
2909.620
2909.620
DELIVERED/RECEIVED
R12
2910.650
29rO,6sO
DELWERED/RECEIVED
Rl1
725.924
to89.227
DELIVERED/RECEIVED
R10
1815.151
0,90510
1209.091
1209,091
15s00.998
Terminal Representative
Thls report
tme and phce of lnspecdon/te$ng only and ls he.eby glven to the bed of our knowledge and aullty but wtlrout prerudtce
llabllity or any party concemed. our rcspongDl[ty Is tlmRe( to the exelqse ot reasonaDte care.
lco.rlr'rirE* lLrbo..idvrE&r9
Itr]AFTER E
BEEQBE
bppine
I]E
E
PORTAERMINAL
vEssEuvoy
No. :
CARGO
PUI.AU LAUT,
MT. SAM
INDoNESIA
PRIDE t
1fi3
Terminal Representative
Thls report
towaros
,/at ume and place of lnspecdon/testng only and ls hereby glven to the best of our knowtedge and ab ity but wtthout prejudtce
and/or llabltty or any pany concemed. our rsponstbxity ts lmtted to tne exemse ot reason;bE @re.
CARSU RIN
l
cel
lOl&c.tlMa..e l
TIME SHEET
PRIDE
Vesseryoy No.
MT.sAM
Port
ShiDpr
rT.
ACTMTIES
1603
( Bishargrf,g
Prcduct
Stowage
Ouantity
IN
BULK
2P 25,3P ,35,4P
,45
15500.998 MTS
DATE
HOUR
Vessel anived at
t442
1442
0818
0812
Loading )
Anchor dropped
Anchor up
Moorinq Master / Pilot on board for berfiino
ne as
ne secure(
1700
E ?0, 2016
NE
t!24
1400
f9,
2015
2016
JUNE
Surveyor on board
11s6
f meeting held/completed
Tank cleanliness lnsDection / tankausiRs-befoedishafe
l-lose / Loadinq Arm connected
x
Sampling before disciarge
1205-1235
1240-L400
t436
1500
Ke
/ hkjng ballast
/ taking ballast
/ Bishargearge
Commenced Discharqe
Completed Discharge
Commenced Loading
One foot SamDlins
1506
1512- 1548
1512- 1654
Figure/Calculation ascrtained
Documents Completed
Moorinq Master / Pllot on board for unberthinq
Vessel unberthed
1654
1700
1800
1820
Vessel sailed
7736
e(
,\-;t
P^)Y
ffi
'//,{
r(
s
.
9( slt {e
Ctief fficer/Vessel
This repori r!ffects our
at tlrnc and place of l6pectjory't$Jng only and b hercby given to tlle best of our knowtdge and abllty but wtttout prerudice
aoolor llaDrllty or any pany @ncernco, our resporlitDltty ts Imted @ the exerose ol reasonaoE cire,
receiPt
,'aiudlce
'
Vessewoy No.
Port
:H
( l,rr*rrirfqtBq
^rr.rrr.Er
PULAU LAUT,
%-
INDoNESIA .,"*s.
LOaOtno
^Eou
tw, I
19
rEt'5 tEnoereo
,h:'.^._L-
connd*ad-i-lJ........-
Lo?oirc Arm
Samolino hcf.)re .lieh.*-
*,,,prslcu
L,,lsLltcrge
HOUR
1442
1442
1700
0818
0812
I9,
r24
----T-----mo
2016
2015
11s6
JUNE 20,2016
1205-1235
1240-7400
1436
1500
EKJno Da asf
1506
1512- 1548
vEi)cr 5drtio
1736
21, 2016
1654
1700
1800
1820
:uue zr,
Remarks:
zoro
------xNltr--
1968
1512- 1654
;vcun)en6 ComDlete.t
I L,.yd! A0?nr I
JUNE
eir*q!s!slq!gqi-
rqr(rru.e
2P,2S.3P.3S,4P,4S
{E 20, 2016
'rE 20, 2016
ruNE 20. 2016
lgE
cargo t
DATE
droDDed
Anchor uo
Ancnor
Vessel anived at
,rvuLs ur
choiGts I
P,,*y
\.//
-T
ffi
^'.frt //x/
lffip(
lcD
'Fl
Chief Officer/Vessel
L'
*"
,#_
..,ii#i"#Jiffi;'ilffil{H"flm;r-',,i'f"fl'SffiffiJllg!il1",fr',"i;1if#:;a"*."n15i:ilgi:u*,0*.
-
f;""i,fE
l. ".*t"1
fiiin"9
ffi
cARsu
i
'turrr4'ncrJ s rGhGatu
t rr a,raa,
No.
E!,1.01.AGR
2P,25,3P,35,4P,45
ank cleanliness
Master
Pilot on
P")M
Chief Officer/Vessel
CARSU RIN
lCdllr!,EE
L.b...tqy
$.r9
TIME SHEET
Vesseuvoy No.
Port
Shipper
AqEWTIES
MT. SAM
PRIDE
Product
Stowage
2P,25,3P,3S,4P,45
Quantity
( BishaFgif,g
L6O3
15500.998 MTS
Loading )
DATE
Vessel arrived at
JUNE
Anchor up
Mooring Master / Pilot on board for brthinq
First line ashor
cted
All line secured at
Notice of Readiness accepted
$,
HOUR
1442
t442
t700
2016
0818
0812
JUNE 20.2016
INE 2I
1012
7124
1ut00
luNE 19,2015
iuNE 20, 2016
2015
1205-1235
JUNE 20,2016
1240-1400
1436
1500
1506
Vessel unberthed
vessel sailed
luNE 21,2016
1156
1512-1554
1736
1654
7700
JUNE 21,2016
1800
1820
Remarks:
^-,at
ffi
1n-
P")Y
l*
lu
T],
rrier
omdtuesAEF
l)
r.l::
Thb eport rcflects our fil$hlrs at tifi and phce of inspedbrvtsqing ont and b hereby given to the best of our knowldge and abltity but widlout prejudice
@wards any quesuon oi ngnB andlor llablllty or any party aoncerno, our nesponsiottlty ts lmired @ t]e orose ot rcasonaoE care.
Acknowledge receiPt
without preiudlce