Print Date : 04/07/2023

Doc : IMM/008/F/CR/DISCH/APT/1.1/14.02.03 Page 1 of 19 For BSI-Inspectorate

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SHIPS LOADPORT ULLAGES

SHIPS OBQ BEFORE LOADING

VESSEL EXPERIENCE FACTOR

PUMPING LOG

SLOP

SHORE QUANTITY CERT computer sheet

1 ZETRA INTEGRATED

TIME LOG

Time

End of Sea Passage

N.O.R. Tendered

Vessel Anchored

Mooring master onboard

Anchor Aweigh

First Line Ashore

All Fast

Commenced Cargo Hose Connections

Completed Cargo Hose Connections

Surveyor Boarded

Commenced Fendering

Completed Fendering

Commenced Tank Inspection

Completed Tank Inspection

N.O.R. Received

Figures Agreed

Commenced Loading

Suspended Loading

Resummed Loading

Completed Loading

Commenced ullaging

Completed ullaging

Commenced calculation

Completed calculation

Figures Agreed

Commenced Cargo Hose Disconnection

Cargo Hoses Disconnected

Commenced Reullage

Completed Reullaged

Commenced Recalculation

Completed Recalculation

Delays

1 ZETRA INTEGRATED

TIME LOG

Date

2 ZETRA INTEGRATED

VESSELPORTPRODUCT

DATE Density:

A.P.I. @ 60° F:

SHORE QUANTITY CERTIFICATE ZETRA INTEGRATEDGROSS/NET

Tank Status Gauge T.O.V. Water Water G.O.V. Temp Density V.C.F. G.S.V. MetricTonN°. Ops ( m ) M³ @ Temp Snd Vol M³ @ Temp @ 15°C @ 15°C (54 B ) M³ @ 15°C (Vac )

Before

After

Before

After

Before

After

Before

After

Cubic Metres @ Obsv

Cubic Metres @ 15°CMetric Tonne Vac

3 ZETRA INTEGRATED

VESSELPORT

PRODUCTDATE

VESSEL SURVEY REPORT BEFORE LOADINGArrival

Tank Ullage Corrd T.O.V Water Water G.O.V. Temp V.C.F. G.S.V

No. ( M ) Ullage ( m3 ) ( cms ) ( m3 ) ( m3 ) ( °C ) T 54B CM @ 15c

Total Onboard Equipment Used

Total Observed Volume Ullage

Free Water Temp

Gross Observed Volume Free Water

Cubic Metres @ 15°C

US Bbls @ 60 F

Metric tonne in Vac

Metric tonne in Air

Long tonne

Draft Fwd

Draft Aft

Trim

SEA CONDITION:

Density @ 15oC (Vacuo)

Density @ 15oC (Air)

4 ZETRA INTEGRATED

VESSELPORTPRODUCT

DATE

VESSEL SURVEY REPORT AFTER DISCHARGE

Tank Ullage Corrd T.O.V Water Water G.O.V. Temp V.C.F. G.S.V

No. ( M ) Ullage ( m3 ) ( cms ) ( m3 ) ( m3 ) ( °C ) T 54B CM @ 15c

Before discharge After/ROB Quantity discharge

Total Observed Volume

Free Water

Gross Observed Volume

Cubic Metres @ 15°C

US Bbls @ 60 F

Metric tonne in Vac

Metric tonne in Air

Long tonne

Draft Fwd Equipment Used

Draft Aft Ullage

Trim Temp

Water

SEA CONDITION:

Density @ 15oC (Vacuo)

Density @ 15oC (Air)

5 ZETRA INTEGRATED

VESSEL 0

PORT 0

PRODUCT 0

DATE 0

ZETRA INTEGRATED

Quantities below are shown in: Metric Ton(Standard Volumes to be used, where available)

Voy# Cargo Location Date Ship figure Shore figure Ratio (Yes/No)

#DIV/0! #DIV/0!

#DIV/0! #DIV/0!

#DIV/0! #DIV/0!

#DIV/0! #DIV/0!

#DIV/0! #DIV/0!

#DIV/0! #DIV/0!

#DIV/0! #DIV/0!

#DIV/0! #DIV/0!

#DIV/0! #DIV/0!

#DIV/0! #DIV/0!

#DIV/0! #DIV/0!

#DIV/0! #DIV/0!

#DIV/0! #DIV/0!

#DIV/0! #DIV/0!

0.000 0.000

Minimum ratio for voyages to be included i Maximum ratio for voyages to be included i

Total for voyages to be included in second ratio comparison

VEF(VESSEL EXPER #DIV/0! (divisor,ship/shore)

Remarks;

VEF recorded for reference only, insufficient data due to vessel always loadedby STS .

VEF Calculation as per procedures outline in API chapter 17.

Vessel Experience Factor

INSPECTORATE Vessel's Master/Chief officer

6 ZETRA INTEGRATED.

VESSELPORTPRODUCTDATE

BALLAST TANK SURVEYBefore Discharge After Discharge

Tank Contents Ullage Water Contents Ullage Water

No. ( M ) ( M3 ) ( M ) ( M3 )

Total Onboard

Total Discharged Cubic Metres

Drafts Drafts

Before After

Fwd Fwd

Aft Aft

Remarks:

8 ZETRA INTEGRATED.

VESSELPORTPRODUCTDATE

BUNKER SURVEY (Diesel Oil)

ARRIVAL

Tank Ullage T.C.V. Density Temp V.C.F. G.S.V

No. (m) Cubic Metres @15 C Deg(C ) T(54B ) m3 @ 15C

TOTAL Cubic Metres @ 15C

Density @ 15 C

TOTAL Metric Tons

DEPARTURE

TOTAL Cubic Metres @ 15C

Density @ 15 C

TOTAL Metric Tons

Average Density @ 15C

Bunkers Sailing Last Port Tonnes

Bunkers Arrival Tonnes

Bunkers Sailing Tonnes

Bunkers Delivered TonnesBunkers Consumed Tonnes

Vessel History From Chief Engineer

Average Bunker Consumption per day at Sea Tonnes

Average Bunker Consumption per day at Port - Discharge Tonnes

Average Bunker Consumption per day at Anchorage Tonnes

7ZETRA INTEGRATED

VESSELPORTPRODUCTDATE

BUNKER SURVEY (Fuel Oil)

ARRIVAL

Tank Ullage T.C.V. Density Temp V.C.F. G.S.V

No. (m) Cubic Metres @15 C Deg(C ) T(54B ) m3 @ 15C

TOTAL Cubic Metres @ 15C

Density @ 15 C

TOTAL Metric Tons

DEPARTURE

TOTAL Cubic Metres @ 15C

Density @ 15 C

TOTAL Metric Tons

Average Density @ 15C

Bunkers Sailing Last Port Tonnes

Bunkers Arrival Tonnes

Bunkers Sailing Tonnes

Bunkers Delivered TonnesBunkers Consumed Tonnes

Vessel History From Chief Engineer

Average Bunker Consumption per day at Sea Tonnes

Average Bunker Consumption per day at Port - Discharge Tonnes

Average Bunker Consumption per day at Anchorage Tonnes

Vessel Date

Location

Empty Tank Inspection Certificate

The following tanks were inspected by the appointed SAPPHIRE inspection surveyor:

port side

center

starboard side

the tanks were inspected: from deck level by direct entry after gas fumes certified

By gauging only by visual inspection only

By gauging and visual inspection

Date & Time of inspection:

Stage of cargo operations after discharge/before loading

Tank Constrution material: Mild steel/stainless

Heating coils Fitted yes/no

Tightness tested yes/no

Tank coatings(as advised by the vessel):

Cargo history

Advised next cargo

Last cargo discharged

2nd last cargo

3rd last cargo

4th last cargo

Tank cleaning (as advised by the vessel):

visaully clean and suitable enough to load next cago as far as could be practically checked Yes/No

visually well drained after previous cargo Yes/No

guaged as well as drained after previous cargo Yes/No

Guaged please refer to ROB or report Yes/No

REJECTED_Please refer to separate sheet Yes/No

This report does not cover the state of cleanliness or dryness of vessel's tanks pumps or lines at inaccessible points,or possible

release of unseen contaminants during,transport or discharge of cargo.

sapphire Inspection Surveyor Vessel's Master/Chief Officer

by direct entry after gas fumes certified

ZETRA INTEGRATEDReport Number:Nominated InspectionVesselLocation Date

Certificates of Slops

Vessel's Tank

Date of Measurements

Time of Measurements

Drafts Vessels Fwd

Draft of Vessel Aft

Draft of Vessel Trim

Draft of vessel list

Advised Contents

Ullage/Innage Observed

Ullage/Innage Corrected

Total Observed Volume cu.m/bbls

Free Water Ullage/Innage Observed

Free Water Ullage/Inner Conrrected

Free Water Volum cu.m/bbls

Gross Observed Volume cu.m/bbls

Observed Temperature C/F

Advissed Density @ 15c/6oF

ASTM Table 54A/548/6A/68

Gross Standard Volume cu.m.15c/bbls 80F

Metric Tones Vacuo

Samples Drawn Oil Layer

Samples Draen Water Layer

REMARKS

Zetra Inspection Surveyor Vessel Representative

ZETRA INTEGERATEDReport Number:Nominated InspectionVessel DateLocation

Letter of Protest

To:Date Lodged:Time Lodged:Dear Sir,

This is to advise that we,as appointed by surveyor/inspectors/and on behalf of ourclinents,do hereby lodge this protest in perspect of:

Futhermore, on behalf of our clients, we observe the right for the above matters and/or associated

matters to be referred to as a late date,and for any actions deemed necessary to be taken.

Any quantities shown above are as as found ta the time of protest and are subject to any correction

that may be deemed necessary on subsequent review.

you are kindly requested to acknowledge reciept or acceptance of this protest,by your representatives

counter signature below.

Zetra inspection surveyor Receiving party

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