ee (Discharging / Loeding ) DATE HOUR (Vessel arrived at €uctucry 2.00 Notice of Readiness tendered [anchor dropped Darasan. £24 20.00 Anchor up. FaeuArY 0a aca [Mooring Master / Pilot on board for berthing = First line ashore/connected Allline secured at_ Jey _¢Mi-RT way, 10.2616) 18.45 Notice of Readiness accepted Maany 7/26) 08. [free Pratique Granted ‘Surveyor on board : sAwuaey, 0.200] 19 wo ing held/completed Hive | 00.16. ‘Tank cleanliness inspection / tank gauging before discharge Binwapye 17 BF AO = IS Hose / Loading Arm connected (x _) pum. 6.260| 1940 Sampling before discharge guru get | 16 20 ‘Commenced Discharge / taking ballast = = Completed Discharge / taking ballast = = ‘Commenced Leading / Discharge cargo ee = ‘One foot Sampling arway, (26) 22-50. Completed Leatifig / Discharge cargo DirwArxy ail] OS-RO ‘Sampling after loading = e ‘Dryness tank inspection / tank gauging efter- loading _ Irie Mactl| 05.60 Hose / Loading arm disconnected rHensAvE, sob | _OFAD Figure/Calculation ascertained GF BD wrunoy. 124i] 1G 00 Documents on board aeewaey =a S60 | Mooring Master / Plot on board for unberthing = = [Vessel unberthed ‘s = Vessel sailed = = ‘our findings at ume and place of | ‘rejudice towards any question of ights and/or lablity or any party concerned. A) SN Chief Officer a a et er lo nyt wo s limited to the exercise of reasonable tee [ase Bide Pom, ndeen ect 3 a a ips IF: 462.21 54.0416, 654.0090 1E a ee fds enarp np dibtan cbse dour eran is erro erate rer ow tettte espascanpayoss Nemec Ve Te vara ay ua SeinsetSuver Dacrrpnesupers Tse TELE SEES Te ATT ORTRA TRO S aa ice) om 108 a smn00% ‘s00nam000 = s0an00.00 ecooonce —_esn0n0 [aaa SRS TSTOTTS verin sfBIAY/ (VEY PAGE No. lof FORACCOUNT OF ATTENDENCE LVMB NO. PT.UNITAMA ADIUSAHA SHIPPING —MUSTAMIN/MUH. TAMSIL _Cert No. Si60S.105 CASE? Discharging Superviai “TC UNITAMA 31 TAROUN, ~peRIODE: 40-23 January, 2036 hari un ae it/price |. Taxi Rumah-Bandara o x 0 xR >= [Re | Airport Tax/Tiket 0 x 0 XRD = = Ike |- Hotel/Penginapan Oo x 0. xR += [Re a | Asltenst lez 6 2 ara > = [Rp : | uang Makan oh xe (6) xc] = Ire : | entertaint OS oO om = |Rp : | Fax/fotocopy, Kurt 0 x 0 XRD + = [Rp : | Baya Laut ( Speed Bost ) Op xe te | xing) - = [Rp | Baya Surveyor (Lumpsump) 1 x 4 xRp 1,800,000 = [Rp 1,800,000 |- others (Kapal) Ol ix | 0 inp) = Ire : |- others (sebutkan) © x 0 XRD = = Rp : ‘TOTAL EXPENSES| ‘ADVANCE. ADDITIONAL ADVANCE. KELEBIMAN /(KEKURANGAN) BIAYA SURVEY | Banjarbaru, February 17, 2016 Dibuat oleh, Surveypr/start,