CARSURIN

I C@l I Mi.erEls I

Libo.aldy T6iin9

SHORE TANK

with tntesrity

loll&G.s l&anre lH.rireOtrsh@ lFet6r.om

lChemEah

lcrpo lAgri.lrture lLrortrtAgeot

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

RBD PAI.J'I OIEIN IN BIJL(

PRIDE

JETIY PT. GHN

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

lMan^ liaarineorsrEe lF!troleum lChemEak lcarqo lA,rrrcunure I Lroyir't agenr

PORTTIERMINAL

C}RGO

IEI

t7.325

Temp.

(M)

No. :

VESSEUVoy

volume

Mesured

ulLoAprNG

Orl & Gae

E
tl

Ullage/Sounding

TANK

R6

I Mnerals

ouarty with tntesrity

'c

/'F

rutAU

FlT. SAM

9.098

9.098

INOONESIA

PRIDE

RBD PALM OLEIN

Tno,t
( !n/M. )

JETTY PT, GHN

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

I Hinerdls I Lnbo.atory T6tin9 lorr&Gae lMa.ine lMlr.oftsnor. lPetroreum ichemrcals

Ef

DISCHARGE

Topping

NO.

:
VESSEWoy N,o. :
CAR@
:
PORTrIERXINAL

LOAO

TANK

Ullage/Sounding
Mesured

Conected

(M)

(M)

BEFoRE lE]lLoAprNG
R6

o,,ruy with tntesrity

17

.325

lnl
17.325

PULAU LAUI,

lilT. SAM

lcirgo lAq,lelture lLord'srgenr

INDONESIA

PRIDE I

JEITY Ff. GHN

L603

RBD PALll OIEIN IN zuLX

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

oarac- lrrtm l,vrrhcfirrr I Rryrm I or.rii.a.l cr.go tAa.ro.'hlr. t r,(tldt Ars*

Itr]AFTER E

BEEQBE

bppine

I]E
E

PORTAERMINAL
vEssEuvoy

No. :

CARGO

PUI.AU LAUT,

MT. SAM

INDoNESIA

PRIDE t

JETTY PT. GHN

1fi3

RBD PALM oLEIN IN BULK

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

l Minmls l Libd.rary l.t'ns

orrtity with tntesrity

lOl&c.tlMa..e l

Mline otrshor! lPehlsm lChmkaJs

lc..qo lAg.Klnue lLbyn!are

TIME SHEET

PRIDE

Vesseryoy No.

MT.sAM

Port

PULAU I.AUT, INDONESIA

ShiDpr

rT.

ACTMTIES

1603

GOLDEN HOPE NUSANTAM

( Bishargrf,g

Prcduct
Stowage
Ouantity

RBD PAI.J'i OI.fIN

IN

BULK

2P 25,3P ,35,4P

,45
15500.998 MTS

DATE

HOUR

Vessel anived at

luNE 19, 2016

t442

Notice of Readiness tendered

luNE 19, 2016

luNE 19, 2016

1442

JUNE 20, 2016

0818

luNE 20, 2016

0812

Loading )

Anchor dropped
Anchor up
Moorinq Master / Pilot on board for berfiino
ne as
ne secure(

1700

E ?0, 2016
NE

t!24

Nouce of Readiness accepted

JUNE 20, 2016

1400

f9,

2015

2016

Free Pratique GGnted

JUNE

Surveyor on board

JUNE 20, 2016

11s6

f meeting held/completed
Tank cleanliness lnsDection / tankausiRs-befoedishafe
l-lose / Loadinq Arm connected
x
Sampling before disciarge

JUNE 20, 2016

1205-1235

JUNE 20, 2016

1240-L400

JUNE 20, 2016

t436

luNE 20, 2016

1500

Ke

/ hkjng ballast
/ taking ballast
/ Bishargearge

Commenced Discharqe

Completed Discharge
Commenced Loading
One foot SamDlins

Completed Loading / gisehaFg-argo

Sampling after loading
9F/Fes&Sn{einsBedion / tank gauging after loadlng
Hose / Loadlng arm disconnected

JUNE 21, 2016

1506

JUNE 21, 2016

1512- 1548

luNE 21, 2016

luNE 21. 2016

1512- 1654

Figure/Calculation ascrtained
Documents Completed
Moorinq Master / Pllot on board for unberthinq
Vessel unberthed

JUNE 21, 2016

1654

JUNE 21, 2016

1700

luNE 21. 2016

1800

JUNE 21, 2016

1820

Vessel sailed

7736

JUNE 21, 2016

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

'

col , fiin@B l Llbo'abry reirtnq ,

Vessewoy No.

Port

:H

( l,rr*rrirfqtBq

^rr.rrr.Er

PULAU LAUT,

%-

oir & Gas l M:nn.

.rine oneh@ t petmkuh l

INDoNESIA .,"*s.

LOaOtno

^Eou

tw, I

19

rEt'5 tEnoereo

,h:'.^._L-

r.rqJrsr / rllul ult IJQaro ror oenntng

FIIst llne aqhnr./.ann4+d

line secured at
Granted

connd*ad-i-lJ........-

Lo?oirc Arm
Samolino hcf.)re .lieh.*-

*,,,prslcu

L,,lsLltcrge

HOUR
1442

JUNE 19, 2016

1442

JUNE 19, 2016

JUNE 20, 2016

1700
0818

JUNE 20, 2016

0812

I9,

r24
----T-----mo

2016

2015

JUNE 20, 2016

11s6

JUNE 20,2016

1205-1235

luNE 20. 2016

JUNE 20, 2016

1240-7400
1436

JUNE 20, 2016

1500

EKJno Da asf

JUNE 21, 2016

1506

JUNE 21, 2016

JUNE 21, 2016

1512- 1548

vEi)cr 5drtio

1736

21, 2016

1654

JUNE 21, 2016

1700

JUNE 21, 2015

1800

JUNE 21, 2016

1820

:uue zr,

Remarks:

zoro

------xNltr--

1968

1512- 1654

JUNE 21, 2016

JUNE

;vcun)en6 ComDlete.t

I L,.yd! A0?nr I

JUNE 19, 2016

JUNE

eir*q!s!slq!gqi-

rqr(rru.e

2P,2S.3P.3S,4P,4S

{E 20, 2016
'rE 20, 2016
ruNE 20. 2016

tlohrp nf Paartin*. .a^+o.r....:ree Prdtloue

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'

*"

,#_

This nport rcffe(b our flndtngs at tjrne

and

..,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

RBO PALM OLEIN IN BUTJ(

2P,25,3P,35,4P,45

ank cleanliness

Master

Pilot on

P")M
Chief Officer/Vessel

CARSU RIN
lCdllr!,EE

L.b...tqy

$.r9

auatw with tnasrity

lOdl6- lrllh4 lsdcOlste

s.ilat i I Ctq ab I Crlo l aaftuhd lr.]a'(,!ra6.

TIME SHEET
Vesseuvoy No.
Port
Shipper

AqEWTIES

MT. SAM

PRIDE

Product

RBD PALJTI OLEIN IN BUI.X

PULAU LAUT, INDONESIA

Stowage

2P,25,3P,3S,4P,45

PT. GOLDEN HOPE NUSANTAM

Quantity

( BishaFgif,g

L6O3

15500.998 MTS

Loading )

DATE

Vessel arrived at

JUNE 19, 2016

Notice of Readiness tendered

Anchor dropped

JUNE

Anchor up
Mooring Master / Pilot on board for brthinq
First line ashor
cted
All line secured at
Notice of Readiness accepted

JUNE 20, 2016

$,

HOUR
1442

t442
t700

2016

luNE 19, 20r.6

0818
0812

JUNE 20.2016
INE 2I

1012

luNE 20, 2016

7124

JUNE 20, 2016

1ut00

luNE 19,2015
iuNE 20, 2016

2015

JUNE 20, 2016

1205-1235

JUNE 20,2016

1240-1400

iuNE 20, 2016

1436

JUNE 20, 2016

1500

Completed Loading / eishareare

Sampling after loadinq
Bffiess+ankifispedieR / tank gauginq after loading
Hos / Loadinq arm disconnected
Figure/Calculation ascertained
Docuinents Completed
Mooring Master / Pilot on board for unberthinq

luNE 21, 2016

luNE 21, 2016
luNE 21, 2016
JUNE 21,2016

1506

Vessel unberthed

vessel sailed

luNE 21,2016

Free Pratique Granted

Suryeyor on board
!a,ji' nleeting held/completed
Tank cleanliness inspection / taBlesauqin+ffiredisharee
Hose / Loading Arm connected
x

Samplinq before discharqe

Commenced Discharqe / takinq ballast
Completed Discharge / takinq ballast
Commenced Loading / Dishargearge

1156

One foot SamDlinq

1512-15.+8

1512-1554

JUNE 21, 2016

1736
1654
7700

JUNE 21,2016

1800

JUNE 21, 2016

1820

JUNE 21, 2016

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