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Certificate no.

:
Page 1 of 2

DISCHARGING WEIGHT REPORT

NAME OF THE VESSEL : MT


B/L NO :
B/L DATE :
B/L QUANTITY : MT
GOODS DESCRIPTION :
PORT OF LOADING :
PORT OF DISCHARGE :

RESULT OF INSPECTION:

We, AmSpec Agri, first class independent supervision company, in pursuance of instructions received from our
Principals, attended the unloading of above mentioned cargo with the following results.

The weight were ascertained as per gauging of the below mentioned calibrated shore tank in conjunction with
actual tested density before and after discharging.

SHIPS TANK NO. ULLAGE IN METERS TEMP. IN C DENSITY VOLUME IN K LITRES WEIGHT IN MT

TOTAL : XXX

THEREFORE, THE TOTAL QUANTITY DISCHARGED FROM SHIPS TANKS BEING: -------- MT

THE SHORE LINES WERE CHECKED AND FOUND TO BE VISIBLY EMPTY BEFORE AND ON COMPLETION
OF DISCHARGING FROM ACCESSIBLE POINTS AT TIME AND PLACE OF INSPECTION.

THE WEIGHT WAS CALCULATED WITH REFERENCE TO ACTUAL TESTED DENSITY.


Certificate no. :
Page 2 of 2

PRIOR TO COMMENCEMENT OF DISCHARGE, ALL NON-UTILIZED VALVES ALONG THE SHIPMENT LINE
AND THE RECEIVING SHORE TANK WAS TIGHTLY SHUT AND SEALED BY US. THESE AFFIXED SEALS
WERE CHECKED AT TIME OF CONDUCTING THE FINAL GAUGING OUTTURN AND ALL AFFIXED SEALS
WERE FOUND INTACT.

NO ABNORMALITIES WERE NOTED THROUGHOUT THE ENTIRE DISCHARGING OPERATION.

ALL GAUGINGS AND CALCULATIONS WERE RECONCILED AND NO IRREGULARITIES WERE NOTED.

Place and date of inspection: [port]. from xx/xx/17 at 01:00 to xx/xx/17 at 16:05.

Issued by AmSpec
On of October 2017
At load port port , country

This report (including any enclosures and attachments) has been prepared for the exclusive use and benefit of the addresses(s) and solely
for the purpose for which it is provided. Unless we provide express prior written consent, no part of this report should be reproduced,
distributed or communicated to any third party. We do not accept any liability if this report is used for an alternative purpose from which it
is intended, nor do we owe any duty of care to any party in respect of this report.

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