master receipt of document

7/26/2019 Master Receipt of Document

1/13

CARSU Rf N

Quatitv

with tntesritv

I C6.r I

Mrnral.l LrDo..tD.y

tcadng

IOrl&G.s,ti..im I

rn .i.re

Ofsr o. I

rttDLom

I

c' .rnt

ts

I

C.r9o I Agri.urtrrE I lq/ds

Ag.i

I

TO:

THE

MASTER

/

CHIEF OFFICER

MT. SICHEM

MONTREAL

VOYAGENO:

35

LOADPORT

:

PULAULAUT,INDONESIA DATE:

JUNE

12,2016

MASTERS

RECEIPT

OF

DOCUMENTS

DEAR

SIRS,

KINDLY ACKNOWLEDGE RECEIPT

OF

THE FOLLOWING DOCUMENTS

:

NO

DOCUMENTS

NUMBER

I

FOSFA HEATING INSTRUCTIONS IN

RESPECT OF

BULK

SHIPMENT

OF

OILS AND FATS

ICOPY

2.

FOSFA

COMBINED

MASTER

CERTIFICATED

I

COPY

J.

FOSFA

CERTIFICATE OF LAST

THREE CARGOES

I COPY

4. FOSFA CERTIFICATE OF COMPLIANCE, CLEANLINESS

AND

SUITABILITY

OF SHIP'S

TANK

l

COPY

EACH

TANK

5.

MASTER'S

/

OWNERS CERTIFICATE

I

COPY

6.

CERTIFICATE

OF

CLEANLINESS,

TIGHTNESS

AND

FITNESS OF SHIP'S

TANKS AND

CONNECTING

PIPELINESS/HOSES

ICOPY

7.

CERTIFICATE

OF

TANK

INSPECTION

I

COPY

8. SAMPLE RECEIPT

I

COPY

9.

ULLAGE/SOUNDING REPORT

ICOPY

10.

TIME

SHEET

ICOPY

ll

NOTICE

OF

APPARENT DISCREPANCY / LETTER OF

PROTEST

ICOPY

ACKNOWLEGDE RECEIPT

BY

6.i?,')A


2/13

TO

VESSEL

VOYAGE NO,

STOWAGE

LOADING PORT

DISCHARGE

PORT

SELLER/SHIPPER

BUYER/NOTIFY

THE MASTER

/ CHIEF OFFICER

MT.

SICHE|\il

MONTREAL

DATE : JUNE 1,1,2016

FOSFA HEATING INSTRUCTIONS IN RESPECT

OF BULK SHIPUENT OF OILS AND FATS

QUANTITY/COMMODITY :

M]

/ TRACEABLE PALM FATTY

ACID

DISTILLATE IN

BULK

:

2P,25,3P,35,4P,4S

: PULAU

TAUT, INDONESIA

:

.9l tt94F--o..nE..........

:

.PI. 99L,.,q_E.N. ].9i_E.. p.941.r.I4RA.

. .

:

NESTE

SINGAPORE PTE LTD

1-

Shipp6 slallensE

thal the

hpsalurc ofth.oil duingdetive.y

inro

fi.lank(9 ofdle

ship

is

thar ar

which

O

oil u$ally

handled

ard

wh@ tear is

appli.d thal fte

r.opqdue

in

m

cs. exceds

rLar

8ivfl

in

th. appropriarc

table.

2.

Matq

shall supply to

@go r@ivers

a

nalm@l

showing the

c&go t6lnp.rdE al loading ed a ch.n

on

which the daily

rtrpdrru* aftd

l@ding havc

b.n l d.Ld. Th. chdl

.h.ll bc

;sncd

by dE maid d

authmi$d

otrcd.

3.

Shippcrs

sh.all

supply

$e

following

inslruction

wih regdd ro hea

ng of oil during lhe

voyage:

3.1 Shipt

tlnl(s

fitted

wirh

tearing

coils.

3.1.1

On

completion ofloadins" ship's coils slsll @mpleiely

@vetd

with oil.

3-1-2

Hering

sh.ll

b.

eff61d

by

hot e6rc,

or,

*hft rhis is irplactisble,

ty

low

pt6w

saiuard st.atn. Prc$E shall

mt

decd L5 bugalge

3.1.3

DudnS fie vorge de oilsltall be maintaincd i a@rdfilce

wilh

the ranpraturc st oldin lfie Heatina Rcommddatiotrs.

3-1.4

ln sullicial

time

p.ior

lo dival

al

pon

of

di$hage" hal

shall bc

applic.l

gmduajly

to

6re

tbat

th. tcmFr.tue ofl[e oil

at

lim. ofdi$hdge is

in

a@rda@ wilh th. tmperatlB eloulin

lhc

He5ring Rqx)lm6dations Thc.5rgo slDllbe

@inr.ircd wiihin

dris

@Be of rmpoducs inronglour

the dis.hargc.

3.1.5

ln

ord.t

to avoid

@y

(hnas.lo

th.

quality

of the oil, it is Mtirl thal hal is applied

gndudly.

A eddm itr(rc in

tempemlurc musi

be avoided $ n

wil

alm6t 6iai.ry

6ult

ii danage ro lh oil.

3.1.6

Thc inctte in

temp@turc

of th. oil

durins

ey

pdiod

of

24 hours

shall

nfld

dceed

5oC.

3-1-7

A3

fd

a

ptutibl.,

top

&d

bottom

t

mpfttuGs

slall

b

@inraii.d

ar

cq@] icvcls; tnc

diffc@@

b.tw.m rhe*

two

icmpciatures

slull rcvd dced

soc.

3.1.8

Thc tcmpcmntres refeftd to & ovc.rc

the avemse

oftop, diddle

and bonom

@dinsi

The

rop

re3dint

s}'all be tal@

ar

abour 30cm

(orc

f@t) bolow ih. surfa., of lhe

oil.

Tho

boflorD

Hdings

shall be

laki:

a.

ln t4ls

which have

boitm @ils

al

30cm

(one

[ool) rbo

the

lael

ofrhc coils.

b.

ln r,Iks whict have si& @ils bui tro bonm @ils at a

point

.bdi reo fer

(6om)

fioE dE bonom of thtak

ed rbout 30m

(one

f@t) Aom lnc sid. 6ils.

3.1.9

Th.

tmp@rE

itrdi.atd

in

3.1.4

abov.

d.

applieble

ud

oomd

condirions

oling

ar

porr

of di$hng.. ln

rhe

evor of

abnoE al mditioos

(such

E [email protected] lN air G watd tmpnatms) reciv.rs, eilhs dn@dy or lhrough lheiruppointed

representotives, may vary rhe

Iorpcraturcs

stated

ed iBtruct

ship

oMers

or

then agan accordin8ly. D.iaih

of

ey sucl

vuiatims shdl

be

duly

@dcd

od advis.d io shippss

or

iheir repr.eiatiles. lf

the@

is mor

than one

r.ivq of the oil

c, one shipt t

n*

i)

Allr@iveBfom tlat tark

should

b. itr.grdnot io tbe

prcposed

vdirtions in the tmpoatuB iarcd in 3.1.4 abole.

ii)

Shit'p.r's

r.?ffiLlir. .l

o.l

of dilchdg. JEll @d.avN

10 tEmil.

r.quit@als of th. individlsl

lwiv6

3-2

Fd brks with

h@r

qch.rg6

All ilnEcrids mdd

pdasraph

3.1 e rpplicable

qcefl

i.l.l dtd in 3.1.8; the bonm tmpdalu. should b. tal6 30or

(on.

fooo

abore

lak bottom.

3

3

Bulk

Oik

noI

lomally.qui.iq hatirs duirs

the

voy.se

Ifit

is.nvisged

that the temperature

ofthe oilat

the

ane ofdischarge

will

b. below fie

minimun

figure indicated

in

1he

schedule,

the oil

must be heated

not lnorc

tle

5oC

per

24

hours until the @quired

di$harye

Gmperature is.eached.

3-4

Bulk oils

shipped

in taks

by

vesl who*

voyages by

s

or

inldd watNay

do nor

sced

5 days

The

oil

mun

be

loaded at a Iemperalulc

which will

emble the

di$harge

temrrar@

to be

rtlched by raisinS

the

tmperatde

of the oil by

not more

fim

5'C

per

24 hours

1

.

The

maimum tempralure

specifred dunng

the

voyage is loyrer lhan lhe minimum required for dischalge, in some cass

by

as much

as

150

C.

Eeadng in mind the stipulaton contained in

paraEph

3.1

.6.

il

should be cognized thai

jn

some cases ships offcers wll

need lo apply heat a few days

pdor

to arival in order lo reach lhe appropdate discharge lemperalure.

2.

lt is recognized lhat

in

some cases lhe ambient lemperalure may exce6d the recommended maximumigures shown in lhe Heating

Recommendalions.

3.

Hydrogenaled

oils csn

vary

considerably

an their

slip

meltng

points,

which

should

always

b

declard. ll

is

recommended lhat

d

uing

lhe voyage, th6 temprature should be mainlained at around lhe declad mehing

pdnt

and

that

this should be

increased

pior

to

discharge

lo

give

a

lemperature

of

blween 1

0o

C and

1

50

C

above

thsl

poinl

to effect a dean dischsrge.

4.

Oirerent

grades

of

palm

sleann may hava wide vsdalions

in

their slip meling

poinls

and the lemperature

quoH

may

need

to

be

FOSFA Hf ATING RECO]U]ITENDATIONS

COMMODITY

Temperalure during voyege Temperature al

time

of loading & discharge

Minimum'C

l\,,laximum'C Minimum

"C

Maximum

'C

TRACEABLE PALM

FATTY ACID DISTILLATE

IN BULK

45 50 55 72

lssued by


3/13

FOSFA

GOMBINED

MA$TERS

CERTIFIGATE

Ship

MT. SICHEN4

MONTREAL Voyage No

35

Year Built 2008 Official

No 740612

owner r EAniJA-r,lk-EHSctlYcrAESlio

-

operaror

'iiArv

lArrki-RS

ctiV CUSSTiii--

rn r.espe-ci

o?iii,idriJoi

r'iffi; ;i-

____-:_________________________.

oescriptton

--lRAceeefe_f[t{fAfjY_A_cf_o_-oiSrtt

rnrr

tr.: eurx

Loaded/Ex Transhipment at

PU_LAU_LAU_T_, IN_Dqry_E.S-|A_________-- For shipment to

.-S.ll 93P-_O3_E_________

(Load

Port)

(Discharge Port)

lnShip'sTanksNo(s)-__-_Z?I_S_,_3_Pr9_S_,_4_EI_S_

Shippers/Charterers

NESTE SINGAPORE PTE LTD

I state that

-

1.

The above named

vessel is classed with

-

(society)

_-__A_B_S__-_---__-

Certificate No

._09 lf ?_----_--__-__.lssued

at

IOU_ST-oN,-US4.........date.l4AY-1-3]-2-91-6-.

which currenily

remains in force. The oil tight

integrity of all the cargo compartments

is a condition of such

classification.

2. The

named ship complies with lhe FOSFA Qualifications

and Operational

Procedures.

3.

Tank heating

is

by.immersed

coils/heatxhas. Coils, tubes

and shell as applicable are

ofstainless steel

construction, and

were tested on

,

Jq] E

l-1_,_?_O_1_q

(date)

to not

less

than

-20_-__,Kpa

bars

for

a

period

of

2-9_MlN U-TES-___- and

found

tight.

4.

Copper and

its alloy such as brass, bronze

or

gun

metal are not

present

in

any

part

of

the syslem

inslallation

and means ofkansport

that has contact with the oils or

fats.

5.

Tank access/cleaning hatches

are

staunch

and tightwith suitable

packing

and

gaskets

compatible

with the

cargo.

6.

All internal structural members are

selfdraining.

7.

Tank(s)

is

(are)

-miH{eeymild

sleetga

/stainless

steel construction.

8.

Where applicable tank

coating(s) is

(are)

____-S_MIES_q_9I_E_E-|:____---

which is

(are)

fit for

food

grade

products/carriage

of oils

and fats.

9-

ln the tanks

heating

system,

heating medium

is

*hst-waler,

steam.

'lO.

For contamination cont.ol

purpose,

if the vessel also

has a thermal heating fluid system,

the thermal heating

fluid is NOT

APPLICABLE

11.

Cargo

lines are

"stainless

steel/fril+

sleel with

sufficient

drain valves to ensure complete

clearing and

draining of

the system.

12.

The tanks(s) has

(have)

not

contained,

as the last three

cargoes, any leaded

products.

13. The three

previous

cargoes were as follows

:

SHIP'S

TANKS

NO.

2P,25

3P,3S

4P,4S

SECOND LAST

CARGO

FISH FATS OIL

RECOATED

RECOATED

THIRD LAST

CARGO

RECOATED

RECOATED

RECOATED

IMMEDIATE PREVIOUS

CARGO

MOTOR GASOLINE

MOTOR GASOLINE

RECOATED

14.

ln

each

tanksthe

percenlage

ofthe

immediate

previous

cargo

was not less than 60

percent

by volume of

tank.

Subject tanks

have been cleaned alter

immediate

previous

cargoes using cleaning

methods as

noted

below:

.

BUTTERWORIHING

WITH WARM SEA WATER

(60"C)

FOR 1 HR-

- BUTTERWORTHING

WITH AMBIENT

FRESH WATER FOR 20 MINUTES.

-

DRAINING OF

TANK. LINES AND

PUMPS.

-

MOPPING AND DRYING.

15.

Subject tanks

were/were

prior

to loading.

Signed

Ship

MT.

Date:

JUNE

'11

2016


4/13

MASTER'S

STATEMENT

hip

MT. SICI{EM

MONTREAL

VoyageNo

35

Built

2008

Official

No 740612

TEAM TANKERS CITY CLASS

LTD

Operator

TEAM

TANKERS CITY

CLASS LTD

respect

ofcarriage of(tonnage)

Description

TRACEABLE

PALM

FATTY

ACID

DISTILLATE IN

BULK

Transhipment

at

PULAU

LAUT INDONESIA For shipment to

SINGAPORE

(Load

Port)

2P,2S,3P,35,4P,4S

(Discharge

Pofi)

Tanks

No(s)

certiry

that

-

PT.

GOLDEN

HOPE NUSANTARA

/ NESTESINGAPORE PTE

LTD

The immediate

previous

cargoes in the above-mentioned tanks were not subsiances appearing

on

the FOSFA

List

of Banned

Previous Cargoes

in

force

at the date

of

the Bill/s

of

Lading-

Ethylene

Dichloride

and Styrene

Monomer

were

not

caded

as

th three

prvious

cargoes

in

organic coated

tanks

or

as

the

last

cargo

in

stainless

stel and inorganic coated tanks.

The abovc-mcntioned

ship's

tanks have

not contained

any

leaded

products

as their three

previous

cargoes carried, stated

to

have

been

[see

conesponding

FOSFA Combined Masters Certificate, clause l3].

The immediate

previous

cargoes in the above-mgntioned tank

were substances

on

the FOSFA List

of

Acceptable Previous

Cargoes

in

fo.ce at the date

of

the Bilys

of

Lading.

Ethylene Dichloride and Styrenc Monomer werlj not carried

as

the three

previous

cargoes in organic coated

tanks

or

as

the last

cargo

in

stainless stel and inorganic coated tanks.

The above-mentioned

ship's tanks have not contained leaded

products

as their three

previous

cargoes carried. stated

to have

been

[see

corresponding

FOSFA Combined Masters Certificate,

clause

l3].

Applicable to

mild

steel

tanks only

-The

threo

previous

cargoes

wre

oils and fats

for

edible and

oleo-chemical

us and/or

molasses

and were

stated

to

have

been

[see

corresponding

FOSFA

Combined Masters Certificate,

clause

l3l.

For stainless steeltanks

or tanks Iined with epoxy resin

or

technical equivalent

(oils

&

fats

are

to

be further

processed

and

intended foror likely

to

be used

for

human consumption), the immediate

previous

cargoes transported

in

the

tanks were

foodstuffs

or

cargoes

from the

EU List

of

Acceptable

Previous

Cargoes

in force

at

the date of the Bill/s of Lading.

For ship's tanks ofmaterials othcr than those

mentioned-

above,

the

three

previous

cargoes transported

in

the tanks

were

foodstuffs or cargoes

from

the

EU

List of

Acceptable Previous Cargoes

in

force

at lhe date

of

the Bill/s

of

Lading.

For

oils

&

flats which are not

to

be furthr

processed

and

which

are not

intended for

or

likely

to

be used for human

consumption and which are transported

in stainless

steel

tanks or

tanks

lined

with

epoxy

resin

or

technical equivalent, the

last

three cargoes transported

in the

tanks

were foodstuffs.

Erhylene

Dichlo

de and Styrene Monomer

were.ot

canied asthe

three

previous

cargoes in organic coatd tanks

or

as the

last

cargo in slainless steel

and inorganic coated tanks.

The above-mentioned

vessel

complies

vvith the EU Directive

(relating

to

the transport

of

bulk liquid oils

&

fats by sea)

in

force

at the date

ofthe

Bill/s

oflading.

The three previous

cargoes

were

stated

to

have been

[see

corresponding Combined

Masters

Certificate,

clause

l3

or list ofprevious cargoes supplied

by vessell.

DATC

JUNE

I I

2016

Remark:

*Delete which

is

inapplicable

*

Captain/ChicfOfficer


5/13

FOSFA

CERTIFICATE

OF LAST

THREE

CARGOES

VESSEL

PORT

OF LOADING

DATE OF LOADING

SHIP

TANK

NO

CARCO

DISCI{ARGE

PORT

REPRESENTING

TO WHOM

IT

MAY

CONCERN

MT. SICHEM MONTREAL

PULAU

LAUT

INDONESIA

JUNE I I 2016

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

TRACEABLE PALM FATTY

ACID

DISTILLATE IN

BULK

SINGAPORE

NESTE SINGAPORE PTE I-TD

WE CERTIFY

TTIAT :

I. THE

IMMEDIATE

PREVIOUS CARGO IN THE TANK(S) RECEIVING THE GOODSOF THE CONTRACT

DESCRIPTION WAS NOT

A

PRODUCT

APPEARING ON THE FOSFA

INTERNATIONAL

LIST OF

BANNED PREVIOUS CARGOES

IN FORCE AT

THE DATE OF

BILL

OF

LADINC .

THE TANK(S)

HAVE

NOT CONTAINED

ANY

LEADED

PETROLEUM

OR OTHER LEADED PRODUCT AS THE LAST THREE

PREVIOUS CARGOES. THE LAST THREE CARGOES

CARRIED

IN THE

TANK

(S)

RECEIVING THE

CARCO WERE:

Ships Tanks

No.

Last Caroo

2P,25

3P,3S

4P,4S

3.

2.

MOTOR

GASOLINE

MOTOR GASOLINE

RECOATED

2ND Last Carqo

FISH FAI'S

OIL

RECOATED

RECOATED

3RD Last Carqo

RECOATED

RECOATED

RECOATED

IN

EACH

TANK

THE PERCENTAGE

OF

THE

IMMEDIATE

PREVIOUS

CARGO

WAS NOT LESS

THAT

60 PERCENT BY VOLUME OF THE

TANK

FOR INFORMATION ONLY

AND

WITHOUT RESPONSIBILITY

ON SELLERS,

PARTICULARS

OF

THE LAST THREE CARGOES CARRIED.

THE TANK(S),

TANK

HEATING

COILS, LINES, PUMPS OR FITTINGS USED FOR LOADING,

CARRYING OR

DISCHARGING THE

OIL DO NOT CONTAINED COPPER OR COPPER

ALLOY,


6/13

MASTER'S

/

OWNERS

GERTIFICATE

TO

WHOM IT

MAY

CONCERIV

:

MT. SICHEM MONTREAL

/ 35

:

PULAU

LAUT.

INDONESIA

:

SINGAPORE

... _

"lyrl"-{"

" "

I5

p-mP-L-_E_F__4Lllll_r4].ry

Ac I D

D

I sI

L LArE

I N

B

u L

K

I

PT.

GOLDEN

HOPE

NUSANTARA

/ NESTE

SINGAPORE

PTE

LTD

2P,2S,3P,35,4P,45

We

Certifu

That,

1

.

Ship's

conforms

to

the FOSFA lnternational

Qualifications

for

All

Ship's

Engaged

in

the

Ocean Carriage

And

Tran-shipment

of

Oils

and fats

and

Oleo-chemicals

use in force at

the

date

of

Bill

of

Lading.

2.

Ship's

is

managed to the

standard

required by

the

FOSFA international

Operational Procedures

for

Ocean

of

Oils

and

fats

and Oleo-chemicals use in

force

at the date

of

Bill

of

Lading.

3.

Ship's tank/s was /

were

stainless

steel

/

coating.

4.

The

immediate

previous

cargoes in the

tanUs, lines

and

pumps

system

receiving

the

goods

of the

contract

description

*was

not/wasa

product

appearing on The FOSFA lnternational

LBI ol Banned /

Acceptable

Previous

Cargoes

in

force

at

the date o

f Bill

of

Lading and

the

tanus

had not

contained

any leaded

petroleum

or

other

leaded

product

as the last

three

previous

cargoes carried which were as follows:

Tankls

No.

First

Last Carqo

2P,25

3P,35

4P,45

Vessel

i Voyage

No.

Port

Of

Loading

Port

Of

Discharging

Quantity

/

Commodity

Shipper

/ Charterer

Ship's

Tank/s

No.

MOTOR

GASOLINE

MOTOR

GASOLINE

RECOATED

Second Last Caroo

FISH FATS

OIL

RECOATED

RECOATED

Third Last Carqo

RECOATED

RECOATED

RECOATED

For information only and without responsibility

on

sellers,

particulars

of

the

last

three cargoes

canied.

5.

We

stating that any tank/s,

tank

heating

coils,

lines,

pumps

or

fittings

used

for

loading

or

carrying the oil

do

not contain copper or

copper

alloy

Date

:

lssued

and

signed by,

ey,%

r-

ocr,

E?l]

'[o'i

;

N{;X;k"uz

:\ii: tfFj

:

")

Delete where not applicable


7/13

Ship

]l$n

tIrnECrII

tI CrllllttcE

cllilurEss

il E]mttfir

tt

5It75 IltI

MT SICHEI\i1 MONTREAL

Ship's Tank

3P

Owner

Operator

lnspecled

for

:

Cleanliness

at

porl

PULAU LAUT INDONESIA

IE^M r4lt1f-Es

9l:l:/.-c"r"A99.. ]-D-... .

TEAIV] TANKERS CITY CLASS LTD

Benh

JETry

PT.

GHN

On

(Dated)

JUNE

11

2016

at

(Time)

... .....'1.11.5.

...........

hours.

We hav

sighled

a staiemenl

in lhe

fo.m

oI

FOSFA

Combined Masteis Cenmcle sisned by ine

'Captain/Fi6l

Office. or an eqlivarent starement signed

by

the

'ship's

owneG/auhorized agenl certilying rhal

lhe abovonamed ship

complies

with the

FOSFA

Ouamcatuns and

Operarionai

Procedures.

P,io.

to anspecrion

we wre

informed

W

shio's

'egEio/Firsl

Oficer

thai

tte

rank

was

'a)

sr.'irc{r

'b)

Mard

std coaled

wi0l

(

descdprbn

of coatrng

EPoxY

)

I

Mird

6lt

We recived

a copy

or

a

sialmeat signed

by ships

captain,

owErs or

authorized

aqnt cerli9ing

U|ar:

a. The

immediatc

previous

@rso

in

dhe

tanks

@s

not a

substance

appearing on $e FoSFA

List

of Ban.ed

hmediate

PrBvious

Calgo65

in fo@ a he dare of

lhe Bills of Lading and lhe

lank

complies

with

lhe

restictids

beyond

the

lmmediste

Previous

C5rgoes

as

*t

out in

the

FOSFA List

of

Banned

lmmediate

Previous

Cargoes.

The

thee

previous

cargoss cnied

are stated to

have ben:

Shi6T.nhNo

3P

FiBt

Last

Ciruo

MOTOR

GASOLINE

Second

Lnl CrEo

RECOATED

Thi.d LNt

Creo

RECOATED

b.

The

immediale

previous

6190

in

lhe

lant

was a

substance on

he

FosFA

Lisr of Accplrable Previous csrg@s

in

force ar

tlle

date

ol the

Bitus

of

Lading and

lhe t3nt

@hplies wilh lhe

Reslriclions

byond

the lmmedi.te

Fevious

Cargo as set out in

the

FOSFA

List of A.@ptabte

Previous Cargoes.

The

inree

prevjous

cargoes cmied are staied tohavebenl

Siim Tp&

No

w. siafited ships

log

whicn @n6nEd dE aboE

inro.maufi

as to

fe

last

[email protected]@s

nd the

pqc.nrage

ofrhe

immediare

prcvious

caryo

in

the tanks, wnich

M5

less ltun 60

percenl

by volume of

lhe tank.

We

were hiormed

by shlp's

CHIEF OFFICER/MASTER $al lhe

tank had

besn

cleaned

after lhe

last

caruo

by

ushg ln6

following

cleaning

proedure:

-

BUTTERWORTHTNG

WTH W nM SEA WATER

(60"C)

FOR r

HR.

BUTTERWORTHING

WITH

AMBIENT

FRESH

WAIER

FOR 20

MINUIES.

-

DRAINING

OF TAI'IK. LINES

AND PUMPS.

,

MOPPINGAND

DRYING,

Tank ws

examined intsmally

for

cl@nliness

as fa. as coold bo

sei

was

iound Io

be d@ and dry

and

tie trom hannfi,l

mrond ard,

in

@r opinion, in Ors

rspecl based on our visual inspecrion

and

ar

the ume

of our inspection.

was

in

ft

srare to

receive E

cargo

or TRACEABTE

PALM

FATry ActD

DISTTLLATE IN

BULK

Ships

lnnk

No

FiBr Llsl Caeo

S.codd

Lat

Clreo

'l

hird

L2sl Careo

c.

Applieble

to

mild

slel lanks

only

-

Tho

thre

previous

@rgoes were

oils and

tals

for

edibt and oto(,|emict u* andor motas*s

and

were

stared to

have

FiBr l-r r

CrEo Srond l-srC.Eo

I hird Lsl

(rrreo

JUNE

11

2016

(Date)

(rOSf

A Membe,

Superintendent)

From our inspeclion we iound Ihe lank

consttuction was

:

(a).

'

SaaicL..{.c

'

lvlild

sleel

coated and as far as could be seen the

coatng

appeard

io

be in sound

condilion

wih

minimal mild siel

exposlre, withou

loos

scale

or

dosd

'

Mild 6l.0l and a6 f.r as

esld

b. a8n

.ppam

'

le

b

'n

reled

ceE{li{e6+ilhegl.l

.r.

ShiP ca$o

pumPs

and fircd

pipelines

wre hspded

as

rar as

possibl

in situ and based on

vis@r

inspecton

tound

lo

be clean and drywith

We

wilnessed an application

of

liv6

siam,'hol

waterftermal heaiing

lluid lo iank coils and/or

hear

exciengrs

ro

nor

ress

than

.:...,..........

kpa

.....7-........

bars ,or

s

priod

of.........-20-.. TINUIES ad

ueE iound

light-

As far as could b *n

fro,n ou. visual inspeciirn,

tie halch covels and

joi.

ino appeacd ro

b

in

sound

condilibn. itE

seats

ard

psckjno

did

not appear to

contain coppr or

copper

alloy and there

was no coppr

or coppr alloy in

lhe

piplines,

pumping

syslsm

or rank

inrem.r mings

wfierc

they

v,erc

tn contact

wiul

lnspeclion

compleled at

.1_220_...

hours

on

4.H%

l?

c:'i

a111

ar)

Nll.:*7


8/13

].SH CTIIIEETII

lI

CIT?II|IC1

EEilUTItS lII

sIIIIIII|IY

II

$II7$ IilI

MT,

SICHEM MONTREAL

Ship's Tank

3S

TEAM TANKERS CITY

CLASS LTD

operator ,

.IF4l4.-I.fl$F-BP.glIY

-C_ 4S-S__LJ-D-............................

Ship

Ownr

5 d &

Seond Lsr

Cuqo

RECOATED

Third Lsr C.Eo

RECOATED

lnspected

fo.

Cleanliness at

port

:

PULAU LAUT, INDONESIA

Berth

JETry

PT. GHN

We

hav

sigllled

a

stalmenl

in

Ihe fonn

ol

FOSFA

Combind Masbrs

Certilicte

signed by the

'Captain/First

Offcer or an equivalent stalemenr signed

by lhe

'ship's

owners/auhonzed agent crlitins lh.l

lhe

abov

named shap complies

wilh

the FOSFA

Oualifications and Operationar Prc.dures.

Prid

lo inspeciion

we

wre i.formed

by ship s

,C.plaicriEt

Ofi@r thai

the

tank was

-

'a)

srainls{red

'b)

Mird steel

coaied

with

(

descriplion

of

@arng EPoxY

) 0

uru-ctt

We

rceived a

@py

of a

slalemenr

signed

by

shlp's cpi6in.

oMe6

o. authodzed sgeflr ertifying

tEt

a. The

immediaie

pr.viG

@,go

in the tanks was not a

sun*ane

apped,ing on the FOSFA Usl

of Banned

lmmdiate P@ious C6rg@s

in lb@ ar tE

daL

or

the Bilus of

Ladino and lhe tankcomplies wiin tne.estrictjons

byond lhe lmmediate Prcvious

Cargoes as st od in

the

FOSFA Listof

Banned

tmmedirte

ProMous Cargos. The lhree

previous

cargoes

canied

are stated

to have

been:

On

(Daled)

JUNE 1'1,2016

Fid L,n C,rqo

at

(Time)

.........1.115............hours.

35 I\4OTOR GASOLINE

b- The

immediate

pEvious

e&o

in the lank

was

a

substanc on rhe FOSFA

List

ol

Pacplable Previous

CaQoes

in b@

at

ihe

date

of the

Bitl/s

of

Ladins and lhe lan* @mpries

wih he Restictions bqpnd

Ule

lmnEdiale

pEvious

CaAo

as set our in

he

FOSFA

Ust

or a@ptaue

Previous Cargoes.

The

hree

previous

cargos caded are slaled loh.vebeen:

Ships Tr

kNo Firsr

l,{sr Careo

Second L{st Carso Third L$t C,r o

c. Applic3ble to mild

sleel lanks

ont

-

The lhree

previous

carg@s rere

oils

and

lals

lor edible and oleorirnicl u*

andor

molasses

and

wre siatd

Io

have

We sighlod ship's

log

{ttich @olimed

the

above

infomadon

a5 to

lhe lasl lh@ Eoes and

the

peE.ntage

oflh immediare

pcvious

@Go

ln fte

tants,

wnich w?s

less

than

60

perceni

by voltlme of the lank.

We

ure infomed

by

ship's

CHIEF

OFfICER/MASTER lhai th

tank had ben

clened efrI

lhe lasl cargo

by using

lhe following

creaning

procedure:

-

BUTTERWORTHING WITH WARM

SEAWATER

(6O"C)

FOR

1

HR,

.

BUTTERWORTHING

V{ITH

AMBIENT

FRESH

WATER

FOR 20

MINUIES.

.

DRAINING

OFTANK, LINESAND PUMPS.

.

MOPPINGANO DRYING,

Tank

was examinod inlomally

for cl6anliness as far as

@uld

bs

sen

Eas

found

to b6 d@n and dry

and

fte from

hannli,l materj.t

aod, in our opinion, h

ihis

respeci based on our

visual inspoclion and

al

lhe time ofourinspeciion,

lvas

infrr

siate

to

recsivea@rgooTRACEABIE PAIM FATry

ActD

DISI|LLATE

tN

BULK

F.om our inspeclion

w found t)e

lank @nstruclion

was

:

(a).

'

SraiaL...t c

Sni6 Trtrt

No

Firn l, st

CaEo Sond l,,sr

Crrlo

'I

l'ird l,r( a{rro

'

Mild steel

coated

and 6s far as

euld

be seen

the

coaiing

appeared

to

be in sound

@ndition

wiri minimal miE steer

exposure,

without loose scale or closed bliste.

JUNE 11 2016

'

Miki

6lt d

.slari 6slel b En

.pp.ered

le

bo

in 6ss-d

enCiten

r$tl6ut t@8.

-c.,6.

ShiP's cargo

pomPs

and ntd

pipelines

were inspected

as far as

possible

insitu snd based on viMl inspeclion

roond

to be clan and

dry$itir

we

witnessed an

aPPlicaijotr ol live steam/hol wste/themal heatng

ntrid to

tank

coils and/or heat exchanoeB to nol less

inan -......_..._._

tpa

.....7........

bars for

a

penod

of

.-....,.-20-,.

MllrlUTES

and rere ,ound Iighr.

As far as could be seen

frcm

our

vBual

inspelion. tie haich covers and

ioinlinq

appeared

to be

in sound

condition,

ttre sals and

packnrq

did

nol

appear

io

contain copper or coppr alloy and therc uas no copper or copper

alby

in

fie

pipelanes, pumping

syslem

or tank intemal rtlin$

where

lhey wEre in

contacl wiih

lnspection

completed at

.1-220-._..

hours on

(Date)

(FOSFA

Member

Sup.DnIndeno

ffi-tlo-,gPq'*"'

s*..$,1&*sl

A\$I


9/13

Ship

Il$rr

cImEilIt

ff

ctrrurrcE

clltntrtstilt

EUIt]tlII tts]rs

ilrI

MT, SICHEM

IVIONTREAL

Ship's

Tank 2P

TEAM

TANKERS CIry CLASS

LTD

Operator

lnspected

for

Cleanliness

at

port

Owngr

SIiIIIIId-U

Second

LBI Capo

FISH FATS

OIL

Third Llst

Crqo

RECOATED

TEAM TANKERS

CIry

CLASS LTD

ilJ.-r+y_.$lll.lllP9l-,,rFs-.r

................................. ............

Borth

.:l-EI.1lr'l

--G.

lll ........

.......

On

(Dated)

JUNE 11,2016

at

(Time)

.........1.11.5.............h0urs.

rirsi

Lnst

Cnreo

We have

sighted

a

statemenl

in

tne form

of

FOSFA Combined

[iasteis

Cenmcale

signed

by

the

'Caplain/Firsl

Oflicer or

an

equivalenr slatemst sigfled by

lhe

'ship's

ownersL/aulhodzed

agenl cenirying thal the

above

named ship complies wilh the FOSFA

OualincaUons

and

Opetional Procedures.

Prior

lo inspecton

w

werc

aniormed by

ship's

'e3plei*firsr

Officer

inar

he

rank

was

-

'a)

Slaial$.le.l

'b)

Mild srel

coared

lvidt

(

desc.rption of

coalinq

EPOXY

)

,c)

r,litd+lt

We

received

6

@py

of a stalemenl

signed

by ship's eptain,

owners or auihorized agent cedirying thal:

a. The

imtdiate

pEvious

@rgo

in the iEnks

ms mt a

substan@

appad.g

on tte FOSFA tisl

of

Banncd lmmdiaG

Pcvious

CaQoes

in

iorce al

the date

of

lhe Bilus of

Lading

and the t6nk complies

with

lhe

resliclions beyond

fie

lmmediale

Previous Cargoes as sei

oLn

in

the FOSFA

Ust of Banned

hmed'aie

Prcvious

CaQoes. The hree

previous

crgos canied are slated io have been:

2P MOTOR GASOLINE

b. Ihe

immediate

prcvious

6190

in

rie rankms

a

subslan@

oi the FosFA List ol AE4ptable Previous

cdgoes

in force ar

ttE

date

of

nE

Eilus

of

Lading and the tank complies wilh the Reshctions

beyond

the lmmediale

previous

Caroo as set

oui

in

ltl

FOSFA

Lisl of Acceptable Prcvious CaQoes.

Therhree

p.evlous

cargoes canied are s6ied tohavebeen:

S[ips l,nk

Nu

l irsr l,nn

(l,r a

Seco d

Lrn C,reo TIn{ L,sl

(rr.qo

c

applicable

lo

mild

steel

tanks

only

The three

previous

carg@s were oils and

lars

tor

edible and

olecchemic.l

use

and/or

molasses

and

rere staied io have

-ti l aa -l l

i6r

l-{sl

C,rqo Sr.ond Lin

C,r o

f d 4 & ce

'

lvlild

sleel coaled

and as far as could be sen the

@ating

appeared to

b

in

sound condition with minimal mjld

steel

exposure,

wilhoul

loose scale or

closed blister

we sighled

ship s log which

confirm.d

the

abovo infomaiion

as to

the

lasr

th@ ergoes and rhe

percentaoe

of the

immediale

previous

@r o

in

rho

tanks, lvnich ras

less iian 60

percenl

W

volme of the t

nk.

We

were

infomed

by

ship's

CHIEF

OFFICER/MASTER

ihat

lhe

tank nad been cle8ned afler

the

last

cargo

by using lhe

following cleaning

procedure:

AUTTERWORTHING WTH WARM

SEA

WATER

(60rc)

FOR

1

HR,

.

BUTTERWORTHING WITH AMBIENT FRESH \IIATER FOR 20 MINUTES,

ORAININGOF TANK. IINES

ANO

PUMPS,

MOPPINGAND

ORYING-

Tsnk

was

examined

intemally

for cleenlinsE

.s

far

.s

could b s6n

w93

tound

lo be clan 6nd dry

and

tr6 ftom h.mtul mat6,ial

and, in

ow opini@,

in

this

respect based on

ou.

visual inspeclion

and

at

lhe lim

or

our

inspeclion. was

in fit state

lo receive E

cargo

oTTMCEABLE PALM

FATTY

ACID

DISTILLATE lN

BULK

Fmm

our

inspeclion we

iound

lhe

tank

construction was :

(a).

'

S{.ielese{rsl

'

Milc Ere.l.nd.6fare

Jd

r

@.

Ship'r

ergo

pumps

and fxed

pipelines

vvere

inspeded

as far as

possibl

in-situ and based on

visual inspction found

lo

be clean and

drywih

We wirnessed an appliallon

of

live sleam/hol Mie./hemal healino ruid

lo

tank

coils an.lor

heal

exchaflgers

to

not less

lhan

-

l


10/13

IIEII

CI|IIECIII aI Ctltulltl,

CUilUIISs tll

itIIl]UIl a] EI|TS

IIII

MT,

SICHEIVI

MONTREAL

Shlp's Tank 2Ship

Owner

Operatol

.IEA I4 IAI 5F89 _c_lI _c_tA-sSLIq

TEAM TANKERS CIry CLASS LTD

lnspected

for

:

Cleanliness at

port


Be.th

JETTY PT. GHN

On

(Dated)

JUNE

11

at

(Time)

.........'1.11-5-............

hours.016

w

have

sighied

a

stateftnt in

the

fmol

FOSFA

Combined

Masteis

Cenificaie

sagned

by

nE

'Capiain/Farsi

Officer or an equivalent statement signd by lhe

'ship's

ovners/a fionzed agenl cedirying lhat

the aboveflamed ship

complies wilh

lhe

FOSFA

Ouahlietions

and Opralional Procedures.

Pior to i.sDeclion

w

rere iniorned

by

ship's

'e.daicFirsl

Ofier

that Ihe lank

Ms

-

'a)

s&ii$6s{rd

't

)

Mird

sreer

coared

wih

(

descriprion of

coarnq EPoxY

) I

ui4&d

We

@ived a

copy

of a

statemenl signed

by

shiCs caplain, omrers

or

authorned agnt cerlifying

lial:

a

The

immediale

previous

cargo in

lhe lanks ms

not a

subslEre appea.ing on ttie FOSFA

List of Banned

lmm6diaie Pvioqs Cargoes

in

forc.

at the dala

of

lhe

Bill/s

of

Lading

and lhe

tank

complies with the reshctions beyood lhe lmmediate Previous

Cargoss

as set out in ihe FOSFA

Llst of Banned

lmmediale

Prcvious Crrgoes.

The

lhe

previous

csrgoes

cnied

are

slated

to

have

been:

25

MOTOR GASOLINE

b. The

immdiale

previrus

caryo

in

lhe

tant{ias a

sh3lance

on |he FOSFA Ust

of

Acceplaue Prvious Callos

in

iorce

at

fie

daie

or ltE

Eilus

of Lading and tlE

iank

complies

wilh

lt|e Reslricuons

beyond

the

lmmediale

paavious

Callo

as s

qn

in

itr6

FOSFA

tist of

f@ptable

Previous C.rgos.

The

lhree

previous

carooes cnied are slaled to have been :

Shios

Lnk

No

l'irst

Lnst

Carro S{otrd Lrst

Carco

FISH FATS OIL

Third

Lasl

Cnro

RECOATED

ShipsT.nkNo

FiEl

Lasl Clreo Second Lssl Crao

Third L$t Crrqo

c.

Appltcabl to mlld

sleel ianks

only

-

The hree

prevlous

cargos wErc oils and lals iof

edible

afi, olecchdnrcal

use and/or

molasss

and

wEfe

nated

to

have

W sighled ship's

loq

etrici conllrmed tne

above

infomalion ss

io

the

lasi

thEe crgoes 6.d the

percsniaqe

of the

immediate

prevjous

c,go

an

iho tanks,

whici

was

lass than

60

percent

by volume of lne

tank.

W

were

infomed

by

ship's

CHIEF

OfFICER/MASTER

lnat

he

tank had ben cleaned afrer Ihe

lasl crgo

by using tne following

claning

procedure:

.

8UI-TERWORTHING

wlTH WARM

SEA

WATER

(6OPC)

FOR I HR.

BUTTERWORTHING

WITH

AMBIENT

FRESH

WATER

FOR 20

MINUTES,

.

DRAINTNG OF TANK, TINES AND PUMPS,

MOPPINGAND

DRYING,

Tant w.s

emined

i

n mdv

for

cl*nlimss

as

fer as

could b sen

Ms

found

lo

b clon

and

dry

nd

Ae

nom hmtu maro,ial

end, in

@. opidon,

in

rhis

rospect based on our visual inspction and at the lim ofourinspecllon, w.s

inftslaleto

re.eiv6acsrgooTRACEABLE PAIM

FATTY ACIO

OISTILIATE lN BULK

From

our

inspcllon a found lie tank

conslruclion was

:

(5).

'

S{.lrlatC

Lhill-I 4t& Iin ]a{&I8e

S 9 q-Lsl rl3e

'l

hird

L.sl C..so

'

Mild

steel

coaled

and as

fsr

as

could

be sen Ule

coaling

appearcd

to

be in sound condition

wiul minimal

mild

steel elaosure, wilhorn bose

scale

or

closed

blisler

'

MilC

E ..1

anc .E

f.r

eB

eeulc ba

6a.n app..r6C

b

be

in 6esnd

endilien

ailhesl

le$ eeala,

ShiCs

@rgo

pumps

and fred

pipelines

wre inspeded

6s

far s

possibb

iEsitu

6nd

basd on viealinspdion

found

lo

be

d@n

and

drywih

We witnessed an applicalion

of

"ljve

st6amfioi waier^hrmal heating flujd to lank coils and/or

heal

exchangers

lo nol

less

ltun

..'...............kpa.....]l'........

bars

for

a

penod

of

._......20...

llillNUTES

and

were

found

tighl.

As far as

couH

bo seen

fom ou visuai

inspclion.lhe hatch

coveB

6nd

ioirijrq

apreared

lo

be

in

sound

@ndi0on,

$e

sals and

p4ldng

did noi

appear

Io

contain

clpper

or

copper

alloy

and

liEre was

no

copper or copper alloy in lne

piplines, pumping

syslem or iank inlemal ftlings wirc they '/ere in coilacl

with

lnspection completed at

.1-220_...

hours on

.,ll/.Lt-E-..1.1r.?9.19.......................

(Date)

rssucasy:

PTf

(FoSrA Merb.r

Sup.nnicndcnr)

t+-Jq.:l

L'-"

"-B'lX

e

')

oelete whidr

is

inlpfSrbb


11/13

Ship

IlSn

trlIECtrr I tlrlrurtI,

Etlilltfttt llt Et]il]lfir

tf iltPt ilIr

MT, SICHEM MONTREAL

Ship's Tank

TEAM TANKERS CITY CLASS LTO

TEAM

TANKERS

CITY CLASS

LID

Owner

Opelator

lnspected

for

:

Cleanliness at

port

Iip& r - g


Berth

JETTY

PT.

GHN

We have

sighted a

stalement

in

tie form

of

FOSFA

Combined

Masteis ceriifr@re signed

by

the

'CapEin/Fi6t

O,ffcer

or

an oquivalenl statemenl signed

by

lhe

'ship's

owne.s/aurhorized ageni

@dirying th6t the

above

named ship compries with the FOSFA

Oualifcalions

and Operaiional Procedures.

Pfor to

inspclton w wEr6

iniomed

by

shap's

eprai/FiBt Otrcer

rhat

the

rank

was

-

'a)

srid*tel

'b)

Mird sleer

coaled wlh

(

desqiption

of

@fng EPoxY

)

'c)

Mird-6{6c

We

received a

copy of a shtemenl signed by

ship's

captain,

ouners

or

aulhoized agent cedrying thal:

a.

Th6

immediate

pEvious

cIgo

in the

tanxs

wEs not

a

substan@ appearing on ifie FOSFA

Lisl

of

Banned

lmmediate Prcvious Caoes

in

io@

6t

lhe datt of

the

Bilus

of Lading aM tie ranl mmplies wlh lhe re$ndions beyond fie

lmm.diate Previous

Cargoes

as st oui in lhe FOSFA

List

of

Banned

lmmediate

Previous Cargoes

The

three

prcvious

carsoes

canied are

stated

io have ben:

On

(Dated)

JUNE 1 1, 2016

Firn

l-nsl

Carso

at

(Time)

.........1.115............

hours.

Seod L.ir Careo

RECOATED

Third Lsr C,ro

RECOATED

P

RECOATED

b. The

immediale

previous

caroo in

he

tanl

was

a subslance

on rhe FOSFA

tist of

A@pi,able Pcvious CaQoes

in io@

al he daie

ot

the

Balus

of

Ladino

and

rhe

lank

complies wilh lhe

RostriclionE beyond

lhe lmmediale

previous

CsAo

as

sel oul

in

lho FOSFALi5I of Acceplable

Previous

Cargos.

The

three

prsvious

cargos canied

are

$ded to

hfle ben :

:Ep L-rys

firsr

l,nsl

C.rto

S.cotrd

Lrst Crrlo

Third

Lnsr

Caeo

c.

Appltcble to

mild

steel ranks

onv

-

rhe tnree

previols

cargoes were ods and lals lor

edlDle and

ole+dremlcal

use

andor

molas*s

and

were

stated to

have

Shios

Tnnk

No

We

siolid ship's log shin cdrfimed nF abore iniomarion as to th l6t lhB carg@6 a.d dr.

pe@nlEge

of ttl. immedlaG

previous

@r o

jn

the

ianks,

which Ms

less lian 60

prcent

by

volume oI

me

|.nk.

We vvrs

iniormed

by

ship's

CHIEF

OFFICER/MASTER

lhat lhe

tank had

besn

cleaned aner

Ue lEd cargo

by using

fie

following

cleaning

procdure:

.

AUTTERWORTHING WTH WARM

SEA

WATER

(60'C)

FOR

1

HR.

.

BUTTERWORTHING

WITH

AMBIENT

FRESH

V{ATER

FOR 20

MINUTES,

.

DRAINING

OF

TANK.

LINES

AND

PUMPS,

-

MOPPING At'lD

ORYING.

T

k w's emined intamalt

fo.

cl,ear

imss

as

rd

as

@H

b

sH wss tound to b doan and dry

rld

lie

tio.n

harmtul

nEteriar

and, in our opinion, in

this

respet bas6d on

our visual inspeclion 6nd at the time

o(

our

inspeclion,

was

in

fl slsle lo

roceive a

crqo o TRACEABLE

PALM FATTY ACIO

OISTIILATE

lN

BULK

Frcm

our inspection we found

lne iank coflslruclion was

:

(aI

'Sra'abqrste.l

airsl

Lnst

C.rtu

S.cotrd

L. r

C,.co

'l

hird L,sl

Cr{o

'

Ilild steel

coared and

as rar as could be

sen the

coating appeared to be in sound

condiiion wiih

minimal

m

d steel

exposure, wilhoul

loose scale or

closed blister

'

itild

6l.1

a.c.s faraE cesld

@.

Snip's

caQo

pumps

and fixed

pipelines

werc inspeted as tar as

possible

in

silu snd based on

visual

insgeclion

found

lo

be clean and

drywith

We witnessed sn application ol live sream/holwaterlhermal

healing nuid

lo

iank @ils ancuor

heat

exchsngeG

to not less

lnan

I

kpa

bars tor

a

pe.iod

of

........20,...

MINUTES

and

rere

found

iight.

As

far

a6 could b seen

from ourvisualinspeclion.lhe halch cove6 and

joinlino

appeared io

be

in sound

condition.

th6 Eeals

and

packing

did

nol appearlo

codain copper

oa

copper

slloy

and

Iherc wss oo copper

or

copper

alloy in rhe

piplires.

pu,npang

sysi4n

or

rank inlemal ftlings wnere ihey wre in coniacl witi

ihe cargo.

lnspeclion

compleled al 1220 hours on JU_N-E.I]|,.2016.........._,.-.........

(Date)

(FOSFA

Mcmbr supenntendrno

6"[ffi

ia

')

DdeG

wnicn

is

inlDob3ble


12/13

Ship

nsil

t[lIrEtlIE

aI

tllllttltE

cllilt ffs$

ttt

ttlIt]ltll

tI

EItp$

ilil

MT. SICHEM MONTREAL Ship's Tank 4S

Owner

Operator

lnspected

for

:

Cleanliness at

port

ShiN

IhkN.

TEAM TANKERS

CITY CLASS

LTO

TEAM TANKERS CITY CLASS LTD

PULAU LAUT INDONFSIA

Be

h

.J.ETTY

P.T..GLiN..

...

1115 hours.t

(Time)

We have

sighted a

st6iemern

in

the rom

or

FOSFA

Combined Maste/s Crtr'fcte signed by the

'CaptsirvFirst

Oflicer or an equivaleni siatemsnt signed by the

'ship's

o$,flarvadhonzed sgenl cediting that the

6bove named

ship

complies wnh

he

FOSFA

Ourlili@tions and Operational Procdures.

Pnor

to

insoection w

wrc iniormd

W

shio s

'eedaiE/First

Ofncer that the tank was

,

'a)

Staiibs.red

'b)

Mald

slel

coated

wih

(

descdplioo

or coaring

EPO)ry

)

rc)

Ulld+ret

We

receivd a

copy

of 5

stiatemenl

soned by ships

caplain, owners or authod2ed ageitt @diting mal]

a Thc imm.dial.

prcvious

ca.go

in

th. ianks ms .ol

3

suBtance appeadng oa

lhe FOSFA List

of

Banned hmedi.t6

Prcvjous

Ca.goes

in io@ at the date oa

lhe

Bilus

of tading and lhe

t nk

complies wiltr [l rcslnclions beyoid Ule

lmmedaare

Previous Cargos as set oul in iie FOSFAL|SI ofBanned lmmediate

Previous

Caryoes.

The

lhree

previous

crgos caried

are

slaled lo have

been:

On

(Dated)

JUNE 11 2016

l.irsl Lrsl Cnreo

S?cond

L,st Cnrlo

RECOATED

Third

Lisl C..co

RECOATED

5 RECOATED

b.

The

immediale

previous

ergo

in Ihe

tad was

a

substance on

he FOSFA llsl of

pceptable

Previous

Caeoes

in

fo@ al

lhe

dale

of ihe

Bilus

ol Ladinq and ihe lank complies wnh lhe

Restriciions

beyond

llle lmmediale

previous

Cargo as set

oul

in

the FOSFA List of A@plable Pr*ious

Carucs.

The

lrxee

p.vious

ca.goes canied are srarsd

ro h4e

been

:

We

sign@d

ship's

log wnich cofiltumd ore

aboE inbmali@

as

io

dte

bsr thEe

@Aes

and 0E

pe.c.nlagE

orft.

ilmmediate

prEvious

@l o

in

the tants, wtrich

Es

less lhan 60

prcnl

by volume or the tank.

We

wre infomed byshlp'sCH|EF OFFICER/MASTER

fiat

lhe

tank

had ben

cleaned after the lalt calgo by usinO

in6

rollowing cleaning

prccedure:

EUTTERWORTHING WTH WARM

SEA

WATER

(6OPC)

FOR

I

HR.

,

BUTTERWORTHING WITH

AMBIENT

FRESH

WATER

FOR

20

MINUTES.

-

DRAINING

OFTANK, LINESAND PUMPS,

MOPPINGAND

DRYING,

Tark was examinod inl6mally for cleanliness as far as @uld bo s6n was found ro be d@n end

dry

and

freo fDm hanrtul

nEIrisl

and, in

ou.

opinion. in this

.specl

basd

on

our visual

inspe.Uon

and al lhe llme

or

ou.

inspeclion,

was

in

fl

state

lo receive

a

rgo o TRACEABLE

PALM FATTY

ACIO

DISTILLATE lN

BULK

From

our inspeciion

we found rhe

iank

construction

was

:

(a).

'

s&rr.rssLc

Snios

I{nk \o

fiBl Lnsl Cnre6 S..ond

Lasr

C,r o

'llrird

l-r

(irso

c.

fuplieble

lo

mild

sleel

lanks only

-

The threo

previous

caqoes were oils 6nd laB

lor edible and

oleeciemacal

use

and/or molasses

and

were

stated to

have

Shios

T trk

No

FiBI

t,asI

(}Fo

S(ond L$l

(l eo

Ttid l,a3r C,reo

'

Mild

sleel coated

and 6s

far

as

could

be

*en

ihe coaling

appeared to be in sound

condilioa

with minimal mild steol

exposuc, withoot l@* s@le

or

closed blisrer

lnspection completed at

.1220.....

hours

on

jl :l.Ll.F.].l

2016

(Date)

'

Mild

el3l eaid

erar

a

@.

Ship

s crgo

pmps

and

tued

pipelines

rere

inspecled

as

far

as

possiue

in- {u and

based

on

visu8l inspdion

found to be

clean

and dry

witn

We wihssed 3n applicalion

ot

live

steam/hotwator/rhrmal healing nuid

to

tank

coils and/or hal exchangsrE to not less lhan lQa

7

bars

fo.

a

pedod

of.........-20...

MINUTES

and

wm iouod lighl.

As faras could b seen trom our vlsual inspeclion, the hatch @veB and

joinrins

appared to be

in sound coodirion.

ine

seals and

pading

did.)oi

appear

lo

contain

copper or coppor alloy

snd lhere was no copper

or

coppr

alloy in tho

piplines.

pumpinq

sysiem

or tank

intemal rtllnss

where lhey

were

ln

contacl wiih

(FOSFA

M.hbe

Supennlend.nt)

6qif.ffi

p*'Isu,

')

Delete


13/13

CERTIFICATE OF CLEANLINESS, TIGHTNESS AND FITNESS

OF SHIP'S

TANKS AND CONNECTING PIPELINESS/HOSES

Date

:

JUNE 11

2016

Vessel /

Voyage

No.

Port

Of

Loading

Destination

MT.

SICHEM

MONTREAL

I

35

PULAU LAUT, INDONESIA

SINGAPORE

I the

undersigned, certify

that

the

following

cargo tank(s):

Port

Center

Starboard

2,3,4

2,3,4

To

the

best of our

knowledge

have

tight

bulkheads,

pipelines,

hoses and

valves

are

in

clean

&

fit

condition

to

receive

the nominated

cargo

of:

TRACEABLE

PALM FATTY

ACID

DISTILLATE

lN

BULK

Evidencing

that

tanks,

heating coils

and appliances

used

for

loading

and

discharging cargo do

not contain

copper

or

copper alloys.

Tank

Coating

Heating Coil

Chief

Officer's

Name

EPOXY

STAINLESS

STEEL

Signature and Ship's Stamp,

6"*T:'Da

&tiih.'ffF

Master

/ Chief

.r"o*9

master receipt of document

Documents