master receipt of document
TRANSCRIPT
-
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
-
7/26/2019 Master Receipt of Document
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$harge
temrrar@
to be
rtlched by raisinS
the
tmperatde
of the oil by
not more
fim
5'C
per
24 hours
1
.
The
maimum tempralure
specifred dunng
the
voyage is loyrer lhan lhe minimum required for dischalge, in some cass
by
as much
as
150
C.
Eeadng in mind the stipulaton contained in
paraEph
3.1
.6.
il
should be cognized thai
jn
some cases ships offcers wll
need lo apply heat a few days
pdor
to arival in order lo reach lhe appropdate discharge lemperalure.
2.
lt is recognized lhat
in
some cases lhe ambient lemperalure may exce6d the recommended maximumigures shown in lhe Heating
Recommendalions.
3.
Hydrogenaled
oils csn
vary
considerably
an their
slip
meltng
points,
which
should
always
b
declard. ll
is
recommended lhat
d
uing
lhe voyage, th6 temprature should be mainlained at around lhe declad mehing
pdnt
and
that
this should be
increased
pior
to
discharge
lo
give
a
lemperature
of
blween 1
0o
C and
1
50
C
above
thsl
poinl
to effect a dean dischsrge.
4.
Oirerent
grades
of
palm
sleann may hava wide vsdalions
in
their slip meling
poinls
and the lemperature
quoH
may
need
to
be
FOSFA Hf ATING RECO]U]ITENDATIONS
COMMODITY
Temperalure during voyege Temperature al
time
of loading & discharge
Minimum'C
l\,,laximum'C Minimum
"C
Maximum
'C
TRACEABLE PALM
FATTY ACID DISTILLATE
IN BULK
45 50 55 72
lssued by
-
7/26/2019 Master Receipt of Document
3/13
FOSFA
GOMBINED
MA$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
-
7/26/2019 Master Receipt of Document
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
-
7/26/2019 Master Receipt of Document
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,
-
7/26/2019 Master Receipt of Document
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
-
7/26/2019 Master Receipt of Document
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
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
-
7/26/2019 Master Receipt of Document
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*..$,1&*sl
A\$I
-
7/26/2019 Master Receipt of Document
9/13
Ship
Il$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
-
7/26/2019 Master Receipt of Document
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
PULAU LAUT INDONESIA
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,
$e
sals and
p4ldng
did noi
appear
Io
contain
clpper
or
copper
alloy
and
liEre was
no
copper or copper alloy in lne
piplines, pumping
syslem or iank inlemal ftlings wirc they '/ere in coilacl
with
lnspection completed at
.1-220_...
hours on
.,ll/.Lt-E-..1.1r.?9.19.......................
(Date)
rssucasy:
PTf
(FoSrA Merb.r
Sup.nnicndcnr)
t+-Jq.:l
L'-"
"-B'lX
e
')
oelete whidr
is
inlpfSrbb
-
7/26/2019 Master Receipt of Document
11/13
Ship
IlSn
trlIECtrr I tlrlrurtI,
Etlilltfttt llt Et]il]lfir
tf iltPt ilIr
MT, SICHEM MONTREAL
Ship's Tank
TEAM TANKERS CITY CLASS LTO
TEAM
TANKERS
CITY CLASS
LID
Owner
Opelator
lnspected
for
:
Cleanliness at
port
Iip& r - g
PULAU LAUT INDONESIA
Berth
JETTY
PT.
GHN
We have
sighted a
stalement
in
tie form
of
FOSFA
Combined
Masteis ceriifr@re signed
by
the
'CapEin/Fi6t
O,ffcer
or
an oquivalenl statemenl signed
by
lhe
'ship's
owne.s/aurhorized ageni
@dirying th6t the
above
named ship compries with the FOSFA
Oualifcalions
and Operaiional Procedures.
Pfor to
inspclton w wEr6
iniomed
by
shap's
eprai/FiBt Otrcer
rhat
the
rank
was
-
'a)
srid*tel
'b)
Mird sleer
coaled wlh
(
desqiption
of
@fng EPoxY
)
'c)
Mird-6{6c
We
received a
copy of a shtemenl signed by
ship's
captain,
ouners
or
aulhoized agent cedrying thal:
a.
Th6
immediate
pEvious
cIgo
in the
tanxs
wEs not
a
substan@ appearing on ifie FOSFA
Lisl
of
Banned
lmmediate Prcvious Caoes
in
io@
6t
lhe datt of
the
Bilus
of Lading aM tie ranl mmplies wlh lhe re$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
-
7/26/2019 Master Receipt of Document
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
-
7/26/2019 Master Receipt of Document
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