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For Accidental or Other Exceptional Discharge of Oil:
Date
Letter Code
Item No.
Record of Operation
Signature of Officer in charge
d/m/y
G
23
0800hrs;
(Time of Occurrence)


24
@ Singapore
(Place and position of ship at time of occurrence)


25
HFO, 380cst.0.5 MT
Approximate Quantity & Type of oil)


26
Leakage from Bunker Line Flange, during Bunkering




(Circumstances of discharge or escape & general remarks)




Signature







For Bunkering of fuel (or) bulk of LO:
Date
Letter Code
Item No.
Record of Operation
Signature of Officer in charge
d/m/y
H
27.1
@ Singapore
(Place of Bunkering)


27.2
Start 0900 hrs; Stop 1400hrs; 
(Time of Bunkering)


27.1
HFO, 380 cst, 540 MT.
(Type and Quantity)



#3 CP Tk. Added 250 MT.
#3 CS Tk. Added 250 MT.
Total 300MT.
Total 300 MT.



(Tank Identity, Quantity Added & Total Content)


27.4
LO, 9000 Ltrs. CLO, 5000 Ltrs.
#1 Tk. Added 9000Ltrs. Total 9300 Ltrs.



(Type, Quantity, Tank Identity, Quantity Added & Total Content)




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