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NOTICE OF SEALING (Panduan)

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PT PERTAMINA (PERSERO)

SHIPPING MARKETING & TRADING DIRECTORATE


SHIPPING OPERATION DIVISION, HEAD OFFICE 19TH Floor, Jln. Merdeka Timur 1A Jakarta 10110
Phone : (62-21) 3816367, 3816314, 3816339, 3816353, 3816217. Fax : 3455430, 3816348, 3507121
E-mail: opstanker@pertaminashipping.com

NOTICE OF SEALING
No : (Number of Document)
After completing :
Loaded in tank :

(Type of Activity at port)


(Type of Cargo Loaded)

Of the MV / MT :
On
:
At
:

(Name of Vessel)
(Document Releasing Date)
(Name of Port)

cargo

The following valves and tanklide were sealed by Loading


Number and name valves/tanklide sealed
(Position of Valves at Vessels parts)
(Idem)
(Idem)
(Idem)
(Idem)
(Idem)
(Idem)
(Idem)
(Idem)
(Idem)
(Idem)
Total

Scaling Acknowledge by :

(Name of Chief Engineer)


Chief Engineer
Cc

: Consignee
Chief Officer
Pelsus
Inst. Tank

:
: (Total of Valves At Each Parts)
:
(Idem)
:
(Idem)
:
(Idem)
:
(Idem)
:
(Idem)
:
(Idem)
:
(Idem)
:
(Idem)
:
(Idem)
:
(Idem)
: (Total of Valves From All Parts)

(Month, Day)
Signature

pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs

20 (Year)

(Name of Loading Master)


Loading Master

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