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Fleet Management Ltd.

Date: 1 - Jun - 2011 Revision: 0

SECTION 3 - OIL TO SEA INTERFACE LOG


OIL LUBRICATED STERN TUBE OIL Amount of Any visual Oil Leakage replenished observed? (Ltrs) ( ) Location of visual oil leakage Reason for oil replenishment / Loss WATER Qty of water Qty of water entered drained system from system (Ltrs) (Ltrs) ( ) ( ) Name of the equipment Amount of Any visual Oil Leakage replenished observed? (Ltrs) ( ) Bow Thruster / Controlable Pitch Propeller / Rudder Carrier Bearing / SW Cooled Systems / Hydraulically operated ballast tank valves / Other Equipment (______________________________________________________________) OIL Location of visual oil leakage Reason for oil replenishment / Loss WATER Qty of water Qty of water entered drained system from system (Ltrs) (Ltrs) ( ) ( ) C/E signature

Date

Time

Remarks

Remarks

YES / NO*

Within/outside* ship Within/outside* ship Within/outside* ship Within/outside Within/outside* ship Within/outside* ship Within/outside* ship Within/outside* ship Within/outside* ship Within/outside* Withi / t id * ship Within/outside* ship Within/outside* ship p Within/outside* ship Within/outside* ship Within/outside* ship Within/outside* ship

YES / NO*

Within/outside * ship Within/outside * ship Within/outside * ship Within/outside * ship Within/outside * ship Within/outside * ship Within/outside * ship Within/outside * ship Within/outside Withi / t id * ship Within/outside * ship Within/outside * ship p Within/outside * ship Within/outside * ship Within/outside * ship Within/outside * ship

YES / NO*

YES / NO*

YES / NO*

YES / NO*

YES / NO*

YES / NO*

YES / NO*

YES / NO*

YES / NO*

YES / NO*

YES / NO*

YES / NO*

YES / NO*

YES / NO*

YES / NO*

YES / NO*

YES / NO* NO

YES / NO* NO

YES / NO*

YES / NO*

YES / NO*

YES / NO*

YES / NO*

YES / NO*

YES / NO*

YES / NO*

YES / NO*
Notes:

YES / NO*

1. ANY oil loss must be recorded in this log book and reported immediately to the Company via the daily position report in PARIS 2. Any oil loss OVERBOARD must additionally be recorded in the Oil Record Book Part 1 under Code G and appropriate action such as lowering the level of the header tank must be carried out. 3 *St 3. *Strike ik out t which hi h i is not t applicable. li bl

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