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PT.

BAHTERA BAHARI SHIPYARD


Jl. Sei Binti, Sagulung 29422 Tanjung Uncang Batam Indonesia
Telp : +62 6006000 / 6006001 Fax : +62 778 6006002

REQUEST FOR SURVEY This Survey is TO FAX NO APPLICANT ADDRESS TEL/ FAX CONT. PERSON SHIP NAME (Hull No.) DIMENSION CLASSIFICATION : : : : : : :First visit : Follow-up visit

MR. IR. ACEP SUBARKAH (0778) 429020 PT. BAHTERA BAHARI SHIPYARD LOKASI SAGULUNG (0778) 6006000, 6006001 / 6006002 MR. Mustawa (085264064960) : : : : HULL 150 26m x 8m x 3m BKI. CLASS Survey Date Place Time : Friday, 07 Desember 2012 : PT.Bahtera Bahari Shipyard Lokasi Sagulung : 14.00 PM
REMARK / RESULT

SURVEY ITEM Please to check on board for: Pipe Line and Leak test Piping for All System - Fuel Oil System - Oil Water Separator System - Domestic Fresh W.T, Sea water and Sanitary system - Bilge and Ballast System

- Fire Fighting System

* Thanks

Surveyor Note

Acknowledged by,

Surveyor

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