Certificate of Cleansiness For ISO LPG Example

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CLEANLINESS CERTIFIC ATE

Tank container nr.

I
Inspection time

Inspection date

Inspection location

Last cargo carried

!....

Cleaning co. :

._!

_______,

! _A__
______________,!U N N O : ._N

EXTERIOR
Frame, tank and walkways free of cantamination and cargo
Manlid and valve compartments free of contamination and cargo
Serial numbers and statutory markings legible
Cargo labels removed

Yes
Yes
Yes
Yes

INTERIOR
Entry made into tank by surveyor
Free from odour
Clean and free from all cargo and contamination
Free from corrosion or pitting (if no, report details below)
Dry

Yes
Yes
Yes
Yes
Yes

VALVES/FITTINGS free from all cargo and contamination


Valves
Manlid seal
Syphon tube
Spillage drain tubes clear
Gas free entry permit issued

Yes
Yes
Yes
Yes
Yes

----------------'

X
X
X
X
X

X
X
X

emarks: .
A thorough visual examination has been carried out and the interior of the tank, valves and fittings
are free of contamination, previous cargo and odour. The tank is clean and dry.

Name

Signed

Date

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