PT.

MARGO INDONESIA INTERSERVICE

INDEPENDENT SURVEYOR
MARINE SURVEY & CARGO INSPECTION
(Under License of the Government of Republic Indonesia)

NO. 025A/MII/CU/IV/19

LOADING SURVEY REPORT AND CERTIFICATE OF WEIGHT

Name of Vessel :
MT MTM LONDON VOY. 64
Description of goods :
RBD PALM STEARIN IV34 IN BULK
Quantity :
499.942 MT
Port of Loading :
LUBUK GAUNG, INDONESIA
Destination :
AARHUS, DENMARK
PT. INTIBENUA PERKASATAMA
SPRING TOWER, 02 - 21
Shippers :
JL. K.L. YOS SUDARSO TANJUNG MULIA - MEDAN DELI -
MEDAN – SUMATERA UTARA 20241, INDONESIA
THIS IS TO REPORT THAT, we the undersigned PT.MARGO INDONESIA INTERSERVICE as a member
Superintendent of FOSFA International, on behalf of:
CONTROL UNION
have attended prior to, during and after loading, have sampled, as well as conducted the inspection for
cleanliness, dryness and tightness and have determined the quantity of the parcel referred to above shipped
on board captioned vessel and herewith submit our findings as follows :
WEIGHT
The cargo was delivered via shorelines connected with flexible hose connected to manifold into vessel’s tank
no(s). 7P and 8P.
We hereby declare that under our constant supervision, the delivered weights are as follows:
TOTAL QUANTITY SHIPPED WEIGHT: 499.942METRIC TONS
As reported by the supplier concerned the following were distribution of weights:

TIGHTNESS AND CLEANLINESS OF SHIP TANKS, PUMPS AND PIPELINES:

Tank Coating
The vessel’s tank no (s).7P and 8P areSTAINLESS STEELand as far as could be seen did appear in sound
condition without excessive loose scale and/or blisters.
LAST THREE CARGOES:
As declared by the vessel’s officer, the following previous cargoes did not contain any leaded petroleum or other
leaded products on her last three cargoes carried in the tanks.
Ship’s ImmediatePrevious
2nd Previous Cargo 3rd Previous Cargo
Tank no(s) Cargo
7P PHOSPORIC ACID PALM ACID OIL HFFA CRUDE DEGUMMED SOYABEAN OIL
8P PHOSPORIC ACID RBD PALM STEARIN IV-34 CRUDE DEGUMMED SOYABEAN OIL

Therefore on the basis of declaration made by the vessel at the time of loading the last cargo in each of the
relative ship’s tank were a substance appearing on the FOSFA International List of Acceptable Previous
Cargoes in force at the date of Bill of Lading and not on the FOSFA International List of Banned Previous
Cargoes currently in force.

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JL. GADING INDAH RAYA KAV. 8 BLOK C/19-20 – KELAPA GADING–JAKARTA UTARA 14240 Member of:
PHONE: (62 – 21) 45847063 – 45847064 – 45847065
FAX: (62 – 21) 45847072, DIRECT: (62 – 21) 45847069
E-mail:survey@margo-indonesia.com / margo@margo-indonesia.com
 LOADING SURVEY REPORT AND CERTIFICATE OF WEIGHT NO. 025A/MII/CU/IV/19
Page 2 (two)

PRESHIPMENT SAMPLING AND SAMPLING ON BOARD THE SHIP:

Pre-shipment shore tank samples before loading and vessel’s tank samples were drawn in accordance with the
FOSFA International/PORAM/PORIM Process Palm Oil Storage, Transportation, Sampling and Survey guide
ISO 5555.

Shore Tank before loading (pre-shipment) / Vessel’s tank after loading

Eight (8) representative samples were drawn from each shore tank before loading (the nearest practicable point
from vessel’s rail).
Eight (8) fully representative samples were drawn from each of the loaded vessel’s cargo tank of which two (2)
these samples were handed to the vessel’s Master with instruction to hand them over to the receiver at the port
of discharge and one (1) each of these samples submitted to an independent certified analyst licensed by the
Palm Oil Registration and licensing Authority.
The pre-shipment (shore tank) samples as well as further remaining samples retained by us for a period of three
months from date of bill of lading to ensure that these samples be available on demand to any receiver in the
event of a contamination claim.
PARTICULARS AS TO TIME AND PLACE OF LOADING
Inspection : Before and after loading the shore / vessel’s lines were inspected visually and found
to be empty.
Method of loading : Manifold
Time Log : Vessel Arrived : April 02, 2019 at 12.00 Hours Local Time
NOR Tendered : April 02, 2019 at 12.00 Hours Local Time
Vessel berthed : April 03, 2019 at 05.42 Hours Local Time
Surveyor on Board : April 03, 2019 at 06.12 Hours Local Time
Tank Inspected : April 03, 2019 at 06.42 - Hours Local Time
07.42
NOR accepted : April 03, 2019 at 07.42 Hours Local Time
Hose connected : April 03, 2019 at 19.10 Hours Local Time
Loading commenced : April 03, 2019 at 19.30 Hours Local Time
Loading completed : April 03, 2019 at 21.05 Hours Local Time
Hose disconnected : April 03, 2019 at 21.08 Hours Local Time
Ullage / Sampling : April 04, 2019 at 03.15 Hours Local Time
DELIVERED WEIGHT
PT. INTIBENUA PERKASATAMA(ShipperInstallationShore Tanks NoD25/ Manifold)

MEASUREMENT ON SHORE TANKS (SHIPPED WEIGHT WAS ASCERTAINED BASED ON SHORE FIGURES)
SHORE TANK/S ULLAGE VOLUME TEMP. WEIGHT WEIGHT
DENSITY
NO. (IN M) (IN CU. M) (IN DEG. C) (IN MT) (IN MT)
BEFORE D25
AVERY L336 WEIGH TRONIX 499.942
AFTER D25
TOTAL CARGO DELIVERED : 499.942
TOTAL QUANTITY DELIVERED WEIGHT: 499.942 METRIC TONS

MEASUREMENT ON BOARD (FOR INDICATIONAL PURPOSES ONLY)

ULLAGE VOLUME TEMP. WEIGHT
TANKS NO. DENSITY
(IN M) (IN CU. M) (IN DEG. C) (IN MT)
7P 1.346 889.271 62 0.8828 785.048
8P 1.289 1,376.196 62 0.8828 1,214.906
TOTAL CARGO LOADED : 1,999.954
Note: - The above cargo was commingled with other same grade cargo

TOTAL QUANTITY ON BOARD: 1,999.954METRIC TONS

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JL. GADING INDAH RAYA KAV. 8 BLOK C/19-20 – KELAPA GADING–JAKARTA UTARA 14240 Member of:
PHONE: (62 – 21) 45847063 – 45847064 – 45847065
FAX: (62 – 21) 45847072, DIRECT: (62 – 21) 45847069
E-mail:survey@margo-indonesia.com / margo@margo-indonesia.com
 LOADING SURVEY REPORT AND CERTIFICATE OF WEIGHT NO. 025A/MII/CU/IV/19
Page 3 (three)

DRAFT : FWD : 6.00 M AFT : 6.90M LIST : NIL

Gauge taken from : Vessel Ullage point located on main deck
Calculation : By vessel’s calibration table / Density Chart
The above survey represents our findings at the dates and times of inspection only, in accordance with the
relevant data, information and calibration table available at the time of survey.
This report is issued without prejudice to the right of whom so ever party concerned.

Jakarta, April 4, 2019 PT. MARGO INDONESIA INTERSERVICE

Ref. No.: 025A/MII/CU/IV/19 INDEPENDENT SURVEYOR

JL. GADING INDAH RAYA KAV. 8 BLOK C/19-20 – KELAPA GADING–JAKARTA UTARA 14240 Member of:
PHONE: (62 – 21) 45847063 – 45847064 – 45847065
FAX: (62 – 21) 45847072, DIRECT: (62 – 21) 45847069
E-mail:survey@margo-indonesia.com / margo@margo-indonesia.com