SEVEN ISLANDS SHIPPING LTD.

Authorised By CPMF-03-03-06
Removal Report Page 1 of 1
DPA Rev.1 Dt: 01/01/2020

M.T. CLASSIC Port: FUJAIRAH "B" ANCHORAGE

Date: 23.01.21 Removal Report no: 003/2021

Description of Items Landed:

1 EEBD 13 NOS
2 FOAM 45 LIT 02 NOS
3 9 LIT FOAM EXTINGUISHER 71 NOS
4 6.5 KG CO2 EXTINGUISHER 26 NOS
5 2 KG DCP 04 NOS
6 9KG DCP 05 NOS
7

Reason For Landing

(viz For repair, return to supplier, transfer to other vessel of comp, scrap……………….etc)
ANNUAL / 3 YEARLY/ 5 YEARLY SEVICE

Items Addressed To:

ARC SHIP MANAGEMENT & CHARTERING L.L.C

Items Collected By :

Signature and Designation :

Items Recived Back : Date:

Remarks:

Head of Department
Original : SEVEN ISLANDS SHIPPING LTD.
Copy : Ships File (To be returned to office on receiving goods)
Copy : Person Addressed to the Item with Remarks