FUEL INFORMATION FORM VISWA LAB nue (ao 22 200 VESSEL! MLV. AL Bion! ond: 1440925 | cosrowex name: UC. L- LB) en LTD. suwenrorT= CpRal TAR ont 0//e/2o1k SUPPLIER VEMA 0(L ComPAny LID. [Rabe oF FUEL: IFO 38OCG ‘To: Bunker Fuel ‘Supplies “The ship's owmerimanager has contracted with VISWALAB for checking th fuel sampling willbe done in accordance with IMO g hereby request you to witness collection of reprea remontsiemartine BN. ° pease ION ity of he bunker ful received onboard. The bunker ‘SS600:2008 (Singapore), as aporopriate. We ‘ody transi point (recetving vessel manifold), Remans Pre-Bunker Transfer — Request to oS Delivered quantity (WT): 57D. mT Density @ 18 deg Cikaims): O-9PHS Sulfur content (%) : 2» £0) Viscosity @ 40150 deg C, cst: 380 SAMPLES COLLECTED AT THE RECEIVING VESSEL'S MANIFOLD = Purpose Vessel Seal no ‘Counter seal no Recorded in Remarks = | Pure cae 2 Vesset retention [WEG97 SE Vescetrotention [WL 9 £3 F Barge retention 64 TF 38 Testing fab 649437 | arr Others Others OTHER SAMPLES: sonics provaed one vessolby apaler which wor collected rom an unknown samping plat hat was rot sgrod ugenby th receive are documented balm. The receiver does not cry that the samples recorded below ae representative of he delivered Siieor The recaver nos acagied ana dacanertad he samples ceed rom supper FOR RECEIPT ONLY WTHOUT PREAUDICE. rose ‘Seal Number T_ Remarks "Taataed(WARPOL] sample as por WARP aL ae o - T ‘Sign & Stamp: Surveyor (If appointed) BAUFEDEX™ Arwayoit/wacking ro: OB Cp. lp Gentle VSWALAB Singapore | Houston! UG) Fujaran_] Date handed over for ipatch ‘Agency responsibiefordispaich” MH RL AAD Gy County TF 350 200 [2FFF Fax: $350 200 F/ £08 Hy ‘Agent’ Ema AP evicy ‘Ship's Email TGR TH Te ToaTS COTTA WHET OTe DOTS ADRES Hoge yew O 5 3 { i g é | Despatch information ‘asistie spent VISNALAB HOUSTON : 12140 Almeda Road. Houston. 1X-770 VISWALAS SINGAPORE 69 Tagore Lane. Singapore 78760, Tel +65-6778 7975, Fax: 65-6778 7481, Ema singspon VISWALAB - URL. : Analytical Services Bulding, New First Avenue, Wien Internaoral Sita, Middlesbrough, Cleveland, TS10 4RG, uk@viswalab.com VISWYALAB iiemational- Fee, Ware house : 117 B, Fujairab Freezone 1, Fujirah, UAE, PO Box : 0234, vaetgMiwalab com Dale a aprons USA. Tal 11-719 842 1985, Fax: +1 (719) 642-1981. Emi: customerhelp@viswalab.com swan com