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Last 3 cargoes and Tank Cleaning Method

Port: Date:
Voyage #:

CARGO TANK Last cargo Second Last Third Last TANK CLEANING METHOD

1P

1S

2P

2S

3P

3S

4P

4S

5P

5S

6P

6S

7P

7S

SLOP Port

Slop Stbd

Signature of Surveyor Master / Chief Officer

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