Bunker Report for Petroleum Product Discharge

: ………………………………..Vessel : ……………………………………………. Port/Terminal

: …….. / …… / ……..Cargo : ……………………………………………. Date

Motor Turbine

A. Vessel History From Chief Engineer

Grade : ______________________________________________________
Average bunker consumption per day while at sea ………… M Tons
Average bunker consumption per day while on port ………… M Tons
Average bunker consumption per day while at anchor ………… M Tons
B. Present Voyage
Last port of call : _________________________________ Sailed on ____________________
Bunker on sailing : ____________ Mtons Quality API @ 60°F ______
(Last Supply) Density@ 15°C _______

C. Inspection Carried Out Upon Arrival DATE: _____/ ____/ ____ TIME: _______ hrs
Tank Ullage Corrected Ullage Volume Temperature Density
WCF T- ….. Metric Tons
Nos. (M) (M) ( M3 ) ( °C ) @15°C

C. Inspection Carried Out Upon Departure DATE: _____/ ____/ ____ TIME: _______ hrs
Ullage Corrected Ullage Volume Temperature
Tank Density
WCF T- ….. Metric Tons
Nos. (M) (M) ( M3 ) ( °C ) @15°C

D. Summary Calculations
m3@15°C bbls@60°F W.C.F M/tons L/tons
Upon Arrival
Prior Sailing
Difference
Consumed
Received
Terminal Representative Master / Chief Officer PT. SUCOFINDO (Persero)
: ……………………………Name : ……………………………Name : ……………………………Name
: ………………………Signature : ….…………………...Signature : ….…………………...Signature

This certificate/report is issued under our General Terms and Conditions, copy of which is availiable upon request or may be accessed at
www.sucofindo.co.id

FOR/MIG-OPS/100 Rev : 01 Tgl berlaku 21/10/2016 Hal 1 dari 1

 Form Petroleum Product (Discharge)

FOR/MIG-OPS/100 Rev : 01 Tgl berlaku 21/10/2016 Hal 1 dari 1