Ref.No : MAR – XXXX.

C/COQ/PJ/22
Date : January XX, 2022
CERTIFICATE OF QUALITY

VESSEL’S NAME : LPG/C GAS UTOPIA

PORT OF LOADING : BONTANG, INDONESIA
PORT OF DISCHARGE : PARADEEP, ORISSA, INDIA
QUANTITY SHIPPED ON BOARD : 10.000 MT
DESCRIPTION OF GOODS : FULLY REFRIGERATED ANHYDROUS AMMONIA IN BULK
CONSIGNEE : PARADEP PHOSPHATES LTD,
SHIPPER : PT. PUPUK KALIMANTAN TIMUR

Finding:
QUALITY
The following are average results of analysis on samples which were drawn from loading line
periodically and analysed in the laboratory of PT Pupuk Kalimantan Timur and witnessed by
us, resulting as follows:

FULLY REFRIGERATED ANHYDROUS AMMONIA IN BULK ANALYSIS RESULTS

NH3 99.5 PCT MIN, BY WEIGHT 99.XX PCT
H2O 0.5 PCT MAX, BY WEIGHT 0.XX PCT
OIL 10 PPM MAX, BY WEIGHT 0.XX PPM
TEMPERATURE AROUND MINUS 32.0 CELCIUS DEGREE -XX.XX CELCIUS DEGREE

The shore line had been purged and cooled down before loading operation.

This certificate refers to analysis result only and does not certify any other matter. It reflects our
findings at time and place of inspection only and is issued without prejudice.

Issued by Independent Surveyor

M. Sabar Silaen
General Manager
Ref.No : MAR – XXXX.C/COQ/PJ/22
Date : January XX, 2022

CERTIFICATE OF QUANTITY

VESSEL’S NAME : LPG/C GAS UTOPIA

PORT OF LOADING : BONTANG, INDONESIA
PORT OF DISCHARGE : PARADEEP, ORISSA, INDIA
QUANTITY SHIPPED ON BOARD : 10.000 MT
DESCRIPTION OF GOODS : FULLY REFRIGERATED ANHYDROUS AMMONIA IN BULK
CONSIGNEE : PARADEP PHOSPHATES LTD,
SHIPPER : PT. PUPUK KALIMANTAN TIMUR
Finding:

The Attachments available are integral parts of this certificate.

This certificate refers to analysis result only and does not certify any other matter. It reflects our
findings at time and place of inspection only and is issued without prejudice.

Issued by Independent Surveyor

M. Sabar Silaen
General Manager
 Ref.No : MAR – XXXX.C/COQ/PJ/22
Date : January XX, 2022

QUANTITY CERTIFICATE
QUANTITY CALCULATION

Before loading on January XX, 2022

Ship’s Tank No. 1-P 1-S 2-P 2-S 3-P 3-S

Level Reading Tank Mm

o
Liquid Temperature C
o
Vapor Temperature C

Vapor Pressure Bar

Tape Correction Mm
Density Liquid
Mm
Corrected
Trim Correction Mm

List Correction Mm

Level Corrected Mm

Liquid Volume m3
Shrinkage Factor
 
Liquid
Volume Liquid
m3
Corrected
kg/
Density Liquid
m3
Tonnage Liquid MT

TANK CAPACITY m3

Volume Vapor m3
Shrinkage Factor
 
Vapor
Vol. Vapor Corrected m3

Vapor Factor

Tonnage Vapor m/t

Total Tonnage NH3 m/t

Draft : Forward : X.XX m Total Vapor : XX.XXX M/T In Vacuo

After : X.XX m Total Liquid : XX.XXX M/T In Vacuo
Trim : X.XX m Total Cargo On Board : XXX.XXX M/T In Vacuo
List : Zero
Ref.No : MAR – XXXX.C/COQ/PJ/22
Date : January XX, 2022
QUANTITY CERTIFICATE
QUANTITY CALCULATION
After loading on January XX, 2022
Ship’s Tank No. 1-P 1-S 2-P 2-S 3-P 3-S

Level Reading Tank Mm

o
Liquid Temperature C
o
Vapor Temperature C

Vapor Pressure Bar

M
Tape Correction
m
Density Liquid M
Corrected m
M
Trim Correction
m
M
List Correction
m
M
Level Corrected
m
Liquid Volume m3
Shrinkage Factor
 
Liquid
Volume Liquid
m3
Corrected
kg/
Density Liquid
m3
Tonnage Liquid MT

TANK CAPACITY m3

Volume Vapor m3
Shrinkage Factor
 
Vapor
Vol. Vapor
m3
Corrected
Vapor Factor
m/
Tonnage Vapor
t
m/
Total Tonnage NH3
t

Draft : Forward : X.XX m Total Vapor : X.XXX M/T in Vacuo

After : X.XX m Total Liquid : XX,XXX.XXX M/T in Vacuo
Trim : X.XX m Total Cargo on Board : XX,XXX.XXX M/T in Vacuo
List : Zero Total Cargo Before Loading : XXX.XXX M/T in Vacuo
Total Cargo Loaded : XX,XXX.XXX M/T in Vacuo
Quantity Part 1 : X,XXX.XXX M/T in Vacuo
Quantity Part 2 : X,XXX.XXX M/T in Vacuo
Quantity Part 3 : 10.000 M/T in Vacuo
This certificate refers to quantity only and does not certify any other matter. It reflects our findings at time and place of Inspection only and is issued without
prejudice.
Ref.No : MAR – XXXX.C/TS/PJ/22
Date : January XX, 2022
TIME SHEET

VESSEL’S NAME : LPG/C GAS UTOPIA

PORT OF LOADING : BONTANG, INDONESIA
PORT OF DISCHARGE : SINGAPORE
QUANTITY SHIPPED ON BOARD : MT
DESCRIPTION OF GOODS : FULLY REFRIGERATED ANHYDROUS AMMONIA IN BULK
CONSIGNEE : EVONIK METHIONINE SEA PTE LTD,
SHIPPER : PT. PUPUK KALIMANTAN TIMUR

January XX, 2022

08:30 – Vessel Arrived
09:18 – N.O.R Tendered
09:18 – Vessel Anchored
11:00 – Free Pratique Granted

January XX, 2022

07:30 – Anchors Aweigh
07:54 – Pilot On Board
09:36 – All Fast
09:55 – Inspector On Board
10:00 – Tank Inspection
10:40 – Loading Arm Connected
11:00 – N.O.R Accepted
12:24 – Loading Commenced

January XX, 2022

01:54 – Loading Completed
02:06 – Cargo Calculation
03:10 – Document Completed

-----------------------------------------------------------------------

Issued by Independent Surveyor

M. Sabar Silaen
General Manager