ISI DISINI

JANGAN LUPA CEK DULU BARU PRINT

HABIS ISI TERUS SAVE
NAMA KAPAL KLM. TIKA RAHMAT 1
SURVEYOR CARMELIUS PETRUS DEPA
SUPPLIER PT. KUTAI REFINERY NUSANTARA
PRINCIPAL/REPRESENTING PT. BUMI SAWIT WIJAYA
PORT LOADING PELAWAN, SANGKULIRANG
PORT DISCHARGE KRN BALIKPAPAN
CARGO/COMODITY : PALM KERNEL, IN BAGS
QUANTITY 301.134
DATE August 2021
QTY/COMODITY 2200 MT / CPO
LOAD/DISCHARGE SEI KERANG / GRESIK
INSTALASI/TERMINAL PT. MULTI MITRA MAKMUR ALAM
CONSIGNE PT. WILMAR NABATI INDONESIA
SHIPPER/PRINCIPAL PT. M3A / PT. WINA
REMAKS DATE APRIL 2021
CARGO TANK LOADE 1,2,3,4,5,6,7,8
CO
MASTER LOADING
Kalo memang bulan di Statement
Of fact beda buka sheetnya pilih
sheetnya terus passwordnya
insurindo 1

Date TRUCK GROSS TARE NETTO KARUNG

 INDEPENDENT SURVEYOR
B&G Tower Level 11,Jl. Putri Hijau No. 10 Medan, North Sumatera-Indonesia
Ph. +626180010033 (Hunting), Fax. +626180010041/80010042
Email: contact@insurindo.com

WEIGHT LIST
Sheet No. 1
Vessel : KLM. TIKA RAHMAT 1 Commodity : PALM KERNEL, IN BAGS
Principal : PT. BUMI SAWIT WIJAYA Shore/Ship Tank :
Place of Intervention : PT. KUTAI REFINERY NUSANTARA Date :
No Truck Number Gross Tare Netto Remarks
1 KT 8852 OT 13320 4440 8880
2 KT 8661 CN 11880 4240 7640
3 KT 8915 CC 13390 4480 8910
4 KT 8654 OT 13520 4600 8920
5 KT 8852 OT 13620 4440 9180
6 KT 8661 CN 12110 4240 7870
7 KT 8915 CC 13350 4480 8870
8 KT 8654 OT 13440 4600 8840 69110
9 KT 8852 OT 13470 4440 9030
10 KT 8661 CN 11710 4240 7470 16500
Sub Total 129810 44200 85610
11 KT 8915 CC 13540 4480 9060
12 13610 4600 9010
13 13750 4440 9310
14 11720 4240 7480
15 13330 4480 8850 43710
16 13430 4600 8830
17 13550 4440 9110
18 12860 4240 8620
19 9170 4480 4690
20 13290 4580 8710 39960
Sub Total 128250 44580 83670
21 13230 4410 8820
22 13700 4580 9120
23 12100 4260 7840
24 13160 4470 8690
25 13400 4410 8990
26 13620 4580 9040
27 12210 4260 7950
28 13360 4470 8890
29 13440 4410 9030 78370
30 13190 4580 8610
Sub Total 131410 44430 86980
Total 389470 133210 256260
Pindahan - - -
Total Keseluruhan 389470 133210 256260

Remarks: 550000
293740

Yours Faithfully, Acknowledge Receipt by,

CARMELIUS PETRUS DEPA 0

Attending Surveyor Installation / Terminal

F-OPS-010 / Rev. 1
 INDEPENDENT SURVEYOR
B&G Tower Level 11,Jl. Putri Hijau No. 10 Medan, North Sumatera-Indonesia
Ph. +626180010033 (Hunting), Fax. +626180010041/80010042
Email: contact@insurindo.com

WEIGHT LIST
Sheet No. 2
Vessel : KLM. TIKA RAHMAT 1 Commodity : PALM KERNEL, IN BAGS
Principal : PT. BUMI SAWIT WIJAYA Shore/Ship Tank :
Place of Intervention : PT. KUTAI REFINERY NUSANTARA Date :
No Truck Number Gross Tare Netto Remarks
31 KT 8661 CN 12940 4260 8680
32 KT 8654 OT 14030 4570 9460
33 KT 8852 OT 13440 4410 9030
34 KT 8915 CC 13110 4470 8640
35 KT 8661 CN 12750 4260 8490
36 KT 8654 OT 13200 4570 8630
37 KT 8852 OT 13990 4410 9580
38 KT 8661 CN 13000 4260 8740 71250
39 KT 8654 OT 13610 4570 9040
40 KT 8852 OT 13490 4410 9080 18120
Sub Total 133560 44190 89370
41 KT 8661 CN 12840 4260 8580
42 KT 8654 OT 13610 4580 9030
43 KT 8852 OT 13560 4400 9160
44 KT 8661 CN 12410 4260 8150
45 KT 8654 OT 13860 4580 9280
46 KT 8852 OT 13880 4400 9480
47 KT 8661 CN 12620 4260 8360
48 KT 8915 CC 13240 4460 8780
49 KT 8654 OT 13510 4580 8930 79750
50 KT 8852 OT 13710 4400 9310
Sub Total 133240 44180 89060
51 KT 8661 CN 13330 4250 9080
52 KT 8915 CC 14050 4480 9570
53 KT 8852 OT 13350 4400 8950
54 KT 8654 OT 13680 4570 9110
55 KT 8661 CN 12990 4250 8740 8/4/2021
56 KT 8915 CC 13440 4480 8960 8/5/2021
57 KT 8852 OT 12890 4400 8490
58 KT 8654 OT 13440 4570 8870
59 KT 8661 CN 12720 4250 8470
60 KT 8915 CC 13580 4480 9100 89340
Sub Total 133470 44130 89340
Total 400270 132500 267770
Pindahan 389470 133210 256260
Total Keseluruhan 789740 265710 524030

Remarks: 550000
25970

Yours Faithfully, Acknowledge Receipt by,

CARMELIUS PETRUS DEPA 0

Attending Surveyor Installation / Terminal

F-OPS-010 / Rev. 1
 INDEPENDENT SURVEYOR
B&G Tower Level 11,Jl. Putri Hijau No. 10 Medan, North Sumatera-Indonesia
Ph. +626180010033 (Hunting), Fax. +626180010041/80010042
Email: contact@insurindo.com

WEIGHT LIST
Sheet No. 3
Vessel : KLM. TIKA RAHMAT 1 Commodity : PALM KERNEL, IN BAGS
Principal : PT. BUMI SAWIT WIJAYA Shore/Ship Tank : ………….. ,07
Place of Intervention : PT. KUTAI REFINERY NUSANTARA Date : 05-06/08/2021
No Truck Number Gross Tare Netto Remarks
61 KT 8654 OT 13230 4570 8660
62 KT 8852 OT 13860 4400 9460
63
64
65
66
67
68
69
70
Sub Total 27090 8970 18120
71
72
73
74
75
76
77
78
79 0
80 0
Sub Total 0 0 0
81 0
82 0
83 0
84 0
85 0
86 0
87 0
88 0
89 0
90 0
Sub Total 0 0 0
Total 27090 8970 18120
Pindahan 789740 265710 524030
Total Keseluruhan 816830 274680 542150

Remarks: 550000
7850

644730 2900
Yours Faithfully, -636880 -2900 Acknowledge Receipt by,
2900 -36.94

CARMELIUS PETRUS DEPA -639780 0

Attending Surveyor Installation / Terminal

F-OPS-010 / Rev. 1
 INDEPENDENT SURVEYOR
B&G Tower Level 11,Jl. Putri Hijau No. 10 Medan, North Sumatera-Indonesia
Ph. +626180010033 (Hunting), Fax. +626180010041/80010042
Email: contact@insurindo.com

WEIGHT LIST
Sheet No. 4
Vessel : KLM. TIKA RAHMAT 1 Commodity : PALM KERNEL, IN BAGS
Principal : PT. BUMI SAWIT WIJAYA Shore/Ship Tank : ………….. ,07
Place of Intervention : PT. KUTAI REFINERY NUSANTARA Date : 06/08/2021
No Truck Number Gross Tare Netto Remarks
91 8630 3590 5040
92 9838 8990 3600 5390
93 9839 8360 3530 4830
94 9725 8500 3590 4910
95 8790 3610 5180
96 8690 3530 5160
97 8870 3590 5280
98 8580 3590 4990
99 8760 3530 5230
100 9100 3610 5490
Sub Total 87270 35770 51500
101 8600 3530 5070
102 8350 3590 4760
103 9060 3610 5450
104 8590 3590 5000
105 8730 3530 5200
106 9170 3600 5570
107 9480 3550 5930
108 8300 3550 4750
109 8380 3610 4770
110 8870 3600 5270
Sub Total 87530 35760 51770
111 8790 3550 5240
112 9360 3600 5760
113 8680 3610 5070
114 8780 3550 5230
115 9610 3580 6030
116 8710 3610 5100
117 8680 3550 5130
118 9450 3600 5850
119 8580 3610 4970
120 8920 3550 5370
Sub Total 89560 35810 53750
Total 264360 107340 157020
Pindahan 816830 274680 542150
Total Keseluruhan 1081190 382020 699170

Remarks:

Yours Faithfully, Acknowledge Receipt by,

CARMELIUS PETRUS DEPA 0

Attending Surveyor Installation / Terminal

F-OPS-010 / Rev. 1
 INDEPENDENT SURVEYOR
B&G Tower Level 11,Jl. Putri Hijau No. 10 Medan, North Sumatera-Indonesia
Ph. +626180010033 (Hunting), Fax. +626180010041/80010042
Email: contact@insurindo.com

WEIGHT LIST
Sheet No. 5
Vessel : KLM. TIKA RAHMAT 1 Commodity : PALM KERNEL, IN BAGS
Principal : PT. BUMI SAWIT WIJAYA Shore/Ship Tank : ………….. ,07
Place of Intervention : PT. KUTAI REFINERY NUSANTARA Date :
No Truck Number Gross Tare Netto Remarks
121 9420 3600 5820
122 8700 3600 5100
123 8880 3550 5330
124 9560 3600 5960
125 8660 3600 5060
126 8450 3540 4910
127 9110 3600 5510
128 8970 3600 5370
129 7480 3540 3940
130 8570 3600 4970
Sub Total 87800 35830 51970
131 9320 3610 5710
132 9510 3550 5960
133 8660 3600 5060
134 9940 3610 6330
135 9580 3550 6030
136 9120 3600 5520
137 9880 3610 6270
138 9130 3550 5580
139 10040 3600 6440
140 10850 3610 7240
Sub Total 96030 35890 60140
141 11240 3550 7690
142 10110 3590 6520 6-Aug
143 8430 3600 4830 7-Aug
144 9760 3550 6210
145 8870 3610 5260
146 10400 3590 6810
147 8920 3550 5370
148 8560 3610 4950
149 9330 3590 5740
150 9040 3560 5480
Sub Total 94660 35800 58860
Total 278490 107520 170970
Pindahan 1081190 382020 699170
Total Keseluruhan 1359680 489540 870140

Remarks:

Yours Faithfully, Acknowledge Receipt by,

CARMELIUS PETRUS DEPA 0

Attending Surveyor Installation / Terminal

F-OPS-010 / Rev. 1
 INDEPENDENT SURVEYOR
B&G Tower Level 11,Jl. Putri Hijau No. 10 Medan, North Sumatera-Indonesia
Ph. +626180010033 (Hunting), Fax. +626180010041/80010042
Email: contact@insurindo.com

WEIGHT LIST
Sheet No.
Vessel : KLM. TIKA RAHMAT 1 Commodity : PALM KERNEL, IN BAGS
Principal : PT. BUMI SAWIT WIJAYA Shore/Ship Tank : ………….. ,07
Place of Intervention : PT. KUTAI REFINERY NUSANTARA Date :
No Truck Number Gross Tare Netto Remarks
151 8380 3610 4770
152 8630 3600 5030
153 8640 3560 5080
154 8440 3560 4880
155 8780 3620 5160
156 10040 3610 6430
157 8890 3550 5340
158 9060 3590 5470
159 8050 3610 4440
160 8240 3560 4680
Sub Total 87150 35870 51280
161 8300 3600 4700
162 8530 3610 4920
163 8030 3550 4480
164 8270 3600 4670
165 8430 3550 4880
166 8670 3610 5060
167 8660 3600 5060
168 8160 3560 4600
169 8530 3600 4930
170 8770 3610 5160
Sub Total 84350 35890 48460
171 8210 3560 4650
172 8270 3600 4670
173 8460 3560 4900
174 8250 3540 4710
175 8930 3600 5330
176 8310 3600 4710
177 8760 3530 5230
178 8360 3600 4760
179 8630 3600 5030
180 9290 3530 5760
Sub Total 85470 35720 49750
Total 256970 107480 149490
Pindahan 1359680 489540 870140
Total Keseluruhan 1616650 597020 1019630

Remarks:

Yours Faithfully, Acknowledge Receipt by,

CARMELIUS PETRUS DEPA 0

Attending Surveyor Installation / Terminal

F-OPS-010 / Rev. 1
 INDEPENDENT SURVEYOR
B&G Tower Level 11,Jl. Putri Hijau No. 10 Medan, North Sumatera-Indonesia
Ph. +626180010033 (Hunting), Fax. +626180010041/80010042
Email: contact@insurindo.com

WEIGHT LIST
Sheet No.
Vessel : KLM. TIKA RAHMAT 1 Commodity : PALM KERNEL, IN BAGS
Principal : PT. BUMI SAWIT WIJAYA Shore/Ship Tank : ………….. ,07
Place of Intervention : PT. KUTAI REFINERY NUSANTARA Date :
No Truck Number Gross Tare Netto Remarks
181 8520 3600 4920
182 8960 3590 5370
183 9120 3530 5590
184 8960 3600 5360
185 8090 3600 4490
186 8220 3540 4680
187 8920 3600 5320
188 8350 3600 4750
189 8540 3540 5000
190 8480 3540 4940
Sub Total 86160 35740 50420
191 8700 3590 5110
192 8190 3600 4590
193 8630 3540 5090
194 8830 3600 5230
195 8500 3530 4970
196 8270 3600 4670
197 8930 3610 5320
198 8470 3540 4930
199 8280 3600 4680
200 8860 3590 5270
Sub Total 85660 35800 49860
201 8750 3540 5210
202 9500 3600 5900
203 8670 3600 5070
204 10220 3540 6680
205 9920 3600 6320
206 8350 3600 4750
207 9530 3540 5990
208 9140 3600 5540
209 8500 3600 4900
210 8540 3540 5000
Sub Total 91120 35760 55360
Total 262940 107300 155640
Pindahan 1616650 597020 1019630
Total Keseluruhan 1879590 704320 1175270

Remarks:

Yours Faithfully, Acknowledge Receipt by,

CARMELIUS PETRUS DEPA 0

Attending Surveyor Installation / Terminal

F-OPS-010 / Rev. 1
 INDEPENDENT SURVEYOR
B&G Tower Level 11,Jl. Putri Hijau No. 10 Medan, North Sumatera-Indonesia
Ph. +626180010033 (Hunting), Fax. +626180010041/80010042
Email: contact@insurindo.com

WEIGHT LIST
Sheet No.
Vessel : KLM. TIKA RAHMAT 1 Commodity : PALM KERNEL, IN BAGS
Principal : PT. BUMI SAWIT WIJAYA Shore/Ship Tank : ………….. ,07
Place of Intervention : PT. KUTAI REFINERY NUSANTARA Date :
No Truck Number Gross Tare Netto Remarks
211 8050 3610 4440 7-Aug
212 6540 3590 2950 8-Aug
213 6850 3540 3310
214 7210 3590 3620
215 7180 3540 3640
216 7340 3580 3760
217 7080 3540 3540
218 8580 3590 4990
219 8400 3550 4850
220 8880 3590 5290
Sub Total 76110 35720 40390
221 8630 3580 5050
222 9490 3540 5950
223 11930 3600 8330
224 10840 3590 7250
225 10050 3540 6510
226 9100 3590 5510
227 10030 3590 6440
228 8890 3550 5340
229 9360 3590 5770
230 9400 3600 5800
Sub Total 97720 35770 61950
231 8200 3550 4650
232 8640 3580 5060
233 8800 3600 5200
234 8750 3550 5200
235 8860 3590 5270
236 9000 3550 5450
237 9430 3590 5840
238 9210 3600 5610
239 8430 3550 4880
240 8840 3590 5250
Sub Total 88160 35750 52410
Total 261990 107240 154750
Pindahan 1879590 704320 1175270
Total Keseluruhan 2141580 811560 1330020

Remarks:

Yours Faithfully, Acknowledge Receipt by,

CARMELIUS PETRUS DEPA 0

Attending Surveyor Installation / Terminal

F-OPS-010 / Rev. 1
 INDEPENDENT SURVEYOR
B&G Tower Level 11,Jl. Putri Hijau No. 10 Medan, North Sumatera-Indonesia
Ph. +626180010033 (Hunting), Fax. +626180010041/80010042
Email: contact@insurindo.com

WEIGHT LIST
Sheet No.
Vessel : KLM. TIKA RAHMAT 1 Commodity : PALM KERNEL, IN BAGS
Principal : PT. BUMI SAWIT WIJAYA Shore/Ship Tank : ………….. ,07
Place of Intervention : PT. KUTAI REFINERY NUSANTARA Date :
No Truck Number Gross Tare Netto Remarks
241 8960 3600 5360
242 8460 3550 4910
243 8780 3590 5190
244 8560 3590 4970
245 8520 3550 4970
246 8620 3590 5030
247 10870 3590 7280
248 9290 3590 5700
249 8320 3540 4780
250 8540 3600 4940
Sub Total 88920 35790 53130
251 8930 3590 5340
252 9080 3540 5540
253 8660 3600 5060
254 9110 3590 5520
255 8850 3540 5310
256 9090 3590 5500
257 8440 3600 4840
258 8410 3540 4870
259 8650 3590 5060
260 8620 3600 5020
Sub Total 87840 35780 52060
261 8090 3540 4550
262 8820 3590 5230
263 8280 3600 4680
264 7910 3540 4370
265 8730 3590 5140
266 9110 3590 5520
267 8640 3540 5100
268 8580 3600 4980
269 8850 3590 5260
270 8740 3540 5200
Sub Total 85750 35720 50030
Total 262510 107290 155220
Pindahan 2141580 811560 1330020
Total Keseluruhan 2404090 918850 1485240

Remarks:

Yours Faithfully, Acknowledge Receipt by,

CARMELIUS PETRUS DEPA 0

Attending Surveyor Installation / Terminal

F-OPS-010 / Rev. 1
 INDEPENDENT SURVEYOR
B&G Tower Level 11,Jl. Putri Hijau No. 10 Medan, North Sumatera-Indonesia
Ph. +626180010033 (Hunting), Fax. +626180010041/80010042
Email: contact@insurindo.com

WEIGHT LIST
Sheet No.
Vessel : KLM. TIKA RAHMAT 1 Commodity : PALM KERNEL, IN BAGS
Principal : PT. BUMI SAWIT WIJAYA Shore/Ship Tank : ………….. ,07
Place of Intervention : PT. KUTAI REFINERY NUSANTARA Date :
No Truck Number Gross Tare Netto Remarks
271 8440 3600 4840
272 8680 3590 5090
273 8340 3540 4800
274 8280 3600 4680
275 9280 3590 5690
276 8450 3540 4910
277 8670 3600 5070
278 7980 3540 4440
279 8250 3600 4650
280 8700 3600 5100
Sub Total 85070 35800 49270
281 8020 3540 4480
282 8420 3600 4820
283 8730 3600 5130
284 8040 3540 4500
285 8420 3600 4820
286 8610 3600 5010
287 8350 3550 4800
288 8090 3600 4490
289 8560 3590 4970
290 8070 3550 4520 8-Aug
Sub Total 83310 35770 47540
291 7650 3590 4060 9-Aug
292 7680 3550 4130
293 9290 3600 5690
294 7990 3590 4400
295 8390 3550 4840
296 7960 3590 4370
297 8300 3550 4750
298 8860 3600 5260
299 8200 3590 4610
300 8140 3550 4590
Sub Total 82460 35760 46700
Total 250840 107330 143510
Pindahan 2404090 918850 1485240
Total Keseluruhan 2654930 1026180 1628750

Remarks:

Yours Faithfully, Acknowledge Receipt by,

CARMELIUS PETRUS DEPA 0

Attending Surveyor Installation / Terminal

F-OPS-010 / Rev. 1
 INDEPENDENT SURVEYOR
B&G Tower Level 11,Jl. Putri Hijau No. 10 Medan, North Sumatera-Indonesia
Ph. +626180010033 (Hunting), Fax. +626180010041/80010042
Email: contact@insurindo.com

WEIGHT LIST
Sheet No.
Vessel : KLM. TIKA RAHMAT 1 Commodity : PALM KERNEL, IN BAGS
Principal : PT. BUMI SAWIT WIJAYA Shore/Ship Tank : ………….. ,07
Place of Intervention : PT. KUTAI REFINERY NUSANTARA Date :
No Truck Number Gross Tare Netto Remarks
301 8830 3600 5230
302 8480 3550 4930
303 8910 3590 5320
304 8930 3600 5330
305 8370 3550 4820
306 8580 3590 4990
307 8400 3550 4850
308 8760 3600 5160
309 8490 3590 4900
310 8370 3550 4820
Sub Total 86120 35770 50350
311 8500 3600 4900
312 8700 3590 5110
313 8820 3600 5220
314 8630 3550 5080
315 8900 3590 5310
316 9120 3550 5570
317 8220 3600 4620
318 9100 3590 5510
319 8450 3550 4900
320 8120 3600 4520
Sub Total 86560 35820 50740
321 8240 3590 4650
322 8100 3550 4550
323 7960 3600 4360
324 8140 3600 4540
325 7550 3550 4000
326 8360 3590 4770
327 7650 3530 4120
328 8330 3590 4740
329 7950 3530 4420
330 8290 3590 4700
Sub Total 80570 35720 44850
Total 253250 107310 145940
Pindahan 2654930 1026180 1628750
Total Keseluruhan 2908180 1133490 1774690

Remarks:

Yours Faithfully, Acknowledge Receipt by,

CARMELIUS PETRUS DEPA 0

Attending Surveyor Installation / Terminal

F-OPS-010 / Rev. 1
 INDEPENDENT SURVEYOR
B&G Tower Level 11,Jl. Putri Hijau No. 10 Medan, North Sumatera-Indonesia
Ph. +626180010033 (Hunting), Fax. +626180010041/80010042
Email: contact@insurindo.com

WEIGHT LIST
Sheet No.
Vessel : KLM. TIKA RAHMAT 1 Commodity : PALM KERNEL, IN BAGS
Principal : PT. BUMI SAWIT WIJAYA Shore/Ship Tank : ………….. ,07
Place of Intervention : PT. KUTAI REFINERY NUSANTARA Date :
No Truck Number Gross Tare Netto Remarks
331 11570 3590 7980
332 7970 3530 4440
333 8570 3590 4980
334 7950 3530 4420
335 8150 3590 4560
336 7640 3580 4060
337 8220 3530 4690
338 7920 3590 4330
339 8230 3530 4700
340 7930 3580 4350
Sub Total 84150 35640 48510
341 8120 3600 4520
342 7880 3530 4350
343 7760 3580 4180
344 8260 3590 4670
345 8200 3530 4670
346 7650 3590 4060
347 8090 3590 4500
348 8030 3530 4500
349 7700 3580 4120
350 7820 3590 4230
Sub Total 79510 35710 43800
351 7880 3530 4350
352 7680 3590 4090
353 8310 3580 4730
354 7930 3530 4400
355 8020 3600 4420
356 7980 3530 4450
357 8190 3590 4600
358 7640 3590 4050
359 7720 3530 4190
360 7580 3600 3980
Sub Total 78930 35670 43260
Total 242590 107020 135570
Pindahan 2908180 1133490 1774690
Total Keseluruhan 3150770 1240510 1910260

Remarks:

Yours Faithfully, Acknowledge Receipt by,

CARMELIUS PETRUS DEPA 0

Attending Surveyor Installation / Terminal

F-OPS-010 / Rev. 1
 INDEPENDENT SURVEYOR
B&G Tower Level 11,Jl. Putri Hijau No. 10 Medan, North Sumatera-Indonesia
Ph. +626180010033 (Hunting), Fax. +626180010041/80010042
Email: contact@insurindo.com

WEIGHT LIST
Sheet No.
Vessel : KLM. TIKA RAHMAT 1 Commodity : PALM KERNEL, IN BAGS
Principal : PT. BUMI SAWIT WIJAYA Shore/Ship Tank : ………….. ,07
Place of Intervention : PT. KUTAI REFINERY NUSANTARA Date :
No Truck Number Gross Tare Netto Remarks
361 7740 3590 4150
362 7650 3530 4120
363 7510 3600 3910
364 7640 3590 4050
365 7590 3530 4060
366 7610 3600 4010
367 7510 3530 3980
368 7770 3590 4180
369 7820 3600 4220
370 7890 3530 4360
Sub Total 76730 35690 41040
371 7880 3590 4290
372 7680 3600 4080
373 7410 3530 3880 9-Aug
374 7860 3540 4320 10-Aug
375 8130 3600 4530
376 7490 3600 3890
377 8400 3540 4860
378 8710 3600 5110
379 8200 3540 4660
380 8750 3600 5150
Sub Total 80510 35740 44770
381 8560 3600 4960
382 8580 3540 5040
383 7500 3590 3910
384 8770 3600 5170
385 8780 3540 5240
386 8620 3600 5020
387 7630 3600 4030
388 8690 3540 5150
389 8790 3600 5190
390 9190 3590 5600
Sub Total 85110 35800 49310
Total 242350 107230 135120
Pindahan 3150770 1240510 1910260
Total Keseluruhan 3393120 1347740 2045380

Remarks:

Yours Faithfully, Acknowledge Receipt by,

CARMELIUS PETRUS DEPA 0

Attending Surveyor 1500000 Installation / Terminal

F-OPS-010 / Rev. 1 545380

 INDEPENDENT SURVEYOR
B&G Tower Level 11,Jl. Putri Hijau No. 10 Medan, North Sumatera-Indonesia
Ph. +626180010033 (Hunting), Fax. +626180010041/80010042
Email: contact@insurindo.com

WEIGHT LIST
Sheet No.
Vessel : KLM. TIKA RAHMAT 1 Commodity : PALM KERNEL, IN BAGS
Principal : PT. BUMI SAWIT WIJAYA Shore/Ship Tank : ………….. ,07
Place of Intervention : PT. KUTAI REFINERY NUSANTARA Date :
No Truck Number Gross Tare Netto Remarks
391 8200 3540 4660
392 8700 3600 5100
393 8610 3540 5070
394 8230 3590 4640
395 8800 3600 5200
396 8190 3540 4650
397 7870 3590 4280
398 8040 3540 4500
399 8330 3600 4730
400 8460 3540 4920
Sub Total 83430 35680 47750
401 8900 3600 5300
402 8430 3590 4840
403 8370 3540 4830
404 8720 3600 5120
405 9140 3590 5550
406 9180 3540 5640
407 8370 3600 4770
408 8920 3540 5380
409 8860 3600 5260
410 9190 3590 5600
Sub Total 88080 35790 52290
411 9320 3540 5780
412 9160 3600 5560
413 9210 3540 5670
414 10520 3600 6920
415 7690 3540 4150
416 6590 3590 3000
417 8090 3600 4490
418 8070 3540 4530
419 7140 3590 3550
420 8370 3600 4770
Sub Total 84160 35740 48420
Total 255670 107210 148460
Pindahan 3393120 1347740 2045380
Total Keseluruhan 3648790 1454950 2193840

Remarks:

Yours Faithfully, Acknowledge Receipt by,

CARMELIUS PETRUS DEPA 0

Attending Surveyor 1500000 Installation / Terminal

F-OPS-010 / Rev. 1 693840

 INDEPENDENT SURVEYOR
B&G Tower Level 11,Jl. Putri Hijau No. 10 Medan, North Sumatera-Indonesia
Ph. +626180010033 (Hunting), Fax. +626180010041/80010042
Email: contact@insurindo.com

WEIGHT LIST
Sheet No.
Vessel : KLM. TIKA RAHMAT 1 Commodity : PALM KERNEL, IN BAGS
Principal : PT. BUMI SAWIT WIJAYA Shore/Ship Tank : ………….. ,07
Place of Intervention : PT. KUTAI REFINERY NUSANTARA Date :
No Truck Number Gross Tare Netto Remarks
421 8450 3540 4910
422 7230 3590 3640
423 8220 3600 4620
424 8340 3540 4800
425 7160 3590 3570
426 8200 3600 4600
427 8400 3540 4860
428 7150 3590 3560
429 8610 3600 5010
430 7770 3540 4230
Sub Total 79530 35730 43800
431 7280 3590 3690
432 7870 3600 4270
433 7440 3530 3910
434 7910 3590 4320
435 7280 3590 3690
436 8990 3530 5460
437 9240 3590 5650
438 7930 3590 4340
439 8370 3530 4840
440 7400 3530 3870
Sub Total 79710 35670 44040
441 8100 3590 4510
442 8260 3590 4670
443 7910 3590 4320
444 7840 3530 4310
445 9460 3590 5870
446 8360 3590 4770
447 8320 3530 4790 10-Aug
448 6070 3520 2550 12-Aug
449 7850 3600 4250
450 7590 3600 3990
Sub Total 79760 35730 44030
Total 239000 107130 131870
Pindahan 3648790 1454950 2193840
Total Keseluruhan 3887790 1562080 2325710

Remarks:

4000000
Yours Faithfully, 1674290 Acknowledge Receipt by,
380000
4.4060263

CARMELIUS PETRUS DEPA 0

Attending Surveyor 1500000 Installation / Terminal

F-OPS-010 / Rev. 1 825710

 INDEPENDENT SURVEYOR
B&G Tower Level 11,Jl. Putri Hijau No. 10 Medan, North Sumatera-Indonesia
Ph. +626180010033 (Hunting), Fax. +626180010041/80010042
Email: contact@insurindo.com

WEIGHT LIST
Sheet No.
Vessel : KLM. TIKA RAHMAT 1 Commodity : PALM KERNEL, IN BAGS
Principal : PT. BUMI SAWIT WIJAYA Shore/Ship Tank : ………….. ,07
Place of Intervention : PT. KUTAI REFINERY NUSANTARA Date :
No Truck Number Gross Tare Netto Remarks
451 9210 3520 5690
452 9280 3600 5680
453 9090 3600 5490
454 9530 3520 6010
455 9470 3600 5870
456 8730 3600 5130
457 8390 3520 4870
458 8820 3600 5220
459 7770 3600 4170
460 9330 3530 5800
Sub Total 89620 35690 53930
461 9790 3600 6190
462 9880 3600 6280
463 6550 3600 2950
464 8450 3530 4920
465 7510 3600 3910
466 9720 3600 6120
467 9080 3600 5480
468 8980 3520 5460
469 9690 3600 6090
470 8130 3600 4530
Sub Total 87780 35850 51930
471 8390 3520 4870
472 9730 3600 6130
473 8250 3600 4650
474 8490 3530 4960
475 8710 3600 5110
476 9410 3600 5810 6/17/2022
477 8070 3530 4540 6/18/2021
478 9340 3600 5740
479 8290 3530 4760
480 8880 3600 5280
Sub Total 87560 35710 51850
Total 264960 107250 157710
Pindahan 3887790 1562080 2325710
Total Keseluruhan 4152750 1669330 2483420

Remarks:

Yours Faithfully, Acknowledge Receipt by,

CARMELIUS PETRUS DEPA 0

Attending Surveyor 1500000 Installation / Terminal

F-OPS-010 / Rev. 1 983420

 INDEPENDENT SURVEYOR
B&G Tower Level 11,Jl. Putri Hijau No. 10 Medan, North Sumatera-Indonesia
Ph. +626180010033 (Hunting), Fax. +626180010041/80010042
Email: contact@insurindo.com

WEIGHT LIST
Sheet No.
Vessel : KLM. TIKA RAHMAT 1 Commodity : PALM KERNEL, IN BAGS
Principal : PT. BUMI SAWIT WIJAYA Shore/Ship Tank : ………….. ,07
Place of Intervention : PT. KUTAI REFINERY NUSANTARA Date :
No Truck Number Gross Tare Netto Remarks
481 9030 3600 5430
482 7400 3530 3870
483 8110 3610 4500
484 7260 3600 3660
485 8370 3600 4770
486 7470 3550 3920
487 8760 3600 5160
488 8550 3550 5000
489 8900 3600 5300
490 8730 3600 5130
Sub Total 82580 35840 46740
491 9440 3550 5890
492 9580 3600 5980
493 9770 3600 6170
494 10350 3550 6800
495 10360 3600 6760
496 8890 3600 5290
497 9340 3550 5790
498 8760 3600 5160
499 8850 3600 5250
500 8200 3550 4650
Sub Total 93540 35800 57740
501 8250 3600 4650
502 0
503 0
504 0
505 0
506 0
507 0
508 0
509 0
510 0
Sub Total 8250 3600 4650
Total 184370 75240 109130
Pindahan 4152750 1669330 2483420
Total Keseluruhan 4337120 1744570 2592550

Remarks:

Yours Faithfully, Acknowledge Receipt by,

CARMELIUS PETRUS DEPA 0

Attending Surveyor 1500000 Installation / Terminal

F-OPS-010 / Rev. 1 1092550

 INDEPENDENT SURVEYOR
B&G Tower Level 11,Jl. Putri Hijau No. 10 Medan, North Sumatera-Indonesia
Ph. +626180010033 (Hunting), Fax. +626180010041/80010042
Email: contact@insurindo.com

WEIGHT LIST
Sheet No.
Vessel : KLM. TIKA RAHMAT 1 Commodity : Crude Palm Oil
Principal : PT. BUMI SAWIT WIJAYA Shore/Ship Tank : ………….. ,07
Place of Intervention : PT. KUTAI REFINERY NUSANTARA Date :
No Truck Number Gross Tare Netto Remarks
511 0
512 0
513 0
514 0
515 0
516 0
517 0
518 0
519 0
520 0
Sub Total 0 0 0
521 0
522 0
523 0
524 0
525 0
526 0
527 0
528 0
529 0
530 0
Sub Total 0 0 0
531 0
532 0
533 0
534 0
535 0
536 0
537 0
538 0
539 0
540 0
Sub Total 0 0 0
Total 0 0 0
Pindahan 4337120 1744570 2592550
Total Keseluruhan 4337120 1744570 2592550

Remarks:

Yours Faithfully, Acknowledge Receipt by,

CARMELIUS PETRUS DEPA 0

Attending Surveyor Installation / Terminal

F-OPS-010 / Rev. 1
 INDEPENDENT SURVEYOR
B&G Tower Level 11,Jl. Putri Hijau No. 10 Medan, North Sumatera-Indonesia
Ph. +626180010033 (Hunting), Fax. +626180010041/80010042
Email: contact@insurindo.com

WEIGHT LIST
Sheet No.
Vessel : KLM. TIKA RAHMAT 1 Commodity : Crude Palm Oil
Principal : PT. BUMI SAWIT WIJAYA Shore/Ship Tank : ………….. ,07
Place of Intervention : PT. KUTAI REFINERY NUSANTARA Date :
No Truck Number Gross Tare Netto Remarks
541 0
542 0
543 0
544 0
545 0
546 0
547 0
548 0
549 0
550 0
Sub Total 0 0 0
551 0
552 0
553 0
554 0
555 0
556 0
557 0
558 0
559 0
560 0
Sub Total 0 0 0
561 0
562 0
563 0
564 0
565 0
566 0 6/18/2021
567 0 6/19/2021
568 0
569 0
570 0
Sub Total 0 0 0
Total 0 0 0
Pindahan 4337120 1744570 2592550
Total Keseluruhan 4337120 1744570 2592550

Remarks:

Yours Faithfully, Acknowledge Receipt by,

CARMELIUS PETRUS DEPA 0

Attending Surveyor 1500000 Installation / Terminal

F-OPS-010 / Rev. 1 1092550

 INDEPENDENT SURVEYOR
B&G Tower Level 11,Jl. Putri Hijau No. 10 Medan, North Sumatera-Indonesia
Ph. +626180010033 (Hunting), Fax. +626180010041/80010042
Email: contact@insurindo.com

WEIGHT LIST
Sheet No.
Vessel : KLM. TIKA RAHMAT 1 Commodity : Crude Palm Oil
Principal : PT. BUMI SAWIT WIJAYA Shore/Ship Tank : ………….. ,07
Place of Intervention : PT. KUTAI REFINERY NUSANTARA Date :
No Truck Number Gross Tare Netto Remarks
571 0
572 0
573 0
574 0
575 0
576 0
577 0
578 0
579 0
580 0
Sub Total 0 0 0
581 0
582 0
583 0
584 0
585 0
586 0
587 0
588 0
589 0
590 0
Sub Total 0 0 0
591 0
592 0
593 0
594 0
595 0
596 0
597 0
598 0
599 0
600 0
Sub Total 0 0 0
Total 0 0 0
Pindahan 4337120 1744570 2592550
Total Keseluruhan 4337120 1744570 2592550

Remarks:

Yours Faithfully, Acknowledge Receipt by,

CARMELIUS PETRUS DEPA 0

Attending Surveyor 1500000 Installation / Terminal

F-OPS-010 / Rev. 1 1092550

 INDEPENDENT SURVEYOR
B&G Tower Level 11,Jl. Putri Hijau No. 10 Medan, North Sumatera-Indonesia
Ph. +626180010033 (Hunting), Fax. +626180010041/80010042
Email: contact@insurindo.com

WEIGHT LIST
Sheet No.
Vessel : KLM. TIKA RAHMAT 1 Commodity : Crude Palm Oil
Principal : PT. BUMI SAWIT WIJAYA Shore/Ship Tank : ………….. ,07
Place of Intervention : PT. KUTAI REFINERY NUSANTARA Date :
No Truck Number Gross Tare Netto Remarks
601 0
602 0
603 0
604 0
605 0
606 0
607 0
608 0
609 0
610 0
Sub Total 0 0 0
611 0
612 0
613 0
614 0
615 0
616 0
617 0
618 0
619 0
620 0
Sub Total 0 0 0
621 0
622 0
623 0
624 0
625 0
626 0
627 0
628 0
629 0
630 0
Sub Total 0 0 0
Total 0 0 0
Pindahan 4337120 1744570 2592550
Total Keseluruhan 4337120 1744570 2592550

Remarks:

Yours Faithfully, Acknowledge Receipt by,

CARMELIUS PETRUS DEPA 0

Attending Surveyor 1500000 Installation / Terminal

F-OPS-010 / Rev. 1 1092550

 INDEPENDENT SURVEYOR
B&G Tower Level 11,Jl. Putri Hijau No. 10 Medan, North Sumatera-Indonesia
Ph. +626180010033 (Hunting), Fax. +626180010041/80010042
Email: contact@insurindo.com

WEIGHT LIST
Sheet No.
Vessel : KLM. TIKA RAHMAT 1 Commodity : Crude Palm Oil
Principal : PT. BUMI SAWIT WIJAYA Shore/Ship Tank : ………….. ,07
Place of Intervention : PT. KUTAI REFINERY NUSANTARA Date :
No Truck Number Gross Tare Netto Remarks
631 0
632 0
633 0
634 0
635 0
636 0
637 0
638 0
639 0
640 0
Sub Total 0 0 0
641 0
642 0
643 0
644 0
645 0
646 0
647 0
648 0
649 0
650 0
Sub Total 0 0 0
651 0
652 0
653 0
654 0
655 0
656 0
657 0
658 0
659 0
660 0
Sub Total 0 0 0
Total 0 0 0
Pindahan 4337120 1744570 2592550
Total Keseluruhan 4337120 1744570 2592550

Remarks:

Yours Faithfully, Acknowledge Receipt by,

CARMELIUS PETRUS DEPA 0

Attending Surveyor 1500000 Installation / Terminal

F-OPS-010 / Rev. 1 1092550

 INDEPENDENT SURVEYOR
B&G Tower Level 11,Jl. Putri Hijau No. 10 Medan, North Sumatera-Indonesia
Ph. +626180010033 (Hunting), Fax. +626180010041/80010042
Email: contact@insurindo.com

WEIGHT LIST
Sheet No.
Vessel : KLM. TIKA RAHMAT 1 Commodity : Crude Palm Oil
Principal : PT. BUMI SAWIT WIJAYA Shore/Ship Tank : ………….. ,07
Place of Intervention : PT. KUTAI REFINERY NUSANTARA Date :
No Truck Number Gross Tare Netto Remarks
661 0
662 0
663 0
664 0
665 0
666 0
667 0
668 0
669 0
670 0
Sub Total 0 0 0
671 0
672 0
673 0
674 0
675 0
676 0
677 0
678 0
679 0
680 0
Sub Total 0 0 0
681 0
682 0
683 0
684 0
685 0
686 0
687 0
688 0
689 0
690 0
Sub Total 0 0 0
Total 0 0 0
Pindahan 4337120 1744570 2592550
Total Keseluruhan 4337120 1744570 2592550

Remarks:

Yours Faithfully, Acknowledge Receipt by,

CARMELIUS PETRUS DEPA 0

Attending Surveyor 1500000 Installation / Terminal

F-OPS-010 / Rev. 1 1092550

 INDEPENDENT SURVEYOR
B&G Tower Level 11,Jl. Putri Hijau No. 10 Medan, North Sumatera-Indonesia
Ph. +626180010033 (Hunting), Fax. +626180010041/80010042
Email: contact@insurindo.com

WEIGHT LIST
Sheet No.
Vessel : KLM. TIKA RAHMAT 1 Commodity : Crude Palm Oil
Principal : PT. BUMI SAWIT WIJAYA Shore/Ship Tank : ………….. ,07
Place of Intervention : PT. KUTAI REFINERY NUSANTARA Date :
No Truck Number Gross Tare Netto Remarks
691 0
692 0
693 0
694 0
695 0
696 0
697 0
698 0
699 0
700 0
Sub Total 0 0 0
701 0
702 0
703 0
674 0
675 0
676 0
677 0
678 0
679 0
680 0
Sub Total 0 0 0
681 0
682 0
683 0
684 0
685 0
686 0
687 0
688 0
689 0
690 0
Sub Total 0 0 0
Total 0 0 0
Pindahan 4337120 1744570 2592550
Total Keseluruhan 4337120 1744570 2592550

Remarks:

Yours Faithfully, Acknowledge Receipt by,

CARMELIUS PETRUS DEPA 0

Attending Surveyor 1500000 Installation / Terminal

F-OPS-010 / Rev. 1 1092550