Tae
TIME SHEET
prone Cena ame |CUSTOMER REF — | EMAIL INSTRUCTIONS:
Jcustower [REPSOL
JPoRr/ TeRwinNaL_| TERMINAL SUPE oe irae a
[PRODUCT [DIESEL B5S50 MINERO : me is
DATE HOURS EVENTS
‘owerte2 | — 1640 —lngreso de personal de INSPECTORATE SERVICES PERU SAC a pana Terminal Sipe
1650__| Se ingresa a oficina para la conferencia antes del muestreo.
1840 —|Se inca drenajo en el Tangue NF 18 de Diesel B5S50
B45 - 1900 | Se inicia tome de Mvesiras del Tenque N° 18 de Diesel BSSS0_ (1130-0007 732)
1970 _|Etiquetado y precntado de muesiras
1920 | Salida de planta del Terminal Supe dl personal de INSPECTORATE SERVICES PERU SAC
Novembre ah [Entrega de muestras a personal de Inertok
BENITO SALGADO SOLIS/ Surveyor
INSPECTORATE SERVICES PERU SATRECEIPT FOR SAMPLES
REPORT No. [PER/2020-1408396-72 | [cvsromen REF. EMAIL INSTRUCTIONS |
[CUSTOMER REPSOL
IPORT/TERMINAL _|TERMINAL SUPE DATE loth Noviembre.,2022
|PRODUCT DIESEL B5S50 MINERO
INSPECTORATE SERVICES PERU S.A.C, dolivered to the vessel representative the corresponding composite samples obtained from the
‘Ship Cargo, Tanks of the product above indicated loaded inthe present vessel. Mentioned samples are listed below
‘One sot of each of the above indicated samples duly packed, labeled and sealed were delivered to:
INSPECTORATE SERVICES PERU S.A.C
‘SIZE OF SAMPLE ‘SEALS NP DESCRIPTION
1X1 Liter (0020851 ‘Composite from Shore Tk. 18°
TERMINAL SUPE
1X1 Liter 0029852 ‘Composite from Shore Tk. 18
Notes: 7-‘Samples retained by INSPECTORATE SERVICES PERU S.A.C. will be Kept for thirty (30)
days unless otherwise requested by customer.
2. Keep in good condition. Preferably maintain in cool dry location. Avoid sunlight.
3. Keep away from heat. 7
ee
adil re pilipdl oes alana
TERMINAL REPRESENTATIVE INSPECTORATE SERVICES PERU S.A.C
FORMATO:FOB-211 REV.O3-11
BV_C2_IntérnalTae
RECEIPT FOR SAMPLES
| REPORT No. ena 1A0EE 72 CUSTOMER REF. |EMAIL INSTRUCTIONS
CUSTOMER REPSOL
PORT/ TERMINAL [TERMINAL SUPE ATE aniedcies ae
PRODUCT DIESEL B5S50 MINERO
INSPECTORATE SERVICES PERU S.A.C, delivered to the vessel representative the corresponding composite samples obtained from the
‘Ship Cargo Tanks of the product above indicated loaded in the present vessel. Mentioned samples are listed below
One set of each of the above indicated samples duly packed, labeled and..sealed were delivered to:
INTERTEK LABORATORY
‘SIZE OF SAMPLE ‘SEALS NP DESCRIPTION
2X71 Liter (0029853 ‘Composite from Shore Tk. 18°
Notes: 7, Samples retained by INSPECTORATE SERVICES PERU SA.C. will be kept for thirty (30)
days unless otherwise requested by customer.
2. Keep in good condition. Preferably maintain in cool dry location. Avoid sunlight.
3. Keop away from heat. 2
BENITO SALGADO SOLIS/ Surveyor
TERMINAL REPRESENTATIVE INTERTEK LAB. INSPECTORATE SERVICES PERU SAC
FORMATO:FOB-211 REV.09-17
BV_C2 Internal