NUMALIGARH REFINERY LIMITED

FIELD LOG FOR CUSTODY TRANSFER

Book No:- Sl. No:
FORM - 1 (FOR TRANSFER CUSTODY)
TANK NO- 45-TT-00 Product MS/PCK/SKO/HSD
Batch No.- Date
Date
Servo Dip.
Servo Temp.
DIP Referrence Dip
Physical Dip
Water Dip
Temp./ Density
Description
(from Top)
Upper (1/6 Dip)
Middle (1/2 Dip)
Lower (5/6 Dip)
Composite Temp/Density

TANK TAG (If Any) Seal / Lock Status of Valves (O/C)

Rail
(CUSTODY

Receipt
Tank Manifold

Road
ITT-1
ITT-2
TRANSFER)

NSPL MOV
Sample Points

Siphon Drain - 1
MOTHER TANK

Tank Out Lets

Siphon Drain - 2
Siphon Drain - 3
Roof Drain - 1
Roof Drain - 2
Roof Drain - 3
COMMON Tank-1 NSPL MOV
HEADER Tank-2 NSPL MOV

Custody of Lock and Key along with the said tank with products is being handed over to NRL after PLT at ……………..Hrs on
dated ………/…………/………...

(Name & Signature) (Name & Signature)

On Behalf of NRL On Behalf of OIL

Book No:- Sl. No:

FORM - 2 (FOR RECEIPT OF CUSTODY)
Date: Time:
Servo Dip
Servo Temp.
Reference Dip
Physical Dip
Water Dip
Temp./ Density UML
Description
(from Top)
Upper (1/6 Dip)
Middle (1/2 Dip)
Lower (5/6 Dip)
Composite Temp/Density

Custody of Lock and Key along with the said tank with products is being handed over to NRL after PLT at ……………..Hrs on
dated ………/…………/………...

(Name & Signature) (Name & Signature)

On Behalf of NRL On Behalf of OIL