Cctfieate no: 080 1633316
Page tof 1
IE
CERTIFICATE FOR ANCHOR WINDLASSES
Pec BALENCIAGA C-407
lene: HBERCISA, S.A, offes: Vigo
lens Orde Member ate. 21 June 2016
Ordesiaus: COMPLETE
Inspacton Date
fist 24 May 2016 Fina 24 May 2016
This certifeate issued (0 BERCISA, S.A,
To certify that, at thelr request, the undersigned Surveyor to this Society, did attend their workshop at Vigo on 24
May 2016 for the purpose of examining and testing the following elements:
‘Two (2) Hydraulic Anchor Windlasses, IBERCISA 40mm/U3, Model MAN-H/H/40-S/100-50/4
‘Manufacturer Sertal Nos. 4228/16 and 4229/16
According to Drv. No,20040498 Rev,.C:, Included in DAD No, MTSO/ENG/160009 Issue 0,
Approved on 28° January 2016 by Madrid TSO
‘The materials have been verified by Surveyors to this Society and found in order according to requirements and
appraised drawings as applicable. The windlass arrangement has been verified against the approved drawings and
found in order.
On completion the entire windiasses have been subjected to a functional test under simulated working conditions,
‘and found satisfactory. This certificate is subject to final test after installation on board as per requirements in LR.
Rules Part 3, Chapter 13 Section 8.7.
Having found the materials and the workmanship satisfactory, for identification purpose the Items were stamped as
follows:
SIN: 4228/16 SIN: 4229/16
1R BBO 1633316-1 24.05.2016 "ASH" LR BBO 1633316-2 24.05.2016 “ASH”
Lloyds Reaietor
EMEA
Inlals ASH
Vigo Otfice
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Surveyor Lops Reger EMEA
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‘ops Register ys gitar sues no responsi and shal ot be abe to ah basen fr nom, damage 9 exper caved by elon onthe Infornalon
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Form 112210 013.12