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QUALITY MANAGEMENT SYSTEM Doc no: 90-011

TECO COATING SERVICES ASA Rev. No: 1
Made: 02.01.03
Pre. by: SQD
Steel Condition report Appr. by: BDA

1. Vessel Name 2. Tank name

3. Date of report (dd.mm.yy) 4. Time of report (hh:mm) 5. Vessel location

6. What type of observation: 7. Documentation

Steel reduction. Cracks. Indent. Other. Area marked in tank Picture taken
8. Give a detailed description of the observation, its location and area affected. If possible, include steel dimensions.

9. Comments from the vessel representative.

10. Date (dd-mm-yy)

Foreman name Master name

Signature Signature

TECO Coating Services ASA

P.O.Box 462, N-1327 Lysaker, Norway. Tel: +47 67 200 370, Fax: +47 67 200 371, e-mail: operation@teco.no Web: www.teco.no