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INSPECTORATE GRIFFITH INDIA PVT.

LTD
608, CENTRAL PLAZA, 2/6, SARAT BOSE ROAD,
KOLKATA - 700 020, WEST BENGAL, INDIA
Phone : +91 33 2485 2902/8823-25, Fax : +91 33 2485 8821/8826-27

TEST REQUISITION FORM

1 TRF NO.: VSP/C&C-5296/08-09/0058


2 DATE: 27.10.08
3 LABORATORY NAME: IGI BBSR LAB

SAMPLE PARTICULARS
4 CUSTOMER NAME: M/S MAHESWARI BROTHERS
5 VESSEL NAME: mv. OCEAN PEARL
6 PLACE OF INSPECTION: Vizag
7 DATE / PERIOD OF SAMPLING: 25.10.08 - 28.10.08
8 MATERIAL NAME: Steam Coal
9 NO. OF SAMPLES: 1+6+1
10 QUANTITY OF SAMPLE: 100 gm per packet
11 PARTICLE SIZE: (-) 212 Micron
12 SAMPLE CONDITION:
13 SAMPLE IDENTIFICATION:
14 SAMPLE TO BE RETURNED:

TESTING PARTICULARS
15 TEST METHOD: ISO
16 TEST PARAMETER: IM, VM, S & GCV (ADB) 5000 mt sublot BBSR LAB

* Test Report to be sent to Kolkata Office only

17 REMARKS (IF ANY):

SIGNATURE OF AUTHORISED SIGNATORY


(For Laboratory use only)

Sample Accepted :
Date of Receiving of Sample :
Sample Code No. :
Probable date of Reporting :

Remarks (if any) :

SIGNATURE OF AUTHORISED SIGNATORY


WORK ORDER AND SAMPLE DETAILS INPUT SHEET
Job Details Section:
Division: C&C WO No.: 5296
Issuing Branch: KOLKATA
Our File No.: C&C-5296
Commodity: Steam Coal
Port / Inspecting Location: Vizag
Vessel Name, if any: mv. OCEAN PEARL
Quantity: 28816.000
Units: MT
Job Subcontracted to: INSPECTORATE GRIFFITH INDIA PVT. LTD.
If others, mention name:
Branch: VISHAKHAPATNAM
Contact Name: Mr. V.V. Bhaskar
Job Order No.: IGI-5296 Suffix:
Date: 10/30/2008
Copied To Office:
Copied To Branch:
Contact Name:
Client: M/S MAHESWARI BROTHERS
Client Ref. (if any)
Shipper:
Receiver:
Scope of work
Field 1/2 Discharge Supervision Draft Survey
Field 3/4 Sampling Analysis at IGI Lab
Field 5/6
Field 7/8
Field 9/10
Field 11/12
If analysis is required, specify parameters to be tested in the cell below:
IM, VM, S & GCV (ADB) 5000 mt sublot BBSR LAB
Additional info requested
Please forward the above stated quality samples to BBSR lab.

Fees payable:

Standard to be followed for sampling: ISO


Remarks for field office:
Sample Details Section:

TRF generated by (branch): VISHAKHAPATNAM - VSP


Financial Year: 08-09
TRF No.: 0058
TRF Generation Date: 27.10.08
Lab to which samples to be sent: IGI BBSR LAB
Date / period of sampling: 25.10.08 - 28.10.08
No. of samples: 1+6+1
Quantity of sample: 100 gm per packet
Particle size: (-) 212 Micron
Sample condition:
Sample identification
Sample to be returned:
Test Method: ISO
Test Parameters: IM, VM, S & GCV (ADB) 5000 mt sublot BBSR LAB
Test Report to be sent to: Kolkata Office only
Remarks for lab:
Inspectorate Griffith India Pvt. Ltd.
508, Central Plaza,
2/6, Sarat Bose Road, Kolkata – 700 020, INDIA.
Tel.: 91-33-2485-8823/8824/2902
Fax: 91-2485 8826/8827
E-mail: calhq@inspectorate.co.in

WORK ORDER
To: INSPECTORATE GRIFFITH INDIA PVT. LTD., VISHAKHAPATNAM
Attn.: Mr. V.V. Bhaskar
CC: Attn.:
From: IGI, KOLKATA Date: 10/30/2008
We are pleased to appoint you to carry out the following shipment inspection on our behalf as per details
given hereunder. Please quote our Job Order No. and File No. in all your reports, invoices and
correspondence to us:
Our File No.: C&C-5296 Job Order No.: IGI-5296
Vessel Name: mv. OCEAN PEARL Port / Location: Vizag
Commodity: Steam Coal Quantity: 28816MT
Additional Information on the cargo:
Client: M/S MAHESWARI BROTHERS
Shipper:
Receiver:
Scope of work:
Discharge Supervision Draft Survey Sampling
Analysis at IGI Lab

Analysis required for following parameters:


IM, VM, S & GCV (ADB) 5000 mt sublot BBSR LAB
Additional info requested:
Please forward the above stated quality samples to BBSR lab.

Your fees:

Standard to be followed:
For sampling: ISO
For analysis: ISO
Remarks:

For Inspectorate Griffith India Pvt. Ltd.

( AUTHORISED SIGNATORY )
Terms & Conditions:
1. Issuance of this job order does not mean sub-letting of the above job in its entirety. The above job is to be executed
under our direct supervision and as per the instruction of our personnel.

2. Disclosure or dissemination of the information contained herein above in whole or in part to any entity other than the
intended recipient shall be construed as a breach of contract and may attract penal liability as well as non-payment
for the afore-mentioned job.
INSPECTORATE GRIFFITH INDIA PVT. LTD
608, CENTRAL PLAZA, 2/6, SARAT BOSE ROAD,
KOLKATA - 700 020, WEST BENGAL, INDIA
Phone : +91 33 2485 2902/8823-25, Fax : +91 33 2485 8821/8826-27

TEST REQUISITION FORM

1 TRF NO.: VSP/C&C-5296/08-09/0058


2 DATE: 27.10.08
3 LABORATORY NAME: IGI BBSR LAB

SAMPLE PARTICULARS
4 CUSTOMER NAME: M/S MAHESWARI BROTHERS
5 VESSEL NAME: mv. OCEAN PEARL
6 PLACE OF INSPECTION: Vizag
7 DATE / PERIOD OF SAMPLING: 25.10.08 - 28.10.08
8 MATERIAL NAME: Steam Coal
9 NO. OF SAMPLES: 1+6+1
10 QUANTITY OF SAMPLE: 100 gm per packet
11 PARTICLE SIZE: (-) 212 Micron
12 SAMPLE CONDITION:
13 SAMPLE IDENTIFICATION:
14 SAMPLE TO BE RETURNED:

TESTING PARTICULARS
15 TEST METHOD: ISO
16 TEST PARAMETER: IM, VM, S & GCV (ADB) 5000 mt sublot BBSR LAB

* Test Report to be sent to Kolkata Office only

17 REMARKS (IF ANY):

SIGNATURE OF AUTHORISED SIGNATORY


(For Laboratory use only)

Sample Accepted :
Date of Receiving of Sample :
Sample Code No. :
Probable date of Reporting :

Remarks (if any) :

SIGNATURE OF AUTHORISED SIGNATORY

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