FORM / 5108

Vessel:

Port:

Voy. No.:

Date:

CRUDE OIL WASHING

Berth:

Cargo:

Wash Oil:

COW Equipment

Start

Finish

Net Time

Cycle

Guns Used

IG Press mm Ag

COW Line kg/cm2

TRIM MR-CM

Tank No.

%02

Date

Time

Date

Time

Remarks:

___________________ ___________________ ___________________

for Vessel for Terminal Surveyor

ATLANTIC UNITED MARINE INC.

Safety Management System Manual - IMO Res. A.741 (18)

Developed by

: SMS Designated Person

Authorised by

: Managing Director

Date of Initial Issue

: July 1999

Revision No / Effective Date

: 1 / 07-99

Chapter

: 7

Page

: 1