FORM / 5105
Vessel: |
|
Port: |
|
Voy.No: |
|
Date: |
|
ROB/OBQ Certificate
Tank No. |
Oil |
Free Water |
Non Liquid |
Total ROB/OBQ Volume |
||||||
|
Dip cm |
* * |
Volume cub. m. |
Dip cm |
* * |
Volume cub. m. |
Dip cm |
* * |
Volume cub. m. |
CuM |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
TOTALS |
|
|
|
|
|
|
|
|
|
|
Remarks:………………………….……………………………………………………………………………..……………………………………………………………………………………………………………………… |
Date: |
|
|
Draught |
|
Time: |
|
|
Fwd |
|
Aft |
|
|||
Trim |
|
________________________ __________________
for the Vessel Survey
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 |