FORM / 5106

Vessel:	Berth:	Cargo:
Voy. No:	Port:	Date:

ULLAGE REPORT

Tank No.

Ullage m cm

TOV Bbls

Free Water DIP VOL

G.O.V. Us Bbls

Temp. C^o/F^o

V.C.F.T. 6A/6B

G.S.V. Us. Bbls/60f

A.P.I.

S.G. At 60 F

Density 15^o F

WCF tab 11/13

LT/MT

TOTALS

GROSS STANDARD VOLUME	: ……………………………	BILL OF LANDING GROSS	: ………… …BBLS	…………………...MT	……………….LT
PLUS FREE WATER	: ……………………………	SHIPS FIGURE	: …………..…BBLS	…………………...MT	……………….LT
LESS O.B.Q.	: ……………………………	DIFFERENCE	: ……………..BBLS	…………………...MT	……………….LT
TOTAL CARGO VOLUME	: ……………………………

for the Vessel 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

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