PAINTS CONSUMED

MONTHLY REPORT

M/V:

Location:

Date:

Period

From :

To :

No

ITEM

(Basis Hempel's)

RCVD

(1+3)

USED

(1+3)

ROB

(1+3)

USED FOR

(2+3)

External-Internal

1

White 5214-1000

2

White 5636-1000

3

Gray 5214-1217

4

Green 5324-4064

5

Green 5214-4098

6

Black 5214-1999

Hull

7

Red 5636-5063

Primers

8

Red 1205-5041

9

Brown 1205-4076

Aluminium

10

Silver 5156-1900

11

HR Silver 5157-1900

Signal

12

Orange 5214-5324

13

Red 5214-5080

14

Yellow 5214-2030

15

Blue 5214-3084

Bitumen

16

Black 1022

Thinners

17

Conventional 0823

18

Chloride 0808

1. All Quantities in Litters

2. Specify where/Why Used

3. Including Deck & Engine Departments

4. In case you have on-board other paints (quality) please attach a separate sheet.

Officer in Charge: Master:

For Office use

Date Received: Checked by: Approved by:

ATLANTIC UNITED MARINE INC.

FORM / 4503

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

Developed by

: SMS Designated Person

Authorised by

: Managing Director

Date of Initial Issue

: 03 February 1998

Revision No / Effective Date

: 3 / 07-1999

Chapter

: 10

Page

: 1