Marine Chemist Service, Inc. | OBO/Tanker Inspection Request Form

Marine Chemist Service OBO/Tanker Inspection Request Form

YOUR NAME:

TODAY'S DATE:

COMPANY:

PHONE NUMBER:

NAME OF VESSEL: (M/V, S/S)

OWNER:

DATE OF INSPECTION:

REPORTING TIME AT LAUNCH/PIER: (24 hours: e.g., 1500)

LOCATION:

UNDERWAY*	ANCHORAGE*	PIER	PIER
(name of area)	(name of anchorage)	(name/number)	(name/number)

NUMBER OF HOLDS/TANKS/OTHER SPACES FOR MARINE CHEMIST INSPECTION:

LAST THREE CARGOES: (last)

(2^nd to last) (3^rd to last)

*LAUNCH SERVICE:

*LOCATION OF LAUNCH:

*PERSON(S) ACCOMPANYING MARINE CHEMIST ON LAUNCH:

ADDITIONAL INFORMATION OR INSTRUCTIONS:

(*Please note: electronic transmissions are monitored only during regular business hours.

If you need assistance during off-hours, weekends or holidays, call 757-873-0933 ext. 35)

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