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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*PIERPIER

(name of area)

(name of anchorage)

(name/number)

(name/number)
NUMBER OF HOLDS/TANKS/OTHER SPACES FOR MARINE CHEMIST INSPECTION: 
LAST THREE CARGOES: (last) (2nd to last)  (3rd 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)

 

CustomerService@MarineChemist.com
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