Report No.: #REF!

Date : #REF!
Vessel : #REF!
Port : #REF!
Grade : #REF!
Attd Date: #REF!
BUNKER SURVEY REPORT
1. VESSEL HISTORY FROM CHIEF ENGINEER
Average Bunker While at Sea While in Port While at Anchorage
Consumption per day MT MT MT

2. REMARK
Grade > Fuel Oil Last Port of Call :
Tanjung Pelepas
Sailing Time : ……….. Hours Date : Bunker on Sailing
From Last Port MT
3. BERTHING Date :February 11,2007 HOURS : 10.00
Tank No. Ull (m) GOV (m3) Den at 15C Temp 0C VCF G.S.V (m3)
PORT 16.43 142.67 0.9887 38 0.9860 140.673
STBD 16.23 152.78 0.9887 38 0.9860 150.641
SETT TK 3.4 87.11 0.9887 86 0.9510 82.842
SERV TK 6 149.15 0.9887 86 0.9510 141.842
Draft : Fwd : #REF! Total Net M3 515.998
Aft : 0.00 W.C.F (ASTM T-56) 0.9876
Metric Tons 509.60

4. DEPARTURE Date : February 12,2007 Hours : 10.00

Tank No. Ullage (m) GOV (m3) Density Temp 0C VCF G.S.V (m3)
PORT 16.59 134.75 0.9887 38 0.9860 132.864
STBD 16.82 119.19 0.9887 38 0.9860 117.521
SETT TK 3.38 87.11 0.9887 86 0.9510 82.842
SERV TK 5.99 149.15 0.9887 86 0.9510 141.842
Draft : Fwd : #REF! Total Net M3 475.069
Aft : #REF! W.C.F (ASTM T-56) 0.9876
Metric Tons 469.18
1. Bunker on Arrival : 509.60 M/T
2. Bunker on Sailing : 469.18 M/T
3. Bunker Loaded : - M/T
4. Bunker Consumed : 40.42 M/T

Original Signed
Ship's Officer Attending Surveyor
Report No.: #REF!
Date : #REF!
Vessel : #REF!
Port : #REF!
Grade : #REF!
Attd Date: #REF!
BUNKER SURVEY REPORT
1. VESSEL HISTORY FROM CHIEF ENGINEER
Average Bunker While at Sea While in Port While at Anchorage
Consumption per day 0.0 MT 0.0 MT 0.0 MT
2. REMARK
Grade > Diesel Oil Last Port of Call :
Tanjung Pelepas
Sailing Time : ……….. Hours Date : Bunker on Sailing
From Last Port …... MT
3. ARRIVAL Date :February 11,2007 Hours : 10.00
0
Tank No. Sdg (m) GOV (m3) Density Temp C VCF G.S.V (m3)
SERV TK 5.21 30.50 0.8479 40 0.9790 29.860
STBD DB 2.13 135.88 0.8479 30 0.9875 134.182
D/ALT TK 1 2.00 0.8479 30 0.9875 1.975
Draft : Fwd : #REF! Total Net M3 166.017
Aft : 0.00 W.C.F (ASTM T-56) 0.8468
Metric Tons 140.58

4. DEPARTURE Date : February 12,2007 Hours : 10.00

Tank No. Ullage (m) GOV (m3) SG at 150C Temp 0C VCF
SERV TK 5.21 30.50 0.8479 40 0.9790 29.860
STBD DB 2.13 135.88 0.8479 30 0.9875 134.182
D/ALT TK 1 2.00 0.8479 30 0.9875 1.975
Draft : Fwd : #REF! Total Net M3 166.017
Aft : #REF! W.C.F (ASTM T-56) 0.8468
Metric Tons 140.58
1. Bunker on Arrival : 140.58 M/T
2. Bunker on Sailing : 140.58 M/T
3. Bunker Loaded : - M/T
4. Bunker Consumed : 0.00 M/T

Original Signed
Ship's Officer Attending Surveyor
 Pre-liminary Report
Loading Survey Date :
Vessel : MT. Port: Cargo :
Time Sheet Month/Year Date Time
Vessel Arrival
NOR Tenderred
Drope Anchor
Anchor Up
POB / SOB
First Line Ashore
All Fast
NOR Accepted
Key Meeting
Tank Inspection
Completed Calculation
Hose Connected ( 2 x 12" )
Commenced Loading
Estimate Completed
Taking Sample one foot
Completed Loading
Hose Disconnected
Sampling
Ullaging
Completed Calculation
Pilot on Board Stay on Board
Cast Off
Checking Free Water
Dokumen On Board
Sailing
Data-data Tanker
Tank Nominasi Cargo :
Tank Non Nominasi :
OBQ Nominasi Ttl OBQ All Tank
ROB After Discharging Ttl ROB All Tank
Previous Cargo Tank Nominasi EX
Previous Tank Non Nominasi EX
Draft : FWD Draft FWD
Arrival : AFT Departure AFT
Slop : Port Arival Oil : Water :
Slop : Stbd Arrival Oil : Water :
Slop : Port Departure Oil : Water :
Slop : Stbd Departure Oil : Water :
Vessel Experience Factor
Sea Chest
Overboard
No Seri MMC/UTI Validitas : Expired
Last Cargoes: 2nd: 3three
Built
Flag
Nama Captain: Capt.
Nama Chief Officer
Nama Loading Master
SKK Migas
Surveyor Tanker Emiel H. Kaunang
Surveyor Terminal
 CHECK LIST DOCUMENT
Discharging X Loading Date :
Vessel : MT. SC DALIA Port : Cargo :
Dokumen Surveyor Yes No Remarks
Surat Tugas
Surat Penilain Surveyor
Check List Terminal
Check List Kapal
Time Sheet
Vessel Ullaging Report T.54
Vessel Ullaging Report T.6
Notice of Discrepancy
Pumping Log
Ships Tank Inspection
OBQ Report / Wedge Formula
Statement of Fact OBQ
Vessel Experience Factor
Cerficate of Slop
Bunker Report FO/DO Arrival/Departur
Report Seal 1 dan 2 Pertamina
Sampling Report Pertamina
Checklist Identifikasi Seal
Statement of Fact Calibration MMC/UTI
Letter of Protest Free Water
Statement of Fact Free Water
BAP Pengkuran Level/Temp Saat Ombak
1Set Dokumen Surveyor Terminal Shore Tank Calculation, Meter Reading dan lain lain
Document Vessel loading
Time Sheet
Log Sheet Ullaging After Loading
Notice of Readiness
Pre-Loading Agreement
Stowage Plan and Last Three Cargoes
OBQ Before Loading
ROB After Discharging (Last Port)
Vessel Experience Factor
Bunker Report Arrival / Departure
Certificate of Slop Arrival/Departure
Pump Log Kapal
Certificate MMC/UTI and Tank Table
Letter of Protest Free Water / Traces
LOP (Delay Berthing/Slow Rate)
Ships Particulars
Document Bill of Lading
BL Quantity
Certificate of Quantity
Certifcate of Quality
Tanker Time Sheet
Cargo Manifest
Cerficate of Origin
Ullaging After Loading
NOR Tenderred
Master Receipt Document
 Document Terminal Load Port
1 Set Document Terminal Batch Report/Meter Proving dan lain lain
 TIME LOG Discharging Loading Date : FEBRUARY 08-11, 2018
X
Cargo :
Vessel : MT. GAMKONORA Port : STS MUNTOK
KIDURONG & KIKEH C.O

Occurrences Month / Year Date Hours

Vessel Arrived December'2018 16 06.36
Dropped Anchor
Notice of Readiness Tendered May'2018 08 18.00
Notice of Readiness Accepted May'2018 08 19.42
Anchor Up / Aweight
Pilot on Board for berthing
First Line Ashore May'2018 08 12.18
All Secured at STS MT. AMBER SUN May'2018 08 13.00
Surveyor On Board May'2018 08 17.18
Safety and Key Meeting Held May'2018 08 19.54 - 20.06
Tank Inspection & Sampling May'2018 08 20.18 - 22.30
Calculation Completed May'2018 08 23.00
Hose Connected ( 2 x 12' ) May'2018 08 19.42
Commenced Loading May'2018 09 00.30
Completed Loading May'2018 08 20.00
Hose Disonnected ( 2 x 12' ) May'2018
Taking Sampling May'2018
Ullaging May'2018
Completed Calculation May'2018
Document On Board May'2018
Pilot on Board for Unberthing May'2018
Unberthing / Cast Off May'2018
Vessel Sailing May'2018
Remarks :

Wahyu Endro Indra Gunawan NurAminudin

Chiefl Officer Loading Master Surveyor
 VESSEL SURVEY REPORT
VESSEL : MT. GRIYA CIREBON PRODUCT : WIDURI CRUDE OIL
PORT : FSO FEDERAL II TERMINAL DATE : SEPTEMBER 23-24, 2017
AFTER LOADING
Corr'd Total Obsvd Free Water Gross VCF
Tank OBQ API Temp
Ullage Volume Dip Volume Observd ASTM
No. (M) Bbls CM Bbls Bbls Bbls 60 °F °F T.6
1P 6,260 10,305 Tr 0 17 10,288 32.4 139.8 0.965520
1S 6,235 10,312 Tr 0 14 10,298 32.4 139.3 0.965720
2P 6,246 15,054 Tr 0 19 15,036 32.4 139.1 0.965800
2S 6,245 15,022 Tr 0 28 14,994 32.4 140.4 0.965280
3P 7,557 14,647 Tr 0 0.000 14,647 32.4 138.4 0.966100
3S 7,518 14,662 0 0 20 14,642 32.4 139.3 0.965720
4P 8,763 12,980 Tr 0 35 12,944 32.4 138.6 0.966020
4S 8,723 12,989 Tr 0 25 12,964 32.4 139.1 0.965800
5P 8,455 13,285 Tr 0 21 13,264 32.4 138.7 0.965970
5S 8,281 13,590 Tr 0 26 13,564 32.4 139.1 0.965800
6P 8,735 13,018 Tr 0 56 12,962 32.4 138.7 0.965970
6S 8,642 13,070 Tr 0 39 13,031 32.4 138.6 0.966020
7P 8,830 12,733 Tr 0 0.000 12,733 32.4 139.3 0.965720
7S 8,801 12,835 Tr 0 0.000 12,835 32.4 139.1 0.965800
8P 8,785 11,347 Tr 0 27 11,320 32.4 138.2 0.966190
8S 8,767 11,303 Tr 0 55 11,247 32.4 138.6 0.966020
Line Content 271 271 32.4 139.1 0.965800
Total 207423 381 207,042

DRAFT SEA CHEST : Sea Condition :

FWD 8.60 Mtr 16095937 Location Gauge Point
AFT 9.60 Mtr MMC Type
TRIM 1.00 Mtr OVERBOARD MMC Serial No.
LIST Nil 16095936 MMC Expired Date
GROSS
Total Obs Volume 207423 Total Calculated Volume 207,423
Less Free Water 0.000 Total Loaded Volume 207,042
Total OBQ Volume 381 Gross Standard Volume 199,969
Gross Observerd Volume 207,042 U.S Barrels @ 60 F 199,969
WCF T 57 ( Long Tons ) 0.13479 Long Tons 26,954
WCF T 56 ( Metric Tons ) 0.13695 Metric Tons 27,386
M Wahyudin Capt. Andreas Danang Emiel H. Kaunang
Vessel Officer Terminal Representative Surveyor
UDE OIL
4, 2017

Gross Strd

Volume

Bbls
9,933
9,945
14,522
14,473
14,151
14,140
12,505
12,521
12,813
13,100
12,521
12,589
12,296
12,396
10,937
10,865
262
199,969

Calm
Afterward
UTI-GT3
66751
9/19/2017
GROSS
207,423
207,042
199,969
199,969
26,954
27,386
Emiel H. Kaunang
Surveyor
 VESSEL SURVEY REPORT
VESSEL : MT. GRIYA CIREBON PRODUCT : WIDURI CRUDE OIL
PORT : FSO FEDERAL II TERMINAL DATE : SEPTEMBER 23-24, 2017
AFTER LOADING
Corr'd Total Obsvd Free Water Gross VCF Gross Strd
Tank OBQ Density Temp
Ullage Volume Dip Volume Observd ASTM Volume
No. (M) M3 CM M3 M3 M3 15 °C °C T.54 M3
1P 6,260 1,638.404 Tr 0 2.727 1,635.677 0.8629 #REF! #REF! #REF!
1S 6,235 1,639.421 Tr 0 2.197 1,637.224 0.8629 #REF! 0.965352 1,580.497
2P 6,246 2,393.439 Tr 0 2.944 2,390.495 0.8629 59.5 0.965432 2,307.860
2S 6,245 2,388.294 Tr 0 4.457 2,383.837 0.8629 60.2 0.964872 2,300.098
3P 7,557 2,328.738 Tr 0 0.000 2,328.738 0.8629 59.1 0.965706 2,248.876
3S 7,518 2,331.090 0 0 3.150 2,327.940 0.8629 #REF! 0.965352 2,247.282
4P 8,763 2,063.597 Tr 0 5.586 2,058.011 0.8629 59.2 0.965637 1,987.292
4S 8,723 2,065.074 Tr 0 3.898 2,061.176 0.8629 59.5 0.965432 1,989.925
5P 8,455 2,112.199 Tr 0 3.313 2,108.886 0.8629 59.3 0.965569 2,036.275
5S 8,281 2,160.577 Tr 0 4.085 2,156.492 0.8629 59.5 0.965432 2,081.946
6P 8,735 2,069.749 Tr 0 8.960 2,060.7890 0.8629 59.3 0.965569 1,989.834
6S 8,642 2,077.950 Tr 0 6.134 2,071.8160 0.8629 59.2 0.965637 2,000.622
7P 8,830 2,024.313 Tr 0 0.000 2,024.3130 0.8629 #REF! 0.965352 1,954.175
7S 8,801 2,040.539 Tr 0 0.000 2,040.5390 0.8629 59.5 0.965432 1,970.002
8P 8,785 1,804.080 Tr 0 4.315 1,799.7650 0.8629 59.0 0.965774 1,738.166
8S 8,767 1,796.971 Tr 0 8.807 1,788.1640 0.8629 59.2 0.965637 1,726.717
Line Content 43.151 43.151 0.8629 59.5 0.965432 41.659
Total 32,977.586 Tr 60.573 32,917.013 #REF!
DRAFT SEA CHEST : Sea Condition : Calm
FWD 8.60 Mtr 16095937 Location Gauge Point Afterward
AFT 9.60 Mtr MMC Type UTI-GT3
TRIM 1.00 Mtr OVERBOARD MMC Serial No. 66751
LIST Nil 16095936 MMC Expired Date 9/19/2017
GROSS
Total Obs Volume 32977.586 Total Calculated Volume 32,977.586
Less Free Water 0.000 Total Loaded Volume 32,917.013
Total OBQ Volume 60.573 Gross Standard Volume #REF!
Gross Observerd Volume 32,917.013 Long Tons #REF!
WCF T 57 ( Long Tons ) 0.8481 Metric Tons #REF!
WCF T 56 ( Metric Tons ) 1.01605 U.S Barrels @ 60 F #REF!

M Wahyudin Capt. Andreas Danang Emiel H. Kaunang

Vessel Officer Terminal Representative Surveyor
 VESSEL SURVEY REPORT
VESSEL : MT. GRIYA CIREBON PRODUCT : WIDURI CRUDE OIL
PORT : FSO FEDERAL II TERMINAL DATE : SEPTEMBER 23-24, 2017
AFTER LOADING
Corr'd Total Obsvd Free Water Gross Obsvd VCF Gross Strd
Tank API Temp
Ullage Volume Dip Volume Volume ASTM Volume
No. (M) Bbls CM Bbls Bbls 60 °F °F T.6 Bbls
1P 6,260 10,305 Tr 0 10,305 32.4 139.8 0.965520 9,950
1S 6,235 10,312 Tr 0 10,312 32.4 139.3 0.965720 9,958
2P 6,246 15,054 Tr 0 15,054 32.4 139.1 0.965800 14,539
2S 6,245 15,022 Tr 0 15,022 32.4 140.4 0.965280 14,500
3P 7,557 14,647 Tr 0 14,647 32.4 138.4 0.966100 14,151
3S 7,518 14,662 0 0 14,662 32.4 139.3 0.965720 14,159
4P 8,763 12,980 Tr 0 12,980 32.4 138.6 0.966020 12,539
4S 8,723 12,989 Tr 0 12,989 32.4 139.1 0.965800 12,545
5P 8,455 13,285 Tr 0 13,285 32.4 138.7 0.965970 12,833
5S 8,281 13,590 Tr 0 13,590 32.4 139.1 0.965800 13,125
6P 8,735 13,018 Tr 0 13,018 32.4 138.7 0.965970 12,575
6S 8,642 13,070 Tr 0 13,070 32.4 138.7 0.966020 12,626
7P 8,830 12,733 Tr 0 12,733 32.4 138.7 0.965720 12,296
7S 8,801 12,835 Tr 0 12,835 32.4 138.7 0.965800 12,396
8P 8,785 11,347 Tr 0 11,347 32.4 138.7 0.966190 10,964
8S 8,767 11,303 Tr 0 11,303 32.4 138.6 0.966020 10,919
Line Content 271 271 32.4 139.1 0.965800 262
Total 207,423 Traces 207,423 200,337
DRAFT SEA CHEST : Sea Condition : Calm
FWD 8.60 Mtr 16095937 Location Gauge Point Afterward
AFT 9.60 Mtr MMC Type UTI-GT3
TRIM 1.00 Mtr OVERBOARD MMC Serial No. 66751
LIST Nil 16095936 MMC Expired Date 9/19/2017
GROSS
Total Obs Volume 207423 Gross Standard Volume 200,337
Less Free Water 0.000 Total Calculated Volume 200,337
Gross Obs Volume 207423 Less OBQ 381
Gross Standard Volume 200,337 Total Volume Loading in Barrels 199956
WCF T 11 ( Long Tons ) 0.13479 Long Tons 26952.027
WCF T 13 ( Metric Tons ) 0.13695 Metric Tons 27383.931
M Wahyudin Capt. Andreas Danang Emiel H. Kaunang
Vessel Officer Terminal Representative Surveyor
VESSEL : MT. GRIYA CIREBON PORT : FSO FEDERAL 11 TERMINAL

CARGO : WIDURI CRUDE OIL DATE : SEPTEMBER 23-241, 2017

NOTICE OF APPARENT DISCREPANCY

To : WHOM IT MY CONCERN
We have been appointed as Surveyors on the above named vessel by our principals Messrs :
PT. PERTAMINA (PERSERO)
We have to draw your attention to the variance between the Bill(s) of Lading, Ship's Figures and
Outturn Figures as Surveyor's finding :

We append the quantity variance as follows:

Barrels Metric Tons
Discrepancy R1
B/L Figures 199,009.000 27,254.000
Ship Figures After Loading ( T 54 ) 199,990.522 27,388.298
Difference 981.522 134.298
Percentage (%) 0.49 0.49

B/L Figures 199009.000 27,254.000

Ship Figure After Loading ( T 6 ) 199,956.000 27384.000
Difference 947.000 130.000
Percentage (%) 0.48 0.48

We hereby reserve the rights of our principals to refer to this matter in the event of claim.

Acknowledge:

M Wahyudin Capt. Andreas Danang Emiel H. Kaunang

Ship's Officer Terminal Representative Surveyor

Form.No.: SRV-P01F017 Date : April 05, 2006 Rev.No : 0

 Surveyor

Form.No.: SRV-P01F017 Date : April 05, 2006 Rev.No : 0

Form.No.: SRV-P01F017 Date : April 05, 2006 Rev.No : 0
 : FSO FEDERAL 11 TERMINAL

: SEPTEMBER 23-241, 2017

pals Messrs :

Ship's Figures and

Long Tons

26,824.000
26,955.659
131.659
0.49

26824.000
26952.000
128.000
0.48

ent of claim.

Emiel H. Kaunang
Surveyor

Form.No.: SRV-P01F017 Date : April 05, 2006 Rev.No : 0

Surveyor

Form.No.: SRV-P01F017 Date : April 05, 2006 Rev.No : 0

Form.No.: SRV-P01F017 Date : April 05, 2006 Rev.No : 0
VESSEL : MT. AMBER SUN PORT : STS MUNTOK

CARGO : KIDURONG & KIKEH C.O DATE : May 07-08, 2018

WEDGE FORMULA R E P O R T
Note : If ROB sufficient for API and temperature determinations, record data measurement sheet and draw samples
Tank L H Y S W Volume Wedge
No. (Mtr) (Mtr) (Mtr) (Mtr) (Mtr) CBM BBLS
2P 13.80 20.97 3.90 0.090 17.49 39.356 247.542
1S 28.60 20.97 3.90 0.130 17.49 77.914 490.064
5P 28.80 20.97 3.92 0.080 17.62 32.021 201.406
5S 28.80 20.97 3.68 0.060 17.62 19.112 120.211
Tank Nominasi Load Cinta CO Total 168.403 1059.223
1P
1S
4P CARGO BANYUURIP CO
4S
6P
3P 28.80 20.97 3.90 0.100 17.62 48.128 302.716
3S 28.80 20.90 3.90 0.010 17.62 1.361 8.560
6S 26.98 20.90 3.96 0.180 15.41 127.446 801.611
Tank Non Nominasi Ex Banyu Urip CO Total 176.935 1112.888
GRAND T O T A L : 345.338 2,172.110
Draft F; 3.60 M
Draft A; 6.60 M Trim Factor f = Trim / LBP = 0.00215
Trim ; 3.00 M 2 f = 0.01521
LBP ; 175.20 Volume V= (S+(Y-H*F)*F)² *W/2F
Explanation of terms used Condition for use of formula :
L = Length of the tank 1. Liquid not touching all wals of the tank :
H = Heght of the tank at Ullage Point this means S < SC, where
Y = Distance of Ullage point from bulkhead S = Sounding (dip)
S = Sounding ( Dip ) Sc = (L-Y) *F
W = Width of the tank bottom at Aft bulkhead 2. Rectangular shaped cargo tank
V = Volume of Liquid at Wedge 3. Free flowing liquid
F = Trim Factor 4. Vessel has no list
5. Vessel is trimmed by stern
6. Unit must be consistent

Form.No.: SRV-P01F017 Date : April 05, 2006 Rev.No : 0

 Lilik S Capt. Erin Busrian Emiel H. Kaunang
Ships Officer Terminal Representative Surveyor

Form.No.: SRV-P01F017 Date : April 05, 2006 Rev.No : 0

VESSEL : MT. GAMKONORA PORT : STS MUNTOK

CARGO : KIDURONG & KIKEH C.O DATE : May 08, 2018

OBQ REPORT
Note : If ROB sufficient for API and temperature determinations, record data measurement sheet and draw samples
Tank Innage Liquid Non Liquid Total Obsd Vol ( TOV ) Free Water Gross Obsd
No. (M) Wedge Cu. M / Bbls Dipp / Volume Vol ( G O V )
Cu.M / Bbls
1P 0.110 23.562 Trace -
1S 0.202 41.066 Trace -
2P 0.275 59.039 Nil -
2S 0.330 76.311 Nil -
3P 0.109 22.268 Trace -
3S 0.170 34.716 Nil -
4P 0.264 55.533 Trace -
4S 0.175 40.038 Trace -
5P 0.238 51.334 Nil -
5S 0.280 64.016 Nil -
6P 0.185 41.904 Nil -
6S 0.181 42.824 Nil -
-
-
TOTAL 552.611
Total Obsd Vol (TOV) 552.611 Draft
Free Water TRACE Fwd : 2.60 Mtr
Gross Obs Vol (GOV) Cu.M 552.611 Aft : 5.60 Mtr
Gross Obs Vol (GOV) Bbls 3,476 Trim : 3.00 Mtr
Non-Liquid (S) List : Nil
Summary Remarks :
Total Oil : - M3/Bbls Check by MMC & Bottom Sampler
Total Water : Nil M3/Bbls Sludge Unpumpable & Sample not takeable
Total Sludge : 552.610 M3/Bbls

Wahyu Endro Indra Gunawan NurAminudin

Chief Officer Loading Master Surveyor

Form.No.: SRV-P01F017 Date : April 05, 2006 Rev.No : 0

TOK

2018

aw samples
Gross Obsd
Vol ( G O V )
Cu.M / Bbls
-
-
-
-
-
-
-
-
-
-
-
-
-
-

ft
: 2.60 Mtr
: 5.60 Mtr
: 3.00 Mtr
: Nil

NurAminudin
Surveyor

Form.No.: SRV-P01F017 Date : April 05, 2006 Rev.No : 0

VESSEL : MT. GAMKONORA CARGO : KIDURONG & KIKEH C.O
PORT : STS MUNTOK DATE : May 07-08, 2018
BUNKER SURVEY REPORT
FUEL OIL
Last Port of Call Muntok
Time of Sailing : 16.00 hrs LT
Date of Sailing : 02 February 2018
ARRIVAL CONDITION
Tank Ullage/Sdg GOV Spec Gravity Temp GSV
No. (M) M3 Density 15C C VCF T54
FO 1P 1,124 82.000 0.9656 32 0.988512 81.058
FO 1S 924 225.230 0.9656 32 0.988512 222.643
FO 2P 1,501 0.950 0.9656 32 0.988512 0.939
FO 2S 964 171.460 0.9656 32 0.988512 169.490
SETT TK 613 52.850 0.9656 84 0.954436 50.442
SERV TK 620 65.063 0.9656 89 0.951236 61.890
O Flow 456 7.510 0.9656 32 0.988512 7.424
TOTAL : 605.063 593.886
Draft Total M3 at 15 C : -
Fwd : 7.10 Mtr Total Metric Tons : 572.807
Aft : 9.10 Mtr
Trim : 2.00 Mtr
DEPARTURE CONDITION
Tank Ullage/Sdg GOV Spec Gravity Temp GSV
No. (M) M3 Density 15C C VCF T54B
FO 1P 1,124 82.000 0.9656 32 0.988512 81.058
FO 1S 924 225.230 0.9656 32 0.988512 222.643
FO 2P 1,501 0.950 0.9656 32 0.988512 0.939
FO 2S 964 171.460 0.9656 32 0.988512 169.490
SETT TK 613 52.850 0.9656 84 0.954436 50.442
SERV TK 620 65.063 0.9656 89 0.951236 61.890
O Flow 456 7.510 0.9656 32 0.988512 7.424
TOTAL : 605.063 593.886
Draft Total M3 at 15 C : -
Fwd : 11.00 Mtr Total Metric Tons : 572.807
Aft : 11.00 Mtr Bunker Arrival : 572.807
Trim : 0.00 Mtr Bunker Depart : 572.807
Bunker Loaded : -
Consumed : 0.000

Lilik S Emiel H. Kaunang

Ships Officer Surveyor
VESSEL : MT. GAMKONORA CARGO : KIDURONG & KIKEH C.O
PORT : STS MUNTOK DATE : May 07-08, 2018
BUNKER SURVEY REPORT
DIESEL OIL
Last Port of Call Muntok
Time of Sailing : 16.00 hrs LT
Date of Sailing : 02 February 2018
ARRIVAL CONDITION
Tank Ullage/Sdg GOV Spec Gravity Temp
No. (M) M3 Density 15C C VCF T54 MT
DO Store 850 10.220 0.8500 30 0.98800 10.097
DO Serv Gauge 16.400 0.8500 30 0.98800 16.203

TOTAL : 26.620 26.301

Draft Total M3 at 15 C : -
Fwd : 7.10 Mtr Total Metric Tons : 22.326
Aft : 9.10 Mtr
Trim : 2.00 Mtr
DEPARTURE CONDITION
Tank Ullage/Sdg GOV Spec Gravity Temp GSV
No. (M) M3 Density 15C C VCF T54 M3
DO Store 850 10.220 0.8500 30 0.98800 10.097
DO Serv Gauge 13.100 0.8500 30 0.98800 12.943

TOTAL : 23.320 23.040

Draft Total M3 at 15 C : -
Fwd : 11.00 Mtr Total Metric Tons : 19.559
Aft : 11.00 Mtr Bunker Arrival : 22.326
Trim : 0.00 Mtr Bunker Depart : 19.559
Bunker Loaded : 0
Consumed : 2.767

Lilik S Emiel H. Kaunang

Ships Officer Surveyor
 VESSEL'S EXPERIENCE FACTOR

VESSEL : MT. GAMKONORA CARGO : KIDURONG & KIKEH C.O

PORT : STS MUNTOK DATE : May 07-08, 2018

The following details were supplied by the vessel's personnel from vessel's previous
Crago record we cannot be held responsible for any inaccuracies
Voyage Vessel Shore Qualify
Date Port Cargo TRV TCV Ratio Y /N
Bbls Bbls
1/17/2018 ARDJUNA ARCO 191542.280 191489.000 1.00028 Y
12/26/2017 DUMAI DCO 210398.840 210287.000 1.00053 Y
12/26/2017 DUMAI SLC 211535.850 211291.000 1.00116 Y

12/26/2017 DUMAI SLC 158714.920 158467.000 1.00156 Y

12/1/2017 DUMAI DCO 211492.200 211337.000 1.00073 Y

25/11/2017 BALIKPAPAN LSWR 198002.590 198407.500 0.99796 Y
11/15/2017 CINTA CC0 200102.830 200227.000 0.99938 Y
11/3/2017 DUMAI DCO 200949.160 201317.000 0.99817 Y
10/28/2017 SEI PAKNING LSWR 150508.140 149990.188 1.00345 Y
18/10/2017 TUBAN BUCO 601772.130 601253.000 1.00086 Y
TOTAL: 2335018.940 2334065.688

Average Ratio 1.00041

Acceptable Dev. +/-0.0030 1.00341
0.99741

VEF Qualified Voys 2335018.940

= 1.00041
2334065.688

Above record extracted from vessels loading log, as supplied by the vessels chief officer. BMI cannot be
held responsible for any inacurracies

Note: VEF not applicable when voyage are insuffient

 Lilik S Capt. Erin Busrian Emiel H. Kaunang
Ships Officer Terminal Representative Surveyor
VESSEL : MT. GAMKONORA CARGO : KIDURONG & KIKEH C.O
PORT : STS MUNTOK DATE :

CERTIFICATE OF SLOPS
For tanks used in recoferyof oily residue from load on top operations (prior to loading). For tanks used
in retaining liquid slops not to be pumped ashore at discharge port.

SLOP PORT SLOP STARBOARD

DETAILS
BEFORE AFTER BEFORE AFTER
Content Oil and Water Oil and Water
Ullage/innage ( Mt 20,232 19,736 19,736 20,650
Corrected Ullage (Mtr 20,250 19,756 19,756 0
Total Observed Volume (TOV) (Cu.M / Bbls) 26.096 50.226 50.226 2.000
Free Water Ullage/Innage (Mtr 20,610 20,000 20,000 20,000
Corr. Free Water Volume (Cu.M / Bbls) 20,633 20,020 20,020 20020.000
Gross Observed Volume (GOV) (Cu.M / Bbls) 7.770 37.135 37.135 37.135
API @ 60°F / Density @ 15°C
Temperature ( °C / °F )
V. C. F. ASTM T6
Gross Standard Volume (GSV) (Cu.M / Bbls) 18.326 13.091 13.091
W. C. F. ASTM T.11
Long Tons
Metric Tons
Slop to be load on top
Remarks :

Wahyu Endro Indra Gunawan NurAminudin

Chief Officer Loading Master Surveyor
VESSEL : MT. GAMKONORA CARGO : KIDURONG & KIKEH C.O
PORT : STS MUNTOK DATE :

BALLAST TANK REPORT

ARRIVAL DEPARTURE
Tank Corr'd Volume Tank Corr'd Volume
No. Sounding (M) Cu. M No. Sounding (M) Cu. M
FP TK 1.89 215 FP TK 6.50 1.254
1P 0 0 1P 21.50 3.747
1S 0 0 1S 21.50 3,747
2P 0 0 2P 21.50 4,251
2S 0 0 2S 21.50 4,251
3P 0 0 3P 21.50 4348
3S 0 0 3S 21.50 4,348
4P 0 0 4P 21.50 4,348
4S 0 0 4S 21.50 4,348
5P 0 0 5P 21.50 4,327
5S 0 0 5S 21.50 4,327
6P 1.01 627 6P 13.84 4,177
6S 1.01 627 6S 13.84 4,177
APK 6.87 826 APK 6.87 826
TOTAL 2.295 TOTAL 52.476

Remarks :

Wahyu Endro Emiel H. Kaunang

Ships Officer Surveyor
VESSEL : MT. GAMKONORA CARGO : KIDURONG & KIKEH C.O
PORT : STS MUNTOK DATE :MAY , 2018

SAMPLE RECEIPT

TO : WHOM IT MAY CONCERN.

Dear Sir,

Kindly acknowledge receipt of the following samples which was drawn by our atttending surveyor's,
samples were sealed, labelled and one set placed on board the vessel.

DESCRIPTION QUANTITY SEAL NO.

1. Ship Tank Composite After Discharge Kidurong C.O 1 x 1 Gallon

For Terminal
2. Ship Tank Composite After Discharge Kidurong C.O 1 x 1 Gallon
For Retained PT. BMI
3. Ship Tank Composite After Discharge Kikeh C.O 1 x 1 Gallon
For Terminal
4. Ship Tank Composite After Discharge Kikeh C.O 1 x 1 Gallon
For Retained PT. BMI

Acknowledge receipt by :

Wahyu Endro Indra Gunawan Nur Aminudin

Chief Officer Loading Master Surveyor
 : KIDURONG & KIKEH C.O
:MAY , 2018

ending surveyor's,

SEAL NO.

Nur Aminudin
Surveyor
VESSEL : MT. GAMKONORA CARGO : KIDURONG C.O
PORT : STS MUNTOK DATE : MAY 09 - , 2018
LOADING RECORD
RATE
DATE TIME LOADING REMARKS
( Cu.m )
5/9/2018 00.30 Commenced Loading KIDURONG C.O
01.00 1.196 658 SFBD MT. AMBER SUN
02.00 4.091 2.895 KL OBSD : 48,348.20
03.00 6.648 2.557
04.00 8.840 2.192
05.00 10.821 1.981
06.00 13.037 2.216
07.00 15.208 2.171
08.00 17.366 2.158
09.00 19.488 2.122
10.00 21.646 2.158
11.00 23.190 1.544
11.42 24.534 23.996 0.806 STOP TEMPORARY
23.36 24.585 24.047 0.051 RESUME LOAD
24.00 24.838 0.791 KIDURONG C.O
5/10/2018 01.00 27.341 2.503
02.00 29.750 2.409
03.00 32.209 2.459
04.00 34.692 2.483
05.00 37.095 2.403
06.00 39.315 2.220
07.00 41.115 1.800
08.00 42.626 1.511
09.00 43.754 1.128
10.00 44.666 0.912
11.00 44.984 0.318
12.00 45.100 0.116
12.24 45.435 0.335 STOP TEMPORARY
11-05.18 04.36 46.674 1.239 RESUME LOAD
05.00 46.883 0.209
06.00 47.266 0.383 COMPLETED

Remarks :
Qty Cargo Loading Cu.m
Total Time
Average Loading Rate Cu.m

Signature,

Wahyu Endro Indra Gunawan Nur Aminudin

Chief Officer Loading Master Surveyor
VESSEL : MT. GAMKONORA CARGO : KIKEH CRUDE OIL
PORT : STS MUNTOK DATE : MAY 09 - , 2018
LOADING RECORD
RATE
DATE TIME LOADING REMARKS
( Cu.m )
5/9/2018 11.54 Commenced Loading KIKEH C.O
13.00 2.377 2.255 SFBD MT. AMBER SUN
14.00 4.533 2.156 KL OBSD : 48,478.30
15.00 6.82 2.287
16.00 9.137 2.317
17.00 11.375 2.238
18.00 13.607 2.232
19.00 15.914 2.307
20.00 18.262 2.348
21.00 20.347 2.085
22.00 22.095 1.748
23.00 23.866 1.771
23.24 24.920 24.383 0.517 STOP TEMPORARY
10-05-18 12.36 25.703 1.320 RESUME LOAD
13.00 26.557 0.854
14.00 29.382 28.845 2.288
15.00 30.958 2.113
16.00 32.954 1.996
17.00 35.777 2.823
18.00 38.536 2.759
19.00 40.871 2.335
20.00 42.879 2.008
21.00 44.513 1.634
22.00 45.566 1.053
23.00 46.181 0.615
24.00 46.323 0.142
11-05-18 01.00 46.439 0.116
02.00 46.537 0.098
03.00 46.640 0.103
04.00 47.438 0.798
04.24 47.634 0.196 COMPLETED LOAD

Remarks :
Qty Cargo Loading Cu.m
Total Time
Average Loading Rate Cu.m

Signature,

Wahyu Endro Indra Gunawan Nur Aminudin

Chief Officer Loading Master Surveyor
VESSEL : MT. GAMKONORA CARGO 0
PORT : STS MUNTOK DATE 0

STATEMENT OF FACT
On Board Quantity
This is certify, we the undersigned surveyor wish to inform you that upon completion of inspection
before loading the subject vessel at the above mentioned terminal, cargo oil tank werephysically
by using sounding by MMC/UTI with the terminal's and vessel responsible personals

Ships ROB (Cu.M) OBQ (Cu.M)

No Remarks
Tank No. Last Port In Port
1. 3P 72.960 72.000 Ex SLC
2. 3S 27.200 31.000 Ex SLC
3. 6P 12.800 14.000 Ex SLC
4. 6S 14.400 16.000 Ex SLC
Total 127.360 133.000 For Dumai
5 4P 26.680 22.000 Ex SLC
6. 4S 18.800 22.000 Ex SLC
Total 45.480 44.000 For Sei Pakning
7. 1P 5.700 5.000 Ex SLC
8. 1S 11.720 11.000 Ex SLC
9. 2P 12.800 14.000 Ex DCO
10. 2S 12.400 15.000 Ex DCO
11. 5P 24.600 26.500 Ex DCO
12 5S 29.400 45.800 Ex DCO
Total 96.620 117.300 Tank Non-Nomination
Grand Total 269.460 294.300 All Tank
In view of the above finding, we hereby acting for and on behalf of our principal's
We make Statement Of Fact and reserve the right of our principal's to revert to you at later
date should it be deemed necessary.

Please kindly acknowledge and duly signed of this letter acknowledge receipt.

Wahyu Endro Capt. Erin Busrian Emiel H. Kaunang

Ships Officer Terminal Representative Surveyor
VESSEL : MT. GAMKONORA CARGO 0
PORT : STS MUNTOK DATE 0
EXCESSIVE FREE WATER FOUND ONBOARD
AFTER LOADING
Master / Chief Officer
MT. GRIYA CIREBON
Terminal Representative

We have been appointed as surveyor on the above named vessel by our principals.
PT. PERTAMINA ( PERSERO )
We, independent surveyor on behalf our client's do hereby lodge formal protest
in respect of free water found onboard :
Ships Tank Ullage Quantity
Remarks
No. (CM) (Barrels)
1P 5.0 Nil
1S 8.5 Traces
2P 12.5 Traces
2S 8.0 Traces
3P 4.0 Traces
3S 2.0 Traces
4P 14.0 Traces
4S 3.5 Traces
5P 6.0 Nil
5S 4.5 Traces
6P 15.5 Nil
6S
7P
7S
8P
8S 20.0 Nil
TOTAL: -

Accordingly, we are holding you and other interested parties responsible for the loss and damage
thereby sustained, as well as any consequential loss and damage arising therefrom
We hereby reserve the right of our principal to refer to this matter at a later date and to take such
action as may be deemed necessary.

Acknowledge receipt by :

Wahyu Endro Indra Gunawan NurAminudin

Ships Officer Terminal Representative Surveyor
VESSEL : MT. GAMKONORA CARGO 0
PORT : STS MUNTOK DATE 0
LETTER OF PROTEST
TRACES/FREE WATER
Master / Chief Officer
MT. JAG LEELA

We undersigned surveyor, wish to advise that upon before loading a parcel

material designated as : Cinta Crude Oil.

The cargo tanks were physically measured and following were determined :
Ships Tank Ullage Quantity
Remarks
No. (CM) (Barrels)
1P 5.0 Nil Ex SLC
1S 8.5 Traces Ex SLC
2P 12.5 Traces Ex SLC
2S 8.0 Traces Ex SLC
3P 15.0 Traces Ex SLC Unpumpmable
3S 8.0 Traces Ex SLC Unpumpmable
4P 10.0 Traces Ex SLC Unpumpmable
4S 13.0 Traces Ex SLC Unpumpmable
5P 6.0 Nil Ex SLC Unpumpmable
5S 4.5 Traces Ex SLC Unpumpmable
6P 10.0 Traces Ex SLC Unpumpmable
6S 15.0 Traces Ex SLC Unpumpmable
7P Ex SLC Unpumpmable
7S Ex SLC Unpumpmable
8P Ex SLC Unpumpmable
8S 20.0 Nil Ex SLC
TOTAL: -
In view of the above observation, we do hereby logde protest and reesrve the right of
our principals and clients revert to you at later date should it be deemed necessary.

This Statement is issued for and on behalf of our principals and clients in maintaining their interest

Acknowledge receipt by :

Wahyu Endro Indra Gunawan NurAminudin

Ships Officer Terminal Representative Surveyor
 parcel

mined :
Remarks
Ex SLC
Ex SLC
Ex SLC
Ex SLC
Ex SLC Unpumpmable
Ex SLC Unpumpmable
Ex SLC Unpumpmable
Ex SLC Unpumpmable
Ex SLC Unpumpmable
Ex SLC Unpumpmable
Ex SLC Unpumpmable
Ex SLC Unpumpmable
Ex SLC Unpumpmable
Ex SLC Unpumpmable
Ex SLC Unpumpmable
Ex SLC

srve the right of

med necessary.

ng their interest
VESSEL : MT. GAMKONORA CARGO 0
PORT : STS MUNTOK DATE 0
LETTER OF PROTEST
TRACES/FREE WATER
Master / Chief Officer
MT. JAG LEELA
We undersigned surveyor, wish to advise that upon after loading a parcel
material designated as : Cinta Crude Oil.
The cargo tanks were physically measured and following were determined :
Ships Tank Ullage Quantity
No. (CM) (Barrels)
1P Traces
1S Traces
2P Traces
2S Traces
3P Traces
3S Traces
4P Traces
4S Traces
5P Traces
5S Traces
6P Traces
6S Traces
7P Traces
7S Traces
8P Traces
8S Traces
TOTAL: Traces

In view of the above observation, we do hereby logde protest and reserve the right of our
principals and clients revert to you at later date should it be deemed necessary.

This Statement is issued for and on behalf of our principals and clients in maintaining their interest

Acknowledge receipt by :

Wahyu Endro Indra Gunawan NurAminudin

Ships Officer Terminal Representative Surveyor
VESSEL : MT. GAMKONORA CARGO 0
PORT : STS MUNTOK DATE 0

STATEMENT OF FACT

TO WHOM IT MAY CONCERN

We hereby report that we have been conducted a measurement in ship's tanks prior and
upon completion of discharge by using vessel's equipment which details are as follows :

Name of Equipment Type Callibration Date Serial No. Remarks

MMC/UTI D-2401-2 3/8/2018 25020 Good

On behalf of our principals and/or bill of lading holders, we reserve the right refering on this
matter at a later date.

Acknowledge receipt by :

Wahyu Endro Capt. Erin Busrian NurAminudin

Ships Officer Terminal Representative Surveyor
VESSEL : MT. GAMKONORA CARGO 0
PORT : STS MUNTOK DATE 0

STATEMENT OF FACT

TO WHOM IT MAY CONCERN

Dear Sir,
We the undersigned surveyor, we bring to your attention prior to loading a parcel of
material designated as : CINTA CRUDE OIL

Vessel cargo tanks were manually sounded and our finding indicated a total of 51.000 CuM or 321 Bbls
of Oil and Free Water in vessel's cargo tank no: 2P/S and 5P/S found prior before loading unpumpable ex langsa
crude oil
We Taking Bottom Sample Indication Free Water 4(four) Bottles, 2P/S and 5P/S

In view of above obsevation, we do hereby lodge protest and reserve the right of your principals and
clients to revert to you at a later date should it be deemed necessary.

This statement is issued for an on behalf of our principals and clients in maintaing their interest.

Kindly acknowledge receipt of this statement.

Acknowledge receipt by :

Wahyu Endro Capt. Erin Busrian NurAminudin

Ships Officer Terminal Representative Surveyor
VESSEL : MT. GAMKONORA CARGO 0
PORT : STS MUNTOK DATE 0

STATEMENT OF FACT
LOW RATE IN PUMPING OPERATION

TO WHOM IT MAY CONCERN

THIS IS TO CERTIFY THAT the discharging operation of the subject vessel at the above
terminal was 44 hour and 24minutes due to the low rate 23,830Cu.M/Bbls per hours

While the vessel actually could delivered (discharged rate) 23.830 Cu.M/Bbls per hours.

In the discharging operation terminal request discharged rate: 25.000 Cu.M/Bbls per hour or
prior discharge pressure at manifold 8.5 kg/cm and maximum disch time 44 Hrs Including Stripping
Total Cargo Loading: 962.738 Barrels ARDJUNA CRUDE OIL

In view of above finding, we do hereby lodge formal protest regarding this matter and reserve the
right of principals and clients to revert to you at a later date should it be deemed necessary.

Please kindly acknowledge and duly signed of this letter by giving your reasons in bellow in case you
are unable to do so.

Acknowledge receipt by :

Wahyu Endro Indra Gunawan NurAminudin

Ships Officer Terminal Representative Surveyor
#REF! 0 0.0000
#REF! 0 0.0000
#REF! 0 0.0000
#REF! 0 0.0000
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#REF! 0 0.0000
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#REF! #REF! #DIV/0!
#REF! #REF! #DIV/0!
#REF! #REF! #DIV/0!
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TEST ONLY
 TIME LOG LOADING DISCHARGING Date : MAY 07 - 08, 2018

Vessel : MT. GAMKONORA Port : STS MUNTOK Cargo : KIDURONG C.O

KIKEH C.O

Occurrences Month / Year Date Hours Remarks

Vessel Arrival May-18 07 21.00 -22.00 MUNTOK
Drop Anchore May-18
Notice of Readiness Tendered May-18
Notice of Readiness Accepted MAY
Free Pratique Graunted JUN
Anchore Up JULY
POB for Berthing AUG
First line SEPT
All Made Fast
Loading Master & Surveyor OB
Key Meeting Held
Sampling
Ullaging / Sounding
Calculation Completed
LA / Hose Connected
Commenced Discharged
Stop Temporary
Resume
Completed Discharged
Dry / Tank Inspection
LA / Hose Disconnected LA 2 x 2"
Document Clear OB
POB for Un Berthing
Un Berthing
Vessel Sailing
Remarks :

PT. Buana Multiguna Inspection

Nur Aminudin
CHIEF OFFICER LOADING MASTER ATTENDING SURVEYOR