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Declaration - Appendix 1 - TP 743 E

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TABLE OF CONTENTS - APPENDIX 1

CARGO TRANSFER SAFETY CHECKLIST SYSTEM FOR TANKSHIPS

The following responsible officers/representatives have checked, where appropriate jointly, the items on the relevant checklists, and have satisfied themselves that the entries made are correct to the best of their knowledge, and that the necessary repetitive checks have been carried out as necessary.

CHECKLIST DELIVERER RECEIVER DATE
  Signature Rank/Position Signature Rank/Position completed
A1          
B1          
C1          
D1          
           

TRANSFER MODE :
Ship / Terminal o
Ship to Ship o
Single Point Mooring o
TRANSFER LOCATION:
DELIVERER:
RECEIVER:

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Date modified:
2012-02-27