Fo-031 R0 Request to Witness Fuel Sampling Onboard.doc

To: Fuel Supplier’s Representative

Suppliers Name: ...................................................................

From:

Vessels Name: ......................................................................

IMO No: .................................................................................

Owner: ...................................................................................

Port Bunkered: .......................................................................

Date Bunkered: ......................................................................

Grade/s Ordered: ...................................................................

This vessel follows sampling procedure in order to verify the quality of fuels received onboard by sending it for analysis, if needed. The vessel personnel will carefully obtain a representative sample during the delivery of the fuel grade/s listed above.

The representative sample taken will be split into three (3) parts in clean unused sample containers. These samples will be sealed and distributed as follows:

·      First sample will be offered to yourselves – the SUPPLIER

·      Second sample will be retained onboard, for further reference, and may be sent for analysis

·      Third sample will be retained onboard for 12 months as part of the MARPOL Annex VI regulations

In view of the critical nature of taking a true representative sample of the fuel that you are delivering, we hereby request that you, the SUPPLIER’s representative, or representative acting on your behalf, witness the sampling operation, labeling and sealing of these samples to be obtained during the bunker delivery, as described above.

              Master/Chief Engineer              Supplier’s Representative

              ……………………………              Name (print)               …………………………….

              ……………………………              Signature               …………………………….