Ships Name
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IMO number:
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Class/Administration identity Number:
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Port of Registry:
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Gross Tonnage:
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Deadweight:
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Date of build:
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Classification society:
|
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Name of company performing thickness
measurement:
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Thickness measurement company certified by:
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Certificate number:
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Certificate valid
from:...................................................to............................................................
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Place of measurement:
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First date of measurement:
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Last date of measurement:
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renewal survey/intermediate survey due*:
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Details of measurement equipment:
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Qualification of Operator:
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Report
Number:
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consisting of
pages
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Name of
operator:............................................
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Name of
surveyor............................................
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Signature
of operator:......................................
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Signature of
surveyor......................................
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Company
Official stamp:..................................
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Administration:
...............................................
|
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Official stamp:
|
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