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.FUEL INFORMATION FORMVISWA LAB CORPORATION8423 Almeda Road, Suite `S'Houston, Texas 77054, USAFUEL INFORMATION FORMChief Engineer: Please fill out this form and fax it to Viswa Lab on+1 (713) 842-1981 when shipping samples.CUSTOMER NAME:SHIP NAME:PORT AND DATE OF BUNKERING:SUPPLIER AND FUEL GRADE:BUNKER INFOQUANTITY: ____________ MTonsDENSITY: ____________ kg/m³ @ 15°CVISCOSITY: ____________ cSt @ 50°CSEAL NOSHIP: ______________SUPPLIER: ______________LAB: ______________REMARKS :NOTE: PLEASE ATTACH A COPY OF BUNKER RECEIPT, SUPPLIED BY THE BUNKER SUPPLIER.IF ANY OF THE ABOVE INFORMATION IS AVAILABLE ON BUNKER RECEIPT, YOU NEED NOT REPEAT IT ON THIS FORM.(SAMPLE TO BE DISPATCHED TO VISWA LAB)DATE HANDED OVER: _______________________AGENT RESPONSIBLE FOR DISPATCH: ____________________________________________________CITY/COUNTRY: _________________________________________TELEPHONE: ________________________ FAX: _____________________________________COURIER SERVICE:FEDEXDHLOTHER:________________________________AIR WAYBILL / PACKAGE TRACKING # (IMPORTANT): ____________________________________CHIEF ENGINEER'S NAME: _____________________________________________________Issued: Mar-2002Tel:USA (713) 842-1985Fax:USA (713) 842-1981Email:Web:http://www.viswalab.com [ Pobierz caÅ‚ość w formacie PDF ]