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LOADING AND SAMPLING FORM SG

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Gianluca Gallian
Gianluca Gallian

An easy and detailed form for sampling operations for liquid and/or solid cargoes

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STUDIO GALLIAN –Salita Priaro 3 – 16036 Recco GE (ITALIA) Tel. 0185 1872208 – Mob. 3477862550 – C.F. GLLGLC77L07D969I – P. IVA 01992910990 E-mail: gianluca.gallian@gmail.com – www.cargoclaims.blogspot.com VERBALE CARICAZIONE / CAMPIONAMENTO LOADING / SAMPLING REPORT FORM Ns. Rif. / Our ref.: Mittente / Shipper: _____________________________ _____________________________ Luogo di caricazione / Place of loading: _____________________________ Data di caricazione / Date of loading: _____________________________ Prodotto / Commodity: _____________________________ Qualità / Grade: _____________________________ Documentazione / Docs: _____________________________ Container / Container: _____________________________ Flexitank /Flexitank: _____________________________ Installata da / Fitted by: _____________________________ Ora inizio caricazione / Loading ops. started at: _____________________________ Ora fine caricazione / Loading ops. finished at: _____________________________ Quantità richiesta / Required quantity: _____________________________ Quantità caricata / Loaded quantity: _____________________________
STUDIO GALLIAN 2 Campioni / Samples: Sample description: Origin: Quantity: Seal no.: Destination: Note / Remarks: _______________________________________________________ _______________________________________________________ _______________________________________________________ Attestiamo che abbiamo verificato l’avvenuta caricazione della merce sopra indicata / We confirm we checked the loading of the above mentioned cargo Attestiamo che abbiamo effettuato il - assistito al - prelievo dei campioni sopraindicati / We drew - attended the drawing of the above mentioned samples. In contraddittorio con / Jointly with _____________________________ _____________________________ _____________________________ _____________________________

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LOADING AND SAMPLING FORM SG

  • 1. STUDIO GALLIAN –Salita Priaro 3 – 16036 Recco GE (ITALIA) Tel. 0185 1872208 – Mob. 3477862550 – C.F. GLLGLC77L07D969I – P. IVA 01992910990 E-mail: gianluca.gallian@gmail.com – www.cargoclaims.blogspot.com VERBALE CARICAZIONE / CAMPIONAMENTO LOADING / SAMPLING REPORT FORM Ns. Rif. / Our ref.: Mittente / Shipper: _____________________________ _____________________________ Luogo di caricazione / Place of loading: _____________________________ Data di caricazione / Date of loading: _____________________________ Prodotto / Commodity: _____________________________ Qualità / Grade: _____________________________ Documentazione / Docs: _____________________________ Container / Container: _____________________________ Flexitank /Flexitank: _____________________________ Installata da / Fitted by: _____________________________ Ora inizio caricazione / Loading ops. started at: _____________________________ Ora fine caricazione / Loading ops. finished at: _____________________________ Quantità richiesta / Required quantity: _____________________________ Quantità caricata / Loaded quantity: _____________________________
  • 2. STUDIO GALLIAN 2 Campioni / Samples: Sample description: Origin: Quantity: Seal no.: Destination: Note / Remarks: _______________________________________________________ _______________________________________________________ _______________________________________________________ Attestiamo che abbiamo verificato l’avvenuta caricazione della merce sopra indicata / We confirm we checked the loading of the above mentioned cargo Attestiamo che abbiamo effettuato il - assistito al - prelievo dei campioni sopraindicati / We drew - attended the drawing of the above mentioned samples. In contraddittorio con / Jointly with _____________________________ _____________________________ _____________________________ _____________________________