DATE                       REFERENCE NO.
TIME LOG                 DISCHARGE            LOADING
  VESSEL                                       PORT/TERMINAL                          PRODUCT/CARGO
                                                                              MONTH               DAY              HOUR
  1. VESSEL ARRIVED
  2.
  3.
  4. DOCKED (GANGWAY IN PLACE)
  5. NOTICE OF READINESS TENDERED
  6. NOTICE OF READINESS ACCEPTED
  7. VESSEL CLEARED BY GOVERMENTAL OFFICIAL
  8. SURVEYOR ON BOARD
  9. KEY MEETING HELD
  10. VESEEL SURVEY COMPLETED/BEGINNING OF TRANSFER
  11. HOSES CONNECTED (                X   )
  12. COMMENCED DISCHARGE/TAKING BALLAST
  13. FINISHED DISCHARGE/TAKING BALLAST
  14. STARTED LOADING/UNLOADING
  15. COMLETED LOADING/UNLOADING
  16. HOSES DISCONNECTED
  17. ESTIMATED SAILING TIME
  18. SURVEY COMPLETED/END OF TRANSFER
  19.
  20.
  21.
  22.
  AMBIENT TEMPERATURE               SEA WATER TEMPERATURE      GENERAL WEATHER CONDITIONS
  REMARKS:
__________________________________________________________                              ____________________________________
              MEASUREMENT REPRESENTATIVE                                                         VESSEL REPRESENTATIVE