Waterp.DOC

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Port/Date

                                                                              Port/Date................................

 

To:

 

 

 

 

 

 

     

 

 

I, ........................... , the Master of M/T ............................,acting on behalf of my Owners Ship-Service S.A., hereby report having discovered today at ...........hrs L.T.  the oil spill while my vessel was berthed at .........................

The above spill was blown in my vessl`s direction  from the  water area behind my stern.

     I do reject any claim or responsibility for the reported pollution ,quaranteeing

my vessel being in perfect sound and tight condition.

 

 

 

 

Regards

 

 

 

 

Master

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