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This document is a surveyor import report from Carsurin regarding a shipment of 3477.276 metric tons of gasoline from Total Trading Asia Pte. Ltd. in Singapore to PT Pertamina in Kotabaru, Indonesia. The gasoline has a 92 RON unleaded grade. It was transported onboard the MT Great Sailor and inspected in Singapore on September 3, 2018 before being discharged in Kotabaru.

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0% found this document useful (0 votes)
123 views1 page

Img 0003

This document is a surveyor import report from Carsurin regarding a shipment of 3477.276 metric tons of gasoline from Total Trading Asia Pte. Ltd. in Singapore to PT Pertamina in Kotabaru, Indonesia. The gasoline has a 92 RON unleaded grade. It was transported onboard the MT Great Sailor and inspected in Singapore on September 3, 2018 before being discharged in Kotabaru.

Uploaded by

Ippank Ukkas
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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,rero CARSURIN
\\#
x LAPORAN SURVEYOR IMPORT
FM.04.LSP_rev.01.20 1 6

SURYEYOR /MPORT REPORT


I\,4INYAK BUMI, GAS AUMI, DAN BAHAN BAKAR LAIN / PFTROLEUM, NATURAL GAS AND OIHER FUELS
PERATURAN MENTERI PERDAGANGAN RI NO.O3/M-DAGFER/1/2015
REGULATION OF TRADE MINISTRY NO.O3A'.DA G/PER/1/2015

vi No. vRI03652 lO No. 1O15127018 Ls No. 15201809-4391

l. Parties Concemed
lmpo er / lmportir Exporter / Eksportii
Name / Nama PT Pertamina (Persero) Name / Nama : Total Trading Asia Pte. Ltd.
Address / Alamat Jl. Medan Merdeka Timur No. 1A, Address / Alamat : 250 North Bridge Road, #39-00
Kel. Gambir, Kec. Gambir Jakarta City Tower, Singaporo '179101
Pusat
Country / Negara lndonasia Gountry / Negara : Singapore
NPWP 010016640051000
API/APIT No 090203958-P
SPI No 04.Pt-63.18.0037
Expiry / Berlaku s.d. 311121201a

ll. Shipment Deta / Data Pengiriman


Mode of Transportation / :Sea lnvoice No. : SPS12637
Moda Transportasi
Vessel/AircBfr (Nama Alat : MT. Great Sailor lnvoice Date / Tanggal :04/09/2018
Angkut) InvoiGe
Voyage No. / No. :-
Pengiriman
Country of Origin / Negara : Singapore LC Dat€ / Tanggal LC:
Asal
Port of Loading / : Singapore BUDoc No : 138638/DS 1/l.2
Pelabuhan Muat
Port of Discharge / rKotabaru BL /Doc Dat€ / Tanggal ; 03i09/2018
Pelabuhan Bongkar BL
Place of lnspection / : Singapore Date of lnspection / ;03/09/2018
Tempat Pemeriksaan Tanggal Pemeriksaan

lll. Details of Goods lnspected / Rincian Balang


No HS Code / Kode HS Description of Goods / Keterangan Barang Quantity/Unit
Weiqht I Berat Volume
,|
27101224 Gasoline 92 RON Unleaded 3477 .276 MT 299M.000 USB

Date of lssued / Tanggal Terbit :04i09i2018


Penerbit:Jakarta

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Neo SOHO Capatal 28th Floor,ll. Leuen S. Parman Kav. 28, crogol Petamburan - Jakarta Barat 11470, Indonesia
P:+62.21.5022.6868 l F : +62.2t.5O77.1799 l E : [email protected] ; [email protected] www.carsurin.com I

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