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(Certificate and Survey Status) : No Certificate Issued by Remarks

This document lists 60 certificates and surveys for a ship, including: 1. Certificates of class, safety construction, safety equipment, load line, tonnage, and pollution prevention from LR and other classification societies. 2. Safety management and security certificates in accordance with the ISM and ISPS codes. 3. Certificates of compliance with labor conventions, USCG regulations, and other international conventions. 4. Records of servicing and testing for lifesaving, navigation, and communication equipment. It provides details on each certificate such as issuing authority, date of issue, validity and renewal dates.

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PankajShukla
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100% found this document useful (1 vote)
193 views32 pages

(Certificate and Survey Status) : No Certificate Issued by Remarks

This document lists 60 certificates and surveys for a ship, including: 1. Certificates of class, safety construction, safety equipment, load line, tonnage, and pollution prevention from LR and other classification societies. 2. Safety management and security certificates in accordance with the ISM and ISPS codes. 3. Certificates of compliance with labor conventions, USCG regulations, and other international conventions. 4. Records of servicing and testing for lifesaving, navigation, and communication equipment. It provides details on each certificate such as issuing authority, date of issue, validity and renewal dates.

Uploaded by

PankajShukla
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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[Certificate and Survey status]

No CERTIFICATE Issued by Place of issue Date of Issue Expiry date Periodical review Remarks
Type Last done Date due

01 Permanent Certificate of Registry MARSHALL IS HONG KONG 6-Feb-18

01A Factural statement of change ship's name LR ZHOUSHAN 11-Feb-15


Ft.Lauderdale,Florid
02 Minimum Safe Manning Certificate MARSHALL IS
a
30-Aug-17

03 Certificate of Class LR DUBAI 30-Aug-17 15-Mar-20 Annual 6-Feb-18 15-Feb-19

04 Cargo Ship Safety Equipment + Form E LR ZHOUSHAN 11-Jun-18 15-Mar-20 Annual 6-Feb-18 15-Feb-19

Record of Approved cargo Ship Safety Equipment


05 LR ROTTERDAM 15-May-14

06 Cargo Ship Safety Construction LR ZHOUSHAN 06-Nov-17 15-Mar-20 Annual 6-Feb-18 15-Feb-19

07 Cargo Ship Safety Radio Certificate + Form R LR DUBAI 30-Aug-17 15-Mar-20 Annual 6-Feb-18 15-Feb-19

08 International Tonnage Certificate LR ROTTERDAM 15-May-14

International Load Line Certificate+MULTIPLE LL


09 LR ZHOUSHAN 06-Dec-17 15-Mar-20 Annual 6-Feb-18 15-Feb-19
ASSNMNTS

10 Condition for Assignment of Freeboard LR ROTTERDAM 15-May-14 15-Mar-20

Certificate of Fitness for carriage of Dangerous


11 LR DUBAI 30-Aug-17 15-Mar-20 Annual 6-Feb-18 15-Feb-19
Chemicals in Bulk + List of Products

RADIO CERTIFICATES
12 Radio Station License MARSHALL IS 30-Apr-18 29-Apr-22

13 Survey Checklist - GMDSS - Safety Radio IMTECH SINGAPORE 6-Feb-18

14 Record of Approved GMDSS Radio Installation LR ROTTERDAM 14-May-14

Declaration of Shore Based Maintenance-


15 Radio Holland HONG KONG 31-Jan-19
Radia/GMDSS

16 EPIRB Annual shore based testing / maintenance IMTECH SINGAPORE 6-Feb-18 5-Feb-19
17 AIS Annual Test Report IMTECH SINGAPORE 6-Feb-18 5-Feb-19

18 SART Annual Test 30-Aug-17 29-Aug-18

19 LRIT Conformance Test Report POLE STAR LONDON 13-Sep-17

20 S-VDR Annual Performance Test IMTECH SINGAPORE 9-Jan-19 9-Jan-20

21 SSAS - Survey Checklist IMTECH SINGAPORE 6-Feb-18


MARPOL 73/78
International Oil Pollution Prevention Certificate +
22 LR DUBAI 30-Aug-17 15-Mar-20 Annual 6-Feb-18 15-Feb-19
Form B

23 International Sewage Pollution Prevention Certificate LR DUBAI 30-Aug-17 15-Mar-20

24 International Air Pollution Prevention Certificate LR DUBAI 30-Aug-17 15-Mar-20 Annual 6-Feb-18 15-Feb-19

25 Engine Int'l Air Pollution Prevention Certificate6 LR ROTTERDAM 15-May-14

26 Statement of Conformance for MARPOL 73/78 LR ROTTERDAM 15-May-14


Annexe V

27 LR DUBAI 30-Aug-17
International Energy Efficiency Certificate
INTERNATIONAL BALLAST WATER MANAGEMENT
28 LR DUBAI 30-Aug-17 15-Mar-20 Annual 6-Feb-18 15-Feb-19
CERT.

AFS Convention

29 International Anti-fouling System Certificate LR DUBAI 30-Aug-17

International Health Regulations

Ship Sanitation Control Exemption Certificate / Ship


30 CAPETOWN 6-Sep-18 5-Mar-19
Sanitation Control Certificate

SECURITY & ISM


31 International Ship Security Certificate LR HONG kONG 11-Sep-17 15-May-21 Intermediate 5-Dec-18
MUMBAI

32 Document Of Compliance DNV-GL 7-Jun-17 19-May-20 Annual 19-Apr-18

33 Safety Management Certificate (ISM) LR HONG KONG 11-Sep-17 15-May-21 Intermediate 5-Dec-18
MUMBAI

34 Declaration Of Company and Owners MARSHALL IS 18-Jan-16 19-May-20

35 Continous Synopsis Record- No-9 15-Sep-17

Management System Certificate ISO 9001:2015 /


36 DNV GL HOVIK 16-May-18 19-May-20
ISO 14001:2015 / OHSAS 18001:2007 // FML

INSURANCE
Certificate of insurance in respect of Civil Liability for
37 MARSHALL IS HONG KONG 20-Feb-18 20-Feb-19
Oil Pollution damage (CLC 92)
Certificate of insurance in respect of Civil Liability for
38 Bunker Oil Pollution damage (COI BCLC) MARSHALL IS HONG KONG 20-Feb-18 20-Feb-19
Certificate of insurance in respect of Civil Liability for
39 Removal of Wrecks MARSHALL IS HONG KONG 20-Feb-18 20-Feb-19

NORTH OF
40 ENGLAND
20-Feb-18 20-Feb-19
P & I Club, Certificate of Entry (North of England)

41 ITOPF Membership Record Form 20-Feb-19


MARINE LABOUR CONVENTION 2006

42 Certificate of inspection of Crew Accomodation LR ROTTERDAM 15-May-14

43 Maritime Labour Cerificate LR HONG KONG 11-Sep-17 15-May-21 Intermediate 5-Dec-18


MUMBAI

44 DMLC part I & II LR RESTON,VIRGINIA 23-Aug-17

45 IBF TCC Agreement (CBA) HONG KONG 12-May-18

TONNAGE CERTIFICATES

46 Marshall Island Tonnage tax receipt 01-Jan-19 31-Dec-19

47 Chinese Tonnage Dues 02-Jan-19 2-Mar-19

48 Suez Canal Tonnage Certificate ABS BUSAN KOREA 8-Feb-10

49 Panama Canal Tonnage Certificate ACP BALBOA 22-May-16

UNITED STATES CERTIFICATES


U.S. Federal Certificate of Financial Responsibility
50 USCG 7-Sep-17 7-Sep-20
(COFR)
California Certificate of Financial Responsibility (CA
51 USCG 20-Feb-16
COFR)

52 USCG 20-Oct-18 20-Oct-20


Certificate of Compliance - USCG

53 USCG
EPA - NOI-NPDES-VGP

54 USCG 14-Mar-16 25-Oct-19


US Vessel Response Plan (VRP) Approval

MISCELANIOUS
5 Yearly Done- 11-02-
55 Register of Lifting Appliances LR 16-Mar-10 Annual 6-Feb-18 2015

56 Loading Computer Certificate LR ROTTERDAM 14-May-14

57 Emergency Response Service Copy LR 22-Aug-17 31-Jan-22

58 Installation Survey Checklist- ECDIS LR ZHOUSHAN 6-Dec-17

59 PMS Approval 2-Jun-14 8-Jun-19


60 LR ZHOUSHAN 11-Feb-15
EPA -VGP-Statement of Dry dock Survey

61 INDONESIAN HEALTH BOOK

62 Ship Emergency Response Services (SERS) LR 22-Aug-17 31-Jan-22

63 AGM inspection Pyeongtaek 17-Jun-18

64 EU MRV ASSESSMENT ABS 6-Dec-17

OLD CERT OF INSURANCE FOR WAR / H&M /


65
DISBURSEMENT
Sr.No.

1
2
3

4
5
5.1
6
7
8
9
10
11
11.1
11.2
12
12.1
12.2
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34.1
34.2
34.3
Sr.No.

35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69.1
69.2
69.3
CERTIFICATE

Certificate of Re-inspection of Liferafts(5Nos.)


Inspection of Fire Extinguishers
Inspection of CO2 system- Engine Room
Inspection of CO2 system- Galley
BA Compressor Air Quality Certificate
Inspection of SCBA
Five Yearly Air cylinder hydro test
Inspection of EEBD
Inspection of Medical Oxygen Device
Inspection of Wet Chemical System (Galley)
Certificate for inspection of Immersion suit( shore)
Certificate for inspection of IBC suit
Annual Foam Sample Analysis
Foam Applicator
5 Yearly Fixed Foam System Installation and Proportionate Test
Annual Servicing of Lifeboat and Launching Appliances
Five Yearly Servicing of Lifeboat and launching Appliances
Inspection of Lifeboat retrieval system
Lifeboat Air Cylinder Certificate
Annual Calibration of Portable Multigas detector GX-2009(5 Set)
Annual Calibration of HC-O2 detector RX-415(1 set)
Annual Calibration of Multigas detector Eagle(2 Sets)
Annual Calibration of Tankscope ,MSA-62T ( 2 set)
Annual Calibration of Toxic gas Pump(Drager Accuro) Hand Pump(2 Set)
Calibration of Tiger Pho
Annual Calibration of Fixed Gas Detector
Annual Calibration of UTI Certificate(T2000-TFC-02)
Annual Calibration of UTI Certificate(T2000-TFC-03, 04 & T2000-TFC-0
Annual Shore adjustmet of Magnetic Compass
Annual Calibration of ODME
Annual Calibration of OWS
Cargo Monitoring System
Annual Calibration of Alcoscan AL-6000
Vapour Tightness Certificate Annual Test
Five yearly Load Test of Gangway (Port & Stbd)
Five yearly Load Test of Deck,Engine room & provisin Crane
TRUST SHIPPING - Drug & Alcohol Certificate
Lifejacket light Lights ( received at Zesco shipyard 04-12-2017)
Fire Hydrant ( critical spare received at Zesco shipyard on 04-12-2017
Gyro Service reports
CCTV- Service reports
Inmarsat Annual Service/Upgradation
MOB / Certificate of Inspection
Lifeboat No-2 Documents
Certificate of Pilot ladder & MOT
Life Boat & Equipment Documents
Life Boat & Equipment Documents
Life Boat & Equipment Documents
CERTIFICATE

T/C hoses (4 nos-6"x12m)(4 nos-6"x1.5m)


N2 Hoses(3 nos-4"x1.5m)
Flexible Vapour Return hoses(4 nos-6"x1.5m)(4 nos-6"x12 m)
Flixible Cargo Hoses (6 Nos. , 6" x 6M)
ETA Certificate
Anchor chain measurement Record
ECDIS Approval Certificate
Approval Certificate for Cargo Tank Table
Declaration of Asbestos Free Certificate
Master Pressure & Temperature Calibrator
Voyager Service Certificate
Medical Chest Certificate
BNWAS Cerificate
Suez Canal Search Light Certuficate
PV Valve type Approval Certificate (SUPPLIER)
Portable pump TK 150 Certificate
Admiralty Vector chart Service
Doppler speed Log Test sheet
Manifold Chocks Certificate
Waste Oil Incinerator Cert
Lifebuoy SUPPLIER Certificate
Certificate of Ship Security Course Approval + CSO Certificate
Lifejacket Certificate of Type Approval+Immersion Suit
LR Salvage Agreement
Potable Water Lab Test Report
Cargo Line Pressure Test Certificate
Flexible hose pressure test
Bunker Line Pressure Test
Fire & Foam Line Pressure Test
Nitrogen, Ballast & Framo line Pressure test
Tank Cleaning Line Pressure Test
IG Line, Vapour Return Line, Vapour Line & Recovery hose Pressure Test
Winch Brake Test Certificate
Certificate of Working Vest
Dye penetration report M.E Piston crown
Certificate of fairlead installed in Zesco shipyard
Fire Man's Outfit (4 Nos) + L/Boat - Pyrotechnics & First Aid Kit
Compound Gauges - 02 Nos.
Certificate for gangway wires
Certificate for provision crane wire
Certificate for pilot ladder 1(nos)
Certificate for pilot ladder 1(nos)
Embarkation Ladder
Date of Issue (dd- Expiry Date (dd-
mm-yyyy) mm-yyyy)
10/18/2018 10/18/2019
9/11/2018 9/10/2019
1/9/2019 1/8/2020
9/11/2018 9/10/2019
9/11/2018 9/10/2019
9/11/2018 9/10/2019
03-2014 03-2019
9/11/2018 9/10/2019
12/5/2018 12/4/2019
1/9/2019 1/8/2020
12/20/2016 12/19/2019
1/9/2019 1/8/2020
4/25/2018 4/24/2019
9/11/2018 9/10/2019
21-02-2017 20-02-2022
1/9/2019 1/8/2020
2/10/2015 2/9/2020
2/11/2015 NA
1/9/2019 1/8/2024
11/12/2018 11/11/2019
11/12/2018 11/11/2019
11/12/2018 11/11/2019
11/12/2018 11/11/2019
11/12/2018 11/11/2019
2/6/2018 2/5/2019
11/12/2018 11/11/2019
11/12/2018 11/11/2019
12/1/2018 12/1/2019
1/9/2019 1/8/2024
4/18/2018 4/17/2019
4/18/2018 4/17/2019
12/10/2016
1/4/2019 1/4/2020
8/26/2018 8/25/2019
2/10/2015 2/10/2020
2/6/2015 2/5/2020
1/1/2019 12/31/2019
1/1/2020

1/9/2019 1/8/2020
12/4/2017 --
12/1/2017 --
7/1/2017

10/23/2017
5/2/2011

Date of Issue Expiry Date (dd-


(dd-mm-yyyy) mm-yyyy)

2/10/2010
2/10/2010
2/16/2010
2/18/2010
3/2/2010
2/7/2015
9/18/2016
28-09-2011
2/10/2015
4/18/2018 4/17/2019
12/31/2017 12/31/2018
12/5/2018 12/4/2019
20-09-2011
12/7/2009
.
11/6/2009

20-02-2010
2/2/2015
1/12/2009
5/31/2013
1/20/2004
2/23/2009

6/10/2018 6/9/2019
8/30/2018 8/30/2019
9/26/2018 9/26/2019
8/6/2018 8/6/2019
9/26/2018 9/25/2019
9/3/2017 9/2/2018
8/25/2018 8/24/2019
9/1/2018 8/31/2019
01/12/2017
4/3/2018 4/3/2019
(received
onboard)
10/11/2017

4/18/2018 4/17/2019
5/6/2017
5/6/2017
1/10/2018 1/9/2023
1/10/2018 1/9/2023
7/9/2018
[Cargo Instruments]

Details of Equipment Last shore service / Calibration


Present
File no
Ship's
No Last
Type of Equipment Model / Make / Serial no. Cert. no.
done

Personal Multi Gas


01 Riken Keiki/GX-2009/5Z0060154RN 19.11.2017
Detector
Personal Multi Gas
02 Riken Keiki/GX-2009/5Z0060153RN 19.11.2017
Detector
Personal Multi Gas
03 Riken Keiki/GX-2009/5Z0060158RN 19.11.2017
Detector
Personal Multi Gas
04 Riken Keiki/GX-2009/5Z0060156RN 19.11.2017
Detector
Personal Multi Gas
05 Riken Keiki/GX-2009/3X8051161RN 19.11.2017
Detector
HC/O2 Detector-
06 Riken Keiki/ RX-415/6X1040080RN 19.11.2017
Tankscope
Portable Multi Gas
07 RKI Instrument.Inc/Eagle/E131086 19.11.2017
Detector
Portable Multi Gas
08 RKI Instrument.Inc/Eagle/E131087 19.11.2018
Detector
Portable Gas Monitor,
09 MSA PITTBURGHC USA/62T/2815 19.11.2017
Tankscope
Portable Gas Monitor,
10 MSA PITTBURGHC USA/62T/2811 19.11.2017
Tankscope
Portable Toxic Gas
11 Drager/Accuro/ARAL F002 19.11.2017
Pump
Portable Toxic Gas
12 Drager/Accuro/ARAL F002 19.11.2017
Pump
Fixed LEL DET.
(Ballast Tank, CCR,
13 Hanla Level Co. LTD 19.11.2017
Void Space, Upper
Stool)
Ullage Temperature
14 Tanktech/T20000-TFC-02/1171101 21.12.2017
Interface Detector
Ullage Temperature
15 Tanktech/T20000-TFC-03/80979103 21.12.2017
Interface Detector
Ullage Temperature
16 Tanktech/T20000-TFC-04/80879101 21.12.2017
Interface Detector
Ullage Temperature
17 Tanktech/T20000-TFC-05/A20587102 21.12.2017
Interface Detector
Pho check TIGER
18 Intertek 3193491 06.02.2018
SELECT
Close Sampling
19 Tanktech
Device

Equipment to be entered
1 - Portable & Personal gas instruments onboard
2 - MMC or other Portable Tank gauging instruments onboard
3 - Fixed Cargo tank gauging instruments
4 - Fixed / Portable Cargo Pressure gauges
5. High Level alarms etc
re service / Calibration Last Onboard Testing / Calibration Remarks

Days to Days to
Date due Type Last done Date due
Go go

18.11.2018 -- 20.09.2018 19.10.2018 --

18.11.2018 -- 20.09.2018 19.10.2018 --

18.11.2018 -- 20.09.2018 19.10.2018 --

18.11.2018 -- 20.09.2018 19.10.2018 --

18.11.2018 -- 20.09.2018 19.10.2018 --

18.11.2018 -- 20.09.2018 19.10.2018 --

18.11.2018 -- 20.09.2018 19.10.2018 --

18.11.2019 -- 20.09.2018 19.10.2018 --

18.11.2018 -- 20.09.2018 19.10.2018 --

18.11.2018 -- 20.09.2018 19.10.2018 --

18.11.2018 -- 20.09.2018 19.10.2018 --

18.11.2018 -- 20.09.2018 19.10.2018 --

18.11.2018 -- 20.09.2018 19.10.2018 --

20.12.2018 -- 20.09.2018 19.10.2018 --

20.12.2018 -- 20.09.2018 19.10.2018 --

20.12.2018 -- 20.09.2018 19.10.2018 --

20.12.2018 -- 20.09.2018 19.10.2018 --

waiting for Requisition


05.02.2019 -- --
gas raised

-- --

-- --
[Mooring / Lifting Wires and Ropes]
Length Construc
Present File No. Rope / Wire / Tail location Pcs Dia(mm)
(M) tion
Ship's
No Mooring Wires / Ropes

1 Forward Port side mooring winch drum - (out) 1 220 8 Strand 52

2 Forward Port side mooring winch drum - (in) 1 220 8 Strand 52

3 Forward St”bd side mooring winch drum - (out) 1 220 8 Strand 52

4 Forward St”bd side mooring winch drum - (in) 1 220 8 Strand 52

5 Stbd side Main deck breast winch drum - (fwd) 1 220 8 Strand 52

6 Stbd side Main deck breast winch drum - (aft) 1 220 8 Strand 52

7 Stbd side Main deck spring winch drum - (fwd) 1 220 8 Strand 52

8 Stbd side Main deck spring winch drum - (aft) 1 220 8 Strand 52

9 Aft Port side mooring winch drum - (out) 1 220 8 Strand 52


10 Aft Port side mooring winch drum - (in) 1 220 8 Strand 52
11 Aft St’bd side mooring winch drum - out 1 220 8 Strand 52
12 Aft St’bd side mooring winch drum - in 1 220 8 Strand 52
13 Loose Ropes (Fwd ST.) 1 200 8 Strand 52
14 Loose Ropes ( Fwd Stn ) 1 220 8 Strand 44
15 Loose Ropes ( Fwd Stn ) 1 220 8 Strand 44
16 Loose Ropes ( Fwd Stn ) 1 220 8 Strand 44
17 Loose Ropes ( Aft Stn.) 1 220 8 Strand 44
18 Loose Ropes ( Aft Stn.) 1 200 8 Strand 52
19 Loose Ropes ( Aft Stn.) 1 220 8 Strand 44

Other Ropes & Wires


1 Fire Wire - in use fwd 1 60 6*37 28
2 Fire Wire - in use aft 1 60 6*37 28

3 Gangway Port 1 80 6*36 12


4 Gangway Stbd 1 80 6*36 12
5 Gangway - SPARE
6 Lifeboat Port 1 345 19*7 16
7 Lifeboat Stbd 1 200 6*36 16

9 Cargo Hose - crane - runner (CENTRE) 1 110 6*36 20


10 Engine parts handling crane - topping
11 Engine parts handling crane - runner

12 Provision handling crane

Spares
13 Provision handling crane
14 Engine parts handling crane
15 Life boat
16 Cargo Hose - crane - runner
17 Spare Mooring Rope 1 220 8 Strand 52
18 Spare Mooring Rope 1 220 8 Strand 52
19 Spare Mooring Rope 1 220 8 Strand 52
20 Spare Mooring Rope 1 220 8 Strand 52
21 Spare Mooring Rope 1 220 8 Strand 52
22 Spare Mooring Rope 1 220 8 Strand 52

Other Ropes & Wires


Fire Wire - in use fwd
Fire Wire - in use aft
Gangway Port
Gangway Stbd
Gangway - SPARE

Lifeboat Port
Lifeboat Stbd

Cargo Hose - crane - runner (PS)


Cargo Hose - crane - runner (STBD)
Engine parts handling crane - topping
Engine parts handling crane - runner

Provision handling crane

Spares
Provision handling crane
Engine parts handling crane
Life boat
Cargo Hose - crane - runner
End to Turned
Due to
Cert. No. Fitted End due End to Condition
Replace
date End

BUS1206704/211 YES Mechanical - 02 , Weather - 02

BUS1305432/9 YES Mechanical - 02 , Weather - 02

17R087504 RENEWED Mechanical - 01 , Weather - 01

17R087505 RENEWED Mechanical - 01 , Weather - 01

BUS1114696/70 Mechanical - 02 , Weather - 02

BUS1114696/55 Mechanical - 02 , Weather - 02

BUS1010925/10 Mechanical - 02 , Weather - 02

BUS1114696/51 YES Mechanical - 02 , Weather - 02

BUS1100229/55 YES Mechanical - 02 , Weather - 02


BUS1206704/218 YES Mechanical - 03 , Weather - 03
BUS11000229/56 YES Mechanical - 02 , Weather - 02
BUS1206704/193 Mechanical - 02 , Weather - 02
DHT10/0217/3 Mechanical - 02 , Weather - 02
16R069940 Mechanical - 02 , Weather - 03
16R069941 Mechanical - 01 , Weather - 01
16R069942 Mechanical - 01 , Weather - 01
16R069943 Mechanical - 01 , Weather - 01
DHT10/0217/8 Mechanical - 03, Weather - 02
16R069939 Mechanical - 02 , Weather - 02

1003-D037-01 Satisfactory
1003-D037-01 Satisfactory

W150829 Satisfactory
W130839 Satisfactory
2014070307 Satisfactory
JY14P01160_09 Satisfactory

W150847 Satisfactory

18R091550
18R091551
18R091552
18R091553
18R091554
18R091555

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