SECTION 3: Record of Custody Transfer of Annex VI Sample to Control. Date & * PSC Receiver Details Time Bunker BDN Ref. Custody Transfer of C/E Master Address & Contact Ref. No. No. Sample Transfer Form Name Sign & Stamp Custody sign Sign Details seal No. Ref. No. Transfer * PSC - PORT STATE CONTROL
SECTION 3: Record of Custody Transfer of Annex VI Sample to Control. Bunker Ref. No. BDN Ref. No. Sample seal No. Transfer * PSC Custody Transfer Form Ref. No. Date & Time of Custody Transfer Receiver Details C/E sign Master Sign Name Address & Contact Details Sign & Stamp * PSC - PORT STATE CONTROL
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