-i---- › facturacion_total › total...2017/08/08  · condici6n de las s aduras buena con ici6n...

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Sold To: Total petroleum pR Corp PO Box 362916 San Juan, PR 00736-2916 ATTN: Ms. Yanzarrie Rivera -'\..-I---- ` 1' ' ` -I. - +;=_ r' '' I -Page:1 GA-17598 Jul 31, 2017 Please send remmitance to: Altol Petroleum Products Service, Inc. P.O. BOX 359 RERCEDITA, P.R. 00715-0359 Phone: (787)8354242 Fax: (787)835-2004 Email : [email protected] Customer ID Customer PO Payment Term s T993 Y RIVERA Net 20 Days Supplier Number Record Number Serv. Date Due Date GA-017668 8/20/17 Item Description/Products/Services QuantityELT Unit PriceRate Extension INSPECCI0N SAFE TO LOAD / ANUAL PATROM 1.001.00 150.000150.000 150 .00150.00 0. DE REGISTRO 105205-A JULIO 23, 2017 OOPERATIVA DE CAMIONES CCEPTANCE GRID - TECHNICAL INVARIANTS SEMI TRAILER/TRAILER CHASSIS WIRE TRANSFER: BANCO POPULAR DE PR ACCOUNT NO.: 123867800 ABANO.: 021502011 Subtotal : Sales Tax: Total Invoice Amount: S 300 . 00 12 . 00 312 . 00 Customer Note:

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Page 1: -I---- › Facturacion_Total › Total...2017/08/08  · Condici6n de las s aduras buena con ici6n oxidaci6n grietas Fugas apare es Ausen presente Bandas de s alizaci6n reflecta

Sold To: Total petroleum pR CorpPO Box 362916San Juan, PR 00736-2916

ATTN: Ms. Yanzarrie Rivera-'\..-I----` 1' ' ` -I. -

+;=_ r' '' I -Page:1

GA-17598 Jul 31, 2017

Please send remmitance to:

Altol Petroleum Products Service, Inc.P.O. BOX 359

RERCEDITA, P.R. 00715-0359

Phone: (787)8354242Fax: (787)835-2004

Email : [email protected]

Customer ID Customer PO Payment Term sT993 Y RIVERA Net 20 Days

Supplier Number Record Number Serv. Date Due DateGA-017668 8/20/17

Item Description/Products/Services QuantityELT Unit PriceRate ExtensionINSPECCI0N SAFE TO LOAD / ANUAL PATROM

1.001.00 150.000150.000 150 .00150.000. DE REGISTRO 105205-A

JULIO 23, 2017

OOPERATIVA DE CAMIONES

CCEPTANCE GRID - TECHNICAL INVARIANTS

SEMI TRAILER/TRAILER CHASSIS

WIRE TRANSFER: BANCO POPULAR DE PRACCOUNT NO.: 123867800ABANO.: 021502011

Subtotal :

Sales Tax:

Total Invoice Amount: S

300 . 00

12 . 00

312 . 00

Customer Note:

Page 2: -I---- › Facturacion_Total › Total...2017/08/08  · Condici6n de las s aduras buena con ici6n oxidaci6n grietas Fugas apare es Ausen presente Bandas de s alizaci6n reflecta

REMOLQUE HIDROCARBUROS

GA017668

N° de registraci6n del cami6n/tractor : 105205-A

CHOFER

Nombre : DAVID

Apellido : ORTIZ

N° de |icencia : N/A

Entrenamiento :

Fechadeobtenci6n : N/A

REMOLQUE

Fabricante : FRUEHAUF

Tipo : REMOLQUE DE HIDROCARBUROS

N° de serie del chasis :1H4T04222FK010401

Fecha de fabricacion: ENERO DE 1985

N° DE TANQUE: 554

Tare, peso vacio (Kg) : 10,000.00

* PBVC : Peso Bruto Vehicular Combinado (diferente para el cami6n, tractor y remolque)

* PBVA : Peso Bruto Vehicular Autorizado (Carga combinada Max. Autorizada para cami6n/tractor y remolque)

1kw=1,36CV (1kw=1,34HP)

Resumen de la D]anilla de evaluaci6n:

Resultados RemolqueChassis

100%

E.

%E.

Page 3: -I---- › Facturacion_Total › Total...2017/08/08  · Condici6n de las s aduras buena con ici6n oxidaci6n grietas Fugas apare es Ausen presente Bandas de s alizaci6n reflecta

Edad 0 20 0 1985

Sobrecarga del tanque (proporci6n G) 3 EiEF:iFE - ^i?` i 10 30P ca de peso de tara EEii=EL= 0 2 0 NOTIENE

Tr angulo acoplador 3 Iii=i== Eii=iiLE 8 24

Mangueras Aire-Tractor 3 Iii=iLE- 4 12

Connexi6n electrica Tracor 3 Iiii=iiFE -_ 4 12

Fuga de aire 3 - I-ii=-E 4 12

Cond ici6n del chassis 2t `tRERE-:-:

20 40 OXIDACION

Cond ici6n de los ei.es 2 - .i-` ., ` I - , -

10 20 OXIDACION

3515

Barras later es anti ciclistas EiiiL=iiLE- o+ 2 0 NOTIENE I

Luces trasa s con protecc.i6n 3 EEi=ELE Eiii=iiFE 2 6Indicadores completos con protecci6n 3 Ei=E=E Iiiiii=iiLE 2 6

Luces de fre no con protecci6n 3 EjiiiL=jiLE- 2 6Reflector tr Sero 3 Eiii=iiL=- 2 6Ruedas 2 - 10 20 OXIDACION

suspensi6n 2 - 5 10 OXIDACION

Tuercas de rueda 3 Ei=E=E IiiiiiF=iiiFE 4 12

Aline dores tuercas de rueda -- 0 2 0 NOTIENE

Cond ci6n d e las llantas 3 - 4 12

Iso'ac 6n de los cables electricos 3 -- 4 12

Pruebas de freino 3 20 60ABSI 3 Eii=jiFE- 10 30Rueda de au xilio 0 Eii=ii=E IiiiiiL=jiiLE 5 0

I Tota I I 483 I 345 ___EBEEiHEEBEEEEEEEEH

Plac escriptiva (fija axing / indicaci6n) 3 Ei=ELE Eii=iiFE 5 15

Plac e peso de tara Eiii=jiE+E 0 5 0 NOTIENE

AcOp ado (tanque/chassis) 3 - - -`- `

10 30

Continuidad electrica entre el chassis y el tanque X= 0 2 0

Limitac 6n de longitud 3 - Eiiiii=iii=E 5 15

Con ic 6n del tanque 3 EiiiE=iiEE 10 30Altur del ei.e longitu inal 3 IiiL:iLE Eiii==ii=E 8 24

Protecci6n de los accesorios montados sobre la aprtesuperiordeltanque3 XX 4 12

Upper part in form of collecti ng edge 3 -- 2 6

N° de compartimentos y indicaci6n de capacidad sobre laaprtesuperior3 XX 2 6

Rompealas (compartimentos > 7,5 m3) 3 - EiiiL=iiLE - `- ` - 5 15

Limp clad de los compartimentos 3 Ei=JiLE 2 6

Esca era 3 - 4 12

Pa superiorantides lzante 3 Ei=iiFE I-ii=-E 6 18

Baranda - 0 8 0 LINEA DE VIDA

valvulas 3 EiiF=iiFE Iiiiii==ii=E 12 36Raj.as de presi6n 3 Eii=iiLE- 6 18

Palo de inmersi6n EiF=iFE IiiiiiL=iiiLE 0 2 0 NO TIENE

Referencia de inmers 6n 3 EiiL=JiLE- 4 12

Ma s de llenado se as 3 Eii=iiFE EiiiiLiiiLE 2 6Vii a de pie de seg idad 3 Eiii=iiLE- 15 45Con ici6n de los tubas 3 Ijiii=jii=E 5 15

Condici6n de las v5lvulas ( opresi6n pruebada) 3 == 12 36

Tapa e valvula si m€trica 3 Eii=Jii+E- 4 12

Capa ad marca / vilvu|a no -- 0 2 0Alo miento para a manguera 3 - EiiiiF=iiFE 2 6Recuperaci6n de derrames (debajo de las v5lvulas) Iiiiii=iii== Eiii-=ii-E 0 3 0 NOTIENE

Cond 6n de las seldaduras 2 Eiiiii==iii=E --,---,'q 10 20 OXIDAcloNFu8as parentes 3 - I-iii=-E ~-.. *a 10 30Bandas de seFializaci6n reflectantes 3 - EEii=E±E 5 15Ventanas de iluminaci6n 3 EiiL=ELE- 3 9

8 Total 525 449

Page 4: -I---- › Facturacion_Total › Total...2017/08/08  · Condici6n de las s aduras buena con ici6n oxidaci6n grietas Fugas apare es Ausen presente Bandas de s alizaci6n reflecta

Extintor a polvo seco 9/6 kg (sello -fecha de valididad) X a 8 0 FALTA INSPECCIONES

Carteles de producto peligroso (clase de peligro 3, lados ytraserodelvehl'culo)3 XX 3 9

Product identification plate (orange plate one front and onerear) X= a 4 0 NOTIENE

2 triangulos de seF` izac 6n -- 3 0 NOTIENE

2 cuiias en Srue as(d aluminio o madera) Iiii=iiFE- 3 0 NOTIENE

Rueda auxi a - 6 0 NOTIENE

Condici6n v tipo d man uera 3 10 30

Continuidad e etrc cad as mangueras 3 Ei=iiLE- 4 12

Condici6n de s mangueras acopladas 3 - Eiri=iriE 3 9

Tapas simetri s sobre las mangueras 3 - EiiiiiL=iiiLE 2 6

Cuba de aluminio E=-E- 2 0 NOTIENE

Al minimo 2 contactos a a tierra 3 6 18I-tat--- I 162 I 84 -

Livr a de registraci6n del semi 3 Iiiiii=iiiLE- 3 9

Cert icado de seguridad 3 -- 8 24

Autorizaci6n de tra nsporte 3 i-ii-E I-ii=-E 5 15

Grafico de inmersion 3 Ei=E=E- 6 18

Res tados de prueba hidradlica 3 -- 6 18

Vis tecnica 3 EiiiL=jiiLE- 6 18

lnstrucciones de seguridad 3 X 8 24

IIIIIIIIIIIIIIIi-IIIIIIIIIIIII-IIIIID ,,\ ,,, i.;,,-, ;-.i"? ) ,, - ; ,,,, --,

I I Valor I Resultados|Chassis 483 37% 71

Tanque 525 41% 86Accesorios 162 13% 52Onda

Papeles del vehpiculo 126 10% loo?%

ra Chassis

`]`\ y |Tanque

I Papeles del vehpiculoLLJ

Resultados Remolque

Chassis100%

:,..

64%2%

Page 5: -I---- › Facturacion_Total › Total...2017/08/08  · Condici6n de las s aduras buena con ici6n oxidaci6n grietas Fugas apare es Ausen presente Bandas de s alizaci6n reflecta

Edad 0 -5 afios 6 -12 aiios 13-15 afios > 15 aFios

Sobrecarga del tanque (proporci6n G) sin sobrecarga sobrecarga

Placa de peso de tara Comp eto incompleto au ente ,

Trian8u a acoplador correct deficiant / portant plMan8u ras Aire-Tractor buena cond C 6n no`conforme` `

Connex 6n electrica Tracor buena cond C 6n noc nfofme \\

Fuga de aire correcto fugi , `

Condici6n del chassis buena condici6n oxidaci6n ligera flexi6n grietas / .inadaptado

Condici6n de los ejes buena cond C 6n oxidaci6n cracks

Barra de protecc 6n trasera buena cond C 6n no cc'nforme

Barras aterales ti ciclistasnprotecci6n buena cond C 6n no conforme

Luces trasadas c buena cond C 6n a usente / no conforme

lndicadores com pletos con protecci6n en cond C 6n ausente / nQ conformE

Luces de freino con protecci6n en cond C 6n auser`te / no conforme

Reflector trasero en cond C On ausente

Ruedas en cond C 6n medio 1 a mas no funciQr\a

suspensi6n buena condici6n no lubricaci6nA I,aminas rotas a etementofallaq

Tuercas de rueda buena cond C 6n 1 a mas a reemplazar

A'ine dores tuercas de rueda buena cond C 6n 2 a mas a reemplazar

Cond ci6n de las antas buena cond C 6n oxidaci6n---:- 8rietas

?Iz±

lsolac 6n de los les electricos buena cond C 6n ausentePruebas de freino resu tados de la prueba de freino (Blieno=3, Malo=0)

ABS present•ausente

Rueda de auxilio present' 'ausente

Placa descriptiva ijada / indicaci6n) buena condici6n noCO Orme

Placa de peso de a complet0 incompleto au nteAcoplado (tanque/chassis) buena con ici6n oxidaci6n RE'=`fi-.--.'.r

Continuidad elec ca entre el chassis y el tanque buena con ici6n tin ido

Limitaci6n de Ion tud buena con ici6n invalidQ

Condici6n del tanque buena con ici6n oxidaci6n 8rietas

Altura del ej.e Ion udinal correcto TOO high

Protecci6n de los accesorios montados sobre la aprtesuperiordeltanquebuena condici6n invalido .

Upper part i form of collecting edge buena condici6n invelido

N° de comaprtesupe rtimentos y indicaci6n de capacidad sabre larcorrecto ausente / incorre€to\

Rompeolas (compartimentos > 7,5 m3) presente Absents

Limpiedad de los compartimentos correcto oxidaci6n sucia

Escalerabuena condici6n con baranda buena condici6n sin baranda ausente / \ma[ fijado /\

pe8able pe8able inadaptada peligrosa

Parte superior antideslizante correcto aus\ente

Barandabuena condici6n de los 2barrandas

en buena condici6n malfjado/ nc) \barrandas

V5lvulas conforme a cterTe I na junta a fusa

Rajas de presi6n conforme con sello de reverso a us ente / na conforme

Palo de inmersi6n Presen BusenteReferencia de inmersi6n Presen ausenteMarcas de enado selladas conforme nocd formeV5lvula de ie de seguridad conforme a qsente / fu / r,c, functona,Condici6n de los tubos correcto diametro a analizar fnga / mal es\tado

Condici6n de las v5lvulas ( opresi6n pruebada)conforme - acautoclaveraci6n depida

no confo \rme / fug

Tapa de valvula sim€tricaPresente y cierre eficaz desello

1o mas ausente / no funciona

Capacidad marca /valvu|a no correcto ausente / na conformeAloj.amiento para manguera correcto inapropriado

Recuperaci6n de errames (debajo de las valvulas) correcto absent / leak +Condici6n de las s aduras buena con ici6n oxidaci6n grietasFugas apare es Ausen presenteBandas de s alizaci6n reflecta ntes presente auseriteVentanas de iluminaci6n presente •ausente

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Extintor a polvo seco 9/6 kg (sello -fecha de valididad) conforme/valido .

Carteles de producto peligroso (clase de peligro 3, Iados ytraserodelvehl'culo)conforme/valido a usente/ n e(`` ,

Product identifrear) cation plate (orange plate one front and onepresente

yan

2 triangulos de seFializaci6n presente a sen

2 cuFias en las ruedas (de aluminio a madera) en condici6n •u d /a

Rueda auxilia presente / conforme usado ab r\t una\1 r 1-`J I

Condici6n y tipo de manguera correcto -no vencidosolamente uno presentevencido

buena condici6n pero edad > 6aiiosfu ga clef ci6n iba pta

ed > 8a no

Continuidad e etrcica de las mangueras correcto inefectivo`\

Condici6n de las mangueras acopladas conforme no conforme /fuga,

Tapas sim6tricas sobre las mangueras presente 1 a mas ausente / fl,ga

Cubo de aluminio presente . atJ±ente

Al minima 2 contactos a la tierra bronce no pintado otro metal no pintado rnple ausente / n o canforme

Livreta de registraci6n del semi presente ausente / nb conforme

Certificado de seguridad valido•a

lJ ente / nQ conformeAutorizaci6n de transporte valido au eat /no c)nforme

Grafico de inmersion valido au ente /\no conformResultados de prueba hidradlica valido au inte / no conformeVisita tecnica valido •a u e,ate/ no conforme

lnstrucciones de seguridad presente a corregir us;nte/vencido

Page 7: -I---- › Facturacion_Total › Total...2017/08/08  · Condici6n de las s aduras buena con ici6n oxidaci6n grietas Fugas apare es Ausen presente Bandas de s alizaci6n reflecta

ACCEPTANCE GRID -TECHNICAL INVARIANTSSEMI-TRAILER/TRAILERCHASSIS

Inspection date: JULY 23,2017 Registration number of semi-trailer/trailer 105205-A

Name of Inspector CARLOS GONZALEZ Type of vehicle: Semi trailer

Carrier: COOPERATIVA DE CAMloNERos

Chassis for semi-trailers or trailers used to transport and deliver light fuels, heavy fuel oils, bitumen, lubricants and LPG, 04 type(Trailers exceedlng a maximum weight of 10 t).

206 IDENTIFICATION AND MARKING

206.10206.30.1 The chas S erial number sha becO ld-stamped onto one of the side rails.

A tare plate showing the followinginformationshallbefastenedtothe

Empty weight

206.30.2 Gross vehicle weight rating

206.30.3 bodywork: Payload

Year of manufacture

Reinforced backbone chassis with cross-members (subject to favorable driving conditions, certain types of semi-trailer can be self-supportlng).

These must be of reinforced type and in number compliant with the requirements of the country of registration, especially asregards the maximum permissible load.

TABILITY AND LOAD REPORT

For a chassis designed to carry a tank, the overall width of the tread surface (distance separating the outer points of contact withthe ground of the right and left tires of the same axle) must be at least equal to 90% of the height of the loaded vehicle's center ofgravity.

232 ` BRAK NG SYSTEM

232.20132.10232.40232.100 Two-line air brak ng: Power (red circuit) and Service (yellow c rcuit)

The vehicle shall have an Anti-lock Braking system (ABS).

lf the Power circuit is broken, the braking system of the trailer or semi-trailer will automatically be activated.

The park braking system is worked either by spring-brake actuators on the axles or, for chassis with service-brake chambers, bymanual control (steering-wheel lever pawl...) activating the brake levers on one or more axles by means of a cable.

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I cO#,ce

246 ELECTRICAL CONTIN ulTy

246.10246.20246.30Chassis designed to be fitted with tanks must be electrically connected to the structure of the tank. The electrical resistancebetween components and equipment in contact with one another shall not exceed 10 'Q.

Equipotential bonding terminals must be installed horizontally on each side of the tank (on no account directly on the tank).

ThesymbolE]mustbeinstanedaboveeachequipotentialbondingterminal

270 ADDITloNAL POINTS. SEMI-TRAILER CHASSIS SPECIFICS

270.30270.50 A standardized 2" or 3.5" coupler knuckle-pin bolted on the upper coupler compliant with standard lso 337 or lso 4086 .

Stands: One pair of stands suitable for supporting the unhooked loaded semi-trailer.

A DN 50 o-ring (non-rotating) for hitching in the hook referred to in 180, of a capacity suited to the traction of the trailer's grossweight.

GE OF THE VEHICLE

SIGNATURESJQSpegiv Driver

CARLOS GONZALEZ DAVID ORTIZ

;,:11!::1L";i:,1!!,::::,::'i'i!:I,,,,,,I

Page 9: -I---- › Facturacion_Total › Total...2017/08/08  · Condici6n de las s aduras buena con ici6n oxidaci6n grietas Fugas apare es Ausen presente Bandas de s alizaci6n reflecta

ACCEPTANCE GRID -TECHNICAL INVARIANTSWHITE PRODUCT TANKS

Inspection date: JULY 23,2017 Registration number of Rigid truck:

Name of Inspector CARLOS GONZALEZ Registration number of semiirailerftrailer: 105205-A

Carrier: COOPERATIVA DE CAMIONERAo Product transported Fuel (gasoline, diesel)

-Carbon steel or stainless steel for the transportation of light fuels.-Stainless steel or carbon steel with a coating of paint @POXY standard El 1541) for transpohation of JET A-1-Mild steel or stainless steel or coated steel for the transportation of lubricants.

The use of aluminum alloy for tanks intended to transport products (light fuels, Jot fuel, Lubricants) issubordilnated to the requirements of the road network on which the vehicle is to drive and to prior acceptance bythe affiliate.

35¢` ELECTRICAL CONTINUITY

All compo ents of the shell shall be elec cally connected to each other and to the metal p rts of the service and structural equipment of the tankand to the vehicle. The electrical resistance betveen components and equipment in contact with one another shall not exceed 10 'Q.

Brass equipotential bonding terminals shall be installed, horizontally, on each side of the tank.They may be secured either on the chassis or on the tank support cradles, but never directly on the tank.

ThesymbolEmustbeinstaMedaboveeachequlpotentialbondingterminal

A winder equipped with a ®6 mm2 power cable at least 15 in long, ending in a crocodile clip to ensure equipotential bonding between the tankvehicle and the customer's tank, must be installed on the valve chest.

'` < .`

Page 10: -I---- › Facturacion_Total › Total...2017/08/08  · Condici6n de las s aduras buena con ici6n oxidaci6n grietas Fugas apare es Ausen presente Bandas de s alizaci6n reflecta

452, 'Nt E LOWER PAFRT OF I-ACH COM PARTM ENT

452.10452.30452.40452.80A pneumatically controlled internal stop valve comp ant with the EN 13308 standard, or equivalent.Under derogation from the affHiate, the stop valve in y be mechanically controlled.

Opening and closure of the internal stop valves must be individually controlled.

An engraved plate must clearly Indicate thelr positlon as OPEN or CLOSED .

At the end of the discharge pipes, a valve suitable for use with petroleum products and controlled by a toggle lever, that can be locked in theclosed position.t must be possible to seal the valve in the closed position.

An engraved plate indicating the compartment number and its nominal capacfty must be fixed above each discharge valve.

+5G lN THE UP ER PART OF EACH cotwpAFtTMEur

456.10456.2045650A manhole cover eqquipped with a g duat d two-stage op ning fill cover, ensuring the functions of top and bottom loading, respiration andaccidental overpressure.

The manhole cover shall be of bolted type.

An internal ventilation device compliant with standard EN 14595 ensuring operations under normal pressure, accidental overpressure,underpressure when unloading and leakproofness in the event of overturning.

An engraved plate indicating the compartment number and its nominal capacity is to be fixed on/close to the manhole cover.

554 ADDITIONAL POINTS- FOR THE BR]DGEF2 JETS: lN THE LOWER PART OF THE TANK

554.20554,30 At a low point of the pipe, a 3/4" sampling valve with automatic return with stopper and small chain.

Unless specific local constraints require otherwise, the connector referred to in 452 shall be a .dry connection-type of Industrial Socket (ASA)compliant with NATO STANAG 3756. or an Apl 4". The valve upstream of the connector must be adapted in consequence.To be validated by the affiliate while complying with the requirements of MOCQAT §4.8

7,:t; i,,I,]11 AL POINTS- FOR THE BRIDGER JETS: RECEIPT

58510585.20 The ve e shall be inspected using the MOCQAT FE COL 119 form in compliance with the prescriptions of MOCQAT §8.2.

An impregnation test with Al jet fuel must be carried out as an acceptance criterion for transporting Al jet fuel in accordance with the requirementsof MOCQAT §7.3.7.

Compliance with red criteria 83% Decision12

Number of "red" critena found compliant after inspection. 10

Compliance with red criteria 80%Total number of .'orange" criteria 15

Number of "orange" criteria found compliant after inspection. 12

Overall compliance rating 81%

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