Couvillion Group, LLC MC 20 Hydrocarbon Pump-Off #28 ...

Couvillion Group, LLC

MC 20 Hydrocarbon Pump-Off #28 Results Report

Document #: Couv-MC20-O&M-RPT-DOC-00054

6/8/2021

This report and any work herein was directed and authorized under the authority of the United States Coast Guard.

This document is the property of Couvillion Group, LLC. And may not be used for any purposes unless authorized in writing by Couvillion Group, LLC. And which, upon demand, shall be returned to Couvillion Group. This document

contains Couvillion confidential, proprietary information and shall not be copied, reproduced, used, transferred to other documents or disclosed to other for any purpose unless specifically authorized in writing by Couvillion Group, LLC.

Revision Date By Check Approve Remarks 0 6/8/21 Initial Document

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Summary:

Couvillion Group’s Rapid Response Collection System initiated it's twenty eighth collection cycle on 4/8/2021 and completed the cycle on 5/14/2021 resulting in a collection duration of 36.0 days. Using the OSV Brandon Bordelon the collected hydrocarbon fluid that was recovered from the subsea oil containment vessels was taken to the Couvillion Dock in Port Fourchon, Louisiana. Vessel to Dockside Transfer commenced on 5/17/2021, with 706.1 bbl of hydrocarbon fluids transferred to onshore frac tanks 1-3 according to NRC frac tank strapping.

On the morning of 5/26/2021 Couvillion Group confirmed the initial measurement of 706.1 bbl of hydrocarbon that remained in tanks 1-3 via strap measurements. After a confirmation measurement was recorded, the decanting process began. From frac tanks 1-3, a total of 72.5 bbl of water was decanted and sent to frac tank 4, this water will be sent to E.R.R. Evergreen LLC in Belle Chasse for disposal at a later date. 34.6 bbl of liquids remained in the frac tanks as residuals which were later transferred to frac tank 4 for further decant. A gross total of 599.0 bbl of fluids according to NRC strapping measurements was sent to Acadiana oil using tank trucks from frac tanks 1-3. After temperature and BS&W deductions a net total of 565.2 bbl of oil was transferred from tanks 1-3 in the Port Fourchon Yard to the Acadiana Oil Company in Berwick, Louisiana. Total fluid reconciliation for frac tanks 1-3 was within 0.0 %.

Procedures Followed:

Couvillion Group and the associated companies participating in the collection and transportation of hydrocarbon fluids from the MC-20 site to the Acadiana Oil Company site have compiled a set of procedures that are followed throughout the process. The MC20 Response Disposal Plan with associated documentation pertaining to custody transfer and hydrocarbon fluids measurements for this report are in Appendix I. Appendix II includes the NRC waste handling documentation.

Execution: Offshore Collection of Hydrocarbon Fluids at MC 20 Site:

The Brandon Bordelon OSV moved in place on location at MC20 on 5/14/2021 at 0913 hrs. An as- found ROV survey was conducted prior to commencement of pump off operations. To begin pump off operations ROV’s were launched and thereafter the hydraulic subsea pump and hoses were over boarded. The inlet hose to the hydraulic subsea pump was connected to the offload outlet on the subsea oil storage containers. Pumping commenced at 2200 hrs on 5/14/2021 and ended at 0700 on 5/15/2021. Fluids were sampled on the vessel every 20 minutes for field analysis to determine the estimated oil to water ratios until water breakthrough occurred and collection operations were then stopped. A total of 716.0 bbl of hydrocarbon fluid was collected according to the tank strap measurement taken offshore. Upon pump off completion the hoses and pump were surfaced and flushed with saltwater that was sent to a filtration system for treatment and over boarding.

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Vessel to Dockside Transfer

The Brandon Bordelon arrived at the Couvillion Dock in Port Fourchon, Louisiana on 5/17/2021. On the morning of 5/17/2021 hoses were run from the tanks on the vessel through a diaphragm pump which was on the Couvillion dock and then run to 500 bbl frac tanks. The pump-off process was begun and continued until all MPT tanks aboard the OSV Brandon Bordelon were empty. Tankermen from Team Services verified that the MPT tanks onboard the vessel was emptied, then an NRC representative strapped the dockside frac tanks to determine the total quantity transferred which was 706.1 bbl. With dockside transfer complete, the fluid was allowed to settle out water from the oil over a period of 9 days before transfer of the oil from the frac tanks to tank trucks.

Dockside Frac Tanks to Truck Transfers

On the morning of 5/27/2021 at 06:00 hrs the first round of frac tanks to tank truck transfers commenced. A hose was attached to the frac tank and ran through a diaphragm pump into a tank truck. Pumping commenced and the first truck received 144.5 bbl of hydrocarbon fluids. The second truck received 141.4 bbl of hydrocarbon fluids, and the third received 143.3 bbl of hydrocarbon fluid. The second day of frac tank to tank truck transfers began on 5/28/2021 at 06:00. The first truck was loaded with 81.1 bbl of hydrocarbon fluids, and the second truck was loaded with 88.7 bbl of hydrocarbon fluid which completed the truck transfers for this offload. There was a total of 34.6 bbl of residual fluids which remained in frac tanks 1-3 which was sent to frac tank 4 for further decant. All values were recorded in the appropriate forms in the MC-20 Response Disposal Plan (see report Appendix I). Total fluid reconciliation for frac tanks 1-3 was within 0.0%

Truck to Facility Transfer

Upon arrival at the Acadiana Oil Company site each truck enters a loading bay. Before any fluids are transferred an Acadiana Oil Representative straps their tank for an initial measurement and then transfer of fluid begins. While the pump off is underway an Acadiana Oil Company Representative takes three fluid samples during the transfer process from the pump outlet from which hydrocarbon fluid is flowing. These samples are taken at the beginning of the transfer, mid-way through the transfer, and at the end of the transfer process to ensure a full mixture. The sample is then taken to their testing area where tests are run to determine: % BS&W content, temperature, and specific gravity. Temperature and specific gravity are recorded via the use of a hydrometer, while BS&W content is determined via the use of a centrifuge with a 50/50 mixture of the sample with mineral spirits. Once all sampling is completed and recorded (see copy in Appendix I) the Acadiana Oil Company Representative again straps their tank in order to obtain a post transfer level. The gross fluids that are recorded is determined by subtracting the initial pump off tank strap level from the post transfer tank strap level. This gross fluid value is corrected for temperature, specific gravity and BS&W content to determine the net oil value that is recorded. This process is repeated for each truck offload.

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Summary Tally and Running Totals:

The tables below show an oil tally, a total fluid reconciliation and a flow rate calculation. In total 706.1 bbl of hydrocarbon fluid was transferred from the Brandon Bordelon into an onshore frac tank. Tank trucks transported a gross total of 599.0 bbl to the Acadiana Oil Company, which netted out to a total of 565.2 bbl. From a total fluid reconciliation standpoint, measurements at different site locations were within 0.0 % for frac tanks 1-3. The calculated flow rate during the 36.0-day collection cycle offshore was 15.7 bbl/day or 659.4 gallon/day. Since installation of the RRS in April 2019, Couvillion Group has collected an average of 22.9 bbl/ day or 961.8 gal/day. Monthly pumpoff collection rates reflect collection rates which are not inclusive of product that remains in the residual tank. This causes monthly collection rates to appear slightly lower than the historic average. As of the end of this pump off campaign 735,189.0 gallons of salvaged crude oil has been contained from the MC-20 site.

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Oil Tally

Truck 1 Truck 2 Truck 3 Truck 4 RunningOil Tally Date Total Fluid Total Fluid Total Fluids Total Fluid Total Fluids Total Fluid Total Fluids Total Fluid Total Fluids Total Fluid Total Total

Transfer Frac % to Acadiana at % Net to Acadiana at % Net to Acadiana at % Net to Acadiana at % Net Net Netby Tank Strap NRC Frac Acadiana NRC Frac Acadiana NRC Frac Acadiana NRC Frac Acadiana

Cypress by NRC Diff Strap by strap Diff Oil Strap by strap Diff Oil Strap by strap Diff Oil Strap by strap Diff Oil Oil Oil(bbl) (bbl) (bbl) (bbl) (bbl) (bbl) (bbl) (bbl) (bbl) (bbl) (bbl) (bbl) (bbl) (bbl) (bbl) (bbl)

Pump Off #1 4/26/2019 220.0 215.7 -2.05/6/2019 113.7 110.0 3.3 108.8 97.0 87.4 9.9 78.6 187.4 187.4

Pump Off #2 5/3/2019 246.3 223.5 -10.25/8/2019 101.3 102.0 -0.7 99.7 82.8 83.8 -1.2 81.9 181.6 369.0

Pump Off #3 5/13/2019 335.0 331.2 -1.15/16/2019 103.2 89.1 13.7 82.9 126.4 136.4 -7.9 132.1 108.5 99.5 8.3 80.7 295.7 664.8

Pump Off #4 6/19/2019 901.7 905.5 0.4 139.4 145.8 -4.6 143.0 138.7 139.4 -0.5 137.46/20/2019 137.7 136.2 1.1 113.0 140.7 141.4 -0.5 139.4 140.6 141.4 -0.6 134.2 144.1 141.4 1.9 138.46/21/2019 48.5 47.1 2.8 44.6 850.0 1514.8

Pump Off #5 7/31/2019 1200.2 1196.6 -0.3 139.2 138.3 0.6 133.7 142.7 150.0 -5.1 146.58/1/2019 139.1 145.7 -4.7 135.1 140.7 138.4 1.6 131.9 146.0 142.0 2.7 81.3 138.0 142.0 -2.9 140.08/2/2019 99.8 112.9 -13.1 111.0 101.1 105.6 -4.5 104.2 983.7 2498.5

Pump Off #6 8/26/2019 848.0 874.6 3.0 141.7 138.4 2.3 134.6 140.3 145.7 -3.8 140.6 141.5 145.7 -3.0 143.28/27/2019 140.5 138.4 1.5 135.5 137.2 142.0 -3.5 139.1 61.3 65.6 -7.0 64.2

757.2 3255.7Pump Off #7 9/23/2019 891.9 880.4 -1.3 138.0 134.7 2.4 132.4 144.3 151.8 -5.2 148.9 142.6 142.0 0.4 139.7

9/24/2019 144.4 142.0 1.7 139.1 143.7 138.4 3.7 135.5 55.3 54.6 1.3 53.7 749.3 4005.0Pump off #8 10/21/2019 790.9 787.4 -0.4

10/22/2019 143.9 131.0 9.0 129.1 154.3 151.9 1.5 149.7 144.0 136.2 5.4 134.210/23/2019 137.7 141.4 -2.7 139.2 130.0 125.7 3.3 123.6

Residual Tank 10/23/2019 205.1 125.4 125.7 -0.2 123.6 799.4 4804.4Pump off #9 11/11/2019 772.3 757.8 -1.9

11/19/2019 142.3 156.5 -10.0 153.6 143.8 131.0 8.9 128.8 145.3 142.0 2.3 139.911/20/2019 145.6 145.6 0.0 143.6 92.1 94.6 -2.8 93.3 659.1 5463.5

Pump off #10 12/17/2019 940.7 942.8 0.2 142.0 138.4 2.5 136.9 71.4 69.2 3.1 68.5 146.4 145.7 0.5 144.212/18/2019 146.4 138.4 5.5 136.8 144.3 145.7 -1.0 144.4 144.0 142.0 1.4 140.8 47.4 47.4 0.0 47.0 818.6 6282.1

Pump off #11 1/9/2020 697.7 691.0 -1.0 128.7 131.1 -1.9 128.3 128.0 131.1 -2.4 129.3 129.8 131.1 -1.0 129.61/10/2020 79.4 91.0 -14.6 90.0 92.6 91.1 1.6 90.0

Residual Tank 1/8/2020 141.9 142.0 -0.1 140.0 707.2 6989.3Pump off #12 2/12/2020 725.4 722.5 -0.4 120.8 123.8 -2.5 115.8 102.1 101.9 0.2 100.4 99.0 101.9 -2.9 97.5

2/13/2020 149.5 160.2 -7 154 114.2 101.92 10.8 61.1Residual Tank 2/17/2020 108.2 105.6 2.4 101.3 630.1 7619.4Pump off #13 3/11/2020 583.7 570.2 -2.4

3/12/2020 114.5 115.2 -0.6 112.7 138.3 136.2 1.5 134.33/13/2020 93.6 94.3 -0.7 91.9 120.0 120.4 -0.3 117.5 456.4 8075.8

Pumpoff #14 4/16/2020 966.7 928.8 -4.1 147.2 146.5 0.5 144.6 145.2 141.2 2.8 139.4 148.0 146.5 1.0 143.74/17/2020 144.9 146.5 -1.1 144.3 144.1 141.2 2.0 139.1 87.4 88.9 -1.7 87.3 798.4

Residual Tank 4/14/2020 149.9 151.9 -1.3 132.3 132.3 9006.5Pump off #15 5/7/2020 798.4 783.1 -1.9 150.3 145.8 3.0 143.4 148.0 153.1 -3.4 149.4 145.2 142.1 2.1 138.7

5/8/2020 147.2 149.4 -1.5 147.6 131.7 131.2 0.4 128.6 707.7 9714.2Pump off #16 5/28/2020 598.8 583.3 -2.7 142.1 140.3 1.3 137.5

5/29/2020 138.0 138.5 -0.4 134.1 135.1 134.8 0.2 131.7 115.0 116.6 -1.4 109.7 513.0 10227.2Pumpoff #17 7/8/2020 970.1 956.3 1.4

7/9/2020 149.1 149.9 -0.5 146.8 148.8 145.5 2.2 142.5 149.2 149.9 -0.5 146.87/10/2020 150.7 149.6 0.7 146.6 137.1 138.0 -0.7 135.2 119.9 119.0 0.8 116.5 834.4 11061.4

Pumpoff #18 7/22/2020 658.4 642.6 -2.57/27/2020 129.9 129.9 0.0 127.8 140.6 140.6 0.0 137.7 138.2 138.2 0.0 135.7 139.8 139.8 0.0 137.57/28/2020 66.0 66.0 0.0 62.8 601.5 11663.1

Residual Tank 7/28/2020 113 113 0.0 110.7 110.7 11773.8Pumpoff #19 9/1/2020 901.6 886.4 -1.7 128.2 128.2 0.0 125.6 135.5 135.5 0.0 132.6

9/2/2020 131.2 131.2 0.0 128.3 136.8 136.8 0.0 134.0 134.8 134.8 0.0 132.0 135.9 135.9 0.0 133.0 785.5 12559.3

Pumpoff #20 9/29/2020 464.2 450.9 -2.9 144.0 140.0 2.8 137.9 143.5 140.0 2.4 137.99/30/2020 85.7 83.0 3.2 81.6 357.4 12916.7

Residual Tank 10/1/2020 136.5 131.0 4.0 128.6 128.6 13045.3Pumpoff #21 10/15/2020 620.9 610.1 -1.8 139.0 139.0 0.0 130.8 145.3 145.0 0.2 142.1

10/16/2020 147.2 144.0 2.2 142.5 136.0 135.0 0.7 132.9 548.3 13593.6Pumpoff #22 11/16/2020 685.6 673.2 -1.8 146.5 143.0 2.4 139.7 143.4 142.0 1.0 140.1 146.4 140.0 4.4 128.3

11/17/2020 133.2 130.0 2.4 124.3 532.4 14126.0Pumpoff #23 12/30/2020 781.7 784.3 0.3 146.1 140.0 4.2 137.3 146.8 140.0 4.6 138.6 145.2 137.0 5.6 133.9

12/31/2020 145.3 141.0 3.0 138.4 113.9 111.0 2.5 107.2 655.4 14781.4Pumpoff # 24 1/27/2021 676.5 663.9 -1.9 123.9 * * *

1/28/2021 141.0 * * * 140.2 140.0 0.1 137.7 146.8 * * *2/19/2021 146.0 135.0 7.5 133.7 150.7 141.0 6.4 139.0 115.3 112.0 2.9 107.05 517.5 15298.9

residual Tank 2/20/2021 100.9 101.5 -0.6 96.0 96.0 15394.9Pumpoff #25 3/8/2021 759.7 738.1 -2.9 144.6 143.0 1.1 140.9 146.5 143.0 2.4 141.7 146.0 140.0 4.1 137.4 624.7 16019.5

3/9/2021 144.1 140 2.8 133.9 77.3 75.0 3.0 70.8Pumpoff #26-27 4/21/2021 498.2 472.6 -5.4 143.7 136.2 5.2 134.8 142.6 138.6 2.8 137.2

4/22/2021 553.0 544.3 -1.6 123.5 129.7 -5.0 128.0 146.4 146.7 -0.2 146.6 144.1 142.0 1.5 139.94/23/2021 111.4 109.1 2.1 106.3 792.8 16812.3

Residual Tank 4/23/2021 132.5 131 1.1 127.0 127.0 16939.3Pumpoff #28 5/26/2021 716.0 706.1 -1.4

5/27/2021 144.5 140.6 2.7 136.3 141.1 139.0 1.5 136.6 143.3 140.4 2 137.9 565.2 17504.55/28/2021 81.1 78.0 3.8 76.1 88.7 82.0 7.6 78.3

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Total Fluid Reconciliation Truck 1 Truck 2 Truck 3 Truck 4

Total Fluid Water Decanted Total Fluids Total Fluids Total Fluids Total Fluids Residual Total of FluidFrac Tank Strap From Frac Tank to Acadiana to Acadiana to Acadiana to Acadiana left in From Trucks,

at Port Fourchon Using Strap NRC NRC NRC NRC Frac Residual & by NRC Measurement Frac Strap Frac Strap Frac Strap Frac Strap Tanks Decant %

Date (bbl) (bbl) (bbl) (bbl) (bbl) (bbl) (bbl) (bbl) DiffPump Off #1 4/26/2019 215.7 0.0

5/6/2019 113.7 97.0 0.0 0.0 5.2 215.9 0.1Pump Off #2 5/3/2019 223.5 15.6

5/8/2019 101.3 82.8 0.0 0.0 17.6 217.3 -2.8Pump Off #3 5/13/2019 331.2 0.0

5/16/2019 103.2 126.4 108.5 0.0 16.2 354.3 -1.6Pump Off #4 6/19/2019 905.5 32.5 139.4 138.7 0.0 0.0 310.6

6/20/2019 137.7 140.7 140.6 144.1 563.16/21/2019 48.5 0.0 0.0 0.0 0.6 49.1

PO4: Total 922.8 -1.8Pump Off #5 7/31/2019 1196.6 96.3 139.2 142.7 281.9

8/1/2019 139.1 140.7 146.0 138.0 563.88/2/2019 99.8 101.0 45.2 246.0 -0.7

PO5: Total 1188.0Pump Off #6 8/26/2019 874.6 56.8 141.7 140.3 141.5 480.3

8/27/2019 * 140.5 137.2 61.3 57.9 396.9PO6: Total * 877.2 0.3

Pump Off #7 9/23/2019 880.4 41.3 138.0 144.3 142.6 466.29/24/2019 * 144.4 143.7 55.3 55.3 398.7P07: Total * 864.9 -1.8

Pump Off #8 10/21/2019 787.4 27.2 27.210/22/2019 143.9 154.3 144.0 442.210/23/2019 137.7 130.0 267.7

Residual Tank 10/23/2019 205.1 53.5 125.4 66.4 245.3PO8: Total 982.4 -1.0

Pump Off #9 11/19/2019 32.0 142.3 143.8 145.3 463.411/20/2019 757.8 145.6 92.1 55.6 293.3PO9: Total 756.7 -0.1

Pump Off #10 12/17/2019 942.8 33.4 142.0 71.4 146.4 393.212/18/2019 146.4 144.3 144.0 47.4 73.9 556.0PO10: Total 949.2 0.7

Pump Off #11 1/9/2020 691.0 39.2 128.7 128.0 129.8 72.7 498.41/10/2020 79.4 92.6 172.0

Residual Tank 1/8/2020 307.0 81.5 141.9 121.7 345.1PO11: Total 1015.5 1.8

Pumpoff #12 2/11/2020 722.5 49.1 49.12/12/2020 2.7 120.8 102.1 99.0 324.62/13/2020 3.9 149.5 114.2 87.5 355.1

PO12: Total * 728.8 0.9Residual tank 2/17/2020 265.8 93.6 108.2 201.8

2/18/2020 23.5 121.7 145.2Resid Total 347 -1.8

Pumpoff #13 3/11/2020 570.2 39.6 39.63/12/2020 2.8 114.5 138.3 255.63/13/2020 93.6 120.0 63.7 277.3

PO13: Total 572.5 0.4Pumpoff #14 4/15/2020 928.8 55.1 55.1

4/16/2020 147.2 145.2 148 440.44/17/2020 144.9 144.1 87.4 65.4 441.8PO14:Total 937.3 0.9

Residual tank 4/13/2020 244.1 67.6 67.64/14/2020 149.9 26.6 176.5

244.1 0.0Pumpoff #15 5/6/2020 783.1 18.3 18.3

5/7/2020 1.2 150.3 148.0 145.2 444.75/8/2020 147.2 131.7 40.0 318.9

PO15: Total 781.9 -0.2Pumpoff #16 5/27/2020 583.3 25.3 25.3

5/28/2020 142.1 142.15/29/2020 138.0 135.1 115.0 27.8 415.9

PO16: Total 583.3 0.0Residual tank 5/27/2020 67.2 153.6Pumpoff #17 7/8/2020 956.3 23.6 23.6

7/9/2020 2.4 149.1 148.8 149.2 449.57/10/2020 150.7 137.1 119.9 63.3 471

PO17: Total 944.1 -1.3Pumpoff #18 7/22/2020 642.6 14.3

7/27/2020 129.9 140.6 138.2 139.8 0.07/28/2020 13.6 66.0 642.4 0.0

Residual Tank 7/22/2020 299.6 67.27/28/2020 31.3 113.0 84.5 296.0 -1.2

Pumpoff #19 9/1/2020 886.4 7.8 128.2 135.59/2/2020 131.2 135.9 135.9 134.8 76.2 885.5 -0.1

Residual Tank 8/31/2020 292.6 102.9 189.7 189.7Pumpoff #20 9/29/2020 450.9 52.9 144.0 143.5 24.8 450.9 0.0

9/30/2020 85.7Residual Tank 9/30/2020 273.2 116.1

10/1/2020 2.7 136.5 17.9 273.2 0.0Pumpoff #21 10/15/2020 610.1 14.0 139.0 145.3

10/16/2020 147.2 136.0 28.6 610.1 0.0Residual Tank 10/14/2020 293.4 111.8 49.5 293.4 0.0

10/15/2020 132.1Pumpoff #22 11/16/2020 673.2 68.7 146.5 143.4 146.4

11/17/2020 2.7 133.2 32.3 673.2 0.0Pumpoff #23 12/30/2020 784.3 30.3 146.1 146.8 145.2

12/31/2020 145.3 113.9 56.7 784.3 0.01/27/2021 663.9 23.3

Pumpoff #24 1/28/2021 140.22/19/2021 11.8 146.0 150.7 115.3 68.5 655.8 -1.2

Residual Tank 2/20/2021 164.8 31.1 100.9 32.8 164.8 0.0Pumpoff # 25 3/3/2021 738.1 26.1

3/8/2021 5.7 144.6 146.5 146.03/9/2021 144.1 77.3 47.8 738.1 0.0

Pumpoff # 26-27 4/1/2021 1016.9 73.84/20/2021 60.24/21/2021 143.7 142.64/22/2021 6.4 123.5 146.4 144.1 62.2 1014.34/23/2021 111.4 -0.3

Residual Tank 4/21/2021 216.9 9.4 132.5 23.84/22/2021 18.24/23/2021 32.6 216.5 -0.2

Pumpoff #28 5/26/2021 706.1 72.55/27/2021 144.5 141.4 143.35/28/2021 81.1 88.7 34.6 706.1 0.0

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Barrels of Oil Collected Daily

Barrels of Oil Collected Per Day Since RRS Install

Totals from Pumpoff 1-28

Total Net RRSCollection Oil Collection Rate Collection Rate

Start Time End Time Duration Collected Of Oil of OilStart Date (hrs) End Date (hrs) (Days) (bbl) (bbl/day) (gallon/day)

Collection Duration for 1st Trip 4/12/2019 0:00 4/23/2019 1:05 11.0 187.4 17.0 715.7Collection Duration for 2nd Trip 4/23/2019 1:05 4/30/2019 21:09 7.9 181.6 23.0 gallons/dayCollection Duration for 3rd Trip 4/30/2019 21:09 5/12/2019 23:20 12.1 295.7 24.4 1026.5Collection Duration for 4th Trip 5/12/2019 23:20 6/13/2019 17:17 31.5 850.0 27.0 1132.3Collection Duration for 5th Trip 6/13/2019 17:17 7/21/2019 1:40 37.4 983.7 26.3 1104.7

Collection Duration for 6th Trip 7/21/2019 1:40 8/18/2019 3:15 28.6 757.2 26.5 1112.0Collection Duration for 7th Trip 8/18/2019 3:15 9/12/2019 22:30 25.8 749.2 29.0 1219.6Collection Duration for 8th Trip 9/12/2019 22:30 10/9/2019 10:15 26.5 675.8 25.5 1071.1Collection Duration for 9th Trip 10/9/2019 10:15 11/10/2019 1:05 31.6 659.1 20.8* 875.5Collection Duration for 10th Trip 11/10/2019 1:05 12/6/2019 10:25 25.9 818.6 31.6* 1327.5 gallons/dayCollection Duration for 11th Trip 12/6/2019 10:25 12/31/2019 22:25 25.5 567.2 22.2 934.2 gallons/dayCollection Duration for 12th Trip 12/31/2019 22:25 1/30/2020 17:50 29.8 528.8 17.7 745.3 gallons/dayCollection Duration for 13th Trip 1/30/2020 17:50 3/2/2020 2:00 31.3 456.4 14.6 612.4 gallons/dayCollection Duration for 14th Trip 3/2/2020 2:00 4/2/2020 1:15 31 798.4 25.8 1081.7 gallons/dayCollection Duration for 15th Trip 4/2/2020 1:15 4/25/2020 15:45 23.1 707.7 30.6 1286.7 gallons/dayCollection Duration for 16th Trip 4/25/2020 15:45 5/15/2020 18:40 20.1 513.0 25.5 1071.0 gallons/dayCollection Duration for 17th Trip 5/15/2020 18:40 6/18/2020 22:55 34.2 834.4 24.4 1024.8 gallons/dayCollection Duration for 18th Trip 6/18/2020 22:55 7/12/2020 15:10 23.7 601.5 25.4 1066.8 gallons/dayCollection Duration for 19th Trip 7/12/2020 15:10 8/13/2020 6:00 33.6 785.5 23.4 982.8 gallons/dayCollection Duration for 20th Trip 8/15/2020 6:00 9/2/2020 13:25 18.3 357.4 19.5 819.0 gallons/dayCollection Duration for 21st Trip 9/2/2020 13:25 10/4/2020 15:20 32.1 548.3 17.1 718.2 gallons/dayCollection Duration for 22nd Trip 10/4/2020 15:20 11/3/2020 16:10 30.0 532.4 17.7 743.4 gallons/dayCollection Duration for 23rd Trip 11/3/2020 16:10 12/10/2020 13:00 36.9 655.4 17.8 747.6 gallons/dayCollection Duration for 24th Trip 12/10/2020 13:00 1/9/2021 9:15 29.8 517.5 17.4 730.8 gallons/dayCollection Duration for 25th Trip 1/9/2021 9:15 2/21/2021 11:30 43.1 624.7 14.5 609.0 gallons/dayCollection Duration for 26th Trip 2/21/2021 11:30 3/15/2021 22:25 22.4 - -Collection Duration for 27th Trip 3/15/2021 22:25 4/8/2021 12:35 23.6 - -Collection Duration for 26-27th Trip 2/21/2021 11:30 4/8/2021 12:35 46.0 792.8 17.2 gallons/day

Collection Duration for 28th Trip 4/8/2021 12:35 5/14/2021 12:14 36.0 565.2 15.7 gallons/day659.4

722.4

--

gallons/day

gallons/daygallons/daygallons/day

gallons/daygallons/day

gallons/daygallons/day

965.6

Total Net RRSCollection Oil Collection Rate Collection Rate

Start Time End Time Duration Collected Of Oil of OilStart Date (hrs) End Date (hrs) (Days) (bbl) (bbl/day) (gallon/day)

Average collection to date less residual tank 4/12/2019 0:00 5/14/2021 12:14 763.5 16,545.0 21.7 911.4 gallons/dayTotal Collection to date 4/12/2019 0:00 5/14/2021 12:14 763.5 17,504.5 22.9 961.8 gallons/day

Bbl GalNet Oil collected 17,504.5 735,189.0

Total Oily fluids collected: 19,728.3 828,588.6

7 of 49

Appendix 1

MC20 Product Removal and Transportation with Completed

Documentation

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Appendix II

NRC Waste Handling Documentation

17 of 49

DECLARATIAN OT IJVSPECTION - DOT 2021

DBCLARATION OT INSPECTION PRIOR Tq BUI,K CARGO TRANSTBR

Date: S- l}} I Location: Cf SFacilityA/ehicle Number: Start Time I nnO TimeVessel Name: Br^"d.", Rrrccl."lon o1a5 I ll00Vessel Official Number: Vessel Capacitv (Total) (bbls):

Product Transferred: L.r.rdn. - il .EsL Transfer Volume (bbls):

Note For EmersencJ, !_Votification Dischqrse amounts (Gallonil:

Average most probable:

Maximum nrost probable:

Worst case clischarge:

The followinq list refers to requiremeutsscl&rth in detail in 33 CER 15-eH0 surl ieeFR 35.35-30.

The spaces on the left are to be reviewed by AL[- PIC'f irrvolved in the transfer and checked in agreement,

'fhe right hand columns are to be initialed by the appropriate PIC and/or noted as not applicable with (N/A).

Items on the list are provided to indicate that the detailed requirernents have been rnet

m rQPrc PICDelivcrins

PICReceivins

Verifv PIC des ignationiqualifi cation 3 3 CFR I 54.7 I 0, | 54.1 30, I 5 4.7 40(b) j-I JfPerson In Charqe (PIC): In Immediate Vicinity and Available TI- TFPersonnel : Capable/Unimpaired T( TFNarne, title and location of each person participating in the transfer operation T( TFMC 20 Sutrsea Storage Of'floading Operations & Maintenance Manual present withprocedures and particulars of the transi'el and receiving systerns to be followed and verifiedw i t h ke y p e r s o nl e Li ry_o ly e! t n $ eE-opt'Ie1lqlq_ f,_ rtWatclr and shift alrangernents discussed TT TTCargo is Autlrolized for transl'er to or from tanks x fFDiscuss if transfer will neeci to stopped to change tanks *- suttrsly or recsivinp fecility T( TFDiscuss transfer rates and max allowable to receivins facility x' TF(Facility/Vessel) properly vented (monitoring vacuum and positive tanks pressure) i\ rFCommunications & No Lansuase Ban'ier f( {F

S Hoses and Connection - 33CFR 154.500Nonmetallic hoses usable for oil or hazardous material service TTProper connections (must be one of the following): rFFusion 100 harnmer uniorr connections ffQuick-disconnect coupling present on snction side of purnp

Exarnine transf'er hose markings or records. 6 YFName of product hanclled; example "OIL SERVICE," or "}]AZMAT SERVICE" 15 rF

$ Examine Transl'er Hose contlition - 33CFR 156.170

No unrepaired kinks. bulees. soft spots, loose covers. other def'ects 15 rtrNo cuts, slashes, or gouges that penetrate the first layer of hose reinfbrcement Tt rFNo externali intenral deterioration rF

S Emersencv shutdown - 33CFR 156.170

Test ernergencv shutdown - 33CFR 154.550 - who contlols the emersency shutdown -f( TtrConrmunication system continuously operated, f) fFVerify operating properly (Electric, pneunratic, or mechanical link to facility; electronicvoice) 6 TtrRecord test info in phvsical inforrnation.

.\

$ Examine closure device - 33CFR 154.520Verify enough to blank offends ofeach hose /loading arm not connected for transfer I5 'tr

S Inspect Small Discharge Containment - 33CFR 154.530Inspect handling area ancl verify capacity (not less than 5 gallons), T> TT

18 of 49

Pre-|'runsfbr Conference und Agreenrcnt (Conlinued)

m TOPICPIC

DeliveringPIC

Roccivi

$ Inspect discharge containment equipment for oil & hazardous liquids - 33CFR 154,545

Verify boornine for oil or hazmat transfer (if required bv COTP). r(- TrVerify adequate amourlt of ectuipment and/or absorbent materialfbr initialresDonse t( TFInspect condition of response equiprnent stored on fbcility (if-applicable). TT fFVerifu availability of at least 200 feet of"containment boom onsite within I hour. ilVerifv means of deolovnrent. 'ts "fF

S Means of Communication - 33 CFR 154.560

Verity continuous two-way voice communication between vessel and lacilitv PICs, 1'( f7Communications must meet the following requirements..

1. Marked or documented as intrinsicallv safe. -r( TF2. Certified as intrinsically safe by national testing labor certification organization, i( {'tr

VoiceI Be audible T fFTest comminications. -SAr f, UNiein TT Ttr

$ Inspect lishtins systems - 33 CFR 154.570Verify portable lighting for operations between sunrise and sunset (if'anplicable). r( ftrAt transfer operations work areas for f'acility and vessel -rs ItrAt transfer connection noints for facilitv and vessel 't'l 'TrVerify sufficient number or fire extinguishers. 7\ TTVerify protective e0uiDment is readv to operate l-r .T;Verify warning signs are adequate. -r( fr

$ VESSEI, ONLY - 155.730 Compliance with VESSEL TRANSFER PI{OCIDURES $PIC for vessel/operator is required bV g I 55,720 to have current transfer procedures f<Requit'e vessel persorrnel to use the transl'er trrocedules fol each transfur operation T(Available lor inspection by the COTP or OCMI whenever the ver;sel is in operation ?(I.egibly printed language(s) understood by personnel engaged in transfer operation r(Pelmanently posted or available and used by menrbers of crew engaged in trausfer operationAppropriate tank level monitoring (visual, gauging, indicators. etc.) r(Arrangements to monitor draft marks during transfer )f.fransfer Biping U pl dqyiqg,tql, 4ltd qygrflqw IrShutofli valve locatiou or isolation device separating bilge or ballast f'rom the fi'ansfer systeln T(Adequate contairrment on the vessel at loading or discharge connection xDrains, Scuppers and overboard discharges closed ]1J'he number of persons required to be on duty during transfer operationsl TJProcedure:-for ernptying discharge containment systgrn required by $$ 155.3 l0 and 155.320 T(Procedures fbr tencling the vessel's moorings during the transfer of oil or hazardous matedal 7(Procedures for emergency shutdown/communications required bv $$155,780 and 155.785 7lProcedures for topping ofTtanks 'T'tProcedures;nsuring all rralves used during transfer are closed upon completion of transfer r(I do ceyfil, tltut I have personnlly inspected this.fuc:ility or vessel v,ith reference to the requircnrcntsnfi1rey{entionecl uttd thil I huve indicoteclthut the regulations huve been conplied with if'uppticahte,

stH_ _ e2&DATE TiMF,

f

[:ZN -aaeDATE TIMT:

TRANSFER COMPLETED: --Jaal_tuturAMOUNT (GALI.ONS)- DATE

DDCI,ARATION OT IJVSPECTIAN. DOI 2A2t

(|-ORM UPDATED April l5 2019)

c(31-lvl l-l-l(3

19 of 49

fl*n 0#+- N ,e%

,UN SAFETY MANAGEMENT SYSTEM SATETVIT'5 frI V/AY rc @I

Form 8.1.7 Site Specific Safety PlanName: MC20 Recovered Crude Oil TransferProiect

Revision: 0812019

NRC PROJECT PERSONNEL AND EMERGENCY CONTACTSShore side NRC Proiect ManaqerDirector of Marine Ops

Director of OperationsYard ManaqerH&S Proqram ManaqerVP Health & SafeW

Hospital / Medical Intervention

Date: Y' /+ tpbL Staft Time: f,6{A Job Number= /@ - A i?2E tand Emergency Response E Marine Emergency Response n Lana Service X Marine Service

SITE DESCRIPTION / WORK SUMMARY

The site is the Poft Fourchon Facility: 554 Dudley Bernard Rd. Port Fourchon, l-A. 70357 (985) 396-4518

NRC will facilitate removing recovered crude oil from the well located at MC20 project. me VlVl%9-has beencollecting crude oil from the location and storing it on Marine Portable Tanks (MPTs) located on her deck. The vessel willbe moored to the dock at the above location and transfer the recovered crude from the MPTs on her deck to doublewalled frac tanks on the dockside.

Once the frac tanks on the Port Fourchon docks are ready for transfer the crude will then be transferred into bulktrailers to be sent to its final destination.

SCOPE OF WORK

m" VtV-E-0--will send a 100' section of 3-inch petroleum duty hose to the dock where it will be connected !o the hosesleading to a properly rated and tested manifold. The manifold has one inlet and three outlets. Each outlet will be fltted with a 3-inchtransfer hose and affixed to the frac tanks. Once the connections are secured and the declaration of inspection (DOI) is complete, thevessel will transfer the crude oil in her tanks using a 4-inch pneumatic diaphragm pump. As the frac tanks near capacity the docksideoperator will open the next manifold valve and close the active one. This process will continue until all three frac tanks are at capacity,Once the transfer is complete a l-inch airline with the proper fitting will be given to the M/V's crew to send compressed air up the hoseto "blow down" any residual product left in the hoses to ensure no product is spilled when the hoses are disconnected.

After the crude oil sits in the frac tank at the Poft Fourchon Dock for 12lo 24 hours the crude oil will be pumped using a 3-inchpneumatic diaphragm pump to transport trailers to be sent to final destination.

20 of 49

,DD. .,SAFETY MANAGEMENT SYSTEM

=---G-------E

'AFETV.r!:5,!!!! q4aY-tgje!

Form 8.1.7 Site Specific Safety PlanProiect Name: MC20 Recovered Crude Oil Transfer

Revision: 0812019

EQUIPMENT

q/. Air Compressor (One aboard the M/V f,> fS - One on Port Fourchon Facility Properties). 4-inch pneumatic diaphragm pumps. Petroleum Duty transfer hoses rated and inspected accordingly. Safety Clips for Cam-lock connections and Chicago fittings. Containment pans for diaphragm pumps and each hose connection (on the deck of the M/V as well as the Port Fourchon

Facility Dock). Sorbent pads / Polly to wrap around each hose connection as spill prevention. Whip Checks for each air line connection coming from the air compressor. Intrinsically safe handheld VHF radios (Means of Communication between PIC of vessel and PIC of dock). Supplied Air Breathing System

ATTACHMENTS

SMS 8.1.5 Daily Safety Meetingform - MaritimeSMS 13.2 Respiratory ProtectionIncident / Near Miss / RCA

Attachment TITLE Attachment TI:rLEA SafeW Data Sheeb F Diaqram of dock layoutB

C

D

E DOI

2

21 of 49

frD- -,SAFETY MANAGEMENT SYSTEM

r :--

$frrETV!!u.!!1! ga Y_!g_gg!

Form 8.1.7 Site Specific Safety PlanProiect Name: MC20 Recovered Crude Oil lransfer

Revision: 08/2019

N APPROVAL

sitesafety om srls t'/V -2'()4

ACKNOWLEDGMENTS (signed by all NRC site personnel)I have read and understand the topics outlined on all pages ofthis HASP and will follow all the required safety rules.

**I am aware that I am to sign in at the beginning of the shift and sign out at the end of my shift on the Daily Safety Meeting form.I must notify the on site supervisor of any injury /accident/ near miss that I had or observed during my shift**

I understand that I have the right to stand down for Safety and report any potential hazards to the NRC Site Supervisor.After an injury/accident/near miss is reported, the Site Supervisor must call the H & S Manager at-

Date Print Name Signature

g/t-/p,)-11-,4

l/rilat./ -l

f- t 7"Jt

14

22 of 49

ft). -,SAFETY MANAGEMENT SYSTEM

Job Hazard Analysis Revision: 0812015

TASK DEscRlPTloN: Mc 20 Recovered Crude oit / Vessel to Shore Transfer 9-/ 17 / A/SUMMARY OF POTENTIAL HAZARDS (Check applicable)

I Heavy or awkward lifting /movement

I eincfr Points or caught between ffi working and walking surfaces; slip, trip, fall

E ruew / lnexperienced employees X spitt/ containment I Heat stress environment

I Struck by or crush hazard I trtoise levels (>85 dBA) trI Hazardous liquids, vapors, waste I Elevated surfaces / Fall / Ladders tr

APPLICABLE REGULATION / SOPS / ALERTS

! svs 19.2 Vacuum Trucks tr trMINIMUM PERSONAL PROTECTIVE EQUIPMENT (Check applicable)

I t-eveln

! Level a

! Level C

I Level o

I Hard Hat

I safety G lasses

! Face Shield

I Hearing Protection

E Hieh Visibility vest

I Long Sleeves / Coveralls

! Chemical protective clothing

I Respirator:-

[] Leather Steel Toe Boots

f] Disposable boot covers

I Neoprene Steel Toe Boots

I cloves:

xtr

PFD / Work vest

tr

JOB HAZARD ANALYSIS

O Job Steps A Potential Hazards O Preventive Measures / Special PPE

Pre-job MeetingsBehavior Based Safety

o Personnel do not understand theoperational plan, relevant hazards

or their roles/responsibilitieso Personnel do not stop work when

hazards are identifiedo Personnel do not report injuries,

illnesses, near misses or incidents

. The operational plan, hazards and controls will be explainedto all involved personnel in Safety/Ops meeting, Personnelwill be encouraged to ask questions if they are unsure ofany project details

. Immediate supervisor will remind their crews of theirAuthority and Responsibility to Stop work and contact theirsupervisor if they discover a hazard

. Personnel will be instructed to repoft any injuries, illnesses,

near misses or incidents

Site Survey andEquipment Set-up

. Uneven working surfaces and triphaza rds.

. Equipment not certified, not testedor damaged

r lmproper set-up due to untrainedor unqualified personnel

. lnspect site for correctable walking surface hazards. Flag orcorrect unsafe conditions. Position equipment and hoses

away from travel paths. ldentify "no-go" areas.e All equipment will be inspected for current certifications,

testing and serviceable working condition prior to worko Personnel will be pre-selected to perform tasks based on

verified competencv3. Vehicle movements o Personnel, equipment or hoses

struck or crushed by movingvehicles or equipment

o Vehicles not inspected prior tomovements. Unsafe for travel.

o Unsecured items create droppedob.ject or road hazards.

o Ground guides will be used for equipment movements.Non-essential personnel will clear the travel path. Travelpath will be confirmed as clear prior to movements.

. Vehicles will be inspected by drivers prior to travel and

after travel for potential damage.o Vehicles will be inspected to ensure that there are no

loose items and that loads are secured properly.

4. Mooring Vessel and

working near waterPersonnel struck by thrown lines orcaught in "line of fire".Personnel pinched or crushed

during vessel movements.Personnel fall into the water. Manoverboard.

. When tossing the mooring lines to the shore allow the linesto fall on the ground and pick them up. Do not attempt tocatch mooring lines from the M/V.

. When mooring the vessel, keep hands, fingers, arms, and allother body parts from between the mooring line and thebits on the dock

. Never work alone. All personnel within 5'ofthe docks edgeare required to wear a USCG approved PFD, Always discuss"man overboard" procedures prior to work. Have life ringand recovery plan in place,

5. Connecting hoses o Personnel crushed or pinchedwhile connecting transfer hoses.

o Personnel suffer back strain orother ergonomic related injuriesduring connections or movinghoses

. Slip/trip/fall hazards while workins

. Identifo, communicate and avoid all crush/pinch points:including cam-lock connections, vehicles and other movingpafts or equipment

. Transfer hoses can be heavy and when handling thesehoses employees shall use proper ergonomic practicesincluding keeping your back as straight as possible as wellas lifting with your knees and not your back

o Observe qood housekeepinq and maintain situational

I

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fr)r -,SAFETY MANAGEMENT SYSTEM

?---E-------E

SP/TETYrr's r.H: !bY_!Qj&!


O Job Steos

-

6pr Is

awareness when walking in the dock area. Try to runhoses in an area that is out of the normal walking path andgo around if possible

6. Working in potentlallyhaza rdo us

atmospheres

Personnel exposed to hazards

related to hazardous atmospheres.

lgnition sources create potentialfor explosive conditionsPersonnel not equipped tosuppress incipient fire

. Calibrated multi-gas meters/detectors will be used to conflrmthat LEL's, CO and other gases are within safe range forpumping and transfer operations. Operations will transferoperations will stop immediately if LEL's or CarbonMonoxide levels become elevated

. A protective distance of 100' outside shoreside transfer will be

identified, and marked with caution tape and warning signs,

to prohibit smoking, sparks and any potential source ofignition within the transfer area perimeter. The M/V will

suspend all similar activities for the duration of transferoperations.

o Fire extinguishers will be placed atthe transfer manifoldtcompressors, vessel and any other areas of potentialisnition.

7. Energizing pneumaticequipment

Personnel injured when struck by

hoses or pressure during hose

connection or fitting fallure.

Air leaks or blowout causingpressure related injuries.Hearing loss/injury due to noise

levels above 85 decibels

. All pressurized hoses will have whip checks and safety clipsinstalled prior to energizing. All pneumatic hoses will be

inspected prior to use.o Pumping operations will be stopped immediately if leaks

are detected during operations. Defective hoses will be

replaced with new hoses/whips.o Hearing protection will be worn in all areas where high-

noise machinerv and equipment is being operated.

8. Transfer of recoveredcrude oil

Personnel contacted by crude oil

spray or envlronmental release.

Overfilling tank resulting ln spills

Personnel overcome by potentiallyhazardous vapors

All transfer hoses used will be inspected, certified and testedprior to use. They will be secured with safety clips andwrapped with absorbent pads and duct tape. Polypropyleneline will be used as an added retention measure. Personnelwill wear Level D PPE and increase protection asappropriate. Spill control kits/supplies will be available onsite. The DOI Declaration of Inspection will becompleted prior to operations.

Prior to transfer the amount of product that can be acceptedwill be calculated and the PIC will ensure that there isample room to handle the Uansferred product.

Crude oil is a mixture of various hydrocarbons. Among themcan be benzene, hydrogen sulfide, and other chemicals.There will be a properly calibrated and bump tested 4-gasmeter on site during transfer to ensure vapors aren'tpresent. All work will stop if hazardous gasses aredetected. PPE will be upgraded according to theconcentration of hazards detected,

If personnel will work at heights above 6': fall protection willbe worn and a rescue plan will be in place.

Fire extinguishers will be placed at the transfer manifolds,

compressors, vessel and any other areas of potential

ignition.

9. Transfer of oil intotransporter

. Personnel contacted by crude oil

spray or environmental releaseo Overfillingtransportationvessel

resulting in spillso Personnel overcome by potentially

hazardous vapors. Fall hazards present if personnel

are working above 6 feet

o All transfer hoses used will be inspected, certified and testedprior to use, They will be secured with safety clips andwrapped with absorbent pads and duct tape. Polypropyleneline will be used as an added retention measure. Personnelwill wear Level D PPE and increase protection asappropriate. Spill conbol kits/supplies will be available onsite,

. Prior to transfer the amount of product that can be acceptedwill be calculated and the PIC will ensure that there isample room to handle the transferred product.

. Crude oil is a mixture of various hydrocarbons. Among themcan be benzene, hydrogen sulfide, and other chemicals.There will be a properly calibrated and bump tested 4-gasmeter on site during transfer to ensure vapors aren'tpresent. All work will stop if hazardous qasses are

O Potential Hazards

24 of 49

frD- -,SAFETY MANAGEMENT SYSTEM

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SATETY.r!:s_tuy4 Y_!g-qc!


O Job Steps @ Potential Hazards g Preventive Measures / Special PPE

detected. PPE will be upgraded according to theconcentration of hazards detected.

. If personnel will work at heights above 6': fall protection willbe worn and a rescue plan will be in place.

o Fire extinguishers will be placed at the transfer manifolds,


isnition.

10. Prolonged exposure toelements (Heat Stress)

o lnadequate hydrationo Extended work periods without

rest resulting in heat stress

. Personnel will be encouraged to hydrate frequently. Water tosports drink ratio will be 3:1 (1 sports drink to 3 watersconsumed).

o Work to rest schedules will be determined based on theambient temperature, acclimatization of personnel andwork being pedormed. Heat stress potential andsigns/symptoms will be discussed at all safety meetings,tailgate meetings and during breaks. Personnel will beencouraged to self-report any early symptoms of heatstress. All personnel will be advised that stop workauthority applies to potential heat stress symptoms theymay be experiencing, (or that they suspect with co-workers).

11. Break time o Potential for ingestion ofpetroleum product or othercontaminants.

o Fire hazards from unrestrictedsmoking

o Direct sun reduces recovery timefor workers during breaks

o lnadequate water

. Personnel will wash hands before smoking, eating, drinkingor any other activity where contaminants might beingested. This hazard will be stressed in break areas.

. Only smoke in designated areas.o Ensure that break areas have adequate shade and cooling

potential for personnelo Personnel are more likely to hydrate when cool water is

available. Ensure an adequate supply and include sportsdrinks with electrolvtes to be consumed sparingly.

12. DecontaminatePersonnel

. Potential for secondarycontamination by absorption,injection, or ingestion

. Follow decontamination plan for clothing removal anddisposal when protective outerwear is required andbecomes contaminated.

. Only use safety scissors (never knives) to cut Tyvek frompersonnel.

o Ensure that workers wash hands and face thoroughly.

NRC INCIDENT REPORTING

POLICY

. First Aido OSHA recordableo lllness/lnjuryo Near Miss. Equipment/VehicleDamage

. NRC employees and subcontractors are required toimmediately report all incidents to their supervisor.

. The immediate supervisor will immediately repoft theincident to the site safety professional, HSEQ lt4anager, andProject Manager.

. As soon as possible the affected employee will complete therequired form, if an injury then the first repot of injury; ifnear miss, then a near miss / safety suggestion form will becompleted.

. The supervisor will complete a root cause analysis of all

repofted incidents and submit to the HSEQ manager within B

hours of an incident.. Determination will be made regarding need for post-incident

drug and alcohol testing based on NRC poliry.. Contact HSEQ Manager for proper USCG reports, if needed

and what report is needed.

REVIEW

Development Team Position/Title Reviewed By Position/Title Date

DECLARATION OF INSPECTION

'of,,lToYo[W*o5ootdl']^1, nu u",K C6roNAME OFVESSEL DATETRANSFEROPERATIONS STARTS' iSruiloo r5o-d <.\;nro-, - -'- 'c'f: "t+:A

2/An oil transfer operation may not commence to or from a vessel unless the following requirements are met and agreed uponby the respective transferring and receiving persons in charge.Persons in charge indicate by a check 1r/1, in the appropriate spaces, that the specific requirement has been met.

VESSEL FACILJ}Y'l-\ A.Thetnooringlingsareadequateforall anticipatedconditions. ....... ff-jj_8. Cargo hosesand/orloading armsarelongenough forintendeduse.... .... 7FjJ_C. Cargohosesareadequately supportedto preventunduestrainonthecouplings..... ... /t/"ii D.The transfer system is properly lined up for discharging or receiving oil. (Additional checks shall .i tj' beperforrnedeachtimeavalveisrepositioned) ...... I f'1, \ E. Each flange connection on the cargo system not being used during the transfer operation is blanked .-:?:-

= or shut ofi.. .. .. . / f

\ I F. The cargo hoses and/or loading arms are connected to the manifolds using gaskets and a bolt inevery other hole, (minimum of 4 bolts). E,xception: Tanks without fixed loading systems per waiver _2 sfrom the Caotain of the Port. 7 /-

Ii c. The overboard or sea suction valves are sealed or lashed in the closed position. ZE-i,/ H.Adequate spill containments have been provided for couplings. af_-i,l l. All scuppers or other overboard drains are closed or plugged. aL'ii J. A communications system is provided between the facility and the vessel. . fi-iJ K Emergency shutdown system is available and operable. fF.i t L. Cornmunication procedures are established and understood between persons in charge. /Lif M. Qualified and designatedpersonnel are in chargeand on duty attheterrninal andvessel control stations. . T fIj N. One person at the vessel control station is present who fluently speaks the language of the terrn inal control a zstation. .. 7 ITl O. The owner of the cargo hoses will insure test requirements have been met and that the hose has no loose

covers, kinks, bulges, soft spots or gouges, cuts and slashes which penetrate the hose reinforcement andthat hoses are marked for iclentification and test data is maintainecl ln a test log. . . . ,/2

li P. Adequate lighting of the vessel and terminal work areas and manifold areas is provided. T fQ. Persons in charge have held a conference to assure the rnutual understanding ofthe following transfer operations:. . .1. Product identity to be transferred. . . . .

. . .2. Sequence oftransfer operation.

. . .3. Transfer rate of flow

. . .4. Name or title and location of each person participating in the transfer operation

. . .5. Particulars ofthe transferring and receiving systerlls

. . .6. Starting, stripping, topping and shutdown have been discussed and understood . . . . .

. . .7. Emergency procedures including notification, containment and cleanup of spills

. . .8. Watch and shift arrangements

. . .9. Notification before leaving stations

The following items are to be filled out by Vessel personnel only.

. . .1. Warning signs and read warning signals (35.35-30).

. . .2. Repair work authorization (35.35-30).

. . .3. Boiler and galley fires safety (35.35-30).

. . .4. Fires or open flames (35.35-30).

. . .5. Safe smoking space (35.35-30).

$_lr_fl_fI_-r{lru_.-Tr

T(

1l_1T1lkcertifr that I have read, understand and allree with the foregoing as marked and agree to begin/continue the transfer operation.

PERSONIN CHARGE

VESSEL

The operator ofeach facility and the operator ofeach vessel shall retain a signed copy for at least a month.

26 of 49

3 Ya,r1tr ,W /_t ch,t8" .f\ u v /<,

ft}. -,SAFETY MANAGEMENT SYSTEM

E--G---:E---:-

SATETYrl:5.rl.t! wiYllgQl


TASK DESCRIPTION: MC 20 Recovered Crude Oil/ Vesselto Shore Transfer f/Z f 2/SUMMARY OF POTENTIAL HAZARDS (Check applicable)

I tteavy or awkward lifting /movement

X Pinch Points or caught between X Working and walking surfaces; slip, trip, fall

E trtew / lnexperienced employees X Spitt / containment X Heat stress environment

I Struck by or crush hazard X Noise levels (>85 dBA) trI Hazardous liquids, vapors, waste X Elevated surfaces / Fall / Ladders tr

APPLICABLE REGULATION / SOPS / ALERTS

E slts 1.9.2 Vacuum Trucks tr trMINIMUM PERSONAL PROTECTIVE EQUIPMENT (Check applicable)

! Level n

E Level B

! Level C

I Level D

I Hard Hat

I safety Glasses

n Face Shield

X Hearing Protection

n Hich Visibitity Vest

I t-ong Sleeves / Coveralls

! Chemical protective clothing

! Respirator:--

I Leather Steel Toe Boots

! Disposable boot covers

I Neoprene Steel Toe Boots

I Gloves:

xtr!

PFD / Work vest

JOB HAZARD ANALYSIS

O Job Steps O Potential Hazards g Preventive Measures / Special PPE

L. Pre-job MeetingsBehavior Based Safety

o Personnel do not understand theoperational plan, relevant hazardsor their roles/responsibilities

o Personnel do not stop work whenhazards are identified

o Personnel do not repoft injuries,illnesses, near misses or incidents

. The operational plan, hazards and conkols will be explainedto all involved personnel in Safety/Ops meeting, Personnelwill be encouraged to ask questions if they are unsure ofany project details


. Personnel wlll be instructed to report any injuries, illnesses,near misses or incidents

2. Site Survey andEquipment Set-up

o Uneven working surfaces and triphaz a rds.

. Equipment not certified, not testedor damaged

o lmproper set-up due to untrainedor unqualified personnel

. lnspect site for correctable walking surface hazards. Flag orcorrect unsafe conditions. Position equipment and hosesaway from travel paths. ldentify "no-go" areas.

o All equipment will be inspected for current certifications,testing and serviceable working condition prior to work

o Personnel will be pre-selected to perform tasks based onverified competencV

3. Vehicle movements o Personnel, equipment or hoses

struck or crushed by movingvehicles or equipment


. Unsecured items create droppedobiect or road hazards,

. Ground guides will be used for equipment movements.Non-essential personnel will clear the travel path. Travelpath will be confirmed as clear prior to movements.

o Vehicles will be inspected by drivers prior to travel andafter travel for potential damage.

. Vehicles will be inspected to ensure that there are noloose items and that loads are secured properlv.

4. Mooring Vessel andworking near water

o Personnel struck by thrown lines orcaught in "line offire".

o Personnel pinched or crushedduring vessel movements.

o Personnel fall into the water. Manoverboard.

. When tossing the mooring ilnes to the shore allow the linesto fall on the ground and pick them up. Do not attempt tocatch mooring lines from the M/V.

. When mooring the vessel, keep hands, fingers, arms, and allother body pads from between the mooring line and thebits on the dock

o Never work alone. AII personnel within 5'of the docks edgeare required to wear a USCG approved PFD. Always discuss"man overboard" procedures prior to work. Have life ringand recovery plan in place.

5. Connecting hoses o Personnel crushed or pinchedwhile connecting transfer hoses.


. SIip/trip/fall hazards while working

. Identiff, communicate and avoid all crush/pinch points:including cam{ock connections, vehicles and other movingpafts or equipment


o Obserue qood housekeepinq and maintain situational

1

27 of 49

ftDr ., SAFETY MANAGEMENT SYSTEM

E---G---:=----

SATETYtT 5 nE WIY rO @r


awareness when walking in the dock area, Try to runhoses in an area that is out of the normal walking path andoo around if possible

6. Working in potentiallyhazardo us

atmospheres

Personnel exposed to hazardsrelated to hazardous atmospheres.lgnition sources create potentialfor explosive conditions

Personnel not equipped tosuppress incipient fire

o Calibrated multi-gas meters/detectors will be used to confirmthat LEL's, CO and other gases are within safe range forpumping and transfer operations. Operations will transferoperations will stop immediately if LEL's or CarbonMonoxide levels become elevated


identified, and marked with caution tape and warnlng signs,

to prohibit smoking, sparks and any potential source ofignition within the transfer area perimeter. The M/V willsuspend all similar activities for the duration of transferoperations.

o Fire extinguishers will be placed at the transfer manifoldgcompressors, vessel and any other areas of potentialignition.

7. Energizingpneumaticequipment

Personnel injured when struck by

hoses or pressure during hoseconnection or fitting failure.Air leaks or blowout causingpressure related injuries.Hearing loss/injury due to noiselevels above 85 decibels

o All pressurized hoses will have whip checks and safety clipsinstalled prior to energizing. All pneumatic hoses will beinspected prior to use,

. Pumping operations will be stopped immediately if leaksare detected during operations. Defective hoses will bereplaced with new hoses/whips.

. Hearing protection will be worn in all areas where high-noise machinery and equipment is being operated.

Transfer of recoveredcrude oil

Personnel contacted by crude oilspray or environmental release.

Overfilling tank resultlng in spillsPersonnel overcome by potentiallyhazardous vapors

All transfer hoses used will be inspected, certified and testedprior to use. They will be secured with safety clips andwrapped with absorbent pads and duct tape, Polypropyleneline will be used as an added retention measure, Personnelwill wear Level D PPE and increase protection asappropriate. Spill control kits/supplies will be available onsite. The DOI Declaration of Inspection will becompleted prior to operations.

Prior to transfer the amount of product that can be acceptedwill be calculated and the PIC will ensure that there isample room to handle the Uansferred product.

Crude oil is a mixture of various hydrocarbons, Among tremcan be benzene, hydrogen sulfide, and other chemicals.There will be a properly calibrated and bump tested 4-gasmeter on site during transfer to ensure vapors aren'tpresent. All work will stop if hazardous gasses aredetected. PPE will be upgraded according to theconcentration of hazards detected,


Fire extinguishers will be placed at the transfer manlfoldtcompressors, vessel and any other areas of potentialignition.

L Transfer of oil intotransporter

o Personnel contacted by crude oilspray or environmental release

. Overfillingtransportationvesselresulting in spills

o Personnel overcome by potentiallyhazardous vapors

o Fall hazards present if personnelare working above 6 feet

o All transfer hoses used will be inspected, certified and testedprior to use. They will be secured with safety clips andwrapped with absorbent pads and duct tape, Polypropyleneline will be used as an added retention measure. Personnelwill wear Level D PPE and increase protection asappropriate. Spill conbol kits/supplies will be available onsite.

. Prior to transfer the amount of product that can be acceptedwill be calculated and the PIC will ensure that there isample room to handle the transferred product.

. Crude oil is a mixture of various hydrocarbons. Among themcan be benzene, hydrogen sulfide, and other chemicals.There will be a properly calibrated and bump tested 4-gasmeter on site during transfer to ensure vapors aren'tpresent. All work will stop if hazardous qasses are

O JobSteos O Potential Hazards O Preventive Measures / Soecial PPE

28 of 49

,Dl, ., SAFETY MANAGEMENT SYSTEM-;---=-----Ei

fitilY!r:1l_r{! ullY-lg-ge!

Job Hazard Analysis Revision: OAl2015

O JobSteps O Potential Hazards O Preventive Measures / Special PPE


. If personnel will work at heights above 6': fall protection willbe worn and a rescue plan will be in place.

. Fire extinguishers will be placed at the transfer manifoldgcompressors, vessel and any other areas of potentialienition.


o lnadequate hydrationr Extended work periods without

rest resulting in heat stress

o Personnel wrll be encouraged to hydrate frequently. Water tosports drink ratio will be 3:1 (1 spor-ts drink to 3 watersconsumed).

o Work to rest schedules will be determined based on theambient temperature, acclimatization of personnel andwork being pefformed. Heat stress potential andsigns/symptoms will be discussed at all safety meetings,tailgate meetings and during breaks. Personnel will beencouraged to self-report any early symptoms of heatstress. All personnel will be advised that stop workauthority applies to potential heat stress symptoms theymay be experiencing, (or that they suspect with co-workers).

11. Break time o Potential for ingestion ofpetroleum product or otherconta minants.

o Fire hazards from unrestrictedsmokingDirect sun reduces recovery timefor workers during breaks

lnadequate water

o Personnel will wash hands before smoking, eating, drinkingor any other activity where contaminants might beingested. This hazard will be stressed in break areas.

. Only smoke in designated areas.

. Ensure that break areas have adequate shade and coolingpotential for personnel

o Personnel are more likely to hydrate when cool water is

available. Ensure an adequate supply and include sportsdrinks with electrolytes to be consumed sparingly.



o Follow decontamination plan for clothing removal anddisposal when protective outerwear is required andbecomes contaminated.

. Only use safety scissors (never knives) to cut TWek frompersonnel.

r Ensure that workers wash hands and face thoroughly.


POLICY

r First Aid. OSHA recordable. lllness/lnjuryo Near Miss. Equipment/VehicleDamage

. NRC employees and subcontractors are required toimmediately report all incidents to their supervisor.

. The immediate supervisor will immediately repoft theintident to the site safety professional, HSEQ Manager, andProject Manager.

. As soon as possible the affected employee will complete therequired form, if an injury then the first report of injury; ifnear miss, then a near miss / safety suggestion form will becompleted.

. The supervisor will complete a root cause analysis of allrepoted incidents and submit to the HSEQ manager within B

hours of an incident.. Determination will be made regarding need for post-incident

drug and alcohol testing based on NRC policy.o Contact HSEQ Manager for proper USCG reports, if needed

and what reDot is needed.

REVIEW

Development Team Position/Title Reviewed By Position/Title DatePeter Brause, CSP H&S Program Manager 7

ACKNOWLEDG

$' e12 <

s-al-29 of 49

SAFETY MANAGEMENT SYSTEM

Revision: 0812015

30 of 49

? {r-q.{k ff)aaIluL{L tL.w 2s

ft). ., SAFETY MANAGEMENT SYSTEM

i---G-------E

SfrTETYtr'! fiE wav Io @t


TASK DESCRIPIION: MC 20 Recovered Crude Oil/ Vesselto Shore Transfer ,fbffiSUMMARY OF POTENTIAL HAZARDS (Check applicable)

ffi Heavy or awkward lifting /movement

I einch Points or caught between X Working and walking surfaces; slip, trip, fall

! f'lew / lnexperienced employees X Spitt/ containment I t-teat stress environment

X Struck by or crush hazard X Noise levels (>85 dBA) nI Hazardous liquids, vapors, waste I elevated surfaces / Fall / Ladders tr

APPLICABLE REcULATIoN / soPs / ALERTS

E stvts l-9.2 Vacuum Trucks tr trMINIMUM PERSONAL PROTECTIVE EQUIPMENT (Check applicable)

I Level A

! Level a

! Level C

[] Level o

X Hard Hat

I safety Glasses

! Face Shield

X Hearing Protection

n Hieh visibitity Vest

I Long Sleeves / Coveralls

I Chemical protective clothing

I Respirator:--

ffi Leather Steel Toe Boots

! Disposable boot covers

! Neoprene Steel Toe Boots

I Gloves:

xtrtr

PFD / Work vest

JOB HAZARD ANATYSIS

0 Job Steps O Potential Hazards O Preventive Measures / Special PPE

Pre-job MeetingsBehavior Based Safety

o Personnel do not understand theoperational plan, relevant hazards

or their roles/responsibilitieso Personnel do not stop work when

hazards are identifiedo Personnel do not report injuries,

illnesses, near misses or incidents

. The operational plan, hazards and controls will be explainedto all involved personnel in Safety/Ops meeting. Personnelwill be encouraged to ask questions if they are unsure ofany project details


. Personnel will be instructed to report any injuries, illnesses,near misses or incidents

2. Site Survey and

Equipment Set-up. Uneven working surfaces and trip

haza rds.o Equipment not certified, not tested

or damagedr lmproper set-up due to untrained

or unqualified personnel

o lnspect site for correctable walking surface hazards. Flag orcorrect unsafe conditions. Position equipment and hosesaway from travel paths. ldentify "no-go" areas.

o All equipment will be inspected for current certifications,testing and serviceable working condition prior to work

o Personnel will be pre-selected to perform tasks based onverified competencv

3. Vehicle movements o Personnel, equipment or hosesstruck or crushed by movingvehicles or equipment


. Unsecured items create droppedobject or road hazards.

. Ground guides will be used for equipment movements.Non-essential personnel will clear the travel path. Travelpath will be confirmed as clear prior to movements.

o Vehicles will be inspected by drivers prior to travel andafter travel for potential damage.

. Vehicles will be inspected to ensure that there are noloose items and that loads are secured prooerlv.

4. Mooring Vessel andworking near water

. Personnel struck by thrown lines orcaught in "line offire".

o Personnel pinched or crushedduring vessel movements.

o Personnel fall into the water. Manoverboard.

. When tossing the mooring lines to the shore allow the linesto fall on the ground and pick them up. Do not attempt tocatch mooring lines from the M/V.

. When mooring the vessel, keep hands, fingers, arms, and allother body parts from between the mooring line and thebits on the dock

o Never work alone. All personnel within 5'ofthe docks edgeare required to wear a USCG approved PFD. Always discuss"man overboard" procedures prior to work. Have life ringand recoverv olan in olace.

5. Connecting hoses r Personnel crushed or pinchedwhile connecting transfer hoses.


. Slip/tripfall hazards while working

. Identifo, communicate and avoid all crush/pinch points:including cam-lock connections, vehicles and other movingparts or equipment


o Observe qood housekeepinq and maintain situational

I

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ft}. , SAFETY MANAGEMENT SYSTEM

r---=--:=---7i=gfrTETY!!:5.r_H14SY_19_Sel


awareness when walking in the dock area. Try to runhoses in an area trat is out of the normal walking path and

6. Working in potentiallyhazardo us

atmospheres

o Personnel exposed to hazards

related to hazardous atmospheres.o Ignition sources create potential

for explosive conditions. Personnel not equipped to

suppress incipient fire

. Calibrated multi-gas meters/detectors will be used to conflrmthat LEL's, CO and other gases are within safe range forpumping and transfer operations. Operations will kansferoperations will stop immediately if LEL's or CarbonMonoxide levels become elevated


identified, and marked with cautlon tape and warning signs,

to prohibit smoking, sparks and any potential source ofignition within the transfer area perimeter. The M/V willsu spend a ll similar activities for the d uration of tra nsferope ratio ns.

o Fire extinguishers will be placed at the transfer manifolds,


7. Energizingpneumaticequipment

Personnel injured when struck byhoses or pressure during hose

connection or fitting failure.Air leaks or blowout causingpressure related injuries.Hearing loss/injury due to noiselevels above 85 decibels

o All pressurized hoses will have whip checks and safety clipsinstalled prior to energizing. All pneumatic hoses will beinspected prior to use.

. Pumping operations will be stopped immediately if leaksare detected during operations. Defective hoses will be

replaced with new hoses/whips.o Hearing protection will be worn in all areas where high-

noise machinery and equipment is beine operated.Transfer of recoveredcrude oil

Personnel contacted by crude oilspray or environmental release.

Overfilling tank resultlng in spills

Personnel overcome by potentiallyhazardous vapors

All transfer hoses used will be inspected, certifled and testedprior to use. They will be secured with safety clips andwrapped with absorbent pads and duct tape. Polypropyleneline will be used as an added retention measure. Personnelwill wear Level D PPE and increase protection asappropriate. Spill control kits/supplies will be available onsite. The DOI Declarataon of Inspection will becompleted prior to operations.

Prior to transfer the amount of product that can be acceptedwill be calculated and the PIC will ensure that there isample room to handle the transferred product.

Crude oil is a mixture of various hydrocarbons, Among themcan be benzene, hydrogen sulfide, and other chemicals,There will be a properly calibrated and bump tested 4-gasmeter on site during transfer to ensure vapors aren'tpresent. All work will stop if hazardous gasses aredetected, PPE will be upgraded according to theconcentration of hazards detected.

If personnel will work at heights above 6': fall protection willbe worn and a rescue plan will be in place,

Fire extinguishers will be placed at the transfer manifolds,

compressors, vessel and any other areas of potentialignition.

Transfer of oil intotransporter

o Personnel contacted by crude oilspray or environmental release

o Overfillingtransportationvesselresulting in spills

o Personnel overcome by potentiallyhazardous vapors

o Fall hazards present if personnelare working above 6 feet

. All transfer hoses used will be inspected, certified and testedprior to use, They will be secured with safety clips andwrapped with absorbent pads and duct tape. Polypropyleneline will be used as an added retention measure. Personnelwill wear Level D PPE and increase protection asappropriate. Spill control kits/supplies will be available onsite,

. Prior to transfer the amount of product that can be acceptedwill be olculated and the PIC will ensure that there isample room to handle the transferred product.

. Crude oil is a mixture of various hydrocarbons, Among themcan be benzene, hydrogen sulflde, and other chemicals.There will be a properly calibrated and bump tested 4-gasmeter on site during transfer to ensure vapors aren't

All work will stop if hazardous

0 Job Steps O Potential Hazards O Preventive Measures / Special PPE

8,

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||ll I l"O Hr=rrO nray

l

O Job Steps O Potential Hazards O Preventive Measures / Special PPE



Fire extinguishers will be placed at the transfer manifolds,compressors, vessel and any other areas of potentialignition.


. lnadequate hydration

. Extended work periods withoutrest resultlng in heat stress

o Personnel will be encouraged to hydrate frequently. Water tosports drink ratio will be 3:1 (1 sports drink to 3 watersconsumed).

. Work to rest schedules will be determined based on theambient temperature, acclimatization of personnel andwork belng performed, Heat stress potential andsigns/symptoms will be discussed at all safety meetings,tailgate meetings and during breaks. Personnel will beencouraged to self-report any early symptoms of heatstress. All personnel will be advised that stop workauthority applies to potential heat stress symptoms theymay be experiencing, (or that they suspect with co-workers).

1"1. Break time . Potential for ingestion ofpetroleum product or othercontaminants,

o Fire hazards from unrestrictedsm oki ng

o Direct sun reduces recovery timefor workers during breaks

o lnadequate water

o Personnel will wash hands before smoking, eating, drinkingor any other activity where contaminants might beingested. This hazard will be stressed in break areas.

. Only smoke in designated areas.o Ensure that break areas have adequate shade and cooling

potential for personnelo Personnel are more likely to hydrate when cool water is

available. Ensure an adequate supply and include sportsdrinks with electrolytes to be consumed sparingly.



o Follow decontamination plan for clothing removal anddisposal when protective outerwear is required andbecomes contaminated.

. Only use safety scissors (never knives) to cutTyvek frompersonnel.

. Ensure that workers wash hands and face thoroughly.


POLICY

o First Aido OSHA recordableo lllness/lnjuryo Near Miss. Equipment/VehicleDamage

. NRC employees and subcontractors are required toimmediately repoft all incidents to their supervisor.

. The immediate superuisor will immediately report theincident to the site safety professional, HSEQ Manager, andProject lYanager.

. As soon as possible the affected employee will complete therequired form, if an injury then the first report of injury; ifnear miss, then a near miss / safety suggestion form will becompleted.

. The supervisor will complete a root cause analysis of allrepofted incidents and submit to the HSEQ manager within 8hours of an incident.

. Determination will be made regarding need for post-incidentdrug and alcohol testing based on NRC policy.

. Contact HSEQ Manager for proper USCG reports, if neededand what repoft is needed.

REVIEW

uevEtupmenl ! eam postlton/ 1lte

l

33 of 49

ft)- , SAFETY MANAGEMENT SYSTEM

;F---E------E

SATETYtT 5 Ht ryAY rO @t


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WL L&BTRANSPORT,L.L.C.702Hwy 190 West, Port Allen, 1A70767Phone (225) 387-0894 1-800-545-9401

NIGHTS AWAY:

ORDER NO.

?798:DISPATCHER

t(RrsTYt

CUSTOMERP.O.

ORDEREDBY

RELEASENO.

LOADDATE

TIMELOADINGDRIVER

TRUCK,,No. rl Ir''=q$r

DELIVERYDATE

TIMEDELIVERYDRIVER

TRUCKNO.

TRAILERNO.

BILL TO:

SHIPPER:

TRATLER

3illli,l."

a BASIC DESCRIPTION QUANTITYGAL/VVT

DRIVER SPECIALINSTRUCTIONS

TIME DEPARTED FROM TERMINAL: TIME RETURNED TO TERMINAL:

ACCESSORIAL CHARGES PUi,4P BLOWER I EXTRA HOSE (FT) EXTM STOPS WASH OUT rN-rneNsrr HEAr I ScALESruoLLS I uvoven

CHECK ALLTHAT APPLY

LOADING

DELIVERY

TRAILER RENTAL DELIVERYDATE:

PICK UP, DATE:

TIME:

TRAILER NO.. TIME

YEIGHT DATAGROSS TARE NET

LOADING DATA

REASON DELAYED:

ARRTVE: &. r.C) STARr: &Al er) FtNtSH: 1" 1? DEPART:HOURSDELAYED:

AUTHORIZATION TO UNLOAD rnis is to certify that I have checked the documenlsperlaining to this shipm€nt, verified the product and the quantity tender6d for d€livery. The connectlonsare correct and ths r€ceiving tank will hold the product. The driver is authorized to unload,

RECEIVER'S _ _

STGNATURE X

DELIVERY DATA

REASON DELAYED:

ARRIVE:- START: FINISH: DEPART:HOURSDELAYED:

DRIVER REMARKS

IN CASE OF LEAK, SPILL, FIRE OR OTHER EMERGENCY CALL GHEMTREC 1.800.424.9300SHIPPER

I

CONSIGNEE:

35 of 49

wL L&BTRANSPORT,L.L.C.702 Hwy 190 West, Port Allen, LA70767Phone (225) 387-0894 1-800-545-9401

NIGHTS AWAY:

ORDER NO.

379834DISPATCHER

CUSTOMERP.O.

oRDERED KRI$ I YL RELEASENO.

b?+3 LlB,Z/i;: r TIME 07:tlu bfli,?f PoLKr IBY"9u* fiffrLEBozsDELIVERYDATE

t5t27t2l TIME U&: I4 DELIVERYDRIVER

TRUCKNO.

TRAILERNO.

BILL TO:LEGACY INDUSI'HIES, LI"C:308 Slt {ieorge,{ve

Jefrerson, LA /01?1

CONSIGNEE:ACADIANAOIL1825 Rfuer raad

B€mrk*.1A70342

SHIPPER:-' 'ccjuVrLtoN Doct('

lnskle SIS yard554 pudhy Bemard RdGoHen Meadoru, LA70357

TRAILERShipperSignature

RFFR}T TO SHIPPING NOCIIMFhIT: BASIC DESCRIPTION QUANTITYGAL^/vT


TIME DEPARTED FROM TERMINAL: TIME RETURNED TO TERMINAL;

ACCESSOR]AL CHARGES PUMP BLOWER I EXrRA HOSE (Fr) EXTRA STOPS wASH our I rN-rneNslr HEAI I scalesnous I uvoven

CHECK ALL ---J\THAT APPLY t--L/ LOADING

DELIVERY

TRAILER RENTAL

TRAILER NO..-

DELIVERYDATE:

PICK UPDATE:

TIME

TIME

wGROSS TARE NET

LOADING DATA

REASON DELAYED:

ARRIVE:- START: FINISH: DEPART:HOURSDELAYED:

AUTHORIZATION TO UNLOAD trris is to certify that I have checked the documentspertaining to this shipment, verified the product and the quantity tendered for delivery. The connectionsare correct and the recejving tank will hold the product. The driver is authorized to unload.

RECEIVER'S - -SIGNATURE X

DELIVERY DATA

REASON DELAYED:

ARRIVE: START: FINISH: DEPART:HOURSDELAYED:

.tr

DRIVER REMARKS

IN CASE OF LEAK, SPILL, FIRE OR OTHER EMERGENCY CALL CHEMTREC 1-800.424.9300SI-IIPPER

36 of 49

4' L&BTRANSPORT,L.L.C.702 Hwy 190 West, Port Allen, LA70767Phone (225) 387-0894 1-800-545-9401

NIGHTS AWAY:

ORDER NO.

379832DISPATCHER

Ktilsl'Yi-

CUSTOMERP.O.

oRDERED KRISIYL RELEASENO.

b?+3 trrrur,?l TIME bRfJI' oDDn IBY't*u IH'"tmffl3ii'J'*" wtz'nzt TIME

DELIVERYDRIVER

TRUCKNO.

tRAtt.E.R " r 11?

No. Ii'OoOO Y

BILL TO:LEGACY INDUSTRIES, LLCSB St CreorgeAva

Jefrereon. LA7Ol21

CONSIGNEE:ACAOIANAOIL1825 River roatl

ttewick. LA /t)342

SHIPPER:COUVILLICIN DOCKlnsile GIS yard554 Dudley Bernard RdGoHen Meadou 1470357

TRATLER ap-

FB'rO gHlpPlNG I){)Cl tMt-N'I'S BASIC DESCRIPTION QUANITYGAL^/vT



ACCESSORIAL CHARGES PUirlP BLOWER EXTM HOSE (FT) EXTRA STOPS WASH OUT I IN.TRANSIT HEAT I SCALESTTOLLS I LAYOVER

CHECKALL ----\THAT APPLY

t---1,/ LOADING

DELIVERY

TRAILER RENTAL

TRAILER NO..

DELIVERYDATE:

PICK UPDATE:

TIME:

TIME:

wGROSS TARE NET

L.ADING DATA o**,u=.T', oo .ro*r,S i /.5 ,,*,r*ffur-DEpARr: 7 ; uo 3SH"?;,

;t:

AUTHORIZATION TO UNLOAD tnis is to certify that I have checked the documentspertaining to this shipment, verified the product and the quantity tendered for delivery. The connectionsare correct and the receiving tank will hold the product. The driver is authorized to unload.

RECEIVER'S - -STGNATURE X

DELIVERY DATA

RFASON DELAYED:

ARRIVE;- START: FINISH:HOURSDELAYED:

DRIVER REMARKS

IN CASE OF LEAK, SPILL, FIRE OR OTHER EMERGENCY CALL CHEMTREC 1.800.424.9300SHIPPER

37 of 49

4& a L&BTRANSPORT,L.L.G.702 Hwy 190 West, Port Allen, LA7O767Phone (225) 387-0894 1-800-545-9401

NIGHTS AWAY:

ORDER NO DISPATCHER

r(SrsTYt

CUSTOMERP.O.

oRDERED KRISTYL RELEASENO. v, trtr,(i

LOADDATE

(FlzeEl TIME bRffiJXq oDDD IBY'tu*rnarLEBrhd\AdLq-.,

|ii,J.*" ustzstzl TIMEDELIVERYDRIVER

TRUCKNO.

TRAILERNO.

BILL TO:LEGA(;Y INDUS IRlr:fi, t.Lc3{}B 5iX (ieorgr Ave.

iefletson, l-A70121

CONSIGNEE:ACABTANAOIL1825 River.road

tsemick. LA 70342

SHIPPER:o(ll"ivtl. L. liiN I )LI(.:hi

lrrsule tll$ vartl554 Lludley iiernard lQd ,. w rGoirten foieadoy,'. i.i\ 70357

TRATLER

Sil::i*r/*" trr st.ttpplxf,r nrrctrMFNts BASIC DESCRIPTION OUANTITY

GAL/VVT

L..1

L\DRIVER SPECIALINSTRUCTIONS


ACCESSORIAL CHARGES PUI\,4P BLOWER EXTM HOSE (FT) EXTM STOPS WASH OUT IN-TRANSIT HEAT SCALES/TOLLS LAYOVER

cHECK ALL ---J\THAT APPLY '---i,/

LOADING

DELIVERY

TRAILER RENTAL DELIVERYDATE:

PICK UPDATE:

TIME:

TRAILER NO.. TIME:

TVEIGHT DATAGROSS TARE NET

LOADING DATA

REASON DELAYED:

srnnr:6 , L rrrursH: DEPART:

AUTHORIZATION TO UNLOAD tnis is to certity that I have checked the documentspertaining to this shipment, verified the product and the quantily tendered for delivery. Ths connectionsare correct and the receiving tank will hold the product. The driver is authorized to unload.

RECEIVER'S VSIGNATURE .

DELIVERY DATA

REASON DELAYED:

ARRIVE:- START:- FINISH: DEPART:HOURSDELAYED:

DRIVERREMARKS g Ha I I " lir V Tb ll lS,ua

IN CASE OF LEAK, SPILL, FIRE OR OTHER EMERGENCY CALL CHEMTREC 1.800.424-9300SHIPPER

I

ARRIVE: 6,,IO

38 of 49

4r L&BTRANSPORT,L.L.C.702Hwy 190 West, Port Allen, LA70767Phone (225) 387-0894 1-800-545-9401

NIGHTS AWAY:

ORDER NO.

37992'.r.DISPATCHER

KHISTYL

CUSTOMERP.O.

oRDERED KRISTYI RELEASENO.

b?+3 *bftlul1. TIME iRi,?X" slcs IBY'tr* rnnleR,ni6flX*F "1vL:-LffiflSNU' *#i=r:#xa

|:i'Jt* ori/28r21 TIMEDELIDRI\

VERY/ER

TRUCKNO.

TRAILER -F

No. {an ",

a u\/BILL TO:

I_EGA0Y tNorj:irHtE$. t-t.c. :]0$ $l (iecrge Arre

Jelleison, LA /til?t

CONSIGNEE:ASADIANAOIL1B2S River road

Berwic*. LA 70342

SHIPPER:i:tluv I L L l{.ll'l Di!,;KInsrle (jlli varlfr54 I irxllcr, Bernali ltdtiotcien Meadow, LA ?0,]5f

TRATLER APPR$VED & AUTHORTZED TO LOAD:

3lXlli,PFtrFll Ir) SHIPPING NO{:IIMFNTS BASIC DESCRIPTION QUANTITY

GAL^/vT



ACCESSORIAL CHARGES PUMP BLOWER EXTM HOSE (FT) EXTM STOPS WASH OUT IN-TMNSIT HEAT SCALES/TOLLS LAYOVER

CHECK ALL ----\ | LOADTNG

THATAPPLY '---1/ I OeUVenyTRAILER RENTAL DELIVERY

DATE:PICK UP. DATE:

TIME:

TIME:TRAILER NO..

wGROSS TARE NET

LOADING DATA

REASON DELAYED:

ARRIVE: 6: {(> START:

AUTHORIZATION TO UNLOAD rnis is to certify that I have checksd the docum€ntspertaining to this shipment, vorified the product and the quantity tendBr€d for delivery. Ths connectionsare correct and the receiving tank will hold the product. The driver is authorizsd to unload.

RECEIVER'S - -SIGNATURE X

DELIVERY DATA

REASON DELAYED:

ARRIVE: START: FINISH:HOURS

DEPART: DELAYED:

DRIVER REMARKS

IN CASE OF LEAK, SPILL, FIRE OR OTHER EMERGENCY CALL CHEMTREC 1 -800-424-9300SHIPPER

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Couvillion Group, LLC MC 20 Hydrocarbon Pump-Off #28 ...

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Transcript of Couvillion Group, LLC MC 20 Hydrocarbon Pump-Off #28 ...