DECC Ref No: Petroleum Operations Notice No. 14A (PON14A) Seismic Survey Closeout Report Form It is a condition of the consent that a closeout report form must be completed for all non-landward seismic surveys within 12 weeks of completion of the survey 1. Name of licensee: 2. Survey CS9 identifier: 3. Date of report (DD/MM/YYYY): 4. Report contact name: 5. Contact telephone number: 6. Contact e-mail address: 7. Was the survey undertaken (delete as appropriate)? If “Yes”, please complete the remainder of form and then submit the form to the recipients detailed below. If “No”, please state the reason for not undertaking the survey below, and then submit the form to DECC. 8. Survey start date (DD/MM/YYYY): 9. Survey completion date (DD/MM/YYYY): 10. Quadrant and block numbers traversed: 11. Boundary coordinates of the survey area: Latitude and Longitude coordinates Yes No Datum of coordinates Please attach a map showing area and coordinates 12. Total survey area (square kilometres): 13. Shot interval (seconds): 14. Sail (transect) line length shot (kilometres per quadrant / block per month): Quad/block Jan Feb Mar Apr May Jun Jul Aug Sep Oct numbers Nov Dec Total sail line length shot Totals 15. Did the consent require a Marine Mammal Observer (delete as appropriate)? If “Yes”, please indicate date of submission of MMO report to JNCC (DD/MM/YYYY) Yes No 16. Did the consent require Passive Acoustic Monitoring (delete as appropriate)? If “Yes”, please indicate date of submission of PAM report to DECC and JNCC (DD/MM/YYYY) Yes No