شنبه ۲۹ مهر ۱۳۹۶

 

PMO

(B.I.K)

 

 

Port  Waste  Management  Notification  Form

NO:PS-08-F04-00

NO ……………

Ship  Information                                                                                                                                                  

 

IMO Number

 

Name of ship

 

Flag State

 

Call Sign

 

ETD – Date / Time

 

Last port of Call

 

Next port of Call

 

Ships Agent

 

Last Port and date where waste discharged

 

Last Port and date where bunkered (H.F.O)

Estimated amount of wast to be generated before next port of call (m3)

Port where remaining waste will be delivered

Amount of waste retained on board (m3)

Maximum dedicated storage capacity (m3)

Amount of waste to be delivered (m3)

Waste

Oil

 

 

 

 

 

Sludge

 

 

 

 

 

Bilge Water

 

 

 

 

 

Other (specify)

Garbage

 

 

 

 

 

Food Waste

 

 

 

 

 

Plastic

 

 

 

 

 

Other (specify)

Cargo Associated Waste

 

 

 

 

 

Specify

Cargo Residue

 

 

 

 

 

Specify

 

 

 

 

 

Special waste

 

 

 

 

 

Operational waste

               NO     Do you treat or minimise waste on board?        YES

If the answer is YES, please state what equipment you use (Tick all boxes that apply)

      Sewage treatment      Compactor           Incinerator  Oily separator 

   Other (please specify)………………………………………………… Recycling facilities

STATEMENT

I confirm that the above details are correct and there is sufficient dedicated onboard capacity to store all waste generated between notification and the next port at which waste will be delivered.

 

Date:………………………                                                                                       Master Signature:………………………….

به روز رسانی :  1395/10/10    یوسف مرادپور