یکشنبه ۳۰ تیر ۱۳۹۸ ۰۴:۴۵

فرم مدیریت مواد زائد

 
 

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:………………………….