балласт барнет. Утверждаю Approved by Директор shipping company
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IF EXCHANGES WERE NOT CONDUCTED, STATE OTHER CONTROL ACTION(S) TAKEN: IF NONE STATE REASON WHY NOT: 5. IMO BALLAST WATER GUIDELINES ON BOARD (RES. А.868(20))? YES NO RESPONSIBLE OFFICER`S NAME AND TITLE (PRINTED) AND SIGNATURE: GUIDELINES FOR COMPLETING THE BALLAST WATER REPORTING FORM SECTION 1: SHIP INFORMATION Ballast Water Management Plan on board?: Do you have a ballast water Ship's Name: Print the name of the ship. management plan, specific to your ship, onboard? Circle Yes or No. Owner: The registered owners or operators of the ship. Management Plan Implemented?: Do you follow the above plan? Circle Flag: Country of the port of registry. Yes or No. Last Port and Country: Last port and country at which the ship called before No. of Tanks in Ballast: Number of segregated ballast water tanks and arrival in the current port - no abbreviations, please. holds with ballast at the start of the voyage to the current port. If you have Next Port and Country: Next port and country at which the ship will call, upon no ballast water on board, go to section 5. departure from the current port - no abbreviations, please. No. of Tanks Exchanged: This refers only to tanks and holds with ballast at Type: List specific ship type, write out or use the following abbreviations: the start of the voyage to the current port. No. of Tanks Not bulk (be); roro (rr); container (cs); tanker (ts); passenger (pa); oil/bulk ore (ob); No. of Tanks Not Exchanged: This refers only to tanks and holds with general cargo (gc). Write out any addional ship types. ballast at the start of the voyage to the current port. GT: Gross tonnage. Arrival Date: Arrival date at current port. Please use the European date format SECTION 4: BALLAST WATER HISTORY (DDMMYY). BW Source: Please list all tanks and holds that you have discharged or plan IMO Number: Identification Number of the ship used by the International to discharge in this port. Carefully write out, or use codes listed below the Maritime Organization. table. Follow each tank across the page, listing all source(s), exchange Call Sign: Official call sign. events, and/or discharge events separately. If the ballast water history is Agent: Agent used for this voyage. identical (i.e. the same source, exchange and discharge dates and locations), Arrival Port: This is the current port. No abbreviations, please. sets of tanks can be combined (example: wing tank 1 with wing tank 2, both water from Belgium, exchanged 02.11.97, mid ocean). Please use an SECTION 2: BALLAST WATER additional page if you need, being earful to include the arrival date, ship's (Note: Segregated ballast water = clean, non-oily ballast) name and IMO number at the top. Date: Date of ballast water uptake. Total ballast water on board: Total segregated ballast water upon arrival at Date: Date of ballast water uptake. Use European format (DDMMYY). current port - with units. Port or Latitude/Longitude: Location of ballast water uptake. Total ballast water capacity: Total volume of all ballastable tanks or holds - with Volume: Volume of ballast water uptake, with units. units. Temperature: Water temperature at time of ballast water uptake, in degrees centigrade (Celsius). SECTION 3: BALLAST WATER TANKS BW Exchange: Indicate Exchange Method: Circle empty/refill or flow Count all tanks and holds separately (e.g. port and starboard tanks should be through. counted separately) Date: Date of ballast water exchange. Use European format (DDMMYY). Total No. of Tanks on board: Count all tanks and holds that can carry Endpoint or Latitude/Longitude: Location of ballast water exchange. If it segregated ballast water. occured over an extended distance, list the end point latitude and logitude. Volume: Volume of ballast water exchanged, with units Percentage exchanged: Percentage of ballast water exchanged. Calculate this by dividing the number of units of water exchanged by the original volume of ballast water in the tank. If necessary, estimate this based on pump rate. (Note: For effective flow-through exchange this should be at least 300%). Sea Height (m): Record the sea height in metres at the time of the ballast exchange (Note: this is the combined height of the wind seas and swell, measured from crest to through. It does not refer to the depth). BW Discharge: Date: Date of ballast water discharge. Use European format (DDMMYY). Port or Latitude/Longitude: Location of ballast water discharge, no abbreviations for ports. Volume: Volume of ballast water discharge, with units. Salinity: Record salinity of ballast water at the time of discharge, with units, (i.e. specific gravity (sg) or parts per thousand (ppt)). If exchanges were not conducted, state other control action(s) taken: If exchanges were not made on all tanks and holds to bedischarged, what other actions were taken? E.g. transfer of water to a landbased holding facility, or other approved treatment. If none, state reasons why not: List specific reasons why ballast exchange was not done. This applies to all tanks and holds being discharged. SECTION 5: IMO Ballast Water Guidelines On Board?: Do you have IMO Resolution A.868(20) on board your ship? Circle Yes or No. Responsible Officer's name and title (Printed) and signature: e.g. the First Mate, Captain, or Chief Engineer must print his name and title and sign the form. 12. ЛИСТ УЧЕТА ИЗМЕНЕНИЙ / AMENDMENTS
13. ЛИСТ ОЗНАКОМЛЕНИЯ / FAMILIARIZATION
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