RECORD OF GARBAGE DISCHARGES
PARTI
For all garbage other than cargo residues as defined in regulation 1.2 (Definitions)
(All ships)
Ship's name Distinctive number or letters IMO number
CFS f:>l\LN'flEbE..S. 93228~·i
Garbage categories
A· Plastics B • Food waste C • Domestic wastes D • Cooking oil IE • Incinerator ashes
F • Operational wastes G • Animal carcasses H • Fishing gear I • E-waste
Discharges under MARPOL Annex V regulations 4 (Discharge of garbage outside special areas), 5 (Special requirements fc
discharge of garbage from fixed or floating platforms) or 6 (Discharge of garbage within special areas) or chapter 5 of part 11-A c
the Polar Code
Date/Time Position of the ship (latitude/longi- Estimated amount Esti- Remarks: (e.g. start/stop time and Certifi~ation/
tude) or port if discharged ashore or ,
discharged mated position of incineration; general Signature
-~-~=
name of ship if discharged to another amount remarks)
Into sea To recep-
ship (m3) inciner-
tion facili-
c:- ated (m 3)
0
0)
ties or to
.SJ another
ship (m 3)
Cll
()
~.0~ :f 6/2-1 OD
C/c -
~: fl 6 3i.1N~~~r53~9 W \:!i. 0.01 W\i.. (011\"''""\) \:ed f eod ~ ~
MIL
C/o /,
or.~~.rn /rt30 \:' og:x-- ct==- G uN-!TI:... A NIL -{.() NIL EJ"""\e-J ~ /
C/o
0].04 .19 /173° ~OR....T Q~ G\JANTA c. NIL 1.3 l-llL ~-.,1<:-j~
/
C/o
C>].0~-18/i73fl \:>o~OF G\l~~TP.. F Nll.... 1.1'.l NIL E-1)~
/
cl::J
[Link]~.18/14° 0 f: 11=) 0 131.1) tJ 'J\;072-0 22!0 W B O.Q2. NIL NIL [Link]'inute:l 'fc:x:d [Link] ~s-f-~
)~
f~ .n ~.ts /i 9°0 '~ 10° ~8~7 N ~:079° l6:7 IN e, (j .o 2- NiL NIL [Link] food. ~'le.. C/o
CJ"')
c::/o /
[Link].t8 /tl 00 0
<f • l<l [Link]
I
N )\. 0 I
.077 J3.2 w e, 0.01 NIL NIL C.011lm'il\llhl foocl1..1.l3s:\:e. <:..r")~
/
I G 1 4<0
f9.ll4 .1e 1 a_9oo ¢: 11~ 20.6 N :>i:M7 2~ .o UI B, o.o·l Nil- NIL Col1\l'l\1f)otecl food. u..iaste E..s1~
/
Signature: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Date: _ _ _ _ _ _ _ __
..
Head of Department*: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Date: _ _ _ _ _ _ _ __
') If required by law or management system
6
Druckerei Paul Maehlke OHG · Hohenfelder Allee 17-19
D,22087 Hamburg ·'!ff? 1+49 40) 25 30 00-0 · ~ 1+49 40) 25 30 00-55