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UPDATED MARPOL Garbage Annex Final
UPDATED MARPOL Garbage Annex Final
1.1 Name of ship: CFS PALAMEDES 1.5 Owner or operator: CFS Agent: PEREZ Y CIA
1.2 IMO number: 9322841 1.6 Distinctive number or letters: 6YRJ2
1.3 Gross tonnage: 7578 1.7 Flag State: MONTEGO BAY / JAMAICA
1.4 Type of ship: Oil tanker Chemical tanker Bulk carrier Container
Other cargo ship Passenger ship Ro-ro Other (specify)
2.1 Location/Terminal name and POC: 2.6 Last Port where waste was delivered:
BELIZE CITY / BELIZE KINGSTON / JAMAICA
2.2 Arrival Date and Time: 03.01.2015 / 11:00 LT 2.7 Date of Last Delivery: 23.12.2014 / 16:00
2.3 Departure Date and Time: 04.01.2015 / 09:00 LT 2.8 Next Port of delivery (if known):
2.4 Last Port and Country: BELIZE CITY / BELIZE 2.9 Person submitting this form is (if other than the master):
C/O I.KHANNANOV
2.5 Next Port and Country (if known): TO ORDER
MARPOL Annex I – Oil Quantity (m3) MARPOL Annex V – Garbage Quantity (m3)
1
I confirm that I am delivering all the waste held on board this vessel (as shown on page 1) at this port □
Port at which Estimate amount of
Maximum dedicated Amount of waste remaining waste will waste to be generated
Type
storage capacity m3 retained on board m3 be delivered (if between notification and
known) next port of call m3
MARPOL Annex I – Oil
Oily bilge water N/A - -
Food waste
Incinerator ash
2
APPENDIX 2
The designated representative of the reception facility provider should provide the following form to the master of a ship that has just
delivered waste.
This form should be retained on board the vessel along with the appropriate Oil RB, or Garbage RB
__________________________________________________________________________________________
2. SHIP PARTICULARS
2.1 Name of ship: CFS PALAMEDES 2.5 Owner or operator: CFS Agent PEREZ CIA
2.2 IMO number: 9322841 2.6 Distinctive number or letters: 6YRJ2
2.3 Gross tonnage:7578 2.7 Flag State: MONTEGO BAY/JAMAICA
2.4 Type of ship: Oil tanker Chemical tanker Bulk carrier Container
Other cargo ship Passenger ship Ro-ro Other (specify)
Signature : ……………………………………….