Record of Garbage Discharges
Ship's name: Distinctive No. Or Letters IMO no:
Garbage categories:
A. Plastic F.Operational wastes
B.Food wastes G.Cargo residues
C.Domestic wastes(e.g. Paper products,rags,glass,metal,bottles,crockery,etc.) H.Animal carcss(es)
D.Cooking oil I.Fishing gear
E.Incinerator ashes
Estimated amount discharged or incinerated M3
Start/Stop Position of the ship or Port and remarks (eg start Certification
Date Category To reception
time position, accidental discharge etc) To sea Incineration signature
facility
01.02.13 12:30 / 14:00 Amsterdam / MV Garbage A - 0,3 m3 - C/O
01.02.13 12:30 / 14:00 Amsterdam / MV Garbage B - 0,2 m3 - C/O
01.02.13 12:30 / 14:00 Amsterdam / MV Garbage C - 0,2 m3 - C/O
05.02.13 11:15 / 15:00 39 18 N / 005 14 W C - - 0,1 m3 C/O
08.02.13 18:30 / 19:00 42 25 N / 018 28 W B 0,2 m3 - - C/O
13.02.13 09:15 / 10:00 32 12 N / 032 41 W B 0,3 m3 - - C/O
16.02.13 14:00 / 15:15 Wilmington / XXXXX Terminal E - 0,1 m3 - C/O
16.02.13 14:00 / 15:15 Wilmington / XXXXX Terminal A - 0,4 m3 - C/O
16.02.13 14:00 / 15:15 Wilmington / XXXXX Terminal B - 0,1 m3 - C/O
16.02.13 14:00 / 15:15 Wilmington / XXXXX Terminal F - 0,01 m3 - C/O
16.02.13 14:00 / 15:15 Wilmington / XXXXX Terminal F - 0,2 m3 - C/O
16.02.13 14:00 / 15:15 Wilmington / XXXXX Terminal F - 0,01 m3 - C/O
16.02.13 14:00 / 15:15 Wilmington / XXXXX Terminal D - 0.02 m3 - C/O
Master's signature: . Date: .