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FM-SOM-A-16-01-R00 PARTI For all garbage other than cargo residues as defined In regulation 1.2 (Definitions) ‘Ship’s name Distinctive number or letters IMO number ‘TB.WIRA PRATAMA YOC 6082 9945710 Garbage categories: ‘A Plastics; B-Food waste; C-Domestic wastes (paper products, rags, glass, metal, bottles, crockery, etc.); D-Cooking oil; E-Incinerator ashes; F-Operational wastes; G-Animal carcasses; H-Fishing gear; Electronic waste Operational discharges under MARPOL Annex V reg. 4 (Discharge of garbage outside special areas), reg. 5 (Special requirements for discharge of garbage from fixed or floating platforms) or reg. 6 (Discharge of garbage within special areas) or chapter 5 of part I-A of the Polar Code. Date | Ship position Categ | Estimated Estimated | Remarks: Sign I (lat. / long.) ory amount amount (eg. Time | or port if disposed of discharged incinerated | start/stop ashore or name of Into | To (m3) time and ship if discharged to sea_| reception position of another ship (m3) | facilities incineration orto 3 another general ship (m3) remarks) n7 93) Peoe Compre Beary = = 25:00 loqjujaa|Peor Caaiplax Sloas [= = 5-00 (oi/ujaz | Reve Caaplare 5 er 7 = 23.30 [Wafer] Beve Comptoir 8 [ee = - ‘B00 puf2z | Reve Camps A__ lees > 5 22.50 lina (22| Reve Campton 6 [oes = = 2200 ge /22] Reve Uamipta 6 ta = = ZE-00 i /n/o2| on pA Boas = . FT pbhupoe ioe Cériplow a |005 = = 27-30 Exceptional discharge or loss of garbage under regulation 7 (Exceptions) Date/ | Portorship | Category | Estimated amount | Remarks on the reason for | Sign Time | position lost or discharged | the discharge or loss and (lat. / long. (m3) general remarks (e. and water reasonable precautions depth if taken to prevent or known) ‘minimize such discharge or accidental loss and general remarks) IY Musrrse 2029. Dipindai dengan CamScanner

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