PORT RECEPTION FACILITY
Details of reception services rendered to the ship and non -compliance report
Email address *
Name / Contact address / Contact number of person submitting this information *
Your answer
Name of the port *
VESSEL NAME *
Your answer
IMO NUMBER OF THE VESSEL *
Your answer
TYPE OF THE VESSEL *
DATE OF REQUEST RECEIVED FROM SHIP FOR COLLECTION OF GARBAGE *
MM
/
DD
/
YYYY
DATE ON WHICH GARBAGE COLLECTED FROM SHIP *
MM
/
DD
/
YYYY
CATEGORY OF WASTE
OILY BILGE WATER
OILY RESIDUE (SLUDGE)
OIL TANK WASHINGS
DIRTY BALLAST WATER
SCALE AND SLUDGE FROM TANK CLEANINGS
OTHERS
CHEMICAL/NLS CATEGORY X
CHEMICAL/NLS CATEGORY Z
CHEMICAL/NLS CATEGORY Y
OS-OTHER SUBSTANCES
SEWAGE
PLASTICS
FOOD WASTE
DOMESTIC WASTES
COOKING OIL
INCINERATED ASHES
OPERATIONAL WASTE
ANIMAL CARACASSES
E-WASTE
FISHING GEAR
CARGO RESIDUE (NON-HME)
CARGO RESIDUE (HME)
OZONE DEPLETING SUBSTANCE AND EQUIPMENT CONTAINING SUCH SUBSTANCES
EXHAUST GAS CLEANING RESIDUES
BALLAST WATER
MARPOL ANNEX I
MARPOL ANNEX II
MARPOL ANNEX III
MARPOL ANNEX IV
MARPOL ANNEX V
MARPOL ANNEX VI
BWM CONVENTION
Total Quantity of waste (including all categories) requested in cu.m *
Your answer
Total Quantity of waste (including all categories) accepted in cu.m *
Your answer
Total Quantity of waste (including all categories) finally received in cu.m *
Your answer
Details of licensed party or operator who collected the waste *
Your answer
Total charges (in Indian rupees) received for collection of waste *
Your answer
Any receipt or certificate for the collection of garbage is issued to the ship: *
If Yes, please provide receipt number
Your answer
Any complaint received from ship *
If Yes, please provide the details of complaint
Your answer
Any cases of rejecting request for garbage collection in the preceding calendar month: *
If Yes, please provide the reasons for rejecting the request along with Name and IMO number of the vessel for whom the request was denied:
Your answer
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