SCHEDULE 2INFORMATION TO BE NOTIFIED

Regulation 11(1)

INFORMATION TO BE NOTIFIED BEFORE ENTRY INTO THE PORT OF

(The harbour, terminal or port referred to in regulation 11 of the Merchant Shipping and Fishing Vessels (Port Waste Reception Facilities) Regulations 2002 and Article 6 of Directive 2000/59/EC)

1

Name, call sign and, where appropriate, IMO identification number of the ship:

2

Flag State:

3

Estimated time of arrival (ETA):

4

Estimated time of departure (ETD):

5

Previous port of call:

6

Next port of call:

7

Last port and date when ship-generated waste was delivered:

8

Are you delivering

  • all [ ] some [ ] none [ ] M1

  • of your waste into port reception facilities?

Annotations:
Marginal Citations
M1

Tick appropriate box.

9

Type and amount of waste and residues to be delivered and/or remaining on board, and percentage of maximum storage capacity:

If delivering all waste, complete second column as appropriate.

If delivering some or no waste, complete all columns.

Type

Waste to be Delivered m3

Maximum dedicated storage capacity m3

Amount of waste retained on board m3

Port at which remaining waste will be delivered

Estimated amount of waste to be generated between notification and next port of call m3

1

Waste oils

 

 

 

 

 

Sludge

 

 

 

 

 

Bilge Water

 

 

 

 

 

Others (specify)

 

 

 

 

 

2

Garbage

 

 

 

 

 

Food waste

 

 

 

 

 

Plastic

 

 

 

 

 

Other

 

 

 

 

 

3

Cargo-associated waste2 (specify)

 

 

 

 

 

4

Cargo residues2 (specify)

 

 

 

 

 

 

1Tick appropriate box.

2May be estimates.

Notes:1

This information may be used for port State control and other inspection purposes.

2

Member States will determine which bodies will receive copies of this notification.

3

This form is to be completed unless the ship is covered by an exemption in accordance with Article 9 of Directive 2000/59/EC.

I confirm that

  • the above details are accurate and correct and

  • there is sufficient dedicated onboard capacity to store all waste generated between notification and the next port at which waste will be delivered.

  • Date ....................

  • Time ....................

  • Signature ....................