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USCG MARPOL Annex V Guidelines 2013 Feb

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Ship’s Name<br />

Distinctive Numbers or Letters<br />

IMO Number<br />

RECORD OF GARBAGE DISCHARGES<br />

*Garbage Categories:<br />

A. Plastics<br />

B. Food Wastes<br />

C. Domestic Wastes<br />

D. Cooking Oil<br />

E. Incinerator Ashes<br />

F. Operational Wastes<br />

G. Cargo Residues<br />

H. Animal Carcass(es)<br />

I. Fishing Gear<br />

Date/Time<br />

Position of the<br />

Ship/Remarks<br />

(e.g., accidental loss)<br />

Category*<br />

Estimated<br />

Amount<br />

To Sea<br />

To Reception<br />

Facility<br />

Incineration<br />

Certification/Signature<br />

Enclosure (2) to CG-CVC<br />

Policy Letter 13-01

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