M.S.C. REPORT BALLAST WATER SAMPLING
QUARTERLY STATISTICAL REPORT
MARITIME SERVICES COMPANY
PREVENTION AND COMBAT OF ENVIRONMENTAL POLLUTION
BALLAST WATER SAMPLING
PREVENTION AND COMBAT OF ENVIRONMENTAL POLLUTION
BALLAST WATER SAMPLING
COMPANY NAME:
RIF:
ADDRESS:
MAIL:
EXPIR. INEA PERMIT:
QUARTERLY PERIOD:
I QUARTER
II QUARTER
III QUARTER
IV QUARTER
ACTIVITY DATA
| DATE | CONSTITUENCY AQUATIC |
NAME OF THE VESSEL REPRESENTATIVE |
VESSEL NAME ATTENDED |
IMO NUMBER / REGISTRATION NUMBER |
TYPE OF VESSEL |
FLAG OF VESSEL |
SAMPLING RESULT / OBSERVATION |
|---|---|---|---|---|---|---|---|
ACTIVITY DATA
| NAME OF THE LABORATORY LINK / LIAISON |
COUNTRY AND PORT OF ORIGIN |
COUNTRY AND PORT OF DESTINATION |
|---|---|---|





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