Western Pacific Lobster Sales Report\

OMB Control No. 0648-0214
Expires: 03/31/2012

No. 000001
NOAA FISHERIES SERVICE

WESTERN PACIFIC CRUSTACEAN SALES REPORT
Vessel Name_____________________________ Permit Number_____________________
Name of First Level Buyer____________________________________________________
(Fill out a separate form for each buyer)
Business Address
Telephone number: (____)__________________ FAX number: (____)_________________
E-mail address:
All lobsters off-loaded to this buyer (yes/no)__________
Port of Landing__________________ Date of landing_________________
Location of off-load__________________Date all lobsters off-loaded__________________

SALES INFORMATION
Species

Frozen Tails
Sold
(circle
one)
No. or
Wt. (lbs)

Value
Total
value of
product
sale ($$$)

Not Sold
(circle
one)
No. or
Wt. (lbs)

Live
Sold
(circle
one)
No. or
Wt. (lbs)

Value
Total
value of
product
sale ($$$)

Other product form
(specify)
Not Sold
(circle
one)
No. or
Wt. (lbs)

Sold
(circle
one)
No. or
Wt. (lbs)

Value
Total
value of
product
sale ($$$)

Not Sold
(circle
one)
No. or
Wt. (lbs)

Spiny
Lobster
Slipper
Lobster
Octopus
Other
(specify)
Other
(specify)
Other
(specify)
PACKING/WEIGHOUT DOCUMENTATION ATTACHED TO THIS REPORT?: YES___/NO___

I certify that the above information is complete and true to the best of my knowledge.
Vessel Captain/operator: (Print name) _________________________
(signature) _________________________ Date: ______________
Please submit to: NMFS Pacific Islands Fisheries Science Center, ATTN: FMAP, 2570 Dole St., Honolulu, HI 96822

INSTRUCTIONS FOR COMPLETING THE WESTERN PACIFIC
CRUSTACEAN SALES REPORT
VESSEL NAME: Name of fishing vessel.
PERMIT NUMBER: Western Pacific Crustacean Fishery Permit number.
NAME OF FIRST LEVEL BUYER: Name of the first level buyer, i.e. initial buyer of the product from
the permit holder.
BUSINESS ADDRESS: Address of first level buyer.
TELEPHONE NUMBER: Business or other contact telephone number of first level buyer
First level buyer: (1) the first person who purchases, with the intention to resell management unit species or
portions thereof that were harvested by a vessel that holds a valid permit or is otherwise regulated under Subpart
D of 50 CRF Part 660; or (2) a person who provides recordkeeping, purchase, or sales assistance in the first
transaction involving management unit species (such as the services provided by a wholesale auction facility).

FAX NUMBER: FAX number of the first level buyer.
E-MAIL ADDRESS: e-mail address of first level buyer.
ALL LOBSTERS OFFLOADED TO THIS BUYER: Yes or No.
PORT OF LANDING: Port of vessel return (e.g., Honolulu, Hilo, Kodiak, Los Angeles, etc.).
DATE OF RETURN: Date of vessel return to port.
LOCATION OF OFF-LOAD: Port of off-load (e.g., Honolulu, Hilo, Kodiak, Los Angeles, etc.).
DATE ALL LOBSTERS OFF-LOADED: Date of completion of offloading.

SALES INFORMATION
Values should be input into the correct column matching the species and product form.
SPECIES: If species is not listed then fill in the species in the “Other (specify)” box.
Sold (circle one) No. or Wt. (lbs): List total number or weight sold, circle No. or Wt. to indicate unit of
measure.
Not Sold (circle one) No. or Wt. (lbs): List total number or weight not sold, circle unit i.e. No. or Wt. to
indicate unit of measure.
Value: Total value ($) of the product.
PACKING/WEIGHOUT DOCUMENTATION ATTACHED TO THIS REPORT: Circle Yes or No.
If yes, then attach the packing/weighout documentation to this form.
VESSEL CAPTAIN/OPERATOR: Print full name, sign on signature line, date of report completion.

VESSEL REPORTING OBLIGATION REQUIREMENTS
The vessel captain/operator must submit to the National Marine Fisheries Service, within 72 hours of
offloading of lobster, an accurate and complete lobster sales report (one for each first level buyer) and attach
packing/weighout documentation if provided by the first level buyer(s).
Upon request any first level buyer must allow an authorized officer of the National Marine Fisheries Service
or designee of the Regional Administrator to access, inspect, and copy all records relating to the harvest,
sale, or transfer of any product taken by a vessel that has permits issued under 50 CRF 660.41.