Ballast Water Management for Vessels with Ballast Tanks Entering U.S. Waters

OMB No.: 1625-0069
Exp. Date: 08/31/2018

Instructions for the BWM Online Form

40

port orp ace.Use European ate ormat (DD l\IM

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Agent:Llst agent used for the Arrival Port.
Last Port:Fill in the last port at which the vessel called, either outsidethe US EEZ orthe previous US port or place the vessel arrived to,includingthe City or State,where applicable.No abbreviations please .
Country of Last Port:Fill in the country of "Last Port".No abbreviationsplease.
Ne. Port:Fill in the port at which the vessel"illcall immediately after departingthe Arrival Port. No abbreviations please.
Country of Next Port:Fill in the country of "Next Port"at which the vessel"illcall immediately after departing theArrival Port.No abbreviationsplease.
SECTION 3. BALLAST WATER

Total Ballast .Yater on Board:
Volun1e:Enter the totalvolumeof ballast water on board upon arrival intothe "Arrival Port"listed in Section 2.Do not count potablewater.
Units:Fill inthe correct volume units (m3,MT,LT,sn.
Nlllllber of Tanksin Ballast:Count the number of ballast tanks and holds with ballast asvessel arrivesinto the "Arrival Port"listed in Section 2.
Total Ballast Water Capacity:
Volllllle:Whatisthe maximum volumeofballast water used whennocargois on bol'ilJ:
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Thvalue illoJldmatch
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Alltanksli edmust
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infO!lTlBl ion. The'jm
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applicableMar gemenl
lnlorrnston.