Trip Specification Form (LL)

NMFS Observer Programs' Information That Can Be Gathered Only Through Questions

TRIP SPEC LL 2018

OMB: 0648-0593

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DOC/NOAA Fisheries
Pacific Islands Region
Longline Observer Program

OMB Control No. 0648-0593 exp. 10/31/2018

Observer ID
Declared Trip Type

Trip No.
Observer Manual Version ID

L M .

.

.

.

.

Trip Specifications
Vessel Documentation No.

Vessel Name

Operator Name
First Name and Middle Initial

Last Name

Trip Times and Port Stops
Departure Date/Time

Trip Start

Departure Port

2 0
Day

Month

Day

Month

Year

Hour

Minute

Hour

Minute

Hour

Minute

Intermediate Port Stops
Stop
No.

Stopped
Day

High-grading?

Month

Year

Resumed
Hour

Minute

2 0

2 0

2 0

2 0

2 0

2 0

2 0

2 0

2 0

2 0

If checked document on back

Day

Trip End
Trip Issues?
(Debriefer Use Only)

Y Yes
N No

Year

If Y document on back

Month

Year

Stop Port

2 0
Arrival Date/Time

Arrival Port

Comments

form v. TS.16.06

DOC/NOAA Fisheries
Pacific Islands Region
Longline Observer Program

From front of
this form

OMB Control No. 0648-0593 exp. 10/31/2018

Trip No.

Trip Specifications Comments
Comments (cont. from the front of this form)

High-grading Comments

Trip Issues Comments (Debriefer Use Only)

form v. TS.16.06.Back


File Typeapplication/pdf
File Titlelop_TS1606combined.ofm
AuthorEric.Forney
File Modified2016-06-02
File Created2016-06-02

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