Avfallsanmälan Waste form Port Particulars Location/Terminal name: * Välj Södra Hamn Cementa Svartökajen Uddebo Energihamn Strömörpiren Victoriahamnen Sandskär Waste delivery date * Waste delivery time * Waste delivery time Ship particulars Name of Ship * IMO number * Gross tonnage * Type of Ship * Välj Bulk carrier Oil Tanker Passenger ship Other (specify) Owner or operator * Flag state * Specify type of Ship * Type and amount of waste (Quantity in cubic metres) MARPOL Annex I - Oil Oily bilge water (m3) Oily residues (Sludge) (m3) Oily tank washings (m3) Dirty ballast water (m3) Scale and sludge from tank cleaning (m3) Other (please specify) MARPOL Annex II – NLS Category X substance (m3) Category Y substance (m3) Category Z substance (m3) OS – other substance (m3) Type and amount of waste (Quantity in cubic metres) MARPOL Annex IV - Sewage Sewage (m3) Type and amount of waste (Quantity in cubic metres) MARPOL Annex V - Garbage A. Plastics (m3) B. Food waste (m3) C. Domestic waste (e.g. paper, glass, metal etc.) (m3) D. Cooking oil (m3) E. Incinerator ashes (m3) F. Operational waste (m3) G. Animal carcass(es) (m3) H. Fishing gear (m3) I. Electronic waste (m3) J. Cargo residues (HME-Harmful to the marine enviroment) (m3) K. Cargo residues (non-HME) (m3) MARPOL Annex VI – related Ozone-depleting substances and equipment containing such substances (m3) Exhaust gas-cleaning residues (m3)
