464 



(,/)) Disclmrge of dirty ballast or cleaning water from tanks referred lo under (a): 



5. Identity of tank(s) . 



6. Date and position of ship 



at start of discharge ._ 



7. Date and position of ship 



at finish of discharge _. . . 



8. Ship's speed (s) during dis- 

 charge 



9. Method of discharge (state 



whether separator used) . 



10. Quantity discharged . 



( c) Disposal of residues; 



11. Quantity of residue re- 

 tained on board , 



12. Methods of disposal of res- 

 idue: 



(a) reception facilities 



(b) mixed with next 



bunkering 



(c) transferred to 

 another (other) 



tank (s) 



13. Date and port of disposal 



of residue : 



(rf) Discharge overboard of bilge water containing oil which has uceunuilated in 

 machinery spaces whilst in port • : 



14. Port 



15. Duration of stay 



16. Quantity disposed. 



17. Date and place of disposal 



18. Method of disposal (state 

 whether separator was 



used) ._ 



(e) Accidental or other exceptional discharges of oil: 



19. Date and time of occur- 

 rence 



20. Place or position of ship at 



time of occurrence 



21. Approximate quantity and 



type of oil 



22. Circumstances of discharge 

 or escape and general 



remarks 



(Sifnature of Officer or Officers in charge of operations concerned) 



(Signature of Master) 



I The routine discharge at sea of bilge water containing any oil from machinery spaces need not be entered 

 in the oil record book but if not, it must be entered in the appropriate log book, stuting whether or not the 

 discharge was made through a separator. Where the pump starts automatically and discharges through a 

 separator at all times it will be sufflclent to enter each day "Automatic discharge from bilges through a 

 separator". 



