M/T SIMA

DATE:07.10.2010

PORT: SUEZ

GARBAGE REMOVAL CERTIFICATE

1 . RECEPTION FACILITY & PORT PARTICULARS.
1.1 location / terminal name : SUEZ
1.2 reception facility provider(s) : THROUGH AGENT
1.3 treatments facility provider(s) –if different from above :
1.4 waste discharge date & time from : 18.09.2010 to: 07.10.2010

2 . SHIP PARTICULARS.
2.1 name of ship: M.T SIMA
2.2 I.M.O number: 9357353
2.3 gross tonnage: 67748
2.4 type of ship : oil tanker
2.5 owner operatore: SIMA SHIPPING.
2.6 distinctive number or letter: 9HOB9
2.7 flag state: MALTA

3. TYPE AND AMOUNT OF WASTE RECEIVED.

MARPOL annex V-garbage Quantity (m3 )
PLASTIC 4
FLOATING DUNNAGE , LINING ,OR PACKING 0.5
MATERIALS
GROUND PAPER PRODUCTS , RAGS , GLASS,METAL 0.5
BOTTLS, CROCKERY
CARGO RESIDUES, PAPER PRODUCTS, RAGS, GLASS , 0NIL
METAL, BOTTLES , CROCKERY .ETC
FOOD WASTE NIL
INCINERATOR ASH NIL
OTHER WASTES ( PAINT DRUM )/ LAMPS NIL
MARPOL Annex VI-related NIL
OZONE DEPLETING SUBSTANCES AND EQUIPMENT NIL
CONTAINING SUCH SUBSTANCES.
EXHAUST GAS – CLEANING RESIDUES NIL

ON BEHALF OF THE PORT FACILITY I CONFIRM THAT THE ABOVE WASTES

WERE DELIVERED.

RECEIVED BY