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    VOMS PR1.02 in 02 015 Garbage Receipt Form

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    antics setting&advertising
    This garbage receipt form documents the transfer of waste from a vessel. It lists the types and quantities of waste in various categories that were removed totaling 5 cubic meters. The waste was contained in sacks and transferred by vessel on October 22, 2018 to the Surabaya Channel. Representatives from the waste producer and receiver signed the form to acknowledge the waste transfer.

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    Download as DOCX, PDF, TXT or read online from Scribd

    VOMS PR1.02 in 02 015 Garbage Receipt Form

    Uploaded by

    antics setting&advertising
    141 views1 page
    This garbage receipt form documents the transfer of waste from a vessel. It lists the types and quantities of waste in various categories that were removed totaling 5 cubic meters. The waste was contained in sacks and transferred by vessel on October 22, 2018 to the Surabaya Channel. Representatives from the waste producer and receiver signed the form to acknowledge the waste transfer.

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    This garbage receipt form documents the transfer of waste from a vessel. It lists the types and quantities of waste in various categories that were removed totaling 5 cubic meters. The waste was contained in sacks and transferred by vessel on October 22, 2018 to the Surabaya Channel. Representatives from the waste producer and receiver signed the form to acknowledge the waste transfer.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    141 views1 page

    VOMS PR1.02 in 02 015 Garbage Receipt Form

    Uploaded by

    antics setting&advertising
    This garbage receipt form documents the transfer of waste from a vessel. It lists the types and quantities of waste in various categories that were removed totaling 5 cubic meters. The waste was contained in sacks and transferred by vessel on October 22, 2018 to the Surabaya Channel. Representatives from the waste producer and receiver signed the form to acknowledge the waste transfer.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    VOMS-PR1.

    02-IN-02-015 Revision 4
    Garbage Receipt Form Page 1 of 1

    A – Description of Waste

    Waste streams removed (M³)

    Cat A Plastics 1 M³

    Cat B Food waste M³

    Cat C Domestic waste 4 M³

    Cat D Cooking Oil 20 Ltr

    Cat E Incinerator ashes M³

    Cat F Operational wastes M³

    Cat I E-Waste M³

    Sludge M³

    Dirty Oil M³

    Oily Bilge water M³

    Loose o Skips o Sacks X


    Containment of waste Drums o Palletized o IBC o
    Iso Tanks o Other o Other o

    Total Quantity (M³) 5 M³ Estimated o Real o

    B - Waste carrier
    Company name :

    Full name :

    Address

    C - Transfer of waste
    Place of transfer Surabaya Channel
    Date of transfer 22-10-2018
    Method of waste transport : Truck o Pick-up o Vessel X

    Destination of waste:
    Producer Representative Receiver Representative
    Name : R. Wijnia Name :
    Date : 22-10-2018 Date : 22-10-2018
    Signature : Signature:

    Note: Categories G – Animal carcasses, H – Fishing gear, J – Cargo residues (non-HME) and K –
    Cargo residues (HME) not applicable to van Oord operations

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