Bunker Details EXAMPLE Bunker Ref. No BDN Ref. No. Port Date Supplier Name Fuel bunkered Specs (BDN) Bunkered In C/E sign Barge/Truck /Installation Grade Density at 15OC (kg/m3) (% m/m) Tank no. Quantity (MT) Example 01/09 12345 02.01.09 Korean Man 1 RMG 35 0.9782 3.5 2 (P) 2 (S) 250 400 Example 02/09 02.01.09 Korean Man 1 RMG 35 0.8422 0.9 1 (P) 130 BDN: BUNKER DELIVERY NOTE Note: The Bunker Ref. No. should be in serial order starting from the month of January i.e. serial No. /year (e.g. 01/09) Bunker Details
Bunker Ref. No BDN Ref. No. Port Date Supplier Name Fuel bunkered Specs (BDN) Bunkered In C/E sign Barge/Truck /Installation Grade Density at 15OC (kg/m3) (% m/m) Tank no. Quantity (MT) BDN: BUNKER DELIVERY NOTE Note: The Bunker Ref. No. should be in serial order starting from the month of January i.e. serial No. /year (e.g. 01/09) SECTION 1: Bunker Details
Bunker Ref. No BDN Ref. No. Port Date Supplier Name Fuel bunkered Specs (BDN) Bunkered In C/E sign Barge/Truck /Installation Grade Density at 15OC (kg/m3) (% m/m) Tank no. Quantity (MT) BDN: BUNKER DELIVERY NOTE Note: The Bunker Ref. No. should be in serial order starting from the month of January i.e. serial No. /year (e.g. 01/09)
Bunker Ref. No BDN Ref. No. Sample Origin Supplier / Ship MARPOL Sample Seal No. LOP Issued Yes / No LOP * Copy To 1 Supplier 2 PSC 3 Vessel Remarks (if any) Date sample destroyed (> 12 months) C /E sign * LOP: LETTER OF PROTEST NOTE : BDN TO BE RETAINED ON FOR A PERIOD OF 3 YEARS MARPOL SAMPLE TO BE RETAINED ON BOARD FOR A PERIOD OF AT LEAST 1 YEAR.
SECTION 3: Record of Custody Transfer of Annex VI Sample to Control. Bunker Ref. No. BDN Ref. No. Sample seal No. Transfer * PSC Custody Transfer Form Ref. No. Date & Time of Custody Transfer Receiver Details C/E sign Master Sign Name Address & Contact Details Sign & Stamp * PSC - PORT STATE CONTROL
SECTION 4: Low Sulphur Fuel (LSF) Oil Change over Record for Regulated EXAMPLE egin C/O to LSF. Date/ Time /Position Complete C/O to LSF Date/Time /Position Grade /Volume of LSF in each tank on completion of C/O (m3) Regulated Area Entry Date/Time /Position Duty sign C/E sign Regulated Area Exit Date/Time /Position Begin C/O to HSF Date/Time /Position Complete C/O to HSF Date/Time /Position Grade /Volume of LSF in each tank on completion of C/O (m3) Duty sign C/E sign EXAMPLE N/A 02.07.09 0800 Lat / Long RMG 35 5 P = 270 02.07.09 0830 Lat / Long 03/07/09 2200 Lat / Long N/A 03/07/09 2330 Lat / Long RMG 35 5 P = 250 EXAMPLE 02.07.09 0600 Lat / Long 02.07.09 0800 Lat / Long RMG 35 5 P = 270 02.07.09 0830 Lat / Long 03/07/09 2200 Lat / Long 03/07/09 2215 Lat / Long 03/07/09 2330 Lat / Long RMG 35 5 P = 250
SECTION 4: Low Sulphur Fuel (LSF) Oil Change over Record for Regulated areas. Begin C/O to LSF. Date/ Time /Position Complete C/O to LSF Date/Time /Position Grade /Volume of LSF in each tank on completion of C/O (m3) Regulated Area Entry Date/Time /Position Duty sign C/E sign Regulated Area Exit Date/Time /Position Begin C/O to HSF Date/Time /Position Complete C/O to HSF Date/Time /Position Grade /Volume of LSF in each tank on completion of C/O (m3) Duty sign C/E sign
SECTION 5 – Record of Depleting Substances (ODS). EXAMPLE ODS name / Eqpt. name / Capacity (kg) Maintenance or Recharge / ODS charged in Mass (kg) Discharge of ODS to atmosphere Deliberate / Non-deliberate Mass (kg) Discharge of ODS to shore reception facility Equipment Name / ODS name / mass (kg) / Name & Address of reception facility ODS received on ODS name / Date / Place / Mass (kg) ODS retained on board ODS name / Mass (kg) 2/E sign C/E sign R-22 / Provision Fridge #1/ 15 Kg Recharge / 4 kg Non-deliberate/ 4kg N/A N/A R-22 / 47kg R-22 / AC Compressor #1/ 75 Kg Renewal of compressor delivery valve leaky gasket / 10 kg Deliberate / 10 kg N/A N/A R-22 / 37kg R-22 N/A N/A N/A R-22//26-10-09 / / 114 kg R-22 / 151kg Halon 1301 /Fixed fire fighting System /1500Kg N/A N/A Fixed fire fighting system / Halon 1301 / 1500 kg / Services N/A Halon 1301/ 0 kg NOTE: 1. The above does not apply to permanently sealed equipment where there are no refrigerant charging connections or potentially removable components containing ozone depleting substances. 2. Deliberate emissions include emissions occurring in the course of maintaining, servicing, repairing or disposing of systems or equipment, except that deliberate emissions do not include minimal releases associated with the recapture or recycling of an ozone depleting substance. SECTION 5 – Record of Ozone Depleting Substances (ODS).
ODS name / Eqpt. name / Capacity (kg) Maintenance or Recharge / ODS charged in Mass (kg) Discharge of ODS to atmosphere Deliberate / Non-deliberate Mass (kg) Discharge of ODS to shore reception facility Equipment Name / ODS name / mass (kg) / Name & Address of reception facility ODS received on board ODS name / Date / Place / Mass (kg) ODS retained on board ODS name / Mass (kg) 2/E sign C/E sign SECTION 5 – Record of Ozone Depleting Substances (ODS). ODS name / Eqpt. name / Capacity (kg) Maintenance or Recharge / ODS charged in Mass (kg) Discharge of ODS to atmosphere Deliberate Discharge of ODS to shore reception facility Equipment Name / ODS name / mass (kg) ODS received on ODS name ODS retained on board ODS name 2/E sign C/E sign