U.s. Purse Seine Discard Form Draft
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2OMB No.: 0648-0649
EXPIRES: 1/31/2019
FOR OFFICE USE ONLY
FORM UNIQUE IDENTIFIER: [WIN + DATE] ____________________________________________________________________________________________
U.S. PURSE SEINE DISCARD FORM
Section 1: Vessel Information
Vessel Name:
International Radio Call Sign:
License Number (WCPFC Area Endorsement Number):
Section 2: Personnel Information
Name of Vessel Operator:
Nationality of Vessel Operator:
Name of Observer on Board:
Section 3: Discard Information
Date and Time of Discard in MM/DD/YYYY/HOUR Format:
Location of Discard (Latitude and Longitude Coordinates to the Nearest Minute of Arc):
Date and Time of Set in MM/DD/YYYY/HOUR Format:
Location of the Set (Latitude and Longitude Coordinates to the Nearest Minute of Arc):
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Type of Set (Check One): Unassociated
Feeding on Baitfish
Drifting Log, Debris or Dead Animal
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Drifting Raft, FAD or Payao
Anchored Raft, FAD or Payao
Other
_______________
Reason for Discard (Check All that Apply):
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Fish Unfit for Human Consumption
Insufficient Well Space
Serious Equipment Malfunction
Amount of Discarded Fish, by Species (in metric tons):
Skipjack tuna
Yellowfin tuna
Bigeye tuna
Amount of Retained Fish from the Set, by Species (in metric tons):
Skipjack tuna
Yellowfin tuna
Bigeye tuna
Section 4: Optional Additional Information
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