Ballast Water Management Report - Omb Number 1625-0069 Page 4

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Ballast Water History
Tank name/number
Tank capacity
Location(s)
Event
Date
(for Management event include Start pt. / End pt.)
Volume
Discharge to US waters
Select event
Select event
Select event
Select event
Select reason
If BW management was *not* conducted for this tank, select one of the following reasons
Tank name/number
Tank capacity
Location(s)
Event
Date
(for Management event include Start pt. / End pt.)
Volume
Discharge to US waters
Select event
Select event
Select event
Select event
Select reason
If BW management was *not* conducted for this tank, select one of the following reasons
Tank name/number
Tank capacity
Location(s)
Event
Date
(for Management event include Start pt. / End pt.)
Volume
Discharge to US waters
Select event
Select event
Select event
Select event
Select reason
If BW management was *not* conducted for this tank, select one of the following reasons
Tank name/number
Tank capacity
Location(s)
Event
Date
(for Management event include Start pt. / End pt.)
Volume
Discharge to US waters
Select event
Select event
Select event
Select event
Select reason
If BW management was *not* conducted for this tank, select one of the following reasons

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