Bdn & Sample Record
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BDN Compliant (Y/N) MARPOL Sample Seal No. MARPOL Sample Complaint (Y/N) NNC Issued: Y/N, to 1. Flag: Y/N, copies to 2. Port BSRS: Y/N 3. Supplier: Y/N 4. Ship’s files Y/N 5. Others (specify) Date F.O Fully Consumed Date MARPOL Sample Destroyed/ Released (> 12 months) Date BDN Destroyed / Released (> 36 months) Remark and Signature of Duty Officer responsible for F O Changeover Ship’s Name Ship’s IMO Number Barge IMO Number BUNKER DELIVERY NOTE (BDN) & MARPOL SAMPLE RECORD MASTER’S SIGNATURE Date Bunker Barge/ Supplier Name
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Transcript of Bdn & Sample Record
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BDN!!Compliant!(Y/N)!
MARPOL!Sample!Seal!No.!
MARPOL!Sample!
Complaint!(Y/N)!
NNC!Issued:!Y/N,!to!1.!Flag:!Y/N,!copies!to!2.!Port!BSRS:!Y/N!3.!Supplier:!Y/N!4.!Ships!files!Y/N!5.!Others!(specify)!
Date!!F.O!Fully!
Consumed!
Date!MARPOL!Sample!
Destroyed/!Released!
(>!12!months)!
Date!BDN!Destroyed/!Released!
(>!36!months)!
Remark!and!Signature!of!Duty!Officer!
responsible!for!F!O!Changeover!
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Ships!Name!!e!
Ships!IMO!Number!!e!
Barge!IMO!Number!
BUNKER!DELIVERY!NOTE!(BDN)!&!MARPOL!SAMPLE!RECORD!
MASTERS!SIGNATURE! Date!
Bunker!Barge/!Supplier!Name!
!e!
