Reporting Form for the Submission of Data for the Evaluation of NLS Tank Cleaning Additives
Clasification Society 2024 - Version 9.40
Statutory Documents - IMO Publications and Documents - Circulars - Marine Environment Protection Committee - MEPC.1/Circular.590 – Revised Tank Cleaning Additives Guidance Note and Reporting Form – (1 August 2007) - Annex - Tank Cleaning Additives Guidance Note and Reporting Form for the Submission of Tank Cleaning Additives Data - Reporting Form for the Submission of Data for the Evaluation of NLS Tank Cleaning Additives

Reporting Form for the Submission of Data for the Evaluation of NLS Tank Cleaning Additives

  Confidential Data
Proprietary data and composition will be treated as confidential by the Government and their representatives who form the evaluating group within IMO.
Name of producing company:    
Name of the cleaning additive:    
as they are to appear in annex 10 of the MEPC.2/Circular.
 
Has this cleaning additive been submitted before? Yes No    
If “yes” give details of any changes.
                         
  Component No. Component name (as used by GESAMP/EHS) Weight % GESAMP Hazard Profile
  A1 A2 B1 D3
  1            
  2            
  3            
  4            
  5            
  6            
  7            
  8            
 
 
  Continuation sheets may be used when needed.
Typical rate of dilution in washwater required for proper use of the cleaning additive: %  
(as stated by the manufacturer in the description of use).
ATTACH USAGE INSTRUCTIONS FOR NLS CARGO TANK CLEANING (if this information is not provided, this application will be rejected).
 
Date:     Signature:           Title:    
  dd/mm/yy                      

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