Appendix 6 - Format for Proposing Tripartite Agreements for Provisional Assessment of Liquid Substances - (for insertion in lists 1, 3 or 4 of the MEPC.2/Circular)
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Statutory Documents - IMO Publications and Documents - Circulars - Marine Environment Protection Committee - MEPC.1/Circular.512/Rev.1 – Guidelines for the Provisional Assessment of Liquid Substances Transported in Bulk - (15 October 2019) - Appendix 6 - Format for Proposing Tripartite Agreements for Provisional Assessment of Liquid Substances - (for insertion in lists 1, 3 or 4 of the MEPC.2/Circular)

Appendix 6 - Format for Proposing Tripartite Agreements for Provisional Assessment of Liquid Substances - (for insertion in lists 1, 3 or 4 of the MEPC.2/Circular)

               
  Name of Product:  
  Proposed for inclusion in list:     [ ] of the MEPC.2/Circular  
 

Contains

(for list 3 and 4 products)

   name:            
                   
  Reporting country:  
  Participating countries:  
  Company:  
  Proposed GESAMP hazard profile:  
     
  A1 A2 B1 B2 D3 E2  
             
  Pollution category:            
  Based on analogy to (if applicable):            
  Pollution category:            
  Ship type:            
               
  Proposed carriage conditions:            
               
  Column   Column   Column    
  d   i'   l    
  e   i''   m -deleted-  
  f   i'''   n    
  g   j   o    
  h   k        
               

Additional technical information:

Property Qual Value or range References and comments
Molecular weight
Density @ 20ºC (kg/m3)
Flash Point (cc) (°C)
Boiling Point (°C)
Melting Point/Pour Point (°C)
Water solubility @ 20ºC (mg/l)
Viscosity @ 20ºC (mPa.s)
Vapour Pressure @ 20ºC (Pa)
Vapour Pressure @ 40ºC (Pa)
SVC @ 20ºC (mg/l)
SVC @ 40ºC (mg/l)
AutoignitionTemp (°C)
Explosion Limits (% v/v)
Carriage Temperature (ºC)
Unloading Temperature (ºC)
MESG (mm)

Note: If temperatures other than 20ºC or 40ºC are used, please indicate the reference temperature.

Toxicity/Human health:

Property Units Qualifier Value or range
Oral ATE/LD50 (mg/kg)
Dermal ATE/LD50 (mg/kg)
Inhalation ATE/LC50footnote (mg/l/4h)
Corrosive to skinfootnote (Y/N)
Parent topic: MEPC.1/Circular.512/Rev.1 – Guidelines for the Provisional Assessment of Liquid Substances Transported in Bulk - (15 October 2019)
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