| Sampling date
|
|
| Ship particulars
|
Name of ship:
|
|
|
| Distinctive number or letters
|
| Port of registry:
|
| Gross tonnage:
|
| IMO Number:
|
| Date of construction:
|
| Ballast water capacity:
|
| Identification of sampled tankfootnote
|
|
| Type and position of sampled
tankfootnote
|
|
| Capacity of sampled tankfootnote
|
(m3)
|
| Type of ballast water management
undertaken
|
(type of exchange or
treatment)
|
| Make of ballast water management
system
|
|
| Date of ballast water management
undertaken
|
|
| Sample identification code
|
(including number of
replicate)
|
| Sample type
|
(larger, smaller plankton,
microbes)
|
| Sampling techniques
used
|
net (including depth of vertical net
haul, net opening size, mesh size)
|
| pumps (including sampling depth,
pumping capacity in l/min.)
|
| bottle (incl. sampling depth, bottle
capacity in l.) specify other sampling technique if used
|
| Sampling
time/start
|
|
| Sampling end
time
|
|
| Origin of water
sampledfootnote
|
(lat/lon/port)
|
| Type of sampling access
point
|
|
| Location of sampling
access point
|
|
| Water volume
sampled
|
(by volume)
|
| In case sample is
concentrated on board specify filter or net sizes (if applicable)
|
(μm)
|
| Preservative (if
used)
|
|
| Transport to
laboratory
|
cooling container, dark
storage, etc.
|
| Sample results
|
|