Waste Declaration

The form is to be completed prior to every visit to the port unless the ship is covered by an exemption in accordance with current legislation.

Information regarding Port Esbjerg waste reception facilities and sorting options can be found in Port Esbjerg waste guide:

Port Esbjerg has the following waste reception facilities:

- General waste container
- Recycling station for identified groups
- Collection of slop oil
- Collection of other waste on request

I confirm,
- that the following details are accurate and correct, and

Specification of slop oil

A. Does the slop oil contain other substances than oil and water? *

Yes

B. If yes: Which substances?

C. Estimated oil content in %?

(accepted min. 65%)

D. The material is collected by: *

Port of Esbjerg

Other operator

Collection

Date:

Time:

Waste

	Amount of waste to be delivered	Max. storage capacity	Amount of waste retained on board	Amount to be generated before next port of call (estimated)
Navn

1. Waste Oils

	Amount of waste to be delivered	Max. storage capacity	Amount of waste retained on board	Amount to be generated before next port of call (estimated)
Slop Oil (Sludge)
Bilge Water
*

Spildolie - andet

2. Garbage

	Amount of waste to be delivered	Max. storage capacity	Amount of waste retained on board	Amount to be generated before next port of call (estimated)
Food Waste
Plastic
**

Skrald - andet

3. Sewage

	Amount of waste to be delivered	Max. storage capacity	Amount of waste retained on board	Amount to be generated before next port of call (estimated)
Sewage

4. Cargo-associated Waste

	Amount of waste to be delivered	Max. storage capacity	Amount of waste retained on board	Amount to be generated before next port of call (estimated)
***

Lastrelateret - andet

5. Cargo Residues

	Amount of waste to be delivered	Max. storage capacity	Amount of waste retained on board	Amount to be generated before next port of call (estimated)
****

Lastrester - andet

Apply_date

Month

Day

Year

Apply_time

Hour

Minute