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Notification of ballast water discharge using active substances for treatment systems that meet the requirements of the D2 standard

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The Senator for Climate Protection, Environment, Mobility, Urban Development and Housing

The Senator for Science and Ports

1

Freie

Hansestadt Bremen

Bremen, 10.11.2021

Notification of ballast water discharge using active substances for treatment systems that meet the requirements of the D2 standard

(pursuant to condition number 5 General Ruling for the Handling of Wastewaters from Vessels in the Ports of Bremen)

The completed form must be sent prior to discharge to the email address at

ballastwater@umwelt.bremen.de. There will be no answer following notification of intended discharge of ballast water. Discharge is permitted as long as D2 standard is fulfilled.

1. Responsible Person on board Shipping company

Address Email address Telephone number 2. Name of the vessel

IMO no.

3. Berth

Actual Time of Arrival

Estimated Time of Departure

4. Does the ballast water system meet the

requirements of the D2 standard? o yes (discharge permitted) o no (no discharge allowed) BWT System name (system type)

Active substance used

5. Where was the ballast water taken on board? (place/port)

6. Intended start of discharge (date/time) Intended end of discharge (date/time) 7. Volume of ballast water to be discharged

(m³)

8. Other notifications

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