BALLAST WATER REPORTING FORM

1. SHIP INFORMATION 2. BALLAST WATER

Vessel Name: VALE LIANYUNGANG Type: ORE CARRIER IMO Number: 9532587 Specify Units: M 3, MT
Owner:VALE SHIPPING SINGAPORE Gross Tonnage: 201384 Call Sign: 9V9122 Total Ballast Water on Board:
PVT LTD 122047.0
Flag: SINGAPORE Arrival Date: 08/09/2014 Agent: OCEANUS AGENCIA MARITIMA S.
Last Port and Country: SOHAR/OMAN Arrival Port: PONTA DA MADEIRA, BRAZIL Total Ballast Water Capacity:
190825.8
Next Port and Country: TRMT /MALAYSIA
3. BALLAST WATER TANKS Ballast Water Management Plan on board? YES _____ NO _________ Management Plan Implemented? YES X NO
Total number of ballast tanks on board: _______18______ No. of tanks in ballast: ______12______ IF NONE IN BALLAST GO TO No. 5.
No. of tanks exchanged: _12__ No. of tanks not exchanged: ___ __NIL___________
4. BALLAST WATER HISTORY: RECORD ALL TANKS THAT WILL BE DEBALLASTED IN PORT STATE OF ARRIVAL; IF NONE GO TO No. 5.
Tanks/ BALLAST WATER SOURCE BALLAST WATER EXCHANGE BALLAST WATER DISCHARGE
Holds Dilution (1), Flow Through (2) or Empty/Refill (3)
(List multiple DATE Port or Volume Temp Salinity DATE Endpoint Volume % Depth BW DATE Port or Volume Salinity
sources per
DDMMYY Lat/Long (units) (units) (units) DDMMYY Lat/Long. (units) Exch (m) exchange DDMMYY Lat/Lo (units) (units)
tank
separately) * m³ C PSU m3 method ng* m3 PSU
03*51.8N
WT 1 (P) 04/09/14 SOHAR 8576 29 37 11/09/14 8650 99 3500 3 09/10/2014 PDM 4019 38
065*59.9E
03*51.8N
WT 1 (S) 04/09/14 SOHAR 8620 29 37 11/09/14 8662 99 3500 3 09/10/2014 PDM 4020 38
065*59.9E
03*51.8N
WT 8 (P) 06/09/14 SOHAR 6869 29 37 11/09/14 8920 98 3500 3 09/10/2014 PDM 3771 39
065*59.9E
03*51.8N
WT 8 (S) 06/09/14 SOHAR 6541 29 37 11/09/14 8935 98 3500 3 09/10/2014 PDM 3817 38
065*59.9E
07*28.5S
WT 3 (P) 06/09/14 SOHAR 10585 27 36 13/09/14 10925 99 3900 3 09/10/2014 PDM 10925 38
063*54.1E
07*28.5S
WT 3 (S) 06/09/14 SOHAR 10662. 27 36 13/09/14 10865 99 3900 3 09/10/2014 PDM 10865 37
063*54.1E
07*28.5 S
WT 7 (P) 03/09/14 SOHAR 10727 27 37 13/09/14 10880 98 3500 3 09/10/2014 PDM 10880 37
063*54.1E
07*28.5 S
WT 7 (S) 03/09/14 SOHAR 10973 27 37 13/09/14 10775 98 3500 3 09/10/2014 PDM 10775 37
063*54.1E
11*47.0 S
WT 2 (P) 05/09/14 SOHAR 9676 25 36 14/09/14 9740 99 3500 3 09/10/2014 PDM 9740 38
063*02 E
11*47.0 S
WT 2 (S) 05/09/14 SOHAR 9630 25 36 14/09/14 9695 98 3500 3 09/10/2014 PDM 9695 38
063*02 E
17*09 S
WT 5 (P) 06/09/14 SOHAR 21518 25 36 15/09/14 21650 98 3900 3 09/10/2014 PDM 21650 37
061*06 E
17*09 S
WT 5 (S) 06/09/14 SOHAR 21307 25 36 15/09/14 21890 99 3900 3 09/10/2014 PDM 21890 38
061*06 E
Ballast Water Tank Codes: Forepeak = FP, Aftpeak = AP; Double Bottom = DB; Wing = WT; Topside = TS; Cargo Hold = CH; Other =
O
38 IF EXCHANGES WERE NOT CONDUCTED, STATE OTHER CONTROL ACTION(S) TAKEN:____________________________________________
IF NONE STATE REASON WHY NOT:________________________________________________
5: INTERNATIONAL CONVENTION FOR THE CONTROL AND MANAGEMENT OF SHIPS' BALLAST WATER AND SEDIMENTS, 2004 ON BOARD? YES_____NO______
IMO BALLAST WATER GUIDELINES ON BOARD (RES. A.868(20))? YES_______ NO________
RESPONSIBLE OFFICER’S NAME AND TITLE (PRINTED) AND SIGNATURE: __ANIL KUMAR SHARMA / CH. OFFICER________
*Fulfil with Port’s name, preferably.