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Ship Due: Cristobal Balboa

This document is a form for ships transiting the Panama Canal to provide information about: 1) Ship details like name, call letters, type of vessel, agent, and estimated time of arrival. 2) Cargo details including draft, nature and tonnage of deck cargo, dangerous cargo types and quantities, and last cargo for tankers/bulk carriers. 3) Requests for radio pratique, ports visited in last 15 days, communicable diseases onboard, deaths, passengers, stowaways, animals, meat/cargo origins, and ports visited with foot-and-mouth disease. 4) Remarks section for any other pertinent arrival information.

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Eliza Popa
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64 views1 page

Ship Due: Cristobal Balboa

This document is a form for ships transiting the Panama Canal to provide information about: 1) Ship details like name, call letters, type of vessel, agent, and estimated time of arrival. 2) Cargo details including draft, nature and tonnage of deck cargo, dangerous cargo types and quantities, and last cargo for tankers/bulk carriers. 3) Requests for radio pratique, ports visited in last 15 days, communicable diseases onboard, deaths, passengers, stowaways, animals, meat/cargo origins, and ports visited with foot-and-mouth disease. 4) Remarks section for any other pertinent arrival information.

Uploaded by

Eliza Popa
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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IMPRIMIR BORRAR

4376 (OPT) AUTORIDAD DEL CANAL DE PANAMÁ


Rev.10-2007
SHIP DUE
CRISTOBAL BALBOA

Name of vessel Call Letters Type: Tanker


Cargo Passenger
Agent Customer Code By Date

A. Panama Canal Ship No.


B. 96-hour advance ETA

Vessel for Transit or Local

C. Draft of vessel, fore and aft. Tropical Fresh Water


D. Changes in Vessel's name, Country of registry, structure or use of tanks since last arrival

E. Whether docking at Balboa or Cristobal and reason therefore, i.e. cargo operations fuel, water,
etc., listing amounts in tons in each case
F. Nature and tonnage of deck cargo
Exceed ACP Visibility Yes No
G. 1. Is the vessel carrying any explosives or dangerous cargos in bulk? If yes, state technical name,
quantity (metric tons), flash point of petroleum or chemical products, U.N. number, and
IMO class and division for each dangerous cargo carried.
2. Petroleum or chemical tankers or bulk liquid carriers:
In ballast? Yes No Inerted? Yes No
Gas free? Yes
Yes Telex from Master indicating that cargo tanks(including slop) are safe
for entry/hot work.

No State type, flash point, U.N. number, name, of the last cargo(es)

3. Tanker & Bulk Carriers reporting "Golf: Negat"shall, in addition, state the technical names of
allon-dangerous cargos carried.
H. Is the vessel carrying any packaged dangerous goods other than explosives? If yes, state the IMO
class and division, total quantity(metric tons), with each class

I. (1) Radio Pratique Requested Yes No


(2) Ports of call last 15
(3) Communicable disease on board?

(4) Deaths on board?


(5) Number and port of disembarking passengers
(6) Stowaways Yes No Number and origin

(7) Number, kind and origin of animals on board


(8) The country of origin of all meat, cargo or stores
(9) Ports of call this voyage, infected by food and mouth disease or rinderpest

(10) Deratting Certificate Date issued


Port

REMARKS: (Agent to indicate any information pertinent to arrival of this vessel.)

Received by Date

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