Beruflich Dokumente
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When a Certificate has been previously issued, this Certificate replaces the certificate dated: (*)
Particulars of Ship
An anti-fouling system controlled under Annex 1 has not been applied during or after construction of this ship
An anti-fouling system controlled under Annex 1 has been applied on this ship previously, but has been removed by:
Name of the facility:
on (dd/mm/yyy):
An anti-fouling system controlled under Annex 1 has been applied on this ship previously, but has been covered with a
sealer coat applied by:
ARMANDO ARRASCAETA
Surveyor to CONARINA
(*) Date of completion of the survey on which this certificate is issued: NOVEMBER 12, 2010.
CERTIFICATE BASED ON THE INFORMATION FORM PREVIOUS FLAG.
Particulars of Ship
Distinctive number
Name of ship IMO number
or letters
Active ingredient(s) and their Chemical Abstract Services Registry Number(s) (CAS number(s)): --
ARMANDO ARRASCAETA
Surveyor to CONARINA
(*) THIS RECORD IS BASED ON THE PREVIOUS FLAG CERTIFICATE.
NOTE:
Entries in boxes shall be made by inserting either a cross (X) for the answer “yes” or a dash (-) for the answers “no” and
na where is not applicable
All negative entries should be clarified under “Surveyor’s Notes” with reference by item number
*- Delete as appropriate
TYPE OF AFS
1. TBT
1.1.1. Statement from shipyard or contractor confirming removal / sealer coat* application
3.1.4. Statement from shipyard or contractor confirming that the application of existing AFS was
applied.
1.7. If 1.1.2. and 1.1.3. are not available the paint sampling and testing is required
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F-AFS-01/c
This is to declare that the undersigned has examined and filled all items of this Report before signed it.
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