Ballast Water Tank Sampling Record
Vessel Details
Vessel Name
IMO Number
Date
Voyage Number
Location
Sampling Authority
Sample Information
Tank No./Name
Ballast Water Volume (m³)
Date & Time of Sampling
Sampled By
Sample Location in Tank
Remarks
Test Results
Sample No.
Parameter
Result
Unit
Standard/Limit
Remarks
Notes
Ship's Responsible Person
Date:
Sampling Officer
Date: