Application temporary bunker permit for non-conventional fuels

Note:
- Aanwijzingsbesluit aanvullende voorschriften bepaalde brandstoffen, hulpstoffen en energiebronnen Rotterdam 2023
- Aanwijzingsbesluit aanvullende voorschriften bepaalde brandstoffen, hulpstoffen en energiebronnen Vlaardingen 2023
- Aanwijzingsbesluit aanvullende voorschriften bepaalde brandstoffen, hulpstoffen en energiebronnen Schiedam 2023
- Aanwijzingsbesluit aanvullende voorschriften bepaalde brandstoffen, hulpstoffen en energiebronnen Papendrecht 2023
- Aanwijzingsbesluit aanvullende voorschriften bepaalde brandstoffen, hulpstoffen en energiebronnen Dordrecht 2024

Company Information
Applicable Bunker Facilities: Ship to Ship
Ship 1
Sea Shipping or Inland Shipping
IMO
ENI
Ship 2
Sea Shipping or Inland Shipping
IMO
ENI
Ship 3
Sea Shipping or Inland Shipping
IMO
ENI
Ship 4
Sea Shipping or Inland Shipping
IMO
ENI
Ship 5
Sea Shipping or Inland Shipping
IMO
ENI
Applicable bunker facilities: Truck to Ship
Truck to Ship 1

Please provide company name, address, phone and contact person.

Please provide company name, address, phone and contact person.

Please provide company name, address, phone and contact person.

Please provide company name, address, phone and contact person.

Truck to Ship 2

Please provide company name, address, phone and contact person.

Please provide company name, address, phone and contact person.

Please provide company name, address, phone and contact person.

Please provide company name, address, phone and contact person.

Truck to Ship 3

Please provide company name, address, phone and contact person.

Please provide company name, address, phone and contact person.

Please provide company name, address, phone and contact person.

Please provide company name, address, phone and contact person.

Truck to Ship 4

Please provide company name, address, phone and contact person.

Please provide company name, address, phone and contact person.

Please provide company name, address, phone and contact person.

Please provide company name, address, phone and contact person.

Truck to Ship 5

Please provide company name, address, phone and contact person.

Please provide company name, address, phone and contact person.

Please provide company name, address, phone and contact person.

Please provide company name, address, phone and contact person.

Applicable bunker facilities: Non-mobile facility to Ship
Non-mobile facility to Ship

Please provide company name, address, phone and contact person.

Please provide company name, address, phone and contact person.

Please provide company name, address, phone and contact person.

Please provide company name, address, phone and contact person.

Requested Operations
Operations and Locations
Fuel to be bunkered

Please give a full and detailed description of the bunker operations you request a permission to operate for.

Please describe for which locations in the port you request a permission to operate.

Additional Information
Operations in other Ports
Is or has your company been operating bunker operations in other ports?
May we contact the above ports?
Are you willing to share audit information from the above-described port(s), if any?
Are you willing to share incident and near miss information on bunker activities in the above-described port(s)?
Auditing and Licensing
Have you in the past been audited by a port authority or competent authority that used the IAPH audit tool?
Are you presently in the process of applying for a License to operate in another port?
May we contact the above-described port(s)?
Would you agree upon a joined audit by ports?
Audit Information
Are you willing to share all incident and near miss information from the past four years?
Are you willing to share previous audit and inspection result information from other parties?
E.g. Class and Port State inspections? 
Would you be in consent of discrete peer-review of the audit by a third-party, port authority or competent authority for quality assurance purposes?
Would you be in consent of another port authority or competent authority joining the audit, either as an auditor or as an observer during audit, for audit or training purposes?
Would you, after the audit, be in consent of us sharing audit, re-audit and reality-checks information with other port authorities or competent authorities that we cooperate with in performing audits?
Please note that permission will be requested on a case-to-case base.
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