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Home
About
Services
Marine Services
Land Services
Forms & Documents
Careers
Contact
Phone : 718-981-4600
Email : dispatch@cwofny.com
Cleaning Plant Scheduling Form
Company Name
(Required)
Vessel or Tug Name
(Required)
Crew Member Name(s)
If Unknown Send list Prior to service. Send Email To:
Plant@cwofny.com
Member Name #1
Have TWIC?
Yes
No
Member Name #2
Have TWIC?
Yes
No
Member Name #3
Have TWIC?
Yes
No
Purchase Order Number
(Required)
Contact Name
(Required)
Telephone
(Required)
Email Address
Requested Date of Service
(Required)
MM slash DD slash YYYY
Reason for Service
Change of Cargo
Shipyard
Repairs
Level of Cleaning
Gas Free
Safe for entry
Chemist Certificate
Other (add in comments)
Last Three Cargos
Cargo Oil
Clean Oil
Black Oil
API Gravity
Cargo #1
Cargo #2
Cargo #3
Specific areas requiring service
Compartment number(s)
Spaces or other areas
Comment or special instructions
CAPTCHA
Δ
Company Name
Vessel or Tug Name
Crew Member Name(s):
1.
Crew have TWIC?
Yes
No
2.
Crew have TWIC?
Yes
No
3.
Crew have TWIC?
Yes
No
4.
Crew have TWIC?
Yes
No
5.
Crew have TWIC?
Yes
No
Purchase order number
Contact Name
Telephone
Email Address
Requested Date of Service
Reason for Service
Change of cargo
Shipyard
Repairs
Level of cleaning
Safe for hot work
Safe for entry
Other
Last Three Cargos
Clean Oil
Black Oil
API Gravity
1.
2.
3.
Specific areas requiring service
Compartment number(s)
Spaces or other areas
Comments or Special Instructions
Send
