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Shipyard
Dive & Salvage
Electronic VGP Form
Wepfer Vessel Name
*
CF-21
CF-22
Amy Ross
Angeline
Annie Wepfer
Betsy Ross
Betsy Wepfer
Bill Wepfer
Chris Foster
George Leavell
Janet Leavell
John Wepfer
Joy Glenn
Joy Wepfer
Jo Walt
John D. Walt
Julie Robinson
Ken Echols
Lana D
Larry Barber
Lee Leavell
Lexie Johnston
Lou Draper
Lucy Wepfer
Maggie Leavell
Marilyn Roncalli
Mary Leavell
Mary Wepfer
Miss Betty
Neely Leavell
Ricky Robinson
Tommy Ross
Walt Wepfer
Date
*
Two Digit Month (03) Two Digit Date (05) and Four Digit Year (2012)
MM
DD
YYYY
Barge Number
*
Barge Type
*
Tank/Hopper/Deck
Hopper
Tank
Deck
Status
*
Empty
Load
Part Load
Location
*
Hickman
Metro
Calvert City
Caruthersville
Cottonwood Point
Greenville
Memphis
Osceola
Tunica
Departing Location
*
Where did you pick up the barge?
Arriving Location
*
Where did the barge go?
Are the barge decks and covers clear of grain, cargo, garbage, old lines and other foreign materials?
*
Yes
No
If the previous answer is "NO" was the material disposed of?
NOTE: ALL SUCH MATERIAL SHOULD BE REMOVED FROM THE BARGE DECK, PLACED IN TRASH BAGS AND PROPERLY DISPOSED OF AT THE WHARF
Yes
No
Is there a visible sheen on the water around the barge?
*
No
Yes
Is the barge listing, a known leaker or drafting more than normal or has other signs of water in the wing tanks?
*
NO
YES
If water is noted, identify the wing tanks and amount of water in each.
Is there an visible hull damage?
*
No
Yes
If the previous answer is yes, describe the damage and location
Are any pipes/hoses located on the barge leaking oil or any other contaminant?
*
Not Applicable
No
Yes
If the previous answer is yes, state the location, amount leaked and whether the leak created a sheen on the water.
Are the drip pans clean or empty?
*
Not Applicable
Yes
No
If not state the amount of oily water in the drip pan
Were the barge's wing tanks or hopper pumped?
*
If the answer is "No" Stop here and Submit.
No
Yes
Were the voids visually inspected for oily sheen, chemicals, solids, foam and other contaminants prior to pumping
Yes
No
Does the wing/void tank(s) water contain an oily sheen, chemicals, solids, foam and other contaminants?
No
Yes
Was a visual test for an oily sheen, contaminants and /or discoloration performed on the water surrounding the barge before, during and after the barge wing tanks were pumped?
Yes
No
Did the discharge water create an oily sheen or discoloration of the water?
No
Yes
Were the pumps stopped immediately and corrective action taken?
Yes
No
If yes, describe the corrective action taken
Inspected By
*
Your Name
First Name
Last Name
Thank you!