Certificate / UTN No : PAR-IOPP-FT-22-00240
INTERNATIONAL OIL POLLUTION PREVENTION
CERTIFICATE
(Note: This Certificate shall be supplemented by a Record of Construction and Equipment)
Issued under the provisions of the International Convention for the Prevention of Pollution from Ships,
1973, as modified by the Protocol of 1978 relating thereto, as amended, (hereinafter referred to as
“the Convention”)
Under the authority of the Goverment of
REPUBLIC OF PANAMA
by INTERNATIONAL REGISTER OF SHIPPING (Panama) Inc
PARTICULARS OF SHIP
Name of Ship : SALLY M
Distinctive Number or Letters : 3FFE8
Port of Registry : PANAMA
Gross Tonnage : 4569
Deadweight of ship (tonnes)² : N/A
IMO Number³ : 9152844
Type of Ship⁴ : Oil Tanker
Ship other than oil tanker with cargo tanks coming under
regulation 2.2 of Annex I of the Convention
Ship other than any of the above
THIS IS TO CERTIFY:
1. That the ship has been surveyed in accordance with regulation 6 of Annex I of the Convention; and
That the survey shows that the structure, equipment, systems, fittings, arrangements and material of the ship and
2. the condition thereof are in all respects satisfactory and that the ship complies with the applicable requirements
of Annex I of the Convention.
This Certificate is valid until 19-May-2027 subject to surveys in accordance with regulation 6 of Annex I of the
Convention.
Completion date of the survey on which this certificate is based : 14-May-2022
Issued at PANAMA on 11-Oct-2022
TOLGA TURKELLERI
Authorized Signatory
It is agreed that International Register of Shipping (hereafter referred as the society), its subsidiaries, bodies, officers, directors, employees and agents shall have no liability for any loss,
damage or expense allegedly caused directly or indirectly by their mistake or negligence, breach of warranty, or any other act, omission or error by them including gross negligence or
Willful misconduct by any such person with the exception of gross negligence or Willful misconduct by the governing bodies or senior executive officers of the society. If any person used
the services of the Society or its subsidiaries or relies on any decision made or information given by or on behalf of them and in consequence suffers a loss, damage or expense proved to
be due to their negligence, omission or default, then the Society will pay by way of compensation to such person a sum limited to the value of fees paid to the Society. Under no
circumstances whatsoever shall the individual or individuals who have personally caused the loss, damage or expense is held liable.
² For Oil tankers
³ Refer to the IMO Ship Identification number scheme adopted by the Organization by resolution A.1117(30).
⁴ Delete as appropriate
Revision: IOPPC-FT-2408 1 of 4
Certificate / UTN No : PAR-IOPP-FT-22-00240
ENDORSEMENT FOR ANNUAL AND INTERMEDIATE SURVEY(S)
THIS IS TO CERTIFY that, at a survey required by regulation 6 of Annex I of the Convention, the ship was found to comply
with the relevant provisions of the Convention.
Annual Survey: Signed
23-05-274
Mansour Mohamed Ibrahim (ID: 1214)
Place of survey Alexandria, Egypt
31-May-2023
Date
Signed
24-08-151
Annual/Intermediate* Survey:
Mohamed Abouelyazid (ID: 1636)
Place of survey Alexandria, Egypt
19-Aug-2024
Date
Signed
25-08-182
Annual/Intermediate* Survey:
Mohamed Abouelyazid (ID: 1636)
Place of survey Alexandria, Egypt
18-Aug-2025
Date
Annual Survey: Signed
(Surveyor to International Register Of
Shipping)
Place of survey
Date
¹ Delete as appropriate.
Revision: IOPPC-FT-2408 2 of 4
Certificate / UTN No : PAR-IOPP-FT-22-00240
ANNUAL/INTERMEDIATE SURVEY IN ACCORDANCE WITH REGULATION 10.8.3
THIS IS TO CERTIFY that, at an annual / intermediate¹ survey in accordance with regulations 10.8.3 of Annex I of the
Convention, the ship was found to comply with the relevant provisions of the Convention.
Signed
(Surveyor to INTERNATIONAL REGISTER OF SHIPPING)
Place of survey
Date
ENDORSEMENT TO EXTEND THE CERTIFICATE IF VALID FOR LESS THAN 5 YEARS WHERE REGULATION 10.3 APPLIES
The ship complies with the relevant provisions of the Convention, and this certificate shall, in accordance with regulation
10.3 of Annex I of the Convention, be accepted as valid until
Signed
(Surveyor to INTERNATIONAL REGISTER OF SHIPPING)
Place of survey
Date
ENDORSEMENT WHERE THE RENEWAL SURVEY HAS BEEN COMPLETED AND REGULATION 10.4 APPLIES
The ship complies with the relevant provisions of the Convention, and this Certificate shall, in accordance with
regulation 10.4 of Annex I of the Convention, be accepted as valid until:
Signed
(Surveyor to INTERNATIONAL REGISTER OF SHIPPING)
Place of survey
Date
¹ Delete as appropriate.
Revision: IOPPC-FT-2408 3 of 4
Certificate / UTN No : PAR-IOPP-FT-22-00240
ENDORSEMENT TO EXTEND THE VALIDITY OF THE CERTIFICATE UNTIL REACHING THE PORT OF SURVEY OR FOR A PERIOD OF
GRACE WHERE REGULATION 10.5 OR 10.6 APPLIES
This Certificate shall, in accordance with regulation 10.5 or 10.6¹ of Annex I of the Convention, be accepted as valid
until
Signed
(Surveyor to INTERNATIONAL REGISTER OF SHIPPING)
Place of survey
Date
ENDORSEMENT FOR ADVANCEMENT OF ANNIVERSARY DATE WHERE REGULATION 10.8 APPLIES
In accordance with regulation 10.8 of Annex I of the Convention, the new anniversary date is :
Signed
(Surveyor to INTERNATIONAL REGISTER OF SHIPPING)
Place of survey
Date
In accordance with regulation 10.8 of Annex I of the Convention, the new anniversary date is :
Signed
(Surveyor to INTERNATIONAL REGISTER OF SHIPPING)
Place of survey
Date
¹ Delete as appropriate.
Revision: IOPPC-FT-2408 4 of 4
Certificate / UTN No : PAR-IOPP-FT-22-00240
FORM A
Supplement to the International Oil Pollution Prevention Certificate
(IOPP Certificate)
RECORD OF CONSTRUCTION AND EQUIPMENT
FOR SHIPS OTHER THAN OIL TANKERS
In respect of the provisions of Annex I of the International Convention for the Prevention of Pollution from Ships, 1973,
as modified by the protocol of 1978 relating thereto (hereinafter referred to as “the Convention”)
Notes:
1. This form is to be used for the third type of ships as categorized in the IOPP Certificate, i.e. "ships other than
any of the above". For oil tankers and ships other than oil tankers with cargo tanks coming under Regulation
2(2) of Annex I of the Convention, FORM B shall be used.
2. This record shall be permanently attached to the IOPP Certificate. The IOPP certificate shall be available on
board the ship at all times.
3. The language of the original Record neither in English, French, or Spanish, the text shall include a translation
into one of these languages.
4. Entries in boxes shall be made by inserting either a cross (X) for the answers "yes" and "applicable" or a dash
(-) for the answers "no" and "not applicable" as appropriate.
5. Regulations mentioned in this Record refer to regulations of Annex I of the Convention and resolutions refer
to those adopted by the International Maritime Organization.
1 PARTICULARS OF SHIP
1.1 Name of ship : SALLY M
1.2 Distinctive Number or letters : 3FFE8
1.3 Port of registry : PANAMA
1.4 Gross tonnage : 4569
1.5 Date of build :
1.5.1 Date of building contract : 01-Apr-1996
Date on which keel was laid or ship was at a similar stage of
1.5.2 : 05-Aug-1996
construction
1.5.3 Date of delivery : 01-Jun-1997
1.6 Major Conversion (if applicable) : N/A
1.6.1 Date of conversion contract : N/A
1.6.2 Date on which conversion was commenced : N/A
1.6.3 Date of completion of conversion : N/A
The ship has been accepted by the Administration as a ”ship delivered on or before 31 December
1.7 --
1979” under regulation 1.28.1 due to unforeseen delay in delivery
EQUIPMENT FOR THE CONTROL OF OIL DISCHARGE FROM MACHINERY
2
SPACE BILGES AND OIL FUEL TANKS (regulations 14 and 16)
2.1 Carriage of ballast water in oil fuel tanks:
² For Oil tankers
³ Refer to the IMO Ship Identification number scheme adopted by the Organization by resolution A.1117(30).
⁴ Delete as appropriate
Revision: IS-FORM A 1 of 4
Certificate / UTN No : PAR-IOPP-FT-22-00240
2.1.1 The ship may under normal conditions carry ballast water in oil fuel tanks --
2.2 Type of oil filtering equipment fitted:
2.2.1 Oil filtering (15 ppm) equipment (regulation 14 (6)) --
2.2.2 Oil filtering (15 ppm) equipment with alarm and automatic stopping device (regulation 14(7)) --
2.3 Approval standards¹ :
2.3.1 The separating / filtering equipment:
.1 has been approved in accordance with resolution A. 393(X) --
.2 has been approved in accordance with resolution. MEPC.60(33) --
.3 has been approved in accordance with resolution MEPC.107 (49) --
.4 has been approved in accordance with resolution A. 233 (VII) --
has been approved in accordance with national standards not based upon resolution A. 393(X) or A. 233
.5 --
(VII)
.6 has not been approved --
2.3.2 The process unit has been approved in accordance with resolution A. 444(XI) --
2.3.3 The oil content meter:
.1 has been approved in accordance with resolution A. 393(X) --
.2 has been approved in accordance with res. MEPC.60 (33) --
.3 has been approved in accordance with resolution MEPC.107 (49) --
2.4 Maximum throughput of the system is ____________ m³/ h
2.5 Waiver of regulation 14:
The requirements of regulation 14.1 or 14.2 are waived in respect of the ship in accordance with
2.5.1 X
regulation 14.5
The ship is engaged exclusively on voyages within special area(s):Black Sea, Red Sea and Mediterranean
.1 X
Sea
The ship is certified under the International Code of Safety for High Speed Craft and engaged on a
.2 --
scheduled service with a turn-around time not exceeding 24 hours
2.5.2 The ship is fitted with holding tank(s) for total retention on board of all oily bilge water as follows:
Tank Identification Tank Location Volume (m³)
Frames (from)-(to) Lateral Position
Bilge Oil Tank 8-12 CENTER 8.14
Total Volume (m³ ): 8.14
2A.1 The ship is required to be constructed according to regulation 12A (Oil Fuel Tank Protection)
and complies with the requirements of:
paragraphs 6 and either 7 or 8 (double hull construction) --
¹ Refer to Recommendation on international performance and test specification of oily-water separating equipment and oil content meters adopted by the Organization on
14 November 1977 by resolution A.393(X), which superseded resolution A.233(VII). Further reference is made to the Guidelines and specifications for pollution prevention
equipment for machinery space bilges adopted by the Marine Environment Protection Committee of the Organization by resolution MEPC.60(33), which, effective on 6 July
1993, superseded resolutions A.393(X) and A.444(XI) and the revised Guidelines and specifications for pollution prevention equipment for machinery spaces of ships adopted by
the Marine Environment Protection Committee of the Organization by resolution MEPC.107(49) which, effective from 1 January 2005, superseded resolutions MEPC.60(33), A.393
(X) and A.444(XI).
Revision: IS-FORM A 2 of 4
Certificate / UTN No : PAR-IOPP-FT-22-00240
paragraph 11 (accidental oil fuel outflow performance) --
2A.2 The Ship is not required to comply with the requirements of regulation 12A X
3 MEANS FOR RETENTION AND DISPOSAL OF OIL RESIDUES (SLUDGE) (REGULATION 12) AND OILY BILGE
WATER HOLDING TANK(S) ²
3.1 The ship is provided with oil residue (sludge) tanks for retention of oil residues (sludge) onboard as follows:
Tank Identification Tank Location Volume (m³)
Frames (from)-(to) Lateral Position
SLUDGE TANK 12-18 CENTER (E/R) 3.54
F.O.SLUDGE TANK 19-21 PORT (E/R) 0.70
L.O.SLUDGE TANK 22-24 STBD (E/R) 0.30
0.00
Total Volume (m³): 4.54
3.2 Means for the disposal of residues (sludge) retained in oil residue (sludge) tanks:
3.2.1 Incinerator for oil residues (sludge) X
3.2.2 Auxiliary boiler suitable for burning oil residues (sludge) --
3.2.3 Other acceptable means, state which Discharge Reception Facilities X
3.3 The ship is provided with holding tanks(s) for the retention on board of oily bilge water as follows:
Tank Identification Tank Location Volume (m³)
Frames (from)-(to) Lateral Position
BILGE OIL TANK 8-12 CENTER 8.14
Total Volume (m³): 8.14
4 STANDARD DISCHARGE CONNECTION (Regulation 13)
4.1 The ship is provided with a pipeline for the discharge of residues from machinery bilges and sludges to X
reception facilities, fitted with a standard discharge connection in accordance with regulation 13
5 SHIPBOARD OIL POLLUTION EMERGENCY PLAN (regulation 37)
5.1 The ship is provided with a shipboard oil pollution emergency plan in compliance with regulation 37 X
5.2 The ship is provided with a shipboard marine pollution emergency plan in compliance with regulation
--
37.3
6 EXEMPTION
6.1 Exemptions have been granted by the Administration from the requirements of Chapter 3 of Annex I of --
the Convention in accordance with regulation 3.1 on those items listed under paragraph(s)
______________
of this Record.
² Oily Bilge water holding tank(s) are not required by the Convention, if such tank(s) are provided they shall be listed in Table 3.3
Revision: IS-FORM A 3 of 4
Certificate / UTN No : PAR-IOPP-FT-22-00240
7 EQUIVALENTS (Regulation 5)
7.1 Equivalents have been approved by the Administration for certain requirements of Annex I on those items --
listed under paragraph(s) _______________ of this Record.
8 COMPLIANCE WITH PART II-A – CHAPTER 1 OF THE POLAR CODE
8.1 The ship is in compliance with additional requirements in the environment-related provisions of
the Introduction and section 1.2 of chapter 1 of part II-A of the Polar Code. --
THIS IS TO CERTIFY THAT THIS RECORD IS CORRECT IN ALL RESPECTS.
Issued at PANAMA on 11-Oct-2022
TOLGA TURKELLERI
AUTHORIZED SIGNATORY
Revision: IS-FORM A 4 of 4
