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pdfDOC/NOAA Fisheries
Pacific Islands Region
Longline Observer Program
OMB Control No. 0648-0593 exp. 12/31/2021
Observer ID
AS
Declared Trip Type
Trip No.
Observer Manual Version ID
A S .
.
.
.
.
Trip Specifications
Vessel Documentation No.
Vessel Name
Operator Name
First Name and Middle Initial
Last Name
Trip Times and Port Stops
Departure Date/Time
Departure Port
2 0
Trip Start
Day
Month
Day
Month
Year
Hour
Minute
Hour
Minute
Hour
Minute
Intermediate Port Stops
Stop
No.
Stopped
Day
High-grading?
Month
Year
Resumed
Hour
Minute
2 0
2 0
2 0
2 0
2 0
2 0
2 0
2 0
2 0
2 0
If checked document on back
Day
Trip End
Trip Issues?
Y Yes
(Debriefer Use Only)
N No
Year
If Y document on back
Month
Year
Stop Port
2 0
Arrival Date/Time
Arrival Port
Comments
form v. TS.20.01.AS
AS
DOC/NOAA Fisheries
Pacific Islands Region
Longline Observer Program
From front of
this form
OMB Control No. 0648-0593 exp. 12/31/2021
Trip No.
Trip Specifications Comments
Comments (cont. from the front of this form)
High-grading Comments
Trip Issues Comments (Debriefer Use Only)
form v. TS.20.01.AS.Back
| File Type | application/pdf |
| File Title | Trip Specifications American Samoa |
| Author | Eric.Forney |
| File Modified | 2019-12-10 |
| File Created | 2019-10-18 |