NOAA Form 57-10-24 U.S. DEPARTMENT OF COMMERCE NAME (Last, First MI) CERTIFICATION (see note 1) DATE (mm/yy) (3-15) NATIONAL OCEANIC AND ATMOSPHERIC ADMINISTRATION

LINE or STAFF OFFICE (Check one) UNIT / SUB-UNIT UNIT

MONTHLY DIVE LOG ⃝ NMFS ⃝ NOS ⃝ OAR ⃝ OMAO ⃝ non-NOAA

INSTRUCTIONS: 7. DIVE LOCATION 1. NOAA Form 57-03-24 (1-12) may be used to log dives in lieu of using the on-line, electronic form available through the NOAA Diving Program website. NAC North Atlantic Coastal (Maine – Rhode Island) 2. Submit this form directly to the NOAA Diving Center, 7600 Sand Point Way NE, Seattle, WA, 98115 by the 5th of the month for the preceding month. MAC Mid-Atlantic Coastal (Connecticut – Virginia) 3. Use a separate line for each dive. Print all information legibly. SAC South Atlantic Coastal (North Carolina – SE Florida) 4. Log repetitive dives using the date, a decimal point, and consecutive numbers (i.e. three dives conducted on the 15th would be listed as 15.1, 15.2, and 15.3). KEY Florida Keys 5. Use the codes in the NOTES section below to encode the dive log information. GMC Gulf of Mexico Coastal (SW Florida – Texas) 6. For saturation missions, log all excursions as separate dives and time of excursions as bottom time. PVC Puerto Rico/U.S. Virgin Islands AKC Alaska Coastal NOTES: NPC North Pacific Coastal (Washington – Oregon) 1. CERTIFICATION 1 - Trainee 2 - Scientific Diver 3 - Working Diver 4 - Advanced Working 5 – Master Diver MPC Mid-Pacific Coastal (north and central California) 2. DIVE TYPE 1 - Non-Saturation 2 - Saturation SPS South Pacific Coastal (southern California) 3. DIVE PURPOSE 1 - Observe/Monitor 2 - Collect samples/data 3 - Install/Construction 4 - Search/Recovery 5 - Maintenance/Repair GLW Great Lakes Waters 6 - Inspection/Survey 7 - Test/Evaluation 8 - Photography/Video 9 - Dive Support 10 - Training/Proficiency OIW Other Inland Waters (indicate location) 11 - Non-Duty 12 - Other (specify) HIC Hawaii Coastal 4. DIVE PLATFORM 1 - Shore 2 - Small Boat 3 - Ship 4 - Pier/Dock 5 - Habitat PTT Pacific Territories Trustees 6 - Chamber 7 - Pool/Tank FCW Foreign Coastal Waters (indicate location) 5. EQUIPMENT 1 - Open-circuit scuba 2 - Closed circuit scuba 3 - Surface supplied 4 - /Skin-diving DOW Deep Ocean Waters (indicate location – Lat/Long) 6. 1 - Air 2 - (indicate O2 %) 3 - (indicate O2 %) 4 - (indicate O2 %) 5 - OTH Other (indicate location) DIVE DIVE DIVE BREATHING BREATHING MAXIMUM BOTTOM DECO DIVE U/W WATER / LEAD DIVER DAY TYPE PURPOSE PLATFORM EQUIPMENT GAS DEPTH TIME TIME LOCATION VISIBILITY TEMP SPEED (Note 2) (Note 3) (Note 4) (Note 5) (Note 6) (Feet) (Minutes) (Minutes) (Note 7) (Feet) (°F) (Knots) DIVE BUDDY

SUPERSEDES NOAA Form 64-4 (10-00)