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Drug Forms to be Completed
Chloramine-T 9321

 

PLEASE NOTE THAT THESE FORMS ARE FOR YOUR IN-HOUSE USE ONLY.
DO NOT SUBMIT THESE FORMS TO AADAP; SUBMIT DATA VIA THE INAD PROGRAM MANAGEMENT SYSTEM (IPMS) !!

 

Form CLT-W: Worksheet for Designing Individual Field Trials .............................................................(fillable pdf) (Word)

Form CLT-1: Report on Receipt of Drug ..............................................................................................(fillable pdf) (Word)
Form CLT-2: Drug Inventory ................................................................................................................(fillable pdf) (Word)
Form CLT -3A: Results Report (ONLY for salmonids with BGD 12-20ppm AND treatment on
3 consecutive or alternate days)...........................................................................................................(fillable pdf) (Word)
Form CLT -3B: Results Report (non-salmonids or salmonids without BGD or treated at 10ppm) ........(fillable pdf) (Word)
Addendum 2 CLT: Discharge Worksheet ............................................................................................(fillable pdf) (Word)
Advanced Sign-up; via the INAD Program Management System (IPMS)............................................................click here
Paperwork Timeline
Information on EPA's National Pollutant Discharge Elimination System (NPDES) Permits