Invasive Mussel Self-Certification Form Pending a watercraft 1 inspection, you are allowed to launch. Has the watercraft ever been used in Lakes Havasu, Mead, Mohave, Powell, OR any of the waters listed on the back of this page? CHECK THIS BOX NO Fill out the form below and display on the dashboard of Yes the trailering vehicle. 2

Has the watercraft been thoroughly washed and allowed to completely dry for at least 30 days since you last launched? Pending a watercraft inspection, you are allowed to You must have removed all dirt and organic material from the YES launch. boat. You must have drained, cleaned, and flushed all ballast systems, bilge compartments, live/bait wells and motors. CHECK THIS BOX

Fill out the form below and display on the dashboard of NO the trailering vehicle.

You cannot launch.

You are required to decontaminate your watercraft. Decontamination instructions can be found at the California Department of Fish and Wildlife website http://www.dfg.ca.gov/invasives/quaggamussel or call 1-866-440-9530

3 Display this form on the dashboard of the trailering vehicle.

I affirm that the listed watercraft have passed the Invasive Mussel Self-Certification form.

______Printed Name Launch Site

______Date Watercraft CF #

For questions regarding the invasive mussel program at Lake Berryessa, please contact the Bureau of Reclamation Lake Berryessa Field Office at 707-966-2111. For more information on invasive mussel issues, visit www.100thmeridian.org

*Pursuant to the California Department of Fish and Wildlife, Fish and Game Code § 2301, a person shall not possess, import, ship, or transport in the state, or place, plant, or cause to be placed or planted in any water within the state, aquatic invasive mussels.

Quagga and Zebra Mussel Prevention Program U.S. Waters associated with Invasive Mussels List Updated May 2013 For more information visit the USGS Website at: http://fl.biology.usgs.gov/Nonindigenous_Species/Zebra_mussel_distribution/zebra_mussel_distribution.html

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