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 Kentucky Mississippi Pennsylvania Alabama Colorado Allegheny River Tennessee River Blue Mesa Reservoir Cumberland River Mississippi River Canadohta Lake Guntersvuille Lake Colorado River Dewey Lake Clover Creek Quarry Bayou Lafourche Grand Lake Green River Missouri Cowanesque Lake Jumbo Lake Kentucky River All Waters Dutch Springs Reservoir Lake Granby Mississippi River Arizona Edinboro Lake Missouri Reservoir Ohio River Colorado River New Mexico French Creek Pueblo Reservoir Tennessee River Imperial Reservoir Sumner Lake Lake Erie Rifle Gap Reservoir Lake Havasu Monongahela River Shadow Mountain Res. Lake Mead Louisiana Muddy Run Reservoir Tarryall Reservoir Nebraska Lake Mohave Atchafalaya River Offutt Base Lake Ohio River Willow Creek Res. Lake Pleasant Bayou Courtableau Missouri River Sandy Lake Lake Powell Wilson Reservoir Bayou Lafourche Zorinsky Reservoir Susquehanna River Martinez Lake Bayou Teche Mittry Lake Connecticut Intercoastal Waterway Salt River East Twin Lake Mississippi River Nevada Tennessee Topock Marsh West Twin Lake Sheridan Canal Colorado River Cumberland River Wax Lake Lake Mead French Broad River Lake Mohave Mississippi River : Yellow Bayou Arkansas Illinois Lahontan Reservoir Tennessee River Arkansas River All Waters Rye Patch Reservoir Bull Shoals Lake Maryland Dardenelle Reservoir : Susquehanna River Texas Indiana : Mississippi River All Waters New York Lake Texoma All Waters Plum Bayou Massachusetts Ray Hubbard Lake White River Trinity River Housatonic River Iowa : Clear Lake Laurel Lake North Dakota Red River California Lake Delhi Utah Anaheim Lake Lake Odessa Michigan: Electric Lake Coachella Canal : Lake Powell Lake Rathburn All Waters Ohio Colorado River Willow Creek All Waters Red Fleet Reservoir Copper Basin Reservoir Winnebago River Sand Hollow Reservoir Dixon Lake Shell Rock River Oklahoma Virgin River El Capitan Reservoir Minnesota Cedar River Charley Lake Arkansas River Imperial Reservoir Iowa River Eufaula Lake Vermont Irvine Lake Lake Erie Mississippi River Lake Le Homme Dieu Fort Cobb Reservoir Lake Bomoseen Kraemer Basin Reservoir Fort Gibson Lake Lake Champlain Lake Arrowhead Lake Superior Foss Reservoir Lake Dunmore Lake Havasu Kansas Lower Prior Lake Cheney Reservoir Grand Lake O' the Cherokees Lake Hortonia Lake Jennings Mille Lacs Lake Council Grove City Lake Kaw Reservoir Lake Matthews Mississippi River El Dorado Reservoir Keystone Lake Lake Miramar Ossawinnamakee Lake West Virginia Jeffrey Energy Center Lake Lake Texoma Buckhannon River Lower Otay Lake Pelican Lake/Red River John Redman Reservoir Lake Thunderbird Kanawha River Lake Poway Pike Lake Kansas River Lynn Lane Reservoir Monongahela River Lake Ramona Pine River Lake Afton Oologah Reservoir Ohio River Lake Skinner Pleasant Lake Lovewell Reservoir Robert S. Kerr Reservoir Martinez Lake Rebecca Lake Marion Reservoir Skiatook Reservoir Murray Reservoir Rice Lake Wisconsin: Milfred Reservoir Sooner Reservoir Olivenhain Reservoir St. Croix River All Waters Missouri River Verdigris River O’Neill Forebay St. Louis River Perry Reservoir Sooner Reservoir Parker Dam Sucker Lake Wilson Reservoir Verdigris River Rattlesnake Reservoir Upper Prior Lake Winfield City Lake San Justo Reservoir Vadnais Lake San Luis Reservoir Zumbro Lake and River San Vicente Reservoir Shadow Lake Estates Sweetwater Reservoir Walnut Canyon Reservoir .