Salmon Disposal Logbook Template - Alaska Department Of Fish And Game

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Page _____ of ______
Alaska Department of Fish and Game
Processor code or
Commercial Fisheries Management & Development Division
CFEC permit number
Salmon Disposal Logbook
Vessel ADF&G number
if appropriate
Vessel name
if appropriate
Date
Species
Number
Pounds
Area
Fish ticket
Reason for
Explanation
caught
issued?
disposal
Example:
x
x
Spoiled
Yes
No
Contaminated
7/7/96
Chum
200
1,400
PWS
RSW unit broke, fish delivered unrefrigerated
Diseased
Spoiled
Yes
No
Contaminated
Diseased
Spoiled
Yes
No
Contaminated
Diseased
Spoiled
Yes
No
Contaminated
Diseased
Spoiled
Yes
No
Contaminated
Diseased
Spoiled
Yes
No
Contaminated
Diseased
Spoiled
Yes
No
Contaminated
Diseased
Spoiled
Yes
No
Contaminated
Diseased
Spoiled
Yes
No
Contaminated
Diseased
Spoiled
Yes
No
Contaminated
Diseased
Spoiled
Yes
No
Contaminated
Diseased
I declare that the information provided by this salmon disposal log is true, complete and correct.
Name of legal representative
Date
Contact phone number
By December 31 of the year of disposal, mail this form to: Attention: Information Officer, ADF&G-CFMD PO 25526, 1255 West 8th St. Juneau, AK 99802-5526 (907)465-6133

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