PWS ID # and Name
(Required)
PWSID
1004000
1004001
1004005
1005000
1005001
1008000
1008004
1008006
1008008
1008009
1013000
1013001
1013002
1013004
1015000
1015001
1015002
1015003
1015006
1022001
1022002
1022004
1022006
1022009
1022010
1022011
1022013
1022015
1022017
1022019
1022020
1022021
1022022
1022026
1022027
1022028
1022029
1022030
1022031
1022032
1022033
1022035
1024000
1024001
1024002
1024006
1024009
1024011
1024012
1024013
1024015
1024021
1024022
1024023
1029000
1033000
1043001
1043002
1043004
1043005
1043008
1043011
1043014
1043015
1043017
1043018
1043019
1043020
1043025
1043026
1043027
1043028
1043029
1043030
1047000
1047002
1053002
1053004
1053007
1053008
1053011
1053014
1053015
1053016
1053017
1053018
1053021
1053023
1053024
1053025
1053026
1053027
1053028
1053029
1053030
1053031
1053032
1053033
1053034
1053035
1058000
1058001
1058002
1058009
1058011
1059000
1059004
1059012
1060002
1060003
1060004
1060005
1060006
1060008
1061000
1061003
1061004
1063003
1063005
1063008
1063009
1063012
1066000
1066001
1066004
1066005
1066007
1066008
1068003
1068004
1068005
1068006
1069001
1069002
1069003
1069007
1069009
1069010
1070000
1070001
1074000
1074001
1074002
1074005
1074007
1074008
1085000
1087000
1087002
1090000
1090002
1090004
1090008
1090009
1090012
1090014
1090015
1090018
1091000
1091003
1091004
1091005
1091007
1091008
1091009
1091011
1091012
1091014
1091016
1098004
1098005
1098009
1106000
1106002
1106004
1106006
1106008
1106009
1106011
1108004
1108007
1108008
1108009
1108010
1108011
1108012
1108014
1111000
1111001
1111002
1111003
1111005
1111006
1111009
1111010
1111013
1111014
1111015
1111018
1111020
1111025
1111027
1111028
1111029
1111031
1111032
1111033
1111034
1111035
1111036
1111037
1111038
1111039
1111040
1111041
1111042
1111043
1111044
1111045
1112000
1112001
1112002
1112003
1112005
1112006
1112008
1112009
1112010
1113000
1113001
1113003
1113006
1113008
1113012
1113013
1113015
1113016
1113017
1113027
1113028
1113030
1113031
1113033
1113034
1114000
1117002
1117004
1117005
1117006
1117007
1120001
1120002
1120004
1120006
1120007
1120008
1120009
1120011
1120013
1120015
1120017
1120018
1120019
1120020
1120021
1120022
1120023
1120024
1120026
1120027
1120029
1120030
1120033
1120034
1120035
1121002
1121004
1121005
1121008
1121009
1121010
1121011
1121013
1121015
1124000
1124001
1124002
1124003
1124007
1124008
1124009
1124011
1124012
1127000
1127001
1129003
1129004
1129005
1130001
1130002
1130003
1130004
1132000
1132002
1132003
1132005
1132006
1132008
1132009
1132011
1132013
1132014
1135001
1135003
1135007
1135011
1135012
1135013
1135014
1137000
1137003
1143000
1143002
1143003
1143006
1143007
1143008
1143009
1143010
1143011
1143013
1143014
1148000
1148004
1148008
1148009
1148011
1148014
1148015
1148016
1148018
1148019
1148020
1148022
1148023
1150000
1150003
1150009
1150011
1152000
1152002
1152010
1154000
1154001
1154003
1154004
1156001
1159000
1159001
1159002
1161001
1161002
1161003
1161004
1161005
1161006
1183001
1183002
1190000
1191000
1191001
1191003
1191004
1191007
1191008
1191009
1191010
1191011
1191012
1191013
1191014
1192000
1192002
1192003
1192004
1192005
1192006
1192007
1193000
1193002
1193003
1193007
1193008
1193011
1193014
1193015
1193017
1193018
1193019
1193020
1193022
1193023
1194001
1194002
1195001
1195003
1195004
1195005
1195008
1200003
1200005
1200006
1200007
1200009
1200010
1203000
1203002
1203007
1203009
1203011
1203012
1203014
1203015
1203017
1203018
1204001
1204002
1204003
1209000
1209001
1209002
1209003
1214000
1214001
1214003
1214004
1214005
1217000
1217001
1217002
1217003
1217004
1217005
1217006
1217007
1223000
1223006
1223010
1223011
1223012
1223013
1223014
1223015
1223016
1223017
1225003
1225005
1225006
1225008
1225009
1225010
1225011
1225012
1225013
1225014
1225016
1225017
1225018
1225020
1225021
1225022
1225024
1225025
1225028
1225030
1225034
1225036
1225037
1225038
1225040
1225041
1225043
1225044
1225045
1225046
1225047
1225048
1227000
1227001
1227002
1227003
1227007
1227010
1227011
1227012
1227013
1227014
1227015
1227017
1227018
1227019
1227020
1233002
1234001
1234003
1234004
1234005
1234006
1234008
1234011
1234012
1234013
1236000
1236011
1236013
1236016
1237001
1237003
1237005
1249000
1249003
1249004
1249005
1249008
1249009
1249010
1249011
1249012
1249013
1253002
1253003
1253004
1253007
1253009
1255000
1255001
1255003
1255004
1255005
1256000
1256002
1256003
1256004
1260001
1260004
1260006
1260007
1260008
1260009
1260010
1263003
1263005
1263008
1263010
1267000
1267001
1267002
1267007
1267008
1267010
1267011
1268000
1268001
1268002
1268003
1268008
1268010
1268011
1268014
1268016
1268017
1268018
1272001
1272002
1272003
1272004
1272005
1272006
1275000
1275001
1275003
1276000
1279000
1279001
1279002
1279003
1281000
1281001
1281003
1283002
1283003
1283009
1283010
1283012
1283013
1283015
1283016
1283017
1283019
1283022
1289000
1289001
1289002
1289004
1297002
1297006
1297007
1297008
1306001
1306002
1306003
1306004
1306005
1306006
1306008
1306009
1309000
1309001
1309007
1309008
1309009
1311000
1311001
1311002
1311004
1312002
1312005
1312007
1312010
1312012
1312013
1313003
1313005
1319001
1319003
1319004
1319006
1319007
1325000
1326000
1326005
1329000
1329002
1329006
1329007
1329008
1329009
1331003
1331004
1331005
1331007
1331009
1331010
1337002
1337005
1337006
1337007
1337010
1337012
1339000
1339004
1340000
1340001
1341000
1341002
1341003
1341004
1341005
1341006
1341007
1341009
1341010
1341011
1341012
1341014
1341016
1341023
1341024
1341028
1341029
1341030
1345001
1345002
1345003
1345005
1345006
1345007
1345008
1349000
1349002
1349003
1349006
2002000
2002002
2002010
2002013
2002014
2002017
2002018
2011000
2011001
2011002
2011003
2011004
2011005
2011006
2011008
2011009
2012002
2012003
2012004
2012005
2012006
2012007
2012008
2012009
2012010
2012012
2012013
2012014
2012015
2017000
2017001
2017004
2017012
2019000
2019001
2019003
2021000
2021001
2021005
2021007
2025000
2025001
2028001
2028002
2028003
2028004
2028005
2028006
2028007
2028009
2028010
2028011
2028012
2028013
2028015
2028017
2028018
2028019
2028020
2028021
2028022
2032000
2034001
2034002
2034003
2034004
2034005
2034006
2034007
2034010
2034011
2034012
2034014
2034016
2034017
2034018
2034019
2034020
2034021
2034022
2034023
2034024
2034025
2034026
2034027
2034028
2034029
2034030
2034031
2034032
2034033
2037001
2037002
2037006
2037007
2037008
2037009
2037010
2037012
2037013
2037014
2037017
2037018
2037019
2037020
2037021
2037022
2037023
2037024
2037025
2037026
2037027
2037028
2037030
2037031
2037033
2037034
2037035
2037036
2037037
2037038
2039000
2039008
2045000
2045001
2045002
2045004
2045005
2054005
2054007
2054010
2054011
2054013
2054016
2054017
2054019
2054020
2054021
2054022
2054026
2054027
2054029
2054030
2054032
2054033
2054034
2054035
2054037
2054040
2054050
2054051
2054052
2054053
2054055
2054056
2054060
2054064
2054065
2054068
2054070
2054072
2054074
2054075
2064000
2064001
2077000
2077001
2077002
2077003
2077005
2077006
2080000
2080001
2080003
2080004
2080005
2080006
2081000
2081002
2081003
2084000
2084001
2097000
2101000
2101001
2103000
2103003
2103004
2110000
2110001
2110002
2110003
2110004
2110006
2115000
2115001
2115002
2115003
2115007
2115008
2115009
2115010
2115011
2115012
2125000
2125001
2125002
2125003
2125005
2125006
2125007
2125010
2125011
2125012
2125013
2125014
2125015
2125016
2125017
2125018
2125019
2125020
2125021
2125022
2125023
2125024
2125025
2125026
2125027
2125028
2134000
2134005
2136000
2138000
2139000
2139001
2139002
2139003
2139004
2139006
2139007
2139008
2139010
2139011
2140001
2140002
2140003
2140004
2140005
2140006
2140007
2140008
2140009
2140010
2140011
2140013
2140014
2140015
2140016
2140017
2140018
2141000
2141001
2141002
2147000
2147002
2147003
2147004
2147005
2147006
2147007
2147008
2147009
2147010
2147011
2147012
2147013
2151000
2151001
2151002
2151006
2151007
2151009
2151010
2151012
2151013
2153000
2153001
2153003
2158000
2162000
2162001
2162005
2162008
2162010
2162011
2170000
2170006
2174000
2174001
2175000
2177000
2179000
2179001
2179002
2179003
2179004
2179005
2179006
2179007
2179008
2179009
2179011
2179013
2179014
2179016
2179018
2179021
2179022
2179023
2179024
2179025
2179026
2179027
2179028
2179029
2179031
2185000
2186000
2186001
2186003
2186005
2187000
2187002
2188001
2188004
2188005
2188006
2188007
2188008
2202001
2202003
2202004
2202005
2208000
2208001
2212000
2212002
2215000
2215003
2215004
2215005
2216000
2216006
2216007
2222001
2222002
2222003
2222004
2222009
2226000
2226001
2226003
2226004
2226007
2226008
2226009
2226011
2226012
2226013
2226016
2228000
2228001
2228005
2232000
2235001
2235002
2235003
2235004
2235005
2235006
2235007
2235008
2235009
2241001
2241002
2241003
2241005
2241006
2241007
2241010
2241011
2241012
2241013
2241015
2241016
2241017
2241018
2257000
2257002
2257003
2257004
2257005
2257006
2257007
2257008
2257009
2257010
2270000
2270001
2270002
2270004
2270006
2270009
2271000
2271003
2271004
2277000
2277002
2278000
2278002
2280000
2280001
2280002
2280004
2280005
2280006
2280007
2280008
2280010
2280011
2282000
2282001
2282003
2282004
2282005
2282006
2286000
2286002
2286003
2286004
2286005
2286006
2286007
2286008
2286009
2286010
2286011
2286012
2286014
2286016
2286017
2286018
2286019
2286020
2286021
2286022
2286023
2286024
2286025
2286026
2286027
2286028
2286029
2286030
2286031
2286032
2286033
2286034
2286035
2287000
2287003
2287005
2287007
2287009
2287010
2287012
2287015
2287016
2287020
2287024
2287025
2287029
2287031
2290001
2290004
2290005
2290006
2290007
2290009
2290010
2290012
2290013
2290014
2290016
2290017
2290018
2290019
2290020
2290021
2290022
2290024
2290025
2290026
2290027
2290028
2290029
2290031
2294000
2294001
2299000
2299002
2299003
2303000
2303002
2303003
2303004
2303005
2304000
2304001
2304002
2304003
2304004
2304005
2304006
2304007
2304008
2304010
2304012
2304013
2304014
2304015
2304017
2304018
2304019
2304020
2316000
2316001
2316002
2321000
2321002
2323000
2323001
2323002
2328000
2332000
2332001
2332002
2332003
2332004
2332005
2332006
2332007
2343000
2343001
2343002
2343004
2343005
2343008
2348000
2348002
3007000
3007001
3007002
3007003
3007004
3009000
3009002
3009003
3009004
3009005
3009007
3010000
3014000
3014001
3014002
3023000
3023001
3023002
3026000
3026001
3030000
3030001
3030002
3030003
3031000
3031001
3031003
3031004
3035000
3035001
3035002
3035003
3035004
3035005
3035006
3035007
3035009
3035010
3035013
3035014
3035015
3035016
3035017
3035018
3035019
3035020
3035021
3038000
3038001
3038006
3038008
3038009
3038010
3038011
3038012
3038013
3038014
3038015
3038016
3038017
3038019
3038020
3038021
3038022
3038024
3038025
3038026
3038027
3038028
3039001
3039014
3043048
3046000
3048000
3049000
3049001
3049002
3049003
3049004
3051000
3051004
3051005
3051006
3051007
3051008
3051009
3051010
3051011
3051012
3051013
3051016
3051017
3051018
3051019
3051020
3051021
3051022
3051023
3056000
3056001
3056002
3056003
3057000
3057001
3067000
3067002
3067003
3067004
3067005
3067006
3067007
3067008
3067010
3067011
3067012
3067013
3067014
3067016
3067017
3067018
3067019
3067020
3071000
3071002
3071003
3071004
3071005
3071006
3073000
3073001
3078000
3078001
3078002
3078004
3078005
3078006
3078008
3078010
3078011
3079000
3079001
3079002
3079003
3079004
3079005
3079006
3092000
3092001
3092003
3093000
3100000
3100001
3100002
3100003
3100004
3105000
3105001
3107000
3107001
3107002
3107004
3107005
3116000
3119000
3119001
3128000
3128001
3128002
3128003
3144000
3144002
3144004
3144005
3144008
3149000
3149002
3149004
3149005
3149006
3149007
3155000
3155001
3155002
3157000
3157001
3160000
3160001
3160002
3160003
3160004
3160005
3160006
3160007
3163000
3163001
3163002
3164000
3164001
3164003
3164004
3164005
3165000
3165001
3165002
3165003
3166000
3166001
3166002
3166003
3166004
3168000
3168001
3176000
3176001
3176002
3176004
3176005
3178000
3180000
3181000
3181002
3181003
3181004
3181005
3181006
3181007
3181008
3183003
3184000
3184002
3184003
3184005
3184006
3184008
3184009
3184010
3184011
3184012
3184013
3184014
3184015
3184016
3184017
3184033
3189000
3189001
3189002
3196000
3198000
3198002
3198003
3199000
3205001
3205002
3205003
3205004
3205005
3205006
3205007
3205008
3205009
3205010
3205011
3205012
3205013
3205014
3205017
3205018
3205021
3206000
3206001
3206002
3206019
3207000
3207001
3210000
3210001
3210002
3210003
3213000
3213001
3213002
3213003
3229000
3229001
3229002
3243000
3243001
3243002
3243003
3243004
3246000
3246001
3246002
3246003
3248000
3248001
3252000
3254000
3254002
3254003
3254004
3254005
3254006
3254008
3254010
3258000
3258001
3259000
3259001
3259002
3262000
3262001
3262002
3262004
3262005
3262006
3269002
3269003
3269004
3269005
3269007
3269008
3269009
3269010
3269011
3269012
3269013
3269014
3269015
3269016
3269017
3269018
3269019
3269020
3269021
3269022
3269023
3269024
3269025
3269026
3269027
3269028
3269029
3269030
3269031
3269032
3274000
3274001
3284000
3288000
3288001
3288002
3288003
3288004
3288005
3291000
3295000
3295001
3295002
3298000
3298001
3298003
3298004
3298005
3298006
3298007
3298008
3298009
3301000
3301002
3301004
3301006
3301008
3301009
3301011
3301012
3301016
3301017
3301018
3301019
3301020
3301021
3301023
3301025
3301027
3301029
3301030
3301033
3301034
3301035
3301036
3301037
3301038
3301043
3301045
3301046
3301047
3305000
3308000
3308001
3308002
3308003
3314000
3314001
3315000
3315001
3317000
3317001
3320000
3324000
3330000
3330004
3330010
3330013
3330019
3330024
3330025
3333000
3333001
3333002
3335001
3335002
3335003
3335004
3335005
3335006
3335007
3335008
3342000
3342002
3342003
3344000
3346000
3347000
4001000
4001002
4001005
4003000
4003002
4003004
4003005
4003006
4003007
4003009
4003010
4012017
4012019
4012020
4016000
4016001
4018000
4018002
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4041019
4042000
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4044000
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4044013
4050000
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4052014
4052017
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4055000
4055005
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4061002
4062000
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4065000
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4072000
4072001
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4072046
4075000
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4099000
4102001
4102002
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4102007
4102008
4102010
4102015
4102016
4102017
4102019
4102029
4102033
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4102037
4104003
4109000
4118000
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4122000
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4122005
4123000
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4131000
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4133000
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4145000
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4145004
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4167000
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4171000
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4172014
4172033
4172035
4172039
4172043
4172048
4173000
4173001
4182000
4182003
4182004
4182005
4182007
4182008
4182009
4182010
4182011
4182014
4182015
4182016
4182017
4182018
4197000
4197001
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4197008
4197009
4197014
4197017
4197018
4201000
4201001
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4201005
4201006
4211000
4211001
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4211003
4218000
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4220000
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4231003
4238000
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4257000
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4264000
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4285004
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4300001
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4307000
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4310000
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4310010
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4322000
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4334000
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4350000
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4351002
4351003
4351004
6000000
PWS_NAME
PWS Point of Contact
Full Name
(Required)
First
Last
Email Address
(Required)
Enter Email
Confirm Email
Product Information
Chemical or other product Distributor Company Name
(Required)
Chemical or other product Distributor Point-of-Contact Full Name
(Required)
First
Last
Chemical / Product Name
(Required)
List the chemical(s) and/or product name(s) that the PWS is experiencing difficulty obtaining.
Reason for Delay/Shortage
(Required)
Provide the stated cause of the delay/shortage in the Force Majeure or similar letter from the chemical or other product supplier/distributor.
Is the supplier/distributor unable to honor a prior contracted price?
(Required)
Yes
No
Is the chemical, or product of concern, unavailable at any cost?
(Required)
Yes
No
What is the current inventory of the chemical(s) or product(s)?
(Required)
What is the timeline for the PWS to run out of the chemical(s) or product(s)?
(Required)
What are the consequences of a shortage for the anticipated timelines?
(Required)
What steps did the PWS take to plan for such a disruption?
(Required)
Is the chemical(s) or product(s) available from another distributor (e.g. emergency supplier)?
(Required)
Yes
No
Is the chemical(s) or product(s) available from another PWS?
(Required)
Yes
No
If the chemical(s) or product(s) is available from either a different distributor or a PWS, when will it be available?
(Required)
Is there an alternate chemical or product, practice, or operational change that can be used?
(Required)
Yes
No
Is the PWS a member of MAWARN?
(Required)
MAWARN website: https://mawarn.org
Yes
No
If the PWS is a member of MAWARN, has the PWS contacted MAWARN?
(Required)
Yes
No
Was this issue included in your Emergency Response Plan (ERP)?
(Required)
Yes
No
Send a confirmation email to the email address indicated above, including all responses to the questions above.
(Required)
Yes
No