Dear Water/Wastewater Operator,

EPA has asked NRWA to collaborate with them to develop a picture of the supply chain shortfall for chlorine products. Your participation in this survey is critical so that the federal government can ensure that chemical producers and re-packagers assign high priority to water sector facilities. Thank you for your assistance by providing information to this short 9 question survey. 

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* 1. Please enter your utility name:

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* 2. What is your facility type?
(Select all that apply.)

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* 4. Is your utility experiencing challenges securing chlorine products?

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* 5. If yes, please provide the names of these chemicals:
(e.g. sodium hypochlorite, gaseous chlorine, calcium hypochlorite)

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* 6. Who is your chemical provider?

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* 7. What is your estimated time until your supply will run out?
(in weeks)

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* 8. What is your current utilization?
(e.g., 100 gallons per week for sodium hypochlorite, 1 ton every two weeks for gaseous chlorine, 50 pounds per week for calcium hypochlorite)

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* 9. What chemical concentration do you use?
(e.g., 12.5% sodium hypochlorite/bleach, 100% available for chlorine gas)

Thank you for taking the time to answer this survey.

T