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Fluoride Monitoring & Reporting Forms

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Overview & Background Information

Community Water Fluoridation Information for Water Operators , Open PDF file, 505.62 KB (English, PDF 505.62 KB)
Community Water Fluoridation Information for Water Operators , Open DOCX file, 1.37 MB (English, DOCX 1.37 MB)
Cover Letter for Updated Fluoridation Monitoring & Reporting Forms, Open PDF file, 24.87 KB (English, PDF 24.87 KB)
Fact Sheet: Increasing Color in Some Fluorosilicic Acid Products

Daily Reporting Forms

Massachusetts Department of Public Health Daily Fluoridation Report Instructions, Open PDF file, 14.56 KB (English, PDF 14.56 KB)
Fluoride Dosage Calculations for use with Mass. Department of Public Health Daily Fluoridation Report, Open PDF file, 11.06 KB (English, PDF 11.06 KB)
Fluoride Daily Reporting Form, Open PDF file, 16.44 KB (English, PDF 16.44 KB)
Fluoride Daily Reporting Form, Open DOC file, 140.5 KB (English, DOC 140.5 KB)

Daily Reporting Forms for Fluoridation Compounds

Instructions for Fluoride Reporting, Open PDF file, 9.38 KB (English, PDF 9.38 KB)
Sodium Fluoride by Cubic Feet Reporting Form, Open PDF file, 16.96 KB (English, PDF 16.96 KB)
Sodium Fluoride by Cubic Feet Reporting Form (MS Excel), Open XLS file, 51 KB (English, XLS 51 KB)
Sodium Fluoride by Gallons Reporting Form, Open PDF file, 16.96 KB (English, PDF 16.96 KB)
Sodium Fluoride by Gallons Reporting Form (MS Excel), Open XLS file, 50 KB (English, XLS 50 KB)
Hydrofluorosilicic Acid Reporting Form, Open PDF file, 16.69 KB (English, PDF 16.69 KB)
Hydrofluorosilicic Acid Reporting Form (MS Excel), Open XLS file, 48.5 KB (English, XLS 48.5 KB)
Sodium Silicofluoride Reporting Form, Open PDF file, 16.66 KB (English, PDF 16.66 KB)
Sodium Silicofluoride Reporting Form (MS Excel), Open XLS file, 40.5 KB (English, XLS 40.5 KB)

Weekly Reporting Form

Massachusetts Department of Public Health Weekly Fluoridation Report Instructions, Open PDF file, 9.58 KB (English, PDF 9.58 KB)
Fluoride Weekly Reporting Form, Open DOC file, 113.5 KB (English, DOC 113.5 KB)
Fluoride Weekly Reporting Form, Open PDF file, 23.33 KB (English, PDF 23.33 KB)

Monthly Reporting Form

Massachusetts Department of Public Health Monthly Fluoridation Report Instructions, Open PDF file, 7.91 KB (English, PDF 7.91 KB)
Fluoride Monthly Reporting Form, Open DOC file, 66 KB (English, DOC 66 KB)
Fluoride Monthly Reporting Form, Open PDF file, 18.77 KB (English, PDF 18.77 KB)

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