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A person who holds a permit under this chapter shall submit an annual report not later than December 15 to the department. The report must be made on a form prescribed by the department and contain information pertaining to

(1) species;

(2) the brood stock source;

(3) the number, age, gender, and size of spawners;

(4) the number of eggs collected and juveniles produced; and

(5) the number, age, gender, and size of harvested shellfish attributable to releases by the permit holder.