ࡱ> %` bjbjNN .,,XXXXXXXlXMXMXM8M N ljxPbVVVVVVlbW8iiiiiii$glhndjXWVVWWjXXVVjZZZWXXVXViZWiZZXXZVP ]tXMWpZb<j0jZ3obXH3oZ3oXZWWZWWWWWjjYXWWWjWWWWlld$t-llt-lllXXXXXX UCSC Controlled Substance Use Authorization To be completed by the Principal Investigator and submitted to the Environmental Health & Safety Department Principal Investigator Name: FORMTEXT      Phone: FORMTEXT      E-mail: FORMTEXT      Mail Code: FORMTEXT      Department: FORMTEXT      Office Location: FORMTEXT       Controlled Substances Requested List all controlled substances individually; list all items which may be needed this year or are currently in possession. See EH&S website for DEA Schedule and Number information. Substance Name (Brand name in parenthesis)DEA Schedule (ex., III, L1)DEA Number (Scheduled drugs and L1 only)Estimated Need (1 year) Purpose (ex., euthanasia, analgesia)Unit Size (ex., 100 mg/ml)# Units (ex., 10 ml) FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       Project Information Provide information on this project. Include a description of your research and describe security procedures to be used for controlled substances.  Project/Protocol Title  FORMTEXT       IACUC protocol #  FORMTEXT       Protocol expiration date  FORMTEXT       Duration of project (ex., ongoing, 6 months)  FORMTEXT       Project description:  FORMTEXT        Certification of Bona Fide Use1) Will the controlled substance be used in animal research?  FORMCHECKBOX  Yes -- If yes, CARC Protocol Number:  FORMTEXT       Approval Date:  FORMTEXT       FORMCHECKBOX  No2) Will the controlled substance be used in human subjects research? FORMCHECKBOX  Yes -- If yes, IRB Protocol Number:  FORMTEXT       Approval Date:  FORMTEXT       FORMCHECKBOX  No3) Other bona fide controlled substance use? (describe)  4) Departmental Chair ApprovalBased upon the nature of the research being conducted by the aforementioned researcher, I certify that the requested use of DEA Controlled Substance(s) is legitimate and necessary for their research efforts at UCSC.Department Chair SignatureDatePrint Name Use/Storage Locations Controlled substance storage locations are strictly regulated. Contact the Controlled Substance Program Administrator at (831) 459-2553 or  HYPERLINK "mailto:ehs@ucsc.edu" ehs@ucsc.edu for more details before investing in storage devices. All facilities must be approved by the Controlled Substance Program Administrator prior to use. BuildingRoomSecurity Measures FORMTEXT       FORMTEXT       FORMCHECKBOX  Safe  FORMCHECKBOX Securely locked, substantial cabinet  FORMCHECKBOX  Locked drawer  FORMCHECKBOX Other:  FORMTEXT        FORMTEXT       FORMTEXT       FORMCHECKBOX  Safe  FORMCHECKBOX Securely locked, substantial cabinet  FORMCHECKBOX  Locked drawer  FORMCHECKBOX Other:  FORMTEXT       Other Field Use:  FORMCHECKBOX  Yes --  FORMCHECKBOX  NoLocation:Security Methods: EH&S Approval FORMTEXT       Name FORMTEX4VX 0 2 6 8 : < L P f j l t x z ùtetSeI$a$gd3 $ a$gd :x  & N czkd$$Ifl\6$ xp$44 layt4Z(($If^Zgd3(($If^gd3   & ( < > @ J L N P h j ~ q_q#jhyahXUPJU^JjhyahXUPJU^JhyahXUPJ^J#jhyah3PJU^J#jGhyah3PJU^Jhyah35OJPJQJ,jhyah3PJQJU^JmHnHu#j0hyah3PJU^Jjhyah3PJU^Jhyah3PJ^JN P h tcRRZ(($If^ZgdD(($If^gd3Z(($If^Zgd3zkd7$$Ifl\6$ xp$44 layt4  C E F T U o Ͻϯre[OD7hj6CJPJ^JaJhj5CJPJ^Jhyahj5PJ^JhHAhCC5^Jh :hCCCJ^JaJh :h :CJ^JaJhyah :5CJ^JaJhyahCC5CJ^JaJh :CJOJQJh3CJOJQJhyahXU5OJPJQJ#j@hyahXUPJU^JhyahXUPJ^JjhyahXUPJU^J,jhyahXUPJQJU^JmHnHu E tt__bxx$If]b^gdv>I B^`gd3zkd$$Ifl\6$ xp$44 layt4E F q xdddd$(($If^a$gdCC$(($If^a$gdjskdI$$Ifl$$  %0$4 lap %ytCCo p q } ~        ' ( ) * + 5 6 ʼʕʃʕs`s%jhjCJOJPJQJUjhjCJOJPJQJUhj6CJPJ^JaJ hj5hhj6CJPJ^JaJhjCJOJPJQJhj6CJPJ^Jhhj6CJPJ^Jhj5CJPJ^Jhyahj5PJ^JhHAhj5CJPJ^JhB}hj6CJPJ^JaJ! 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Primary Controlled Substance Lab Contact Information: (This person will be contacted first when CS shipments arrive for pick up, audit scheduling, etc.) Name: FORMTEXT      Phone: FORMTEXT      E-mail: FORMTEXT      Mail Code: FORMTEXT       Secondary Lab Contact Information (if appropriate): (This person will be contacted as a backup for Primary Controlled Substance Lab Contact.) Name: FORMTEXT      Phone: FORMTEXT      E-mail: FORMTEXT      Mail Code: FORMTEXT       Authorized Personnel: List names of people authorized by the Principal Investigator to pick up CS shipments: (include lab contacts here as well, if applicable) Name (print)Authorized User Status form submitted to EH&S? FORMTEXT       FORMTEXT       FORMTEXT       List names of all additional people authorized by the Principal Investigator to access, dispense, and/or handle CS: (those people authorized (in part A, above) to pick up shipments do not need to be listed here) Name (print)Authorized User Status form submitted to EH&S? FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       I authorize the personnel listed above to use Controlled Substances under my CSUA, signed: Principal Investigator signature: Date: SignatureI understand that I must successfully pass a criminal background check before I am authorized to work with controlled substances. I understand that all individuals in my lab that I authorize to work with these controlled substances must also successfully pass a criminal background check. I understand that I must keep the list of authorized employees current by communicating with EH&S whenever an individual leaves or I intend to authorize a new individual. I understand that I must provide proper security for the controlled substances at all times and keep accurate inventory and usage records. I certify that (1) the information provided on this form is accurate; (2) that I am familiar with the requirements of the UCSC Controlled Substances Program; and (3) all uses of these controlled substances will be in accordance with these requirements and in compliance with DEA regulations. FORMTEXT       Print Name  FORMTEXT       SignatureDate     CSUA_05_26_09  "$(|@d[FFbxx$If]b^gd^gd3kd6$$IflF &6$ ~ 0$    4 layt|(($If^gdHx@BDxzzzziXii(($If^gd4Z(($If^Zgd4^gd4^gd3skd7$$Ifl6$$  %0$4 lap %yt BDF>@xzҖԖ֖ùùêv_M_#j8hyah4PJU^J,jhyah4PJQJU^JmHnHu#jx8hyah4PJU^Jjhyah4PJU^Jhyah4PJ^Jh4PJ^JhhCJOJQJaJhf&nCJ^JaJhf&nhCJ^JaJhh5CJOJQJaJhf&nhf&n5^Jhf&nh5^Jh5CJOJQJ4\tctt(($If^gd4Z(($If^Zgd4zkdh9$$Ifl\6$ xp$44 layt4 46JLNXZ\^`rėƗȗʗ|׮׮񓌂xhZOBhf&nhCJ^JaJhf&n5CJ^JaJhf&nh5CJ^JaJhh5CJOJQJaJhf&nh5^Jhf&nhf&n5^J hf&n5^Jh4h4^J#jq:hyah4PJU^J,jhyah4PJQJU^JmHnHu#j9hyah4PJU^Jjhyah4PJU^Jhyah4PJ^Jhyah45OJPJQJ\^`ʗĘ||||kZkk(($If^gd4Z(($If^Zgd4^gd4zkd:$$Ifl\6$ xp$44 layt4 |~ĘƘژܘޘ"$<>RʿugU#j<hyah4PJU^Jhyah45OJPJQJ#j;hyah4PJU^J,jhyah4PJQJU^JmHnHu#jz;hyah4PJU^Jjhyah4PJU^Jhyah4PJ^Jh4PJ^JhhCJOJQJaJhh5CJOJQJaJhf&nh5CJ^JaJ&<dtctt(($If^gd4Z(($If^Zgd4zkdj<$$Ifl\6$ xp$44 layt4RTV`bdfhܙ "Ě޼wmwcwmwYK=h.?h5p5CJ^JaJhf&nh4>*CJ^JaJhCJ^JaJhf&nCJ^JaJhG +CJ^JaJhf&nhCJ^JaJhf&nhf&n5^Jhf&nh5^J hG +5^JhhCJOJQJaJhyah45OJPJQJhyah4PJ^J,jhyah4PJQJU^JmHnHujhyah4PJU^J#js=hyah4PJU^Jdfhƚ$|ooo^J$(($If^a$gd.?(($If^gd4 ]^gd4^gd4zkd=$$Ifl\6$ xp$44 layt4Ěƚ"&(<>@JLRThjlvx~ŔʼnsŔʼn]ŔʼnPPh.?hCJ^JaJ+j4Ah.?h5pCJPJU^JaJ+j$@h.?h5pCJPJU^JaJhyah5pPJ^J4jh.?h5pCJPJQJU^JaJmHnHu+j?h.?h5pCJPJU^JaJ%jh.?h5pCJPJU^JaJh4h5pCJPJ^JaJh5pCJ^JaJh.?h5pCJPJ^JaJ$&NPs_$(($If^a$gd.?(($If^gd4{kd|>$$Ifl0,0U44 layt :PRz|s_$(($If^a$gd.?(($If^gd4{kd?$$Ifl0,0U44 layt :|~s_$(($If^a$gd.?(($If^gd4{kd@$$Ifl0,0U44 layt :TVpΝwwwfR$(($If^a$gd5p(($If^gd5p ]^gd.?{kdA$$Ifl0,0U44 layt :TVnp̝НҝoTIhyah5pPJ^J4jh.?h5pCJPJQJU^JaJmHnHu+jBh.?h5pCJPJU^JaJ%jh.?h5pCJPJU^JaJh4h5pCJPJ^JaJh5pCJ^JaJh.?h5pCJPJ^JaJh.?h5p5CJ^JaJh>*CJOJQJaJh.?h5CJ^JaJh.?hCJ^JaJhG +CJ^JaJΝНs_$(($If^a$gd5p(($If^gd5p{kdDB$$Ifl0,0U44 layt :$&s_$(($If^a$gd5p(($If^gd5p{kdTC$$Ifl0,0U44 layt : "(*>@BLNTVjlnxzžְְֻֻ֡֡uְֻ֡_ְֻ֡+jGh.?h5pCJPJU^JaJ+j Fh.?h5pCJPJU^JaJ+jDh.?h5pCJPJU^JaJh.?h5pCJPJ^JaJhyah5pPJ^J4jh.?h5pCJPJQJU^JaJmHnHu%jh.?h5pCJPJU^JaJ+jCh.?h5pCJPJU^JaJ&(PRs_$(($If^a$gd5p(($If^gd5p{kddD$$Ifl0,0U44 layt :RT|~s_$(($If^a$gd5p(($If^gd5p{kdtE$$Ifl0,0U44 layt :~s_$(($If^a$gd5p(($If^gd5p{kdF$$Ifl0,0U44 layt :Ԟ֞s_$(($If^a$gd5p(($If^gd5p{kdG$$Ifl0,0U44 layt :žĞƞОҞ؞ڞ(*02FHJTV\^rְְֻֻ֡֡uְֻ֡_ְֻ֡+j\Kh.?h5pCJPJU^JaJ+jLJh.?h5pCJPJU^JaJ+j*CJOJQJaJ+jNh.?h5pCJPJU^JaJ+j|Mh.?h5pCJPJU^JaJh.?h5pCJPJ^JaJhyah5pPJ^J4jh.?h5pCJPJQJU^JaJmHnHu%jh.?h5pCJPJU^JaJ+jlLh.?h5pCJPJU^JaJs_$(($If^a$gd5p(($If^gd5p{kdL$$Ifl0,0U44 layt :ܟޟs_$(($If^a$gd5p(($If^gd5p{kdM$$Ifl0,0U44 layt :ޟ wnnneM$$ xx$If]gd :^gd3^gd.? 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