Biennial Controlled Substance Inventory Record Form
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1135 College Street, Suite 100
New Haven, Connecticut 06510-2411
Telephone: 203 785-3550
Fax: 203 785-7588
Biennial Controlled Substance Inventory Record Form
ehs.yale.edu
(Use a separate line for each container)
Principal Investigator:
Schedule III-V
Schedule I-II (must use separate sheet)
Controlled Substance Name
Form/Strength
Quantity
Notes/Comments
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Completed by (signature):
Date:
Time:
Rev. 4/24/17
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Parent category: Medical