Maryland Controlled Dangerous Substances Researcher Questionnaire (Page 3 of 4) in pdf

As described above

9. How will controlled substances be stored?

Controlled substances, by DEA Regulations, are to be kept under secure conditions at all times and are to be accessible to

approved users ONLY. Secure conditions include "under lock and key at all times except when receiving inventory or

removing inventory for use":

• In a locked safe,

• In a locked drawer or cabinet within a room behind a locked door,

• Key or combination to safe, cabinet, or drawer lock accessible to approved users ONLY.

• In Regard to FIELD USE: The responsible person must be notified in advance and approve if controlled substances are to

be used in a location away from primary location listed in the application.

PLEASE READ AND INITIAL THE FOLLOWING REQUIREMENTS AND RECOMMENDATIONS

Take a inventory of all CDS items prior to the opening of the business. If no CDS products are present, state "No

CDS products at opening of business". [21 CFR 1304.11]

(initial__________)

You are required to take a biennial CDS inventory, which is a physical inventory of all controlled substances on

hand that is taken at least every two years. The biennial inventory may be taken on any date which is within two

years of the previous biennial or opening inventory date. [21 CFR 1304.11]

(initial__________)

It is recommended that you keep a perpetual inventory of CDS products, which serves as an up to date record of

all CDS products on hand.

(initial__________)

Invoices for schedule III-V must be dated upon receipt. It is recommended that these invoices by filed separately.

[21 CFR 1304.21]

(initial__________)

DEA Form 222, which must be used to order schedule I-II products, must be signed by the DEA Registrant. Power

of Attorney may be executed by the registrant to allow others to sign the DEA 222 form. [21 CFR 1005.05]

(initial__________)

When schedule I-II orders are received, the quantity and date received must be recorded for each line item on

DEA Form 222. [21 CFR 1305.13(e)]

(initial__________)

Executed DEA 222 Forms must be maintained separately from other records and kept readily available for 2

years. [21 CFR 1305.17]

(initial__________)

Any significant loss or theft of CDS product must be reported immediately upon discovery, within one business

day, in writing to DEA and the Division of Drug Control. A DEA Form 106 must be completed for any unresolved

loss, with the original sent to DEA and a copy sent to DDC. [COMAR 10.19.03.12A(1)]

(__________)

Signature of Applicant __________________________________

Date ____________________

Division of Drug Control • 4201 Patterson Avenue • Baltimore, Maryland 21215-2222

410-764-2890 • Fax 410-358-1793 • TTY for Disabled - Maryland Relay Service 1-800-735-2258

Maryland Controlled Dangerous Substances Researcher Questionnaire Page 3