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Get Usc Controlled Substance Disposal Form

Phone #: Room: Instructions 1. List the controlled substance name and strength (e.g. 100 mg/ml) in column 1, amount of controlled substance in column 2 (e.g. 3 packages of 100 tablets, 1 package with 33 tablets out of 100).Note: The exact amount of the controlled substance must be specified. 2. Completed form must be signed and dated by principal investigator or authorized user. 3. Send original copy of form to EH&S MC: 8007 or Faxed at (650) 725-3468. The PI must also keep a copy. 4.

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