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CS1014 DEA Authorized Purchasers Request Form

DEA Authorized Purchasers Request form Doc no: CS1014 Version: 002 Date: 5/2/2012 Page: 1 / 3 The Plaza Group, Inc. 10375 Richmond Ave., Suite 1620, Houston, TX 77042 Ph.: (713) 266-0707 Fax: (713) 266-8660 Toll: (800) 876-3738 DRUG ENFORCEMENT ADMINISTRATION (DEA) CHEMICAL DIVERSION AND TRAFFICKING ACT OF 1988 Dear Customer: The DEA is enforcing the Chemical Diversion and Trafficking Act of 1988 which requires each vendor or regulated person , as defined in this Act, to maintain records and reports of listed chemicals and certain machines which are sold, purchased, or delivered between individuals, corporations, partnerships, associations, or other legal entities. For your reference, we are enclosing the DEA List (Page 3) of chemicals that are subject to federal requirements under the Control Substance Act.

DEA Authorized Purchasers Request Form Doc no: CS1014 Version: 002 Date: 5/2/2012 Page: 2 / 3 The Plaza Group, Inc. 10375 Richmond Ave., Suite 1620, Houston, TX 77042 www.theplazagrp.com

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