P-Registers

PDEA form for P-Registers

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PDEA P Register 1-14
(Records required of a retailer)
CPECS (name, form, purity, packaging)

OUT

IN
Date
Received

Supplier Information:
Name, address, PDEA
license no.

Name of
Trucker/
Carrier

Lot/Batch
No.

Quantity
Received

Initial Stock / Balance Forwarded _____
Date Sold

Name of Purchaser

Address

Lot/Batch or Ref.
No.

Quantity Sold

Balance

Page No.

PDEA P Register 2-14
(Records required of a P3 / P5-IM/P6) license holders
CPECS (name, form, purity, packaging)

IN

Date
Received

OUT
Supplier Information:
Name, address, PDEA
license no.
-----If imported, Exporter
name, country of origin,
SP No. and date issued

Name of
Trucker/
Carrier

Lot/Batch
No.

Quantity
Received

Date Used

Initial Stock / Balance Forwarded _____

Details of usage

Work Order No., if any

Lot/Batch No. of
used CPECs

Quantity Used

Balance

PDEA P Register 3-14
(Records required of a distributor

Page No.
CPECS (name, form, purity, packaging)

OUT

IN
Date
Received

Supplier Information:
Name, address, PDEA
license no.

Name of
Trucker/
Carrier

Lot/Batch
No.

Quantity
Received

Date Sold
or
delivered

Initial Stock / Balance Forwarded _____
Name of Purchaser

Address

Note: Items locally acquired are sold as is. No relabeling or repackaging done otherwise secure P5-C license instead.

P-license
No.

Name of
Trucker
/Carrier

Lot/Batch
No. of sold
CPECs

Quantity sold
or delivered

Balance

PDEA P Register 4-14
(Records required of an importer/distributor)

Page No.
CPECS (name, form, purity, packaging)

IN
(Arrival at
Port of
Entry)
and Date
Received

OUT
Supplier Information:
Exporter name, country of
origin, SP No. and date
issued

Initial Stock / Balance Forwarded _____
Balance

Name of
Trucker/
Carrier

Lot/Batch
No.

Quantity
Received

Date Sold
or
delivered

Name of Purchaser

Address

Note: Items imported are sold as is. No relabeling or repackaging done otherwise secure additional P5C license.

P-license
No.

Name of
Trucker
/Carrier

Lot/Batch
No. of sold
CPECs

Quantity sold
or delivered

PDEA P Register 5A-14
(Records required of a manufacturer and distributor of HCl or H2SO4)
Page No.

CPECS (name, form, purity, packaging)

IN
Date
produced

OUT
Manufacturing details
(ex. by-product of
manufacture 1000Kgs noncontrolled substance

Lot/Batch
No. of
produced
CPECs

Quantity
of
produced
CPECs

Date Sold,
delivered
or
exported

Initial Stock / Balance Forwarded _____
Name of Purchaser

Address

P-license
No.
or EP No.

Name of
Trucker
/Carrier

Lot/Batch
No. of sold
CPECs

Quantity sold
or delivered

Balance

PDEA P Register 5B-14
(Records required of a manufacturer of CPECs Mixtures)

Page No.

CPECS (name, form, purity, packaging)

IN

Date
received

OUT
Supplier Information:
Name, address, PDEA
license no.
-------If imported: Exporter name,
country of origin, SP No. and
date issued

Lot/Batch
No.

Quantity
received

Date used

Initial Stock / Balance Forwarded _____
Purpose:
Name, form, purity of
CPECs mixtures to be manufactured

Work Order no., if any

Theoretical Yield (and
Actual Yeld, if it differs with
the T Yield)

Lot/Batch
No. of
produced
CPECs
Mixtures

Quantity
Used

Balance

PDEA P Register 5C-14
(Records required of a manufacturer in distribution of its manufactured CPECs mixtures)

Page No.

CPECS Mixture (name, form, purity, packaging)

IN
Date
produced

OUT
Production details
(Ex. Work Order No.)

Lot/Batch
No.

Quantity
produced
(Actual
Yield)

Date Sold
or
delivered

Initial Stock / Balance Forwarded _____
Name of Purchaser

Address

P-license
No.

Name of
Trucker
/Carrier

Lot/Batch
No. of sold
CPECs

Quantity sold
or delivered

Balance

PDEA P Register 5D-14
(Records required of a recycler and its distribution of recycled CPECs)

Page No.

CPECS (name, form, purity, packaging)

IN
Date
received

OUT
Supplier Information:
Name, address,
PDEA license no.

Lot/Batch
No.

Name of
Trucker/
Carrier

Quantity
received

Date
recycled

Initial Stock / Balance Forwarded _____
Lot/Batch
No.

Quantity
Recycled

Date Sold
or
delivered

Name of Purchaser

Address

P-license
No.

Name of
Trucker
/Carrier

Lot/Batch
No. of
sold
recycled
CPECs

Quantity
sold or
delivered

Balance