HomeMy WebLinkAboutRe: Phenobarbital in Shelter Medical Kits 1972 TEXAS DEPARTMENT OF PUBLIC SAFETY
WILSON E. SPEIR Division of Defense and Disaster Relief CD-12
Director
C. 0. LAYNE
State Coordinator
Date October 1, 1972
TO: All Civil Defense Directors
FROM: M. P. Bowden, Deputy Coordinator
SUBJECT: Phenobarbital in Shelter Medical Kits
The Bureau of Narcotics and Dangerous Drugs (BNDD) reports that only
slightly more than 25% of the phenobarbital tablets distributed in the
shelter medical kits have been reported to them as having been disposed of
in accordance with instructions and forms previously furnished.
In the event dispositions have not been reported to BNDD, please do so
with the attached forms. Instructions are contained at the bottom of the
form.
FORMAT FOR
REPORT OF DISPOSITION OF PHENOBARBITAL
FROM FALLOUT SHELTER SUPPLIES
1. NAME OF DISPOSING GOVERNMENT:
2. DISPOSITION BY TRANSFER:
a. Name and address of transferee
b. Registration Number of Transferee
c. Amount: No. of Bottles
(1) From A Kit, 500 1 /2 grain tablets per bottle
(2) From C Kit, 1,000 '/3 grain tablets per bottle
d. Date of Transfer:
e. Signature and Title of Government Official making transfer
3. DISPOSITION BY DESTRUCTION:
a. Method of Destruction:
b. Date of Destruction:
c. Amounts No. of Bottles
(1) From A Kit, 500 1 /2 grain tablets per bottle
(2) From C Kit, 1,000 1/2 grain tablets per bottle
d. Certification:
I CERTIFY THAT THE PHENOBARBITAL DESCRIBED IN 3.c.
WAS DESTROYED IN THE MANNER DESCRIBED IN 3.a.
Signature and Title of Government Official Supervising Destruction
INSTRUCTIONS
Use this form to report each disposition of phenobarbital from fallout shelter supplies.
Complete an original and one copy. Send the original to:
Bureau of Narcotics and Dangerous Drugs
Department of Justice
Room 524
1405 Eye Street, N.W.
Washington, D.C. 20537
Attention: Special Agent Willard Rutledge
Keep the copy in your files for TWO years.
1. Show the name and address of the government (State or local) or government agency
to which the phenobarbital belonged before it was disposed of.
2. Show under this item the information required for disposition by transfer. Use a separate
report form for each transferee.
a. Show name and address of agency or person to which the phenobarbital was transferred.
b. If transferee is a:xempt from registration, explain why.
c. Show number rf each size bottle transferred.
3. Show under this item the inforr, ation required for disposition by destruction.