Division Section B. Details of each Schedule 1 ch - Instrument of Approval of Forms - Section B. Details of each Schedule 1 chemical expected to be produced, acquired, used or transferred

USE ONE COPY OF THIS PAGE FOR EACH SCHEDULE 1 CHEMICAL EXPECTED TO BE PRODUCED, ACQUIRED, USED OR TRANSFERRED

11. IUPAC chemical name or, if unknown,Schedule 1 family name
12. Structural formula
13. CAS registry number (if assigned)
14. Quantity anticipated to be produced
15. Anticipated periods of production (indicate months when activity is expected)
16. Purpose of anticipated production
17. Quantity likely to be acquired
18. Details of supplier
19. Purpose of anticipated acquisition
20. Quantity likely to be consumed
21. Maximum quantity likely to be stored
22. Quantity likely to be transferred from the facility
23. Details of recipient of any likely transfer

Section B. Details of each Schedule 1 chSection B. Details of each Schedule 1 chemical expected to be produced, acquired, used or transferred