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OMB NO. 1117-0042 EXP. DATE TYPE OF REPORT NATIONAL CLANDESTINE LABORATORY SEIZURE REPORT Lab Seizure Chem/Glassware/Equip Seizure Only Dumpsite Seizure Only Entered data must meet 28 CFR Part 23 guidelines. Sr. etc. DOB MMDDYYYY Phone Type First Name Home Height Weight lbs Cell/Mobile Suspect Residence Information Street Number Male Pager Race Phone Number Nationality US MX etc. Female Hair Color Eye Color...
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dea form 612
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