Ariz. Admin. Code § R9-17-402 - Applying for a Laboratory Registration Certificate
A. To apply for a laboratory registration
certificate, an applicant shall submit to the Department the following:
1. An application in a Department-provided
format that includes: j.k. An attestation that
the information provided to the Department to apply for a laboratory
registration certificate is true and correct; and
k.l. The signatures of the
owner of the laboratory, according to
R9-17-401(A), and
the technical laboratory director and the date each signed;
a. The physical address
of the laboratory;
b. The distance
to the closest private school or public school from the laboratory;
c. The following information for the
laboratory applying:
i. The legal name of the
laboratory,
ii. Type of business
organization,
iii. Mailing
address,
iv. Telephone number,
and
v. E-mail address;
d. The name of the owner
designated to submit laboratory agent registry identification card applications
on behalf of the laboratory;
e. The
name, residence address, and date of birth of each owner;
f. The identifying number on the applicable
card or document in subsection (A)(4)(d)(i) through (v);
g. The name, residence address, and date of
birth of the technical laboratory director designated according to
R9-17-404(3)
;
h. The name, residence address,
and date of birth of each laboratory agent other than an owner or the technical
laboratory director, if applicable;
i. Whether the laboratory agrees to allow the
Department to submit supplemental requests for information;
j. A statement that, if the applicant is
issued a laboratory registration certificate, the laboratory will not begin
testing marijuana pursuant to
R9-17-317.01 until the laboratory
has been inspected and issued an approval for testing by the
Department;
2. Policies and procedures that comply with
the requirements in this Chapter that contain:
g.f. A
process for disposal of marijuana or marijuana products that are submitted to
the laboratory for testing;
a. Inventory control;
b. A chain of custody and sample requirement
process;
c. A records retention
process;
d. A secure method to
transfer the portion of a sample remaining after testing to another laboratory
with an approval for testing issued by the Department:
i. For testing of parameters or analytes that
the laboratory receiving the sample from a dispensary is not approved by the
Department to conduct, or
ii. For
retesting at the request of a dispensary according to
R9-17-317.01(C)
;
e. Security;
f. A process to ensure marijuana
or marijuana products testing results are accurate, precise, and scientifically
valid before reporting the results; and
3. If the applicant is one of the business
organizations in
R9-17-401(A)(2) through
(7), a copy of the business organization's
articles of incorporation, articles of organization, or partnership or joint
venture documents that include:
a. The name
of the business organization,
b.
The type of business organization, and
c. The names and titles of the individuals in
R9-17-401(A)
;
4. For each owner:
a. An attestation signed and dated by the
owner that the owner has not been convicted of an excluded felony offense as
defined in A.R.S. §
36-2801;
b. An attestation signed and dated by the
owner that the owner does not have a direct or indirect familial or financial
relationship with or interest in a dispensary, marijuana establishment, or
related medical marijuana business entity\ or management company;
c. An attestation signed and dated by the
owner that the laboratory will not test marijuana or marijuana products for a
designated caregiver who the owner has a direct or indirect familial or
financial relationship with;
d. An
attestation signed and dated by the owner pledging not to divert marijuana to
any individual who or entity that is not allowed to possess marijuana pursuant
to A.R.S. Title 36, Chapter 28.1;
e. A copy the owner's:
i. Arizona driver's license issued on or
after October 1, 1996;
ii. Arizona
identification card issued on or after October 1, 1996;
iii. Arizona registry identification
card;
iv. Photograph page in the
owner's U.S. passport or a U.S. passport card; or
v. Arizona driver's license or identification
card issued before October 1, 1996 and one of the following for the owner:
(1) Birth certificate verifying U.S.
citizenship,
(2) U. S. Certificate
of Naturalization, or
(3) U. S.
Certificate of Citizenship; and
f. For the Department's criminal records
check authorized in A.R.S. §§
36-2804.01 and
36-2804.07:
i. The owner's fingerprints on a fingerprint
card that includes:
(1) The owner's first
name; middle initial, if applicable; and last name;
(2) The owner's signature;
(3) If different from the owner, the
signature of the individual physically rolling the owner's
fingerprints;
(4) The owner's
residence address;
(5) If
applicable, the owner's surname before marriage and any names previously used
by the owner;
(6) The owner's date
of birth;
(7) The owner's Social
Security number;
(8) The owner's
citizenship status;
(9) The owner's
gender;
(10) The owner's
race;
(11) The owner's
height;
(12) The owner's
weight;
(13) The owner's hair
color;
(14) The owner's eye color;
and
(15) The owner's place of
birth; or
ii. If the
fingerprints and information required in subsection (A)(4)(f)(i) were submitted
to the Department as part of an application for a designated caregiver registry
identification card, dispensary agent registry identification card, or
laboratory agent registry identification card within the previous six months,
the registry identification number on the registry identification card issued
to the owner as a result of the application;
5. If zoning restrictions have been enacted,
a statement, in a Department-provided format, signed and dated within 60
calendar days before the date of the application by a representative of the
local jurisdiction:
a. Certifying that the
laboratory is in compliance with any local zoning restrictions; and
b. Including:
i. Information identifying the local
jurisdiction and the local jurisdiction's representative,
ii. The legal name of the laboratory,
and
iii. The physical address of
the laboratory as specified according to subsection (A)(1)(a);
6. A copy of
documentation issued by the local jurisdiction to the laboratory authorizing
occupancy of the building as a laboratory, such as a certificate of occupancy,
a special use permit, or a conditional use permit;
7. A site plan drawn to scale of the
laboratory location showing streets, property lines of the contiguous premises,
buildings, parking areas, outdoor areas if applicable, fences, security
features, fire hydrants if applicable, and access to water mains;
8. A building plan drawn to scale of the
building where the laboratory is located showing the:
a. Layout and dimensions of each
room;
b. Name and function of each
room;
c. Fire ratings of the
materials used for ceilings, walls, doors, and floors of rooms used to store
flammable substances;
d. Location
of each fire protection device;
e.
Layout of heating, air conditioning, exhaust, and ventilation
systems;
f. Location and layout of
refrigerated rooms or freezer rooms;
g. Location of each sink, safety shower,
other water supply, or plumbing fixture;
h. Location of fixed or movable equipment and
instruments that require dedicated electrical, water, vacuum, gas, or other
building systems;
i. Location of
security measures or equipment to protect from diversion of marijuana or
marijuana products; and
j. Means of
egress;
9. Documentation
of accreditation of the location specified according to subsection (A)(1)(a)
for which the applicant is applying for a laboratory registration
certificate;
10. The laboratory's
Transaction Privilege Tax Number issued by the Arizona Department of Revenue,
if applicable; and
11. The
applicable fee in
R9-17-102 for applying for a
laboratory registration certificate.
B. Within 72 hours after an owner receives a
laboratory registration certificate pursuant to an application submitted
according to subsection (A), the owner shall apply for a laboratory agent
registry identification card, according to
R9-17-405, for each laboratory
agent, including a technical laboratory director.
C. A change in location of the laboratory's
physical address or ownership requires a new application to be submitted
according to subsection (A).
D. A
separate laboratory registration certificate is required for each noncontiguous
portion of a laboratory.
Notes
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