Form EPIC-143 National Clandestine Laboratory Seizure Report

NATIONAL CLANDESTINE LABORATORY SEIZURE REPORT!INSTRUCTIONS
PURPOSE: The National Clandestine Laboratory Seizure Report!(EPIC Form 143) and the Clandestine Laboratory Seizure
System (CLSS) include data pertaining to clandestine laboratories seized in the United States by local, State and Federal law
enforcement agencies. (The entered data must meet Department of Justice 28 CFR Part 23 guidelines.) The CLSS is a
Privacy Act System of Records. The records contained in the system are under the control and custody of the Drug
Enforcement Administration (DEA), and are maintained in accordance of Federal laws and regulations. Use of the information
is limited to law enforcement agencies in connection with activities pertaining to the enforcement of criminal laws.
Accordingly, disclosure, release or dissemination of information obtained through accessing the CLSS is strictly prohibited
without the express written consent of the DEA. The El Paso Intelligence Center (EPIC) is the central repository for these
data. The data will be useful in determining, among other criteria, the types, numbers, and locations of laboratories seized;
manufacturing trends; precursor and chemical sources; the number of children and law enforcement officers affected; and
investigative leads. The data may also be useful to agencies in justifying and allocating current or future resources. Further
information can be obtained on RISS.NET at URL http://clanlab.riss.net.
TYPE OF REPORT: (top right corner) Check only one box to indicate the type of seizure being reported.
LAB SEIZURE: CLANDESTINE LABORATORY DEFINED: “An illicit operation consisting of a sufficient
combination of apparatus and chemicals that either has been or could be used in the manufacture or
synthesis of controlled substances.” Check this box only if the seizure meets this definition.
CHEM/GLASSWARE/EQUIPMENT SEIZURE: A seizure of only chemicals, glassware, and/or equipment normally
associated with the manufacturing of a controlled/illicit substance, but there is insufficient evidence that the items were used
in the manufacture of a controlled/illicit substance.
DUMPSITE SEIZURE: A location where discarded laboratory equipment, empty chemical containers, waste by products,
pseudoephedrine containers, etc., were abandoned/dumped. There was no lab found with this seizure.
I.

REPORTING OFFICE: Indicate the date of seizure (MMDDYYYY). Identify the seizing agency, ORI number,
agency location (city and state), case or file number, reporting officer (first and last name) and telephone number.
These are mandatory fields. The file title is not a mandatory field, but it can be queried. The primary subject’s name
is often times used as the file title. Under “Reporting Officer/Agent” provide the full name and telephone number of
the person submitting the information and any other person that can be contacted for further information or
investigative referrals. Place additional phone numbers in the Remarks Section. The COPS number (‘S’ number) is
assigned by DEA to agencies requesting DEA funding for lab clean up and should be provided if applicable. If more
than one agency was involved in the seizure, the same identifying information can be placed in the database with each
participating agency. Place additional agency information in the Remarks Section.

II.

SEIZURE LOCATION: Check the box that most closely describes the location of the seizure. Vehicle is used for
anything on wheels, to include cars, trucks, tractor-trailer, recreational vehicles, etc. Family dwelling includes
residences or mobile homes. Use Remarks Section for additional information.

III.

SEIZURE NEIGHBORHOOD: Check the box that most closely describes the surrounding area. An urban area is a
city or town, suburban is the outskirts of a city or town, and rural is the countryside or an agricultural area. If the
seizure occurs on public land, indicate the official name of the land.

IV.

ESTIMATED LAB CAPACITY: Estimate the amount the seized lab could have produced, per cooking cycle, based
on the amount of precursors, chemicals, and equipment at the lab site. This should be a best estimate, based on on-site
observations or intelligence. This field is mandatory if the Type of Report!has been checked as a Lab Seizure.

V.

LABORATORY STATUS: A laboratory is considered operational if all the necessary chemicals and apparatus are
present, and it is set up so that a chemical synthesis can begin within a short period of time. Anything not considered
an operational laboratory should be reported as non-operational.
Other choices include Abandoned,
Boxed/Dismantled, or Explosion/Fire. Check all that apply. This field is mandatory if the Type of Report!has been
checked as a Lab Seizure.

VI.

LAB MANUFACTURING PROCESS: Check one. Choose the primary manufacturing process. Check Hydriodic
Acid manufacturing or Ephedrine or Pseudoephedrine tablet extraction ONLY if the lab was operated solely for this
purpose (i.e., the lab being reported was NOT manufacturing methamphetamine). In the OTHER block, indicate any
substitute chemicals used.

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EPIC Form 143 Instructions (Rev. 06/04)

VII.

LABORATORY EQUIPMENT: Check the box that most closely describes the type of glassware and apparatus
seized. Professional/retail indicates chemistry/research-type equipment. If available, provide information on the
manufacturer, seller, etc. Remember, purchaser information is available on some equipment; therefore, the recording
of brand name, model number, and serial number is encouraged for possible investigative follow-up.

VIII.

LABORATORY TYPE: Check the type of drug being manufactured or produced. The tablet extraction box
indicates the seizure of an extraction-type laboratory only (e.g. pseudoephedrine tablets). Check all boxes that apply.

IX.

SEIZURE/LABORATORY ADDRESS: List the laboratory’s complete address, including county, state, and zip
code. (County and state are mandatory fields.) In the case of a traffic stop, indicate the location of the stop. If a
seizure takes place in a rural area where there are no numbered addresses, put in the closest reference point (i.e., (2
miles West of County Road 220). Latitude/longitude for rural labs with no address are the best alternative.

X.

CHEMIST AND CLEAN-UP PERSONNEL: This is a mandatory field. Check the appropriate box and provide
the name of the HAZMAT contractor. Evaluation of Hazmat Contractor is mandatory for all DEA reported seizures.

XI.

PERSONS AFFECTED: Check all boxes that apply. The number of children affected is a mandatory field. Total
children affected would include children residing (not necessarily present) and any children visiting. (If anyone was
injured or killed at the lab site, provide additional details in the Remarks Section.)

XII.

WEAPONS/EXPLOSIVES SEIZED: Type of weapon is considered a handgun, shotgun, rifle, assault rifle, etc.
The number indicates how many of the same make and model were seized. Under Description, indicate Make, Model
and Caliber of the weapon. If a Booby Trap was encountered, indicate whether it was explosive, chemical or
mechanical and any other identifying information.

XIII.

QUANTITY OF ALL DRUGS SEIZED AT LAB SITE: Check all boxes that apply and provide quantity and unit
of measurement. This category includes finished drugs, unfinished drugs, as well as manufactured drugs in solution
(e.g. 22 grams of meth; 200 milliliters of meth in solution) and other types of drugs found, but not necessarily
manufactured, at the lab site.

XIV.

PRECURSOR/CHEMICAL SOURCE: Specify precursor and check the box that indicates the source.
Manufacturer and distributor information, including lot or identification numbers, should be reported. Additional
precursor information should be continued in the Remarks Section.

XV.

PRECURSOR AGENTS/ CATALYSTS/ SOLVENTS/ REAGENTS SEIZED: Check all known precursors/chemicals

used and provide applicable amounts (as indicated by seized containers and chemical analysis). If ephedrine or
pseudoephedrine is seized, ‘packaging’ is a mandatory field. For bulk amounts, use weight amount. For tablets, use
pill counts and dosage units (i.e., Pseudoephedrine – “250 Tablets/60 mg”). For blister packs, indicate number of
blister packs, tablet count per pack, dosage unit size, and any brand name and lot number information (i.e.,
“Pseudoephedrine – 20 blister packs, 48 tabs each, 120 mg”). If known, select the source of the ephedrine or
pseudoephedrine. Provide manufacturer, brand and lot number information where available. Include amounts of
empty containers that are found (e.g., 2 ea empty 11oz Ether cans, etc.) When reporting cans or containers of an item,
indicate the capacity/size of the containers. (Use Remarks Section for additional space.)
XVI.

CRIMINAL AFFILIATION: Check the box for any known affiliation that applies to the subjects of the
investigation. If the name of the organization is not known, put ‘unknown’ in the Organizational Name field.

XVII.

SUSPECT/CRIMINAL BUSINESS/CRIMINAL VEHICLE INFORMATION: Provide the suspect’s full name,
DOB and address, including county and zip code. Include any other available identifying information. Provide
business name and address and vehicle information if criminally associated. (Use additional sheets as necessary.)

XVIII. DEA REPORTING ONLY: Provide the GDEP Identifier, DEA office and case number (if other than reporting
office), Special Agent’s name and telephone number.
XIX.

REMARKS SECTION: Please use this section to expand on any answers or for any additional relevant information.

If additional assistance is needed, contact the CLSS Help Desk 1-888-USE-EPIC (Option 7), EPIC Watch at (915) 760-2200 or
toll free inside Texas 1-800-351-6047; outside Texas 1-800-527-4062. Completed National Clandestine Laboratory Seizure
Reports should be e-mailed to [email protected] or faxed to UNCLASSIFIED (915) 760-2913 or CLASSIFIED
(915) 760-2538 or mailed to:

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EPIC Form 143 Instructions (Rev. 06/04)

El Paso Intelligence Center
ATTN: Clan Lab
11339 SSG Sims Street
El Paso, Texas 79908-8098
XX. PAPERWORK REDUCTION ACT NOTICE: See Title 44 United States Code, Chapter 35. This form enables law
enforcement agencies to report!information concerning the seizure of clandestine laboratories that manufacture illicit
substances. This information will be used by law enforcement agencies to assist in developing effective interdiction strategies
and to allocate resources, and to provide valuable information to policy makers concerning the scope and breadth of illicit drug
manufacturing operations. Under the Paperwork Reduction Act, a person is not required to respond to a collection of
information unless it displays a valid OMB control number. We try to create forms and instructions that are accurate, can be
easily understood, and which impose the least possible burden on you to provide us with information. The specific
circumstances surrounding the seizure of a clandestine laboratory may make this a bit more difficult at times. The estimated
average time to complete and file this form is as follows: (1) 15 minutes for the user to become familiar with the form; (2) 30
minutes to complete the form; and (3) 15 minutes to file the form electronically or to prepare the form for mailing, for a total
estimated time of 60 minutes per form. If you have comments regarding the accuracy of this estimate, or suggestions for
making this form simpler, you can write to: Drug Enforcement Administration, El Paso Intelligence Center, 11339 SSG Sims
Street, El Paso, TX 79908-8098. Any agency of the United States government may not conduct or sponsor, and a person is
not required to respond to a request for collection of information unless it contains an OMB control number.
OMB No. 1117-0042

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EPIC Form 143 Instructions (Rev. 06/04)

OMB NO. 1117-0042
EXP. DATE: 04/30/2007

NATIONAL CLANDESTINE
LABORATORY SEIZURE REPORT

TYPE OF REPORT*
Lab Seizure
Chem/Glassware/Equip Seizure (Only)
Dumpsite Seizure (Only)

Entered data must meet 28 CFR Part 23 guidelines.
I

Reporting Office (An asterisk symbol (*) indicates a mandatory field)

Seizure Date* (MMDDYYYY)
Agency State*

Agency*

ORI*

Case or File Number*

File Title

Reporting Officer/Agent Name* (First, Last)

II

Agency City*

Telephone Number*
(
)

COPS Number (DEA ‘S’ Number)

Seizure Location* (Check one – put additional information in Remarks Section)
Apartment/Condo

Hotel/Motel

Family Dwelling

Storage Locker

Business

Outbuilding

Vehicle

Dumpster

Open – No Structure

Other – Describe:

III

Seizure Neighborhood (Check most appropriate)
Commercial/Industrial

Rural

Suburban

Public Land – Name:

IV

Urban

Other – Describe:

Estimated Lab Capacity (Based on seized chemicals, glassware, and equipment on site) (Mandatory if lab seizure is checked)
Under 2 Oz.

V

2 – 8 Oz.

9 Oz. – 1 Lb.

2 – 9 Lbs.

10 – 19 Lbs.

20 Lbs. or Greater

Laboratory Status (Check all that apply) (Mandatory if lab seizure is checked)
Operational – Not in Production

Abandoned

Explosion/Fire

Operational – In Production

Boxed/Dismantled

Other – Describe:

VI

Lab Manufacturing Process (Check ONLY one)
Ephedrine/Red “P”/Hydriodic Acid Reduction
and/or Iodine Reduction
Pseudoephedrine/Red “P”/Hydriodic Acid
and/or Iodine Reduction

Ephedrine/Lithium, Sodium or Potassium/
Anhydrous Ammonia (Nazi/Birch)
Pseudoephedrine/Lithium, Sodium or Potassium/
Anhydrous Ammonia (Nazi/Birch)

P2P/Methylamine

Hydriodic Acid Manufacturing

Hydrogenation

Anhydrous Ammonia Manufacturing

VII
Laboratory Equipment (Continue in Remarks)
Homemade/Improvised
Professional/Retail
VIII

Ephedrine Tablet Extraction
Pseudoephedrine Tablet Extraction
Ice Conversion
Other – Describe:

Store Name:
City:

Laboratory Type (Check all that apply)

Amphetamine

Tablet Extraction

Anhydrous Ammonia

Methamphetamine

Ice Conversion

Hydriodic Acid

GHB

MDMA

Methcathinone

PCP

Other – Describe:

IX

Seizure/Laboratory Address

Street #

Dir (E,S, etc.)

City

X

Street Name

County*

Suffix (St. Ave., etc.)
State*

Zip Code

Unit # (Apt) Box #

Latitude/Longitude

Chemist and Cleanup Personnel*
Hazmat Contractor
Utilized
Yes
No

Chemist on Site
None

State/Local

DEA

Name of Hazmat Contractor

Evaluation of Hazmat Contractor
Excellent

Satisfactory

Poor **

**(Provide details in Remarks Section)

XI

Persons Affected (Children are mandatory – indicate 0 when none were affected) (Check all that apply and indicate number)
Total Children Affected

(#

)

Child Injured

(#

)

Child Killed

(#

)

Law Enforcement Killed

(#

)

Suspect Injured

(#

)

Suspect Killed

(#

)

Law Enforcement Injured

(#

)

Other – Describe:

FORM EPIC 143 (06-2004)

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NATIONAL CLANDESTINE LABORATORY SEIZURE REPORT!- CONTINUED

XII

Weapons/Explosives Seized (Check all that apply and continue in Remarks Section)

Type (Handgun, Rifle, etc.)

Number

Serial No.

Description (Make, Model, & Caliber)

Booby Trap – Describe:

XIII

Quantity of All Drugs Seized at Lab Site (Check all that apply/Specify amount & unit of measure)

Amphetamine

Amt

LSD

Amt

Methcathinone

Amt

Cocaine

Amt

MDMA

Amt

PCP

Amt

GHB/GBL

Amt

Methamphetamine

Amt

Other – Describe:

Amt

XIV

Precursor/Chemical Source (If more than one precursor, continue in Remarks Section)

Specify Precursor:

Source:

Chemical Company

Store Name:

XV

Convenience Store

City:

State:

Retail Outlet

Internet

Country: Other – Describe:

Precursor Agents/Catalysts/Solvents/Reagents Seized (Check all that apply/Specify unit of measure)

Precursor Agents (If Ephedrine or Pseudoephedrine is selected, Packaging category is mandatory)
Amt

Ephedrine

Amt

Pseudoephedrine

Packaging:*

Unknown

Powder

Tablets

Source:

Domestic

Canada

Mexico

Blister Packs Packaging:*
Source:

Unknown

Powder

Tablets

Domestic

Canada

Mexico

Brand Name(s):

Blister Packs

NOTE: Brand Names and Lot Numbers for
chemicals other than ephedrine and pseudoephedrine
should be entered in the Remarks Section.

Lot Number(s):
Benzaldehyde

Amt

GBL

Amt

Piperdine

Amt

Benzylchloride

Amt

Methylamine

Amt

P2P

Amt

Benzylcyanide

Amt

Phenylpropanolamine

Amt

Other

Amt

Catalysts/Solvents/Reagents
Acetone

Amt

Hydriodic Acid (HI)

Amt

PCC

Amt

Alcohol

Amt

Hydrochloric Acid (Muriatic)

Amt

Phenylacetic Acid

Amt

Aluminum

Amt

Hydrogen Chloride Gas

Amt

Potassium Metal

Amt

Anhydrous Ammonia

Amt

Hydrogen Gas

Amt

Potassium Permanganate

Amt

Benzene

Amt

Hydrogen Peroxide

Amt

Red Phosphorus

Amt

Bromobenzene

Amt

Hypophosphorous Acid

Amt

Sodium Chloride (Salt)

Amt

Caustic Soda

Amt

Iodine (Crystals)

Amt

Sodium Cyanide

Amt

Charcoal Lighter Fluid

Amt

Iodine (Tincture)

Amt

Sodium Dichromate

Amt

Chloroform

Amt

Lithium Metal

Amt

Sodium Hydroxide (Lye)

Amt

Chromium Trioxide

Amt

Magnesium

Amt

Sodium Metal

Amt

Coleman/Camping Fuel

Amt

Mercuric Chloride

Amt

Sulfuric Acid

Amt

Cyclohexanone

Amt

Methanol

Amt

Thionyl Chloride

Amt

Ether

Amt

Methyl Ethyl Ketone (MEK)

Amt

Toluene

Amt

Freon

Amt

Methylsulfonylmethane
(MSM)

Amt

Other

Amt

Grignard

Amt

Naptha

Amt

XVI

Criminal Affiliation (If applicable)

Asian Org

Mexican Org

Other – Describe:

Militia Group

Outlaw Motorcycle Gang

Traditional Organized Crime

Middle Eastern Group

Organization/Gang/Group Name:

USE ADDITIONAL PAGES AS NECESSARY – LOCAL REPRODUCTION AUTHORIZED
FORM EPIC 143 (06-2004)

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NATIONAL CLANDESTINE LABORATORY SEIZURE REPORT!- CONTINUED

XVII

Suspect/Criminal Business/Criminal Vehicle Information

Suspect #1 Information
Last Name (Paternal)

Last Name (Maternal)

Alias/Moniker

Generation
(Jr, Sr, etc.)

DOB (MMDDYYYY)
Phone Type

First Name

Regular

Alt DOB (MMDDYYYY)
Cell

Suspect Residence Information
Street Number
Dir. (E,S, etc.)
City

Height

Pager

Middle Name

Race
Male
Weight (Lbs)

Phone Number

Nationality (US, MX, etc.)

Female
Hair Color Eye Color

(

Yes

No

)

Street Name

Unit # (Apt)

County

Arrested

State

Box #

Country

Zip Code

Involvement (Role) and Identification Numbers
Cook/Chemist

Enforcer

Smuggler

Chemical Courier

Distributor

Financier

Broker

Other – Describe:

Social Security Number

Driver License Number/State

FBI Number

Alien Registration Number

NADDIS Number

Other Numbers

Suspect #2 Information
Last Name (Paternal)

Last Name (Maternal)

Alias/Moniker

Phone Type

First Name

Generation
(Jr, Sr, etc.)

DOB (MMDDYYYY)
Regular

Alt DOB (MMDDYYYY)
Cell

Suspect Residence Information
Street Number
Dir. (E,S, etc.)
City

Criminal Associate

Height

Pager

Middle Name

Race
Male
Weight (Lbs)

Phone Number

Hair Color Eye Color

(

Arrested

Yes

No

)

Street Name

Unit # (Apt)

County

Nationality (US, MX, etc.)

Female

State

Box #

Country

Zip Code

Involvement (Role) and Identification Numbers
Cook/Chemist

Enforcer

Smuggler

Distributor

Financier

Broker

Chemical Courier
Other – Describe:

Social Security Number

Driver License Number/State

FBI Number

Alien Registration Number

NADDIS Number

Other Numbers

Suspect #3 Information
Last Name (Paternal)

Last Name (Maternal)

Alias/Moniker

Phone Type

First Name

Generation
(Jr, Sr, etc.)

DOB (MMDDYYYY)
Regular

Alt DOB (MMDDYYYY)
Cell

Suspect Residence Information
Street Number
Dir. (E,S, etc.)
City

Pager

Criminal Associate

Height

Middle Name

Race
Male
Weight (Lbs)

Phone Number

(

Hair Color Eye Color

Arrested

Yes

No

)

Street Name

Unit # (Apt)

County

Nationality (US, MX, etc.)

Female

State

Country

Box #
Zip Code

USE ADDITIONAL PAGES AS NECESSARY – LOCAL REPRODUCTION AUTHORIZED
FORM EPIC 143 (06-2004)

Previous Editions Obsolete

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NATIONAL CLANDESTINE LABORATORY SEIZURE REPORT!- CONTINUED
Involvement (Role) and Identification Numbers
Cook/Chemist

Enforcer

Smuggler

Chemical Courier

Distributor

Financier

Broker

Other – Describe:

Social Security Number

Driver License Number/State

FBI Number

Alien Registration Number

NADDIS Number

Other Numbers

Criminal Associate

Criminal Business Information (Include all a.k.a.’s)
Business Name:
Street Number

Dir. (E, S, etc.)

City

Street Name

Unit # (Apt)

County

Phone Type

Regular

Cell

State
Fax

NADDIS Number

Phone Number

(

Country

Box #

Zip Code

)

Other Numbers (TECS, Case, etc.)

Criminal Vehicle Information (If applicable)
License Plate Number

Temporary License Plate #

VIN Number

State

Type (Car, SUV, Pickup, etc.)

Model

Year

Owner Type

Country

Seized

Yes

No

Make
Privately Owned

Rental

Other

XVIII DEA Reporting Only
GDEP Identifier

DEA Office Identifier and Case Number
if other than Reporting Office

Special Operations Division Supported Case

Special Agent’s Name* (First, Last)
Yes

XIX

Phone #* (
No

)

Acknowledgement that the Clan Lab Seizure has been reported to CCF via a standard seizure form and submitted to the
Division Asset Removal Group for processing and input into the Consolidated Asset Tracking System.

Remarks Section

CLSS Help Desk

UNCLASSIFIED FAX:

1-888-USE-EPIC
873-3742 (Option 7)

(915) 760-2913

CLASSIFIED FAX:
(915) 760-2538

E-mail Address

MAILING ADDRESS

[email protected]

El Paso Intelligence Center
ATTN: Clan Lab
11339 SSG Sims Street
El Paso, Texas 79908-8098

USE ADDITIONAL PAGES AS NECESSARY – LOCAL REPRODUCTION AUTHORIZED
FORM EPIC 143 (06-2004)

Previous Editions Obsolete

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