Electronic Recordkeeping Database

Electronic Recordkeeping Database Instrument

Name of Instrument

Electronic Recordkeeping Database

Scope of Instrument

As required by the recordkeeping requirements of the proposed rule, this instrument collects information pertaining to each sale or transfer of ammonium nitrate made by an AN Facility, to include the following:

• Date of sale or transfer

• Form and amount of payment, if any

• Quantity of ammonium nitrate sold or transferred

• Type of packaging of the ammonium nitrate sold or transferred

• Location where the AN Purchaser, or if applicable, their agent, will take possession of the ammonium nitrate sold or transferred

• Name, address, telephone number, AN Registered User Number, and photo identification document type, photo identification document issuing entity, and photo identification document number of the AN Purchaser purchasing or taking possession of the ammonium nitrate sold or transferred

• If an AN Agent takes possession of ammonium nitrate, the name, address, telephone number, and photo identification document number of the AN Agent taking possession of the ammonium nitrate sold or transferred

• If an AN Agent takes possession of ammonium nitrate, a record of the date and means by which confirmation of agency was received pursuant to section 31.310(b) of the proposed rule

• Confirmation numbers or confirmation records, if any, received from the Department as part of the notification processes described in section 31.305(a)(4) of the proposed rule

• Whether a verification resulted in a sale or transfer of ammonium nitrate

• If a verification did not result in a sale or transfer of ammonium nitrate, a description of why it did not

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