Form 1 Section 6A

This submission is:

A new registration

An update to an existing registration

A renewal

Date:

Entity Name:

Building/Suite or Room:

Section 6A - Building and Suite/Room Specific Security
1. Will this suite/room be used for Tier 1 select agent and/or toxin? .................................................................................. Yes

No

2. Perimeter security measures outside the building (check all that apply):
Security lighting
Bars/security film on windows
Exterior intrusion detection system
Perimeter fence
Roving guards
Video surveillance of all access points
Vehicle screening
Other

None
3. Access to the building(s) or other area(s) housing the suite/room is controlled by (check all that apply):
Lock and key
Card access system
Biometric system
Card access system w/ PIN
Other

Guards
None
4. Additional security measures present in the interior of the building where select agent and/or toxin is stored or used (check all that apply):
Additional locked doors
Card access system
Card access system with PIN
Biometric System
Intrusion detection system

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