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HomeMy WebLinkAboutBLD2015-00078 - LCB • t Washington State� Licensing and Regul lion Liquor Control Board PO Box 43098, 3000 Pacif c Ave SE Olympia WA 98504- 098 Phone—(360) 664-1 00 Fax—(360) 753-27 0 March 3, 2015 PDT TECHNOLOGIES LLC 1037 NE 65TH ST # 348 SEATTLE WA 98115-6655 Re: PDT TECHNOLOGIES 205A N OTTO ST PORT TOWNSEND WA 98368-9780 LICENSE No.: 415704-7D UBI: 603-307-697-001-0001 Your license has been approved for the following: MARIJUANA PROCESSOR This license is valid through June 30, 2015. You must post this letter in a public service area as your temporary operating permit. If you do not receive your Business License with marijuana endorsement(s) within 15 days, please contact Department of Revenue's Business Licensing Service/Specialty Licenses at(360) 705-6744. This license allows you to process, package, and label usable marijuana and marijuana-infused products for sale at wholesale to marijuana retailers. You may only puchase from a licensed marijuana producer. Persons under 21 years of age are not permitted on the premises. A sign reading"Persons under twenty-one years of age not permitted on these premises" must be posted in a conspicuous location at each entry to the premises (WAC 314-55-086). The licensee must ensure required information is entered into the traceability system and kept completely up-to-date as stated in WAC 314-55-083(4). Changes in ownership, alterations to your operating and/or floor plan, and business relocation require prior Board approval. If you wish to make such changes, please contact our office for assistance. In accordance with WAC 314-55-020(11) the issuance of a license by the WSLCB shall not be construed as a license for, or an approval of, any violations of local rules or ordinances including, but not limited to: Building and fire codes, zoning ordinances, and business licensing requirements. Marijuana 9/4/14 DEC I S I ON S • • TO: Marijuana Producer, Processor, and Retail Licensees RE: Washington State Liquor Control Board Notice to Licensees on Firearms This notice is meant to help clarify federal laws about possession of firearms on licensed premises and while transporting marijuana. Federal Law on Firearms Federal law prohibits users of controlled substances from possessing firearms. 18 U.S.C. § 922(g)(3). Marijuana remains a controlled substance under federal law. 18 U.S.C. § 812. Federal regulations provide that current use of controlled substances may be inferred from evidence of recent use, possession, or a pattern of use or possession. 27 C.F.R. § 478.11. Furthermore, the federal Bureau of Alcohol, Tobacco, Firearms and Explosives, an agency of the U.S. Department of Justice, stated in an Open Letter September 21, 2011 that any person in possession of marijuana is prohibited by federal law from possessing firearms or ammunition. In addition, it is illegal under federal law to carry or use a firearm in furtherance of a federal drug trafficking crime, which includes selling marijuana. 18 U.S.C. § 924(c). CAUTION: Federal law prohibits the possession of firearms by any person on premises where marijuana is present or being transported. Persons who are prohibited by federal law from possessing a firearm may be prosecuted in federal court. A state license is not a defense to a federal prosecution under federal firearms laws or the federal Controlled Substances Act, 21 U.S.C. Chapter 13. Disclaimer This notice regarding federal laws is not intended to provide legal advice nor does it provide a legal defense to a violation of any federal laws or rules. Licensees are advised to consult an attorney if they have questions or concerns regarding federal laws. • DocuSign Envelope ID:E3B9C29D-222D-4465•-87F785CC257A Washington State License Number 415704 •`' Liquor Control Board UBI Number 6033076970010001 PDT TECHNOLOGIES Trade Name Operating Plan Required Elements - Processor Submission of an operating plan that demonstrates the applicant is qualified to hold the marijuana license applied for is required as part of the application process listed in Washington Administrative Code (WAC) 314-55-020. This operating plan must include a floor plan and/or site plan which illustrates the entire operation being proposed.(WAC 314.55.020(9)) Please describe how your operating plan complies with the requirements listed in the WACs indicated below. Additional sheets may be attached if necessary. 1. SECURITY (WAC 314-55-083) a. Will all employees wear an identification badge? YES ❑ NO b. Does your location have a security alarm system on all perimeter doors and windows? © YES ❑ NO c. Does your video surveillance system and recording device meet the following requirements? YES NO ❑ Minimum camera resolution of 640 x 470 © ❑ Internet protocol (IP) compatible E _ Recorded images clearly and accurately display the time and date © ❑ Surveillance system storage device is secured on-site © _ Camera recordings must be continuously recorded twenty-four hours a day © ❑ Surveillance recordings must be kept for a minimum of forty-five days z ❑ System includes image acquisition, video recording, management and monitoring hardware and support systems © ❑ Camera placement allows for the clear and certain identification of any individual or activity on the licensed premises including all areas where marijuana is grown, cured or manufactured PO Box 43098, 3000 Pacific Ave. SE, Olympia WA 98504-3098, (360)664-1600, www.liq.wa.gov LIQ1227 05/2014 Page 1 of 8 • DocuSign Envelope ID:E389C29D-2220-44614D-87F785CC257A • UBI Number 6033076970010001 d. Additional description of surveillance system (how storage device is secured, vendors used, etc.): DVRS will be kept in locked boxes within an enclosed secure storage area. 2. TRACEABILITY (WAC 314-55-083(4)) a. Will you use a third party vendor for your traceability software? © YES ❑ NO If you selected YES, please list the name of the vendor/software: Biotrack THE If you selected NO, please describe how you will comply with traceability requirements: b. Is the system listed above compatible with the LCB's traceability system? © YES n NO 3. QUALIFICATIONS AND TRAINING PLAN FOR EMPLOYEES (WAC 314.55.020(9)) a. Please describe the type of training you will provide to employees to include topics you will cover: All of employees PDT Technologies will receive special training and instructions regarding the following topics and activities: 1) understanding of i-502 regulations, State law, and internal company policies. 2) understanding of traceability and traceability software 3) understanding of general safety procedures, and safe usage of processing equipment 4) understanding of security protocols and procedures 5) Employees that run processing equipment will receive special training from the manufacturer, Apek Supercritical Additionally all employees must be over 21 years of age, and will be required to pass a background check. PO Box 43098,3000 Pacific Ave. SE, Olympia WA 98504-3098, (360)664-1600,www.liq.wa.gov LIQ1227 05/2014 Page 2 of 8 DocuSign Envelope ID:E3B9C29D-222D-446D-87F785CC257A . UBI Number 6033076970010001 b. Description of team/staff members related experience: Gabriel Greenstein Experience in business administration and computer science Marina Bykowski Experience in business administration and computer science Boris Anukhin Experienced lab tech and engineer igbal Gill PHD chemist, with over 20 years of experience in biotech field Charles Mitchell Production manager with experience in machine operating, and construction 4. TRANSPORTATION OF PRODUCT (WAC 314.55.085) a. Describe how you will prepare product for transport (packaging, sealed transport containers, manifest, etc.): Products will be packaged in child resistant boxes and/or impluse sealed mylar bags, with all compliant labeling. Sealed and labeled units will be placed in sealed "ready order" boxes prior to placement in Quarantine. Products will be prepared in Quarantine for a minimum of 24 hours, along with a manifest and sales order prior to transportation. b. Describe how your vehicle will meet storage compartment requirements: All products will be transported in a locked compartment within the delivery vehicle. vehicle will have current registration, and insurance. Additionally, PDT Technologies delivery vehicle will have a burglar alarm. Furthermore vehicle will have a discreet appearance, with no exterior advertisements or indication of our company identity or the products contained within. PO Box 43098, 3000 Pacific Ave. SE, Olympia WA 98504-3098, (360)664-1600,www.liq.wa.gov LIQ1227 0512074 Page 3 of 8 DocuSign Envelope ID:E3B9C29D-222D-448•D-87F785CC257A • UBI Number 6033076970010001 5. DESTRUCTION OF WASTE PRODUCT (WAC 314-55-097) a. Where will non-dangerous solid and liquid waste be stored prior to destruction and how will it be managed and secured? c02 extracted plant waste, along with finished products that have failed to meet quality assurance testing, will be ground up and mixed with at least a 50% mixture of organic waste material, after which time it will be available for use as compost. once waste has gone through the traceability process and the THC has been rendered inert, barcoded lots of waste will be placed in secure storage until they are ready to be composted. b. Do you anticipate any dangerous waste? If so, how will that be stored, managed and disposed of? our process will not produce any dangerous byproducts. c. How will you render non-dangerous waste unusable and what materials will you mix it with to achieve the required 50% non-marijuana waste by volume? All non dangerous waste will be run through a wood chipper and will then be mixed with 50% blends of saw dust, wood chips, and/or raw soil. III PO Box 43098,3000 Pacific Ave. SE,Olympia WA 98504-3098,(360)664-1600,www.liq.wa.gov LIQ1227 05/2014 Page 4 of 8 DocuSign Envelope ID:E3e9C29D•222D-446•D-87F785CC257A • UBI Number 6033076970010001 d. Where will solid and liquid waste be taken after it has been rendered unusable? Once all plant matter, as well as non hazardous solid and liquid wastes have been rendered unusable as composting mixtures, they will be transported and donated to a local composting center, or disposed of as organic waste material, at the county dump. 6. DESCRIPTION OF OPERATION AND PREMISE a. Standardized Scale Please acknowledge that you will meet the requirements listed below: YES NO © El Licensees are required to have at least one scale on the licensed premise for the traceability and inventory of products. © D The scale(s) used must have a National Type Evaluation Program (NTEP) Certificate of Conformance (COC). If a scale meets this requirement it should have an ID name plate on it with the COC number. El Licensees must register their scale(s) on a business license application with Business Licensing Services through the Department. b. Processing Operation 1. List the types of finished products that will be created on your licensed premise (such as useable marijuana, infused products and edibles): Refined c02 extracted cannabis oil will be available for sale in two different product form factors including vaporizor cartridges, and stand alone oil containers. PO Box 43098,3000 Pacific Ave. SE, Olympia WA 98504-3098,(360)664-1600,www.liq.wa.gov LIQ1227 05/2014 Page 5 of 8 DocuSign Envelope ID:E3B9C29D-222D-446•4D-87F785CC257A UBI Number 6033076970010001 2. Describe the processing methods you will use to create the items listed above: All products will be made from CO2 extracted cannabis oil . Finished oil will be tested for Quality Assurance and then packaged into the product categories listed above. 3. Describe the extraction equipment you will use and how it will be compliant with requirements listed in WAC 314-55-104: We will be using the following Apek Supercritical closed loop CO2 extraction system: 1500-20L Botanical Oil Extraction System •Programmable,Fully Automated CO2-Based System 4. Describe the packaging for all finished products (usable and infused) to include how they will be sealed: All products will be sold in 502 compliant packing. The following is a per product breakdown of the packaging. vaporizer Cartridges: vaporizer cartridges will come filled with cannabis oil. The cartridges will come packaged in plastic outer boxes with a child resistant seal . stand alone oil: oil sold separate from vaporizer cartridges will come packaged in small glass containers, within an outer layer of an impulse sealed mylar bag. PO Box 43098,3000 Pacific Ave. SE, Olympia WA 98504-3098, (360)664-1600,www.liq.wa.gov LIQ1227 05/2014 Page 6 of 8 • DocuSign Envelope ID:E3B9C29D-222D-4465. 40.87F785CC257A S UBI Number 6033076970010001 5. Describe what information will be listed on labels affixed to your finished products (please indicate any differences between usable marijuana and marijuana-infused products): All product labels will include the following information: 1. Statement that discloses all pesticides applied to the marijuana plants and growing medium during production of the base marijuana used to create the extract added to the infused product,2.Statement that discloses the type of extraction method,including any solvents,gases,or other chemicals or compounds used to produce or that are added to the extract,3.1.1131 and License#,4. Lot numbers of all base marijuana used to create the extract.5.Batch#, manufacture date,and best by date,6.Total milligrams of THC and other cannabinoids,7. Net weight in ounces.grams or volume,8. List of ingredients and allergens All product labels will include the following warnings: 1."There may be health risks associated with consumption of this product",2. "This product is infused with marijuana or active compounds of marijuana",3."Should not be used by women that are pregnant or breast feeding",4."For use only by adults twenty-one and older.Keep out of reach of children",5. "Products containing marijuana can impair concentration,coordination,and judgment. Do not operate a vehicle or machinery under the influence of this drug",6. "Cauton:When eaten or swallowed,the intoxicating effects of this drug may be delayed by two or more hours",7."This product has intoxicating effects and may be habit forming",8."This product may be unlawful outside of Washington 7. OUN4TY ASSURANCE PROTOCOLS (WAC 314-55-102) I acknowledge that all required quality assurance testing must be done by an accredited third party lab approved by the LCB: YES NO 8. ATTACH FLOOR PLAN/SITE PLAN (architectural plans are accepted but not required). Plans must be drawn to scale. Please ensure your Floor Plan/Site Plan includes a key referencing the specific areas listed below. For your convenience, an example key is attached. a. Physical barrier/perimeter fencing enclosing the licensed premise including all gates b. Processing area(s) c. Controlled access area(s) d. Quarantine area(s) e. Points of ingress/egress to the licensed premise f. Location of all doors and windows g. Location of secured Surveillance System Storage Device h. Location of all cameras and alarms i. Designated Waste area(s) Click `yes' to attach floor plan [ YES le-11 Click `yes' to attach continuation sheet n YES PO Box 43098. 3000 Pacific Ave. SE, Olympia WA 98504-3098, (360)664-1600, www.liq.wa.gov LIQ1227 0512014 Page 7 of 8 • DocuSign Envelope ID:E3B9C29D-222D-4404D-87F785CC257A 0 um Number 6033076970010001 KEY FOR RETAIUNON-RETAIL MARIJUANA FLOOR PLANS WV Security Cameras(draw arrow to indicate which way the camera is pointing) I R I Retail Display Case POS Retail Point of Sale XXX Sight Obscure Fence - - - - Fencing Security Alarm(this would be the sensor that is required on all doors and windows) COSecurity System Storage (Room, Closet, Lockbox or other secured location) D Door or entry point into a Retail and Non-Retail premise W Window -I" } - Gate through fenced area LABEL THE FOLLOWING AREAS • Quarantine Area—the area that Marijuana or Marijuana Infused products are kept before they are removed or transported • Security Room/Controlled Access Area—all areas restricted to the general public • Grow Area—area where Marijuana is grown Note: If architectural plans are submitted or other form please ensure a key is included PO Box 43098, 3000 Pacific Ave. SE, Olympia WA 98504-3098, (360)664-1600,www.liq.wa.gov LIQ1227 05/2014 Page 8 of 8 • i Washington State Licensing and Regula ion 4-,- ,, Liquor Control Board PO Box 43098, 3000 Pacifi Ave SE / Olympia WA 98504-3098 Phone— (360) 664-1600 Fax—(360) 753-2710 March 3, 2015 PDT TECHNOLOGIES LLC 1037 NE 65TH ST #348 SEATTLE WA 98115-6655 Re: PDT TECHNOLOGIES 205A N OTTO ST PORT TOWNSEND WA 98368-9780 LICENSE No.: 415704-7D UBI: 603-307-697-001-0001 Your license has been approved for the following: MARIJUANA PROCESSOR This license is valid through June 30, 2015. You must post this letter in a public service area as your temporary operating permi . If you do not receive your Business License with marijuana endorsement(s)within 15 days,please contact Department of Revenue's Business Licensing Service/Specialty Licenses at (360) 705-67'4. This license allows you to process, package, and label usable marijuana and marijuana-in' sed products for sale at wholesale to marijuana retailers. You may only puchase from a licens:d marijuana producer. Persons under 21 years of age are not permitted on the premises. A sign reading"Persons der twenty-one years of age not permitted on these premises"must be posted in a conspicuou• location at each entry to the premises (WAC 314-55-086). The licensee must ensure required information is entered into the traceability system and ept completely up-to-date as stated in WAC 314-55-083(4). Changes in ownership, alterations to your operating and/or floor plan, and business reloca ion require prior Board approval. If you wish to make such changes,please contact our office for assi.tance. In accordance with WAC 314-55-020(11) the issuance of a license by the WSLCB shall nct be construed as a license for, or an approval of, any violations of local rules or ordinances ins luding,but not limited to: Building and fire codes, zoning ordinances, and business licensing require ents. Marijuana 9/4/14 DEC I S I ON S i • • Page 2 Your marijuana license can be renewed through the Department of Revenue Business Lie:using Service. Information on how to do this will be included on your renewal notice. AUe vWcwvlboldfels Marijuana License Investigator 360-664-1649 cc: Tacoma Enforcement Office Jefferson County Commissioners File Copy Marijuana 9/4/14 . • TO: Marijuana Producer, Processor, and Retail Licensees RE: Washington State Liquor Control Board Notice to Licensees on Firearms This notice is meant to help clarify federal laws about possession of firearms on licensed premises and while transporting marijuana. Federal Law on Firearms Federal law prohibits users of controlled substances from possessing firearms. 18 U.S.C. § 922(g)(3). Marijuana remains a controlled substance under federal law. 18 U.S.C. § 812. Federal regulations provide that current use of controlled substances may be inferred from evidence of recent use, possession, or a pattern of use or possession. 27 C.F.R. § 478.11. Furthermore, the federal Bureau of Alcohol, Tobacco, Firearms and Explosives, an agency of the U.S. Department of Justice, stated in an Open Letter September 21, 2011 that any person in possession of marijuana is prohibited by federal law from possessing firearms or ammunition. In addition, it is illegal under federal law to carry or use a firearm in furtherance of a federal drug trafficking crime, which includes selling marijuana. 18 U.S.C. § 924(c). CAUTION: Federal law prohibits the possession of firearms by any person on premises where marijuana is present or being transported. Persons who are prohibited by federal law from possessing a firearm may be prosecuted in federal court. A state license is not a defense to a federal prosecution under federal firearms laws or the federal Controlled Substances Act, 21 U.S.C. Chapter 13. Disclaimer This notice regarding federal laws is not intended to provide legal advice nor does it provide a legal defense to a violation of any federal laws or rules. Licensees are advised to consult an attorney if they have questions or concerns regarding federal laws. DocuSign Envelope ID:E3B9C29D-222D-4465-8•7F785CC257A • /.? Washington State License Number 415704 � Liquor Control Board UBI Number 6033076970010001 PDT TECHNOLOGIES Trade Name Operating Plan Required Elements — Processor Submission of an operating plan that demonstrates the applicant is qualified to hold the marijuana license applied for is required as part of the application process listed in Washington Administrative Code (WAC) 314-55-020. This operating plan must include a floor plan and/or site plan which illustrates the entire operation being proposed.(WAC 314.55.020(9)) Please describe how your operating plan complies with the requirements listed in the WACs indicated below. Additional sheets may be attached if necessary. 1. SECURITY (WAC 314-55-083) a. Will all employees wear an identification badge? +x I YES H NO b. Does your location have a security alarm system on all perimeter doors and windows? x YES NO c. Does your video surveillance system and recording device meet the following requirements? YES NO x I — Minimum camera resolution of 640 x 470 L] I 1 Internet protocol (IP) compatible x I I Recorded images clearly and accurately display the time and date n 1 1 Surveillance system storage device is secured on-site x 1 1 Camera recordings must be continuously recorded twenty-four hours a day n n Surveillance recordings must be kept for a minimum of forty-five days n n System includes image acquisition, video recording, management and monitoring hardware and support systems x I Camera placement allows for the clear and certain identification of any individual or activity on the licensed premises including all areas where marijuana is grown, cured or manufactured PO Box 43098, 3000 Pacific Ave. SE, Olympia WA 98504-3C98, (360)664-1600. www.liq.wa.gov LIQ1227 05/2014 Page 1 of 8 DocuSign Envelope ID.E3B9C29D-222D-4465-B54D'87F785CC257A • UBI Number 6033076970010001 d. Additional description of surveillance system (how storage device is secured, vendors used, etc.): ovRS will be kept in locked boxes within an enclosed secure storage area. 2. TRACEABILITY (WAC 314-55-083(4)) a. Will you use a third party vendor for your traceability software? U YES U NO If you selected YES, please list the name of the vendor/software: Biotrack THC If you selected NO, please describe how you will comply with traceability requirements: b. Is the system listed above compatible with the LCB's traceability system? xi YES I NO 3. QUALIFICATIONS AND TRAINING PLAN FOR EMPLOYEES (WAC 314.55.020(9)) a. Please describe the type of training you will provide to employees to include topics you will cover: All of employees PDT Technologies will receive special training and instructions regarding the following topics and activities: 1) Understanding of i-502 regulations, state law, and internal company policies. 2) understanding of traceability and traceability software 3) Understanding of general safety procedures, and safe usage of processing equipment 4) understanding of security protocols and procedures 5) Employees that run processing equipment will receive special training from the manufacturer, Apek supercritical Additionally all employees must be over 21 years of age, and will be required to pass a background check. PO Box 43098,3000 Pacific Ave. SE, Olympia WA 98504-3098,(360)664-1600,www.liq.wa.gov LIQ1227 05/2014 Page 2 of 8 DocuSign Envelope ID:E3B9C29D-222D-4465-654•F785CC257A UBI Number 6033076970010001 b. Description of team/staff members related experience: Gabriel Greenstein Experience in business administration and computer science Marina Bykowski Experience in business administration and computer science Boris Anukhin Experienced lab tech and engineer Igbal Gill PHD chemist, with over 20 years of experience in biotech field Charles Mitchell Production manager with experience in machine operating, and construction 4. TRANSPORTATION OF PRODUCT (WAC 314.55.085) a. Describe how you will prepare product for transport (packaging, sealed transport containers, manifest, etc.): Products will be packaged in child resistant boxes and/or impluse sealed mylar bags, with all compliant labeling. Sealed and labeled units will be placed in sealed "ready order" boxes prior to placement in Quarantine. Products will be prepared in Quarantine for a minimum of 24 hours, along with a manifest and sales order prior to transportation. b. Describe how your vehicle will meet storage compartment requirements: All products will be transported in a locked compartment within the delivery vehicle. vehicle will have current registration, and insurance. Additionally, PDT Technologies delivery vehicle wil' have a burglar alarm. Furthermore vehicle will have a discreet appearance, with no exterior advertisements or indication of our company identity or the products contained within. PO Box 43098, 3000 Pacific Ave.SE, Olympia WA 98504-3098, (360)664-1600,www.liq.wa.gov LIQ1227 05/2014 Page 3 of 8 DocuSign Envelope ID:E3B9C29D-222D-4465-8540- 7F785CC257A • UBI Number 6033076970010001 5. DESTRUCTION OF WASTE PRODUCT (WAC 314-55-097) a. Where will non-dangerous solid and liquid waste be stored prior to destruction and how will it be managed and secured? CO2 extracted plant waste, along with finished products that have failed to meet quality assurance testing, will be ground up and mixed with at least a 50% mixture of organic waste material , after which time it will be available for use as compost. once waste has gone through the traceability process and the THC has been rendered inert, barcoded lots of waste will be placed in secure storage until they are ready to be composted. b. Do you anticipate any dangerous waste? If so, how will that be stored, managed and disposed of? our process will not produce any dangerous byproducts. c. How will you render non-dangerous waste unusable and what materials will you mix it with to achieve the required 50% non-marijuana waste by volume? All non dangerous waste will be run through a wood chipper and will then be mixed with 50% blends of saw dust, wood chips, and/or raw soil . PO Box 43098,3000 Pacific Ave. SE, Olympia WA 98504-3098, (360)664-1600,www.liq.wa.gov LIQ1227 05/2014 Page 4 of 8 DocuSign Envelope ID:E3B9C29D-222D-4465-B54D 7F785CC257A • UBI Number 6033076970010001 d. Where will solid and liquid waste be taken after it has been rendered unusable? once all plant matter, as well as non hazardous solid and liquid wastes have been rendered unusable as composting mixtures, they will be transported and donated to a local composting center, or disposed of as organic waste material, at the county dump. 6. DESCRIPTION OF OPERATION AND PREMISE a. Standardized Scale Please acknowledge that you will meet the requirements listed below: YES NO n n Licensees are required to have at least one scale on the licensed premise for the traceability and inventory of products. X U The scale(s) used must have a National Type Evaluation Program (NTEP) Certificate of Conformance (COC). If a scale meets this requirement it should have an ID name plate on it with the COC number. © n Licensees must register their scale(s) on a business license application with Business Licensing Services through the Department. b. Processing Operation 1. List the types of finished products that will be created on your licensed premise (such as useable marijuana, infused products and edibles): Refined co2 extracted cannabis oil will be available for sale in two different product form factors including vaporizor cartridges, and stand alone oil containers. PO Box 43098,3000 Pacific Ave.SE, Olympia WA 98504-3098, (360)664-1600,www.liq.wa.gov LIQ1227 05/2014 Page 5 of 8 DocuSign Envelope ID:E3B9C29D-222D-4465-B5I7F785CC257A • 6033076970010001 UBI Number 2. Describe the processing methods you will use to create the items listed above: All products will be made from CO2 extracted cannabis oil. Finished oil will be tested for Quality Assurance and then packaged into the product categories listed above. 3. Describe the extraction equipment you will use and how it will be compliant with requirements listed in WAC 314-55-104: We will be using the following Apek Supercritical closed loop CO2 extraction system: 1500-20L Botanical Oil Extraction System •Programmable, Fully Automated CO2-Based System 4. Describe the packaging for all finished products (usable and infused) to include how they will be sealed: All products will be sold in 502 compliant packing. The following is a per product breakdown of the packaging. vaporizer Cartridges: Vaporizer cartridges wi11 come filled with cannabis oil . The cartridges will come packaged in plastic outer boxes with a child resistant seal. stand alone oil: Oil sold separate from vaporizer cartridges will come packaged in small glass containers, within an outer layer of an impulse sealed mylar bag. PO Box 43098, 3000 Pacific Ave. SE, Olympia WA 985D4-3098, (360)664-1600,www.liq.wa.gov L101227 05/2014 Page 6 of 8 DocuSign Envelope ID:E3B9C29D-222D-4465-B540'87F785CC257A • UBI Number 6033076970010001 5. Describe what information will be listed on labels affixed to your finished products (please indicate any differences between usable marijuana and marijuana-infused products): All product labels will include the following information: 1.Statement that disdoses all pesticides applied to the marijuana plants and growing medium during production of the base marijuana used to create the extract added to the infused product,2.Statement that discloses the type of extraction method,including any solvents,gases,or other chemicals or compounds used to produce or that are added to the extract,3.UBI and License#,4.Lot numbers of all base marijuana used to create the extract,5.Batch#, manufacture date,and best by date,6.Total milligrams of THC and other cannabinoids,7. Net weight in ounces,grams or volume. B.List of ingredients and allergens All product labels will include the following warnings: 1."There may be health risks associated with consumption of this product',2."This product is infused with marijuana or active compounds of marijuana", 3."Should not be used by women that are pregnant or breast feeding",4."For use only by adults twenty-one and older. Keep out of reach of children",5."Products containing marijuana can impair concentration, coordination,and judgment.Do not operate a vehicle or machinery under the influence of this drug",6. "Cauton:When eaten or swallowed,the intoxicating effects of this drug may be delayed by two or more hours",7."This product has intoxicating effects and may be habit forming",8."This product may be unlawful outside of Washington 7. QUALITY ASSURANCE PROTOCOLS (WAC 314-55-102) I acknowledge that all required quality assurance testing must be done by an accredited third ',arty lab approved by the LCB: x YES E1 NO 8. ATTACH FLOOR PLAN /SITE PLAN (architectural plans are accepted but not required). Plans must be drawn to scale. Please ensure your Floor Plan/Site Plan includes a key referencing the specific areas listed below. For your convenience, an example key is attached. a. Physical barrier/perimeter fencing enclosing the licensed premise including all gates b. Processing area(s) c. Controlled access area(s) d. Quarantine area(s) e. Points of ingress/egress to the licensed premise f. Location of all doors and windows g. Location of secured Surveillance System Storage Device h. Location of all cameras and alarms i. Designated Waste area(s) Click `yes' to attach floor plan n YES 1 Click `yes' to attach continuation sheet n YES PO Box 43098, 3000 Pacific Ave. SE, Olympia WA 98504-3098, (360)664-1600,www.11q.wagov LIQ1227 05/2014 Page 7 of 8 DocuSign Envelope ID:E3B9C290-222D- 465-B54D 87F785CC257A • UBI Number 6033076970010001 KEY FOR RETAIL/NON-RETAIL MARIJUANA FLOOR PLANS OA Security Cameras(draw arrow to indicate which way the camera is pointing) R Retail Display Case POS Retail Point of Sale XXX Sight Obscure Fence - - - - Fencing Security Alarm (this would be the sensor that is required on all doors and windows) '=.=' Security System Storage(Room, Closet, Lockbox or other secured location) D Door or entry point into a Retail and Non-Retail premise W Window "I" I' - Gate through fenced area LABEL THE FOLLOWING AREAS • Quarantine Area—the area that Marijuana or Marijuana Infused products are kept before they are removed or transported • Security Room/Controlled Access Area—all areas restricted to the general public • Grow Area—area where Marijuana is grown Note: If architectural plans are submitted or other form please ensure a key is included PO Box 43098, 3000 Pacific Ave. SE, Olympia WA 98504-3098,(360)664-1600, www.liq.wa.gov LIQ1227 05/2014 Page 8 of 8