Nitrogen NF Bulk Liquid

Nitrogen N.F. COA

AIR LIQUIDE  NITROGEN N.F.        Form Number: 2A-ALL-QUA-0003-F

                                                            Revision:         0

                                                            Effective Date: 03/02/06

                                                            Page:               1/1

CERTIFICATE OF ANALYSIS

Air Liquide large Industries U.S. L.P. – Houston, TX 77056

PRODUCED BY AIR LIQUEFACTION

1.Location       Street Address1                                  2. Carrier ________________

Street Address 2

City, State Zip

3. Lot Number ______________________                4. Trailer No _____________

PRE-FILL REPORT                                                   FILL REPORT

5.Residual Assay        6. Odor                                    7. Trailer loaded with appropriate product per appropriate

   (≤10 ppm O2)                Detected                                 loading procedure by:

   _______ ppm              Yes    No                              Signature _________________________

   ________                    ________                             Date _____________________________

    Initial                            Initial

ANALYSIS REPORT

Test required               Method of Analysis                             Specifications                         Results

ASSAY AND               8.PARAMAGNETIC       ___               99.998% N2 Minimum*           10. ____%

IDENTIFICATION         MICROFUEL CELL    ___

                                  ELECTROCHEMICAL ___            

                                   CELL                                           10 ppm O2 Maximum             11. _____ppm

                                    9.Analyzer Tag Number        

                                    12.DETECTPR TUBE        ___          10 ppm CO Maximum          14. _____ppm

CARBON                         INFARED ANALYZER   ___              Expiration Date of Tube       15. ______

MONOXIDE                                                                         Lot Number of Tube            16. ______

                                    13. Analyzer Tag Number

ODOR                         Organoleptic (Nasal)                           None                                       17. ______

N.F. applies only when used in a medical application or by medical customers properly registered with the FDA.

* Plus inerts

18. Analyzed By         ________________________            Date ____________

19. Does this lot require additional testing?  ___ NO            ___ YES – attach page 2

20. SQCU Review/Release _______________________     Date ____________

MANDATORY FORM

User must assure that this revision of the form is current prior to use. Completed forms become permanent records subject to the record retention policy.