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Oxygen U.S.P.


PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

Invoice          OXYGEN U.S.P      Jenco Medical and Mobility

Full Unit Contents    Produced By Air Liquefaction   Bulk Liquid Oxygen

Gallons   UN 1073      Full Unit

Date Tank Filled         Lot Number        

Cu. Ft. Fil         Unit Number            Date Analyzed

Plant Location /No.         Date Filled                  Time:0001-2358

Unit No.         Purity         Amount Inches

Analyzed for Current USP         Batch No         Date of Analysis

Analysis Report

Component   Method      Limit      Results

Assay      Servomax 570A      99.0 Percent

Odor   Instruction 3.13      none

Filler's Signature


PACKAGE LABEL.PRINCIPAL DISPLAY PANEL