OXYGEN CERTIFICATE OF ANALYSIS

OXYGEN CERTIFICATE OF ANALYSIS

Delivery TagCERTIFICATE OF ANALYSISLot Number ________  Serial Number_______  Amount ___________________ INS., LBS., CALS., Liters, CU., FT.USP Tests Test  ID – ODOR – ASSAYLIMITS OK – NONE – 99.2%RESULTFOR CUSTOMER USE TO DOCUMENT TESTS PERFORMED ON THIS VESSEL IF TESTING WAS NOT WITNESSEDTest  ID – ODOR – ASSAYLIMITS OK – NONE – 99.2%RESULTCUSTOMER WITNESSED TEST YES__  NO __  OXYGEN PURITY TESTED WITH A ______ ANALYZER MODEL #___________  SUPPLIERS SIGNATURE _____________________  DATE____CUSTOMERS SIGNATURE ________________________  DATE_________MEDICAL GASESLIQUID OXYGEN, U.S.P. DELIVERY TAGFILLED BYWELDERS SUPPLY A RAIMY CORPORATION1628 CASCADE STREET – ERIE, PA 16502(814) 454-1563 – FAX (814) 455-1059(800) 352-0945THIS VESSEL CONTAINS OXYGEN USP (see reverse side for test results)OXYGEN PRODUCED BY THE AIR LIQUEFACTION PROCESSO.D.T.

OXYGEN COMPRESSED LABEL

OXYGEN REFRIGERATED LIQUID LABEL

OXYGEN REFRIGERATED LIQUID, U.S.P.               UN 1073 (CRYOGENIC LIQUID) Produced by Air Liquefaction               OXYGEN 2 ALWAYS KEEP CONTAINER IN UPRIGHT POSITION For emergency use only when administered by properly trained personnel for oxygen deficiency and resuScitation.  For all other medical applications RX only.                            Warning: Caution Federal Law Prohibits Dispensing without Prescription.                            First Aid IN CASE OF FROSTBITE, obtain medical treatment immediately. PLEASE REFER TO THE MATERIAL SAFETY DATA SHEET FOR SAFETY AND PRODUCT INFORMATION.              WARNING! EXTREMELY COLD OXIDIZING LIQUID AND GAS UNDER PRESSURE.  VIGOROUSLY ACCELERATES COMBUSTION.                COMBUSTIBLES IN CONTACT WITH LIQUID OXYGEN MAY EXPLODE ON IGNITION OR IMPACT.  CAN CAUSE SEVERE FROSTBITE. WARNING! Uninterupted use of high concentrations of oxygen over long duration, without              monitoring its effect on oxygen content of arterial blood, may be harmful.  Use only with pressure reducing equipment              and apparatus designed for oxygen.  Do not attempt to use on patients who have stopped breathing, unless used in conjunction              with resucitative equipment.  Keep oil, grease, and combustibles away.  Use only with equipment cleaned for oxygen service.  Store and use with adequate              ventilation.  Do not get liquid ineyes, on skin or clothing.  For liquid withdrawal, wear face shield and gloves.  Do not drop. Use hand truck for              container movement.  Avoid spills.  Do not walk on or roll equipment over spills.  Close valve after each use and when empty.  Use in accordance with Material Safety              Data Sheet. Part #DB-USP              Printed by ratermann MFG inc.

GENERAL WARNINGS AND PRECAUTIONS

DO NOT REMOVE LABEL

Rx ONLY