Carbon Dioxide Refrigerated Gas

Carbon Dioxide

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

BULK CARBON DIOXIDE USP CERTIFICATE OF ANALYSIS

This form must be used only for single customer drop-offs, shipments to rail depots and non-Linde trailer pickups.

Carbon Dioxide USP produced by Linde at the (name/address) ____________________________________plant

Delivered from the (name/address) ___________________________________________________________location

Batch No. ___________________________________ Lot No. ______________________________________

Lot Quantity ______________________________________ lbs. / tons (circle one)


Analytical Results

			All Methods Used	USP Monograph Results Must either be monograph	or validated equivalent				Point of Testing	Analyst Signature/Date
Test	ID	H2O	Assay	NH3	H2S	CO	NO/NO2	SO2
Limit	Pass	200 ppm OR - 33 F Dew Cup	>99.0	25 ppm	1 ppm	10 ppm	2.5 ppm  each	5 ppm
Result									Container Residual
Result									Batch
Result									Lot
Method	Zahm Nagel	Detector Tube/ Dew Cup	Zahm Nagel	Detector Tube	Detector  Tube	Detector Tube	Detector Tube	Detector Tube
Limit of Detection			99.99%	0.25 ppm	0.05 ppm	5 ppm	0.5 ppm	1.0 ppm

Customer Name ___________________________________________________

(Customer address or attached bulk shipping document with customer name and address)

________________________________________________________________________

________________________________________________________________________

For shipments placed into a non_linde trailer, list the trailer number ________________

Reviewed and released by: _____________________________ Date: _____________

Reviewed and released by: _____________________________ Date: _____________


2.2 June 2008

CO2-22-06-GAM-Medical Gas - USP Procedures

Page 1 of 1

Retention Period - 3 years

Copyright The Linde Group - Distributed by a locally registered Linde company

CARBON DIOXIDE REFRIGERATED   carbon dioxide  gas

Product Information Product Type HUMAN PRESCRIPTION DRUG NDC Product Code (Source) 52438-014 Route of Administration RESPIRATORY (INHALATION) DEA Schedule

Active Ingredient/Active Moiety Ingredient Name Basis of Strength Strength Carbon Dioxide (Carbon Dioxide) Carbon Dioxide 990 mL  in 1 L

Inactive Ingredients Ingredient Name Strength No Inactive Ingredients Found

Product Characteristics Color      Score      Shape Size Flavor Imprint Code Contains

Packaging # NDC Package Description Multilevel Packaging 1 52438-014-20 18770 L In 1 TANK None

Marketing Information
Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
unapproved medical gas		01/01/1965

Labeler - Linde LLC (001368141)

Establishment
Name	Address	ID/FEI	Operations
Linde LLC		833150639	MANUFACTURE

Establishment
Name	Address	ID/FEI	Operations
Linde LLC		020153345	MANUFACTURE

Revised: 12/2011Linde LLC