LOT NUMBER_____________ SERIAL NUMBER__________ AMOUNT__________INS, LBS., GALS., LITERS, CU. FT.

USP TESTS

TEST        ID        ODOR        ASSAY

LIMITS   OK        NONE        LESS THAN 99.2%

RESULT

FOR CUSTOMER TO USE TO DOCUMENT TESTS PERFORMED ON THIS VESSEL

METHOD OF ANALYSIS FOR ASSAY IS THE PARAMAGNETIC OXYGEN ANALYZER  MANUFACTURER__________ MODEL______________ CUSTOMER WITNESSED TESTS  YES   NO    SUPPLIERS SIGNATURE__________ DATE____________  CUSTOMERS SIGNATURE_______________ DATE________________

LIQUID MEDICAL GASES  LIQUID OXYGEN DELIVERY TAG  FILLED AND DISTRIBUTED BY____________ THIS VESSEL CONTAINS OXYGEN USP (SEE REVERSE SIDE FOR TEST RESULTS) OXYGEN PRODUCED BY THE AIR LIQUEFACTION PROCESS