Delivery Tag
CERTIFICATE OF ANALYSIS
Lot Number ________  Serial Number_______  Amount ___________________ INS., LBS., CALS., Liters, CU., FT.

USP Tests
Test  ID – ODOR – ASSAY
LIMITS OK – NONE – 99.2%
RESULT

FOR CUSTOMER USE TO DOCUMENT TESTS PERFORMED ON THIS VESSEL IF TESTING WAS NOT WITNESSED

Test  ID – ODOR – ASSAY
LIMITS OK – NONE – 99.2%
RESULT

CUSTOMER WITNESSED TEST YES__  NO __  OXYGEN PURITY TESTED WITH A ______ ANALYZER MODEL #___________  SUPPLIERS SIGNATURE _____________________  DATE____
CUSTOMERS SIGNATURE ________________________  DATE_________

MEDICAL GASES
LIQUID OXYGEN, U.S.P. DELIVERY TAG
FILLED BY
WELDERS SUPPLY A RAIMY CORPORATION
1628 CASCADE STREET – ERIE, PA 16502
(814) 454-1563 – FAX (814) 455-1059
(800) 352-0945
THIS VESSEL CONTAINS OXYGEN USP (see reverse side for test results)
OXYGEN PRODUCED BY THE AIR LIQUEFACTION PROCESS
O.D.T.

OXYGEN COMPRESSED USP

UN1072 OXYGEN 2

WARNING: For emergency use only when administered by properly trained personnel for Oxygen deficiency and resuscitation.  For all other medical applications Rx Only.  Uninterrupted use of high
               concentrations of Oxygen over a long duration, without monitoring its effect on oxyen 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 resuscitative equipment.  PRODUCED BY AIR LIQUEFACTION.

Warning: HIGH PRESSURE OXIDIZING GAS.  VIGOROUSLY ACCELERATED COMBUSTION.  Keep oil and grease away. 
               Open valve slowly.  Store and use with adequate ventilation.  Use only with equipment cleaned for Oxygen Service
               and rated for cylinder pressure. Use a back flow preventative device in piping.  Close valve after each use and when empty.
               Cylinder temperature should not exceed 52 C (125 F)  Use in accordance with the Material Safety Data Sheet (MSDS)
               CAS 7782-44-7
               Do Not Remove this Product Label
               18033 (R 04/05)

WELDERS SUPPLY CO. , RAIMY CORPORATION

1628 CASCADE ST. ERIE, PA
               PHONE (814) 454-1563

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.

DO NOT REMOVE LABEL

Rx ONLY