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

USP Monograph Results All Methods used 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	greater than or equal to 99.0%	25 ppm	1 ppm	10 ppm	2.5 ppm	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-Linide 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 C The Linde Group - Distributed by a locally registered Linde company

CARBON DIOXIDE
carbon dioxide gas

Product Information
Product Type	HUMAN PRESCRIPTION DRUG	NDC Product Code (Source)	45149-014
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	45149-014-01	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 Merchant Production Inc. (809567303)

Establishment
Name	Address	ID/FEI	Operations
Linde Merchant Production Inc.		831800201	MANUFACTURE

Revised: 09/2010Linde Merchant Production Inc.