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: 08/2010Linde LLC