Delivery Ticket
Sky Oxygen
2790 Idlewood Avenue
Pittsburgh, PA 15106
412-278-3001
412-278-3003 FAX
Invoice # P18407
Ship To
HCS PITTSBURGH
Hazardous Material Checklist
Yes No
Cylinders Properly Labeled
Shipping Paper Provided
Placards Required
Vehicle Properly Placarded
Customer Initials Employee Initials
Service Date Invoice Date
12/12/2017 12/12/2017
Cylinder Type: S=Steel A=Aluminum Ownership: R=Rental O=Owned
Shipped Returned Product Description Cyl Type/Ownership Price Amount
LG CERTIFICATE OF ANALYSIS 0.00 0.00
1 LS300 (D) Liquid Oxygen U.S.P. Lot # % 0.00 0.00
Vehicle #
Start: Finish:
1 LS300 (P) Liquid Oxygen U.S.P. Lot # % 0.00 0.00
Start: Finish:
1 INVOICE TO BE PRICED LATER 0.00
Witnessed By:
FOR CHEMICAL EMERGENCY: SPILL, LEAK, FIRE, EXPOSURE, OR ACCIDENT: CALL CHEM-TREC 800-424-9300 DAY OR NIGHT
ALL GASES PRODUCED BY AIR LIQUEFACTION TESTED VIA SERVOMEX OA244 5200 570A
Released By Date
THE UNDERSIGNED CERTIFIES THAT HE/SHE HAS READ THE FRONT OF THIS FORM AND HAS BEEN GIVEN A COPY OF THIS DOCUMENT
Customer Signature Date
OXYGEN REFRIGERATED LIQUID, USP
UN 1073
ALWAYS KEEP CONTAINER IN UPRIGHT POSITION.
WARNING
USP
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 oxygen content of arterial blood, may be harmful. Do not attempt to use on patients who have stopped breathing unless used in conjunction with resuscitative equipment.
Produced by Air Liquefaction.
Keep out of reach of children; and Federal law requires that this container be refilled with oxygen USP only by establishments registered as a drug manufacturer in accordance with the Federal Food, Drug, and Cosmetic Act.
DANGER
MAY CAUSE OR INTENSIFY FIRE; OXIDIZER. CONTAINS REFRIGERATED GAS; MAY CAUSE CYROGENIC BURNS OR INJURY. COMBUSTIBLES IN CONTACT WITH LIQUID OXYGEN MAY EXPLODE ON IGNITION OR IMPACT.
Do not handle until all safety precautions have been read and understood. Keep and store away from clothing and other combustible materials. Keep valves and fittings free from grease and oil. Use and store only outdoors or in a well-ventilated place. Wear cold insulating gloves, face shield, and eye protection. In case of fire: Stop leak if safe to do so. Use a back flow preventive device in the piping. Use only with equipment of compatible materials of construction and rated for cylinder pressure. Use only with equipment cleaned for oxygen service. DO NOT change or force fit connections. Avoid spills. Do not walk on or roll equipment over spills. Close valve after each use and when empty. Always keep container in upright position.
READ AND FOLLOW THE SAFETY DATA SHEET (SDS) BEFORE USE.
CAS: 7782-44-7
IF ON SKIN: Thaw frosted parts with lukewarm water. Do not rub affected area. Get immediate medical advice/attention.
Contents:
Sky Oxygen
2790 Idlewood Ave., Carnegie, PA 15106
1-800-486-9353
www.sky-oxygen.com
DO NOT REMOVE THIS PRODUCT LABEL
OXYGEN
REFRIGERATED LIQUID, USP
UN 1073
ALWAYS KEEP CONTAINER IN UPRIGHT POSITION.
WARNING
USP
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 oxygen content of arterial blood, may be harmful. Do not attempt to use on patients who have stopped breathing unless used in conjunction with resuscitative equipment.
Produced by Air Liquefaction.
Keep out of reach of children; and Federal law requires that this container be refilled with oxygen USP only by establishments registered as a drug manufacturer in accordance with the Federal Food, Drug, and Cosmetic Act.
DANGER
MAY CAUSE OR INTENSIFY FIRE; OXIDIZER. CONTAINS REFRIGERATED GAS; MAY CAUSE CRYOGENIC BURNS OR INJURY. COMBUSTIBLES IN CONTACT WITH OXIDIZING REFRIGERATED LIQUIDS MAY EXPLODE ON IGNITION OR IMPACT.
Do not handle until all safety precautions have been read and understood. Keep and store away from clothing and other combustible materials. Keep valves and fittings free from grease and oil. Use and store only outdoors or in a well-ventilated place. Wear cold insulating gloves, face shield, and eye protection. In case of fire: Stop leak if safe to do so. Use a back flow preventive device in the piping. Close valve after each use and when empty. Use only with equipment rated for cylinder pressure. Do not open valve until connected to equipment prepared for use. Use only equipment of compatible materials of construction. Open valve slowly. Use only with equipment cleaned for oxygen service. DO NOT change or force fit connections. Avoid spills. Do not walk on or roll equipment over spills.
FIRST ADI: IF ON SKIN: Thaw frosted parts with lukewarm water. Do not rub affected area. Get immediate medical advice/attention.
Contents:
READ AND FOLLOW THE SAFETY DATA SHEET (SDS) BEFORE USE.
CAS: 7782-44-7
SkyOxygen since 1973
Industrial Gases – Welding Supplies
2790 Idlewood Ave.
Carnegie, PA 15106
1-800-486-9353
www.sky-oxygen.com
