OXYGEN USP CERTIFICATE OF ANALLYSIS

BULK PRODUCT LOADING TAG OXYGEN PRODUCED BY AIR LIQUEFACTION PROCESS MEETS USP REQUIREMENTS

VESSEL/TANK#________________ QUANTITY_______________ U/M____________ LOT#________________________ PURITY(%)_________________________ ODOR (CIRCLE ONE) PASS FAIL IDENTITY (CIRCLE ONE) PASS FAIL

ANALYZER MAKE - SERVOMEX MODEL__________________ DATE______________ OPERATOR_______________ THIS TAG MUST BE REMOVED ONLY BY EMPLOYEE RESPONSIBLE FOR REFILLING.

COA TAG

OXYGEN
oxygen gas

Product Information
Product Type	HUMAN PRESCRIPTION DRUG	Item Code (Source)	NDC:64203-020
Route of Administration	RESPIRATORY (INHALATION)

Ingredient Name	Basis of Strength	Strength
Active Ingredient/Active Moiety
OXYGEN (UNII: S88TT14065) (OXYGEN - UNII:S88TT14065)	OXYGEN	99 L in 100 L

#	Item Code	Package Description	Marketing Start Date
Packaging
1	NDC:64203-020-01	40 L in 1 DEWAR; Type 0: Not a Combination Product	01/01/1993
2	NDC:64203-020-02	41 L in 1 DEWAR; Type 0: Not a Combination Product	01/01/1993
3	NDC:64203-020-03	46 L in 1 DEWAR; Type 0: Not a Combination Product	01/01/1993
4	NDC:64203-020-04	60 L in 1 DEWAR; Type 0: Not a Combination Product	01/01/1993
5	NDC:64203-020-05	683589 L in 1 TANK; Type 0: Not a Combination Product	01/01/1993
6	NDC:64203-020-06	1432282 L in 1 TANK; Type 0: Not a Combination Product	01/01/1993

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
unapproved medical gas		01/01/1993

Labeler - New Schryver LLC (808372536)

Registrant - New Schryver LLC (808372536)

Name	Address	ID/FEI	Business Operations
Establishment
New Schryver LLC		058743753	manufacture(64203-020)

Name	Address	ID/FEI	Business Operations
Establishment
New Schryver LLC		025927706	manufacture(64203-020)