NITROGEN- nitrogen gas 
FULLERTON WELDING SUPPLY

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Nitrogen 1074

Certificate of Analysis

By Air-Liquefaction Process

Product: NITROGEN NF*

Manufacturing Plant: Pryor, OK

Address: Hwy 69A & 412 B

Pryor, OK 74361

Date / Time: 8/16/2018 9:43:00 AM

Lot Number: 037-08/16/2018/09:43

Delivery Unit # (Tanker / Railcar): 037

Quantity / Level / Prossure Gross: 31245 Tare: Net: LBS

*NF/EP applies only when used in a medical application or by medical customers properly registered with the FDA

Product delivered has been tested for indicated parameters and satisfies the contractually guaranteed purity specifications. Results are nominal values within statistical accuracy of analytical test methods.

This certificate does not add to or replace the warranty, limitations of liability or other provisions of the agreement between parties.

Requirement Test Method Specification Limit Result

Nitrogen Diff ≥ 99.999 percent ≥ 99.999 percent

Oxygen ** Delta F FAH0100 ≤ 5.00 ppm .68 ppm

Odor ** Organoleptic None None

Ppm = parts per million by volume ppb = parts per billion by volume

*Analysis on storage tank on periodic basis

**Analysis of each delivery unit

Released By:

Released via Electronic Signature: no handwritten signature required

(Signature)

Kevin N. Shue

(Printed Name)

QA-046US (08/17)

USJS0I00239193000 AutoLand TM nitrogen

NITROGEN 
nitrogen gas
Product Information
Product TypeHUMAN PRESCRIPTION DRUGItem Code (Source)NDC:42751-1074
Route of AdministrationRESPIRATORY (INHALATION)
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
NITROGEN (UNII: N762921K75) (NITROGEN - UNII:N762921K75) NITROGEN990 mL  in 1 L
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:42751-1074-115 L in 1 DEWAR; Type 0: Not a Combination Product08/30/2018
2NDC:42751-1074-210 L in 1 DEWAR; Type 0: Not a Combination Product08/30/2018
3NDC:42751-1074-320 L in 1 DEWAR; Type 0: Not a Combination Product08/30/2018
4NDC:42751-1074-430 L in 1 DEWAR; Type 0: Not a Combination Product08/30/2018
5NDC:42751-1074-5100 L in 1 DEWAR; Type 0: Not a Combination Product08/30/2018
6NDC:42751-1074-6180 L in 1 DEWAR; Type 0: Not a Combination Product08/30/2018
7NDC:42751-1074-7260 L in 1 DEWAR; Type 0: Not a Combination Product08/30/2018
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
NDANDA20586608/30/2018
Labeler - FULLERTON WELDING SUPPLY (556832384)
Establishment
NameAddressID/FEIBusiness Operations
FULLERTON WELDING SUPPLY556832384manufacture(42751-1074)

Revised: 10/2023
Document Id: 0760c404-9d42-a7cc-e063-6294a90a6c7e
Set id: 74aa9180-1ea2-01fc-e053-2a91aa0aa6e1
Version: 7
Effective Time: 20231010
 
FULLERTON WELDING SUPPLY