OXYGEN- oxygen gas 
ABSOLUTE AIR LLC

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Oxygen

ABSOLUTE AIR

Shipped From:

Absolute Air LLC

1305 40th Street NW

Faribault, MN 55021

763-551-5393

Certificate of Analysis

Customer TOLL

Product Oxygen, USP

Time In 11/25/2025 13:10:12

Time Out 11/25/2025 13:37:49

Trailer T02

Load 7

Lot 55021-O-25-329-7-T02

Gross Weight, lbs 79500

Tare Weight, lbs 48860

Net Weight, lbs 30640

Post-Fill Result Specification Method

Purity, % (v/v) 99.74 > = 99.5 Teledyne 3010MA Paramagnetic

Odor None None Organoleptic

This product was manufactured by air liquefaction. Therefore, carbon monoxide and carbon dioxide testing is exempt under the USP compendium. NDA 217500

Analyst: I declare that this analysis was completed within all Absolute Air policies and procedures and that the produce meets Absolute Air specifications.

Signed Date/Time

Released By: I declare that this certificate is accurate, complete, and compliant with all applicable policies and procedures and that the product meets Absolute Air specifications.

Signed Date/Tim

Warning: For emergency use only when administered by properly trained personnel for oxygen deficiency and resuscitation. For all other Medical applications, Rx required.

No smoking or vaping. Keep away from open flame.

Produced by air liquefaction. coa nda 2025

ABSOLUTE AIR DELIVERY TICKEY OFFICE COPY

SOLD BY

ABSOLUTE AIR LLC

1305 40TH ST NW

FARIBAULT, MN 55021

507-339-0104

SHIP TO

TOLL COMPANY

3005 NIAGARA LN N

PLYMOUTH, MN 55447-4893

763-551-5355

Customer 500

Order 0000011841-00

Order Date 11/25/2025

Page 001 OF 001

Name TOLL COMPANY Territory 000001 Ship Via PICK-UP Initials TJS

Ref # Phone 763-551-5355 Salesperson 000001 Other Zone 00 UPS Zone 0 Order Type CHRG

P/O# PENDING Branch 000001 COL/PPD PREPAID Route Date/Time 25-Nov-25 01:38PM

Gas P/O# Status Ship Date Username tswanson

QTY SHIPPED UOM HM ID NUMBER Description HAZARD CLASS LINE NO. ITEM NUMBER QTY ORDERED CYLINDERS SHIP RETN VOLUME/WEIGHT UNIT AMOUNT EXTENDED AMOUNT

370131 SCF X UN1073 **Location: 1** OXYGEN, REFRIGERATED LIQUID, 2.2 (5.1), CARGO TANK (LIQUID OXYGEN BULK USP) ***Lot Numbers Required*** Lot: 55021-O-25-329-7-T02 1 Qty: 370131 OXY BULK 370131 0 370131 .00 N

This is to certify that the above named materials are properly classified, described, packaged, marked and labeled, and are in proper condition for transportation according to the applicable regulations of the Department of Transportation.

Authorized Signature

EMERGENCY RESPONSE 1-800-535-5053 (FOR CHEMICAL EMERGENCY)

ACCT # 115128

X RECEIVED BY (SIGNATURE)

X RECEIVED BY (PLEASE PRINT) coa two 2025

OXYGEN 
oxygen gas
Product Information
Product TypeHUMAN PRESCRIPTION DRUGItem Code (Source)NDC:82666-001
Route of AdministrationRESPIRATORY (INHALATION)
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
OXYGEN (UNII: S88TT14065) (OXYGEN - UNII:S88TT14065) OXYGEN995 mL  in 1 L
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:82666-001-0117033 L in 1 TANK; Type 0: Not a Combination Product06/30/2022
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
NDANDA21750006/30/2022
Labeler - ABSOLUTE AIR LLC (118626491)
Establishment
NameAddressID/FEIBusiness Operations
ABSOLUTE AIR, LLC118626491manufacture(82666-001)

Revised: 12/2025
Document Id: 4614db05-f89e-20b1-e063-6294a90a1299
Set id: e1e64161-2bbf-7b23-e053-2995a90a376b
Version: 6
Effective Time: 20251216
 
ABSOLUTE AIR LLC