ACTIVE INGREDIENT:

CHLOROXYLENOL

Purpose

Antimicrobial

Uses

Antimicrobial hand sanitizer.

INACTIVE INGREDIENTS:

WATER, TALL OIL ACID, POTASSIUM HYDROXIDE, COCONUT ACID, PROPYLENE GLYCOL, SODIUM LAURYL SULFATE, COCAMIDE DEA, TETRASODIUM EDTA, SODIUM CHLORIDE, STYRENE/ACRYLATES COPOLYMER, FRAGRANCE, POLYMETHOXY BICYLIC OXAZOLIDINE, YELLOW 5.

DIRECTIONS:

Dispense sufficient amount onto hands, add water, lather, and rinse.

WARNING:

FOR EXTERNAL USE ONLY. Avoid contact witheyes. In case of eye contact, immediately flush with water. If eye or skin irritation persists, get medical advice/attention. If ingested, contact a physician or Poison Control Center immediately.

Keep out of reach of children.

KEEP OUT OF REACH OF CHILDREN.

Inactive ingredients - Water, Tall oil acid, Potasium hydroxide, Coconut acid, Propylene glycol,

Sodium lauryl sulfate, Cocamide DEA, Tetrasodium EDTA, Sodium chloride, Styrene/Acrylates Copolymer,

Fragrence, Polymethoxy biclic oxazolidine, Yellow 5.

ANTIMICROBIAL HAND LOTION SOAP product label

ANTIMICROBIAL HAND LOTION SOAP #652 (NYSID # F6652)

To order visit www.LibertyCleanProducts.com or contact NYS Industries for the Disabled at 800-221-5994. Packaged by: Liberty Enterprises, Amsterdam, NY 12010

LOT NO.: 115 NET CONTENTS: 27 FL. OZ (800ML) Index: 01

LibertyEnt 652 DPL

ANTIMICROBIAL 652
chloroxylenol lotion

Product Information
Product Type	HUMAN OTC DRUG	Item Code (Source)	NDC:54679-0001
Route of Administration	TOPICAL

Ingredient Name	Basis of Strength	Strength
Active Ingredient/Active Moiety
CHLOROXYLENOL (UNII: 0F32U78V2Q) (CHLOROXYLENOL - UNII:0F32U78V2Q)	CHLOROXYLENOL	3.6 mg in 800 mL

Ingredient Name	Strength
Inactive Ingredients
WATER (UNII: 059QF0KO0R)
TALL OIL ACID (UNII: H9HR63474M)
POTASSIUM HYDROXIDE (UNII: WZH3C48M4T)
COCONUT ACID (UNII: 40U37V505D)
PROPYLENE GLYCOL (UNII: 6DC9Q167V3)
SODIUM LAURETH SULFATE (UNII: BPV390UAP0)
COCO DIETHANOLAMIDE (UNII: 92005F972D)
EDETATE SODIUM (UNII: MP1J8420LU)
SODIUM CHLORIDE (UNII: 451W47IQ8X)
STYRENE/ACRYLAMIDE COPOLYMER (MW 500000) (UNII: 5Z4DPO246A)
5-HYDROXYMETHYL(METHYLENEOXY)-1-AZA-3,7-DIOXABICYCLO(3,3,0)OCTANE (UNII: 82EKS47IC5)
FD&C YELLOW NO. 5 (UNII: I753WB2F1M)

#	Item Code	Package Description	Marketing Start Date	Marketing End Date
Packaging
1	NDC:54679-0001-1	800 mL in 1 BOTTLE; Type 0: Not a Combination Product	01/01/1994

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
OTC Monograph Drug	M003	01/01/1994

Labeler - Montgomery County Chapter Nysarc, Inc dba Liberty Enterprises (093257475)

Registrant - Montgomery County Chapter Nysarc, Inc dba Liberty Enterprises (093257475)

Name	Address	ID/FEI	Business Operations
Establishment
Montgomery County Chapter Nysarc, Inc dba Liberty Enterprises		093257475	manufacture(54679-0001)