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Generic: nitrogen is used for the treatment of Frostbite Inert Gas Narcosis Warts

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UIG Universal Industrial Gases, Inc

Certificate of Analysis

All NF Nitrogen delivered by Universal Industrial Gases, Inc, when used in a medical application or by medical customers properly registered with the FDA, is classified as NF Nitrogen

Shipped From

Taylor Data Systems

181 E. Evans St

Suite A

Florence, SC 29505

843-656-2084

Company: Taylor Data Systems Operator: Admin

Product: Nitrogen Product Code: NI 300

Driver: Test Driver Tractor No: 14 Trailer No: 123

Load No: 92 Certificate No: 214 Tank No: 1100

Time In: 12:29 PM Time Out: 2:48 PM Certification Date: 6/4/2018 2:48 PM

Tare Weight: 10010 lbs Gross Weight: 45000 lbs Net Weight: 34990 lbs

Lot Number: TDS-155-18-N-1100-1 Produced By: TDS

Assay per NF requirements is by difference of O2 only

Results Units USP/NF Specifications TDS Specifications

Purity Pre-fill 99.9985 % >=99.9985 % >=99.9985 %

Purity Post fill 99.9992 % >=99.00 % >=99.999 %

Assay, by Difference

O2 4.00 ppm/V <=1.0 % <=5.00 ppm/V

O2-Nitrogen

CO 4.00 ppm/V <=10.0 % <=10.00 ppm/V

CO-Nitrogen

Odor None None None

Organoleptic

Identity Nitrogen Nitrogen Nitrogen

Dew Point -88.50 deg. F 0.00 deg. F

Moisture 4.00 ppm/V <=5.00 ppm/V

-

Critical Analyzers Yes

*The Pre-Fill is tested against UIGI specifications and a Pass indicates that the results met or exceeded the applicable specifications. The results of the Pre-Fill tests are kept on file.

Quantity delivered to trailer: 34,990.00 Gallons: 2.04 Cubic Feet: 482966.97

UIGI Analyst: I declare that this analysis was completed within all UIGI policy and procedures and that the product meets all UIGI specifications.

Signed: Date: 06/04/2018

Product Release Speciaul / Released By: I declare that this certificate is accurate, complete and compliant with all applicable policies and procedures, that all pre-fill inspections including inspection of the loading hose and connections were performed following all applicable procedures, and that the product meets all UIGI specifications.

Signed: Date: 06/04/2018

Picked Up By: I declare that I have received the required documentation for shipment of this product and that I have the North American Emergency Response Guide or a SDS.

Signed: Date: 06/04/2018

DISCLAIMER:

"This tool does not provide medical advice, and is for informational and educational purposes only, and is not a substitute for professional medical advice, treatment or diagnosis. Call your doctor to receive medical advice. If you think you may have a medical emergency, please dial 911."

"Do not rely on openFDA to make decisions regarding medical care. While we make every effort to ensure that data is accurate, you should assume all results are unvalidated. We may limit or otherwise restrict your access to the API in line with our Terms of Service."

"This product uses publicly available data from the U.S. National Library of Medicine (NLM), National Institutes of Health, Department of Health and Human Services; NLM is not responsible for the product and does not endorse or recommend this or any other product."

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