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48ure Plus E3 Instant Foam Hand Sanitizer is a highly effective antimicrobial sanitizer that instantly kills up to 99.9% of germs that cause illness. It has a moisturizing and conditioning formula that requires no water or towels and works in as little as 15 seconds. Its active ingredient is Benzalkonium Chloride 0.1%. The directions for use are clearly mentioned on the packaging. It is refreshing and easy on the skin, and can be used repeatedly. This hand sanitizer is manufactured in the USA and is acceptable for use in food processing facilities. Contact with eyes must be avoided and in case of irritation or redness, stop use and contact a doctor.*