Oxygen Coa
Certificate of Analysis Shipped From:
Ashtabula Oxygen
2501 Middle Rd.
Ashtabula, Ohio
Phone: (440) 994-1994
Company Name: TEST
Product: Oxygen
Load No: 6 Trailer No: 0000
Time In: 16:56:01 Time Out: 16:56:38 Load Date: 12/26/2017
Tare Weight: 0 Gross Weight: 0 lbs Net Weight: 0 lbs
Lot Number: 4004O17360060000 Produced by: Air Liquefaction
Ashtabula Oxygen
ResultsUnitsSpecifications
Purity Pre-Fill: PASS Pass*
Purity Post-Fill: 99.99 % >=99.6%
Assay, Tested By: Teledyne 3010MA Paramagnetic
- The Pre-Fill is tested against Ashtabula Oxygen and USP/NF specification and a “Pass” indicated that the results met and exceeded the applicable specifications. The results of the Pre-Fill tests are kept on file.
Ashtabula Oxygen Analyst: I declare that this analysis was completed with all Ashtabula Oxygen policy and procedures and that the product meets all Ashtabula Oxygen and USP/NF specifications.
Signed: Date/Time:
Product Release Specialist/Release By: I declare that this certification is accurate, complete and compliant with all applicable policies and procedures and that the product meets all Ashtabula Oxygen and USP/NF specifications.
Signed: Date/Time:
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 MSDS.
Signed: Date/Time:
TF-0001-O Rev.1