Oxygen USP Bulk Liquid | OXYGEN [Air Liquide Large Industries U.S. LP] | BioPortfolio

13:42 EST 27th January 2019 | BioPortfolio

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AIR LIQUIDE  OXYGEN U.S.P.         Form Number: 2A-ALL-QUA-0005-F

                                                            Revision:         0

                                                            Effective Date: 03/29/06

                                                            Page:               1/1


Air Liquide large Industries U.S. L.P. – Houston, TX 77056


1.Location       Street Address1                                  2. Carrier ________________

Street Address 2

City, State Zip

3. Lot Number ______________________                4. Trailer No _____________

PRE-FILL REPORT                                                   FILL REPORT

5.Residual Assay        6. Odor                                    7. Trailer loaded with appropriate product per appropriate

   (>99.5% O)                  Detected                                 loading procedure by:

   _______ %                  Yes    No                              Signature _________________________

   ________                    ________                             Date _____________________________

    Initial                            Initial


Test required             Method of Analysis                           Specifications                       Results

OXYGEN ASSAY       PARAMAGNETIC       ___                  99.5% O Minimum                9. ____%

                                    8.Analyzer Tag Number        

ODOR                         Organoleptic (Nasal)                           None                                       10. ______

USP applies only when used in a medical application or by medical customers properly registered with the FDA. Note: Oxygen that is produced by the air liquefaction process is exempt from the requirement of the impurity test for Carbon Dioxide and Carbon Monoxide.

11. Analyzed By         ________________________            Date ____________

12. Witnessed By       ________________________            Date ____________

     (only required for HRC customers)

13. Does this lot require additional testing?  ___ NO            ___ YES – attach page 2

14. SQCU Review/Release _______________________     Date ____________


User must assure that this revision of the form is current prior to use. Completed forms become permanent records subject to the record retention policy.


Air Liquide Large Industries U.S. LP

Active Ingredients


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