Oxygen
d130e778-a02c-4762-b09a-85358e0994ce
34391-3
HUMAN PRESCRIPTION DRUG LABEL
Drug Facts
Composition & Product
Identifiers & Packaging
Description
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 Results Units Specifications 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
Medication Information
Description
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 Results Units Specifications 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
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
Results Units Specifications
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
Structured Label Content
Oxygen Coa (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
Results Units Specifications
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
Advanced Ingredient Data
Raw Label Data
All Sections (JSON)
Additional Information
Back to search View SPL set listing Open on DailyMed ↗
Source: dailymed · Ingested: 2026-02-15T11:43:31.802759 · Updated: 2026-03-14T22:15:52.273968