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5580 S. Nogales Hwy.

- Tucson, AZ 85706
Toll Free : 800-975-7987 - Fax: 520-294-6061
www.westmedinc .com

Certificate of Compliance

Date: 05/15/2020

Description: Pulset 3cc Syringe 23g x 1" Q-Cork 50u BH

Westmed Part Number: 3303-50

Customer Part Number: 3303-50

Purchase Order Number: 4500097785

Westmed Lot Number: 032620U05

Quantity Shipped: 502

Released To: Nipro Medical Corporation


Nipro Medical Corporation
10200 NW 110th Avenue #15
Medley, FL 33178

It is hereby certified that all materials (resins) and components used in the assemblies identified above
are the same as those originally submitted as samples. The resin meets the requirements of ASTM. No
material changes will be made without the expressed permission by quality personnel. All material,
components and assemblies were within specification at time of shipment.

Westmed circuit tubing is in compliance with the material, design, length, flow, component attachment,
leakage, electrostatic, sterility, packaging, marking and measuring criteria of ISO5367.

Signature Kalyn Galvez-Latneau

Print Name & Title Kalyn Galvez-Latneau, Mgr. Customer Service

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