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OlLyAR ce Certification of Cleanliness for Oxygen Service SEE CONCOA Order Number: F3289250 CONCOA certifies that the wetted components of this item have been cleaned for oxygen service in accordance with the recommended methods of Compressed Gas Association, Inc. as published in CGA G-4.1: 2018, and CONCOA's oxygen component cleaning procedure MP-500. These items are clean for use in oxygen service up to the lesser of their rated pressures or 4500 PSIG. HOWEVER, THIS PRODUCT IS NOT CONFIGURED FOR OXYGEN SERVICE CONCOA Part Number: 4321332-01-660M CONCOA Serial Number: 2191838 TESTED BY: Signed: #40 Date: September 14,2021 CONTROLS CORPORATION OF AMERICA 1501 Harpers Road - Virginia Beach, VA 23454 - Phone (757) 422-8330 Fax (757) 422-3125 - http://www.concoa.com Patta Certification of Cleanliness for Oxygen Service — CONCOA Order Number: F3289250 CONCOA certifies that the wetted components of this item have been cleaned for oxygen service in accordance with the recommended methods of Compressed Gas Association, Inc. as published in CGA G-4.1: 2018, and CONCOA's oxygen component cleaning procedure MP-500. These items are clean for use in oxygen service up to the lesser of their rated pressures or 4500 PSIG. HOWEVER, THIS PRODUCT IS NOT CONFIGURED FOR OXYGEN SERVICE CONCOA Part Number: 4321332-01-660M CONCOA Serial Number: 219181RV TESTED BY: Signed: #40 Date: September 14,2021 CONTROLS CORPORATION OF AMERICA 1501 Harpers Road - Virginia Beach, VA 23454 - Phone (757) 422-8330 Fax (757) 422-3125 ~ http://www.concoa.com Bocona Certification of Cleanliness for Oxygen Service oo CONCOA Order Number: F3289250 CONCOA certifies that the wetted components of this item have been cleaned for oxygen service in accordance with the recommended methods of Compressed Gas Association, Inc. as published in CGA G-4.1: 2018, and CONCOA's oxygen component cleaning procedure MP-500. These items are clean for use in oxygen service up to the lesser of their rated pressures or 4500 PSIG. HOWEVER, THIS PRODUCT IS NOT CONFIGURED FOR OXYGEN SERVICE CONCOA Part Number: 4321332-01-660M CONCOA Serial Number: 219181RT Signed: TES i . By: Date: September 14,2021 CONTROLS CORPORATION OF AMERICA 1501 Harpers Road - Virginia Beach, VA 23454 - Phone (757) 422-8330 Fax (757) 422-3125 - http://www.concoa.com 2 Fatwa Certification of Cleanliness for Oxygen Service nn CONCOA Order Number: F3289250 CONCOA certifies that the wetted components of this item have been cleaned for oxygen service in accordance with the recommended methods of Compressed Gas Association, Inc. as published in CGA G-4.1: 2018, and CONCOA's oxygen component cleaning procedure MP-500. These items are clean for use in oxygen service up to the lesser of their rated pressures or 4500 PSIG. HOWEVER, THIS PRODUCT IS NOT CONFIGURED FOR OXYGEN SERVICE CONCOA Part Number: 4321332-01-660M CONCOA Serial Number: 219182 W TESTED BY: Signed: #40 Date: September 14,2021 CONTROLS CORPORATION OF AMERICA 1501 Harpers Road - Virginia Beach, VA 23454 - Phone (757) 422-8330 Fax (757) 422-3125 ~ http://www.concoa.com Seaview Certification of Cleanliness for Oxygen Service nn CONCOA Order Number: F3289250 CONCOA certifies that the wetted components of this item have been cleaned for oxygen service in accordance with the recommended methods of Compressed Gas Association, Inc, as published in CGA G-4.1: 2018, and CONCOA's oxygen component cleaning procedure MP-500. These items are clean for use in oxygen service up to the lesser of their rated pressures or 4500 PSIG. HOWEVER, THIS PRODUCT IS NOT CONFIGURED FOR OXYGEN SERVICE CONCOA Part Number: 4321332-01-660M CONCOA Serial Number: 219181RY TESTED BY: Signed: #40 Date: September 14,2021 CONTROLS CORPORATION OF AMERICA 1501 Harpers Road - Virginia Beach, VA 23454 - Phone (757) 422-8330 Fax (757) 422-3125 - http://www.concoa.com

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