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RTF Template

District Government of Arnsberg

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION

1. Authorisation Number	:	DE_NW_01_WDA_2021/24.05.03-036-001
2. Name of Authorisation Holder	:	Messer Industriegase GmbH
3. Address(es) of Site(s)	:	In der Steinwiese 5, Siegen, Nordrhein-Westfalen, 57074, Germany

4. Legally registered address of Authorisation Holder	:	Messer-Platz 1, Bad Soden, Hessen, 65812, Germany
5. Scope of authorisation (complete for each site under 4)	:	ANNEX 1
6. Legal basis of authorisation	:
7. Name of responsible officer of the competent authority of the member state granting the wholesaling authorisation	:	Confidential, Confidential
8. Signature	:
9. Date	:	2021-04-08
10. Annexes attached	:	Annex 1 Scope of wholesale distribution authorisation Annex 2 (Optional) Address(es) of contract wholesale distribution sites and their authorisation number Annex 3 (Optional) Name(s) of responsible person(s) Annex 4 (Optional) Date of Inspection on which authorisation was granted Annex 5 (Optional) Additional provisions based on national requirements

ANNEX 1

SCOPE OF WHOLESALE DISTRIBUTION AUTHORISATION

Name and address of the site: Messer Industriegase GmbH

, In der Steinwiese 5, Siegen, Nordrhein-Westfalen, 57074, Germany

1. MEDICINAL PRODUCTS

1.1. with a Marketing Authorisation in EEA country(s)

2. AUTHORISED WHOLESALE DISTRIBUTION OPERATIONS

2.1. Procurement

2.2. Holding

2.3. Supply

3. MEDICINAL PRODUCTS WITH ADDITIONAL REQUIREMENTS

3.2. Medicinal gases

Any restrictions or clarifying remarks (for all users): Medizinischer Sauerstoff
Distickstoffmonoxid
Äquimolares Gasgemisch aus O2 und N2O
Stickstoffmonoxid in Stickstoff
Lungenfunktionsgase unterschiedlicher Zusammensetzung
Druckluft für Atemzwecke

Medical oxygen
Nitrous oxide
Equimolar gas mixture of O2 and N2O
Nitric oxide in nitrogen
Functional lung gases of different compositions
Compressed air for breathing purposes

*Art 5 of Directive 2001/83/EC or Art 83 of Regulation EC/726/2004

**Without prejudice to further authorisations as may be required according to national legislation

Union Format for a Wholesale Distribution Authorisation	DE_NW_01_WDA_2021/24.05.03-036-001
	Page 1

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