PRODUCT NAME: N-Nitroso Hydroxychloroquine EP Impurity C (Possibility 1)
Date of Mfg: Sample COA	RETEST DATE: Sample COA

Catalogue Number	HYX-003
Lot Number	Sample COA
Batch Quantity	Sample COA
CAS Number	NA
Mol. Formula	C16H21ClN4O2
Molecular Wt	336.8
Long Term Storage Condition	2-8°C Refrigerator	Handling instruction	Sample COA
Chemical Name	N-Nitroso Hydroxychloroquine EP Impurity C (Possibility 1)
Synonyms	N-(4-((7-Chloroquinolin-4-yl)amino)pentyl)-N-(2-hydroxyethyl)nitrous amide

Test	Results
Appearance	Off White Solid
Identification by 1H NMR	Sample COA
Identification By IR	Sample COA
Mass (ESI)	Sample COA
Purity	NLT 95%
Wt. Loss by TGA	Sample COA
% Potency	Sample COA
Solubility	Chloroform, Methanol
QC Release Date	Sample COA
Attachments	Sample COA
Note: This material can be used as a referance standard and is for research purpose ONLY and not for human consumption