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Gas Cylinder Return Request Form

Indicates required field

Please use this form to return gas cylinders. If you have questions, please contact Receiving Services at (951) 827-5392.

Name

Pickup Location

Please indicate if the location is alarmed, has gate or elevator access.

Quantity & Status

Cylinders must be Airgas only. Other cylinders require prior authorization by receiving services. For credit, please provide FAU.