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.


Pickup Location

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

Quantity & Status

Cylinders must be from Receiving Services (Airgas or Matheson) only. Other cylinders require prior authorization by Receiving Services. For credit, please provide COA.

COA (Chart of Accounts)