Non-routine Cylinder Removal Request Form
This form is for requesting removal of non-routine gas cylinders only. DO NOT SUBMIT THIS FORM to request returns to GSS/Airgas/Praxair. Refer to the Procurement Supplier Information website for instructions on returning cylinders to these suppliers.
Provide building, room and other location information (e.g. storage locker, hood, etc.)
Photo should show condition of valve, contents, DOT markings
Provide supplier name or "unknown"
If empty, describe previous contents. Also list concentration (e.g. 90% nitrogen, 10 % oxygen)
Vendor ID code
Lecture: up to 3" dia. an 13" long or 4" dia. and 10" long
Small: Up to 4" dia. and 24" long
Med: Up to 12" dia. and 26" long
Large: Up to 16" dia. and 56" long
Extra Lrg: up to 20" dia and 64" long
1/2 Ton: up to 30" dia and 52" long or 20 " dia. and 82" long
Ton: up to 24" dia. and 94" long or 30" dia. and 82" long
Extra Lrg (CYXL)
1/2 Ton (CYHT)
Send me a copy of my responses
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