Request a Return Step 1 of 5 20% I am interested in:Please SelectSchedule Reclaim PickupReturn Empty CylindersDLA Cylinders Return Return Empty Cylinders # of Cylinders* Refrigerant Previously Found in Cylinder*SelectR11R12R13R13B1R14R22R23R113R114R116R123R124R134AR125R1234YFR245FAR236FAR-32R401AR401BR402AR402BR404AR407AR407BR407CR407FR408AR409AR410AR412AR414BR416AR417AR417CR421AR422AR422BR423AR427AR438AR448AR449AR450AR452AR500R502R503R507R508AR508BR513AR514A1233ZD1234ZESF6OtherCylinder Size*Select4.49101315202324252730507080828510011011512514515020063069080084085095010001200140017001750180020002200ISO containerRailcarOther bulk deliveryYour Purchase Order #* Note: If return consists of multiple PO or Invoice #s, please list above and separate by comma.Hudson Invoice #* Check Here to Add More # of Cylinders Refrigerant Previously Found in CylinderSelectR11R12R13R13B1R14R22R23R113R114R116R123R124R134AR125R1234YFR245FAR236FAR401AR401BR402AR402BR404AR407AR407BR407CR407FR408AR409AR410AR412AR414BR416AR417AR417CR421AR422AR422BR423AR427AR438AR448AR449AR450AR452AR500R502R503R507R508AR508BR513AR514A1233ZD1234ZESF6OtherCylinder SizeSelect4.49101315202324252730507080828510011011512514515020063069080084085095010001200140017001750180020002200ISO containerRailcarOther bulk deliveryYour Purchase Order # Hudson Invoice # Check Here to Add More # of Cylinders Refrigerant Previously Found in the CylinderSelectR11R12R13R13B1R14R22R23R113R114R116R123R124R134AR125R1234YFR245FAR236FAR32R401AR401BR402AR402BR404AR407AR407BR407CR407FR408AR409AR410AR412AR414BR416AR417AR417CR421AR422AR422BR423AR427AR438AR448AR449AR450AR452AR500R502R503R507R508AR508BR513AR514A1233ZD1234ZESF6OtherCylinder SizeSelect4.49101315202324252730507080828510011011512514515020063069080084085095010001200140017001750180020002200ISO containerRailcarOther bulk deliveryYour Purchase Order # Hudson Invoice # Total Number of Pallets* Company Name* Your Name* First Last Title* Email* Enter Email Confirm Email Pickup Address* Pickup Address Line 2 City* State*SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingZip Code* Phone* Schedule Reclaim PickupFirst Name* Last Name* Email* Company Name* Pickup Address* Address Line 2 City* State* Zip Code* Phone*Emergency Service Specialist?*YesNoex. CHEMTREC, CHEMTEL, etc.Emergency Service Account Number* Emergency Service Phone Number*HAZMAT Contact Name* First Last The telephone number of a person who is knowledgeable of the refrigerant's hazardous material and has comprehensive emergency response & incident mitigation information for that material.HAZMAT Contact Phone #*30# Empty CylindersHiddenEmpty 30# Cylinders, lbs.30# Cylinders with RefrigerantHidden30# Cylinders with Refrigerant, lbs.50# Empty CylindersHiddenEmpty 50# Cylinders, lbs.50# Cylinders with RefrigerantHidden50# Cylinders with Refrigerant, lbs.125# Empty CylindersHidden125# Empty Cylinders, lbs.125# Cylinders with RefrigerantHidden125# Cylinders with Refrigrant, lbs.240# Empty CylindersHidden240# Empty Cylinders, lbs.240# Cylinders with RefrigerantHidden240# Cylinders with Refrigerant, lbs.1000# Empty CylindersHidden1000# Empty Cylinders, lbs.1000# Cylinders with RefrigerantHidden1000# Cylinders with Refrigerant, lbs.Pallets*HiddenPallets, lbs.Pick Up Date* MM slash DD slash YYYY Dock Hours (Optional) Is a Lift Gate Required?* Yes No Need More Tags?* Yes No Total Number of PalletsCylinders per PalletEstimated Total Shipping WeightHiddenAverage Gross Pallet WeightSpecial Instructions DLA Cylinders ReturnPickup Point of Contact Name* First Last DODAAC Hours of Operation Email* Enter Email Confirm Email Pickup Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone*Total Quantity of Pallets Quantity of cylinders per pallet by NSN (*If NSN is unavailable, please provide gas type) Once we receive the above information, a prepaid BOL will be provided to return cylinders via third party carrier. Additional Comments (optional)
