Gas Cylinder and Alcohol Barrel Pick-Up Request Form

To ensure timely pick-up of your cylinders and barrels, please do the following:

1. Place your cylinders in the designated area of your loading dock. If your building does not have
a loading dock, place the cylinders in the designated area of your building.

2. Mark your cylinders "Empty".

3. Place a cap on the cylinder. If the cylinder does not have a cap, we cannot pick it up.

4. Place alcohol barrels on your loading dock and note "Empty" on the barrel.



Please complete all information below:

(all fields are required for the form to be processed)