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Hudson Technologies
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Return-Schedule Reclaim
Return-DLA Cylinders
Defective
Return-Empty Cylinders
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Defective Material
Report Defective Material
1. Case Defective Summary
2. Cylinders
Customer Details
Company Name
*
First Name
*
Last Name
*
Title
*
Email Address
*
*
Business Phone
*
Pickup Address
Street 1
*
Street 2
*
City
*
State/Province
*
ZIP Code
*
Country
United States
Puerto Rico
Additional Details
*
Customer Records
Customer
*
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Portal Inquiry Type
Defect or Damaged Goods
Return - Schedule Reclaim Pickup
Return - Empty Cylinders
Return - DLA Cylinders
Origin
Phone
Email
Web
Manual Entry
SharePoint
Defect or Damaged Goods
Type of Defect
Empty (Please submit a photo of the cylinder on a scale)
Partial
Defective System
Defective Valve/Handle
Out of spec (must supply lab report)
Leaking
Other
Other Defect
*
Is Valve/Drum Sealed?
No
Yes
Pickup Hours (Open-Close)
*
Date of Product Received
*
Customer Purchase Order
*
Hudson Invoice Number
*