Possible Defective Material

Company Name(Required)

Email(Required)

Phone(Required)

Pickup Address(Required)

Street Address (Required) Address Line 2 City (Required) State / Province / Region (Required) ZIP / Postal Code (Required) Country

Pickup Hours (Open-Close)(Required)

Please list the hours of operation for your warehouse

Name(Required)

First Name (Required) Last Name (Required)

Title(Required)

Refrigerant(Required)

To select multiple, hold down CTRL

Cylinder Size R-11

Cylinder Size R-12

Cylinder Size R-13

Cylinder Size R-13B1

Cylinder Size R-14

Cylinder Size R-22

Cylinder Size R-23

Cylinder Size R-113

Cylinder Size R-114

Cylinder Size R-116

Cylinder Size R-123

Cylinder Size R-124

Cylinder Size R-125

Cylinder Size R-134a

Cylinder Size R-236fa

Cylinder Size R-245fa

Cylinder Size R-401A

Cylinder Size R-401B

Cylinder Size R-402A

Cylinder Size R-402B

Cylinder Size R-404A

Cylinder Size R-407A

Cylinder Size R-407C

Cylinder Size R-407F

Cylinder Size R-408A

Cylinder Size R-409A

Cylinder Size R-410A

Cylinder Size R-416A

Cylinder Size R-417A

Cylinder Size R-421A

Cylinder Size R-422A

Cylinder Size R-422B

Cylinder Size R-422D

Cylinder Size R-427A

Cylinder Size R-438A

Cylinder Size R-448A

Cylinder Size R-449A

Cylinder Size R-450A

Cylinder Size R-452A

Cylinder Size R-500

Cylinder Size R-502

Cylinder Size R-503

Cylinder Size R-507

Cylinder Size R-508B

Cylinder Size R-513A

Cylinder Size R-514A

Cylinder Size R-515B

Cylinder Size R-1233zd

Cylinder Size R-1234yf

Cylinder Size R-1234ze

Cylinder Size SF6

Other: Refrigerant Type

Other: Cylinder Size

Quantity of Defective Cylinders(Required)

Please list breakdown by refrigerant ex. 2 (R-410A), 3 (R-22), etc.

Brand Name(Required)

If multiple, please specify. If unknown, list N/A

Cylinder Batch # (if multiple, please specify)(Required)

Batch Number located on the top of the box

Date Product Received(Required)

USA Refrigerants Invoice Number(Required)

Customer Purchase Order(Required)

Type of Defect(Required)

To select multiple, hold down CTRL

Other Defect

Is Valve/Drum Sealed?(Required)

Yes

Please submit a photo of the cylinder on a scale, showing that the seal is still intact

File Upload

Accepted file types: jpg, gif, png, pdf, Max. file size: 300 MB.

Empty Cylinder File Upload

Accepted file types: jpg, gif, png, pdf, Max. file size: 300 MB.

Comments

Warranty: All products, other items of sale, cylinders and other containers furnished by USA Refrigerants are warranted for one (1) year from the date of sale to conform to the description thereof published by the manufacturer at the time of sale, and all gas products will meet Seller’s purity specifications. SELLER SPECIFICALLY DISCLAIMS ANY OTHER EXPRESS OR IMPLIED STANDARDS, GUARANTEES, OR WARRANTIES, INCLUDING ANY WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE OR NON-INFRINGEMENT AND ANY WARRANTIES THAT MAY BE ALLEGED TO ARISE AS A RESULT OF CUSTOM OR USAGE.

Warranty Policy

By checking this box, you confirm that you have read and agreed to our warranty policy

R11
R12
R13
R13B1
R14
R22
R23
R113
R114
R116
R123
R124
R125
R134a
R236fa
R245fa
R401A
R401B
R402A
R402B
R404A
R407A
R407C
R407F
R408A
R409A
R410A
R416A
R417A
R421A
R422A
R422B
R422D
R427A
R438A
R448A
R449A
R450A
R452A
R500
R502
R503
R507
R508B
R513A
R514A
R515B
R1233zd
R1234yf
R1234ze
SF6
Other