SMAH Compressed Gas Cylinder Request Form

SMAH Compressed Gas Cylinder Request Form

Note: for orders from Coregas only

Upon successful form submission you will receive an email detailing the next procedural steps. Note orders may only be placed periodically ie not on-demand. If you have questions contact your Discipline Manager.

For SCMB & B42 to ensure removal/delivery on the next scheduled delivery date (below) please ensure by 5pm the Wednesday prior that requests are submitted and any empty cylinders are put in the necessary pickup locations.

2025 delivery dates for Chemistry & B42(MH) Disciplines (every second Friday)
* Jan 17 &31
* Feb 14 & 28
* March 14 & 28
* April 11
* May 2, 16, & 30
* June 13 & 27
* July 11 & 25
* August 8 & 22
* Sept 5 & 19
* Oct 3,17 & 31
* Nov 14 & 28
* Dec 12

Name Name First Last
Email
Discipline
Request type

Request type New Cylinder request Returning empty Cylinder(s) Replace empty with Identical New Cylinder
How many required?
Empty Cylinder(s) Barcode(s)

Please list the 14-digit barcode numbers beginning with 036311 for all empty cylinders you are returning to the appropriate gas store for replacement.
Gas Type

Gas Type He Ar N2 CO2 O2 Air Specialty Mixture/Other
He Gas Purity
Ar Gas Purity
N2 Gas Purity
CO2 Gas Purity
O2 Gas Purity
Air Gas Purity
If Specialty Mixture/Other please provide details (e.g. 5% oxygen in nitrogen purity 4.0).
Maximum of 50 characters allowed. Currently Entered: 0 characters.
Cylinder size

Cylinder size D G Other Other
Building Location
Lab Location
Maximum of 5 characters allowed. Currently Entered: 0 characters.
(Hidden) Cost Centre
Must be 9 digits. Currently Entered: 0 digits.
Project Number
Must be 1 letter followed by 4 digits
Project Number Owner/Supervisor
Maximum of 20 characters allowed. Currently Entered: 0 characters.