Return Authorization Form Customer(Required) First Last Date(Required) Month Day Year Consignment Inventory Item:(Required) Yes No Totes Quantity Product Empty Lot # Labeled Actions Edit Delete There are no Entries. Add Entry Maximum number of entries reached. Drums Quantity Product Empty Lot # Labeled Actions Edit Delete There are no Entries. Add Entry Maximum number of entries reached. Bulk Product Lot # Lbs Actions Edit Delete There are no Entries. Add Entry Maximum number of entries reached. *All containers either empty, partial, or full must be properly labeled and all caps and bungs in place and secured. *If container is not labeled or contains product that has not been declared before pick up it will not be loaded. Polymer, PerManganate, HFS containers cannot be reused. Those containers will be charged a disposal fee.Disposition of Returned Product:(Required) Dispose Resale Reason for Return:(Required)EmailThis field is for validation purposes and should be left unchanged. 4998894615