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Calgon Carbon Corporation <br />Technical Service Request <br />CCC Rep: <br />Business Unit: <br />Location: <br />Created By: Matthew Ford <br />Date Created: 01/29/2020 <br />Contains ITAR Information: 0 Yes • No <br />Received: 0 TSR 0 Sample • Both Status: Open <br />Confidential Readers: <br /> <br />TSR#: 20200149 <br />Date TSR# Assigned: 01/31/2020 <br />Sales Manager: <br />Tech Group: Carbon Acceptance <br />Tech Service Supervisor: Rene Kotyk <br />( Click here to Assign As Blanket TSR4 ) <br />Application/Process Engineer: <br />Platform: <br /> <br />Chargeable: LI Yes ; If "Yes", Amount: <br /> <br />P.O. Amount: <br />Customer: DS106N Dow 'Click here to change the Customer Name <br />Carbon Acceptance No.: DS106N •NOROS GE.El DS <br />DSNuinber: DSNumber to be assigned <br />Contact: <br />Address: <br />City: State: ZIP: <br />Phone: Fax: <br />Email: <br />Site Information <br />Facility Name: <br />Facility Address: <br />City: <br />Third Party information <br />Bill To: <br />Address: <br />City: <br />Contact <br />First Name: <br />Middle Initial: <br />Last Name: <br />Telephone: <br />Sold To <br />Customer Number: <br />Contract Number: <br />Shin To <br />Customer Number: <br />Contract Number: <br />Bill To <br />Customer Number: <br />Contract Number: <br />jTSR Log <br />State: Zip: <br />State: Zip: <br />agLes (Information required for project prioritization) <br />Carbon: LB/Year