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Calgon Carbon Corporation <br />Technical Service Request <br />CCC Rep: Rick Saunders <br />Business Unit: <br />Location: <br />Created By: Matthew s ma i es <br />Date Created: 1,2 11 2017 <br />Contains ITAR Information: L. Yes • No <br />Received: TSR Sample • Both Status: Completed <br />Confidential Readers: <br />TS1R#: 20171212 <br />Date TSR# Assigned: 12 13 2017 <br />Sales Manager: <br />Tech Group: Carbon Acceptance <br />Tech Service Supervisor: Rene Kotyk <br />Application/Process Engineer: William Zavora <br />Platform: Service <br />Chargeable: <br />P.0.#: <br />( Click here to Assign As Blanket ISR# ) <br />Yes If "Yes", Amount: <br />P.O. Amount: <br />Customer: McKesson Corp( OMEGA 6018N Click here to change the Customer Name <br />Carbon Acceptance No.: 6018 •NOROS OE LIDS <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 />Fhird Party Information <br />Bill To: <br />Address: <br />City: <br />Contact <br />First Name: <br />Middle Initial: <br />Last Name: <br />Telephone: <br />Sold 1 o <br />Customer Number: <br />Contract Number: <br />Shtp_To <br />Customer Number: <br />Contract Number: <br />Bill To <br />Customer Number: <br />Contract Number: <br />State: Zip: <br />State: Zip: <br />TSR Log <br />Sales (Information required for project prioritization) <br />Carbon: LB/Year <br />Carbon Type: