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Calgon Carbon Corporation <br />Technical Service Request <br />CCC Rep: Robb Taylor <br />Business Unit: <br />Location: <br />Created By: Matthew Smales <br />Date Created: <br />Received: <br />Confidential Readers: <br />TSR#: <br />Date TSR# Assigned: <br />Sales Manager: <br />05/22/2017 <br />0 TSR 0 Sample • Both <br />20170538 <br />05/22/2017 <br />Status: Open <br />(Click here to Assign As Blanket TSR# ) <br />Tech Group: Carbon Acceptance <br />Tech Service Supervisor: Rene Kotyk <br />Application/Process Engineer: William Zavora <br />Platform: Service <br />Chargeable: <br /> <br />111 Yes If "Yes", Amount: <br />P.O. Amount: <br />Customer: <br />Carbon Acceptance No.: <br />Chevron GMC 'Click here to change the Customer Name <br />ONOROS OE DDS <br />Contact: <br />Address: <br />City: <br />Phone: <br />Email: <br />Saul Germanas <br />940 Hemsley St. <br />Richmond <br />510-242-9708 <br />sage@chevron.com <br />State: CA <br />Fax: <br />ZIP: 94801 <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 />Ship To <br />Customer Number: <br />Contract Number: <br />Bill To <br />Customer Number: <br />Contract Number: <br />Chevron - Hemsley Plant <br />940 liemsley St. <br />Richmond State: CA Zip: 94801 <br />State: Zip: <br />TSR Log <br />Sales (Inform:colon required for project prioritization) <br />Carbon: LB/Year <br />Carbon Type: