Document 0J490JjdqmGNGJEaYkGZVmLOR
= orm ADDrovea OMB No.: 1370-0093
'mpjnant: ~--re or print: read instructions before completing form. >
Aoorowai ExDires:
01/91
= 306 1 Of 5
6 EPA j.S. Environmental Protection Agency
TOXIC CHEMICAL RELEASE INVENTORY REPORTING FORM
Section 313 of the Emergency Planning and Community Rlght-to-Know Act of 1986.
also known as Title III of the SuDerfund Amendments and Reauthonzatlon Act
EPA FORM
R
PART I.
FACILITY IDENTIFICATION
INFORMATION
(This SDace for your optional use.i
Pudiic nooning ouroen for tm,
collection ot information is estimated to
varv trom 30 to 3* hours oar raioonsa.
with an average ol 32 hour* oer
resoonse. inciuoing time tor reviewing
inunction*, searching existing ana
sources, garnering ana maintaining the
data needea. ana comoteting ano
reviewing me collection ot information.
Sena comment* regaramg this ouroen
estimate or any otnar asoact ot tnis
collection ot information, including
suggestion* tor reducing this ouroen. to
Chief. ntormatun Policy Brancn
(PM-223), US EPA, 401 M St., SW, Washington. D.C. 20460 Attn: TR|
Buroen and to the Office ot Information
ano Regulatory Affairs. Oftlca ot
Management ano Budget Paoerworx
Reduction
Project
(2070-0003),
Wasnington. D.C. 20603.
1.1 Are you claiming tna Chemical loanuty on cage 3 traoe secret?
1.
[ 1 Yes (Answer auestton 1.2:
LX J No (Do not answer 1.2;
Attach suoatantiation forms, t
Go to Question i .3.)
1.2 it'Yes" in 1.1, is tnis cooy: [ ] Sanitized [ ] unaamtizao
1.3 Reoortmg Year 1989____
2. CERTIFICATION (Read and sign aftar comoiating aM sections.)
i naraoy certify mat i nave renewno the attached ooctmenta and mat. to me oest of my unowieoge and belief, the submitted information is true and complete ano that the amowits ano yaiuea in mis report are accurate based on reasonaoie estimates using oata available to tna oreoarers ot mi* reoort.
Nam* ano official title ot owner/ooerator or senior management official
T. G. Brown, Works Manager. PPG Industries, T^lrs. Charles. LA
Signttur*
-f 111
*iDate signed
i'll ho
L., c,ACiLrDf. 'PENT'FlSATiQis
=acuity or Estaousnmant Name
WHERE TO SEND COMPLETED FORMS:
i Street Adores*
j Columbia Southern Road
3.1
City
Westlake
County
Calcasieu
1. EPCRA REPORTING CENTER P.O. BOX 23779 WASHINGTON, DC 20026-3779 ATTN: TOXIC CHEMICAL RELEASE INVENTORY
State
Louisiana
TRI Facility Uentltteatlan Number
70669 PPGND COLUM
Zip Code
70669
2. APPROPRIATE STATE OFFICE (S Instructions in Appendix G)
This reoort contain! information tor (Chectt only one):
-tx ]3.2 An entire facility
I- [ ] Part ot a facility.
| Technical Contact 3.3
'Andy F. Plauche'
3.4
' *ublic Contact
!William J.
Peard
; SIC Coda (4 oigit)
"I- 2812
3.6 Degree*
> 2816_________ c. 2869
Latitude
Minutes
Seoonoa
Telaonone Number iinctuoe area
(318) &ai-4RIA.
Taieonone Number dnciuoe area code)
(318) 491-4848
na___
Degree*
Longitude Minutes
f
Seconds
--------------- ao---------------------- 13____________ 21____________
j Dun A Braostreet Numoerfs)
3.7
a. 00-808-6506
b.
EPA taentlttcauan Numoarte) (RCRA l.D. No. I
3.8
a. LAD 00 808 6506_____________
b.
NPDES Permit Numoer(s)
3.9
93 -XA-
-HA.
16
59
1 Receiving Stresms or Water Bodies (enter one name car box)
1*. Calcasieu River
Bavou D'Tndp
3,1 Bavou Verdine
a. NA
0. { underground infection Well Coca tUIC) Vaentltlcation Numoarls)
M_______
4. PARENT COMPANY INFORMATION
Name ot Parant Company
4.1 PPG Industries, Inc.
Cnrrri $350-1 n-$0t
- Dn no*
ui<*rreirtri
f.
SL 022340
b.
Parent Comoany * Dun & Braostreet Numoer
4.2 00-134-4803_________________
important: T;pe or print: read instructions before completing form. )________________
tPA ^
EPA FORM R
PART II. OFF-SITE LOCATIONS TO WHICH TOXIC CHEMICALS ARE TRANSFERRED IN WASTES
Paa 2 of 5
(This sDace tor your optional use.)
1. PUBLICLY OWNED TREATMENT WORKS (POTWs)
1.1 POTW name
NA
Street Acarats
1.2 POTW nams
Street Aoarea*
City
County
City
County
Stai*
Zip State
Zip
2. OTHER OFF-SITE LOCATIONS (DO NOT REPORT LOCATIONS TO WHICH WASTES ARE SENT ONLY FOR RECYCLING OR REUSE).
2.1 Off-site location nm
ROLLINS ENVIRONMENTAL SERVICES (TX1 INC.
EPA. Identification Numotr (RCRA ID. No. 1
TXD 055141378
Street Address
2027 BATTLEGROUND ROAD
City
County
DEER PARK
Stata
HARRIS
Zip
TX 77536
la location unoar control ot reporting tacility or parent company?
2.2 Otf-site location name
WASTE-TECH SERVICES TMC
EPA identification Numoer (RCRA lO. No.)
LAD 981514441
Street Aoorett
COLUMBIA SOUTHERN ROAD..................................................
City
County
WESTLAKE
State
CAT.CASTPII
Zip
LA 7nfifiQ.....................
la location under control of reporting tacility or parent company?
1 [ b~ [Un.
[ Iy- [ xU
2.3 OM-sIte location nuns
ENSCO, INC.
EPA identification Numoer (RCRA ID. No.)
ARD 069748192
Street Aodreaa
AMERICAN OIL ROAD
City
EL DORADO
State
AR
County Zip
UNION 71730
la location under control ot reporting tacility or parent company?
2.4 OM-alta location name
NA
EPa identification Numoer (RCRA ID. No.)
Street Aoorees City
County
State
ZiQ
la location unaer control ot reporting facility or parent company?
2.5 Off-site location name
[ ] v* [X ] No
2.6 Oft-site location name
[ ] Yea
[ ] No
EPA Identification Numoer (RCRA ID. No.)
EPA identification Numoer (RCRA ID. No.)
Street Aaareat
Street Aooreet
City
County
City
County
State
Zip
1 f Is location unoar control ot reporting tacility or parent company?
[ ]yea
[ ]no
State
Zip
la location unoer contioi ot reporting facility or parent company?
SL 022341
[ ].
[ ]no
[ ] Cheek it additional oaoea ot Part K are attaches. How many?
ImDortcini: Type or print: read instructions before completing form.)
AEPA
REPA FORM
PART III. CHEMICAL-SPECIFIC INFORMATION
Page 3 of 5 (This SDace for your optional use.
1. CHEMICAL IDENTITYfDo not complete this section if you complete Section 2.)
1.1 ( [Reserved)
1.2
)CAS Numper (Enter onty one numoer exactly at it aooeari on tne 313 list. Enter NA it reporting a cnemicai category. 25321-22-6
Chemical or Chemical Category Name (Enter only one name exactly as it appears on tne 313 list. I 1.3 Dichlorobenzene ( mixed isomers)
Genene Chemical Name (Complete only If Part I. Section 1.1 IS cnecaeo `Yes." Generic name must be structurally descriptive.| 1.4
MIXTURE COMPONENT IDENTITY (Do not complete this section If you complete Section 1.) 2. Generic Chemical Name Provided by Supplier (Limit the name to a maximum of 70 characters le.g., numoers. letters, spaces, punctuation).)
3. ACTIVITIES AND USES OF THE CHEMICAL AT THE FACILITY (Check all that apply.)
Manufacture the
if produce or import:
chemical: 3.1
ri
a.i A! produce
f ) For on-site
c.l J use/processing
f
1 For sale/ Jdistnbution
b. [ ] Import
e.[ xl A a byproduct
f. [ x ] As an impurity
Process the 3.2 chemical:
3.3
Otherwise use the chemical-
fl a- L J As a reactant
d. [ ] Reoackaging only
f 1 As a chemical
a-l 1 processing aid
h f 1 As a formulation b.l J component
f1
,_
b.L J As a manufacturing aid
f 1 As an article J component
f1 c.l J Ancillary or other use
4, MAXIMUM AMOUNT OF THE CHEMICAL ON-SITE AT ANY TIME DURING THE CALENDAR YEAR
0 3_j (enter code)
5. RELEASES OF THE CHEMICAL TO THE ENVIRONMENT ON-SITE
A. Total Release (pounds/year)
You may reoort releases of less than 1.000 pounds by checking ranges under A.I. (Do not use Doth A.i and A.2)
A.I Reporting Ranges
0_______ -B S00-808
A.2 Enter Estimate
[][][]5.1 Fugitive or non-point air emissions 5.1a
B. Basis of Estimate
5.2 Stack or point air emissions
5.2a [][][]
5.3 Discharges to receiving ,
a
streams or water bodies 5-3-'
5.3.1a [][](]
(Enter latter code tor stream from Part I Section 3.10 in tne oox provided.)
5.3.2 QD 5.3.2a [][][] 5.3.3 Q 5.3.3a [](][]
5.4 Underground ln|eetion on-site 5.5 Releases to land on-site
5.5.1 Landfill
5.4a 1 1 M M 5.5.1a [ 1 [ 1 [ 1
180
0
NA
NA
5.5.2 Land treatment/aootication farming
5.5.2a [][][]
NA
5.5.3 Surface impoundment 5 5.4 Other ditooaal
5.5.3a [][][]
5.5.4a MMM
NA
5.5.3b
5.5.4b |0
L 1 fChecK if additional information n provided on Part iV-Suootemantal Information.)
SL 022342,
"a *
men i ''-Oni Qptneprf _ P)*
r>rvhAiMo
ImDonant: Type or print: read instructions before comDletins form.)
EPA
EPA FORM 11
PART III. CHEMICAL-SPECIFIC INFORMATION
(continued)
Pag* 4 of 5 (This space for your optional use. I
6. TRANSFERS OF THE CHEMICAL IN WASTE TO OFF-SITE LOCATIONS
You may report transfers of less tnan i .000 pounds by cnecking ranges unaer A.1. (Do not use ootn A.1 and A.2)
A. Total Transfers [pounds/yeari
A.1 Reporting Ranges
0 '~*9i 00-009
A.2 Enter Estimate
8. Basis of Estimate i enter code)
Discharge to POTW l enter location number
6.1.1 from Part ll. Section -
[][](]
Other oft-sit* location
_
[Mill6- .2-.1, f;reonmterPlaorctaHt.ioSnencutimonoear.) *> I 11
Other ott-site location e _ - (enter location numoer 2 o
[1IMI6.2.2 from Part ll. Section 2.) |____rL_
Other off-eite location {enter location numoer , II 0
6.2.3 from Part ll. Section 2.) | * |-| j
M
M
M
NA 4900 9800
5.1.1b CH
6.2.1b IM
6.2.2b H
6.2.3b M
[ ](Check If additional Information Is provided on Part lV-Supplem*nta! Information.)
C.Type of Treatment/ Disposal
1 enter cod* I
6.2.1c
6.2.2c M 6.2.3c M
0
7. WASTE TREATMENT METHODS AND EFFICIENCY
r 1 Not Applicable (NA) - Cheek if no on-site treatment is applied to any wastestream containing the chemical or chemical
L J_______ _______
category.
_____ _____ _____ _____ _____
A. General Wastestream
(enter code)
B. Treatment Method
(enter code)
C. Range of Influent Concentration (enter code)
D. Seguentlal Treatment? (check if applicable)
E. Treatment Efficiency Estimate
F. Based on Operating Data? Yes
No
E7.1a
7.1b
7.2a
7.2b
7.3a
7.3b
7.4a
7.4b
7.5a
7,5b
7.6a
7.6b
7.7a
7.7b
7.Ba
7.8b
7.9a
7.9b
7.10a
7.10b
7.10
07.20
7.3c 7.4c 7.5c 7.6c 7.7c 7.8c 7.9c 7.10c
7.Id [ 1
7.2d [ ]
7.3d [ 1
7.4d [ ] 7.5d [ ]
7.6d [ ] 7.7d [ 1 7.8d [ ] 7.9d [ ]
7.10d [ ]
7.ie 99.99 % 7.if
7 317,2e 99.99 %
7.3e
7.3f
7.4*
% 7.4
[x ] ( ]
l 1 [x ]
[ 1( 1 [ 1[ ]
7.5e % 7.5f [ ) [ ]
7.6e
7.6f [ 1 [ ]
7.7e % 7'7f [ ] [ 1
7. Be % 7.8f [ ] [ ]
7.9e 78' ( 1 ( 1
7.i0e
7.1 Of [ 1 [ 1
[ ] (Check if additional Information is provided on Part IV-Suppiemental Information.
8. POLLUTION PREVENTION: OPTIONAL INFORMATION ON WASTE MINIMIZATION (Indicate actions taken to reduce the amount of the chemical being released from the facility. See the instructions for coded items and an explanation of what information to include.)
A. Type of Modification tenter code)
B. Quantity of the Chemical in Wastes Prior to Treatment or Disposal
C. Index
D. Reason for Action (enter code)
Current
Prior
l Or percent change
reporting
year
i (Check ( + > or (-))
year
(pounos/year) | q +
M
(pounds/year)
NA
! -
FPA Form 9350-1 11-901 Reviser! - Do not tise nrevtnn* versions
sl o*2343
Important: Type or print: read instructions before completing form, i
t
EPA
REPA FORM
PART IV. SUPPLEMENTAL INFORMATION
'Jse this section if you need additional space for answers to guestions in Part III. Numoer the lines used seduentialty from lines in prior sections (e.g,. 5.3.4. 6.1.2. 7.11)
Page 5 of 5 (This sDace for your optional use.i
ADDITIONAL INFORMATION ON RELEASES OF THE CHEMICAL TO THE ENVIRONMENT ON-SITE (Part III, Section 5.3)
You may report releases of less than 1.000 pounas by checking ranges under A. 1. (Do not use both A.1 and A.2)
A. Total Release (pounds/year |
A.1 Reporting Ranges 0 i-*99 500-999
A.2 Enter Estimate
B. Basis of Estimate
(enter code in box
provided)
C.% From Stormwater
5.3 Discharges to
,
receiving streams or water bodies
5.3. -- 1--1
5.3____a (][][]
5.3------- tO 5.3----- c
%
'rEonmtePr alentteI rSceocotieonto3r.1s0treInam
:ne oox orovioeO. 1
c
c.o.--
jI i--i
5.3____a
[][][]
,,_<D 5.3. _C
%
5.3____a (][][]
5-3'__bC
ADDITIONAL INFORMATION ON TRANSFERS OF THE CHEMICAL IN WASTE TO OFF-SITE LOCATIONS (Part III. Section 6)
You mav reoort transfers of less tnan i. 000 pounds by checking ranges unoer A.1. (Do not use botn A.i and A.2)
A.Total Transfers (pounds/year)
A.1 Reporting Ranges 0 1-409 500-999
A.2 Enter Estimate
B. Basis of Estimate
C. Type of Treatment/ Disposal
(enter code in box
provided)
(enter code in box
provided)
Discharge to POTW
_
, , (enter location number 1 . 1 1 1
"1.____ from Part n. Section 1.) | 1 | ]___| [][][]
6-i-____ n
1 Other ott-site location
,
1 en
(enter location number loll I
------ from Pan 11. Section 2.) |_U-|___ 1
[
][
1[
]
6.2..._c(M| | |
Other otf-*ite location i n i---- 1
6.2. ------ 'm(emntePraloncna.tioSnecntuiomnb2e.r1 L--2J l -J [][][]
6-2-____ * 6.2. c|m| | |
s o O(ethneterrolotfc-aaittioenloncuamtiobenr |r~onI I>--Ii ------ from Part II. Section 2.) 1 1 1 1
[][][]
6.2.____ b [U .2._o[mL| .1
ADDITIONAL INFORMATION ON WASTE TREATMENT METHODS AND EFFICIENCY (Part III, Section 7)
A. General
Wastestream (enter cooe in box provided)
B. Treatment Method
(enter code in box provided)
C. Range of Influent Concentration (enter code)
D. Sequential Treatment? (check if applicable)
E. Treatment Efficiency Estimate
Based on
Operating Data?
Yes No
7.
m
7.
7. --[ ] 7.
% --'( H 1
7.
on
7.
7.
[ ] 7.
% *--'[ H 1
--
7. ( ] 7.
% >( H 1
cm
--[ n i
% .'[ n i
--*
7.
ti (1
-a n i % -'[ H 1
-------c
-<[ 1
-'MM
-*[ ]
% 7--''[ H ]
EPA Form 9350-1 (1-90) R vised - Do not use previous versions.
sl 02 23 A A