Document 2L6e35XdogzZyjOGam0bxjpb

(IMPORTANT: Type or print; read instructions before completing form) Form Approved OMB Number 2070-0083 Approval Expiree: 11/82 Page 1 of 9 ft epa United State* nvironmentel Protection Agency form r TOXIC CHEMICAL RELEASE INVENTORY REPORTING FORM Section 313 Of the Enwyency Planning and Community Right-to-Know Act of 1986, atao known as Title III of the Superfund Amendments and Reauthorization Act TRI FACILITY ID NUMBER 70765THDWCHXGHW Tesb faeeicil. Ceu*n. v Stum 1,1,1,2-TETRACHL0R0E WHERE TO SEND COMPLETED FORMS: 1.EPCRA Reporting Center P.O. BOX 3348 2.APPROPRIATE STATE OFFICE (See instructions in Appendix F) Merrifield, VA 22116-3348 ATTN: TOXIC CHEMICAL RELEASE INVENTORY IMPORTANT: See Instruction* to determine when "Not Applicable (NA)" boxes should be checked. Enter *X` here if this is a revision For EPA use only PART I. FACILITY IDENTIFICATION INFORMATION SECTION 1. REPORTING YEAR 1991 SECTION 2. TRADE SECRET INFORMATION mm Are you claiming the toxic chemical identified on page 3 trade secret? D Yes (Answer question 2.2; [X] No (Do not answer 2.2; Attach substantiation forms) Go to Section 3) llliiij If yes in 2.1, is this copy: |_| Sanitized U Unsanitized SECTION 3. CERTIFICATION (Important: Read and sign after completing all form sections.) hereby certify that 1 have reviewed the attached documents and that, to the best of my knowledge and belief, the submitted information is true and complete and that the amounts and values in this report are accurate based on reasonable estimates using data available to the preparers of this report. Name and official titta of owner/operator or senior management official STANLEY G. COLE, ENVIRONMENTAL MANAGER Date Signed 06/30/04 SECTION 4. FACILITY IDENTIFICATION Facility or Establishment Baras | THE DOW CHEMICAL COMPART LOUISIANA DIVISION Sheet Address HIGHWAY 1 SOUTH; P.O. BOX 180 City County PLAQUXMINI IBERVILLK/WBR PARISH Zip Code 70765-0160 Madina Addrasi (If different front strati address) TRI Facility ID Number 70785THDWCHIGHT Zip Code 70785- EPA Form 9350-1 (Rev. 12/4/93) - Previous editions are obeoieta. DO A 05, Of-. 7 7 0 N f T D F N 7 T AI EPA Automated Form R yyEPA united state. wlronmentei Protect EPA FORM R PART 1. FACILITY IDENTIFICATION INFORMATION (CONTINUED) -- Page 2 of 9 TRI FACILITY ID NUMBER 70765THDVCHICHV Tout Ctemal, or Grot Nro 1,1,1,2-TITRACHL0R0I SECTION 4. FACILITY IDENTIFICATION (Continued) This report contains information for: 4.2 (Important: check only one) a. [3 An entire facility b. DPart of a facility Hams | 4.3 Technical Contact STAHLXY C. COLI Taisptaaa Nsnfetr (laciada area tads) (504) 553-6151 4.4 Public Contact Nans GUY S. BAR0HI Tslspbsaa Nantar (laciada ares cade) (504) 353-8256 SIC Code 4.5 (4-digit) a. 2812 b. 2821 C. 2869 d. HA e. ha f. Latitude 4.6 and Longitude Degree* OSO Latitude Minute* 19 Second* 00 Degree* 091 Longitude Minute* Second* 16 20 .7 Dun & Bradstreet Number(s) (9 digits) 4.8 EPA Identification Number(s) (RCRA I.D.No.) (12 characters) 4.9 Facility NPDES Permit Number(s) (9 characters) 4.10 Underground Injection Well Code (UIC) I.D. Number(s) (12 digits) a. 008187080 b. HA a. LAD008187080 b. HA 8. LA0003301 b. LA0049638 a. ha b. SECTION 5. PARENT COMPANY INFORMATION 5.1 I 5.2 Name of Parent Company n NA I ** D0W CHIMICAL COMPANY Parent Company's Dun & Bradstreet Number na (9 digits) ooiseissi EPA Form 9350-1 (Rsv. 12/4/93) - Previous editions are obsolete. DO A 0 0.;-008 OONF TDFNT T A! &EPA United States ~nvironmontel Protection ency EPAFORMR PART II. CHEMICAL-SPECIFIC INFORMATION Pag 3 of 9 Tftl FAClimr IQ NUMBER 70765THDVCHICHV Toic Oienigl. Ciunoiv. or 6--rit Hast 1,1,1,2-TITRACHL0R0I SECTION 1. TOXIC CHEMICAL IDENTITY il"'orta"t: 00 MOf "I1* . , section if you complete Section 2 be! w.) CAS Number (Important: Enter only one number exactly as it appears on the Section 313 list. Enter category code if reporting a chemical category.) 1.1 HA - - 1.2 Toxic Chemical or Chemical Category Name (Important: Enter only one name exactly as it appears on the Section 313 list.) HA 1.3 Genetic Chemical Name (Important: Complete only if Part 1, Section 2.1 is checked `yes.* Generic Name must be structurally descriptive.) HA SECTION 2. MIXTURE COMPONENT IDENTITY mtonlTyou cohere Section llib ve.) Generic Chemical Name Provided by Supplier (Important: Maximum of 70 characters, including numbers, letters, spaces, and punctuation.) 2.1 1,1,1,2-TITRACHL0R0ETHAHE SECTION 3. ACTIVITIES AND USES OF THE TOXIC CHEMICAL AT THE FACILITY (Important: Check all that apply.) Manufacture 3.1 the toxic chemical: a. E Produce b. Import If produce or import c. Q For on-site use/processing d. G For sale/distribution e. [Das a byproduct f. G As an impurity Process 3.2 the toxic chemical: a. D As a reactant b. D As a formulation component c. As an article component d. O Repackaging Otherwise use a. G As a chemical processing aid c. G Ancillary or other use 3.3 the toxic b. Gas a manufacturing aid chemical: SECTION 4. MAXIMUM AMOUNT OF THE TOXIC CHEMICAL ON-SITE AT ANY TIME DURING THE CALENDAR YEAR ]4.1 05 (Enter two-digit code from instruction package.) EPA Form 0350-1 (Rev. 12/4/89) - Previous editions are obsolete. no a on rot.'c> CONFTDFNTTAl SEPA United State* ovlronmtotal Protection joncy EPAFORMR PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED) Page 4 of 9 TRI FACILITY 10 NUMBER 70765THDWCHIGHW Tonic Ownipl. Culwoiy, or Cw* Nwt 1,1,1,2-TITRACSL0R0I SECTION 5. RELEASES OF THE TOXIC CHEMICAL TO THE ENVIRONMENT ON-SITE A. Total Release (Ibs/year) (enter range code from instructions or estimate) 5.1 Fugitive or non-point air emissions na Stack or point air 5.2 emissions na Discharges to receiving 5.3 streams or water bodies (enter one name per box) 5.3.1 Stream or Water Body Name HA 5.3.2 Stream or Water Body Name 8. Basis of Estimate (enter code) C. % From Stormwater 5.3.3 Stream or Water Body Name 5.4 Underground injections on-site na 5.5 Releases to land on-site 5.5.1 5.5.2 5.5.3 5.5.4 Landfill 0NA Land treatment/ application farming Surface impoundment na na Other disposal 0NA HA HA HA HA NA | | Check here only H additional S ction 5.3 Informati n is pr vtded on page 5 of this form. EPA Form 9350-1 (Rav. 12/4/83) - Pravlou* adition* art obtotate. QO A 057070 R*no* Cod": A I^IO^Ounda: 11 - 4" pound*; C.ONF T OFNTI At * - pou . EPA unit* so*. Pro*c"on EPAFORMR PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED) Page 5 of 9 TRI FACILITY ID HUMBER 70766THDWCHICHW Twit Cfeifel, CjUQQfy, w Snrt Hwm 1,1,1,2-TITRACHLOROI SECTION S 3 ADDITIONAL INFORMATION ON RELEASES OF THE TOXIC CHEMICAL TO THE ENVIRONMENT ON-SITE Discharges to receiving 5.3 streams or water bodies (enter one name per box) A. Total Release (pounds/ year)(enter range code from instructions or estimate) B. Basis of Estimate (enter code) C. % From Stormwater 5.3.4 Stream or Water Body Name 5.3.5 Stream or Water Body Name 5.3.6 Stream or Water Body Name .% .% .X SECTION 6. TRANSFERS OF THE TOXIC CHEMICAL IN WASTES TO OFF-SITE LOCATIONS 6.1 DISCHARGES TO PUBLICLY OWNED TREATMENT WORKS (POTW) 6.1.A T tal Quantity Transferred to POTWs and Basis of Estimate 6.1JL1 Total Transfers (pounds/year) (enter range code or estimate) HA 6.1 A.2 Basis of Estimate (enter code) 6.1.B POTW Name and Location Information 6.1.B.01 POTW Name 6.1.B.02 POTW Name Street Address City State County Zip Code Street Address City State County Zip Code 'f additional pages of Part II, Sections 5.3 and/wr 6 1 are attached, indicate the total number of CH [HIpages in this box and indicate which Part II, Sections 5.3/6.1 page this Is, here. (example: 1,2,3, etc.) DO A 05;'071 EPA Form 9350-1 (Rav. 12/4/93) - Pievtou. edition. are oteoleM. r onF T DFNT T Al Rang. Cotta.: A - 1 -10 pound.; B 11 - 499 pound.; C * 500 - 999 pound*. 6 EPA United State* nvironmental Protection gency L EPAFORMR PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED) Page 6 of 9 TRI FACILITY ID NUMBER 70765THDWCHICCT Tcmc Cental, CsHqmv, or Gewe New 1,1,1,2-TITRACHL0R0I SECTION 6.2 TRANSFERS TO OTHER OFF-SITE LOCATIONS 6.2.01 Off-site EPA Identification Number (RCRA ID No.) Off-Site Location Name Street Address City County State Zip Code A. Total Transfers (pounds/year) (enter range code or estimate) 1. 2. 3. * le location under control of reporting facility or parent company? (--| 1--1 | 1--1 No B. Basis of Estimate (enter code) C. Type of Waste Treatment/Disposal/ Racyding/Energy Recovery (enter code) 1. 1. 2. 2. 3. 3. 4. 4. SECTION 6.2 TRANSFERS TO OTHER OFF-SITE LOCATIONS Off-site EPA Identification Number (RCRA ID No.) 6.2.02 Off-Site Location Name Street Address City County State Zip Code ^ Total Transfara (pounda/yeai) (enter range code or estimate) 1. 2. 3. 4. la location under control of reporting facility or parent company? |--| p*i 1--1Y** 1--1 No B, Beale of Estimate (enter code) C. Typo of Waste Treetment/Disposal/ Recycling/Energy Recovery (enter code) 1. 1. 2. 2. 3. 3. 4. 4. ll additional pages of Part II, Section 6.2 are attached, Indicate thatotal number of pages in this box CD and Indicate which Part II, Section 6.2 page this is, here. O (example: 1,2,3, etc.) EPA Form 9350-1 (Rev. 12/4/93) - Prevtoo* edition* are obsolete. DO A 050070 Range Codee: A 1 -10 pound*; B 11 - 499 pound*; r.ONFTDFNTTAI C - 500 - 9 pound*. EPA uniMSNN, Rental Proton EPAFORMR PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED) Page 7 of 9 TW FACILITY ID NUMBED 70760THDVCHI6HW Tat* Ctawletf. Category. Or QosHe Mm 1,1,1,2-TITRACHL0R0I SECTION 7A. ON-SITE WASTE TREATMENT METHODS AND EFFICIENCY G Not Applicable (NA) - Check here if na on-site waste treatment is applied to any waste stream containing the toxic chemical or chemical category. *. Btnsral Waste Stream (eater coda) 7A.01 a A 7A.01b 3 6 i. Treatment Mathod(a) Sageance (enter 3-ckaracter cads(t)) 1 P99 4 7 2 5 8 NA c. Range al tensest CoacaatraUes 7A. 01c d. Watte Treatment Efficiency Estimate 7A.01d a. Bated an Operating Date? 7A.01e Yes No 4 0.00 X ns 7A.02a HA 7A.02b 3 6 1 4 7 2 5 8 7A.02C 7A.02d 7A.02e 0.00 % Yes No 7A.03a 7A.03b 3 6 1 4 7 2 5 8 7A.03C 7A.03d 7A.03e 0.00 % Yes No 7A.04a 7A.04b 3 6 1 4 7 2 5 8 7A.04C 7A.04d 7A.04e 0.00 X jes g 7A.05a 7A.05b 3 6 1 4 7 2 5 8 7A.05C 7A.0Sd 7A.05e 0.00 X Yes No (f additional copies of page 7 are attached, indicate the total number of pages in this box and indicate which page 7 this is, here. EH (example: 1,2,3, etc.) EPA Form 9350-1 (Rev. 12/4/93) Previous sdittons are obsolete. DO A 050073 C ONrTDFNTT Al SEPA United State* wironmentel Protection jency EPAFORMR PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED) Page 8 of 9 TM FACILITY 10 HUMBER 7076STHDWCHICHW Twit CtwHul CrttiiT. sr Blurt 1,1,1,2-TETRACHLOROI SECTION 7B. ON-SITE ENERGY RECOVERY PROCESSES f^~| Not Applicable (NA) Check here if op on-site energy recovery is applied to any waste stream containing the toxic chemical or chemical category. E**rn Ricntry Methods {eater 2-ciuracUr cods(t)] HA 2 3 4 SECTION 7C. ON-SITE RECYCLING PROCESSES Q N t Applicable (NA) - Check here if dq on-site recycling is applied to any waste stream containing the toxic chemical or chemical category. Rscycliai Methods (sstsr 3-character sods(t)] 1 HA 2 3 -- 45 6 7 8 9 10 EPA Form 9350-1 (Rev. 12/4/93) - Previous editions ere obsolete. DO A 050074 (-ONF TDFNTTAI SEPA United States Environmental Protection Jtetcy EPAFORMR PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED) Page 9 of 9 TRI FACILITY ID HUMBER 707SSTHDWCHICHW Twie Quiat Citetev. v 6--ric New 1,1,1,2-TETRACHLORO* SECTION 8. SOURCE REDUCTION AND RECYCLING ACTIVITIES All quantity estimates can be reported using up to two significant figures. * 8.1 Quantity released Quantity used tor energy 8.2 recovery on-site Quantity used for energy 8.3 recovery off-site Column A 1992 (pounds/year) 0 0 0 8.4 Quantity recycled on-site 0 Column B 1993 (pounds/year) iso 0 0 0 Column C 1994 (pounds/year) ISO 0 0 0 8.5 Quantity recycled off-site 0 0 0 Column D 1995 (pounds/year) ISO 0 0 0 0 8.6 Quantity treated on-site 0 000 8.7 Quantity treated off-site 00 Quantity released to the environment as a result of .8 remedtal actions, catastrophic events, or one-time events not associated with production processes (pounds/year) 00 0 8.9 Production ratio or activity index x.oo 8.10 Did your facility engage in any source reduction activities for this chemical during the reporting year? If not, enter **NA" in Section 8.10.1 and answer Section 8.11. Source Reduction Activities [enter code(s)] 8.10.1 HA Methods to Identify Activity (enter codes) 8.10.2 8.10.3 8.10.4 8.11 Is additional optional information on source reduction, recycling, or pollution control activities included with this report? (Check one box) YES NO m Report releases pursuant to EPCRA Section 329(8) including `any spilling, leaking, pumping, pouring, emitting, emptying, discharging. )n)ecting, escaping, leaching, dumping, or disposing into the environment* Do not include any quantity treated on-site or otf-site. ERA Form 9350-1 (Ftev. 12/4/93) - Previous editions are obsolete. TIC) A 0B?07B C.ONir T DFN7 T Al