Document 3JL7yYm9eBV3KynZKm3Bp5Rk6
Form Approved OMB Numbar. 2070-0093 _
r - ERA FORM R(IMPORTANT; Type orprint; read instructions before completing form)
Apprcwal Expiraa: 11/92
TOXIC CHEMICAL RELEASE INVENTORY REPORTING FORM
Page 1 Of 9 THI FACILITY 10 NUMBER
70766THDVCHICHV
Unitod State* environmental Protection
Section 313 ol fin Emorgaicy Flaming and Commmity Right-to-Kno* Act of 19M, atao Imown at Title III of the Sicortmd Amendments and Reauttwriation Act
Tuli (TiakiC Caegaty, a Oeurlc M
CHLORINE
__
WHERE TO SEND COMPLETED FORMS:
1.EPCRA Reporting Center
P 0 ^ 334*
2. APPROPRIATE STATE OFFICE (See inetructione in Appendix F)
Mertfleid, VA 22116-3348 ATTN: TOXIC CHEMICAL RELEASE INVENTORY
IMPORTANT: See instructions to determine when "Not Applicable (NA)" boxes should be checked.
Enter "X* here If Ihie ia e revision
For EPA tee only
PART I. FACILITY IDENTIFICATION INFORMATION
SECTION 1.
REPORTING YEAR
1994
SECTION 2. TRADE SECRET INFORMATION
Are you claiming the toxic chemical identified on page 3 trade secret?
G Yes (Answer question 2.2;
E No (Do not answer 2.2;
Attach substantiation forms)
Go to Section 3)
If yes in 2.1, is this copy;
G Sanitized G Unsanitized
SECTION 3. CERTIFICATION (Important: Read and sign after completing all form sections.)
' h reby certify that I have reviewed the attached documents and that, to the beet of my kn wledge nd belief, the submitted information it true and complete and that the amounts and valu s in this report are accurate based on reasonable estimates using data available to the preparers f this report.
Nan* and official fid* of omwr/opaaior or tmkx mawganait official
DOYLE A. Hf0T ENVIRONMENTAL MANAGER
Sgnatun
///_ / /? //
Date Signed
06/50/96
SECTION 4. FACILITY IDENTIFICATION
I FocHity or Estabtohmatt Nut j
"
THE DOW CHEMICAL COMPART LOUISIAHA DIVISION Stnat Addnu
HIGHWAY 1 SOUTH; City
P.0. BOX ISO
Comfy
PLAQUEMINE
IBERVILLE/WBR PARISH Zip Cod*
Moiling Addnu (It diflwim from tfmtt
70766-0160
TRI Faafity 10 Numb*
70765THDVCHICMV
Zip Cod* 70766-0160
EPA Form 9350-1 (Rev. 12/4/94) - Previous editions are obsolete.
DO A 0C'^C5*'C; CONFTDFNTTAI
EPA Automated Form R
&EPA
EPA FORM R
PART I. FACILITY IDENTIFICATION INFORMATION (CONTINUED)
tw Kcumr to wjimb_______ ?07#5tmdcsici
JfcfijSHSLSattJLSHSLSO,
CHLORINE
SECTION 4. FACILITY IDENTIFICATION (Continued)
This report contains Information for
.15 .4.2 rtmcvvfnf check a or b; check c ppUbte)
An enllre facility bLJ Part of a facility
A Federal Facility
T 4.3 Technical Contact dotu a. iahtt
(504) S5S-#125
4.4 Public Contact
evT s. uion
SIC Code 4.S (4-dlgIt)
Latitude' 4.6 and
Longitude
a. sis
o*gw
050
b. sui
Lafltud* Minute*
i
(504) 555-52$#
C. 2S0 Second* 00
d. m
Oegree* 001
e.
Longitude Minuto*
f.
Second*
15 >0
4.7 Dun & Bradatreet Number(s) (9 dlglta)
4.8 EPA Identification Number(t) (RCRA I.D.No.) (12 characters)
4.9 Facility NPDES Permit Number(a) (9 charactera)
4.10 Underground Injection Well Code (UIC) I.D.
Number(s)
(12 dlglta)
a. 008187080
b. NA
a. LAD008187080
b. NA
a. LA0003301
b. LA0049638
NA
SECTION 5. PARENT COMPANY INFORMATION
Nam* of Parent Company |
5.1 NA
| TH DOV COMICAL COMPATT
Parent Company'* Oun & Bradatreet Number
5.2 NA
1 (9 digits)
0013*15*1
EPA Font) 9360-1 (Rav. 12/4/94) Prwtoua Edition* art otaoW*
DO A 0c.;--00 OONFIDFNTTA!
SEPA
United StelM Environmental Protection Agency
EPAFORMR
PART II. CHEMICAL-SPECIFIC
INFORMATION
Page 3 of 9
TRI FACILITY ID NUMBER
70766THDVCHXCHV
Taae Qwtete, CiMpwy. w tenet
CHLOSXMK
SECTION 1. TOXIC CHEMICAL IDENTITY (,mPrtalfnt: 00 NJt
,%
section if you complete Section 2 below.)
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 007782-50-0
1.2
Toxic Chemical or Chemical Category Name (Important: Enter only one name exactly as it appears on the Section 313 list.) CHLORIMK
1.3
Generic Chemical Name (Important: Complete only if Part 1, Section 2.1 is checked `yes.* Generic Name must be structurally descriptive.) M
......M ________ __________ (Important: DO NOT complete this SECTION 2. MIXTURE COMPONENT IDENTITY section K you complete Sect! n 1 above.)
Generic Chemical Name Provided by Supplier (Important: Maximum of 70 characters, including numbers, letters, spaces, and punctuation.)
2.1 KA
SECTION 3. ACTIVITIES AND USES OF THE TOXIC CHEMICAL AT THE FACILITY (Important: Check all that apply.)
Manufacture 3.1 the toxic
chemical:
a. 0 Produce b. Import
if produce or import:
c. HjFor on-site use/processing d. 0 For sale/distribution e. 0 As a byproduct f. D As an impurity
Process 3.2 the toxic
chemical:
a. 0 As a reactant b. 0 As a formulation component
c. As an article component d. D Repackaging
Otherwise use a. D As a chemical processing aid c. 0 Ancillary or other use
3.3 the toxic
b. 0 As a manufacturing aid
chemical:
SECTION 4. MAXIMUM AMOUNT OF THE TOXIC CHEMICAL ON-SITE AT ANY TIME DURING THE CALENDAR YEAR
M 1 I (Enter two-digit code from instruction package.)
ERA Fonn 9350-1 (Rev. 12/4/94) - Previous editions are obsolete.
DO A 00?^' rONFTDFNTTAl
S.EPA
Unted Environmantel Protection *rcy
EPAFORMR
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
Pag* 4 of 9
TW FACILITY ID NUMBER
70765THDWCHICHV
Twit Omaha). Category. or Sufic Hum
CHLORin
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
XA
5.3.2 Stream or Water Body Name
B. Basis of Estimate (enter code)
C. % From Stormwater
.%
5.3.3 Stream or Water Body Name
5.4
Underground injections on-site
0NA
5.5 Releases to land on-site
5.5.1 5.5.2 5.5.3 5.5.4
Landfill
na
Land treatment/ application farming
Surface impoundment
na na
Other disposal
na
I I Check here only if additional Section 5.3 Information la pr vlded on page 5 of this form.
EPA Form 8350-1 (Ray. 12/4/84) Previous dittoes at* oteotete.
00 A 05293? CONFTOFNTTAl
Range Codas: A - 1 10 pounds; B 11 - 499 pounds; C - 500 - 888 pound*.
&EPA
United State* Environmental Protection
Agancy
EPAFORMR
PART II. CHEMICAL-SPECIFIC
INFORMATION (CONTINUED)
Pag* 5 of 9
TN FACILITY 10 NUMBER
707SBTHPtCHICBW
Tadc OvniaL CiMgoty. or Searit Naw
CHLORIHK
SECTION 5.3 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 R*las* (pounds/ year)(entr range code from instructions or estimate)
B. Baals 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 .X .X
SECTION 6. TRANSFERS OF THE TOXIC CHEMICAL IN WASTES TO OFF-SITE LOCATIONS
6.1 DISCHARGES TO PUBLICLY OWNED TREATMENT WORKS (POTW)
.1.A Total Quantity Transferred to POTWs and Basis of Estimate
6.1 A.1 Total Transfers (pounds/year) (enter range code or estimate)
li
6.1 A.2 Baste 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
If additional pages of Part II, Sections 5.3 and/or 6.1 are attached, indicate the total number of nages In this box EH and indicate which Part II, Sections 5.3/6.1 page this Is, here. EH
(example: 1,2,3, etc.)
EPA Form 3350-1 (Ftev. 12/4/94) - Pravkxi* edition* are obaotate.
Rang* Coda*. A - 1 -10 pound*; B 11 - 49B pound*
DO A 0S7933
C 500 - 999 Munda.
fONF' IDF NT T Al
&EPA
unNM sum eyzr** Pro*c,ton
epaformr
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
Pag* 649 TBI FACILITY ID HUMBER
7Q7S5THDWCHICHW Tadc Qiwictl. Citsomy, m tow* CHLORin
SECTION 6.2 TRANSFERS TO OTHER OFF-SITE LOCATIONS
6.2.01
Off-site EPA Identification Number (RCRA ID No.) M
Off-Sit* Location Name
MA
Street Address
City County
State
Zip Code
A. Total Transtars (pounds/year) (sntar rang* coda or sstimate)
1. >A
2. 3. 4.
Is location undar control of reporting factttty or parant company?
|--| r~l.. 1--1Y** 1--1 No
B. Basis of EsSmata (ardor coda)
C, Type of Waste Traetment/Dtapoeal/ Recycling/Energy Recovery (sntar codk)
1. 1.
2. 2.
3. 3.
4. 4.
SECTION 6.2 TRANSFERS TO OTHER OFF-SITE LOCATIONS
6.2.02
Off-site EPA Identification Number {RCRA ID No.)
Off-Site Location am*
Street Address
City County
Stat Zip Code ]
A, Total Transtar* (pounds/yaar) (sntar range ooda or astlmstaj
la location under control of reporting .--,
i--i
tadlity or parent company?
LJ Yea 1--1 No
B, Basis of EsSmata oodto)
C. Type of Waste Troatment/Diapoeal/ RacycHng/Enargy Recovery (enter coda)
1. i.
1.
2. 2. 3. 3. 4. 4.
2. 3. 4.
additional pages of Part II, Section 6.2 are attached, indicate thetotal number of pages in this oox O and indicate which Part II, Section 6.2 page this is, here. lH (example: 1,2,3, etc.)
EPA Pom 9350-1 (9m. 12/4/94) - Previous sdHfons sto obsoMs.
D 0 A 0 A94 CONF I DFN'I TA!
Rang* Codee: A - 1 10 pounds; B - 11 - 499 pounds; C * 500 0M pounds.
O' EPA
IMM9W. Sr**1 pTM**"
EPAFORMR
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
_Pq 7 of 9
TW FAOUTT B 11111111
70768THDVCHZCHV
Two nwtai cwiih, m iwniiwi
CHL0HZH1
SECTION 7A. ON-SITE WASTE TREATMENT METHODS AND EFFICIENCY
Not Applicable (NA) - Check here if np on-site waste treatment is applied to any waste stream containing the toxic chemical or chemical category.
a. Bsssral Waits Stream (satsr m4)
7A.01 a
a
7A.01b 3
6
b. Tnibaaal Ma1ba4(t) Ssaasaca (aalsr S-abaradar m4(i))
1 A03 4 7
2 5
8
HA
a. RaafS at Ulwl ClMISMiM
A Waita Treatmsal Elfldsacy fitimtt
7A.01c 7A.Old
a. laud as Oparsttnf OabT
7A.01e
,H Bi 0.00 X
7A.02a
L
7A.02b 3
6
1 roi 4 7
2 HA 5
8
7A.02C
4
7A.02d 7A.02e
BB08.00 X
7A.03a
A
7A.03b 3
6
1 AOS 4 7
2 HA 5
8
7A.03C
1
7A.03d 7A.03e
s Yes {jo
90.00 X
7A.04a
A
7A.04b 3
6
1 roi 4 7
2 HA 5
8
7A.04C
l
7A.04d 7A.04e
0 DYes No
90.00 X
7A.05a
v
7A.05b 3
6
1 Cll 4 7
2 HA 5
8
7A.05C
3
7A.05d 7A.05e
as100.00 X
1 additional copies of page 7 are attached, indicate the total number of pages in this ! jox [oj] and indicate which page 7 this is, here. (example: 1,2,3, etc.)
EPA Form 9350-1 (Rav. 12/4/94) - Previous adHfons are obtoMt.
DO A 05,D'::0C. rONFTDFNH 1 Al
&EPA
UnMtd SMn Environmental Protection *iancy
EPAFORMR
PART II. CHEMICAL-SPECIFIC
INFORMATION (CONTINUED)
Pag* 7 olt in facility a wwitu
70766THDWCHXCHV Tttt CXIwl. CW|ir>, m tMm CHLOHIHI
SECTION 7A. ON-SITE WASTE TREATMENT METHODS AND EFFICIENCY
G Not Applicable (NA) - Check here If no on-site waste treatment Is applied to any waste
stream containing the toxic chemical or chemical category.
a. WB(aaaaataatrrtatiSat4raaa)ai
k. T[traalaakra3a-actblaUratfcetaa4r(tt*)aUaa(ti)t|aca
a. lCMMfC<tRatrisltaeieiaaai A WTEitrtffkaiacaaltattitaiaacayl
i. BOapsaerdaUaaat DttF
7A.06a 7A.06b
1 F99 2 HA
7A.06C 7A.06d 7A.06e
345 A
678
B B2 0.00 %
7A-07a HA
7A.07b 3 6
1 4 7
2 5 8
7A.07C
7A.07d 7A.07e Yes No
0.00 %
7A.08a 7A.08b 3
6
1 4 7
2 5 8
7A.08C
7A.08d 7A.08e Yes No
0.00 %
7A.09a 7A.09b 3
6
1 4 7
2 5 8
7A.09C
7A.09d 7A.09e Yes No
0.00 %
7A.10a 7A.10b 3
6
1 4 7
2 5 8
7A.10c
7A.10d 7A.10e
H B0.00 %
additional copies of page 7 are attached, indicate the total number of pages in this I ^ox M and indicate which page 7 this is, here. (example: 1,2,3, etc.)
EPA Form 9350-1 (Rav. 12/4/94) Provkxi* adMona era otoaotta.
DO A 050936. CONF T DFN~ T Ai
&EPA
iMMsw.
Envjron^ *otecoo
EPAFORMR
PART II. CHEMICAL-SPECIFIC
INFORMATION (CONTINUED)
Page of 9 TW FAOUTT m WmiHI
70765THDWCHXCHV Ttrit ClwkH Cdann. m twrtt tet CKLORIMX
SECTION 7B. ON-SITE ENERGY RECOVERY PROCESSES
Q Not Applicable (NA) Check Here H no on-site energy recovery is applied to any waste stream containing the toxic chemical or chemical category.
lawn Itacanry Mateafa [aalM 3-aftaraater aa4a(t)|
M2 3 4
i--------------------------------------------------------------------------------------------------------
SECTION 7C. ON-SITE RECYCLING PROCESSES
Q Not Applicable (NA) - Check here If oa on-site recycling is applied to any waste
stream containing the toxic chemical or chemical category.
Racytilai NrtMr [aater Mfcaractar aa4a)|
1 HA
2
3
4
5
6 7 8 9 10
EPA Form 9350-1 (Rav. 12/4/94) - Pravioua aditfora mra obaotate.
no A 0 0"'O 7' (.ONFTDF N1 TAi
EPA
unmsm. E""n*"" PrM
EPAFORMR
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
Pgt<9
TM FACILITY ID HUMBER
70766THDWCHICHW
Ta* CTufcit CWwwy. 6wfc te
CHL0RXK1
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 for energy 8.2 recoveiy on-site
Quantity used for energy 8.3 recovery off-site
Column A 19S3
(pounds/year) 31000
0
O
8.4 Quantity recycled on-site
0
Column B 1994
(pounds/year)
64000
Column C 199S
(pounds/year)
64000
00
00
00
8.5 Quantity recycled off-site O 0 0
8.8 Quantity treated on-site 8,7 Quantity treated off-site
4S0000 0
1400p00
'.
Quantity released to the environment as a result of .8 remedial actions* catastrophic events* or one-time events
not associated with production processes (pounds/year)
1400000 0
Column D 1996
(pounds/yev) 64000 0 0 0 0
1400000 0
0
8.9 Production ratio or activity Index
1.09
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
>
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
13
Report releases pursuant to EPCRA Section 329(8) including "any spilling, leaking, pumping, pouring, emitting, emptying, dischaqpng. | injecting, escaping, leaching, dumping, or disposing into the environment* Do not include any quantity treated on-site or off-site
EPA Form 9390-1 (Ftev. 12/4/94) - Previous Mons art obsolete.
D0 A 053938 CONft DFNTT Al