Document 44NygyRgRBmXnx10N1eL80jYe
(IMPORTANT: Type or print; read instructions before completing form)
Form Approved OMB Numpar 2070-0003 Approval Exptraa: 11/02
Pag* 1 of 9
ERA
form r TOXIC CHEMICAL RELEASE INVENTORY REPORTING FORM
TfU FACILITY IQ HUMBER
70765THDVCRIGHW
UnniftlaMd SMM EnvkonmantU Prolacdon
Stctitn 313 of tho Enwgmcy Planing and Carnality Ri(/it-to-Know Act of 1906. aiM tawai aa Trtlo III of ttw Stpofind Amendments and Raauthorbation Act
Tnk titsgsrf. a Qoaortr w FORMIC ACID
WHERE TO SEND COMPLETED FORMS:
1.EPCRA RaporOng Cantar P.O. BOX 3348
2.APPROPRIATE STATE OFFICE (Saa instructions in Appandix F)
MarfMMd, VA 22116-3348
ATTN: TOXIC CHEMICAL RELEASE INVENTORY
IMPORTANT: Saa Instructions to determin* whan "Not AppOcabl* (NA)" boxes should ba checked.
Entar *X* hara if Ihla is a rsvision
Fa EPAussonfy
PART I. FACILITY IDENTIFICATION INFORMATION
SECTION 1.
REPORTING YEAR
1994
SECTION ^ 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;
Sanitized 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 nd 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 f this report
Nvm tort official tHfis of oMw/fpoitv or tvio nongmod official D07LX A. HAEflT,, ENVIRONMENTAL MANAGER
. //
Dim Sipwd
06/30/95
SECTION 4. FACILITY IDENTIFICATION
| Facity a EsUtAdsmnt Nm
THE DOV CHEMICAL COMFAHT LOUISIANA DIVISION
Stmt Addrass |
ig. 1ICHVAT 1 SOUTH; F.O. BOX 150
Comty
| FLAqUEMIHX Stats 1
| IBERVILLE/VBR PARISH Zb Cods
LA Mails* Addraa (if diffmnt Iran itnaf addrsss)
70755-0150
nTM FadSty 10 ttflitw
70765THDVCHIGHV
Zip Csds 70755- 0150 /. 12/4/94) - Previous editions are obaoMa.
EPA Automated Form R
DO 0 053071 OONFTDFNTTAl
5EPA
InvkwvnmM PralMfon
EPAFORMR
PART I. FACILITY IDENTIFICATION
INFORMATION (CONTINUED)
m FtciLfTY io mmm 70766TKDVCII6IT Cjwph, m tmm*. twm
FORMIC ACID
SECTION 4. FACILITY IDENTIFICATION (Continued)
This report contains Information for
[El .4.2 fownoftirtt chock a or b; chock c W appOaNo)
a.
An anlira facility bLJ Part of a facility
A Federal Facility
j 4.3 Technical Contact DOTH A. KART
)
(04) m-aixa
4.4 Public Contact
8VT I. SA10KI
SIC Cod* 4.5 (4-dlglt)
Latitude 4.6 and
Longitude
a. mi*
Degree* 060
b. SMI Latitude Mfctutet
ID
C. *660
d. ia
Second* 00
061
(604) S6S-6XS*
e.
Longitude Minutes
f.
Saconda
16 SO
4.r Dun & Bradstreet Number(s) (9 digits)
4.8 EPA Identification Number(s) (RCRA I.D.No.) (12 characters)
4.9 Facility NPDES Permit Numbers) (9 characters)
a. 008187080 b. NA a. LAD008187080
b. NA
LA0003301 b. LA0049638
4.10 Underground Injection Well Code (UIC) I.D.
Number(s)
(12 digits)
NA
b.
SECTION 5. PARENT COMPANY INFORMATION
Nama of Parent Company |
5.1 Q
| TO DOT CXXKICAL COKPAXT
Parent Company's Dun 6 Bradstreet Number
5.2 na
(9 digits)
ooi$si5*i
EPA Form 9390-1 (Re*. 12/4/94) - Prwrioue editions ara obaoiali.
DO O OFr.ONf 3 OFN
07 7 1 Al
&EPA
United States Environmsntei Protection
1ncy
EPAFORM R
PART II. CHEMICAL-SPECIFIC
INFORMATION
Page 3 of 9
TIM FACILITY ID NUMBER
70765THDWCHICHV
Tafc Cteteat fawnaw. or tenwfc (taw
FORMIC ACID
SECTION 1. TOXIC CHEMICAL IDENTITY
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 ooooe-i8-e
1.2
Toxic Chemical or Chemical Category Name (Important: Enter only one name exactly as it appears on the Section 313 list.) FORMIC ACID
Generic Chemical Name (Important: Complete only if Part 1. Section 2.1 is checked `yes.* Generic Name must be structurally descriptive.)
1.3 MA
(Important: DO NOT complete this SECTION 2. MIXTURE COMPONENT IDENTITY section if you complete Section 1 above.)
Generic Chemical Name Provided by Supplier (Important: Maximum of 70 characters, including numbers, letters, spaces, and punctuation.)
2.1 MA
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. O Import
If produce or Import
c. 0 For on-site use/processing d. O For sale/distribution e. As a byproduct f. 0 As an impurity
Process 3.2 the toxic
chemical:
a. As a reactant b. 0 As a formulation component
c. D As an article component d. 0 Repackaging
Otherwise use a. As a chemical processing aid c. Ancillary or other use
3.3 the toxic
b. G As a manufacturing aid
chemical:
SECTION 4. MAXIMUM AMOUNT OF THE TOXIC CHEMICAL ON-SITE AT ANY TIME DURING THE CALENDAR YEAR
.1 (Enter two-digit code from instruction package.)
EPA Form 9350-1 (Rw. 12/4/94) Previous sdtbons are oOsotete.
DO A 050073 OONFTDFNTTAl
EPA
tinted Environmartel Protection
EPAFORMR
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
Page 4 of 9
TM FACILITY ID NUMBER
707SSTHDVCHICX1
Toric CteNnl. Cstewv. m Siyic Now
rORMXC ACID
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
Qna
Stack or point air 5.2 emissions
na
5.3
5.3.1 JTA
Discharges to receiving streams or water bodies (enter one name per box) Stream or Water Body Name
5.3.2 Stream or Water Body Name
5.3.3 Stream or Water Body Name
.
5.4
Underground injections Qna on-site
M
B. Basis of Estimate (enter code)
C. % From Stormwater
.% .%
.%
5.5 Releases to land on-site
5.5.1 5.5.2 5.5.3 5.5.4
Landfill
Qna
Land treatment/ application farming
Surface impoundment
na Qna
Other disposal
na
KA HA HA HA
Check h re only if additional Section 5.3 information is provided on page 5 f this form.
EPA Form 93S0-1 (Hav. 12/4/94) - Previous aditions are obaoiata.
Rang# Codas: A - 1 -10 pounds; B - 11 - 499 pounds; C 500 - 999 pounds.
DO A 053074 OONFTDFNT TAt
United Stete* Environmental ProtecMon
EPAFORMR
PART II. CHEMICAL-SPECIFIC
INFORMATION (CONTINUED)
Pag* 5 of 9 TIU FACILITY 10 WIMBEK
7Q765THDWCHICHW
Tadc Oi*UhI. Ctagwy. m 6--ric Warn
FORMIC ACID
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 Raleasa (pounds/
year)(enter 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
.% .% .%
SECTION 6. TRANSFERS OF THE TOXIC CHEMICAL IN WASTES TO OFF-SITE LOCATIONS
6.1 DISCHARGES TO PUBLICLY OWNED TREATMENT WORKS (POTW)
.1JV T tal Quantity Transferred to POTWs and Basis of Estimate
S.1.A.1
Total Twisters (pounds/year) (enter range code or estimate)
MA
S.1JL2
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
If additional pages of Part II, Sections 5.3 and/or 6.1 are attached, indicate the total number of
CD HDtages in this box and indicate which Part II, Sections 5.3/6.1 page this Is, here.
DO A 053075
( xample: 1,2,3, etc.)
CONFIDENTIAL
EPA Form S360-1 (R*v. 12/4/04) Previous edition* art oteotete.
Range Code*: A 1 -10 pounds; B 11 - 499 pound*; C 500 - OMpounds.
SEPA
United SIMM Envlronmentel Protection
*9ncy
EPAFORMR
PART II. CHEMICAL-SPECIFIC
INFORMATION (CONTINUED)
Pag* 6 of 9
TBI FACILITY IQ NUMBEK
70766IHDWCHICH1
Taoe O^gt, Csegey. m C*wic Maw
FORMIC ACID
SECTION 6.2 TRANSFERS TO OTHER OFF-SITE LOCATIONS
6.2.01
Off-site EPA Identification Number (RCRA ID No.) MA
Off-Site Location Name
KA
Street Address
City County
State
Zip Code
A. Totef Transfers (pounds/year) (enter range cods or estimate)
1. VA
2.
3. 4.
Is location under control of reporting facility or parent company?
|--| f--| 1--1 Yes 1--1 No
B. Basis of EsSmete fvn-Vr OOQV)
c. Type of Waste Treetment/Dispoeal/ Recycling/Energy Recovery (enter code)
i. 1.
2. 2.
3. 3. 4. 4.
SECTION 6.2 TRANSFERS TO OTHER OFF-SITE LOCATIONS
6.2.02
Off-site EPA identification Number fRCRA ID No.) ;
Off-Site Location Name
Street Address
City County
State
Zip Code
A. ToMI Transfers (pounds/yea#
(enter range code or artmate)
1.
2. 3. 4.
It location under control of reporting facility or parent company?
p-. i--.
LJ Yse LJ No
B. Beals of Estmate (enter code)
C. Type of Waste Treetment/Dispoeal/
Recycling/Energy Recovery (enter cod*)
1. 1. 2. 2. 3. 3. 4. 4.
additional page* of Part II, Section 6.2 art attached, Indicate thatotal number ot pages in this oox and Indicate which Part II, Section 6.2 page this Is, here. [_ (example: 1,2,3, etc.)
EPA Form 9350-1 (Rev. 12/4/94) - Previous editions are obeotote.
Ronge Codes: A - 1-10 pounds;B - 11 - 499 pounds;
00 A 0 0^076
C - 500 - 999 pounds.
OONFIDFNTTAI
&EPA
United Environmental Protection
EPAFORMR
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
Pag* 7 ol 9
TN FAOLITY ID HUMIER
7076STHDWCHICHW
T* Ctetemt Ctesfsn. m temrtt tea*
FORMIC ACID
SECTION 7A. ON-SITE WASTE TREATMENT METHODS AND EFFICIENCY
n I Applicable (NA)-Check here if no on-site waste treatment Is applied to any waste stream containing the toxic chemical or chemical category.
a. Qaaeral Waste Mrsan (eater safe)
h. Tiiiteiii Metbe4<i) tttMKi [aalar S-aftaracter satfa(s)]
a. Raaia ai taUaaat Uftttitrvtfei
A Waste TrsateMBl EMateaey
a. Basatl as Oparatlaf Data?
7A.01a 7A.01b
POO 2 KA
5
8
7A. 01c
7A.01d 7A.01e
B B0.00 %
7A.02a 7A.02b
KA
1 4 7
2
7A.02C
7A.02d 7A.02e
B B0.00 %
7A.03a 7A.03b
7A.03C 7A.03d 7A.03
0.00 %
Yes No
7A.04a
7A.04b 3
6
7A.05a 7A.05b
1 4 7
2 5 8
7A.04C
7A.04d 7A.04e
0.00 %
Yes No
7A.05C
7A.05d
7A.05e
0.00 %
res No
additional copies of page 7 are attached, indicate the total number of pages in this
box EH and indicate which page 7 this is, here. EH (example: 1,2,3, etc!)
EPA Form 9360-1 (Rav. 12/4/94) - Previous editions are obsolete.
DO A 053077
i ijni inf i\ i i
EPA
utm sum
EPAFORMR
PART II. CHEMICAL-SPECIFIC
INFORMATION (CONTINUED)
Pag* 8 of 9
TW FACILITY HUMIUI
70766THDNCHICHN Trti fteltiL CMim, m Stum -- FOBIIIC ACID
SECTION 7B. ON-SITE ENERGY RECOVERY PROCESSES Q Not Applicable (NA) - Check here U no on-tlte energy recovery is applied to any waste
stream containing the toxic chemical or chemical category.
lawn Ihcaniy MatM* [(Mr 3-fearacl*f m4(s)]
NA 2 3 4
i-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
ACTION 7C. ON-SITE RECYCLING PROCESSES
Q Not Applicable (NA) - Check here H no on-site recycling is applied to any waste stream containing the toxic chemical or chemical category.
lUcyttot MaNili [aatar IMnda n4a(i)|
1 NA
2
3
4
5
6 7 8 9 10
EPA Form 9350-1 (Bav. 12/4/94) - Pravious adWona art obMtaM.
no
OONF T OF-'NH T Al
O EPA
United Stetes Environmental Protection
mnef
EPAFORM R
PART II. CHEMICAL-SPECIFIC
INFORMATION (CONTINUED)
Page 9 of 9 TN FACILITY 10 NUUBER
70765THDSCH1CHW Tmk Onulril. Cttgwy. Gawfc Im FORMIC ACID
SECTION 8. SOURCE REDUCTION AND RECYCLING ACTIVITIES
All quantity estimates can be reported using up to two significant figures.
* 8.1 Quantity released
8.2
Quantity used for energy recovery on-site
Quantity used for energy 84 recovery off-site
Column A 1993
(pounds/year) 850
0
0
8.4 Quantity recycled on-site
0
Column B 1994
(pounds/year)
1800
Column C 1995
(pounds/year)
1800
00
00
00
Column D 1996
(pounds/year) 1S00
0
0
0
8.5 Quantity recycled off-site 0 0 0 0
8.8 Quantity treated on-site
0 000
8.7 Quantity treated off-site
00
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)
00 0
8.9 Production ratio or activity Index
1.09
Did your facility engage In any source reduction activities for this chemical during 8.10 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 d)
Report releases pursuant to EPCRA Section 329(8) including `any spilling, leaking, pumping, pouring, emitting, emptying, discharging, injecting, escaping, leaching, dumping, or disposing into the environment* Do not include any quantity treated on-site or of(-site.
EPA Form 9350-1 (Rev. 12/4/M) - Pravioua editions era obsolete.
D0 a 0FF079
CONFTDFNTTAl