Document 4aZw4d1xp2Z1Bw32Z4M5QLxyN

Form Approved OMB No.: 2070-0093 Approval Exp***:. 01/91 Paoe 1 of 5 A EPA 1 J.S. Environmental Protection Agency TOXIC Cl4EM1CAL RELEASE INVENTOF\y REPORTING FORM Section 313 of the Emergency Planning and Commuiixty Rlght-to-Know Act of 1986. also known a s Title III of the Superfund Amendments and Reauthorlzatlon Act EPA FORM R PART 1. FACILITY IDENTIFICATION INFORMATION (This space for your optional use.) Public reporting burden tor tnls collection of information W eetlmatad to vary from 30 to 34 hour* per reeponea, with an average of 32 hour* par response. Including time tor reviewing Instructions, searching enisling data sources, gathering and maintaining the data needed, and completing and reviewing the oollection of information. Send comments regarding this burden estimate or any other aspect of this collection of Information, including suggestions for reducing this burden, to Chief, information Policy Branch (PM-223). US EPA, 401 M St.. SW, Washington, D.C. 204S0 Attn: TRI Burden and to the Offloe of information and Regulatory Affairs, Offloe of Management and Budget Paperwork Reduction Prefect (20TO-OOB3), Washington, D.C. 20603, Arm you claiming the onemical identity on page 3 trad* aaorat? 1.2 If " Yes' In 1. i, Is this oopy: 1.3 Reporting Year 1. I I 1Ya* Answer question 1,2: I X ] No (Do net anawar i .2: ^^^^tta^^obatStlatlcj^ojmi1|^_^^ Qo to Question 1,3.1 [ ] Sanitized [ ] Unaanltlzed 19_&S_ 2. CERTIFICATION (Read and sign after completing all sections.) IchoemrepbleytecaanndnythtahtatthIetaarmnoruenvtisewaendd the attachedi documents values In this report are and that, accurate to the best of my knowledge and belief, the submitted information is true and oaaea on reasonable sstlmates using data available to tne preoarar* ot this report. Name and official title ot owner/operator or senior management official T. G. Brown. Works Manager. PPG Industries. Lake Charles. La Signature Date signed 6bij9 Facility or Establishment Name PPG Irdustri as .__Inc. Street Address Columbia Southern Road 3.1 City Westlake State LA County ZIP Coda 70669 WHERE TO SEND COMPLETED FORMS: 1. U.S. ENVIRONMENTAL PROTECTION AGENCY P.O. BOX 70268 WASHINGTON, DC 20024-0266 ATTN: TOXIC CHEMICAL RELEASE INVENTORY 2. APPROPRIATE STATE OFFICE (S instruct! ns Appendix E) This report contains information tor (Cheek one); 3.2 4.IX'] An entire facility [ ]> Part ot a facility. Technteal Contact 3.3 Andv ?.... Plauche' Telephone Number (include area oode) (318) 491-4184 Publlo Contact 3.4 William J. Peard SIC Code (4 digit) 3.5 a.2812 b, 2815 c. 28 5 9 i NA Telephone Number (include area code) (318)491-4848 Latitude 3.6 Minute Seconds 30 13 27 Dun A Bredstreet Number(s) 3.7 1.00-808-6505 EPA Identification Numoer(a) (RCRA I.D- No.) 3.8 a.LAD 00 808 e506_________ NPDES Permit Numoer(a) 3.9 e.LA 0000761 neoelvlng Stream* or Water Bodies (enter one name per box) a.Calcasieu River Degrees 92 Longitude Minutes 15 U na b. NA b. Bavou I)' Ind Seconds SC 3.10 ..Bayou Verdine d. NA Underground miectlon Well Code (LUC) Identification Numoer(s) 3.1 a.NA 4. PARENT COMPANY iTTFORMAtlON Name ot Parent Company 4.1 PPG Industries - Tnr Parent Company' a Dim & I 4.2 00-134-4803 EPA Form 9350-1 (1-89) Revised--Do not use previous versions.  (Important: Type or print: read instructions before completing form,)_________ ERA ** fcKA REPA FORM PART II. OFF-SITE LOCATIONS TO WHICH TOXIC CHEMICALS ARE TRANSFERRED IN WASTES 1. PUBLICLY OWNED TREATMENT WORKS (FOTWs) 1.1 POTW name NA Street Addrett 1.2 POTW name Street Addrett City County City Stats Zip State Page 2 of 5 (This space for your optional use.) County Zip 2. OTHER OFF-SITE LOCATIONS (DO NOT REPORT LOCATIONS TO WHICH WASTES are SENT ONLY FOR RECYCLING OR REUSE). 2.1 Otf-slte location name Chemical Waste Management, )EPA Identification Number (RCRA ID. No. ALD 000622464 Inc. Street Addrett Alabama Highway 17 at Milemarker City Emelle County Sumter State AL Zip 35459 It location under control of reporting facility or parent company? 2.2 Off-site location name NA EPA Identification Numoer (RCRA ID. No.) Street Address 163 City County State Zip It location under control of reporting facility or parent company? [ ] Yet [X ] No [ ] Yet [ ]no 2.3 Off-site location name EPA Identification Numoer (RCRA ID. No.) 2.4 Off-slte location name EPA Identification Number (RCRA ID. No. I Street Addrett City County Straet ACdrese City County State Zip State Zip Is location under control of reporting facility or parant company? 2.5 Off-site location name [ ] Yet [ ] No is location under control of reporting facility or parent company? 2.6 Off-slte location name [ ] Yes [ ] no EPA Identification Numb#r (RCRA ID. No.) EPA Identification Number (RCRA ID, No.) Straet Addrast Street Address City County City County Stata Zip Stste Zip Is location under control ot reporting facility or parent company? [ ] Yea [ ]no Is location under control ot reporting facility or parent company? [ ] Yes t ] Mb [ ] Check If additional pagea of Part II are attached. How many? EPA Form 9350-1(1-89) Revised--Do not use previous versions.  (Important: Type or print: read instructions before completing form.) it PDA EPA FORM R part III. CHEMICAL-SPECIFIC INFORMATION Page 3 of 5 (This space for your optional use.) 1. CHEMICAL IDENTITYfDo not complete this section If you complete Section 2.) 1.1 [Reserved] CAS Number (Enter tna number exactly as it appears on the 313 list. Enter NA if reporting a cnemioa! category. J 1.2 75-35-4 Chemical or Chemical Category Name (Enter 1.3 Vinylidene chloride nm axactiy 4* it appear* on the 313 list.) Generic Chemical Name (Compiata only if Part I, Section 1.1 IS checked "Ye*." Generic name must be structurally descriptive.) 1.4 MIXTURE COMPONENT IDENTITY (Do not complete this section if vou complete Section 1.) 2. Gananc Chemical Name Provided by Supplier (Limit the name to a maximum of 70 characters (a.g., numbers, letters, spaces, punctuation).) 3. ACTIVITIES AND USES OF THE CHEMICAL AT THE FACILITY (Check all that apply. 1 Manufacture the If produce or Import: chemical: 3.1 r1 a.L XJ Produce f 1 For on-site c.L J use/processing [ Y1For sale/ " l AJ distribution b. [ ] Import e.[ X ] As a byproduct f. [ X] As an impurity Process the 3.2 chemical: r1 a'> J As a reactant d. [ ] Repackaging only h f 1 As a formulation b.j. J component f 1 As an article J component 3.3 Otherwise use the chemical- f 1 As a chemical a- * J processing aid r1 b.l ] As a manufacturing aid T1 c.L i Ancillary or other use 4. MAXIMUM AMOUNT OF THE CHEMICAL ON-SITE AT ANY TIME DURING THE CALENDAR YEAR (enter code) 5. RELEASES OF THE CHEMICAL TO THE ENVIRONMENT ON-SITE A. Total Release (Ibs/yr) You may report releases of less than 1.000 lbs. by checking ranges under A.1. (Do not use both A.1 and A.2) A.1 Reporting Ranges 0 1-499 500-999 A.2 Enter Estimate B. Basis of 1 Estimate (enter code) 5.1 Fugitive or non-point air emissions 5.1a [][][] 42,000 5.1b E 5.2 Stack or point air emissions 5.2a [][][] 59,000 5.2b 0 5.3 Discharges to receiving , 1 CZ]streams or water bodies 5J' La-J 5.3.1a [][][] NA 5.3.1b (Enter latter cod* from Part 1 I}. 1 5.3.2b 0 Stheecbtioonx 3p.rotovidtoerd.s) tream(t) in 5.3.2 1___1 5.3.2a [][][] 77 i.0 5.3.3a [][][] 10 5.3.3b 0 5.4 Underground injection 5.5 Releases to land 5.5.1 On-xite landfill 5.5.2 Land traatment/application farming 5.4a [][][] 5.5.1a [][][] 5.5.2a [][][] NA NA NA 5.4b 0 5.5.1b 0 5.5.2b 0 5.5.3 SuDace impoundment 5.5.4 Other dupdsal 5.5.3a [][][] 5.5.4a [][][] NA NA 5.5.3b 0 5.5.4b 0 [ ] (Check it additional information i* provided on Part IV-Supplemental information.) EPA Form 9350-1(1-89) Revised--Do not use previous versions. SL 022614  (Important: Type or print; read instructions before completing form.) A EPA EPA FORmR PART III. CHEMICAL-SPECIFIC INFORMATION (continued) Page 4 of 5 (This space for your optional us 6. TRANSFERS OF THE CHEMICAL IN WASTE TO OFF-SITE LOCATIONS You may report transfers of less than 1.000 lbs. by checking ranges under A. 1. (Do not use both A.1 and A.2) A. Total Transfers _______(Ibs/yr) A.1 Reporting Ranges 0 1-488 S00-099 A.2 Enter Estimate B. Basis of Estimate (enter code) Discharge to POTW -------, ,------- (enter location number 1,11 [][][)6.1.1 from Part II. Section J.) 1 1 I -|___ NA M. Other ott-site location _____ . (enter location number 6.2.1 from Part II, Section 2.) I * [][][] I 2 IIOther ott-site location , 6.2.2,, f(reonmterPlaorct aIIt,ioSnencutimonbe2r.t I . II I[ 1t i[ 1 Other ott-site location ____ _ , (enter location number I , I 1 I [][][]6.2.3 from Part 11, Section 2.) I * I I___ 69 NA 6.2.1b 6.2.2b 6.2.3b [ ] (Check if additional Information is provided on Part IV-Supplemental Information.) C.Type of Treatment/ Disposal 7. WASTE TREATMENT METHODS AND EFFICIENCY A. General Wastestream (enter code) B. Treatment Method (enter code) C. Range of Influent Concentration (enter code) D. Sequential Treatment? (check if ____ applicable) E. Treatment Efficiency Estimate 07.1a 7.1b 7.1c 7.id [ 1 99.99 7.1e % 7.2a 7.2b 7.2c t ]7.2d 30 7.2e % El7.3a 7.3b 7.4a 7.4b 7.5a 7.5b 7.6a 7.6b 7.7a 7.7b 7.8a 7.8b 7.9a 7.9b 7.10a 7.10b m7.3c 7.4c 7,5c 7.6c 7.7c 7.8c Q 7.9c 7.10c 7.3d l ] 7.4d [ ] 7.5d [ ] 7.6d [ ] 7.7d [ ] 7.Bd [ 1 7.9d [ 1 [7.10d ] 7,3e 99,68 % 7.4e % 7.5e 7,6e 7.7e 7.8e 7.9e 7.10e % % % % [ ] (Check If additional Information Is provided on Part IV-Supplemental Information. F. Based on Operating Data? Yes No 7" [x 1 M 7`2f MU] 7.3f [X ] [ ] 7.4f [ ] [ 1 7.5f [ ] l ] 7 6f [ ] [ 1 7.7f l ] [ ] 7.8f [ ] [ ] 7.9f [ 1 [ 1 7.1 Of l H 1 8. 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 (enter code) B. Quantity of the Chemical in Wastes Prior to Treatment or Disposal C. Index D. Reason for Action (enter code) Current reporting year (Ibs/yr) Prior year (Ibs/yr) Or percent . change M NA % EPA Form 9350-1(1-89) Revised - Do not use previous versions. SL 022615 (Important: Type or print; read instructions before completing form.) 6EPA REPA FORM PART IV. SUPPLEMENTAL INFORMATION Use this section if you need additional space for answers to questions in Part III. Number the lines used sequentially from lines in prior sections (e.g., 5.3.4. 6.1.2. 7.11) Page 5 of 5 (This space 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 lbs. by checking ranges under A.1. (Do not use both A.1 and A.2) A. Total Release (Ibs/yr) A.1 Reporting Ranges 0 1-499 500-999 A.2 Enter Estimate 5.3 Discharges to ,--, r eiving streams or MMMwater bodies 5 3------- --1 5.3____a B. Basis of Estimate (enter code in box provided) C.% From Stormwater 5.3_____bO 5,3_____ c (Enter letter code from Part 1 11 Section 3.10 for xtreamdl in 5 3 (___ 1 5.3____a [][][]tne Box provided.) --------- -------- 5.3.____b(U 5.3.____ c 5.3____a [][][) 5.3.____ c ADDITIONAL INFORMATION ON TRANSFERS OF THE CHEMICAL IN WASTE TO OFF-SITE LOCATIONS (Part III, Section 6) You may report transfers of less than 1,000 lbs. by checking ranges under A.1. (Do not use both A.1 and A.2) A.Total Transfers (ibs/yr) A.i Reporting Ranges 0 1-4SS 500-999 A.2 Enter Estimate B. Basis of Estimate (enter code in box provided) C. Type of Treatment/ Disposal (enter code m box provided) Discharge to POTW , (enter location number BD[.1.from Part II. Section 1.) K l[ 1 Other off-xite location (enter location number BD (Hill-------- from Part ll, Section 2.) Other ofl-site location 6.2 (enter location number BD [Hill____ ______ from Part ll. Section 2.1 Other otf-site location (enter location number B.B (Hillfrom Part ll, Section 2.) 6.2. c M 6.2. c M 6.2. c M ADDITIONAL INFORMATION ON WASTE TREATMENT METHODS AND EFFICIENCY (Part III. Section 7) A. General Wastestream (enter code 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 F. Based on Operating Data? Yes No n7. a 7. b d[ 17._____ c 7-------- 7._____ e % 7. f f ][ ] 7. a 7. b 7. c 7d [ 1 7. e % 7. f r ][ 1 7. a 7. b ? [ ]7._____ c _____ 7. e % 7. ][ 1 7. _____ a 7.._____ b 7._____ c 7. d[ ] 7._____ e f n ]% 7. f 7. a 7. a 7. _____ a 7. _____ a 7, a 7. b 7._ b7. 7. _ b7. (T 1 1 1 11 11 1 nzLl 7._____ c 7. c 7._____ c 7._____ c 7._____ c *[7--< 7. d[ 7--- [ 7. d[ 7----d [ ] ] ] ] ] 7._____ e 7._____ e 7. e 7, e 7._____ e ][ ]% 7. .....tf % 7. f ][ ] % 7. f f ][ ] % 7. f f n ] % 7 --f [ H ] EPA Form 9350-1(1-89) Revised--Do not use previous versions. SL 022616