Document 5Lapr4ZEG7joy20vM8mQdEZpN
'IMPORTANT: Type or print; read instructions before completing form)
Form Approved OMB Number 2070-0083 Approval Expiree: 11/92
Page 1 of 9
w epa
'ntted Stales nvlronmantel Protection Agency
FORM R TOXIC CHEMICAL RELEASE INVENTORY REPORTING FORM
Section 313 of tht Emergency Pfenning and Community Right-to-Know Act of 19M, alio known aa Title III of the Superfund Amendments and Raauthorization Act
TRI FACILITY ID NUMBER 70765THDWCHICHW Teilc rieeitnl Category, er Beurk terns CHLORODIFLUOROIUTHAY
WHERE TO SEND COMPLETED FORMS:
1.EPCRA Reporting Center P.O. BOX 334$
2. APPROPRIATE STATE OFFICE (See instructions in Appendix F)
Msrrifiskl, VA 22116-3348
ATTN: TOXIC CHEMICAL RELEASE INVENTORY
IMPORTANT: See Instructions to determine when "Not Applicable (NA)" boxes should be checked.
Enter "X* hsrs If this is s raviaion For EPA use only
PART I. FACILITY IDENTIFICATION INFORMATION
SECTION 1.
REPORTING YEAR 1992
SECTION 2. TRADE SECRET INFORMATION
IPIIIII
Are you claiming the toxic chemical identified on page 3 trade secret?
G Yes (Answer question 2.2; No (Do not answer 2.2;
Attach substantiation forms)
Go to Section 3)
lllllll If yes in 2.1, is this copy:
G Sanitized O Unsanitized
SECTION 3. CERTIFICATION (Important: Read and sign alter completing all lorm sections.)
. hereby certify that i 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.
Kama and official titfe of owncr/opwator or aanior managamant official
STARLET C. COLE, ENVIROFMENTAL HAHAGER
Signature
/
Date Signad |
06/30/94
/ SECTION 4. FACILITY IDENTIFICATION
Facility or CsaMahmont Hares j
the dov CHEMICAL COMPART LOUISIaha division
Stmtt Address
HIGHWAY I SOUTH; P.O. BOX ISO
Coutty
PLAeUIMIHI
IBERVILLE/WBR PARISH Zip Coda
Mailing Addisss (If different tram streat sddraas)
70766-0160
TRI Facility 10 Hunter
70765THDWCHIGHW
1:4vV:: : Stata
1 Zip Coda 1 70765- 0150
EPA Form 9950-1 (Rsv. 12/4/93) - Previous aditlona srs obsotete.
DO A 0S7'00 7 CONFTDFNTTA1
EPA Automstsd Form R
SEPA
nrtad Stataa wironmantal Protaction
| Agency_____________
EPAFORMR
PART I. FACILITY IDENTIFICATION
INFORMATION (CONTINUED)
Page 2 of 9
TRI FACILITY 10 NUMBER
70765THDVCHXCHV Tone Qwmcal. C*tory. a Saw Nan CHLORODIfLUOROKETHAR
SECTION 4. FACILITY IDENTIFICATION (Continued)
This report contains Information for:
4.2 (Important: check only one)
a. 0An entire facility b. DPart of a facility
4.3 Technical Contact STARLET C. COLE
Tataphoaa Nimtet (ladada ana nda)
(504) 553-6131
4.4 Public Contact
COT 3. BAROHE
Talaphaaa Mamlar (lacloda ana tada)
(504) 553-8236
SIC Code 4.5 (4-diglt)
a. 2812
b. 2821
C. 2869
d. HA
e. ha
f.
Latitude
4.6 and Longitude
Degrees 030
Latitude Minute*
19
Seconds 00
Degrees 091
Longitude Minutes
16
Seconds 20
4.7 Dun & Bradstreet Number(s) (9 digits)
4.8 EPA Identification Number(s) (RCRA I.D.No.) (12 characters)
4.8 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 3. LA0003301 b. LA0049638
a. ha
b.
SECTION 5. PARENT COMPANY INFORMATION
Name of Parent Com pany
5.1 na
THE DOW CHEMICAL COMPANY
Parent Company's Dun & Bradstreet Number
5.2 na
(9 digits)
001381581
EPA Fonn 9350*1 (Rttf. 12/4/93} Pravtoua aditiona ara obaoMa.
DO A 053308 OONFTDFNTTAl
S' EPA
United Stated
EPAFORMR
PART II. CHEMICAL-SPECIFIC INFORMATION
Page 3 of (
TRI FACILITY ID NUMBER_________
70765THDICHICHW
Toric CtawiaL Citww, * tanwic Rare
CHLORODIFLUOROHITHAR
SECTION 1. TOXIC CHEMICAL IDENTITY
w.)
1.1 1.2 1.3
CAS Number (Important: Enter only one number exactly as it appeals on the Section 313 list. Enter category code if reporting a chemical category.) HA - Toxic Chemical or Chemical Category Name (Important; Enter only one name exactly as it appears on the Section 313 list.) HA Generic Chemical Name (Important: Complete only if Part 1. Section 2.1 is checked `yes.' Generic Name must be structurally descriptive.) HA
(Important: DO NOT complete this
SECTION 2. MIXTURE COMPONENT IDENTITY section H you complete Sect! n 1 ab ve.)
Generic Chemical Name Provided by Supplier (Important: Maximum of 70 characters, including numbers, letters, spaces, and punctuation.)
2.1 CHLORODirLVOROKETHAHX (CFC-22)
SECTION 3. ACTIVITIES AND USES OF THE TOXIC CHEMICAL AT THE FACILITY (Important: Check all that apply.)
Manufacture 3.1 the toxic
chemical:
a. G Produce b. Import
If produce or import
c. For on-site use/processing d. 0 For sale/distribution
e. As a byproduct
f. G As an impurity
Process 3.2 the toxic
chemical:
a. G As a reactant b. G As a formulation component
c. As an article component d. Q Repackaging
Otherwise use a. G As a chemical processing aid c. Q Ancillary or other use
3.3 the toxic
b. S As a manufacturing aid
chemical:
SECTION 4. MAXIMUM AMOUNT OF THE TOXIC CHEMICAL ON-SITE AT ANY TIME DURING THE CALENDAR YEAR
EPA Form 9350-1 (Rev. 12/4/93) - Prevtou* editions art obsolete.
CnOoNFaTOFNTTAl
SEPA
United -'nvironmantel Protection
Jncy
EPAFORMR
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
Page 4 of 9
TBI FACILITY ID NUMBER
7076STHDVCHIGHW
Tape QanWd. Ctoy, w 6--ifc a--
CBLOROD irLUOROMXTHAir
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
5.2
Stack or point air emissions
na
5.3
5.3.1
HA
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
B. Basis of Estimate (enter code)
C. % From Stormwater
.%
.% .*
5.4
Underground injections on-site
na
HA
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
Qna na
Other disposal
na
HA HA HA HA
I I Check h re nly if additional Section 5.3 informati n is pr vid d on page 5 of this form.
EPA Form 9350-1 (Rav. 12/4/93) - Previous adMons are obaotate.
DO A 05,"3 ] 0 Rang* Codas: A 1 - 10 pounds; B - 11 - 499 pounds;
OONFTDFNTTAI
C - 500 * 999 pounds.
&EPA
United State* Environmental Protection
Bncy
EPAFORMR
PART II. CHEMICAL-SPECIFIC
INFORMATION (CONTINUED)
Pag* 5 of 9
TRI FACILITY ID NUMBER
7076STHDWCHICHW
Tonic eternal. Caagwy, * fin* Mn
CHLORODirLOOROMXTHAR
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 Release (pounds/ year)(enter range code from instructions or estimate)
B. Baals of Estimate (enter code)
C. H 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)
6.1 A Total 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 Stat
County Zip Code
Street Address City State
County Zip Code
f additional pages of Part II, Sections 5.3 and/or 6.1 are attached, indicate the total numb r f pages in this box O and indicate which Part II, Sections 5.3/6.1 pag this Is, here. S
( xample: 1,2,3, etc.)
DO A 05P311 EPA Form 9350-1 (Rav. 12/4/93) - Pravtooa edition* art obaotete. c 0 N F T D F N T r `i
Rano* Codes: A - 1 -10 pounds; B - 11 499 pounds; C 500 * 999pounds.
EPA 'SST*untodst*.
Pro^dton
EPAFORMR
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
Page 6 of 8
TRI FACILITY 10 NUMBER
7076STHDWCHICHT Twdt Ctinicil, CaUqory. or Gunt Mawt CHLORODIFLUOROMTHA*
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/ysar) (antsr rings coda or aatimata)
1.
2. 3.
Is location undar control of reporting facility or parent company?
i--> --. 1--1 Yea LJ No
B. Basis of EsBmafe (enter code)
C. Type of Waste Treatment/Dispoeal/ Recycling/Energy Recovery (enter coda)
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 Gi .'a
A. Total Transfars (pounds/yaar) (ant* range coda or sstlmsfe)
1.
2. 3. 4.
Is location undar control of reporting facility or parent oompany?
--i r--i 1--1 Yae 1--1 No
&. Basil of Estfmats (antsr code)
C. Typo of Waits Tnstmsnt/Disposal/ Recycling/Energy Recovery (antsr code)
1. 1. 2. 2. 3. 3. 4. 4.
If additional pages of Part II, Section 6.2 are attached, indicate the total number f pages In this box ED and Indicate which Part II, Section 6.2 page this is, here. [_1 (example: 1,2,3, etc.)
..........
- --
DO A OSPFI
EPA Form 9350-1 (Rav. 12/4/93) - Prtvtou* editions are obaoiets. C 0 N F T D F N r T Ai
f^nfl* Codw: A -
B * 11 ' 499 pound*;
EPA
United States ivironmantel Protection
Jncy
EPAFORMR
PART II. CHEMICAL-SPECIFIC
INFORMATION (CONTINUED)
Page 7 of 9
TM FACILITY IB HUMIEW
70765THDWCH1CHV
Tim rtewim cm,*,, awr* mm
CHLOROD irLVOROMCTHAir
SECTION 7A. ON-SITE WASTE TREATMENT METHODS AND EFFICIENCY
Q Not Applicable (NA) - Check here if na on-site waste treatment is applied to any waste stream containing the toxic chemical or chemical category.
i. BsmtsI Watts Strum
(*tr cads)
7A.01a
A
7A.01b 3
6
i. Trarimiri Matbod(t) Saquaaca [star 3-character csda(t)|
1 P99 4 7
2 5
8
VA
a. Range al laflaaat Caacaatratisa
4. Watte Traatmari ilftctestf Eritetate
7A.01C 7A.01d
a. Batad aa Oparatla Data?
7A.01e
Yes No
i
0.00 %
s
7A.02a
RA
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 %
Yes No
7A.05a 7A.05b 3
6
1 4 7
2 5
8
7A.05C
7A.05d 7A.05e
0.00 %
Yes No
if additional copies of page 7 are attached, indicate the total number of pages in this
box ED and indicate which page 7 this is, here. ED (example: 1,2,3, etc')
EPA Form 8350-1 (Rsv. 12/4/83) - Previous aditions are obsotete.
no a os? 31.3 rONriDFNT T Al
A EPA
unMd smh
-mrtronm^ Protoctloo
EPA form r
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
Psge 8 of &
TRI FACILITY n NUMBER
70765THDWCHICHW Tun Ckaakal, Citaaary. m Baaaifc aaa CHLORODIFLUOROMETHAN
SECTION 7B. ON-SITE ENERGY RECOVERY PROCESSES Q Not Applicable (NA) Check here if da on-site energy recovery Is applied to any waste
stream containing the toxic chemical or chemical category.
Eaarfy Racavary MatNoda laalar J-eUradar cda(t)]
NA 2 3 4
SECTION 7C. ON-SITE RECYCLING PROCESSES
[*~| Not Applicable (NA) - Check here H ntt on-site recycling is applied to any waste stream containing the toxic chemical or chemical category.
Racytliai Mattads laatar 3-cbaractar cada(i)]
1 NA
2
3
4
5
6 7 8 9 10
EPA Form 9350-1 (Rav. 12/4/93) Pravtous adittona ara obaolala
on A os."'"-; 14 OONr 1 Df'NT 1 At
SEPA
United Statn Environmental Protection
*ncy
EPAFORMR
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
Page 9 of 9
TRI FACILITY ID NUMBER
707e&THDWCHICi Tnde Qumo!, Cmawv. r toeric >w CELOROD XFLUORQIOETHAX
SECTION 8. SOURCE REDUCTION AND RECYCLING ACTIVITIES
All quantity estimates can be reported using up to two significant figures.
* 8.1 Quantity released
Column A 1992
(pounds/year)
0
Quantity used tor energy 8.2 recoveiy on-site
Quantity used for energy 8.3 recovery off-site
0 0
8.4 Quantity recycled on-site
0
Column B 1993
(pounds/year) 80000
0
0
0
Column C 1994
(pounds/year) 80000
0
0
0
8.5 Quantity recycled off-site 0 0 0
8.6 Quantity treated on-site
0 00
8.7 Quantity treated off-site
0 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)
Column O 1995
(pounds/year) 80000 0 0 0 0 0 0
0
8.9 Production ratio or activity index
1.00
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
DA
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 poDution 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, injecting, escaping, leaching, dumping, or disposing into the environment' Do not include any quantity treated on-site or off-site.
EPA Fonn 8350-1 (Rev. 12/4/93) - Previous edition* ere Obsolete.
DO A 05 AO IF, C ONF TDFNiTTA.