Document 5kXLEYnxDxEB2yRYG26Zb04aV
-arm ADDrovea OMB No.: -3~Q-OQ93
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Aoorovai ExDires:. '">1/91 ^aae 1 of 5
A EPA U.S. Environmental Protection Agency
TOXIC CHEMICAL RELEASE INVENTORY REPORTING FORM
Section 313 at the Emergency Planning and Community Rlght-to-Know Act of 1986. aiso Known as Title III of the Suoertund Amendments and Reauthonzation Act
EPA FORM
R
PART I.
FACILITY IDENTIFICATION INFORMATION
(This soace tor your optional use.)
Public 'eoorting ouroon tor v-tj
collection ot information n estimated to
varv from 30 to 34 hour* oar reioonse.
wnn an average of 32 hour* oar
ratoonaa. including lima tor raviawtnq
miiructiona. saarcning existing oata
sources. gatnertng ana maintaining tna
oata naaoao. ana comoiating ana
reviewing me collection ot information.
Sana comment* regarcing tnn Buraen
animate or any otnar aaoact ot tnis
collection ot information, inclining
suggestion* tor reoucing tnis buroon. to
C(PruMe-t.223)in. foursmaEtPioAn,
Policy Brancn 401 M St.. SW.
Watnington. O.C. 20460 Attn: TOi
Buraen ana to the Office ot Information
ana Regulatory Affair*, Office ot
Management ana Budget Psoerwor*
Reduction
Protect
(2070-0083).
Washington. D.C. 20603.
1 1. Are you claiming the cnemical identity on page 3 trade secret?
1. [ ] Ves (Answer oueetlon 1.2:
[x ] No (Do not anewer 1.2:
)Attacn suDstantieticn form*.
Go to Question t .3.1
1.2 if "Ye*" in 1.1. ii this cooy:
[ ] Sanitized [ ] Unsamtizeo
J 1.3 neoortlng Yeer
1 9 8-9----
2. CERTIFICATION (Read and sign attar completing all sections. | i 1hereby certify that have reviewed the attached documents and that, to the best of my knowledge and belief, the submitted information Is true and mcomoiete ana that the amounts and value* tnis reoort are accurate based on reasonable estimates using oata available to me oreoarers of this reoort.
Name and official title ot own*r/operator or tamer management official
T. G. Brown, Works Manager. PPG Industries. Tjalro Charles. LA
Signature
j/JA
Date signed
Cbho
Facility or cstaDuanmont Name
WHERE TO SEND COMPLETED FORMS:
PPG Industries, Inc.,
Street AOOre**
Columbia Southern Road 3.1
City
WesClake
County
Calcasieu
1. EPCRA REPORTING CENTER P.O. BOX 23779 WASHINGTON, DC 20026-3779 ATTN: TOXIC CHEMICAL RELEASE INVENTORY
State
Louisiana
TRI Facility identification Numeer
70669 PPGND C0LUM
Zip Coda
70669
2. APPROPRIATE STATE OFFICE (S instructions in Appendix G)
This reoort contain* information tor (Cheat omy one):
3.2 .[xl An entire facility
>. [ ] Part ot a facility.
Tacnmcai Comae!
3.3 Andy F. Plauche1
J Hubllc Contact 3.4
William J. Peard
SIC Coao 14 aigit)
3.5 4. 2812
3.6 Degree*
b- 2816_________ p. 2869
Latitude
Minute*
Second*
JSL
Dun & 8r*d*tr*l Numo*r(t)
3.7 a- 00-808-6506
13
___ zz_
EPA loentitication Numoeri*) (PCRA I.O. No. I
3.8 a. LAD 00 808 6506_______________
NPOES Permit Numoer(s)
3.9 a. LA 0000761
j Receiving Strums or Water Bodies (enter one name per boxi
! Calcasieu River
Taloonona Numoor (inciuoe area i
C318) 491-4814______
Tolopnon* Numw (include sre*
(318) 491-4848
* NA___________ e.
Longttwo*
D*qtm
Minutes
93 16
Seconds
59
NA b. J1A.
Si____HA. 1___ Bavou D1Inde
3.101 - Bavou Verdine
Si___ HA.
e.
Unoergrouna inlection Well Code (UIC) Identification Numoeri*)
3.11 M_______________________________________________
4. PARENT COMPANY INFORMATION
Name ot Parent Company
4.1 PPG Industries, Inc.
SL 022405
Parent Company s Dun A Breastreet Numoer
4.2 00-134-4803
mvortant: T-ne or print; read instructions Before commetmt form.)
e% i-l-iA
** trA ^
EPA FORM R
PART II. OFF-SITE LOCATIONS TO WHICH TOXIC CHEMICALS ARE TRANSFERRED IN WASTES
1. PUBLICLY OWNED TREATMENT WORKS (POTWt)
1.1 POTW mmt
NA
Street Aoorett
1.2 POTW nama
Street Aooreet
City
County
City
State
Zip Stmt*
Paae 2 of 5
(This SDaca tor 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 Off--sit* location nams
2.2 Otf-sits location name
ROLLINS ENVIRONMENTAL SERVICES (TX.) INC.
NA
..
EPA identification Numoar (RCRA 10. No.)
EPA identiticatipn Mumper (RCRA ID. No.)
TXD 055141378
Street Aoorett
2027 BATTLEGROUND ROAD
City
County
DEER PARK
State
HARRIS
Zip
TX 77536
it location unoar control of reporting facility or parent company?
Street Aaoreee City
County
State
Zip
it location under control ot reporting facility or parent company?
P [ 1 Yee tx]No
[U
[ ].
2.3 Off-site location namo
EPA Identitication Numoer (RCRA ID. No.)
2.4 Off-tito loeatlon namo
EPA Identification Numoer (RCRA IO. No, )
Street Aoorett City
County
Street AOdreaa City
County
State
Zip
State
Zip
It location unaer control ot reoortmg facility or parent company?
2.5 Off-sita location namo
[ ]vet
[ ] NO
It location unoer control ol reporting facility or parent oompany?
2.6 Off-ait* location namo
[ L-
[ ] No
EPA Identification Numoer (RCRA IO. No.)
EPA Identification Numoer (RCRA IO. No.I
Street Aoorett
Street Aaareta
City
County
City
County
State
ZIP
State
Zip
It location unoer control ot reooning facility or parent company?
[ ] Yet
[ ] No
It location unoer control or reporting facility or parent comoany?
[ ]v. [ U
[ ] Chec* it additional pagee of Part h are attacneo. how many?
SL 022406^M
ImDortant: Type or Drint: read instructions before completing form. >
Page 3 of 5
1 EPA
REPA FORM
PART III. CHEMICAL-SPECIFIC INFORMATION
(This SDace tor your optional use.i
1. CHEMICAL ID ENTITY (Do not complete this section it you comDiete Section 2.)
1.1 | (Reserved) CAS Numoer (Enter only one numoer exeetly at it appears on tne 313 list. Enter NA it reporting a cnemical category.)
1.2
Chemical or Chemical Category Name (Enter only one name exactly as It appears on tne 313 list.) 1.3
1.2.4 - Trichlorobenzene
Generic Chemical Name (Complete only it Part I. Section 1.1 is cnecxeo 'Yes." Generic name must be structurally oescriptlve.) 1.4
MIXTURE COMPONENT IDENTITY (Do not complete this section it you complete Section 1.)
.2 Generic Cnemical Name Provided by Supplier (Limit the name to a maximum ot 70 cnaracters (e.g., numbers, letters, spaces, punctuation).!
3. ACTIVITIES AND USES OF THE CHEMICAL AT THE FACILITY (Check all that apply
Manufacture the
If produce or import:
chemical: 3.1
V 1 Produce
f 1 For on-site c:-L i use/processing
f d-L
1 For sale/ J distribution
b.[ | import
.[x ] As a byproduct
f. [ ] As an impurity
Process the 3.2 ch mieal:
a. [ ] As a reactant d.[ ] Repackaging only
[ 1 As a formulation '*! ! component
f 1 As an article :.L JI icomDonent
3.3 Otherwise use the chemical:
[1 As a chemical 1 processing aid
,[ 1 As a manufacturing aid
:.[ ] Ancillary or other use
4. MAXIMUM AMOUNT OF THE CHEMICAL ON-SITE AT ANY TIME DURING THE CALENDAR YEAR
HU (enter code)
S. RELEASES OF THE CHEMICAL TO THE ENVIRONMENT ON-SITE A. Total Release (pounds/year)
You may report releases of less than 1.000 pounds by checking ranges under A.1. (Do not use both A.1 and A.2)
A.1 Reporting Ranges
0 1-490 500-099
A.2 Enter Estimate
[][][]5.1 Fugitive or non-point air emissions 5.1a
5.2 Stack or point air emissions
5.2a [][][]
5.3 Discharges to receiving .3.1 n
streams or water bodies
(Enter (altar coda tor atream from Part I Saction 3.10 in me box provided.)
5.3.2 B
5.3.3 0
5.3.1a [][][]
5.3.2a [][][]
1[5.3.3a
[ ][ ]
300
5.4 Underground injection on-site 5.5 Releases to land on-site
5.5.1 Lanetiil
5.5.2 Land traatmant/appncxtion (arming
5.4a [ ] [ ] [ ] 5.5.1a [][][] 5.5.2a [][][]
NA NA NA
5.5.3 Surface imoounament
5.5.3a [][][]
NA
5.5.4 Other oiiooial
5.5.4a [][][]
[ ] (Checx it additional information n provided on Part iV-Suooiamantal Information.)
022407
SL
Important: Type or print: read instructions before comoietin% form.)
&EPA
EPA FORmR
PART III. CHEMICAL-SPECIFIC INFORMATION
(continued)
Page 4 of 5 (This soace for your optional use.)
6. TRANSFERS OF THE CHEMICAL IN WASTE TO OFF- SITE LOCATIONS
You may report transfers of less tnan 1.000 pounds by checking ranges under A. 1. (Do not use ootn A.l and A.2)
A. Total Transfers (pounos/yeari
A.l
Reporting Ranges
0 1-499 500-999
A.2
Enter Estimate
iscnarge to POTW
,------ - _--.
lamer location numoer 1 . 1 1 6,1.1 from Part H, Section 1.1 1 1 1
1[
3[
3[
3
NA
Other ott-tite location
------- -
e - , (enter location numoor , ,,
[6.2.1 from Part II. Section 2.) 1 2 1 I 1 I
Other off-ite location ---. ----. ... (enter location numoer n
(o.Z.2 from Part II. Section Z,) 1 I I____
i [ ]_m if if i
720 NA
Other ott-site location ___ -------
(enter location numoer , 6.2.3 from Part II. Section 2.) LfJ-____
(](](]
B. Basis of Estimate
tenter code)
ims.i.ib
6.2.1b 0 6.2.2b O
n6.2.3b
[ ] (Check If additional Information Is provided on Part IV-Supplemental Information.)
C.Type of Treatment/ Disposal
(enter code)
6.2.le [Mhlo 1 6.2.2c lMl 1 1 6.2.3c |m| | |
7. WASTE TREATMENT METHODS AND EFFICIENCY
r I Not Applicable (NA) - Check if no on-site treatment is applied to any wastestream containing the chemical or chemical
LJ
category.
A. General Wastestream
(enter code)
B. Treatment Method
(enter code)
C. Range of Influent Concentration (enter code
D.Sequential Treatment? (cheek if applicable)
E.Treatment Efficiency Estimate
F. Based on Operating Data? Yes No
7.1a
7.1b
7.2a
7.2b
7.3a
7.3b
7.4a
7.4b
la.
E
m
7.1c 7.2c 7.3c 7.4c
7 Id [ 1
7.2d [ ]
7.3d [ 1
7.4d [ ]
7.ie
%
----------- 99.99
7.2e 99.99%
71f
7'2f
[x] [ ]
[X ] [ ]
7.3e 7.3f [ ] [ ] 7.4e % 7`4' [ ] [ ]
7.5a
7,5b
7.6a
7.6b
7.7a
7.7b
7.8a
7.8b
7.9a
7.9b
7.5c 7.6c 7.7c 7.8c 7.9c
7.5d [ ] 7.6d [ ]
7.7d [ 1 7.8d [ 3
[ 37.9d
7.5e 7.6e 7.7e 7.Be 7.9e
% 7.5f % 7.6f
% 7-7f
% 7.8f
% 7*
[ ][ ]
[ ][ ]
[ 3[ 1 [ 3[ 3 [ 3[ 3
7.10a
7.10b
7.10c
7.10d [ 3
7.10e
7. lOf [313
[ ] (Check if additional Information Is provided on Part IV-Suppiementa! Information.)
8. POLLUTION PREVENTION: 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
B. Quantity of the Chemical in Wastes Prior to Treatment or Disposal
C. Index
D. Reason for Action (enter code)
l enter coae)
W
Current reporting year (pounds/year)
NA
Prior year
i Or percent change I (Check (+) or (-))
(pounds/year) i g +
! -
%
FPA Form 9350-1 f 1-901 Revised - Do not use orevious versions
SL 022408
'.mDonant: Type or print: read instructions before comvietine form.i
A EPA
RERA FORM
PART IV. SUPPLEMENTAL INFORMATION
Use this section if you need additional space for answers to Questions in Part III. ''iumtser 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 tor your optional use.)
ADDITIONAL INFORMATION ON RELEASES OF THE CHEMICAL TO THE ENVIRONMENT ON-SITE (Part III, Section S.3)
You may report releases of less than 1.000 pounds by checking ranges under A.1.
(Do not use both A.l and A.2)
A. Total Release (pounds/year |
A.l
Reporting Ranges
0 -*99 500-999
A.2
Enter Estimate
B. Basis of Estimate
(enter code m box
provided)
C.% From Stormwater
5.3 Discharges to
.
re eiving streams or
[][][]waterbodies
5.3.TM__l--1 S.3____a
5.3____ c
%
Enter letter eoae tor stream `com Pan 1 Section 3.10 In c s me box orovioeO.)
11 5.3____a [][][]
5.3.____bO 5.3. ,,c
%
n5.3_____ 5.3____a [][][]
5-3-___ bD 5-3.__o
%
ADDITIONAL INFORMATION ON TRANSFERS OF THE CHEMICAL IN WASTE TO OFF-SITE LOCATIONS (Part III. Section 6)
You mav report transfers of less tnan 1.000 pounds by cheeking ranges unoer A.l. (Do not use
botn A.l and A.2)
A.Total Transfers (pounds/year)
A.l Reporting Ranges 0 1-499 500-999
A.2 Enter
Estimate
8. Basis of Estimate
C. Type of Treatment/ Disposal
(enter code in box
provided)
(enter code
in box pr vided)
XI
J
to
Dlacnarge to POTW
__
- , i enter location number | , | 1 |
[][][]6 1 ____ from Part ll. Section 1,) | ' |. |___ |
| Other otf-atta location i-- . e 9 (enter location numoer | | ` -------- from Part ll, Section 2.) 1 * 1.1 1
Other off-aite location r--i i--i
6.2.
(enter location numoer 2 II
------- `'om Part II. Section 2.) 1____ l l__l
Other otf-aite location i--, ,------, c 9 (enter location numoer 1 -> 1 1
------- from Part II. Section 2.) 1*11 1
[ ][ ]M [nit] [][][]
CM
to
I
N
CO
X) ,0
._4 6.2.__c|mF| 1 6.2. c|M| | I 6.2. c|m| | |
ADDITIONAL INFORMATION ON WASTE TREATMENT METHODS AND EFFICIENCY (Part III. Seetlon 21
A. General
8. Treatment
C. Range of
D. Sequential
E. Treatment
F . Based on
Wastestream
Method
Influent
Treatment?
Efficiency
Operating
(enter code
(enter code
Concentration
(check if
Estimate
Data?
in Pox provided)
in box provided)
(enter code)
applicable)
Yes
No
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7,__ _-[ ] 7.
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7.
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7. 1 e
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7.
7. c 7.
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% 7.
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n7 *
7. b
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7.
7._____ c 7._____ c
7. -[ 7.__-dt
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7. 7.
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% 7. f f n i
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7. c
7._
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>cm -[ 1 --f [ n i7, 7.
7._____ c
7.
7. 9
% 7.__
EPA Form 9350-1 (1-90) Revised - Do not use previous versions.
SL 022409