Document 5keJaeX0oekG0qndp0kzkDqkV
:orm Aooroveo OMB No.-, -070-0093
'moortant: T'-oe or vrmt.* read instructions before comoiettnt form.)
Approval Expires:. N/91 3aae i of 5
-&EPA U.S. Environment*! Protection Agency
TOXIC CHEMICAL RELEASE INVENTORY REPORTING FORM
Section 313 of the Emergency Planning and Community Rlght-to-Know Act of 1986. also known as Title III of the Suoertund Amendments and Reauthonzatlon Act
EPA FORM R
PART I.
FACILITY IDENTIFICATION INFORMATION
(This space for your optional use. |
Public -eoorting ouroen lor --is
collection oi information estimated to
vary trom 30 to 34 nours oar rasoonM.
witn an average o* 32 hours oar
resoonse. including time tor reviewing
instructions. searcning existing cats
sources, garnering ano maintaining tna
data needed, ano comoieting ana
reviewing tna collection ot inlormation.
Sane comments regarding tms txiroan
estimate or any otner asoact ot this
collection ot inlormation, including
suggestions tor raouetngtnis Ouroen. to
Chief. ntormation Pollev Brancn
(PM-2231. US EPA, 401 M St.. SW.
Washington, D-C. 20460 Attn: Thi
Buraan ana to tne Office at information
ana Regulatory Affairs. Office ot
Management and Budget Paoerwcrs
Reduction
Prefect
(2070-0003).
Washington, D.C. 20603.
1.1 Ara you claiming tne cnermeai identity on page 3 trade secret?
1.
LX J1 I Ves (Answer guestIon 1.2;
Nd (Oo not answer 1.2;
Attaen substantiation forms.)
Go to Question 1.3.1
1.2
1.if Yes,` in 1. is tms cooy:
[ ] Sanitized [ ] Unsanitiiad
j 1.3
Raeortlng Year 19 ^
2. CERTIFICATION (Rad and sign attar completing all tactions.)
1 naraoy certify tnat 1 nave reviewed the attached doctananta and that, to the eeet ot my Knowledge end belief, the submitted information Is true end comoiete and tnat tna amotaite and values m this raoort are aoourata based on reasonable estimates using data available to tne oreparsre ot this report.
Name ano official titla ot ownar/ooerater or senior management official
T. G. Brown, Works Manager. PPG Industries. I^ke Charles. LA
Signatur.
jy*
Date signed
.
t'hfao
=acuity or Estaousnment Name
PPG Industries. Inn.
Street Address
Columbia Southern Road
3.1 City
Westlake
County
Calcasieu
WHERE TO SEND COMPLETED FORMS:
1. EPCRA REPORTING CENTER P.O. BOX 23779 WASHINGTON. DC 20026-3779 ATTN: TOXIC CHEMICAL RELEASE INVENTORY
State
Louisiana
TRI Facility leantificaiion Number
70669 PPGND C0LUM
Zip Code
70669
2. APPROPRIATE STATE OFFICE (S instructions in Appendix G)
] This raoort contains information tor ichecx emy one):
3.2 a.[X] An entire facility
b. [ ] Part ot a facility.
Tecnnical Contact 3.3
Andy P. P Lauche1
I Public Contact 3.4
iWilliam J. Peard
Telecnone Numoer (include area
f318-) 491-4814_____
Telecnone Numoer (include area
(318) 491-4848
; SIC Code <4 gigit)
3.5
'
2812_________ -^2816_________ c. 2869
d. NA
.
f.
3.6
Dagraea
Latitude Minutes
Seconds
Degrees
Longitude Minutes
Seconds
_____________ 20____________ 13___________________ 21__________________
| Dun & Bradstreet Numoerls)
3-7 U. 00-808-6506
EPA Kjentitlcxtion Numoerls) (RCRA I.D. No.)
3.8 4. LAD 00 808 6506
f. 6.
3.9 NPOES Permit Numoerls)
a. LA 0000761
o,
Receiving Streams or Water Bodies tenter one name per box)
*. Calcasieu River
B-
93
NA NA
NA Bavou D'Tnrip.
16
59
3.10 '=. Bavou Verdine
I
.
I underground infection Well Code (UIC) Identification Numbarls)
3*11'- NA
4. PARENT COMPANY INFORMATION
Name ot Parent Company
4,1 PPG Industries, Inc.
o-tcri_ i m _ortt Qaui.or _ n-- him mca nrnvmn vprmortr
d. NA
f.
b SL 022425------------------------------------
Parent Company i Dun & Bradttreet Ngnwr
42 00-134-4803
imDonam: Tipe or print; read instructions before comoieting form.)
_ CHA
REPA FORM
PART II. OFF-SITE LOCATIONS TO WHICH TOXIC CHEMICALS ARE TRANSFERRED IN WASTES
1. PUBLICLY OWNED TREATMENT WORKS (POTWs)
1.1 POTW nams
NA
Straat Adorata
1.2 POTW nams
Straat AOdraaa
City
County
City
State
Zip
Stata
Paae 2 of 5 (This SDace tor your optional use.i
County Zip
2. OTHER OFF-SITE LOCATIONS (DO NOT REPORT LOCATIONS TO WHICH WASTES ARE SENT ONLY FOR RECYCLING OR REUSE).
2.1 Off-sits location nams
ROLLINS ENVIRONMENTAL SERVICES (TX) INC
EPA idantification Numoar (RCRA 10. No.)
TXD 055141378
Straat Addraaa
2027 BATTLEGROUND ROAD
City
County
DEER PARK
State
HARRIS
Zip
TX 77536
l* location unoar control of raporting facility or parant company?
2.2 Off-sits location nams
ENSCO INC
EPA idantification Numoar (RCRA ID. No.)
ARD 069748192
Straat Addraaa
AMERICAN OIL ROAD
City
County
EL DORADO
Stata
UNION
Zip
AR 71730_______________
la location undar control of raporting facility or param company?
W [ ly [x]np
t lv-
(Xl*
2.3 Off-sits location nams
NA
EPA klantiticaiion Numoar (RCRA ID. No.)
2.4 Off-sits location nams
)EPA Idantification Numoar (RCRA ID. No.
Straat Adaraaa City
County
Straat Addraaa City
County
State
Zip
Stata
Zip
la location unaar control of raporting facility or parant company?
la location unaar control ot raporting facility or parent company?
2.5 Off-sits location nams
[ ]v [ ] No
2.6 Off-sits looation nams
[ ] Yea
[ ] No
EPA Identification Numoar (RCRA ID. NO.)
EPA Idantification Numoar (RCRA ID. No.)
Straat Aaoraaa
Street Adaraaa
City
County
City
County
Stata
Zip
1 f la location unaar control ot raporting facility or parent company?
[ ] Ya.
[ ] No
State
Zip
It location unoer control of reporting facility or parent company?
ST. 022426
t [ I"*
[ ] Choc* it additional pages of Part U ara attaenad. How many?
irnooriant: Type or print; read instructions before completing form.i
Page 3 of S
i AEPA
REPA FORM
PART III. CHEMICAL-SPECIFIC INFORMATION
(This sDace tor your optional use.|
1. CHEMICAL IDENTITYIDo not comDlete this section if you complete Section 2.)
1.1 | (Reserved) CAS Numoer (Enter oniy one number exactly at it appears on tne 313 list. Enter NA it reporting a enemies! category.)
1.2
75-01-4
Chemical er Chemical Category Name (Enter only one name exactly as It appears on tne 313 list.) 1.3
__Vinyl r.hlorl Hp______________________________________________________ ________________________ i Generic Chemical Name (Complete only If Part I. Section l. I n cneciteo Ve." Generic name must be structurally Oescriptive.)
MIXTURE COMPONENT IDENTITY (Do not complete this section if vou complete Section 1.)
2. Generic Chemical Name Provided by Supplier (Limit the name to a maximum of 70 characters (e.g.. numbers, letters, spaces, punctuation).)
3. ACTIVITIES AND USES OF THE CHEMICAL AT THE FACILITY ICheck all that apply. I
Manufacture the chemical: 3.1
r y -t a. L A J Produce
if produce or import: T 1 For on-site
c.l J use/processing
f XI For sale/
a-<- J distnbution
b.[ ] Import
e.[^ ] As a byproduct
f. [ x] As an impurity
i ?rocBSS tne
3.2 j chemical: i
f ,,1 . _____ . .
a. J. XJ As a reactant d.[ ] Repackaging only
. [ lAia formulation
b.l J component
f 1 As an article c-*> J component
3.3 .tOnteh.ecrn.weim.seic.uasi:e
f 1 As a chemical a.l J processing aid
f1 ,
b-L J As a manufacturing aid
T1 c.l J Ancillary or other use
4, MAXIMUM AMOUNT OF THE CHEMICAL ON-SITE AT ANY TIME DURING THE CALENDAR YEAR
5. RELEASES OF THE CHEMICAL TO THE ENVIRONMENT ON-SITE
A. Total Reiaate (pounds/year)
You may report releases of less than 1.000 pounds by checking ranges under A.l (Do not use Doth A.l and A.2)
A.l Repprtlng Ranges
0 1-490 500--999
A.2 Enter Estimate
5.1 Fugitive or non-point air emissions 5.1a [][][]
15,000
5.2 Stack or point air emissions
5.2a [][][]
5.3 Discharges to receiving
|a|
MMMstreams or water bodies i-3- ` --1
5.3.ia
(Enter letter code tor stream
from Part i Section 3.10 in The box provided.)
MMM1 h 1
5,3.2 1 1 5.3.2a
[5.3.3 0 5.3.3a ] [ 1 t ]
5.4 Underground Infection on-site 5.5 Releases to land on-site
5.5.1 Landfill
5.4a [][][] 5.5.la [][][]
5 5.2 Land treatment/appllcatlon farming
5.5.2a [][][]
= 5.3 Surtaee impoundment
5.5.3a [HIM
1.900 0
20
0 NA
NA NA NA
5.5.4 Other diiootal
5.5.4a [][][]
0
B. Basie of Estimete
C. % From Stormwater
(enter code) 5.1b CD
5.2b H
5.3.1b 0 5.3.1c NA %
5.3.2b 0 5.3.3b 0
5.3.2c NA % 5.3.3c NA *
5.4b G
5.5.1b 0
5.5.2b 0
5.5.3b 0 5.5.4b 0
if[ ] 'Checx additional information is provided on Prt IV-Suopiementai information.)
SL 022427
r~n A C ^
OOCf'_ M.Ofll QauifAH _ Hrt not lien nraviAi i*> i/AFQtoO*
Imoortant: Type or prtrtc: read instructions before comoietins> form.)
EPA
EPA FORmR
PART III. CHEMICAL-SPECIFIC INFORMATION (continued)
PagB 4 of 5 (This space for your optional use.i
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.l. (Do not use Doth A.l and A.2)
A. Total Transfers Ipounds/yeari
A.l
Reporting Ranges
0 i-*90 500-909
A.2 Enter Estimate
B. Basis of Estimate (enter code!
Ditcnarge to POTW (enter location numoar 6.1.1 from Pert ll. Section
[][][]
NA
5.1.1b
Other off-eite location - - 4 (enter location numoar
BE [0-4.1 from Part ll. Section 2.)
1[
1t
1
51
6.2.ib 1M
Other off-site location __, __ e . (enter location numoar 2 h
[6.2.2 from Part n. Section 2.1 I I I 4
1f
1t
1
Other ot1-*ite location _--, ----
(enter location number , 6.2.3 from Part ll. Section 2.) I * ||
[Mill
62 NA
6.2.2b M
6.2.3b
[ ] (Check if additional information is provided on Part IV-Supplemental information.)
C. Typ of Treatment / Disposal
(enter code I
6.2.1C M 5
6.2.2c M
6.2.3c Ml
7. WASTE TREATMENT METHODS AND EFFICIENCY
j Not Applicable (NA) - Cheek if no on-site treatment is applied to any wastestream containing the chemical or chemical category.
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
F. Based on Operating Data? Yes
No
7.1a
H 7.1b
0
E7.1c
7.Id
7.1* 99.99
71f [X 1 [ ]
7,2a 7.2b
7.2c s
7.2d
7,2e 99.99 % 72f [X] [ ]
7.3a
7.3b
7.3c B
7.3d
7.3a 99.86 % 7* [X ] [ ]
7.4a 0 7.4b
7.4c E
7.4d
7.4e
7.5a
7.5b
7.6a
7.6b
7.7a
7.7b
7.6a
7.8b
7.9a
7.9b
7.10a
7.10b
7.5c 7.6c 7.7c 7.8c 7.9c 7.10c
7.5d
7,6d [ 1
7.7d 7.8d 7.9d 7.10d
7.5e 7.6e 7.7e 7.8e 7.9a 7.ioe
[ ] (Check if additional Information Is provided on Part IV-Supplemental Information.
% 7-4f M [x ]
% 7.5f % 7.6f
[ ][ ]
[ ][ 1
% 7.7f [ ] [ ] % 7'8f [ 1 [ ]
7.9f [ ] [ 1
7.10f [ ] [ ]
8. POLLUTION PREVENTION: OPTIONAL INFORMATION ON WASTE MINIMIZATION
I 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 lenter code)
B. Quantity of the Chemical in Wastes Prior to Treatment or Disposal
C. index
D. Reason for Action (enter code)
Current
Prior
I Or percent change
reporting
year
t (Check (+) or (-))
year
(pounds/year) i Q +
Ml
(pounds/year)
NA
i Q-
%
CPA Form 9350-1 (1-901 Revised - Ho not use previous versions
SL 022428
muortant: T~;ve or print: read instructions before comoiettns form, i
A EPA
REPA FORM
PART IV. SUPPLEMENTAL INFORMATION
Jse this section if you need additional space for answers to guestions in Part III. `lumper the lines used seguentialty from lines in prior sections (e.g.. 5.3.4. 6.1.2. 7.11)
Page 5 of 5 (This sDace tor 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 pounds by checking ranges under A.1. (Do not use both A.1 and A.2)
A. Total Release (pounds/year)
A.1 Reporting Ranges 0 ... -*99 500-999
A.2 Enter Estimate
B. Basis of C.% From Estimate Stormwater
(enter code in box
provided)
5.3 Discharges to
--.
re eiving streams or
[
waterbodies
5.3. --l_--l 5.3___ a
1[
1l
1
5.3____ bO 5.3___ C
%
. Enter letter coae tor stream
Tom Part I Section 3.10 In 53 me box oroviaeo.)
1
(|
[][][]
____1
'
5.3___ a
5.3.___a [][][]
5.3.___ bl~~l 5.3-----c 5*3-__ c
%
ADDITIONAL INFORMATION ON TRANSFERS OF THE CHEMICAL IN WASTE TO OFF-SITE LOCATIONS (Part 111. Section 6)
You mav reoort transfers of less tnan 1.000 pounds by cheeking ranges unaer A.1. (Do not use botn a. i ana A.2)
A.Total Transfers (pounas/year)
A.1 Reporting Ranges 0 1-499 500-999
A.2 Enter
Estimate
B. Basis of Estimate
C. Type of Treatment/ Disposal
(enter code in box
provided)
(enter code in box
provided)
Dlecnerge to POTW .___ _ __
- , (enter location number . I 1 | b 1 ____ from Part II. Section 1,) | ' |. |___ |
[][][]
6.1.____ b Q
| Other otf-tite location r-- r--, e 9 tenter location numoer oil I -------from Part ll. Section 2.) I l l 1 Other otl-site location i--i p--n 6.2. -------T(oemntePralonc1a1,tioSnecntuiomno2e.r1 1 2 11 11 1 Other off-site location <-- . e n (enter location numoer \ p II 0,``-------from Part ll, Section 2.1 1 1 I I
1 1( 1 l 1
MMM
[][](]
6-2-____ b
6.2.___ c | M| | |
6-2.-------b
6.2. clMl | |
6.2.____ b 1n___ 1 6.2._cLm]_ | |
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? (cheek if
applicable)
E. Treatment Efficiency Estimate
F. Based on
Operating Data?
Yes No
>- cm7. a
7. --
> cm7. a
7. _
7._____ c 7. c
7.
*[7._--
] ]
7. e 7._____ e
'[ H 1% 7._-- '[% 7 -- H 1
7. a
7. b
7._____ c
7,
-[ ] 7._____ e
% 7. '[ H I
- mi7. a
7.
p .7. a
7. --
ij
7._____ c 7. c
7, -[ -[7._--
] ]
7._____ e 7. e
][ ]A% 7._--1 % 7, '[ H 1
cu:7._____ a
7.
-[ 17. c
7.
7. e
H 1% 7._ --
7. a
7. _____ b
<1 ]7. c
7.
7._____ e
% 7. '[ ll 1
7. a
7. _____ b
---[ ] <1 ll 17. c
7._
7._____ e
% 7.
7._____ a
7
b
_-[ 17._____ c
7._
7._____ e
% 7. '[ ll 1
EPA Form 9350-1 (1-90) Revised - Do not use previous versions.
SL 022429