Document J3a9oomN7wZOGEkYo7LEEjpL2
=orm ADorovea OMB No,: Z370-Q093
.'mDonanr r-oe or vnnt: read instructions before comolettn? form. )
Aoorovai Exoirea:. 01/91 s3oe i of 5
EPA U.S. Envtronmamal Prowction Agency
TOXIC CHEMICAL RELEASE INVENTORY REPORTING FORM
section 313 of the Emergency Planning and Community Rlght-to-Know Act of 1906. aiso known as Title III of the Superfund Amendments and Reauthortzatlon Act
EPA FORM
R
PART I.
FACILITY IDENTIFICATION INFORMATION
(This space for your optional use.
Pudiic -aooninq burden tor mis
collection ot information ta astimatao to
varv from 00 to 34 hours oar roaoonss.
with an average ot 32 hours oar
resoonse. incluaing tima tor reviewing
instructions, searching existing oata
sourcas. garnering ana maintaining tna
Oata naaoao. ana camoiating ana
rsviawing tna collection ot information.
Sana comments regaromg this ouroon
astimate or any otnar asoact ot mis
collection ot information, inoiuoing
suggestions tor raoueing this buroan. to
Chief. ntormatian Policy Brancn
(PM-2231. US 6PA. 401 M St.. SW.
Washington. D.C. 20460 Attn: tri
Buroan ana to tna Office of Information
ana Regulatory Attain. Otltea at
Managamant ana Budget Paperwork
Reduction Proioet
(2070-0083),
1.1 Are you claiming the cnerrocai identity on page 3 traoe secret?
1.
[ ] Ys* I Answer ouestion 1.2:
[x ] No IDo not answer 1.2:
Atiacn tUDStantietion forms. 1
Qo to Question 1.3.)
1.2 if "Yes- m i.i. is mis copy: [ ] Sanitised [ ] Unsenitized
| 1.3 Reoertmg Year 19 Q9
2. CERTIFICATION (Read and sign attar eompitttng all Motion*.)
i hereby certify that i nave reviewed the attached documents and that, to the oast of my knowledge and ballet, the submitted information is true and comoietd and mat tna amounts ana values in tma reoort are accurate based on reasonable estimate* using data avauaoid to me oreoarars of this report.
Name ana official title ot owner /operator or server management official
T. G.
Signature
Brown,
Works Manager- PPG Industries. ALUIS
T^lro
Charles.
LA_____ _______________
Date aignea
6///fc>
-acuity or Establishment Name
WHERE TO SEND COMPLETED FORMS:
PPG Industries. Tnc.
Street Aoorass
3.1
City
Westlake
County
Calcasieu
1. EPCRA REPORTING CENTER P.O. BOX 23779 WASHINGTON. DC 20026-3779 ATTN: TOXIC CHEMICAL RELEASE INVENTORY
State
Louisiana
TRI Facility Identification Number
70669 PPGND C0LUM
Zip Code
70669
2. APPROPRIATE STATE OFFICE (Sas instructions in Appendix G)
This racort contains information tor (Chock only one):
3.2 .[x] An entire facility
> [ 1 Part ot a facility.
Tacnmcai Contact
3.3 Andy P. Plauche'
3.4 [ Public Contact (William J. Peard
SIC Coaa <4 digit) 3.5
..... 2.912
3.6 Degre
b. 2816
Latitude Minutes
C. 2869
Seconds
-JSL
Dun & Braastroet Numoeris)
3.7 00-808-6506
13
___ 2J--
EPA identification Numoeris) (RCRA I.O. No.) 3.8
a- LAD 00 808 6506______________
NPDES Permit Numoar(a)
3.9 a. LA 0000761
Receiving Streams or Water Bodies I enter one name car box l
a. Calcasieu River_________
____
Toleohona Numoor (inctuoe area coda)
faun 491-4R1&
Talaoncna Number (include area
(318) 491-4848
NA
egret
93
Longitude Minutes
16
f.
Seconds
59
b. JBA. b. _LiA_
JSL. Bavou D'Tnrip
i.iol a Bavou Verdine
JIA.
Underground inlection Well Code (LHC) Identification Numoeris)
3.11 lM_______________________________________________
4. PARENT COMPANY INFORMATION Name ot Parent Company
4.1 PPG Industries, Inc.
1 ,, O 1 DnirlAnH _ Pi XK AAt
SL 022430'
Parent Company s Dun & Bradstreot Numo
4.2 00-134-4803_________________
.mnonane: T-oe or print: read instructions Before completing jorm. >
CPA
RHPA FORM
PART II. OFF-SITE LOCATIONS TO WHICH TOXIC
CHEMICALS ARE TRANSFERRED IN WASTES
1. PUBLICLY OWNED TREATMENT WORKS (POTWa)
1. i POTW name
NA
Street AOOfeaS
1.2 POTW namo
Stroot Aooroas
City
County
City
Slat*
Zio Stato
Pao* 2 of 5 (This soace for your optional usa.i
County Zip
2. OTHER OFF-SITE LOCATIONS (DO NOT REPORT LOCATIONS T O WHICH WASTES ARE SENT ONLY FOR RECYCLJNQ OR REUSE).
2.1 Off-sit location namo
CHEMICAL WASTE MANAGEMENT. INC.
EPA uantification Numoer (RCRA O. No. 1
LAD 000777201
Street Aaaresa
JOHN BRANNON ROAD
City
County
CARLYSS
State
CALCASIEU
Zip
LA 70663
ii location unoaf control of roooning facility or parant company?
2.2 Otf-aito location namo
NA
ERA loantitleatian Numoar (RCRA ID. no. 1
Stroot Aooroat City
County
Stato
Zip
la location unoar control of reporting (acuity or parent company?
V [ ]y [x]np
[ ] Yoa
[ ]n.
2.3 Off-slto loestlon nsmo
EPA loantiticatwn Numoar (RCRA 10. No.)
2.4 Olf-sits location namo
ERA KMntitication Numoor (RCRA ID. No. I
Stroot Aaaroa*
Street Adproaa
City
County
City
County
Stata
ZIP Stato
Zip
la location unoar control ef reporting facility or parant company?
2.5 Off-site location namo
[ ] Yoa [ ] No
la location unaar control of reporting facility or parent oomoany7
2.6 Off-sito looation namo
[U
[ ] No
EPA iconttfication Numoar (RCRA IO. No.)
EPA Identification Numoar (RCRA ID. No.)
Straat Aoaraai
Street Aooress
City
County
City
County
Stata
Zip
ll
w Is location unoar control ot raporting tacuity or parent company?
[ ]y
[ ] No
State
Zip
la location unaar control ot reoorting facility or parent company?
SL 022431
rt l J Yea
r [
,
J no
[ ] Chocx it aacittanat pagoa of
a are attacnoo. How many?
I
important: Type or print: read instructions before completing form, i
Page 3 of S
i EPA
REPA FORM
PART 111. CHEMICAL-SPECIFIC INFORMATION
(This soace for your optional use.)
1. CHEMICAL ID ENTITY (Do not complete this section if you complete Section 2.)
1.1 | (Reserved) CAS Numoer (Enter oniy one numoer exactly ai it appear* on tne 313 list. Enter NA it reporting a cnemical category. |
1.2 75-35-4
Chemical or Chemical Category Name (Enter only one name exactly as it appears on tne 313 list.) 1.3
Vinylidene chloride Generic Chemical Name (Complete only if Part i. Section 1.1 i* enacted "Vex." Generic name must oe structurally oescriptive.) 1.4
MIXTURE COMPONENT IDENTITY (Do not complete thte section If you complete Section 1.)
.2 Generic Chemical Name Provided Oy Supplier (Limit tne name to a maximum of 70 characters (e.g., numoars, 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
a. [ X ] Produce
f 1 For on-site cl -1 use/processing
,, r vi Fr sa,B/ aJ distribution
Process the 3.2 chemical:
b. [ ] Import a. [ ] As a reactant d.[ ] Repackaging only
e.[X ] as a byproduct
f ] As a formulation J component
f. [X ] As an impurity
:.Lf 1JI iAcosmapnoanretnictle
3.3 Otherwise use the chemical:
[1 As a chemical J processing aid
,[ ] As a manufacturing aid
1>.[ Ancillary or other use
4. MAXIMUM AMOUNT OF THE CHEMICAL ON-SITE AT ANY TIME DURING THE CALENDAR YEAR oTfi I (enter code)
5. RELEASES OF THE~CHEMICAL TO THE ENVIRONMENT ON-SITE
A. Total Release (pounds/year)
You may reoort releases of less than 1.000 pounas by checking ranges under A.1. (Do not use both A.1 and A.2)
A.1 Reporting Ranges
0 1-499 500-899
A.2 Enter Estimate
[](](]5.1 Fugitive or non-point air emissions 5.1a
29,000
5.2 Stack or point air emissions
5.2a [][][]
5.3 Discharges to receiving
I aI
[][][]streams or water bodies 5>3'1 l--1
5.3.1a
(Enter letter code tor stream from Part t Section 3.10 in th# oox provided.)
5.3.2a MMM
59,000 370
5.4 Underground Infection on-site 5.5 Releases to land on-site
5.S. 1 Landfill
5.3.3a [][][]
I5.4a 1 t 1 [ 1
5.5.la [][][]
10 NA
NA
5.5.2 Land treatment/applicatipn farming
[5.5.2a ] [ ] [ ]
NA
5.5.3 Surface impoundment
5.5.3a [][][]
NA
5.5.4 Other disposal
5.5.4a [][][]
B. Basis of Estimate
(enter code) 5.1b 5.2b 5.3.1b 5.3.2b 5.3.3b 5.4b 5.5.1b 5.5.2b I I
5.5.3b
5.5.4b |0
[ ] (Checx >f additional information is provided on Part iV-Suoptemental information.)
SL 022432
nnt Dninrinrl
f"| a
iforelnne
ImDortant: Type or print: read instructions before comvietinq form.)
Page 4 of 5
A EPA
efaformR
PART III. CHEMICAL-SPECIFIC INFORMATION (continued)
(This space for your optional use.)
6. TRANSFERS OF THE CHEMICAL IN WASTE TO OFF-SITE LOCATIONS
You may reoort transfers of less tnan 1 .000 pounds by checking ranges under A.l, (Do not use both A.l and A.2)
A. Total Transfers iDounds/yeari
A.l
Reoorting Ranges
0 1 -*W 00-809
A.2
Enter Estimate
Discnarg* to POTW
'mr location numfiar
6,1,1 from Part n. Station
[][][]
NA
Other otf-tit* location (enter location numoe
HOI [][][]from Part ll. Section 2
Other ott-site location - . . (enter location numoar
mob.Z.2 from Part ll. Section 2.)
NA
Other otf-eite location
,
(enter location numoer I , II
.2.3 from Part n. Section 2.) L_J____
(1(1(1
B. Basis of Estimate
i enter code I i.i.ib O
6.2.ib
6.2.2b 6.2.3b
[ ] (Check If additional Information is provided on Part IV-Suoplemental Information.)
C.Type of Treatment/ Disposal
(enter code!
5.2.10 6.2.2c IM 6.2.3C [m|
7. WASTE TREATMENT METHODS AND EFFICIENCY
f 1 Not Applicable (NA) - Check If no on-site treatment Is applied to any wastestream containing the chemical or chemical
L J____ _____
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
Ma 7.1b
7.2a
7.2b
Md3
7.1c 7.2C
7.Id 7.2d
7.1e 99.99% 7"
7.2e
30 % 7.2f
(x1 ( 1
[ ] [X ]
S7.3a
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
k2
7.3c 7.4c 7.5c 7.6c 7.7c 7.8c 7.9c 7.10c
7.3d 7.4d 7.5d 7.6d 7.7d 7.8d 7.9d 7. lOd
7.3e 99.68 % 7.3f [X][ ]
7.4e % 7.4f l ] [ ]
7.5e % 7.5f [ ] [ ]
7.6e 7.6f [ ] [ ]
7,7e
% 771 1 1 ( 1
7. Be 7.9e 7.l0e
7.Of [ ] [ ]
1(1% 7.9f
(
% 7-'" ( 1 ( 1
[ ] (Check if additional Information Is provided on Part IV-Suppiemental 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 (enter coael
B. Quantity of the Chemical in Wastes Prior to Treatment or Disposal
C. Index
D. Reason for Action (enter code)
|m| ]
Current reporting year (pounds/year |
NA
Prior
1 Or percent change
year
I (Check ( + ) or (-))
(pounds/year) i n + i pi
| U'
%
LaLJ
CO A Form 9350-f (1-90) Revised - Do not use nrevious versions
sh
'mportant: T\pe or print: read instructions before completing form.)
SEPA
REPA FORM
PART IV. SUPPLEMENTAL INFORMATION
Use this section if you need additional space for answers to questions in Part III. Numoer the lines used sequentially from lines in prior sections (e.g., 5.3.4. 6.1.2. 7.11)
Pag* 5 of 5 (This space for your optional use.)
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 cheeking ranges unaer A.1.
(Do not use both A.1 and A.2)
A. Total Release (pounds/year |
A.1
Reporting Ranges 0 ' -499 500-999
A.2
Enter Estimate
B. Basis of Estimate
(enter code in box
provided)
C.% From Stormwater
5.3 Discharges to
,--.
receiving streams or
[][][]waterbodies
5-3------ 1----- 1 5.3____a
5.3------- bO 5.3___ C
%
`-c,EioenmtOeoPrkaleontrteoi vrSicoeoceotaio*.info3r.1s0treinam
c
o ----
1| 5.3____a [][][]
5.3.____b0 5.3. __C
%
ns.3_____ 5.3____a [HIM
5-3-___ bd 5.3. __c
<',,
ADDITIONAL INFORMATION ON TRANSFERS OF THE CHEMICAL IN WASTE TO OFF-SITE LOCATIONS (Part III. Section 6)
You mav report transfers of less than 1.000 pounds by checking ranges unoer A.1. (Do not use botn A.1 and A.2)
A.Total Transfers (pounds/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)
Dlacftarge to POTW
__ __
- . 1 enter location number ( , I 1
[][][]6 1 _____ from Part II. Section 1.) | 1 |. |____ |
06.1.____ b
e -5
OI etnhteerr
off-*ite location location numoor
o,il .
[-------- from Part li. Section 8.) 1 * I I____ ]
3[
3[
3
06-2.____ b
6-2.--c tM| | |
6.2.
Other otf-eite location i --i i--i (enter location number 1 2 1 1 1
[][][]'rom Part li. Section 2.)
6-2.------ b 6.2. c|M| | |
Other ott-site location i--.
,
a n (enter location number I -> 1 1
[](](]-------- from Part li. Section 2.) 1 * 1 1 1
06.2._____ b
6.2. c|m| | |
ADDITIONAL INFORMATION ON WASTE TREATMENT METHODS AND EFFICIENCY (Part III. Section 7)
A. General
B. Treatment
Wastestream (enter code
Method (enter code
in box provided)
in box provided)
7. . ^
" mu7-- III!7. ^
C. Range of Influent Concentration (enter code)
D. Sequential Treatment? (check if applicable)
7. c 7. d[ ]
[o
7--------- a
1
E. Treatment Efficiency Estimate
7._____ e
%
7._____ e
%
F. Baaed on Operating Data? Yes No
7 f[ 3[ 3 -( ][ ]7--------
-------- *
7._____ b
O d[ 3 <[ ][ ]7- C
7---
7. e
% 7--------
7 <D 7._____ b 7. a 0 7._____ b
7. = 7. d[ ] 7._____e
7. .
7
[ ] 7._____ e
'[% 7-- 3[ 3
% 7--'t n i
7--a
7._____ b
7. 7._____ b
7. c Q 7. d[ ] 7. e
0 7---[ 37. c
7._____ e
f[% 7-- ][ 3 % 7-- '( It ]
7- a n 7- b 1 I 1 J
Q b | | |7. a
T7.
7' C 7-..-d[ 3 7._____ e
7 d[ 37. =
7._____ e
7% >[ ][ ] It 3% 7---<[
EPA Form 9350-1 (1-90) Revised - Do not use previous versions.
SL 022434