Document JJj1Q29G9MNK7vno88yzkQdEe
(IMPORTANT: Type or print; read instructions before completing form)
Approval Expire*: 11/92
EPA
United States Environmental Protection .gency
form r TOXIC CHEMICAL RELEASE INVENTORY REPORTING FORM
Section 313 of the Emergency Planning and Community Right-to-Know Act of 19M, alio knoum at Title III of the Superfund Amendment! end Reauthorizetkm Act
Page i of 9
TRI FAClLfTY 10 HUMBER 70765THDWCHIGHW Teiic tw*il. Cetseery, m Beera Mem
AMMORXA
WHERE TO SEND COMPLETED FORMS:
1.EPCRA Reporting Center
P.O. BOX 3348 MerrtMd. VA 22116-3348
2.APPROPRIATE STATE OFFICE (See instructions in Appendix F)
ATTN: TOXIC CHEMICAL RELEASE INVENTORY
IMPORTANT: See Instructions to determine when "Not Applicable (NA)" boxes should be checked.
Enter *X` here if this is a revision
For EPA use only
PART I. FACILITY IDENTIFICATION INFORMATION
SECTION 1.
REPORTING YEAR
1992
SECTION 2. TRADE SECRET INFORMATION
Are you claiming the toxic chemical identified on page 3 trade secret?
G Yes (Answer question 2.2; (D No (Oo not answer 2.2;
Attach substantiation forms)
Go to Section 3)
If yes in 2.1, is this copy:
G Sanitized G Unsanitized
SECTION 3. CERTIFICATION (Important: Read and sign after completing all form sections.)
1 hereby certify that 1 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.
Name and official titls of oumor/opalor or sonior manogamant official
STARLET G. COLE, EHVIROHMZHTAL MARAGER Signatur.
Oat* Signed
07/01/93
SECTION 4. FACILITY IDENTIFICATION
Facility or EstabUanant Maw
TRI Facility 10 Mmtoar j
THE DOS CHEMICAL COMPART, LOUISIAHA DIVISIOH Strut Addrwa
HICHWAT 1 SOUTH; P.O. BOX 150
I8-C--it--y
FLAQUEMIRE
4*1 State LA Maiihg Address (if ddtarent from etna! addrwa)
County IBERVILLE/W.B.R.
Zip Code 707650130
70765THDVCHIGHV
HA
City PUT LABEL HERE
sate
Zip Coda
EPA Form 9350-1 (Rev. 5/14/92) Previous editions are obeoteto.
[)0 A 0 F 1 4 Ft 1 rONFTDFNT T A1
EPA Automated Form R
SERA
Unrtad State* Environmental Protection Agency
EPAFORMR
PART I. FACILITY IDENTIFICATION
INFORMATION (CONTINUED)
Page 2 of 9
TRI FACILITY 10 NUMBER
70765THDWCHICH1
Twit ChaNnl, Cemto, V Shot Man*
AMMORXA
SECTION 4. FACILITY IDENTIFICATION (Continued)
This report contains information for:
4.2 (Important: check only one)
a. [3 An entire facility b. EH Part of a facility
Dm |
Talaptea* Itenter (lacitea ana cad*]
4.3 Technical Contact STARLIT C. COLX
(004) 389-6131
4.4 Public Contact
Nan* CUT S. BARORX
T*l*ptoM Renter (Incite* an* cad*)
(604) 389-8238
SIC Code 4.5 (4-digit)
a. 2812 b. 2821 C. 2869 d. RA
e.
f.
Latitude
4.6 and Longitude
Degree* OSO
Latitude Minute*
19
Second* 00
Degree* 091
Longltud Minutes
16
Seconds 20
4.7 Dun & Bradstreet Number(s) (9 digits)
4.8 EPA identification Number(s) (RCRA I.D.No.) (12 characters)
4.9 Facility NPDES Permit Number(s) (9 characters)
4.10 Underground Injection Well Code (U1C) I.D.
Number(s)
(12 digits)
a. 008187080 b. RA 8. LAD008187080 b. RA a. LA0003301 b. LA0049638
a. ra
b.
SECTION 5. PARENT COMPANY INFORMATION
Name of Parent Com party
5.1 na
THX DOW CHEMICAL COMPART
Parent Company's Dun & Bradstreet Number
5.2
______
na
(9 digits)
ooissiosi
EPA Form 9350-1 (Rev. 5/14/92) - Previou* edition* are obsolete.
HO A 051480 CONFTDFNTTAl
xvEPA
United States Environmental Protection Agancy
EPAFORMR
PART II. CHEMICAL-SPECIFIC INFORMATION
Page 3 of 9
TBI FACILITY 10 NUMBER
70766THDVCHICHW
Tade Cheteai. CiUaoiy. or terete fare
AMMOHIA
SECTION 1. TOXIC CHEMICAL IDENTITY 0mP1nt: D NOT complete this section H you complete Section 2 bel w.)
1.1
CAS Number (Important: Enter only one number exactly as it appeals on the Section 313 list. Enter category code if reporting a chemical categsry.) 007684-41-7
1.2
Toxic Chemical or Chemical Category Name (Important: Enter only one name exactly as it appears on the Section 313 list.)
AIOfOHIA
1.3
Generic Chemical Name (Important: Complete only if Part 1. Section 2.1 is checked `yes.* Generic Name must be structurally descriptive.)
HA
(Imoortant: DO NOT comoloto this SECTION 2. MIXTURE COMPONENT IDENTITY section H you complete Section 1 above.)
2.1
Generic Chemical Name Provided by Supplier (important: Maximum of 70 characters, including numbers, letters, spaces, and punctuation.)
HA
SECTION 3. ACTIVITIES AND USES OF THE TOXIC CHEMICAL AT THE FACILITY (Important: Check all that apply.)
Manufacture 3.1 the toxic
chemical:
a. Produce b. Import
If produce or import:
c. For on-site use/processing d. D For sale/distribution e. G As a byproduct
f. G As an impurity
Process 3.2 the toxic
chemical:
a. 0 As a reactant b. G As a formulation component
c. Q As an article component d. G Repackaging
Otherwise use a. G As a chemical processing aid c. Q Ancillary or oth r use
3.3 the toxic
b. G As a manufacturing aid
chemical:
SECTION 4. MAXIMUM AMOUNT OF THE TOXIC CHEMICAL ON-SITE AT ANY TIME DURING THE CALENDAR YEAR
4.1 oa I (Enter two-digit code from instruction package.)
L
EPA Form 3350-1 (Rev. 5/14/92) Previous editions ere obsolete.
, 0c,1 /
r>i' '
C OHF
4?EPA
United States Environmental Protection Agsncy
EPAFORMR
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
TRI FACILITY 10 NUMBER
7Q765THDVCHICHV
Tate OwwieM. Cawsatv, or Sesric Nani
AMMONIA
SECTION 5. RELEASES OF THE TOXIC CHEMICAL TO THE ENVIRONMENT ON-SITE
A. Total Release (Ibs/year) (enter range code from instructions or estimate)
Fugitive or non-point air emissions
na
Stack or point air emissions
na
Discharges to receiving streams or water bodies (enter one name per box)
5.3.1 Stream or Water Body Name
MISSISSIPPI RITXR
17000 250000
5.3.2 Stream or Water Body Name u
5.3.3 Stream or Water Body Name
B. Basis of Estimate (enter code)
C-. % From Stormwater
001.00* .X
.*
5.4
Underground injections on-site
na
VA
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
na na
Other disposal
na
MA MA MA HA
f*1 Check h re only H additional Section 5.3 information is provided on page 5 of this form.
EPA Form 9350-1 (Rev. 5/14/92) Previous editiona are obsolete.
Range Codes:
A - 1 -10 pounds; B - 11 - 499 pounds; C - 500 - 999 pounds.
DO A 051484
OONFTDFNTT A!
SERA
United Stelw Environmental Protection Agency
EPAFORMR
PART II. CHEMICAL-SPECIFIC
INFORMATION (CONTINUED)
Page 5 of 9
TBI FACILITY ID NUMBER
70766THDVCHICHW
fade Pirn. Utaoev. <r Gwt Nm '
AKMOHIA
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. Basis of
Estimate (enter code)
C.HFr m St rmwater '
5.3.4 Stream or Water Body Name 5.3.5 Stream or Water Body Name 5.3.6 Stream or Water Body Name
.%
.%
.X
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
6.1 JL1
Total Transfers (pounds/year) (enter range code or estimate)
HA
6.1 JL2 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 State
County j Zip Code
Street Address City State
County Zip Code
If additional pages of Part II, Sections 5.3 and/or 6.1 are attached, Indicate the total number of pages in this box {oil and indicate which Part II, Sections 5.3/6.1 page this is, here. H
(example: 1,2,3, etc.)
EPA Form 9350-1 (Rev. 5/14/92) Previous editions are obsolete.
Range Codec: A - ^1j^nd: ^B - 11 - 499 powde:
DO A 051485 OONF T OFNT T A l
&EPA
United States Environmental Protection Agency
EPAFORMR
PART II. CHEMICAL-SPECIFIC
INFORMATION (CONTINUED)
Page 6 of 9
TBI fACUITY ID NUMBER
70765IHDWCHI6HT
Tadc Owial, CaHjyyy, or Genre New
AMMONIA
SECTION 6.2 TRANSFERS TO OTHER OFF-SITE LOCATIONS
6.2.01
Off-site EPA Identification Number (HCRA fD No.)
Off-Site Location Name
Street Address City
County
State
Zip Code
A. Total Transfers (pounds/year) (enter range code or estimate)
1.
2.
3. 4.
la location under control of reporting i-->
i--<
facility or parent company?
1--1 Yes 1--1 No
B. Basis of Estimate (enter cods)
C. Type of Waste Treatment/Disposal/ RecycRng/Enorgy Recovery (enter code)
1. 1. 2. 2. 3. 3. 4. 4.
SECTION 6.2 TRANSFERS TO OTHER OFF-SITE LOCATIONS
6.2.02
Off-site EPA Identification Number (RCRA ID No.)
Off-Site Location Name
Street Address
City |
County
State
Zip Code
A. Total Transfers (pounds/year) (enter range code or aefenafe)
1.
2.
3.
4.
Is location under control of reporting facility or parent company?
i--i i--i LJ Yea 1--1 No
:B. Basie of EeSmafe (enter code)
1.
C. Type of Waste Treatment/Disposal/ Recydfeg/Enargy Recovery (enter code)
1.
2. 2.
3. 3.
4. 4.
If additional pages of Part II, Section 6.2 are attached, indicate the total number of pages In this box dU and indicate which Part II, Section 6.2 page this is, here. dH (example: 1,2,3, etc.)
EPA Form 9360-1 (Rev. 5/14/92) - Previous editions are obsolete.
Range Codes: A -
- 11 - 499 pounds;
00 A 051486 f.ONF TDFNTT Al
SEPA
United SMn Environmental Protaction Agency
EPAFORMR
PART II. CHEMICAL-SPECIFIC
INFORMATION (CONTINUED)
Page 7 oi 9 TN FACILITY 10 RUBBER
70760THDVCHXCHV
Tilt ca--fcst. Catetsty, it laiertc Isma
AUXOWIA
SECTION 7A. ON-SITE WASTE TREATMENT METHODS AND EFFICIENCY
Not Applicable (NA) - Check here If nfl on-site waste treatment Is applied to any waste stream containing the toxic chemical or chemical category.
i. BinsraJ Waste Straaai (aatar carte)
7A.01 a
A
7A.01b 3
6
B. Traumata Btabal(s) Staaaaca (aater 3*tbaracter ca4a(a)l
1 AOS 4 7
2 5
8
BA
a, Kaiia it teflieta CMcaMrattM
7A.01C
i Watte Traumata IWcteicy Estimate
7A.01d
i. Basal as OiaratJta Date?
7A.01e
a ai 099.99*
7A.02a
L
7A.02b 3
6
1 ru 4 7
2 BA 5
8
7A.02C
l
7A.02d
099.99*
7A.02e
Bb
7A. 03a
A
7A.03b 3
6
1 roo 4 7
2 BA 5
8
7A.03C
e
7A.03d 7A.03e
Q Yes No
099.98*
7A.04a
A
7A.04b 3
6
1 AOS 4 7
2 BA 5
8
7A.04C
i
7A.04d 7A.04e
Yes No
095.00*
7A.05a
w
7A.05b 3
6
1 Bll 4 7
2 BA 5
8
7A.05C
s
7A.05d 7A.05e
6 Yes No
099.00*
If additional copies of page 7 are attached, indicate the total number of pages in this | box top and indicate which page 7 this is, here. K2 (example: 1,2,3, etc.)
EPA Form 93SO-1 (Ftav. 5/14/93) * Previous adWons are obaotata.
DO A OB14B7 CONF TDFNTTAl
&EPA
United States
Environmental Protaction Agency
EPAFORMR
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
Pag 7 of 9
TIM FACIUTt u> WHWia
7Q765THDWCHZGHW
Tata Oiwlrrt. cumy. m ImiH *mm AMMONIA
SECTION 7A. ON-SITE WASTE TREATMENT METHODS AND EFFICIENCY
G Not Applicable (NA) - Check here if na on-site waste treatment is applied to any waste stream containing the toxic chemical or chemical category.
a. Bantral watts Straw (star Ntft)
k. Traakneat Matkef(s) Safeties [star S-ckarartar ea4a(t)l
a. Haifa el laltaaat CaacaalratiM
i. Waata Traatmaal EIDeieacy Ettknata
a. kasaf aa
j
Oparatlnf Data? |
7A.06a 7A.06b
1 Bll
2 MA
7A.06C 7A.06d 7A.06e
345
V
678
Y No
132 099.00*
7A.07a
w
7A.07b 3 6
1 P21 4 7
2 MA
5 8
7A.07C
2
7A.07d 7A.07e , Yes No
13025.00*
7A.08a
v
7A.08b 3 6
1 P42 4 7
2 MA
5 8
7A.08C
2
7A.08d 7A.08e
Yes No
13 099.00*
7A.09a 7A.09b 3
6
1 4 7
2
5 8
7A.09C
7A.09d 7A.09e Yes No
A
7A. 10a
7A.10b 3
6
1 4 7
2
5 8
7A.10c 7A.10d 7A.10e
*A B B
If additional copies of page 7 are attached, indicate the total number of pages in this
box [Ml and indicate which page 7 this is, here. E] ( xampie: 1,2,3, etc.)
EPA Form 9350-1 (Rev. 5/14/92) - Previous editions are obsolete.
DO A 05148ft OONFTDFNTTAt
v>EPA
Unted SMn Environmental Protection
Agency
EPAFORMR
PART II. CHEMICAL-SPECIFIC
INFORMATION (CONTINUED)
Page 8 of 9
TIM FAPUTT 10 HUME*
70768THDVCHIGHV
Tteli Iflwl> Citetwy, r Swr* Stew
AMMORIA
SECTION 7B. ON-SITE ENERGY RECOVERY PROCESSES
Q Not Applicable (NA) - Check here H na on-site energy recovery is applied to any waste stream containing the toxic chemical or chemical category.
Ensiyy Rscsvsry testbed* [sitsr 3-cbarwtor cads(i)|
1 XA
2
3
4
I---------------------------------------------------------------------------SECTION 7C. ON-SITE RECYCLING PROCESSES
Q Not Applicable (NA) Check here It no on-site recycling is applied to any waste
stream containing the toxic chemical or chemical category.
Rtcyclisi Mstbsds [aster 3-sbaracter es*s(t)|
1 XA
2
3
4
5
6 7 8 9 10
EPA Form 9350-1 (Rev. 5/14/92) - Previous editions are obsolete.
0(i A 051489 f ONFTDFNTTAl
&EPA
United State* Environment*! Protection Agency
EPAFORMR
PART II. CHEMICAL-SPECIFIC
INFORMATION (CONTINUED)
__page 9 or 9
TM FACILITY 10 NUMBER
70768THDWCHI6HX
Tade Qwatee, C,tmory. w 6--nc Haw
AMMOXIA
SECTION 8. SOURCE REDUCTION AND RECYCLING ACTIVITIES
All quantity estimates can be reported using up to two significant figures.
* 8.1 Quantity released
Quantity used for energy 8.2 recovery on-site
Quantity used for energy 8.3 recovery off-site
Column A 1991
(pounds/year) 140000
0
0
8.4 Quantity recycled on-site
0
Column B 1992
(pounds/year) 280000
0
0
0
Column C 1993
(pounds/year) 280000
0
0
0
8.5 Quantity recycled off-site 0 0 0
8.6 Quantity treated on-site
120000
80000
80000
8.7 Quantity treated off-site
0 00
Quantity released to the environment as a result of 8.8 remedial actions, catastrophic events, or one-time events
not associated with production processes (pounds/year)
Column D 1994
(pounds/year) 280000 0 0 0 0 80000 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" hi Section 8.10.1 and answer Section 8.11.
Source Reduction ActlvIUea [enter code(s)]
8.10.1
IA
Methods to Identity Activity (enter codes)
8.10.2
8.10.3
8.10.4
8.11 Is additional optional information on source reduction, recycling, or pollution control activities inctuded 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 ff-site.
S'
EPA Eorr0350-t <R*v. 5/14/92) - Prsviou* adWona an otwotete.
DO A 051490 CONF TDFNTTAl