Document JR2xDDbEK3oxEjdJKQvBoXqB

UNION CARBIDE CORPORATION OLD RIDGEBURV ROAD. DANBURY CONN 068'7 LAW DEPARTMENT May 18, 1984 M. G. Jlanetti, Esq. E3-251 Re: TSCA Section 8(c) Dear M^ry; Attached is a copy of my report on vinyl chloride. Sincerely, PFD: oijd Attacljment cc: R. A. Butler, Esq. <w/att) Peter F. Davey PRIVILEGED AND "CONFIDENTIAL MATERIAL SUBJECT TO PROTECTIVE ORDER" UCC 071998 HEALTH, SAFETY AND ENVIRONMENTAL AFFAIRS TSCA SUBSTANTIAL RISK/SIGNIROANT ADVERSE REACTION REPORT Use of thi^ .orm initiates a procedure for the orderly evaluation of thoaa situations that might constitute (a) substantial risk to health or the environment as defined by Section 8(e) or (b) allegations of significant adverse reactions as defined by Section 8(c) of the Toxic Subs.anees Control Act (TSCA). Failure to OD^*'v with the provisions of this law could lead to a civil penalty of up to $25,000 for each day of noncomplianea, one year in jail, or both. Proper and tiraaty tt this form discharges any legal reporting obligations of individual employees. INSTRUCTIONS FOR USE , Fart I -- Initial Report: This section Is be ISted In and signed by the employee who Initially discovers the potential substantial risk, his supervisor, or the* TSCA Coordinator. Emergency Ineldeni should be reported immediately, by phone, to your Una supervisor. Emergency Transportation incidents should be (ported, by phone, to 304-744-8487. Sort II -- TSCA Coordinators Report: Et i H the situation la no! Judged reportable under 8(a), the TSCA Coordinator should submit e copy of his report to the Substantial Risk Evaluation Board Chail PART I -- INITIAL REPORT allegedly vinyl chloride X, Name of Chemlcal(s) Invoh 2. Nature of Risk (Health or enyl\ nnmmntmi plaintiff's decedent developed "brain damage and brain cancer resulting in .s .death allegedly caused by exposure to vinyFchloride sold "by"five different chemical cc anies while he worked at Union Carbide's Texas City plant fxcm 155 ft Additional Information fA/faei i any appropriate reports, test results, etc.?.__ See Law Files; Dorodiv Bell v. Union Carbide Corporation, et al. until iVJBl. (U$a sepe/efe sheer If mom ipeee is taquiraOJ 1 4. Emergency Incident? Yes *7 No & Potential Risk Reported by: Peter F. Davey Mama Danbury Location ft. Reporter's Relation to UCC: : 9^ Employee Customer 7. Employee Initiating Report (C RIGINATORJ: Peter F. Davey Mama & Employee Preparing Report (PREPARER/. Peter F. Davey Mama Signature ft. distribution El Original to TSCA Coordinator: Name Mary G. Manetti 6255 TaL Employee No. Oats n-. 5/10/84 O Copy sent ORIGINATOR Other____________________ PART II -- TSCA COORDINATOR S REPORT T. Date Initial Report Received:. 2. Coordinator's Comments on initial Report:. PRIVILEGED AND "CONFIDENTIAL MATERIAL SUBJECT TO PROTECTIVE ORDER" 3. TSCA Coordinator. Mama ilgnature 4. Distribution: O Original sen t to Substantial Risk Evaluation Board Chairman: Date_____ Copy Sent to ORIGINATOR Copy sent to PREPARER O Other. Employ-- No. PART ill -- SUBSTANTIAL RISK I -VALUATION BOARD REPORT X. Date TSCA Coordinator's Report Received: 2. Evaluation of Substantia! Risk: 8(e) reportable Reasons: -!_____________________ _ Not retained for 8(c) records O Not 8(e) reportable* D Retain for 8(c) records Date 3. Actlon(s): Retain for future consideration Reported to EPA on. Retain for 8(d) reporting Other --------- 4. Distribution (Attach report to EPAt If submitted): D Copy sent to ORIGINATOR Copy sent to PREPARER Copy sent to TSCA Coordinator O Copy sent to Health, Safely and Environmental Affairs & Chairman. Substantial Risk E valuation Board: Q Other:__________ :________________ JTM Signature Employ--No. Date 1 VUght -- Report: H th Substantial Risl Evaluation Board's decision la not to report end the employ-- nevertheless wishes to report, he or she may do so directly to the Environments! Protects n Agency. For assistance In preparing aueh a report, you may consult your Department/FacHIty TSCA Coordinator, According to Section 23 of the Toxic Si ibalance Control Aet, no employer may discharge or otherwise discriminate against an employ-- becausa ha or aha assisted or participated in an action ti * carry out the purposes of the Act *47137 5M 1Q/B3 UCC 071999