Document KR6krY76D9GOxgvjj75wVXN5X
(IMPORTANT Type or pnnt. read instructions before completing form)
Form Approved OMB Number 2070-0093 Approval Expires 04/2000
Page 1 of 9
& EPA
United States Environmental Protection Agency
FORM R TOXIC CHEMICAL RELEASE
INVENT0RY REP0RTING F0RM
Section 313 of the Emergency Planning and Community Right-to-Know Act of 1986. also known as Title III of the Superfund Amendments and Reauthonzation Act
TR1 FACILITY ID NUMBER
70765THDWCHIGHW
Toxic Chemical. Category or Generic Name
DICHLOROBROMOMETHANE
WHERE TO SEND COMPLETED FORMS'
I. EPCRA Reporting Center
2. APPROPRIATE STATE OFFICE
P O Box 3348
(See instructions in Appendix F)
Memfield, VA 22116-3348 ATTN TOXIC CHEMICAL RELEASE INVENTORY
Enter "X" here if this is a revision
Important:
See instructions to determine when "Not Applicable (NA)" boxes should be checked.
For EPA use only
PART 1. FACILITY IDENTIFICATION INFORMATION
SECTION 1. REPORTING
YEAR
1996
SECTION 2. TRADE SECRET INFORMATION
Are you claiming the toxic chemical identified on page 3 trade secret?
2.1 1 1 Yes. (Answer question 2.2;
I__ 1 Attach substantiation forms)
rrri No (Do not answer 2.2; 1 * | Go to Section 3)
2.2 If yes in 2.1, is this copy: | j Sanitized j j 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.
EPA Form 9350-1 (Rev 04/97) - Previous editions are obsolete. Printed using AFR for Windows 1.0 on
7/24/97
0 0 A 05S?B1
CONFTDFNTTAL
o EPA
United States
Environmental Protection Agency
_________________________
EPA FORM R
PART 1. FACILITY IDENTIFICATION INFORMATION (CONTINUED)
Pag TRI FACILITY ID NUMBER 70765THDWCHIGHW
2 of 9
Tome Chemical, Category or Generic Name
DICHLOROBROMOMETHANE
SECTION 4. FACILITY IDENTIFICATION (continued)
4.2 This report contains information for:
(Importantcheck aor b; check c if applicable
An entire a. | X j facility b. | |
Part of a facility
A Federal
facility
4.3 Technical Contact Name
DOYLE A. HANEY
Telephone number (include area code) (504) 353-6128
4.4 Public Contact
Name DONNA CARVILLE
Telephone number (include area code) (504) 353-1824
SIC Code 4.5 (4-digit)
2812
a.
2821 b.
2869 c.
NA j.
e.
f.
Latitude
4.6
and
Degrees
Longitude 030
Latitude Minutes
19
Seconds 00
Longitude
Degrees 091
Minutes 16
Seconds 20
4.7 Dun & Bradstreet Number(s) (9 digits)
a. 008187080
b. NA
4.8 EPA Identification Number(s) (RCRA I.D. No.) (12 characters)
a. LAD008187080 b. NA
4.9 Facility NPDES Permit Number(s) (9 characters)
a. LA0003301 b. LA0049638
Underground Injection Well Code (UIC) I.D.
4.10 Number(s)
(12 digits)
a. NA b.
SECTION 5. PARENT COMPANY INFORMATION
Name of Parent Company 5.1
THE DOW CHEMICAL COMPANY
Parent Company's Dun & Bradstreet Number 5.2
001381581
<z <z
n
EPA Form 9350-1 (Rev. 04/97) - Previous editions are obsolete. Printed using AFR for Windows 1.0 on 7/24/97
DO A 05578? CONFIDENTIAL
<& EPA
United States Environmental Protection Agency
EPA FORM R PART II. CHEMICAL-SPECIFIC
INFORMATION
TRI FACILITY ID NUMBER
70765THDWCHIGHW
Pag 3 of 9
Toxic Chemical, Category or Generic Name
DICHLOROBROMOMETHANE
SECTION 1. TOXIC CHEMICAL IDENTITY
sSSK*b.low.)
1.1 CAS Number (Important: Enter only one number exactly as it appears on the Section 313 list. Enter category code if reporting a cltemcal category.I
000075274
1.2 Toxic Chemical or Chetncal Category Name (Important: Enter only one name exactly as it appears on the Section 313 list.)
DICHLOROBROMOMETHANE
1.3
Generic Chemical Name (Important: Complete only NA
if Part 1, Section 2 1 is checked "yes". Genenc Name must be structurally descnptive)
(Important: DO NOT complete this SECTION 2. MIXTURE COMPONENT IDENTITY section if you complete Section 1 above.)
2.1 Generic Chemcal Name Provided by Supplier (Important: Maximum of 70 characters, including numbers, letters, spaces, and punctuation.1
NA
SECTION 3. ACTIVITIES AND USES OF THE TOXIC CHEMICAL AT THE FACILITY (Important: Check all that apply.)
If prbduce or import:
3.1
Manufacture the toxic
chemical:
a. [X] Produce
b. Q Import
c. Q
d' e. Q]
f. fXj
For on-site use/processing For sale/distribution As a byproduct As an impurity
Process
3.2
the toxic chemical:
a. As a reactant
b. [~] As a formulation component
c. As an article component
d. P] Repackaging
3.3
Otherwise use the toxic
chemical:
a. Q As a chemical processing aid b. Q As a manufacturing aid
c. Q Ancillary or other use
SECTION 4.
4.1 02
MAXIMUM AMOUNT OF THE TOXIC CHEMICAL ON-SITE AT ANY TIME DURING THE CALENDAR YEAR
(Enter two-digit code from instruction package.)
DO A 055283 CONFTDFNTTAl
EPA form 9350-1 (Rev. 04/97) - Previous editions are obsol t . Printed using AFR for Windows 1.0 on 7/24/97
or EPA
United States Environmental Protection Agency
EPA FORM R PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
TRI FACILITY ID NUMBER
70765THDWCHIGHW
Page 4 of 9
Toxic Chemical. Category or Generic Name
DICHLOROBROMOMETHANE
SECTION 5. RELEASES OF THE TOXIC CHEMICAL TO THE ENVIRONMENT ON-SITE
A. Total Release (pounds/
year) (enter range code from instructions or estimate)
B. Basis of Estimate
(enter code)
C. % Fr m St rmwater
5.1
Fugitive or non-point air emissions
fflNA
5.2
Stack or point air emissions
5.3
Discharges to receiving streams or water bodies
(enter one name per box)
5.3.1 Stream or Water Body Name
NA
5.3.2 Stream or Water Body Name
2400 NA
5.3.3 Stream or Water Body Name
O }* -"
hy
,
5.4.1 5.4.2
Underground injections on-site to Class 1 Wells
Underground injections on-site to Class M-V Wells
5.5 Disposal to land on-eite
I X NA
5.5.1A RCRA Subtitle C landfills
5.5.1 B Other landfills
5.5.2
Land treatment/ application farming
5.5.3 Surface impoundment
5.5.4 Other disposal
<z
0*
110
[Xj NA
'
*&
feu-
it*- ' pr
O
Sw ,,***i%v-'*' . *,> teo .7 V -t
Check here only if additional Section 5.3 information is provided on page 5 of this form.
DO A 055?84 CONFTDFNTTA1
EPA Form 9350 -1 (Rev. 04/97) - Previous editions are obsol te. Printed using AFR for Windows 1.0 on 7/24/97
EPA
United States Environmental Protection Agency
EPA FORM R PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
Page 5 of 9 [TRI f-ACILI IV 'll) NUMBER 70765THDWCHIGHW
Toxic Chemical, Category or Generic Narm i
DICHLOROBROMOMETHANE
SECTION 5.3 ADDITIONAL INFORMATION ON RELEASES OF THE TOXIC CHEMICAL TO THE ENVIRONMENT ON-SITE
Discharges to receiving streams or water bodies (enter one name per box)
5.3.4 Stream or Water Body Name
A. Total Release (pounds/
year) (enter range code from instructions or estimate)
B. Basis of Estimate
(enter code)
C. % From ' St rmwater
5.3.5 Stream or Water Body Name
5.3.6 Stream or Water Body Name
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 .A. 1 Total Transfers (pounds/year) (enter range code or e&itTAt8)Basis of Estimate (enter code)
NA
6.1.B POTW Name and Location Information
6.1.B.1 POTW Name
6.1.B. 2 POTW Name
Street Address City State
County
Zip Code -
Street Address City State
County
Zip Code *
If additional pages of Part II, S ction 5.3 and/or 6.1 are attached, indicate the total number of pages in this boxfoland indicate which Part II, Section 5.3/6.1 pag this is, h re7i~| (example: i, 2,3, etc.)
EPA Form 9350-1 (Rev 04/97) - Previous editions are obsolete. Printed using AFR for Windows 1.0 on 7/24/97
055285
DO A
CONFT
OFNTTAl
EPA
United States Environmental Protection Agency
EPAFORM R PART II. CHEMICAL-SPECIFIC
INFORMATION (CONTINUED)
Page 6 of 9
TRI FACILITY ID NUMBER
Toxic Chemical Category or Generic Name
SECTION 6.2 TRANSFERS TO OTHER OFF-SITE LOCATIONS
Off-site EPA Identification Number (RCRA ID No )
6.2.1
Off-Site Location Name
Street Address
City
State
Zip Code
A. Total Transfers (pounds/year)
(enter range code or estimate)
1.
2. 3. 4.
County
Is location under control of reporting facility or parent company?
i------i Y## |____]
1i----- N
|___ |
g Basis of Estimate (enter code)
C. Type ofWaste Treatment/Oisposal/
Recycling/Energy Recovery(enter code)
1. 1.
2. 2.
3. 3.
4. 4.
SECTION 6.2 TRANSFERS TO OTHER OFF-SITE LOCATIONS
Off-site EPA Identification Number (RCRA ID No.)
6.2.2
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.
Is location under control of reporting facility or parent company?
i--j Y## |____ |
I--1 No |___ j
g Basis of Estimate (enter code)
C. Type ofWaste Treatment/Disposal/
Recycling/Energy Recovery(enter code)
1. 1.
2. 2.
3. 3.
4. 4.
If additional page of Part II, S ction 6.2 are attach d, indicat th total number of pages in this box 1 and indicate which Part II, S cti n 6.2 pag this is, her . 1 ( xampl : 1, 2, 3, tc.)
EPA Form 9350-1 (Rev 04/97) - Previous editions are obsolete. Range Codes: A * 1 -10 pounds, B * 11 - 499 pounds; C * 500 - 999 pounds 7/24/97 DO A 055286
CONFIDENTIAL
<* EPA
United States Environmental Protection Agency
EPAFORM R
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
Page 7 of 9
TRI FACILITY ID NUMBER
70765THDWCHIGHW
Toxic Chemical. Category or Generic Name
DICHLOROBROMOMETHANE
SECTION 7A. ON-SITE WASTE TREATMENT METHODS AND EFFICIENCY
| | Not Applicable (NA) - Check here if no on-site waste treatment is applied to any
waste stream containing the toxic chemical or chemical category.
a General Waste Stream (enter code)
b. Waste Treatment Method(s) Sequence {enter 3-character code(s)]
c. Range of Influent Concentration
d. Waste Treatment Efficiency Estimate
e. Based on Operating Data''
7A.1a
7A.1b
A01
NA
7A.1C
7A.1d
7A.1e
7A.2a
7A.2b
7A. 2c
99 %
7A.2d
Yes N
0
7A.2e
NA
7A.3a
7A.3b
7A.3C
0% 7A.3d
Yes No
7A.3e
7A.4a
7A.4b
7A.4C
% 7A.4d
Yes No
7A.4e
7A.5a
7A.5b
7A.5C
% 7A.5d
Yes N
7A.5e
Yes No
%
If additional copies of page 7 are attached, indicate the total number of pages in this box [~T~] and indicate which page 7 this is, here. [ 1 | (example: 1,2, 3, etc.)
EPA Form 9350-1 (Rev 04/97) - Previous editions are obsolete. Printed using AFR for Windows 1.0 on
7/24/97
DO A 055287 CONFTDFNTIAl
-&EPA
United States Environmental Protection Agency
EPAFORM R
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
Page 8 of 9
TRI FACILITY ID NUMBER
70765THDWCHIGHW
Toxic Chemical. Category or Generic Name
DICHLOROBROMOMETHAN
SECTION 7B. ON-SITE ENERGY RECOVERY PROCESSES [ | N t Applicable (NA) - Check here if no on-site energy recovery is applied to any waste
stream containing the toxic chemical or chemical category.
Energy Recovery Methods [enter 3-character code(s)]
NA 2 3 4
SECTION 7C. ON-SITE RECYCLING PROCESSES
| | Not Applicable (NA) - Check here if no on-site recycling is applied to any waste stream containing the toxic chemical or chemical category.
Recycling Methods [enter 3-character code(s)]
1. NA
2.
3.
4.
5.
6. 7. 8. 9. 10.
EPA Form 9350-1 (Rev 04/97) - Previous editions are obsolete. Printed using AFR for Windows 1 0 7/24/97
DO A 055C88 CONFIDENTIAL
sl EPA
United States Environmental Protection Agency
EPAFORM R PART II. CHEMICAL-SPECIFIC
INFORMATION (CONTINUED)
Page 9 of 9
TRI FACILITY ID NUMBER
70765THDWCHIGHW
Toxic Chemical, Category or Generic Name
DICHLOROBROMOMETHANE
SECTION 8. SOURCE REDUCTION AND RECYCLING ACTIVITIES
All quantity estimates can be reported using up to two significant figures.
8.1 Quantity released*
Column A Prior Year
(pounds/year)
2300
Column B
Current Reporting Year
(pounds/year)
Column C Following Year
(pounds/year)
Column D
Sec nd Following Year
(pounds/year)
2500
2500
2500
8.2 Quantity used for energy rec very on-site
0
0
0
0
8.3
Quantity used for energy rec very off-site
0
0
0
0
8.4 Quantity recycled on-site
0
0
0
0
8.5 Quantity recycled off-site
0
0
0
0
8.6 Quantity treated on-site
0
0
0
0
8.7 Quantity treated off-site
0
0
0 ,0
Quantity released to the environment as a resu tof
8.8 remedial actions, catastropic events, or one-tinrle events not associated with production processes (pc>unds/year)
0
8.9 Production ratio or activity index
0001.09
8.10 Did your facility engage in any source reduction activities for this chemical during the reporting year? If not, enter "NA" in Section 8.10.1 and answer Section 8.11.
Source Reduction Activities
[ntar cod*(t))
Methods to Identify Activity (enter codes)
8.10.1 NA a.
b.
c.
8.10.2
a. b.
c.
8.10.3
a. b.
c.
8.10.4
a. b.
c.
8.11
Is additional optional information on source reduction, recycling, or pollution control activities included with this report? (Check one box)
YES
NO
X" 'I
Report releases pursuant to EPCRA Section 329(8) including 'any spilling, leaking, pumping, pouring, emitting, emptying, discharging, infecting, escaping, leaching, dumping, or disposing into the environment." Do not include any quantity treated on-site or off-site.
EPA Form 9350 1 (Rev. 04/97) Previous editions are obsolete. Printed using AFR for Windows 1.0 7/24/97
D0 A 055?B9 CONFTDFNTTAl-