Document LKLOj7O7jK0nbxpG35w3mKGvd
=orm ADDroveo OMB No.; 1370-0093
.'nponanr T.oe or vrmt: read instructions aetore completing form, i
-oorovai Exoiras:. 71/91 3aao 1 of 5
SEPA u.S. Environmental Protection Agency
TOXIC CHEMICAL RELEASE INVENTORY REPORTING FORM
Section 313 of the Emergency Planning and Community Rlght-to-Know Act of 1966,
also Known as Title III of the Suoerfund Amenaments and Reauthonzatlon Act
EPA FORM
R
PART I.
FACILITY IDENTIFICATION INFORMATION
(This SDace tor your optional use.)
Puoiic 'eoorting ouroan tor -rn
collection ol information is astimataa to
vary from 30 to 34 flours oar rasoonia.
witn an average of 32 noura oar
resoonse. inciuoing ttma tor reviewing
instruction*, laarcmng existing oata
soureat. garnering ana maintaining tna
Oata naaoaa. ana comoieting ana
raviawing tna collection Ot information.
Sana commanta ragaroing mil Ouroan
stimata or any otner aaoact ot tnn
coiiaciian ot information, inciuoing
suggastiona tor raoucino tttia Ouroan. to
Cniaf. ntormation Policy Brancn
(PM-2231. US EPA, 401 M St.. SW. Waimngton, D.C. 20460 Attn: tw
Buraon ana to tna Offtca ot Information
ana Regulatory Affairs. Otflca ot
Management ana Budget Psoarvyora
Reduction
Protect
(2070-0093).
1.1 Are you claiming tna cnamnai Identity on oage 3 traae secret?
1.
[ ] Yes (Answer Question 1.2:
[x ] No (Do not answer 1.2;
IAttaen suoatantiation forms.
Co to Question t .3.1
1,2 if "Yqi" in 1.1, is tni* coey:
[ ] Sanitized [ ] UnaanitizoO
j 1.3 Reoortlng Yoar 19 Q9 --
2. CERTIFICATION (Read and algn after completing all eecttone.) t Ihsrsov certify that hav fvnw<o th* Attserwd documents and that, to tho best ot my knowtobg* and oaliof. tho tudmittod information is tmo and
comoistd ana that tho imowti and vsium m this rooon at* aoo**t* ossad on rsasctnatMo oatimatos using oata avaiiabio to tho orooarora ot this rooort.
Name ana official title ot owner/ooerator or senior management official
T. G. Brown, Works Manager. PPG Industries.
Signature
All! t
Charles. LA
Data signao
t, (*h /Qo
-acuity or Estaouenmant Name
WHERE TO SEND COMPLETED FORMS:
PPG Industries
Street AOaraaa
Columbia Southern Road 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 loentltlcation Numoar 70669 PPGND C0LUM
Zip Cooe 70669
"
2. APPROPRIATE STATE OFFICE (S instructions in Appendix G)
3.2
This raoort contains information tor (Chacx only one):
a- [x ] An entire facility
[ ]> Part of a facility.
I Teenmcai Contact
3.3 Andy P. Plauche*
3.4 | Public Contact iWilliam J. Peard
SIC Coaa <4 cigit)
3.5 2812
3.6 Dagrs
b- 2816
Latitude
Minutes
=. 2869
Seoonoa
a- NA-.
Oegrei
Taieonone Number (inctuoe area cooal
(318) 49I-4S14___________ Telaonone Numoar linciuoa area cooal
(318) 491-4848
Longitude Minute*
Seoona*
-
j Dun & Braastreet Numoor(s)
3.7 I*. 00-808-6506
13
___ 2J--
EPA loantittcation Numoar Is) (RCRA I.D. No.
3.8
a. LAD 0Q._aflB_.6506__________
NPDES Permit Numoarla)
3.9 a. LA 0000761
| Receiving Streams or Water Bodlas I enter one name per Box)
93 _LIA_ JJA.
16
59
I*. Calcasieu River
1___ Bavou D * Inde
3.101 Bavou Verdine
_HA.
Unoargrouna iniection Well Cooe lUIC) Identification Numoarla)
3.11 a. NA
4. PARENT COMPANY INFORMATION
Name ot Parent Company
4.1 PPG Industries, Inc.
SL 022420 b.
Parent Company s Oun & Bradatreet Numoar 4.2 00-134-4803
rnDortanr: T.oe or print: read instructions Before comotettne form, i
EPA
REPA FORM
PART II. OFF-SITE LOCATIONS TO WHICH TOXIC CHEMICALS ARE TRANSFERRED IN WASTES
1. PUBLICLY OWNED TREATMENT WORKS (POTWS)
1.1 POTW nama NA
Strt Aoors
1.2 POTW namo
S treat Aooroaa
City
Coomy
City
Stat*
Zip Stata
________
aaga 2 of S
(This soaco tor your optional usa.i
County Zip
2. OTHER OFF-SITE LOCATIONS (DO NOT REPORT LOCATIONS T 0 WHICH WASTES ARE SENT ONLY FOR RECYCLING OR REUSE).
2.1 Otf-sita location namo
CHEMICAL WASTE MANAGEMENT.
EPA idantitieation Numoar (RCRA ID. No.)
LAD 000777201
INC.
StrMt Aoar*
JOHN BRANNON ROAD
",,V CARLYSS
County
CALCASIEU
Stata
LA
Zip
70663
la location unaar control ot raooning facility or parent company?
2.2 Otf-sita location namo
ROLLINS ENVTRONMF.NTAT. SF.RVTrFF (TX) INC.
EPA identification Numoar (RCRA ID. no. >
TXD 055141378
Street Aooreee
2027 BATTLEGROUND ROAD
City
County
DEER PARK
State
HARRIS
Zip
TX 77536
la location unoar control ot reporting facility or parent company?
B
[ ]vaa
[X]no
[ 1 Yea
[x]nq
2.3 Off-slto location namo
WASTE-TECH SERVICES, INC.
EPA Identification Numoar (RCRA IO. No,)
LAD 981514441
Street Adareea
COLUMBIA SOUTHERN ROAD
City
Cotatty
WESTLAKE
CALCASIEU
State
ZlD
LA 70669
ii location unoer control ot reporting facility or parent company?
2.4 Off-alto location namo
ENSC0, INC.
EPA Identification Numoar (RCRA IO. No. I
ARD 069748192
Street Address
AMERICAN OIL ROAD
City
County
EL DORADO
State
UNION
Zip
AR 71730
ia location unoar control ot raooning facility or param oomoany?
[ Lee
[ X] No
[ ] vaa
[x 1 No
2.5 Off-sito location namo NA
EPA Kianiifieation Numoar (RCRA IO. No.)
2.6 Off-sito location namo
EPA Identification Numoar (RCRA ID. NO. 1
Street Addrass City
County
Street Aooreaa City
County
State
Zlo
If
V is location unoar control ot roeoning (acuity or parant company?
[U
[ ]no
State
Zip
la location unoar control ot reporting facility or parent company >
______________________________[ Iv.
[ ]
[ ] Cnee* it additional oagoa ot Part tl ara attacned. How many?
important: Type or print: read instructions before completing form.i
ft CDA **
EPA F0RM ^ pART m. CHEMICAL-SPECIFIC INFORMATION
Page 3 of 5 (This space tor your optional use. |
i. CHEMICAL IDENTITYfDo not comoiete this section if you comDlete Section 2.) 1.1 | [Reserved)
: CAS NumDer lEntsr only one number exactly as it acoears on trie 313 list. Enter NA it rooomng a cnemicai category.) 1 ! 79-01-6
Chemical or Chemical Category Name (Enter only one name exactly as it aopears on tne 313 list.) 1.3 Trichloroethylene
Generic Chemical Name (Comoiete only it Part I, Section 1.1 is cnecxea "Ves." Generic name must Be structurally oescnottve. 1 1.4
MIXTURE COMPONENT IDENTITY (Do not comoiete this section If vou complete Section 1.) 2. Generic Chemical Name Provided Dy Supplier (Limit tne name to a maximum of 70 characters (e.g., numoars. letters, spsoas, punctuation).)
3. ACTIVITIES AND USES OF THE CHEMICAL AT THE FACILITY (Check all that apply. |
Manufacture the chemical: 3.1
r -t a. L X J Produce
if produce or import: f Y 1 For on-slte
c.L A J use/processing
[ V1 For sale/ d-i AJ diatrioution
b. [ ] Import
e.[ Y ] As a byproduct
f. [ v] As an impurity
Process tne 3.2 chemical:
[yl , a. j. a J As a reactant d.[ ] Repackaging only
h f 1 As a formulation b L J component
f 1 As an article c *` J component
3.3
Otherwise use the chemical-
f 1 As a chemical a- * J processing aid
r 1.
.
b.l J As a manufactunng aid
f1 c.l Ancillary or other use
coa (f-901 Revised - Do not use orevlous versions.
'SL 022422'
ImDortant: T;pe or print: read instructions before conwietint form. >
ft EPA
REPA FORM
PART III. CHEMICAL-SPECIFIC INFORMATION (continued)
Page 4 of 5 (This space for your optional use. |
6. TRANSFERS OF THE CHEMICAL IN WASTE TO OFF-SITE LOCATIONS
You mav report transfers of less tnan i .000 pounds by cheating ranges under A. 1. (Do not use Doth A.1 and A.2)
A. Total Transfers (pounds/year)
A.1 Reporting Ranges 0 -8S 500-ess
A.2 Enter Estimate
Discharge to POTW i enter location numoer 6...1........1.........f..r...o....m........P.....a....r..t.....I.I...-S-ection
(][][]
Other ott-*ite location
__
,, , (enter location numoer I - I I
L_J'Ll_J M4.1 from Part II. Section 2.)
[
1f
1
Other of1-*ite location
(enter location numoer'B-5J
rom Part II. Section 2
[
ir
ir
i
NA
JL2_
1,800
Other otf-aite location (enter location numoer
.BlUl6.2.3 from Part ll. Section 2.
1[
][
ll ^.000
B. Basis of Estimate
(enter code) 1.1b
6. >.2.1b QJ] i.2.2b Q
6.2.3b I M
[ y ] (Cheek if additional Information is provided on Part iV-Supplemental Information.)
C.Type of Treatment/ Disposal
enter code I
Id 1 Ml~7 I o\
6.2.2c 1 mU"TT
6.2.3C ImLs b 1
7. WASTE TREATMENT METHODS AND EFFICIENCY
r 1 Not Applicable (NA) - Check if no on-site treatment is applied to any wastestream containing the chemical or chemical
LJ
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 7.2a
7.ib 7.2b
SL1
7.1c
537.2c
7.Id [ 1
7.2d [ ]
7.1e 99^9% 7.2e 99.99%
7.3a 0 7.3b
07.4a
7.4b
7.3c 0
07.4c
t ]7.3d
7.4d [ ]
7.3e 85 7.4e
7.5a 7.5b Le[a Id
07.6a
7.6b
m
7.7a
77b I I II
7.8a
7.8b
n
7.9a
7.9b
7.10a 7.10b
7.5c 7.6c
07.7c
7.8c
7.9c o
7.10c
7.5d [ ]
7.6d [ 1
7.7d [ ]
7.8d [ ]
7.9d [
7.10d [
]
1
7S* 99.68 %
7.6e
%
7.7e
7.8e
7.9e
%
7.10e
[ ] (Check if additional Information Is provided on Part iV-Supplementai Information.
7"
72f
7-3f TM
7 51
7.6f 771 7.8f 7,9f 7. lOf
[X] [ ]
[ X] [ ]
[ ] [X ]
[ ] [x]
[x ] [ ]
[ 1[ 1
( 1[ 1
[ ][ ] [ ][ ]
[ 1[ 1
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 l enter coaei
B. Quantity of the Chemical in Wastes Prior to Treatment or Disposal
C. Index
D. Reason for Action (enter code)
HU
Current reporting year (pounds/year)
___ MA
Prior year
l Or percent cnange i (Check (+) or <-))
(pounds/year) i Q +
I -
%
0.0
La
EPA Form 9350-1 11-90) Revised - Do not use orevious versions.
SL 022423
'muonont: T.pe or prim: read instructions before conwieting form.i
EPA
REPA FORM
PART IV. SUPPLEMENTAL INFORMATION
Jse this section if you need additional space tor answers to auestions in Part ill. 'Jumoer the lines used sequentially from lines in prior sections (e.g.. 5.3.4. 6.1.2. 7.11)
Page 5 of 5 (This soace tor 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 pounos 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 1-499 500-998
A.2 Enter Estimate
B. Basis of C.% From Estimate Stormwater
(enter code in box
provided)
5.3 Discharges to
receiving streams or waterbodies
5.3------- 1--1
5.3____a [][][]
5.3_____bCU
NA
5.3_____C
%
'm. reoenmtbeoPrxalerottrtoei vrSicaeoceatcieo.)nfo3r.1s0treInam egJ-------11
1 1
5.3____a
(][][]
5-3.___ JO 5.3----- C
%
5.3____ tm 5.3____a [][][]
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 cheeking ranges unaer A.1. (Do not use both A.1 ano A.2)
A.Total Transfers (pounds/year i
A.1 Reporting Ranges
0 1-488 500-888
A.2 Enter Estimate
S. Basis of Estimate
C. Type of Treatment/ Disposal
(enter code in box
provided)
(enter code in box
provided)
Olmcnarga to POTW
-,
inter location number
______from Part ll. Section
[][](]
NA
*-i-____b n
62
Other off-site location i--i r--
4 'enter location number
2
A
(Hill2- from Pan ll, Section 2.1 I * I I I
6.2.
Olethneterroloftc-aaittieonloncuamtiobneriBD
from Part ll. Section 2
Other oft-aite location
eo
lenter location number
----------from Part ll. Section 2
[][][] [][][]
63 NA
R~16.2. 4 b
6-2.4_= 1^15 In
6.2. c[mT
6.2. 6.2. M
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? (check if applicable)
E. Treatment Efficiency Estimate
F, Based on
Operating
Data?
_______Yes
No
n m
7.
A]
% 7. -<[ H 1
-[ 1
.<[ H 1
--
A1
% -<[ H ]
I]
% -'[ H 1
-"[ ]
% 7---<[ H I
[ 1 % -f[ ][ ]
[1
% .<[ H 1
[]
-<[ ]( 1
7. [ ]
% -'MM
EPA Form 9350-1 (1-90) Revised - Do not use previous versions.
SL 022424