Document LKoGjYMBxGV9NxbNj36Yxz5NQ
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PAGE 1 OF 9
| EPA
United States I Environmental | Protection | Agency
FORM R
TOXIC CHEMICAL RELEASE INVENTORY REPORTING FORM
Section 313 of the Emergency Planning and Community Right-to-Know Act of 1986, also known as Title III of the Superfund Amendments and Reauthorization Act
(TRI FACILITY ID NUMBER i
*-------------- --------- - ----------------- --------------------------- -
I 70765THDWCHIGHW 4---
| 4-
|Chem., Cat., or Gen.Name |
I I CHLOROETHANE
I
| WHERE TO SEND | COMPLETED FORMS:
1. EPCRA Reporting Center P.0. Box 3348 Mernfleld, VA 22116-3348 ATTN: TOXIC CHEMICAL RELEASE INVENTORY
2. APPROPRIATE STATE OFFICE (See instructions in Appendix F)
|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 |
i
1
|
PART I. FACILITY IDENTIFICATION INFORMATION
SECTION 1. REPORTING
YEAR
1995
| |Section 2. TRADE SECRET INFORMATION 1 -------- *-------------------------------------------------------------------------
| | 2.1| Are you claiming the toxic chemical identified on page 3 trade secret?
II j [ ] Yes (Answer question 2.2;
[X] No (Do not answer 2.2;
Go to Section 3)
1 *-------+--------------------------------- *--------------------- *-------------
| ) 2.2) If yes in 2.1, is this copy:
[ ] Sanitized
[ ] Unsanitized
| SECTION 3. CERTIFICATION (Important: Read and sign after completing all form sections.)
I I hearby certify that I 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 I
, data available to the preparers of this report.
!
EPA Form 9250-1 (Rev. 12/4/94) - Previous editions are obsolete.
H. O F> 3 (,c (
EPA United States Environmental
Protection Agency
EPA FORM R PART I. FACILITY IDENTIFICATION
INFORMATION (CONTINUED)
PAGE 2 OF 9
| |TRI FACILITY ID NUMBER | - ------------ --------- ----------- ---------| | 70765THDWCHIGHW J +------------------- ---- ----------- ----- | |Chem., Cat., or Gen. Name | -------------- ----------- ------------------| | CHLOROETHANE
|SECTION 4. FACILITY IDENTIFICATION (Continued)
I 4.2
This report contains information or:|
(Important: check only one)
| a. [X] An entire facility
b.
Part of a facility
c. [ ] Federal Facility
|4.3
Technical| Name
Contact
DOYLE A. HANEY
| Telephone Number (include area code) | (504)353-6128
Public | Name Contact j GERRY DAIGRE
| Telephone Number (include area code) I (504)353-1602
I 4.5
SIC Code j (4-digit) j a. 2812
b. 2821
Latitude
Latitude
4.6 and
| Degrees
+---------------------
------M--in--utes
II
L--o-n--g-i-tu--d-e--- -|----------0-3-0----------|+--------- 19
14.7 Dun & Bradstreet Number(s) (9 digits)
c. 2869
d. NA
Seconds
Degrees 091
Longitude Minutes
I
Seconds
16 20
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
[4.10 Underground Injection Well Code (UIC) I.D.
Number(s)
(12 digits)
a. NA b.
| SECTION 5. PARENT COMPANY INFORMATION
--------------------------------- - -------- -
|5.1|Name of Parent Company |
] NA
THE DON CHEMICAL COMPANY
|5.2|Parent Company's Dun k Bradstreet Number! I
|[ 1 NA
----------------- .......... . ... ....*
|
-
(9 Digits)
001381581
................................ .............................................................................................
EPA Form 9250-1 (Rev. 12/4/94) - Previous editions are obsolete.
7:0 0C:3(..' rT