Document LgZ6zqMVwoqYwb6EQQNE6aZmd
Form Approved 0MB Nunber: 2070-0092
CIMPORTANT: Type or print; reed instruction* before completing form) Approval Expires: 11/92
PAGE 1 OF 9
........... .........................................................
EPA FORM R
TOXIC CHEMICAL RELEASE
--.|TRI FACILITY ID NUMBER
|
.................................
n'ted States
INVENTORY REPORTING FORM
| 70765THDWCHIGHW
|
....................................... ...
.ivirormental Protection
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
|Chem., Cat., or Gen. Name |
.............. ............. ......................
Agency
| TETRACHLOROETHYLENE
|
...-------------------+-----------------------------....---------------- ...--------------------------------------------------- -------------- +
+---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
...------- .--- .1. EPCRA Reporting Center
2. APPROPRIATE STATE OFFICE
WHERE TO SEND
P.0. Box 3348
(See instructions in Appendix F)
COMPLETED FORMS:
Merrifield, VA 22116-3348
Enter "X" here if
ATTN: TOXIC CHEMICAL RELEASE INVENTORY
this is a revision
--------------------------------------------------------------- -------------------------- ---------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------
..................................................
|For EPA use only
IMPORTANT: See instructions to determine when "Not
. Applicable (NA)" boxes should be checked.
----------------------------------------------------------------
+
.----- .| PART I. FACILITY IDENTIFICATION INFORMATION
............... ................... .... ................ ..................
........................................... ....................*........................ .......................... ............... '........................... .......................... ...... ............................ ........ ........
SECTION 1.
|Sect ion 2. TRADE SECRET INFORMATION
|
.----- .REPORTING YEAR
............. .... ........................................................................................................................................................... -................................................................................. --... .................................................................. -..............................................................................
2.1 Are you claiming the toxic chemical identified on page 3 trade secret?
[ ] Yes (Answer question 2.2;
[XI No (Do not answer 2.2;
Attach substantiation forma)
Go to Section 3)
1995
I --..........................................................................................................................................................................................................................................*
I | 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 hearby certify that I have reviewed the attached docunents 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 9250-1 (Rev. 12/4/94) - Previous editions are obsolete.
% DO A 054795 CONFIDENTIAL
EPA United State* Environmental
otection ijeney
EPA FORM R PART I. FACILITY IDENTIFICATION
INFORMATION (CONTINUED)
PAGE 2 OF 9
|TRI FACILITY ID NUMBER
|
*- ----------------- ------------
| 7076STHDUCHIGHU
|
...........................................................
|Chem., Cat., or Gen. Name |
..............................
-.............................. --
| TETRACHLOROETHYLENE
|
SECTION 4. FACILITY IDENTIFICATION (Continued)
*:r This report contains information for:!
(Important: check only one)
| a. [X] An entire facility
b. [ ] Part of a facility
c. C ] Federal Facility
|4.3
Technical 1 Name Contact | DOYLE A. HANEY
1 Telephone Nutter (include area code) (504)353-6128
14.4
Public 1 Name Contact | GERRY DAIGRE
1 Telephone Nutter (include area code) (504)353-1602
|
1 |
1 1
4.5 SIC Code (4-digit)
a. 2812
Latitude 4.6
and -
Longitude
Oegrees 030
b. 2821 Latitude Minutes
19
4.7 Dun l Bradstreet Nunber(s) (9 digits)
c. 2869 Seconds 00
d. NA Degrees
a. Longitude Minutes
f. Seconds
091 16 20
008187080
b. NA
EPA Identification Nuiter(t) (RCRA I.D. No.) (12 characters)
+--------
4.9 Facility NPDES Permit Nutter(s) (9 characters)
+------
4.10 Underground Injection Well Code (UIC) I.D.
Nuiter(s)
(12 digits)
a. LAD008187080 b. NA a. LA0003301 b. LA0049638 a. NA b.
|SECT ION 5. PARENT COMPANY INFORMATION +---- >---------------- --------- ------------------ ....................
5.11Name of Parent Company |
+.............................. ............... -------------------
| C ) NA THE DON CHEMICAL COMPANY
--+-----------------------...........---- ......*.
5.2+1-P-a--re--n-t---Com--p-a-n-y's--Du.n..t..B.r.a.d--atreet Nurtr|
| [ ] NA
|
(9 Digits)
001381581
+--+----------------...--------- ------------------ ----------- ----....---------.......
EPA Form 9250-1 (Rev. 12/4/94) - Previous editions are obsolete.
DO A 054796 CONFIDENTIAL
EPA
United states Environmental
rotection agency
EPA FORM ft
PART II. CHEMICAL-SPECIFIC INFORMATION
I SECT ION 1. TOXIC CHEMICAL IDENTITY (Important: DO NOT complete this section I if you complete Section 2 below.)
PAGE 3 OF 9 +.......................... ............................
|TRI FACILITY 10 NUMBER
|
-------------------------------------------------------------------------- --
| 70765THDWCHIGHW
|
........................................ .
|Chem., Cat., or Gen. Name |
................. - -- --.................................................
| TETRACHLOROETHYLENE
|
................................ --
............................................................................------
1.1| CAS Nuifcer (Important: Enter only one nuifcer exactly as it appears on the Section 313 list. +................... ...... - - -....................................................... .......................... ............. -................. ..........................................................
00012M8-4
......................... .................................................................................................................................................................................................................................................... ................... - - - --.................. ----- -- ----........................... ... ..............................................................
1.2| Toxic Chemical or Chemical Category Name (Important: Enter only one name exactly at it appears on the Section 313 list.) .......... ........................................ --............. --............................... --....................................................................................................
TETRACHLOROETHYLENE
1.34| -G..e.n.e.r.ic...C.h.e.m--ica.l .N.a.m..e.(.I.m..p.o-r-t-a-n.t.:...C.o.m..p.le.t.e..o.n.l.y..i.f..P.a.r.t..I.f..S.e..c.ti.o.n..2...1..i.s..c.h.e-c-k-e-d- .".y.e.s..."
NA
................. ................................................................................................................ -................................................................. -..........................................................-............................... +------------------------------------------------------------------------------------------------------- -- ---------------------------------------------------- ----------------
I SECT ION 2. MIXTURE COMPONENT IDENTITY (Important: DO NOT complete this | section if you complete Section 1 above.)
---
2.1
--
---------------- -------------------------- ....--------------- ...------------
|SECT ION 3. ACTIVITIES ANO USES OF THE CHEMICAL AT THE FACILITY --+--------------------------- +----------------------------- ----------------------- ----------------------
Manufacture the toxic chemical: 3.1
a. 0(] Produce b. [ ] Import
(Important: Check all that apply.) If produce or import:
c. DO For on-site use/processing d. CX] For sale/distribution e. [ ] As a byproduct f. C ] As an impurity
Process 3.2 the toxic
chemical
a. CX] As a reactant b. C ] As a formulation component
c. [ ] As an article component d. t ] Repackaging
Otherwise use 3.3 the toxic
chemical:
a. [ ] As a chamicat processing aid b. [ ] As a manufacturing aid
Section 4. MAXIMUM AMOUNT OF THE TOXIC CHEMICAL ON-SITE AT ANY TIME DURING THE CALENDAR YEAR
4.1|
06
(Enter two-digit code from instruction package.)
EPA Form 9250-1 (Rev. 12/4/94) Previous editions are obsolete.
c. [ ] Ancillary or other use
i
HO A 054797 CONFIDENTIAL
PAGE 4 OF 9 +.........................................................
EPA
EPA FORM R
|TRI FACILITY ID NUMBER
United States Environmental
-otection
jency
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
| 70765THDWCH1GHW +..........................
|Chem., Cat., or Gen. Name -.............. .......................... ..
| TETRACHLOROETHYLENE > +................... ................. ..
.............................................................................................................................................................................................................................................................................................................................................................................................................--+
| SECTION 5. RELEASES OF THE TOXIC CHEMICAL TO THE ENVIRONMENT ON-SITE
A. Total Release (pounds/year) B. (enter range code from instructions or estimate)
Basis of Estimate (enter code)
C. X From Stormwater
5.1 Fugitive or non-point air emissions
( )NA
2960
E
5.2 Stack or point air emissions
[ INA
2110
0
5.3 Discharges to receiving streams or water bodies (enter one name per box)
|5.3.1 Stream or Water Body Name |MI SSISSIPPI RIVER
|5.3.2 Stream or Water Body Name INA
[5.3.3 Stream or Water Body Name
| | 40
| |
|
M 000.00
5.4 Underground injections on-site
C INA
0
M
5.5 Releases to land on-site
5.5.1 Landfill
CXINA NA
5.5.2 Land treatment/ application farming
DONA NA
5.5.3 Surface impoundaent
DONA NA
>
5.5.4 Other disposal
DONA NA
.......... 4 I
] Check here only if additional Section 5.3 infonaation it provided on page 5 of this fons.
------ ----------- ---------------------------------------------------------------------------------------------- ------- --------------------------------------------- -
EPA Fons 9250-1 (Rev. 12/4/94) Previous editions are obsolete.
Range Codes: A 1-10 pounds; B 11-499 pounds;
C * 500 - 999 pounds.
%
DO A 054798 CONFIDENTIAL
EPA
United States Environmental
-otection gency
EPA FORM R
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
PAGE 5 OF 9
|TRI FACILITY ID NUMBER
|
................................. ......
| 70765TH0UCHIGHU
|
............................................................. ...................*
|Chen., Cat., or Gen. Name |
+................... .................... +
| TETRACHLOROETHYLENE
|
Section S.3 ADDITIONAL INFORMATION ON RELEASES OF THE TOXIC CHEMICAL TO THE ENVIRONMENT ON-SITE
5.3 Discharges to receiving 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)
15.3.4 Stream or Water Body Name
C. X From Stormwater
|5.3.5 Stream or Water Body Name
|5.3.6 Stream or Water Body Name
I SECT ION 6. TRANSFERS OF THE TOXIC CHEMICAL IN WASTES TO OFF-SITE LOCATIONS
| 6.1 DISCHARGES TO PUBLICLY OWNED TREATMENT WORKS (POTW)
+........ .... .....................................................................................
'a.I.a Total Ouantity Tranaferred to POTWa and Baaia of Eatimate --------------------------------------------------------------------- --------------------- ...-------------- +
.1.A.1 Total Tranafera (powds/yeer)
6.1.A.2
+| ---------(e--n-te-r--r-a-n-g-e--co-d-e--o-r--e-s-t-im-a-t-e-)-------.........-----
Basis of Estimate (enter code)
NA
|6.1.B POTW Name and Location Information
6.1.B.1I POTW Name +------------+--------------
Street Address
-+-------------------------------------
I6.1.B.2I POTW Na
.............. ................. Street Address
City
County
City
County
State
Zip Coda
State
Zip Code
If additional pages of Part II, Sectiene 5.3 and/or 6.1 are attached, indicate the total renter of pages in this box [ ] and indicate which Pert II, Sections 5.3/6.1 page this is, here. [1 ]
(example: 1,2,3,etc.)
EPA Form 9250-1 (Rev. 12/4/94) - Previous editions are obsolete.
Range Codes: A 1-10 pounds; B * 11-499 poinds; C 500 - 999 poinds.
DO A 05479 CONFIDENTTA
EPA
United States Envirormental
otection gency
EPA FORM R
PART 11. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
PAGE 6 OF 9
|TRI FACILITY ID NUMBER
|
| 70765THDWCH1GHW
I
|Chen., Cat., or Gen. Name
-----------------------------------------------------------------
| TETRACHLOROETHYLENE
I SECTION 6.2 TRANSFERS TO OTHER OFF-SITE LOCATIONS
6.2.1 Off-site EPA Identification Nunber (RCRA ID No.) NA
Off-Site Location Name
Street Address
City
County
........................................................................................................... ...........................................................................................................................................--
State
|Zip Code -.................+-
| Is location under control of reporting
[ ] YES
[ ] NO
|
..............................................................................................................................................
A. Total Transfers (pounds/year) (enter range code or estimate)
B. Basis of Estimate (enter code)
C. Type of Waste Treatment/Disposal/ Recycting/Energy Recovery (enter code)
1.
2.
2.
13. 3. U. 4.
4.
(SECTION 6.2 TRANSFERS TO OTHER OFF-SITE LOCATIONS
6.2.2 Off-site EPA Identification Nimfeer (RCRA ID No.) NA
| Off-Site Location Name f.....................................................
f| --S-t-r.e.e.t..A.d.d.r.e.s.s.........
City
County
State
|Zip Code -+--------------*-
| Is location inder control of reporting
[ ] YES
[ ] NO
|
-+.............................................. ...................................................................................................
A. Total Transfers (pounds/year) (enter range code or estimate)
B. Basis of Estimate (enter code)
C. Type of Waste Treatment/Disposal/ Recycling/Energy Recovery (enter code)
1, i.
1
,,
2-
3. 3. k
3.. 1
1 If additional pages of Part II, Section 6.2 are attached, indicate the total ramber of pages in his box [ ] and indicate which Part II, Sections 6.2 page this is, here. (1 ]
----------------------------------------------- ------------ .....-----------(e--x-a-m--p-le-:---1-,-2-,-3-,-e-t-c--.)-- -----------------------------------
EPA Form 9250-1 (Rev. 12/4/94) - Previous editions are obsolete.
Range Codes: A 1-10 pounds; B 11-499 pounds; C * 500 - 999 pounds.
DO A 054800 CONFIDENTIAL
EPA
United States cnvirormental
otection .gency
EPA FORM R
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
+ +---- -----P-A-G-E---7---O-F- .9.....--+
|TRl FACILITY ID NUMBER | --------------------------------------------
I 70765THDMCHIGHU
I
|Chem., Cat., or Gen. Name
TETRACHLOROETHYLENE
I
|Sect ion 7A. ON-SITE WASTE TREATMENT METHOOS AND EFFICIENCY
I [ I Not Applicable (NA) - Check here if no on-site treatment is applied to I any waste stream containing the toxic chemical or chemical category.
+......................... .............................................................-------------------
a. General
b. Waste Treatment Method(s) Sequence c. Range of Influent
Waste Stream
[enter 3-character code(s)]
Concentration
(enter code )
d. Treatment Efficiency Estimate
7A.1b
1 | Fit
............
| 2 | NA
i
7A.1c
7A.1d
ii
1 5i
i
31 4
2
44
1
4
6i | | | 8i j 7
099.99
X
e. Based on Operating Data?
7A.1e
Yes CX3
No [I
7k.2* L
7A.2b
i 3
i 6
------
7A.3b
............
11 fii
............ 1 2 | NA
|
j 4i
j 5j
j
i 7i
.............
i i ............
i
7A.2c
2
7A.2d
099.99
X
7A.2e
[XI
No [I
7A.4a 7A.5a
61
7A.4b
3i *
6!
7A.5b 1
3i
4
6!
1 71
4
1 81 '
|
j jj
1 foi
2
ii 4
4
i 71
41
ii 5
14
ii 8
14
|
i
1
i
1
i 1
P42
1
i 4i
41
jj 7
j 2 j "A
j 5j jj
8
i j i
7A. 4c 7A.5c
7A.4d 099.99
7A.5d
7A.4e
Yes [X]
No
7A.5e
| If additional pages are attached, indicate the total nuaber of pages in this box [2 ] and indicate which page this is, here [II.| +------------------------------------------------------------------------ ----------------- ---- ----------------------------------------------------------------------- .....------------------------------------------------------ --
EPA Form 9250-1 (Rev. 12/4/94) - Previous editions are obsolete.
DO A 054801 CONFTDFNTIAL
EPA
United States Environmentsl 'rotection
gency
EPA FORM R
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
PAGE 7 OF 9
|TRI FACILITY ID NUMBER |
70765THDWCHIGHW
I
|Che*., Cat., or Gen. Name |
. .................................... .
| TETRACHLOROETHYLENE
|
............................................. ...........
|Sect ion 7A. ON-SITE WASTE TREATMENT METHODS AND EFFICIENCY
C ] Not Applicable (NA) - Check here if no on-site 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 c. Range of Influent
Center 3-character code(s)]
Concentration
d. Treatment Efficiency Estimate
7A.2a NA
7A.3a
7A.4a
7A.5a
7A.1b
3i *
6i +
I7A.2b 1
3i *
6i
|7A.3b 1 +
3i *
6!
|7A.4b l
3j
*i
|7A.5b 1
............ i | C11
ii 4 *
ii 7
............ i 2 | NA 1+ i si
1 i *i
1
1 i j
1i
ii 4
ii 7
+*
i 2j
1 1 5i
1
i 8!
1
j j i
i 1
* ii
4 + ii
7 **
j 1
j *i
ii 7
*
1i
j 2j
i 5i 1* i
1 1+
j 2i (
i 5| 1 i j 1
i 2i
j j j
! j
i j
| i
7A.1c 2
7A.2c
7A.3c
7A.4c
7A.5c
7A.1d
099.99
X
|
7A.2d
|
X
|
7A.3d
j
X
j
7A.4d
|
X
j
7A.5d
j
3i
* *i
..........
i 4i
i 7i ............
5j i 1 i 8i
............
j i
X
e. Based on Operating Data?
7A.1e
Yes C]
No CX]
7A.2e
Yes C1
No C]
7A.3e
Yes C1
No C1
7A.4e
Yes C)
No C3
7A.5e
Yes C3
No C1
| |
| If additional pages are attached, indicate the total rxmber of pages in this box [2 ] and indicate which page this is, here [2].|
EPA Form 9250-1 (Rev. 12/4/94) - Previous editions sre obsolete.
DO A 05480? CONFIDENTIAL
EPA
United States Environmental
-otection gency
EPA FORM R PART II. CHEMICAL-SPECIFIC
INFORMATION (CONTINUED)
|Sect ion 7B. ON-SITE ENERGY RECOVERY PROCESSES
[X] Not Applicable (NA) Check here if no on-aite energy recovery ia applied to any waste stream containing the toxic chemical or chemical category.
PAGE 8 OF 9
|T..R...I....F..A..C...I.L..I.T..Y.....1..0....N.U..M.B.E.R....
| 70765THOUCHIGHW
...................................................................................
|Chen., Cat., or Gen. Name ------------------------------------
I TETRACHLOROETHYLENE
---------------- -------------------------------------------------------------------------------+ --
-------------------------------------- -- -----------------------------------------------------------------------------------------------------------------------+
|Section 7C. ON-SITE RECYCLING PROCESSES
|
+----------------------------------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------- +
I [X] Not Applicable (NA) - Check here if no on-site recycling is applied to any waste I stream containing the toxic chemicel or chemical category.
I |
-------------------------------------------------------------- ---------- ----------------------------------------------------------------------------------------------------------------- ----------------------------------------------------
Recycling Methods [enter 3-character code(s)]
1 1 NA | 61 1
-----2|
1
7i .......
1
....... 31
1
8i .......
1
-----41
1
9i ------
1
-----51
1
10 j .......
1
+-------------------------------------------------- ..............-------..............----------...------------------------- ---------------------
EPA Form 9350-1 (Rev. 12/4/94) - Previous editions are obsolete.
% DO A 054803 conf jdenttal
EPA
United States Environmental
-otection gertcy
EPA FORM R
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
Section 8. SOURCE REDUCTION ANO RECYCLING ACTIVITIES
All estimates csn be reported using up to two significant figures.
Co limn A 1994
(pounds/year)
8.1 Quantity released *
7800
Quantity used for energy 8.2 recovery on-site
0
Quantity used for energy 8.3 recovery off-site
0
Co limn B 1995
(pounds/year)
5100
0
0
8.4 Quantity recycled on-site
0
0
8.5 Quantity recycled off-site
0
0
PAGE 9 OF 9
|TRI FACILITY ID NUMBER | .................................................... ..
| 70765THDWCHIGHW
|
.................................................................................
|Chen., Cat., or Gen.Name |
| TETRACHLOROETHYLENE
|
+ ......................................................
|
Colimn C 1996
(pounds/year)
Co limn D 1997
(pounds/year)
5100
5100
00
00
00
00
5 Quantity treated on-site
5300000
4000000
4000000
4000000
8.7 Quantity treated off-site
0
00
0
8.8 Quantity released to the environment as a result of remedial actions, catastrophic events, or one-time events not associated with production processes (pounds/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
+|t-h---e-----r--e---p--o---r--t-i-n---g-..y.e.a.r.?...I.f..n.o..t,--en+te..r.."N..A."..I-n---S--e-c.ti.o.n..8--.10...1..a.n-d---a-n-s.w.e.r..S.e..c.ti.o.n..8...1.1...---------- ...------
Source Reduction Activities I
Methods to Identify Activity (enter codes)
--------+----------C-e-n-t-e-r-.co.d.e(.s).] .....| ......----- ... -- ------- +----------------------- ....--+-------
|8.10.1 |
NA
|a.
|b.
|c.
---- .................... ...................... ..................................................
--+
...........................................+............................................... ..................................--.............
1.8...1..0...2.. -| ---------- -------------......|a...........---- .........+|b........--------- -------- ----|c-.-----
+|8--.1--0-.-3--+-| --------- ........ --....|a.. .....-- ------+|b--.------- ....................+|c-.---- -
+J-8-.-10+.--4 -|---------- ------------------------ ----|a--.--- ------------- .........---- |b--. --------------------------------|+c.....+..
18.111 Is additional optional information on source reduction, recycling, or I | pollution control activities included with this report? (Check one box)
I YES NO | C ] CXJ
------- ...... --....--------------- ... --...-----......---- ------------...-----------...-----.......----------------------------................................................................................................................................................................-.............................. ................................................................................................... .......................--.............................. .............................................................................. ..
* Report releases pursuant to EPRCA Section 329(8) including "any spilling, leaking, pimping, pouring, emitting, emptying, discharging, injecting, escaping, leaching, dumping, or disposing into the environment." Do not include any quantity treated
+, ----o--n---si-t-e--o-r--o-f-f---s-i-te--.------------------ --....---......-----------------------------------....-------------------------------
EPA Form 9250-1 (Rev. 12/4/94) - Previous editions are obsolete.
DO A 054804 CONFIDENTIAL