Document N2pJk9LVpKypBMR4q5Zoer7Lb
(IMPORTANT. Type orpnnt; read instructions before completing form)
Form Approved OMB Number 2070-0093 Approval Expires 04/2000
Page 1 of 9
jns CDA o erM
United States
Environmental Protection Agency
FORM R TOXIC CHEMICAL RELEASE w rv INVENTORY REPORTING FORM
uSection 313 of the Emergency Planning and Community Right-to-Know Act of 1986.
also known Tide III of the Superfund Amendments and Reauthorization Act
TRI FACILITY ID NUMBER
70765THDWCHIGHW
Toxic Chemical. Category or Generic Name
FORMIC ACID
WHERE TO SEND COMPLETED FORMS:
I. EPCRA Reporting Center
2. APPROPRIATE STATE OFFICE
PO 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 I. 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;
1__ 1 Attach substantiation forms)
x No (Do not answer 2.2; A Go to Section 3)
2.2 If yes in 2.1, is this copy; | | Sanitized j
Unsanitized
SECTION 3. CERTIFICATION (Important: Read and sign after completing all form sections
I hereby 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 data available to the preparers of this report.
ame and official title ofotvner/operator or senior management official ENVIRONMENTAL MANAGER Date Signed
07-24-97
SECTION 4. /ACILITY IDENTIFICATION
Facility or Establishment Name
THE DOW CHEMICAL COMPANY Str et Address
LOUISIANA DIVISION
HIGHWAY 1 SOUTH;
City
PLAQUEMINE
State
LA
Mailing Address (if different from street address)
N/A
City
N/A State LA
Zip Code 70765-0150
TRI Facility ID Number 70765THDWCHIGHW
P.O. BOX 150 County IBERVILLE/WBR PAR Zip Code 70765-0150
PUT LABEL HERE
EPA Form 9350-1 (Rev. 04/97) - Previous editions are obsolete. Printed using AFR for Windows 1.0 on
7/24/97
DO A 055381 CONFIDENTIAL
& EPA
United States
Agencymenta'Protection
___________________
EPA FORM R
PART 1. FACILITY IDENTIFICATION INFORMATION (CONTINUED)
Page 2 of 9
TRI FACILITY ID NUMBER 70765THDWCHIGHW
Tome Chemical. Category or Generic Name
FORMIC ACID
SECTION 4. FACILITY IDENTIFICATION (continued)
4.2 This report contains information for:
(Importantcheck a or b: check c if aDDlicable
.--. An entire a. | x | facility
.--. b. ||
Part of a
___ _ A Federal
facility c. | | facility
4.3 Technical Contact Name
DOYLE A. HANEY
4.4 Public Contact
Name DONNA CARVILLE
Telephone number (include area code) (504) 353-6128
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
Lonaitude 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)
Underground Injection Well Code (UIC) I.D.
4.10 Number(s)
(12 digits)
a. LA0003301 b. LA0049638
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< <
EPA Form 9350-1 (Rev 04/97) - Previous editions ere obsolete. Printed using AFR for Windows 1.0 on 7/24/97
DO A 05538? CONFIDENTIAL
-epa
United States Environmental Protection Agency
EPAFORM R PART II. CHEMICAL-SPECIFIC
INFORMATION
TRI FACILITY ID NUMBER
70765THDWCHIGHW
Pag 3 of 9
Toxic Chemical. Category or Generic Name
FORMIC ACID
SECTION 1. TOXIC CHEMICAL IDENTITY
JSSSfifS&",,Tb.low.)
1.1 CAS Number (Important: Enter only one number exactly as it appears on the Section 313 Nst. Enter category code if reporting a chemcal category.)
000064186
1.2 Tone Chemcal or Chemcal Category Name (Important: Enter only one name exactly as it appears on the Section 313 list.)
FORMIC ACID
1.3 onlyGenenc Chemcal Name (Important: Complete
if Part 1. Section 2.1 is checked "yes". Genenc Name must be structurally descriptive)
NA
(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, end punctuation.) NA
SECTION 3. ACTIVITIES AND USES OF THE TOXIC CHEMICAL AT THE FACILITY
(Important: Check all that apply.) If produce or import:
3.1
Manufacture th toxic
chemical:
a. Q Produce b. Q Import
c. Pj d e. Q f.
For on-site use/processing For sale/distribution As a byproduct As an impurity
Process 3.2 the toxic
chemical:
a. [X] As a reactant b. [X] As a formulation component
c. Q As an article component d. Repackaging
Otherwise use 3.3 th toxic
chemical:
a. Q As a chemical processing aid b. Q As a manufacturing aid
c. j Ancillary or other us
SECTION 4.
4.1 05
MAXIMUM AMOUNT OF THE TOXIC CHEMICAL ON-SITE AT ANY TIME DURING THE CALENDAR YEAR
(Enter two-digit code from instruction package.)
EPA form 9350-1 (Rev. 04/97) - Pr vious editions ar obsolete. Printed using AFR for Windows 1.0 on 7/24/97
DO A 055383 CONFIDENTIAL
'& epa
United States Environmental Protection Agency
EPAFORM R PART II. CHEMICAL-SPECIFIC
INFORMATION (CONTINUED)
TRI FACILITY ID NUMBER
70765THDWCHIGHW
Page 4 or 9
Toxic Chemical. Category or Generic Name
FORMIC ACID
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.% From St rmwat r
5.1 Fugitive or non-point air emissions
[XJNA
5.2 Stack or point air emissions
Discharges to receiving 5.3 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
5.3.3 Stream or Water Body Name
NA 2000
0
* " --
i
5.4.1 5.4.2
Underground injections on-site to Class f Wells Underground injections on-site to Class fi-V Wells
5.5 Di.po.ai to land on-.it.
HNA
X NA
5.5.1A RCRA Subtitle C landfills
px] NA
:
5.5.1 B Other landfills
5.5.2
Land treatment/ application farming
5.5.3 Surface impoundment
5.5.4 Other disposal
pX~| NA
0"
>,
u,
:*y
'
| | Check here only if additional Section 5.3 information is provided on page 5 of this form.
'
A 055384 CONFTDFNTTAI EPA Form 9350 -1 (Rev. 04/97) - Previous editions are obsolete. Printed using AFR for Windows 1.0 on 7/24/97
S. EPA
United States Environmental Protection Agency
EPAFORM R PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
Page 5 of 9 Rl FACILII Y ID NUMBER 70765THDWCHIGHW
Toxic Chemical, Category or Generic Nam i FORMIC ACID
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. % Fr m
' Stormwater
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 T tal Quantity Transferred to POTWs and Basis of Estimate
6.1.A.1 Total Transfers (pounds/year) (enter range code or e$tiroat2)Basis of Estimate (enter code)
NA
6.1.B POTW Name and Location Information
6.1.B.1 POTW Name
61.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 boxHnand indicate which Part II, Section 5.3/6.1 pag this is, hereTjl (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
DO A 055385 CONFIDENTIAL
EPA
United States Environmental Protection Agency
EPA FORM R PART ||. CHEMICAL-SPECIFIC
INFORMATION (CONTINUED)
Pag6 b or y
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 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------1 |____|
i----- 1 |___ |
g Basis of Estimate (enter code)
C. Type of Waste Treatment/Disposal/
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.) co
D.a.a
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 |___ |
i----- ] |___ |
g Basis of Estimate
(enter code)
C. Type of Waste Treatment/Disposal/
Recycling/Energy Recovery(enter code)
1. 1.
2. 2.
3. 3. 4. 4.
DO A 055380 CONFIDENTIAL
If additional pages of Part II, Sect! n 6.2 are attached, indicate th total number of pages in this box 1 and indicate which Part II, Section 6.2 page this is, here. 1 ( xampl : 1, 2, 3, etc.)
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
.& EPA
United States Environmental Prot ction Agency
EPA FORM R
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
Pag 7 of 9
IKI FACILITY 10 NUMBER
70765THDWCHIGHW
Toxic Chemical. Category or Generic Name
FORMIC ACID
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)]
7A.1a
7A.1b
P99 NA
c. Range of Influent Concentration
7A.1c
d. Waste Treatment Efficiency Estimate
7A.1d
e. Based on Operating Data7
7A.1e
7A.2a
7A.2b
7A.2c
0%
7A.2d
Yes No
0
7A.2
NA
7A.3a
7A.3b
7A.3c
0%
7A.3d
Yes No
7A.3
7A.4a
7A.4b
7A.5a
7A.5b
7A.4c 7A.5c
% 7A.4d
% 7A.5d
Yes No
7A.4e
Yes No
7A.5e
Yes No
%
If additional copies of page 7 are attached, indicate the total number of pages in this box [ i [ 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 055387 CONFIDFNTTAl
-&EPA
United States Environmental Protection Agency
EPAFORM R PART II. CHEMICAL-SPECIFIC
INFORMATION (CONTINUED)
Pag 8 of 9
TRI FACILITY ID NUMBER
70765THDWCHIGHW
Toxic Chemical. Category or Generic Name
FORMIC ACID
SECTION 7B. ON-SITE ENERGY RECOVERY PROCESSES | | Not 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 | j Not Applicable (NA) - Check here if no on-site recycling is applied to any waste
stream containing the toxic chemical or chemical category.
Recycling M thods [enter 3-character code(s)]
NA 2. 3. 4. 5. 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 055388 CONFIDENTIAL
United States Environmental Protection Agency
epaform r
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
Pag 9 of 9
TRI FACILITY ID NUMBER
70765THDWCHIGHW
Toxic Chemical. Category or Genenc Name
FORMIC ACID
SECTION 8. SOURCE REDUCTION AND RECYCLING ACTIVITIES
All quantity estimates can be reported using up t two significant figures.
Column A Prior Year
(pounds/year)
Column B
Current Reporting Year
(pounds/year)
Column C Following Year
(pounds/year)
Column D
Second Following Year
(pounds/year)
8.1 Quantity released*
1800
2000
2000
2000
8.2
Quantity used for energy r covery on-site
0
0
0
0
Quantity used for energy 8.3 recovery 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 t of
8.8 remedial actions, catastropic events, or one-tlnris 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
[#ntf cod*(t)l
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.
s additional optional information on source reduction, recycling, or 8.11 pollution control activities included with this report? (Check one box)
YES ||
NO x
Report releases pursuant to EPCRA Section 329(8) including 'any spilling, leaking, pumping, pouring, emitting, emptying, discharging, injecting, 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
DO A 055389 CONFIDENTIAL