Document N2w7xvBqaGGYpNEaOmDZbGx3p
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PAGE 1 OF 9
EPA
Jnited States 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 | 70765THDWCHIGHW
................................................................................................
|Chem., Cat., or Gen. Name
FORMIC ACID
WHERE TO SEND COMPLETED FORMS:
1. EPCRA Reporting Center P.0. Box 3348 Merrifleld, VA 22116-3348 ATTN: TOXIC CHEMICAL RELEASE INVENTORY
2. APPROPRIATE STATE OFFICE (See instructions in Appendix F)
|Enter "X" here if I this is a revision
IMPORTANT:
See instructions to determine when "Not Applicable (NA)* boxes should be checked.
|For EPA use only | I
PART I. FACILITY IDENTIFICATION INFORMATION
i
SECTION 1. REPORTING
YEAR
1995
| |Section 2. TRADE SECRET INFORMATION
i ,--*------------------------------------------------------------------------
| | 2.1| Are you claiming the toxic chemical identified on page 3 trade secret?
|j 1 ( 1 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
i i
| SECTION 3. CERTIFICATION (Important: Read and sign after completing all form sections.)
* hearby certify that I have reviewed the attached documents and that, to the best of my knowledge and belief, the submitted .nformation 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.
0r.
1 EPA ' United States
nvironmental rotection
EPA FO PART I. FACILITY IDENTIFICATION
INFORMATION (CONTINUED)
PAGE 2 OF 9
| |TRI FACILITY ID NUMBER
I.
___ ____
i | 70765THDWCHIGHW
i |Chem., Cat., or Gen. Name
| | FORMIC ACID
|SECTION 4. FACILITY IDENTIFICATION (Continued)
|4.2 | This report contains information for:|
| | (Important: check only one)
| a. [X] An entire facility
b. [ 1 Part of a facility
c. [ ] Federal Facility
14.3 | Technical | Name | j Contact 1 DOYLE A. HANEY
| Telephone Number (include area code) j (504)353-6128
|4.4 | Public | Name | j Contact | GERRY DAIGRE
III
|4.5 | SIC Code | j | (4-digit) j a. 2812
|| 14.6 |
| | Degrees
1 | j b. 2821
Latitude
| Minutes
i
| j c. 2869
| Telephone Number (include area code) j (504)353-1602
1
1 | d. NA
1
1 | e.
1 Longitude
1
| Seconds
Degrees
|
Minutes
1 1 1 f-
|
Seconds
III
1
| | Longitude | 030 |
1 19 |
11 |4.7 | Dun & Bradstreet Number(s) I|
ii ii
11
(9 digits)
|4.8 { EPA Identification Number(s) 1{
1
i
i1
(RCRA I.D. No.) (12 characters)
j4.9 | Facility NPDES Permit Number(a) |j
ii ii
1I
(9 charactera)
]4.10| Underground Injection Well Code (UIC) I.D.
| | Number(s) I1
(12 digits)
11
11 00 1 091 |
+
1 1 a. 1 1 b. 1
1 a.
1 b.
1 1 a. i 1 b.
1 a. 1 1 b.
1 16 |
+
008187080
NA
LAD008187080
NA
LA0003301
LA0049638
NA
20
| SECTION 5. PARENT COMPANY INFORMATION
5.1|Name of Parent Company
I [ ] NA
TUB DOW CHEMICAL COMPANY
5.2|Parent Company's Dun t Bradatreet Number|
[ ] NA
|
(9 Digit*)
001381581
EPA Form 9250-1 (Rev. 12/4/94) - Previous editions are obsolete.
rr
EPA
United States nvironmental rotection
Agency
EPA FORM R
PART II. CHEMICAL-SPECIFIC INFORMATION
PAGE 3 OF 9
1 |TRI FACILITY ID NUMBER I
1 | 70765THDWCHIGHW 1 1 |Chem., Cat., or Gen. Rame 1 1 | FORMIC ACID
|SECTION 1. TOXIC CHEMICAL IDENTITY (Important: DO NOT complete this section | if you complete Section 2 below.)
`
jl.ll CAS Number (Important: Enter only one number exactly as it appears on the Section 313 list.
11 11
000064-18-6
ii.ai Toxic Chemical or Chemical Category Name (Important: Enter only one name exactly as it appears on the Section 313 list.)
1 I
1 11
FORMIC ACID
i 1 3 i Generic Chemical Name (Important:
1i
11
NA
Complete only if Part I, Section 2.1 is checked "yes."
|SECTION 2. MIXTURE COMPONENT IDENTITY (Important: DO NOT complete this j section if you complete Section 1 above.).
.
I 1
|2.1| Generic Chemical Name Provided by Supplier (Important: Max. of 70 chars., including numbers, letters, spaces, and punct.)
1 |1
ii
NA
.
1
SECTION 3. ACTIVITIES AND USES OP THE CHEMICAL AT THE FACILITY
1 [Manufacture |the toxic j chemical: -.1|
i
i i i
1 1 1 a- [ I Produce i 1 b. t ] Import
1
1 1 1
1 | Process 3.2 j the toxic
| chemical
1 1 1
i
| 3.3|
|
1 1
Otherwise the toxic chemical:
use
1 1 1 i 1 1 1
i
1 1 i 1 1
a. [X] As a reactant b. [X] As a formulation component
a. [ ] Aa a chemical processing aid b. [ 1 Aa a manufacturing aid
(Important: Check all that apply.) If produce or import:
c. [ ] For on-site use/processing d. [ ] For sale/distribution e. [ ] As a byproduct f. I 1 As an impurity
c. [ ] As an article component d. [ ] Repackaging
c. I ] Ancillary or other use
Section 4.
i
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 9250-1 (Rev. 12/4/94) - Previoua editions are obsolete.
ii
r ONf ^rr'A;
EPA
United States 'nvironmental Protection Agency
EPA FORM R
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
PAGE 4 OF 9
| |TRI FACILITY ID NUMBER
| | 70765THDHCHIGHH
| |Chem., Cat., or Gen. Name | - - ------ --------- ------------------------ -| | FORMIC ACID
| SECTION 5. RELEASES OF THE TOXIC CHEMICAL TO THE ENVIRONMENT ON-SITE
1 1
1
I |5.1 |
1
|Fugitive or non-point air |emissions 1
i
15.2 1
i
|Stack or point air emissions 1
!
| S.3 | j
|Discharges to receiving |streams or water bodies |(enter one name per box)
|S.3.1 Stream or Hater Body Name
|NA 1
15.3.2 Stream or Hater Body Name i
1
|A:
Total Release
i;: (pounds/year)
i
(enter range code from
i
i instructions or estimate) i
ii
1i
ii 1 [X] NAj 11
NA
i i i i
ii
it ]NA| 11
1800
i i i
i
1 1 1
i 1 i
i i
1i
i 1
ii i
ii
Basis of Estimate (enter code)
0
1 C. % From 1 Stormwater 1 1 i
1 1 1 i
i i
i i i i i i i i
3.3 Stream or Hater Body Name
1 1 ii
i
i i
1 i
i i i
|5.4 | i
{Underground infections [on-site i
i
|5.5 1
|Releases to land on-site 1
i
ii 1 CX]NA| 11
i
1 1
ii
NA
i i i
i
15.5.1( Landfill 11
11 |5.5.2| Land treatment/ | | application farming 11
i
| 5.5.3 | Surface impoundment 11
|5.5.4| Other disposal 11 i
1 fX)NA| 11
i1
NA
11 i tX]NA|
11
ii
1 [X] NA| 11
!i
1 [X]NA| 11
NA NA NA
i i
i i i i i
i i
i i i
| ( ] Check here only if additional Section 5.3 information is provided on page 5 of this form. 1
i i i i i
i i i
i i i i i i i i i 1 i i
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.
i i i !
1 1 1 1 1
1 1 1 1
1 1 1 1
I I
1 1
t 1
l 1
1 I
1 1
1 1 1 1 |
1 1 1 l
1 1 1 l
1 1 1 1 1
1 1 1 I
1 1 1
1 1 1
C ONF T OFNT T
EPA
'Inited States nvironmental
Protection Agency
EPA FORM R
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
PAGE 5 OF 9
Itri facility id number
..............................................................................................
| 70765THDHCHIGHH
.....................................
|Chem., Cat., or Gen. Name i---------- --------- -------------------------| FORMIC ACID
Section 5.3 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) | B.
Basis of
| (enter range code from
i Estimate
j instructions or estimate) i (enter code)
5.3.4 Stream or Hater Body Name
jc. % From i Stormwater i
5.3.5 Stream or Hater Body Name
5.3.6 Stream or Hater Body Name
SECTION 6. TRANSFERS OF THE TOXIC CHEMICAL IN HASTES TO OFF-SITE LOCATIONS
6.1 DISCHARGES TO PUBLICLY OHNED TREATMENT HORKS (POTH)
6.1.A Total Quantity Transferred to POTHs and Basis of Estimate
'6.1.A.1 Total Transfers (pounds/year) (enter range code or estimate)
6.1.A.2 Basis of Estimate (enter code)
NA |6.1.B POTH Name and Location Information |6.1.B.1| POTH Name
6.1.B.2| POTH Name
| Street Address
Street Address
| City j State
j County
+ ------- -I j Zip Cods I
City State
|County
|Zip Code I
| If additional pages of Part II, Sections 5.3 and/or 6.1 are attached, indicate the total number of j pages in this box [ ] and indicate which Part II. Sections 5.3/6.1 page this is, here. [1 ]
j (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 pounds; C - 500 - 999 pounds.
DO O 0^8--' - 0Nr'i TA`
| EPA
I I United States
Environmental rotection
i Agency
EPA FORM R
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
PAGE 6 OF 9
_jT-R-I F- A-CI-LIT-_Y_I_D,, .N_U_M_B_E_R_- I
--------------| 7076STHDHCHIGHH
-----------------------------------------------
|
*
|Chem., Cat., or Gen.Name |
------------------------------------------------------------------------------------ *
| FORMIC ACID
|
|SECTION 6.2 TRANSFERS TO OTHER OFF-SITE LOCATIONS
.....................................................................................
|6.2.1 Off-site EPA Identification Number (RCRA ID No.) j NA
| Off-Site Location Name
| Street Address
City I
| State
|Zip Code
|A. Total Transfers (pounds/year) | (enter range code or estimate)
|B. Basis of Estimate | (enter code)
| County
Is location under control of reporting
[ ] YES
[ ) NO
|
|C. Type of Haste Treatment/Disposal/ j Recycling/Energy Recovery (enter code)
I
| |
I
1.
|2. |2.
3. 13. |4. I 4
I2 --
3. --
ACTION 6.2 TRANSFERS TO OTHER OFF-SITE LOCATIONS ,-.2.2 Off-site EPA Identification Number (RCRA ID No.) I NA | Off-Site Location Name
| Street Address
I City
County
I I
| State
I Zip Code
| Is location under control of reporting
[ ] YES
[ ) NO
A. Total Transfers (pounds/year) | (enter range code or estimate)
|B. Basis of Estimate j (enter code)
|C. Type of Haste Treatment/Disposal/ I Recycling/Energy Recovery (enter code)
|
i |
ll. llii
! 2 - 12 i
|3. 13 i
1 4 . |4.
ll. i
12 i
13 i
14
| If additional pages of Part II, Section 6.2 are attached, indicate the total number of pages in
| this box [ ] and indicate which Part II, Sections 6.2 page this is, here. [1 ] j (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 pounds; C - 500 999 pounds.
1
1 1
1 1
1 1
I I |
nr. o ?,3sr
| EPA
I | United States
Environmental rotection
, Agency
I
EPA FORM R
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
I Section 7A. ON-SITE WASTE TREATMENT METHODS AND EFFICIENCY
| [ ) Not Applicable (NA) - Check here if no on-site treatment is applied to | any waste stream containing the toxic chemical or chemical category.
Ia- General Waste Stream
(enter code )
b. Waste Treatment Method(s) Sequence |c. Range of Influent
[enter 3-character code(s)]
| Concentration
7A. lb
7A.1C
1 | P99
2 NA
----------------
+
3I
I 4|
I 5|
+------------------------ +
+
t 7i i 8 i
d. Treatment Efficiency Estimate
7A. Id
000.00
%
7A.2a NA
7A.2b
3I + -
6I
1I
* I *I
+
+-
I 7I
I 2I
I 5| '
I 8|
7A.2C
7A.2d
7A.3a
7A.3b
1I I 2
7A.3C
7A. 3d
3I
7A.4a
7A. 4b
I 7I
I 8|
7A.4C
7A.4d
PAGE 7 OF 9
ITRI FACILITY ID NUMBER I
..................................................................................
| 7076STHDWCHIGHW
.......__--------------------------------------------
|
|Chem., Cat., or Gen.Name |
---------------- --------------
I FORMIC ACID
|
e. Based on Operating Data?
7A.le
Yes [I
[X]
7A.2e
Yes []
No [1
7A.3e
Yes [1
No
7A.4e
3I
7A. 5a
7A.Sb
I <I 6I
I* I 2| I8
7A.5C
7A.5d
till
7A.Se
Yes []
[)
If additional pages are attached, indicate the total number of pages in this box [ ] and indicate which page this is, here [1] . EPA Form 9250-1 (Rev. 12/4/94) - Previous editions are obsolete.
| EPA
| | United States
'nvironmental rotection
, Agency
EPA FORM R PART II. CHEMICAL-SPECIFIC
INFORMATION (CONTINUED)
Section 7B. ON-SITE ENERGY RECOVERY PROCESSES
[X] 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)]
PAGE 8 OF 9
| TRI FACILITY ID NUMBER |
.......- -.... .................................*
| 70765THDWCHIGHM
I
*---------------------- -------------------------
|Chem., Cat., or Gen.Name |
| FORMIC ACID
I
1
i 1 | NA
2i i
3i i
i *
|Section 7C. ON-SITE RECYCLING PROCESSES
>----------------------------------- --- -- -------------- ---------- -- ---- ------------ --- -------
(X] 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))
l | NA |
----------------------- - -
7I
3I
I 9I
10
- - - -------------------
EPA Form 9350-1 (Rev. 12/4/94) - Previous editions are obsolete.
Dr 1 4' i
| EPA
I I United States
'.nvironmental rotection i Agency
I
EPA FORM R
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
PAGE 9 OF 9
| TRI FACILITY ID NUMBER
..................................................................................................
------- -------- -| 70765THDWCHIGHW
---------------------------------------
IChem., Cat., or Gen. Name ------------ ------------------- --------------| FORMIC ACID
I Section 8. SOURCE REDUCTION AND RECYCLING ACTIVITIES I
| All estimates can be reported S using up to two significant | figures.
1 1 1
11 1 a. i |Quantity released *
11
i
1 8.2 1
(Quantity used for energy (recovery on-site
i
1 1 8.3 1 i
1 8 4 1
|Quantity used for energy jrecovery off-site 1
1 |Quantity recycled on-site 1
1 1 1
1 1 1
1 1
1 1 1
1 1 8.5
1 1
1 (Quantity recycled off-site
i
i
ii
| 8.6 |Quantity treated on-site
1i
i
1
1 1 1
i
1 1 1
js.7
1 1
i
|Quantity treated off-site
1 1
1 1 1
Column A 1994
(pounds/year) 1800 0
0
0
0
0
0
1 Column B I 1995 1 (pounds/year)
1
1 1800 1
i
10 1 i
10 1 i
10 1
11
10 1 1
1 10 1 1
i
10 1 1
18.8
Quantity released to the environment as a result of remedial actions, catastrophic events, or one-time events not associated with production processes (pounds/year)
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1
1 1 1
1 1 1 1
Column C 1996
(pounds/year) 1800 0
0
0
0
0
0
1 Column D 1 1997 1 (pounds/year) i
1 1800 1
1 10 1
I
10 1
1 10 1
1
10 1 1
1 10 1 1
1 10 1 1
|8.9 |Production Ratio or Activity Index
I 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 |
Methods to Identify Activity
| (enter code(s)] |
18.10.1 1
NA
|a.
ib-
(8.10.2 |
|a. ib.
18.10.3 |
|a. |b.
18.10.4 |
|b. |a.
8| .11| Is additional optional information on source reduction, recycling, or j | pollution control activities included with this report? (Check one box)
(enter codes)
l=ic. ic. |c-
|1
tYES )
N[OX]
*| Report releases pursuant to EPRCA 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 9250-1 (Rev. 12/4/94) - Previous editions are obsolete.
roNrinrN M,
