Document QX5nnOLBg1ne5roxMeQY8Qmx5
Form Approved 0MB Number: 2070-0092
(IMPORTANT: Type or print; read instructions before completing form) Approval Expires: 11/92
PAGE 1 OF 9
.................................................................................
EPA FORM R
TOXIC CHEMICAL RELEASE
|TRI FACILITY ID NUMBER
|
..... ..............................................................
nited States
INVENTORY REPORTING FORM
| 70765TH0WCHIGHU --- .......................................
| f
Environmental
Section 313 of the Emergency Planning and Comnunity Right-to-Know Act of 1986, |Chem., Cat., or Gen.Name |
Protection
also known as Title III of the Superfund Amendnents and Reauthorization Act
Agency
1,4-DIOXANE
WHERE TO SEND COMPLETED FORMS:
1. EPCRA Reporting Center P.0. Box 3348 Merrifield, 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 |
PART I. FACILITY IDENTIFICATION INFORMATION
+----------------------------------------------------------------------------------
Section 2. TRADE SECRET INFORMATION ------ ------------ -------------------------------------------
2.1 Are you claiming the toxic chemical identified on page 3 trade secret?
[ ] Yes (Answer question 2.2;
[X] No (Do not answer 2.2;
Attach substantiation forms)
Go to Section 3)
1995
| | 2.2| If yes in 2.1, is this copy:
[ ] Sanitized
[ ] Unsanitized
|
---------- +-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------ --------------------------------- -----------------------
............................................................................................................................................... ...........--- +
---S--E-C--T-IO--N---3--.----C-E--R-T--IF--I-C-A--T-I-O-N----(-I-m--p--o-r-t-a-n-t-:---R-e--a-d--a--n-d---s-ig--n---a--f-t-e--r--c--o-n--p--le--t-in--g--a--l-l---f-o--rm -s--e-c- t-i-o--n-s--.-)---------------- ------------- --.....--------- |
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 data available to the preparers of this report.
Facility or Establishment Name THE DOW CHEMICAL COMPANYLOUISIANA DIVISION
Street Address
HIGHWAY 1 SOUTH;P.O. BOX 150
City PLAQUEMINE 4.1+State LA
Mailing Address (if different from street address) N/A
City N/A
State LA
Zip Code 70765-0150
EPA Form 9250-1 (Rev. 12/4/94) - Previous editions are obsolete.
TRI Facility ID Number 70765THDWCHIGHW
County
I IBERVILLE/WBR PARISH
|Zip Code 70765-0150
r , ^ O r, T S
c ot\ir t nr NT t ai
EPA United States
nvironmental rotection Agency
EPA FORM R PART I. FACILITY IDENTIFICATION
INFORMATION (CONTINUED)
PAGE 2 OF 9
tTRI FACILITY ID NUMBER |
................................................................................ ...
| 70765THDWCHIGHU
|
.................................... ....................
|Chem., Cat., or Gen.Name |
+------------------------------------------------------------
| 1,4-DIOXANE
|
|SECTION 4. FACILITY IDENTIFICATION (Continued)
|4.2 I This report contains information for:I
I | (Important: check only one)
| a. [X] An entire facility
b. [ ) Part of a facility
c. [ ] Federal Facility
3 Technicall Name I Contact I DOYLE A. HANEY
------ .............................................................
14.4 Public
Name
Contact GERRY DAIGRE
Telephone Nunber (include area code) (504)353-6128
Telephone Ninfcer (include area code) (504)353-1602
4.5 SIC Code (4-digit)
a. 2812
---H
1 Latitude j 4.6
and
Degrees
Longitude
030
b. 2821
Latitude i
Minutes i
19
c. 2869
d. NA
] Longitude
1 11 i
Seconds
Degrees
Minutes
iiii
00 091
16
Seconds 20
4.7 Dun & Bradstreet Nmber(s) (9 digits)
008187080
b. NA
EPA Identification Nunber(s) (RCRA I.D. No.) (12 characters)
a. LAD008187080 b. NA
4.9 Facility NPDES Permit Nimfcer(s) (9 characters)
a. LA0003301
4.10 Underground Injection Well Code (UIC) I.D.
Number(s)
(12 digits)
....--------+---------------------------------------------------------------------
+------------------------------------------------------------------------------------
|SECT ION 5. PARENT COMPANY INFORMATION
-------------+
--------------------------------------------------------------
5.1|Name of Parent Coepany | -------------------------- ------------
| M NA
|
THE DOW CHEMICAL COMPANY
-- -------------- --------------------... -- ...+--------------- ..........
5.2|Parent Company's Dun t Bradstreet Niafcer|
..................------------------- ------------------
... ......................................
|t ) NA
|
(9 Digits)
001381581
---............. .... .... --- --------------------------------------......
EPA Form 9250-1 (Rev. 12/4/94) - Previous editions are obsolete.
b. LA0049638 a. NA b.
CONflOrNTTA,
........................................................................................................................................................................................................................................................................................................................ *
EPA EPA FORM R
United States
nvironmental
Protection
I Agency
PART II. CHEMICAL-SPECIFIC INFORMATION
........................................................................................................................................................... .
SECTIO..N.....1.......T..O...X..I.C.....C...H..E...M..I.C...A..L.....I.D...E..N...T...I.T..Y.....(..I.m....p...o..r..t.a...n...t.:....D...O....N. .O...T.. .c..o...m....p..l.e..t.e.....t.h...i.s.....s...e..c...t.i.o...n.................................. ............. ...... -
if you complete Section 2 below.)
....... ............................................................................................................................................. -.........................................................................
-- ------.....................................................
1.1| CAS Nunber (Important: Enter only one nunber exactly as it appears on the Section 313 list.
PAGE 3 OF 9 .................--........... ..
|TR1 FACILITY ID NUMBER ................ .................
| 70765THDWCHIGHU .............. ................... .................
|Chem., Cat., or Gen. Name
........................................................... ...............
| 1,4-DIOXANE
|
---------------------------------- -
| 000123-91-1
I
-- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- *
1.2| Toxic Chemical or Chemical Category Name (Inportant: Enter only one name exactly as it appears on the Section 313 list.)
|
............................................................................................................................................................................................................................................................................................
| 1,4-DIOXANE
|
.. .................................................................................................................................................................................................... .
1.31 Generic Chemical Name (Important: Complete only if Part I, Section 2.1 is checked Myes.M
|
........................................................................... 7..............................................................................................................................................................................................................
I NA
|
+......................... .... ................................................................. -................... ....... ......... .... .................--- ...--- ----- +-- ................................................................................................................................................................................................................................................................................................................................. -.................................................................................................... -
SECTION 2. MIXTURE COMPONENT IDENTITY (Important: DO NOT complete this
+--..... -- - - ----- .....-------- .... --se.c.t.io..n..i.f..y.o.u..c.o.m..p.le.t.e..S.e.c.t--ion..1..a.b.o.v--e-.-)--- ....... --........-----..... --. --....-----..
2.1 Generic Chemical Name Provided by Supplier (Important: Max. of 70 chars., including nuntoers, letters, spaces, and punct.)
NA
ECTION 3. ACTIVITIES AND USES OF THE CHEMICAL AT THE FACILITY
Manufacture the toxic chemical:
a. [X] Produce b. [ ] Import
(Important: Check all that apply.) If produce or import:
c. ( ] For on-site use/processing d. [ ] For sale/distribution e. (XI As a byproduct f. [X] As an impurity
Process 3.2 the toxic
chemical
a. C I As a reactant b. [ ] As a formulation component
c. C I As an article conponent d. CXI Repackaging
+---- --------------- +----------------------------------------...--------------- -------------------------------------------------------------------------------- -
Otherwise use 3.3 the toxic
chemical:
a. ( ] As a chemical processing aid b. ( ] As a manufacturing aid
c. [X] Ancillary or other use
Section 4. MAXIMUM AMOUNT OF THE TOXIC CHEMICAL ON-SITE AT ANY TIME DURING THE CALENOAR YEAR
4.1|
01
(Enter two-digit code from instruction peckage.)
EPA Form 9250-1 (Rev. 12/4/94) - Previous editions are obsolete.
i
DO 0 0^,- Q>\ir 1 OFNT T Ai
EPA
United States "nvironmental xotection Agency
EPA FORM R
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
PAGE 4 OF 9
|TRI FACILITY ID NUMBER |
......................................................................................
| 70765THDWCH1GHW
|
............... --.............................................................
jChem., Cat., or Gen. Name |
| 1,4-DIOXANE
--................................
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
[X]NA NA
5.2 Stack or point air emissions
C JNA
30
0
5.3 Discharges to receiving 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
>
|
i
5.4 Underground injections on-site
5.5 Releases to land on-site
00 NA NA
5.5.1 Landfill
DONA NA
5.5.2 Land treatment/ application farming
DONA NA
5.5.3 Surface impoundment
DONA NA
5.5.4 Other disposal
------- -
DONA NA
C ] Check here only if additional Section 5.3 infonaation ia provided on page 5 of thia form.
>
EPA Form 9250-1 (Rev. 12/4/94) Previous editions are obsolete.
Range Codes:
A 1-10 pounds; B 11-499 pounds; C 50A- 999 pounds.
no A OSA.'TO, r ONT T or NT T A!
...................................................................................................................................................................................................................................................................................................................................................
EPA EPA FORM R
PAGE 5 OF 9
......... .................. ......*
|TRI FACILITY ID NUMBER
|
United States Environmental
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
| 70765THDWCHIGHU
|
....................................... .
Protection | Agency
|Chem., Cat., or Gen. Name |
......................................... ..
| 1,4-DIOXANE
|
. ................... ............................................................................................................................................... -................................................................................................................................................................................................
.................................
................................................ ................ ............................................................... ............................................. .........-- ........ "**
ISect ion 5.3 ADDITIONAL INFORMATION ON RELEASES OF THE TOXIC CHEMICAL TO THE ENVIRONMENT ON-SITE
I
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)
C. X From Stormwater
|5.3.4 Stream or Water Body Name
|
................................................................................................................................................*
II
......................................................................................................................... ..............................................................
.........................................-........................................ *........................................................................
|5.3.5 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)
.1.A Total Quantity Transferred to POTWs and Basis of Estimate
I6.1.A.1 Total Transfers (pounds/year) | (enter range code or estimate)
I6.1.A.2 Basis of Estimate | (enter code)
---------- ---------------------------------------------------------------------------------------------------------- -------------------------------------------- -
I -------N-A--- - -- ..............------......
|6.1.B POTW Name and Location Information
.......... .
I6.1.B.1I POTW Name
Street Address
-------
i
*--
|6.1.6.2 POTW Name
-------- ---------
Street Address
+
City
Couity
City
County
State
Zip Coda
State
Zip Code
---- - -- - --.....----- ......................--..........-- ....... .............--- ...........-- ----------------------------+
If additional pages of Part II, Sections 5.3 and/or 6.1 are attached, indicate the total number of pages in this box [ ] and indicate which Part II, Sections 5.3/6.1 page this is, here. [1 ]
------- ------------------------------ ------- .........------ ----(e-x-a-m-p-l-e-: -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.
( ONF 1 [Ft NT T A:
+ EPA
United States tv i rormenta l rotection
Agency
EPA FORM R
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
|SECTION 6.2 TRANSFERS TO OTHER OFF-SITE LOCATIONS
6.2.1 Off-site EPA Identification Number (RCRA ID No.) NA
| Off-Site Location Name | Street Address
| City
PAGE 6 OF 9
|TRI FACILITY ID NUMBER
|
................. -........................................................................ ....
| 70765THDWCHIGHW
|
........................................................ ..
|Chem., Cat., or Gen. Name |
.........................................................................
| 1,4-DIOXANE
|
.......................................
|
11
| 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/ Recycling/Energy Recovery (enter code)
|, 1-
1, ,
k 3-
..
i- i
j2. . i3-
1
|SECTION 6.2 TRANSFERS TO OTHER OFF-SITE LOCATIONS 16.2.2 Off-site EPA Identification Nusber (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/ Recycling/Energy Recovery (enter code)
I, 1.
k 2-
3. 3.
k *
1 1
3. 1
f additional pages of Part 11, Section 6.2 are attached, indicate the total nutber of pages in this box ( ) and indicate which Part II Sections 6.2 page this is, here. (1 ]
(example: 1,2,3,etc.)
EPA Form 9250-1 (Rev. 12/4/94) - Previous editions ore obsolete.
Range Codes:
A * 1-10 pounds; B * 11-499 pounds; C > 500k- 999 pounds.
DO A 0F.4P57 C.ONF T OF NT T Al
EPA
United States 'nvironmental .-'rotection Agency
EPA FORM R
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
PAGE 7 OF 9
----------------------------------- -
|TRI FACILITY ID NUMBER |
----------------------------------
| 70765THDWCHIGHW
|
........ ...............................
|Chem., Cat., or Gen.Name |
| 1,4-DIOXANE
I Sect ion 7A. ON-SITE UASTE TREATMENT METHODS AND EFFICIENCY
| C ] 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 )
7A.1a
A
7A.1b
+ ....
31
f - - - 61
................. .................
1 | A01 1 2 | NA
1
+............
------ - *
............
............
I 41
I 51
1
............
+............
+............
1 7|
1 81
+............
---- -
1
7A.1c 1
d. Treatment Efficiency Estimate
7A.1d
099.00
X
7A.2a P----
NA
7A.3a
7A.2b
3i *i
*
7A.3b
3 jl
11 i 4i
i 7i
+
11 j 4j
i 21 * i 5j
+
i i
I 2i
i j 5j
| 7A.2c
-+ --------------------------------
|
j
i
7A.3c I i
* i
7A.2d X
7A.3d X
j
j ai
|
6! 7 J
e. Based on Operating Data?
7A.1e
Yes t]
No CX]
7A.2e
[1
NO [1
7A.3e
i
C)
FI V [)
7A.4a 7A.5a
7A. 4b
3i
+
6i
7A.5b
3i *
*i *
11
i 4i
* i 7i *
11
i 4i
7i i *
1 i
21
i 5j
* i 8j
I 2j i * j 5i
j
8!
1 j i
j
1 i * i
i
7A.4c 7A.5c
7A.4d X
7A.4e
i
Yes [)
NO t1
7A.5d X
7A.5e
1
[]
NO []
additional pages are attached. indicate the total muter of pages in this box [ ] and indicate which page this is here m.
EPA Form 9250 1 (Rev 12/4/94) Previous editions are obsolete.
DO A 05)40 OB ONF T OF NT T Ai
EPA
United States nvironmental
.'rotection Agency
EPA FORM R PART II. CHEMICAL-SPECIFIC
INFORMATION (CONTINUED)
|Sect ion 7B. ON-SITE ENERGY RECOVERY PROCESSES
CX] Not Applicable (NA) - Check here if no on-site energy recovery is applied to any waste stream containing the toxic chemical or chemical category.
PAGE 8 OF 9
|TRI FACILITY 10 NUMBER
|
........... . --..................... .
| 70765THDWCHIGHU
f
........ ....... ....................... .
|Chem., Cat., or Gen. Name | ................ ------------------------- --
| 1,4-DIOXANE
|
................................................................................................................................................................ ........................................................................................................................................................................................................................................................................................
|Sect ion 7C. ON-SITE RECYCLING PROCESSES
I
[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 Center 3-character code(s)]
i i na i
6| 1 .....................
2i i
71 -----
i
3i i
*i ..........
i
4i i
91 ..........
i
5i i
10 1 --------
i
EPA Form 9350-1 (Rev. 12/4/94) - Previous editions are obsolete.
DO A Oc.A?cc-` C ONF T Of NT T Ail
EPA
United States nvironmental
Protection Agency
EPA FORM R
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
PAGE 9 OF 9
----------------------------------------------------------------
|TRI FACILITY ID NUMBER
-----------------------------
I 70765THDWCHIGHW
4.----------------------------------------------------------------
|Chem., Cat., or Gen. Name -----------------------------------------------
I
| 1,4-DIOXANE
......................................................................................................................................................................................................... .
I Sect ion 8. SOURCE REDUCTION AND RECYCLING ACTIVITIES
I
All estimates can be reported using up to two significant figures.
Colimn A 1994
(pounds/year)
Colutn B 1995
(pounds/year)
Colimn C
1996 (pounds/year)
Colimn D 1997
(pounds/year)
8.1 Quantity released *
0
30 30
30
Quantity used for energy 8.2 recovery on-site
0
00
0
Quantity used for energy 8.3 recovery off-site
0
00
0
8.4 Quantity recycled on-site
0
00
0
8.5 Quantity recycled off-site
8.6 Quantity treated on-site
0 0
0
+' 0
0 0
0 0
8.7 Quantity treated off-site
---------------------------------------------------- 4---------------------------------- ------------------.....----------
8.8 Quantity released to the envirorment as a result of remedial actions, catastrophic events, or one-time events not associated with production processes (pounds/year)
|8.9 |Product ion Ratio or Activity Index
4-----------4--4............... .......................................................... ................................... ...
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.
0001.09
Source Reduction Activities [enter eode(s)]
|8.10.1 |
NA
|8.10.2 |
Methods to Identify Activity (enter codes)
|b. Ic|b. Ic-
|8.10.3 |
..........................-
|8.10.4 |
a. |ba. lb.
8.11| Is additional optional information on source reduction, recycling, or pollution control activities included with this report? (Check one box)
lc-
Ic-
YES [1
NO 00
Report releases pursuant to EPRCA Section 329(8) including "any spilling, leaking, punping, pouring, emitting, emptying, discharging, injecting, escaping, leaching, (imping, 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.
nr 1 a C'r.4;c-,r f r>r.r roFNT ta: