Document XzQE7Vn5pjROnJEo579LX0VJ
(IMFCHTANT: Type or print; read instructions before completing form)
Form Approved OMB Number 2070-0083 Approval Expire*: 11/92
Page 1 Of 9
$Jpa /sited Statu Environmental Protection Agency
FORM R TOXIC CHEMICAL RELEASE INVENTORY REPORTING FORM
Section 313 of the Emergency Planning and Community flight-to-Know Act of 1980, also known as Title III of the Superfund Amendments and Reauthorization Act
TRi FACILITY ID HUMBER 70766THDWCHICHW Tests Categeiy, m Genre i FORMIC ACID
WHERE TO SEND COMPLETED FORMS:
1-EPCRA Reporting Center
P.O. BOX 3348 Merrifield, VA 22116-3348
2. APPROPRIATE STATE OFFICE (See instructions in Appendix F)
ATTN: TOXIC CHEMICAL RELEASE INVENTORY
IMPORTANT: See Instructions to determine when "Not Applicable (NA)' boxes should be checked.
Enter *X` here if this is e revision For EPA use only
PART I. FACILITY IDENTIFICATION INFORMATION
SECTION 1.
REPORTING YEAR 1933
SECTION 2. TRADE SECRET INFORMATION
iurj;
Are you claiming the toxic chemical identified on page 3 trade secret?
Yes (Answer question 2.2; No (Do not answer 2.2;
Attach substantiation forms)
Go to Section 3)
If yes in 2.1, is this copy:
0 Sanitized Q Unsanitized
'ECTION 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 it 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.
Name and official title Of owner/oporator or saruor managsmsrt official
STANLEY G. COLE, ENVIRONMENTAL MANAGER
Signature
r
Date Signad
06/30/94
----------------------------------------------yL---------------------------------------------------------------------------------------------------------------------- :----------------------------------------
SECTION 4. FACILITY IDENTIFICATION
Facility or Establishment Mama j
TRi Farifty ID Number
THE DOW CHEMICAL COMPANY LOUISIANA DIVISION Smet Addmat
HIGHWAY 1 SOUTH; P.O. BOX ISO | City
County
PLAQUIMIHK
IBXRVILL1/WBR PARISH Zip Cods
Mating Addrsss (if diflmnt from strict address)
70766-0150
H/A | City
/A Stats
Zip Coda
70765- 0150 EPA Form 9350-1 (Rev. 12/4/93) - Previous editions are
DO A 0F,??79 CONFTDfNT T A1
707S5THDWCHIGHW EPA Automated Form R
v>EPA
United Stataa ivironmantel Protection 3ncy
EPAFORMR
PART I. FACILITY IDENTIFICATION INFORMATION (CONTINUED)
Page 2 of 9
TRI FACILtTY 10 NUMBER
70765THDVCHXCHH
Twit Chunical. Category, or Genetic Maw
rORMXC ACID
SECTION 4. FACILITY IDENTIFICATION (Continued)
This report contains information for:
4.2 (Important: check only one)
a. 0An entire facility b. Qpart of a facility
Mama |
4.3 Technical Contact STANLEY G. COLE
Talapfeaaa Nsmhsr (iadatia aru tada) (504) 353-6131
4.4 Public Contact
Naan CUT 3. BARONE
Talapkaaa Nanbar (iaclada araa cada) (504) 353-8236
SIC Code 4.5 (4-digit)
Latitude 4.6 and
Longitude
a. 2812 Degree* 030
b. 2821 Latitude Minute*
19
C. 2889 Second* 00
d. HA Degrees 091
e. ha
Longitude Minute*
f.
Seconds
16 20
4.7 Dun & Bradstreet Number(s) (9 digits)
4.8 EPA Identification Number(s) (RCRA I.D.No.) (12 characters)
4.9 Facility NPDES Permit Number(s) (9 characters)
4.10 Underground Injection Well Code (UIC) I.D.
Number(s)
(12 digits)
a. 008187080 b. HA
3. LAD008187080
b. HA a. LA0003301 b. LA0049638
a. ha
b.
SECTION 5. PARENT COMPANY INFORMATION
Name of Parent Com pany
5.1 na
THE DOV CHEMICAL COMPANY
Parent Company's Dun & Bradstreet Number
5.2 na
(9 digits)
001381581
EPA Form 9350*1 (Rav. 12/4/93) - Previous editions are obsolete.
DO A osooao CONF TDFNTTAl
*>EPA
Unrtud StatM wironmnntnl Protection
a**y
EPAFORMR
PART II. CHEMICAL-SPECIFIC INFORMATION
Page 3 of 9
TRI FACILITY ID NUMBER
`
70765THDVCBICHV
Taut OwwIcN. CWowv. r Suric Not*
FORMIC ACID
SECTION 1. TOXIC CHEMICAL IDENTITY (Important: DO NOT complete this
section H you complete Section 2 below.)
1.1
CAS Number (Important: Enter only one number exactly as it appears on the Section 313 list. Enter category code if reporting a chemical category.) HA - -
1.2
Toxic Chemical or Chemical Category Name (Important: Enter only one name exactly as it appears on the Section 313 list.) HA
1.3
Generic Chemical Name (Important: Complete only if Part 1, Section 2.1 is checked `yes.* Generic Name must be structurally descriptive.) HA
(Important: DO NOT complete this
SECTION 2. MIXTURE COMPONENT IDENTITY section if you complete Section 1 above.)
2.1
Generic Chemical Name Provided by Supplier (Important: Maximum of 70 characters, including numbers, letters, spaces, and punctuation.) FORMIC ACID
SECTION 3. ACTIVITIES AND USES OF THE TOXIC CHEMICAL AT THE FACILITY (Important: Check all that apply.)
Manufacture 3.1 the toxic
chemical:
a. S Produce
b. G import
If produce or import:
c. For on-site use/processing
Gd. For sale/distribution e. G As a byproduct
f. G As an impurity
Process 3.2 the toxic
chemical:
a. G As a reactant b. ID As a formulation component
Gc. As an article component
d. Q Repackaging
Otherwise use Ga. As a chemical processing aid Gc. Ancillary or other use
3.3 the toxic
Gb. As a manufacturing aid
chemical:
SECTION 4. MAXIMUM AMOUNT OF THE TOXIC CHEMICAL ON-SITE AT ANY TIME DURING THE CALENDAR YEAR
4.1 (Enter two-digit code from instruction package.)
EPA Form 9350-1 (Raw. 12/4/83) - Previous oditions an otosotete.
DO A OONFTDFNTTAl
&EPA
United States Tvironmentel Protection
fltercy
L
EPAFORMR
PART II. CHEMICAL-SPECIFIC
INFORMATION (CONTINUED)
Page 4 of 9
TRI FACILITY ID NUMBER
70760THDVCHIGHV
Tadt Chuhaf, CaWgwy, or Gewic Naim
FORMIC ACID
SECTION 5. RELEASES OF THE TOXIC CHEMICAL TO THE ENVIRONMENT ON-SITE
A. Total Release (Ibs/year) (enter range code from instructions or estimate)
5.1
Fugitive or non-point air emissions
na
5.2
Stack or point air emissions
na
Discharges to receiving 5.3 streams or water bodies
(enter one name per box)
5.3.1 Stream or Water Body Name
HA
5.3.2 Stream or Water Body Name
B. Basis of Estimate (enter code)
C. % From Stormwater
.x
5.3.3 Stream or Water Body Name
5.4
Underground injections on-site
Qna
5.5 Releases to land on-site
5.5.1 5.5.2 5.5.3 5.5.4
Landfill
Qna
Land treatment/ application farming
Surface impoundment
na na
Other disposal
Qna
I I Check here nly if additional Section 5.3 information is pr vtd d on page 5 f this f rm.
------------------------------------------------------------------------- DO A 05>??8? ----------------------------------------------------------- ---
EPA Form 9350-1 (Rev. 12/4/93) - Previous edttfone v*obsolete. OONF T DFNT T Al Range Codes: A -I^IO^inde^BB- 11 - 499 pounds;
EPA
uoteds**.
Proocboo
EPAFORMR
PART II. CHEMICAL-SPECIFIC
INFORMATION (CONTINUED)
________________________________
TIU FACILITY 10 NUMBER
70766THDVCHXCHW Tadc OmkM, Uugory. or Grate Km FORMIC ACID
SECTION 5.3 ADDITIONAL INFORMATION ON RELEASES OF THE TOXIC CHEMICAL TO THE ENVIRONMENT ON-SITE
Discharges to receiving 5.3 streams or water bodies
(enter one name per box)
A. Total Release (pounds/ year)(enter range code
from instructions or estimate)
B. Basle of Estimate (enter code)
C. % From Stormwater
5.3.4 Stream or Water Body Name 5.3.5 Stream or Water Body Name 5.3.6 Stream or Water Body Name
.% .% .X
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 POTWt and Basis of Estimate
6.1A.1
Total Transfers (pounds/year) (enter range code or estimate)
NA
6.1.A.2 Basis of Estimate (enter code)
6.1.B POTW Name and Location Information
6.1.B.01 POTW Name .... .......
6.1.B.02 POTW-Name
Street Address
Street Address
City State
County Zip Code
City State
County Zip Code
additional pages of Part II, Sections 5.3 and/or 6.1 are attached, indicate the total number of
[idpages in this box CD and indicate which Part II, S ctions 5.3/6.1 page this is, here,
i
)L ) A os 83 ( xample: 1,2,3, etc.)
j
------------------------------------------------------------------------------- CONfTDFNTTAl ------------------------------------------------------------------------- 1
EPA Form 9350-1 (Rev. 12/4/93) Previous edition* are oteoMa.
Range CodM; A
" 11 '499 pound*:
&EPA
United State* ivironmental Protection gency
EPAFORMR
PART II. CHEMICAL-SPECIFIC
INFORMATION (CONTINUED)
Page 6 of 9
TRI FACILITY 10 NUMBER
7076STHDVCHIGHT Taac Ch--ril, ClMgwy. * Seem Not FORMIC ACID
SECTION 6.2 TRANSFERS TO OTHER OFF-SITE LOCATIONS
6.2.01
Off-site EPA Identification Number (RCRA ID No.)
Off-Site Location Name
Street Address
City County
State
Zip Code
A. Total Tranefara (pounds/year) (enter range cod* or estimate)
1.
2. 3.
Is locetion under control of reporting facility or parent company?
--i i--i 1--1 Ye* 1--1 No
B. Basis of Estimate (enter code)
C. Type of Waste Treatment/Disposal/ Ftecycting/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.)
6.2.02
Off-Site Location Name
Street Address
City County
State
Zip Code
A. Total Tranefara (pound*/yean (enter range coda or estimate)
i* location undar control of reporting facility or parent company?
,--. i--i 1--1Yee I--I
B. 6aate of Estimate code)
C. Type of Waste Treatment/Disposal/ RecycUng/Energy Recovery (enter code)
1. 1.
2. 2.
3. 3.
4. 4.
If additional pages of Part II, Section 6.2 are attached, indicate thetotal number of pages In this
ED EDbox and Indicate which Part II, Section 6.2 page this is, here.
(example: 1,2,3, etc.)
--------------------------------------------------------------------- ---- ------- no A OS>?B4 EPA Form 9350-1 (Rev. 12/4/93) - Previous editions are obsolete, CONF T OF NT 1 Al
Range Code*: A 1 -10 pound*; B - 11 - 499 pounds; C - 500 * 909 pounds.
f/EPA
Unted StatM vironmartel Protection
,*ncy
I__ _
EPAFORMR
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
Page 7 of 9
TRI FACILITY 10 IUM8EK
707A6THDVCHX6HV Tia --t, ctmnr. m towrk m
roRVIC 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.
i. Gaaaral Witla Stem
(Ur cadi)
7A.01a
A
7A.01b 3
6
i. Traatmaat Matkod(a) Ssqaaacs [ntir 3-ckaractar aada(>)|
1 P99 4 7
2 5
8
HA
c. Rsais al laOiaat CaacaatetUa
A WaaU Traatmaal EMclaacy EatinaU
7A.01C 7A.01d
a. Basad oa OparaUag DataT
7A.01e
0s
0.00 %
Yes No
7A.02a
HA
7A.02b 3
6
1 4 7
2 5
8
7A.02C
7A.02d 7A.02e
0.00 %
Yes No
7A.03a 7A.03b 3
6
1 4 7
2 5
8
7A. 03c
7A.03d 7A.03e
0.00 %
Ym No
7A.04a 7A.04b 3
6
1 4 7
2 5
8
7A.04C
7A.04d 7A.04e
0.00 %
Yes No
7A.05a 7A.05b 3
6
1 4 7
2 5
8
7A.05C 7A.05d 7A.05e
H 0.00*
if additional copies of page 7 are attached, indicate the total number f pages in this box EH and indicate which page 7 this is, h re. EE (example: 1,2,3, etc.)
EPA Form 9350-1 (Rev. 12/4/93) Previous editions an obsolete.
00 A 05??8S OONF TDFNTT Al
SEPA
Unted Stats* <=nvironmsntal Protsctton
gsncy
EPAFORMR
PART II. CHEMICAL-SPECIFIC
INFORMATION (CONTINUED)
Page 8 of 9
TM FACUITY ID MUMBER
70766THDWCHXGHV
Tte fteHil CW|WT, m amt* S
FORMIC ACID
SECTION 7B. ON-SITE ENERGY RECOVERY PROCESSES
Q N t Applicable (NA) Check here if ng on-site energy recovery is applied to any waste stream containing the toxic chemical or chemical category.
Energy Ricoviry Mitbod* (*nt*r 3-dwactir codi(i)]
NA 2 3 4
SECTION 7C. ON-SITE RECYCLING PROCESSES
Q N t Applicable (NA) Check here H no on-site recycling is applied to any waste stream containing the toxic chemical or chemical category.
R*cycll*| Mithsds |i*t*r 3-cfcaractor ed*(t)|
1 NA
2
3
4
5
6 7 8 9 10
EPA Form 9350-1 (Rmr. 12/4/93) Pravtout sdltfon* art otaotelt.
do a CONFTDFNT TAi
SEPA
United Slate* cnvironm*ntel Protection
ncy
EPAFORMR
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
____ __________ Page 9 of 9
TRl FACILITY 10 NUMBER
ypyetHDicHicHw Tadc OiwicM. CsWbmv. v Gtmnc Nam
FORMIC ACID
SECTION 8. SOURCE REDUCTION AND RECYCLING ACTIVITIES
All quantity estimates can be reported using up to two significant figures.
* 8.1 Quantity released
Quantity used for energy 8.2 recovery on-site
Quantity used for energy 8.3 recovery off-site
Column A 1992
(pounds/year)
0
0
0
8.4 Quantity recycled on-site
0
Column B 1993
(pounds/year) 850
0
0
0
Column C 1994
(pounds/year) 850
0
0
0
8.5 Quantity recycled off-site 0 0 0
8.6 Quantity treated on-site
0 00
8.7 Quantity treated off-site
0 00
Quantity released to the environment as a result of .8 remedial actions, catastrophic events, or one-time events
not associated with production processes (pounds/year)
Column D 1995
(pounds/year) 0 0 0 0 0 0 0
0
8.9 Production ratio or activity index
1.00
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 ActWHiee [enter code(s)]
8.10.1
HA
Methods to Identify Activity (enter codes)
8.10.2
8.10.3
8.10.4
8.11
Is additional optional information on source reduction, recycling, or pollution control activities included with this report? (Check one box)
YES NO
m
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 93SO-1 (R*v. 12/4/93) Previous edition* are obaoiate.
no a
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