Document ZL24VEnddX7xEGMok7KgR6xd
(IMPORTANT; Type or print; read instructions before completing Jorm)
Approval Expiraa. n/92
wo epa
United $HIh Environmantei Protection
*oancy
FOKM R TOXIC CHEMICAL RE \SE INVENTORY REPORTING FORM
Section 313 of tt Emagaicy Planning and Community Rigftt-to-Know Act of 1936, afco knoooi at ritta III of tha Stgwrfund Amandmanta and Raauthorfeation Act
nags l ot b
tw facility id number
70760THDVCHI6HV Talk ftwkil, Cokiaty. ar teMri*
AMMOHIA
WHERE TO SEND COMPLETED FORMS:
1.EPCRA RaporUng Canter P.O. BOX 3348
2.APPROPRIATE STATE OFFICE (Saa inatnjctiona in Appendix F)
MarrMaM, VA 22118-3348
ATTN: TOXIC CHEMICAL RELEASE INVENTORY
IMPORTANT: See Instructions to determine when "Not Applicable (NA)" boxes should be checked.
Enter "X" hare If this ia a raviaion For EPA uae only
PART I. FACILITY IDENTIFICATION INFORMATION
SECTION 1.
REPORTING YEAR 1994
SECTION 2. TRADE SECRET INFORMATION
Are you claiming the toxic chemical identified on page 3 trade secret?
Yes (Answer question 2.2; E No (Do not answer 2.2;
Attach substantiation forms)
Go to Section 3)
If yes in 2.1, is this copy:
G Sanitized G Unsanitized
SECTION 3. CERTIFICATION (Important: Read and sign after completing ail form sections.) I hereby certify that I have reviewed the attached documents and that, to the best of my knowledge nd b lief, 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 f this report
EPA Form 0350-1 (Rav. 12/4/04) - Pravfous adMons ara obaotete.
DO A C ONF T DFNT T At
EPA Automated Form R
United States Envfronmentel Protection Agency
EPAFORMR
PART I. FACILITY IDENTIFICATION
INFORMATION (CONTINUED)
TW FACIUTY ID NUMBER
70766THDWCHICHW
Tadt Chwifc*, Camay. <x Guric Nut
AMMOMIA
SECTION 4. FACILITY IDENTIFICATION (Continued)
This report contains Information for:
4.2 important: check a or b; check c if appllable)
H a. LJAn entire facility bi_J Part of a facility
A Federal Facility
4.3 T chnical Contact DOTLX A. HAHEY
Talepbeae Natelat (ledatee mi cede)
(604) 363-6128
4.4 Public Contact
CUT 3. BAROHE
Talepbeae Hanker (lacMe area cede) (604) 363-8236
SIC Coda 4.5 (4-dlglt)
Latitude 4.6 and
Longitude
a. 2612 Degree* 030
b. 2621 Latttude Minute*
10
C. 2860
d. ii
Second* 00
Degree* 001
e. 0081
Longitude Minute*
f. HA Second*
16 20
4.7 Dun & Bradstreet Number(s) (9 digits)
4.8 EPA Identification Numbarfs) (RCRA I.D.No.) (12 characters)
4.9 Facility NPDES Permit Numbers) (9 characters)
4.10 Underground Injection Well Code (UtC) I.D.
Number(s)^!
(12 digits)
a. b. a. b. 8. b. a. b.
LAD008187 HA
LA0003301 LA0049638
2812 2821
HA
SECTION S. PARENT COMPANY INFORMATION
Nam* of Parent Company |
5.1 n NA
| 1HX DOW CHEMICAL COMPAHT
Parent Company's Dun & Bradstreet Number
~.2 na
i--------- -
(9 digits)
001381581
EPA Form 9350-1 (Rev. 12/4/94) - Previous adfflona are obsolete.
r ` *' I r ' e L C ( . CONF IDF NT T Al
&EPA
United State* Environmental Protection
Agwtcy
EPAFORMR
PART II. CHEMICAL-SPECIFIC INFORMATION
TM fACIltTY 10 MUMKH
70765THDVC1ICHV
Tade Ontet, C*wowv. or State Naia
AMMONIA
SECTION 1. TOXIC CHEMICAL IDENTITY ('"iportan*: DO NOT complete thta section H you complete Section 2 below.)
CAS Number (Important: Enter only one number exactly as it appeals on the Section 313 list. Enter category code if reporting a chemical category.)
1.1 007664-41-7
1.2
Toxic Chemical or Chemical Category Name (Important: Enter only one name exactly as it appears on the Section 313 list.) AMMONIA
1.3
Generic Chemical Name (Important: Complete only if Part 1, Section 2.1 is checked 'yes.* Generic Name must be structurally descriptive.) NA
SECTION 2. MIXTURE COMPONENT IDENTITY (sIemcptioorntaifnyt:ouDOcoNmOpTlecteomSpelcetitoenth1isabove.)
Generic Chemical Name Provided by Supplier (Important: Maximum of 70 characters, including numbers, letters, spaces, and punctuation.)
2.1 NA
SECTION 3. ACTIVITIES AND USES OF THE TOXIC CHEMICAL AT THE FACILITY (Important: Check all that apply.)
Manufacture 3.1 the toxic
chemical:
a. D Produce b. D Import
If produce or import:
c. D For on-site use/processing d. D For sale/distribution
e. D As a byproduct f. D As an impurity
Process 3.2 the toxic
chemical:
a. 0 As a reactant b. 0 As a formulation component
c. As an article component d. O Repackaging
Otherwise use a. ID As a chemical processing aid c. Ancillary or oth r use
3.3 the toxic
b. As a manufacturing aid
chemical:
SECTION 4. 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 (R*v. 12/4/94) - Previous edidone ar* obeotate.
no a
OONFTOFNTTA!
&EPA
United Environmental Protection Agency
EPAFORMR
PART II. CHEMICAL-SPECIFIC
INFORMATION (CONTINUED)
TN FACILITY ID NUMBER
70765THDWCHIGHV Tadc Qmiai, Cilay, or Gnnc w
ANMOKIA
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 emtsslons
na
Discharges to receiving 5.3 streams or water bodies
(enter one name per box)
5.3.1 Stream or Water Body Name
MISSISSIPPI KIVU
56100
5.3.2 Stream or Water Body Name
MA
5.3.3 Stream or Water Body Name
B. Basis of Estimate (enter code)
C. % From Stormwater
000.00*
.%
.%
5.4
Underground injections on-site
0NA
5.5 Releases to land on-site
5.5.1 5.5.2 5.5.3 5.5.4
Landfill
na
Land treatment/ application farming
Surface impoundment
na na
Other disposal
na
I I Ch.ck hem only H additional Section 5.3 Information fa provided n page 5 ot this lorm.
EPA Form 8350-1 (Rev. 12/4/94) Previous editions ere obsolete.
Range Codes: A - 1 -10 pounds; B * 11 - 499 pounds: C * 500 - 099 pounds.
no a os no f> a OONrTDFNTTA!
EPA
United Agency
EPA FORM R
PART II. CHEMICAL-SPECIFIC
INFORMATION (CONTINUED)
TN FACILITY 10 NUMBER
707S5THDWCHICHW Tane Owial, Ctoory. er 6ync H
AMMOMIA
SECTION 5.3 ADDITIONAL INFORMATION ON RELEASES OF THE TOXIC CHEMICAL TO THE ENVIRONMENT ON-SITE
Dischargee 1o 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. Basis of Estimate (enter code)
C. % From
Stormwater
5.3.4 Stream or Wafer Body Nam# 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)
VIA Total Quantity Transferred to POTWs and Basis ot Estimate
S.1JL1 Total Transfers (pounds/year)
__________ (enter range code or estimate)
S.1 JLt Basis of Estimate
(enter code)
WA
6.1.B POTW Name and Location Information 6.1.B.01 POTW Name
6.1.B.02 POTW Name
Street Address
Street Address
SSL
State
Courtly j" Zip Code 1
C&. 1
County Zip Code
If additional pages of Part II, Sections 5.3 and/or 6.1 are attached, indicate the total number f
(ZD HD'ages In this box and Indicate which Part II, Sections 5.3/6.1 page this la, here.
(example: 1,2,3, etc.)
EPA Form 9350-1 (Raw. 17/4/94) - Previous edition* era obaolafe
Range Codoe: A - 1 -10 pounda; B - 11 - 499 pounds; C - 500 - 999 pound#.
00 A 050659 CONF T DFIMT1 At
&EPA
United Stetea Environmental Protedton Agency
EPAFORMR
PART II. CHEMICAL-SPECIFIC
INFORMATION (CONTINUED)
THl FACILITY 10 NUMBER
707SSTHDWCHI6X1
Twite Cterited. CaWgoiy. ar swrie Hmm
AMMOXXA
SECTION 6.2 TRANSFERS TO OTHER OFF-SITE LOCATIONS
8.2.01
Off-site EPA identification Number (RCRA ID No.) XA
Off-Site Location Nama
XA
Street Address
City County
State
Zip Code
A. Totel Transtef* (poundtSyaw) (enter range code or eetfcnte)
1. XA
2. 3. 4.
la location undar control of reporting (ditty or parant company?
i--i i--i 1--1 Ye* 1--1 No
B. Basis of Estimate (anter coda)
Q, Typa of Waate Treatm*nt/Dlepoeal/ Racycfing/Enargy Recovery (anter coda)
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. TOW Ttanafar* (pounda/yaafi (anter range coda or iitwjpl-. ;
1.
2. 3. 4.
la location under control of reporting facility or parant company?
|--| |--i 1--1 Yea 1--1 No
& Saaie of Estimate (anter code)
C_ Type of Waate Traatinant/Oiapoaal/ ReeycBng/Energy Recovery (anter coda)
1. 1.
2. 2. 3. 3. 4. 4.
' additional pages of Part II, Section 6.2 are attached, indicate thctotal number of pages In this oox and Indicate which Part II, Section 6.2 page this Is, here. (example: 1,2,3, etc.)
EPA Form 9350-1 (R*v. 12/4/04) - Praviout adMont ar* otwotate.
Rang* Cater A 1*10 poundt;B - 11 - 499 pounds: C * 900 * 990 pounds.
DO A 05P6A0 OONFTDFNTIAI
&EPA
IMW3M.
EPA FORM R
PART II. CHEMICAL-SPECIFIC
INFORMATION (CONTINUED)
Tftl FACILITY SUMKR
70765THDVCHICHV Tadt CktakaL rn|it|, m taaarfc mm AXH0H1A
SECTION 7A. ON-SITE WASTE TREATMENT METHODS AND EFFICIENCY
D Not Applicable (NA) - Check here If no on-site waste treatment Is applied t any waste stream containing the toxic chemical or chemical category.
a. WB(aaaaattaafarrailSt4raaa)ai
b. Traalnaat Mstto4(a) Ssqssacs [aalar S^taractar ea4a(t)|
a. Raafa a< Mlaaat Cattsatntigs
A WTEErlfaaftlbadatbiaannatascayl
a. lOapaaardaUaaaf Data?
7A.01S 7A.01b
1 AOS
2 HA
7A.01c 7A.Old 7A.01e
345
A 678
B Bi 90.99 %
7A.02a L
7A.02b 3 6
1m 4 7
2 HA 5 8
7A.02C x
7A.02d 7A.02e
B B99.99 %
7A.03a A
7A.03b 3 6
1 roe 4 7
2 HA 5 8
7A.03C 7A.03d 7A.03e
SBz 99.98 X
7A.04a A
7A.05a w
7A.04b 3 6
7A.05b *
3 6
1 AOS 4 7 1 Bll 4 7
2 HA 5 8 2 HA 5 8
7A.04C i
7A.Q4d 7A.04
sYa No
96.00 X
7A.05C s
7A.054 7A.05e
Yes No
99.00 X
f additional copies of page 7 are attached, indicate the total number of pages in this
| b x 153 and Indicate which page 7 this is, here. D (example: 1,2,3, etc.)
EPA Form 9360*1 (Rav. 12/4/04) - Previous odHiont are obsoMa.
DO A OcO(-,M OGNF IDFNT T Al
oEPA
United State* EnvWocwntel Protection Agancy
EPA FORM R
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
tm fUMm m --di
70760THDVCHICHW TskIb CMvAnl, Csto^ery. v linhi hm AMMOHXA
SECTION 7A. ON-SITE WASTE TREATMENT METHODS AND EFFICIENCY
Dn I Applicable (NA) - Check here if no on-site waste treatment Is applied to any waste stream containing the toxic chemical or chemical category.
a. BmwsI Watte Straw (aater n*a)
7A.06a
w
7A.06b 3 6
k. Titalwtte MiteiS(t) Saqaaaca (alar S-cbaracter aaia(a)|
1 Bll 4 7
2
5 8
HA
8* ||i8|8 if IsHgggl Cumifiiiii
A Waate Traatewat INIclaacy CtfiMii
7A.06C 7A.06d
a. luit at Oparaliai Data?
7A.06
BB2 99.00%
7A.07a
t
7A.07b 3 6
1 PS1 4 7
2 HA
5 8
7A.07C
2
7A.07d 7A.07e
B B25.00 %
7A.08a
w
7A.08b 3 6
1 PAS 4 7
2 HA
5 8
7A.08C
2
7A.08d 7A.08
@ B99.00 %
7A.09a
HA
7A.09b 3 6
1 4 7
2
5 8
7A.09C
7A.09d 7A.09e
0.00 %
Yfi* No
7A.10a 7A.10b 3
6
1 4 7
2
5 8
7A.10C
7A.10d 7A.10e
BB0.00 %
i------------------------------------------' additional copies of page 7 are attached, Indicate the total number of pages in this |b xtafl and indicate which page 7 this Is, here. D (example: 1,2,3, etc.)
EPA Form 83S0-1 (Rav. 12/4/94) - Previous adMona are otoaotete.
r ,0 A OST ' A
CONF T Df NT 1 Ai
&EPA
Unted SMm Envtronmantel Pntecdon
Agancy
EPAFORMR
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
TNFUUTY M HUMBER
70768THD1CHICHW Tim csmtet cmam, m amm 11 AMMOKIA
SECTION 7B. ON-SITE ENERGY RECOVERY PROCESSES
[71 Not Applicable (NA) - Chock here H oq on-stto onorgy recovery is applied to any waste stream containing the toxic chemical or chemical category.
Emtii lUtwiHr MaSada (aMar Mnncter cada()|
1 WA
2
3
4
I-----------------------------------------------------------------------------------SECTION 7C. ON-SITE RECYCLING PROCESSES
Q N t Applicable (NA) - Check here M no on-site recycling is applied to any waste stream containing the toxic chemical or chemical category.
Sadi [aster S-staracter aada[a)]
i *A
2
3
4
5
6 7 8 9 10
EPA Form 9350-1 (Aav. 12/4/94) - Pnviom odttont art obsotafti.
r-.o a o' ^ ' 'A ynFNT t ('*
SEPA
1 Unted SMn " Environmental Protection \gancy
EPAFORMR
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
rage ot a TM FACILITY 10 NUMBER
70766THDWCHI6HW Tadc Pwwwai. CtigOY, or Gurie Hant AJUfOMIA
SECTION 8. SOURCE REDUCTION AND RECYCLING ACTIVITIES
Alt quantify estimate* can be reported using up to two significant figures.
* 8.1 Quantity released
8.2
Quantity usad for anargy racovary on-sita
Quantity usad tor anargy 8.3 racovery off-site
Column A 1993
(pounds/year) 600000
0
0
Column B 1994
(pounds/year)
, 107000 /
Column C 1995
(pounds/year)
(107000
00
00
8.4 Quantity racyclad on-sita 0 0 0
8.5 Quantity racyclad off-site 0 0 0
8.6 Quantity treated on-sita
8600000
7S000
78000
8.7 Quantity treated off-site
00
Quantity ralaasad to the environment as a result of .8 remedial actions, catastrophic events, or one-time events
hot associated with production processes (pounds/year)
0
8.9 Production ratio or activity index
Column D 1996
(pounds/year) 107000 0 0 0
0
78000 0
0
1.09
Did your facility engage in any source reduction activities for this chemical during 8.10 the reporting year? ff not, enter "NA" in Section 8.10.1 and answer Section 8.11.
Source Reduction Activities [enter code(s)I
8.10.1
SA
Methods to Identify AcfMty (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)
VES NO H
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 8350-1 (Rav. 12/4/94) Previous sdMons vs obsolete.
DO A 00066,4 OONFTDFNTT A[