Document ZOm4Vo09ooMVNov83vpZnrz0
CertainTeed Corporation Pipe & Plastics Group PO. Box 253 Sulphur, LA 70663 (318) 882-1441
CertainTeed El
September 8. 1988
Ms. Meredith N. Scheck Assistant Director The Vinyl Institute Wayne Interchange Plaza 155 Route 46 West Wayne, NJ 07470
II
Dear Ms. Scheck:
As requested in your letter of August 31, 1988, please note the attached copies of our SARA Section 313 forms.
If further assistance is needed concerning this matter, please contact me.
Sincerely,
x"7
J't
I '-'w8 Bruce J. Brroocck a Technical Supervisor
Attachments pc: C. A. Gellner, Plant Manager
01-91-0283
CTL016303
(Important: Type or print; read instructions before completing form.)
Approval Expires
01/91
Pag# 1 of S
oEFA
U.S. Environmental Protection Agency
TOXIC CHEMICAL RELEASE INVENTORY REPORTING FORM
EPA FORM
Section 313, Title III of The Superfund Amendments and Reauthorization Act of 1986
R
(This space for EPA um only )
PART I. FACILITY IDENTIFICATION INFORMATION
1. 1 Does this report contain trad* secret Information?
1.
1 | V* (Answer 1.2)
| xl ^* (Do not aniwtr 1 2)
1.2 t* this a sanitised copy?
Y NO
1.3 Reporting Y*ar
1987
2. CERTIFICATION (Read and sign alter completing all 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.
Nut** and official tit!* of owner/operator or senior management official
C. A. GELLNER, PLANT MANAGER
Signature
Oat* signed
11 Sty
3. FACILITY IDENTIFICATION
Facility or Establishment Name
CERTAINTEED CORPORATION
Street Address
PETE MANENA ROAD 3.1 City
County
This report contains Information for: (check on*)
a | Xl ^ *nllr# covered facility.
3.2 jj | | Part of a covered facility.
SULPHUR
CALCASIEU
State
L_
LOUISIANA
Technical Contact
3.3 BRUCE J. BROCKA
Zip Code
7 i Qi6 i 6) 4 mo i 2i sn
Telephone Number (Include area code)
(318 882 -1441
Public Contact
3.4 C. A. GELLNER
T*l*phon* Number (Include area cod*)
(318 882 -1441
a. SIC Code
3.3
6 N/A
2| 8, 2| 1 __ L_ i
Latitude
3.6
Deg.
Min. Sec.
e.
111
Longitude
Deg
Min.
Sec.
Where to send completed forms:
I 3l o |1 i 3 1 3 .0 i9 i 31 1 (7 1 SiO
Dun A Bradstreet Numbe*(s)
3.7 *
N/A
____ I I ~ I I I I - I I I I
b. I 1-
I II 1.
3.8
EPA identification Number (RCRA I.O. No.)
L i A i DiO i L i 0 i 3i 31 2 |0 i 2 i S
b. J___L
N/A
ii
i
i
i
i
NPOES Permit Number(s)
3.9
N/A
i___i
U S. Environmental Protection Agency P O. Bo* 70266 Washington. DC 23024-0266 Attn: To*lc Chemical Petes*# Inventory
Li AiOiO i AH I 01 2i 5
Name of Receiving $tr*am(s) or Watar Body(t)
J__ I I I__ L 1-1..-L
* BAYOU O' INDE
3.10 b.
N/A
c.
Underground Injection Well Code (IAC) Identification No.
3.11 _!___ I___ I I N/Al I I l I I
*4. PARENT COMPANY INFORMATION Name of Parent Company
CERTAINTEED CORPORATION__ P, 0. ROX RAn
Parent Company * Dun & BradJtreet No.
4.2
0 I 01 - 12 nisi - I 81 ? 16 I s.
EPA Form 9350-1 (1-88)
VALLEY FORGE. PA 19482
CTL016304
(Important: Type or print; read instructions before completing form.)
REPA FORM
PART II. OFF-SITE LOCATIONS TO WHICH TOXIC CHEMICALS ARE TRANSFERRED IN WASTES
" 1. PUBLICLY OWNED TREATMENT WORKS (POTW)
Facility Nam#
N/A
Street Addreta
City
County
State
Zip 1 111 H1 11
2. OTHER OFF-SITE LOCATIONS - Number these locations sequentially on this and any additional page of this form you use.
| ] Other off-site location
EPA Identification Number (RCRA O. No.)
Facility Name Street Addratt
N/A
I I II1111111
City
County
Stata
Zip 1 1 1 1 l-l 1 1 1
l location under control of reporting facility or parent company? | [ j j
k| | Other off-site location
Ye* No
^ EPA Identification Number (RCRA O. No.)
1 1 111111111
Facility Name Street Addre**
N/A
City
County
State
Zip
1 III l-l 1
l 'ocatlon under control of reporting facility or parent company? | [ | j
| [ Other off-site location
Yes No
II
EPA Identification Number (RCRA O. No.)
Facility Name Street Addreei
N/A
|j |III11111
City
County
State
Zip
41|
1 1 1 1 l-l 1
It location under control of reporting facility or parent company? | | [ "j
Ye* Ns
1 1-
| | Check if additional page* of Part 1 are attached.
CTL016305
>
EPA Form 9350-1(1-88)
(Importqnt: Type or prim; read instructions before completing form.)
REPA FORM
PART III. CHEMICAL SPECIFIC INFORMATION
Pg J of 5
1. CHEMICAL IDENTITY
1.1 | | Trade Secret (Provide a generic name in 1.4 below. Attach substantiation form to this submission.)
1.2 CAS # 0 00 07 5 | "| 0 11 | -| It) (Use leading leros if CAS number does not fill space provided.)
Chemical or Chemical Category Name
1.3 VINYL CHLORIDE
Generic Chemical Name (Complete only If 1.1 It checked.)
1.4
MIXTURE COMPONENT IDENTITY (Do not complete this section if you have completed Section 1.)
2. G#n#fIc Chemical Name Provided by Supplier (Limit the name to a maximum of 70 characters (e.fl.. numbers, letters, spaces, punctuation)).
3. ACTIVITIES AND USES OF THE CHEMICAL AT THE FACILITY (Check afl that apply.)
3.1 Manufacture:
a.0 Produce
b. 0 Import
e D use/k\lng
d- distribution
e` A * byproduct
f.Q As an lmptxlty
3.2 Process:
a. fx] As a reactant 1J
d. | | Repackaging only
b r~| As a formulation 1___1 component
c ("1 As an article 1--1 component
3 Otherwise Used:
____
a.| | procassff aid
b. (0 As a manufacturing aid
c.[ | Anclary or other use
4. MAXIMUM AMOUNT OF THE CHEMICAL ON SITE AT ANY TIME DURING THE CALENDAR YEAR | 0| 6 | (enter code)
5. RELEASES OF THE CHEMICAL TO THE ENVIRONMENT A. Total Release
You may report releases of less than 1.000 lbs. by checking ranges under A.1.
A.1 Reporting Ranges
0 1-400 SOO-OOO
5.1 Fugitive or non-point air emissions S.la
5.2 Stack or point air emissions
5.2a
5.3 Discharges to water
(Enter latter code from Pert 1
Section 3.10 tor ttreama(a).)
5.3.1 |a |
|----| 5.3.2 |__ |
5.3.1a 5.3.2a
5.3.3 Q 5.3.3a
5.4 Underground Injection
5.4a
5.5 Relea ses to larid
5.5.1
(enter code)
1 5.S.2
(enter code)
,,,
| (enter code)
5.5.1a 5.5.2a 5.5.3a
| | (Check If additional Information la provided on Part (V-Supfjlemental Information.)
EPA Form 9350-1(1-88)
A.2 Enter Estimate
26.000
15,000
1.5 N/A
N/A
N/A
N/A
N/A
N/A
B. Basis of Estimate (enter code)
5.1b 0
5.2b 0 5.3.1b [M]
C. % From Stormwater 5.3.1c
5.3.2b 0 5.3.2c
5.3.3b 0 5.3.3c
5.4b 0
5.5.1b 0
5.5.2b 0 5.5.3b 0
f*
CTL016306 _
l. r r\ i vr^ti i i,
m ^wt.u.ucuy
1. TRANSFERS OF THE CHEMICAL IN WASTE TO OFF-SITE LOCATIONS
You may report tran*f#r
of {! (Kart 1.000 tb. by c^*c*ng rano+t undtr A. 1.
A.Total Tran*fer* (e/yr)
A.1 Reporting Range* o i-4*e soo-tee
A.2 Enter Ertknate
B. Bail* of Estimate (enter code)
$.1 Olac^arg* to POTW
N/A 8.1b 0
Other off-lte location i----1 6.2 [Enter block numtw
from Part 1. Section 2.) 1----*
N/A 8.2b 0
6.3 Ojfw obfifo-cilitanulomcbaetiron r")
from Part 1, Section 2.)
J
N/A S.3b
6.4 Other off-kite location i--|
(Enter block rumtw
11
from Part 1, Section 2.) '----
N/A 8.4b Q
| ] (Check If additions Information I* provided on Part (V-Supplemerrtal Information)
40l}
C. Typ* of Trtatmont/ OttDOtftJ fontor codol
8.2c 8.3c 8.4c
7. WASTE TREATMENT METHODS AND EFFICIENCY
A. General
Wastestream (enter code)
B. Treatment Method (enter code)
07.1a
7.1b
F7 1
C. Range of
D. Sequential
Influent
Traatment?
Concentration
(check If
____ (enter codel _____ applicable)___
7.1c
7.Id
E. Treatment Efficiency Estimate
7.ie 99.99%
7.2a
7.2b
7.3a
7.3b
7.2c 7.2d
7.2e
7.3c
7.3d
7.3#
% %
7.4a
7.4b
7.4c
7.4d
7.4e
%
7.5a
7.5b
7.5c
7.5d
7.5#
%
7.6a
7.6b
7.6c 7.6d
7.8#
%
7.7a
7.7b
7.7o 7.7d
7.7#
%
7.8a
7.8b
7.8c
7.8d
7.8#
%
7.9a
7.9b
7.9c
7.9d
7.9#
%
7.10a 7.11a
7.10b 7.11b
7.10c 7.11c
7.10d 7.lid
7.10# 7.11#
% %
7.12a
7.12b
7.12c
7.12d
7.12#
%
7.13a
7.13b
7.13c
7.13d
7.13#
%
7.14a
7.14b
7.14c
7.14d
7.14#
%
(Check If additional Information Is provided on Part IV-Supplemental Information.)
F Based on Operating
Data? Yea No
7.If 7.2f 7.3f 7.4f 7.5f 7.6f 7.7f 7.8f 7.9f 7. lOf 7.Ilf 7.12f 7.13f 7.14f
. OPTIONAL INFORMATION ON WASTE MINIMIZATION
(Indicate action* taken to reduce the amount of the chemical befog roleaaed from the faclty. See the Instruction* for coded
Item* and an explanation of what Information to Include.)
____________________________________________
A. Type of modification
(enter code)
B. Quantity of the chemical h the wastestream prior to treatment/dUpoeal
C. Index
0. Reason for action
(enter code)
m
Current reporting
year (foa/yr)
Prior year
(fea/yr)
| Or percent i change (
1'
on
CTL016307
m
EPA Form 9350-1(1-88)
(Important: Type or print; read instructions before completing form.)
REPA FORM
PART IV. SUPPLEMENTAL INFORMATION Us* this section If you need additional spac* for answers to questions In Parts I and III. Number or letter this Information sequentlalty from prior sections (*.g.. D.E, F, or 5.54, 5.55).
Pag* 5 of 5
ADDITIONAL INFORMATION ON FACILITY IDENTIFICATION (Part 1 - Section 3)
___ Stc Cod* ___ 3.5
___
I11
111
III
Dun Ik. Brd*tr*t Numb*r|i)
3.7
____ 1__ LlJ__ 1__ L 1 - 1 J Li
1 1-1 1 1 1-1 1 1 1
EPA Identlficitlon Numbar(i| RCRA ID. No.)
3.8
1 111 1 111111
1 111 1 11 1 1 1 1
NPDES Permit Number()
3.9
1 111 1 111 Nm of Receiving Strem() or Weter Body()
1 111 1 111
3.10
--
ADDITIONAL INFORMATION ON RELEASES TO LAND ( Part III - Section 5.5)
Releases to Land
A. Total Release (tos/yr)
A.1 Reporting Ranges
0 1-499 500-999
A.2 Enter Estimate
5.5
(enter code)
5.5____ a
.5 5.5____
(enter code) (enter code)
5.5____ a 5.5____ a
B. Basis of Estimate
(enter code)
5.5____ b Q 5.5____ b 5.5------ b Q
ADDITIONAL INFORMATION ON OFF-SITE TRANSFER ( Part III - Section S)
A.Total Transfer* (tos/yr)
A.1 Reporting Range*
0 1-499 500-999
A.2 Enter Estimate
------
6.
_ S.
Dlsch*rg* to POTW
Other ofl-elte location (Enter block number from Pert 1, Section 2.)
Other of1-lte location (Enter block number from Part 1. Section 2.)
6.____ a
ii
l--l
I| 11 L--l
8.___ a 6.___ a
B. Basis of C. Type of Treatment/
Estimate
Disposal (enter code)
(enter code)
--b 6.___b O 6.___b n
6. c. 6.___ c.
ADDITIONAL INFORMATION ON WASTE TREATMENT (Part III - Section 7)
A. General Wastestream (enter code)
B. Treatment Method (enter code)
C. Range of Influent Concentration
(enter code)
D. Sequential Treatment?
(check If applicable)
1
7h
E. Treatment Efficiency
Estimate
F. Based on Operating Data?
Ye* No
7.___e
7.___ f %
1
"1 NN
7. b
7.___ d mi 7--
%
_L___ b__
7.___c (ZH 7.___ d ?._
%
O
1
*n n
1J
7. b
7. d 1 1 ?._
7.___f %
7. b
7.___ c CU 7.___ d
7.___ 1 %
1
EPA Form 9350-1(1-88)
CTL016308
'j
L
L n
n
1
r-'
rs.
(Important: Type or print; read instructions before completing form.)
Approval Expires-
01/91
Page t of 5
6EFA
U.S. Environmental Protection Agency TOXIC CHEMICAL RELEASE INVENTORY REPORTING FORM
EPA FORM
Section 313, Title III of The Superfund Amendments and Reauthorization Act of 1986
R
(ThJi space lor EPA usa onfy.)
PART I. FACILITY IDENTIFICATION INFORMATION
1.1 Does this report contain trad# sacral information?
1.
| ) Yes (Answer 1 2)
f~x| No (Do not answer 1.2)
1.2 I* thl a sanJtlred copy?
Q Y,,
NO
1.3 Reporting Yaar
1987
2. CERTIFICATION (Read and sign after completing all 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.
Nam* and official title of owner/opera I or or sank* man adamant official
C. A. GELLNER, PLANT MANAGER
Shatura
Date signed
3. FACILITY IDENTIFICATION
Facility or Establishment Name
CERTAINTEED CORPORATION
Street Address
PETE MANENA R0A0 3.1 City
County
This report contains Information for: (check one)
* 1 X] ^ ntlre covered facility.
3.2 ^ | | Part of a covered facility.
SULPHUR
State
CALCASIEU
Zip Code
1
3.3 3.4 3.5
3.6 3.7 3.8 3.9
LOUISIANA
Technical Contact
7 1 016 1 6) f*l-IOI 21 S 13
Telephone Number (include are* code)
BRUCE J. BR0CKA
Public Contact
(318 882 - 1^1 Telephone Number (include */** code)
C. A. GELLNER
a. SIC Coda
b- N/A
2) 8 | 2| 1
111
Latitude
Deg.
Min. Sec
C.
Ill__
longitude
Dag.
Min.
Sac.
(318 882 - 1 1 Whora to send completed forms:
____ i 3. 0M i 313 iQ
i9 i 311 i7 l StO
Dun A Bradstreet Numc*'(i)
N/A .LI-1 1 L 1 - 1
J__ L
1 1-1 iVal-i
EPA Identification Number (RCRA l.O. No.)
b.
* L iA i D 10 i At 0 I 3t T12 tO i 2tS
N/A
i lt i ttt
NP06S Permit Numbr(i)
b. N/A
_L j--A| 0 [0 i A | 1 | Ol 21 S
Nam* of Receiving Str*am(i) or Water 8ody(s)
a. BAYOU 01 INDE
I1 I 111
I___I
U S. Environment*! Protection Agency P O. Box 70266 Washington, OC 20024-0266 Attn: Toxic Chemical Raleas# inventory
3.10
N/A
3.11
Underground Injection Wall Coda (UC) Identification No.
II I I N/Al I I I I I
. PARENT COMPANY INFORMATION
Name of Parent Company
CERTAINTEED CORPORATION P 0 ROY RAO
Parent Company's Dun 6 Bradstreet No.
0 1 01 - 12 1 31 51 - 1 81 7 16 1 S EPA Form 9350-1 (1-88)
VALLEY FORGE. PA 19'>82
CTL016309
(Impo'tQrit: Typt.or print; read instructions before completing form.)
REPA FORM
PART II. OFF-SITE LOCATIONS TO WHICH TOXIC CHEMICALS ARE TRANSFERRED IN WASTES
1. PUBLICLY OWNED TREATMENT WORKS (POTYQ
Facility Nam*
N/A
Street Addrett
City
County
Slat*
Zip
1 1 1 1 l-l 1 1 1
2. OTHER OFF-SITE LOCATIONS - Number these locations sequentially on this and any additional page of this form you use.
| ] Other off-site location
EPA Identification Number (RCRA O. No.)
Facility Nam* Street Addrett
N/A
1 1 1 1 1f11111
City
County
State
Zip
1 111 I'll
I* location under control ot reporting facility or parent company? | [ | [
1 1...
I Other off-sit* location
Yee No
W EPA Identification Number (RCRA D. No.)
Facility Name Street Addreti
N/A
1 1111 1 1 - L-l 1 1
City
Cotnty
State
Zip
___ 1____1___ 1___ l-l 1
It location under control of reporting facility or parent oompany?
Yea No
[ | Other off-site location
1 1_
EPA Identification Number (RCRA O. No.)
Facility Name Street Addrett
N/A
1 1 1 1 1 1111 1 1
City
COLTrty
State
Zip . 1 J-LJ
l-l i 1. L
j | Chock >t additional paget of Part I ar attached. EPA Form 9350-1(1-88)
Ym No
CTL016310
(Important: Type or print; read instructions before completing form.)_____________________
REPA FORM
PART III. CHEMICAL SPECIFIC INFORMATION
page 3 of 5
' 1. CHEMICAL IDENTITY
1.1 | | Trade Secret (Provide a generic name in 1.4 below. Attach substantiation form to this submission.)
1.2 CAS # 00 76 ^ 7 | -| 0 | 1 | -| 0 j (Use leading zeros if CAS number does not fill space provided.)
Chemical or Chemical Category Name
1.3
HYDROCHLORIC ACID )Generic Chemical Mama (Complata only If 1.1 Is checked.
1.4
MIXTURE COMPONENT IDENTITY (Do not complete this section if you have completed Section 1.) 2. Generic Chemical Name Provided by Supplier (Limit the name to a maximum of 70 characters (e.g., numbers, letters, spaces, punctuation)).
3. ACTIVITIES AND USES OF THE CHEMICAL AT THE FACILITY (Check all that apply.)
3.1 Manufacture:
a.| X| Produce
b. | ] Import
e'CD ute/proceselng
d- distribution
* 0 A* a byproduct
f. A. an Impurity
3.2 Process:
a. 1 Ias a reactant
1--1
d. | | Repackaging only
y Otherwise Used: .| 1 prncassfrlg^iH
b. 1 1 As a formulation 1--1 component
b. | | As a manufacturing aid
c | 1 As an article
1--1 component
c.| | Ancillary or other use
W4. MAXIMUM AMOUNT OF THE CHEMICAL ON SITE AT ANY TIME DURINQ THE CALENDAR YEAR [ p| 1 1 (enter code)
S. RELEASES OF THE CHEMICAL TO THE ENVIRONMENT
You may report releases of less than 1.000 lbs. by checking ranges under A.1.
A. Total Release (Ibs/yr)
A.1 Reporting Ranges o i-ree soo-eee
5.1 Fugitive or non-point air emissions 5.1a
A.2 Enter Estimate
N/A
B. Basis of Estimate (enter code)
5.1b Q
5.2 Stack or point air emissions
5.2a
5.3 Discharges to water
(Enter letter code from Part 1 Section 3.10 lor strem*().)
5.3.1 | |
i--i
5.3.2 LJ
5.3.1a 5.3.2a
3.800 N/A N/A
5.2b Q 5.3.1b Q 5.3.2b Q
C. % From Stormwater 5.3.1c
S.3.2c
5.3.3 5.3.3a
5.4 Underground Injection
5.5 Releases to land
cc ^
1 (enter code)
5.4a 5.5.1a
N/A N/A N/A
5.3.3b Q 5.4b Q
5.5.1b Q
5.3.3c
S.5.2
||
(enter code)
5.5.2a
5.5.3
(enter code)
5.5.3a
(Check If additional Information la provided on Part IV-Supplemental Information.)
N/A
5.5.2b Q
5.5.3b Q _______ H1A_________
CTL016311
EPA Form 9350-1(1-88)
tPA i-OKM I i.ran Hi ^comuiueoj
. TRANSFERS OF THE CHEMICAL IN WASTE TO OFF-SITE LOCATIONS
oYfou m *(yHarenp1o,r0t 0t0ranlb1rbsy checking
rtno unPor A. 1.
A.Total Transfers (bs/yr)
A. 1 Reporting Ranges o t-ase 5oo-eee
A.2 Enter Estimate
8. Basis of Estimate (enter code)
6.1 Dlscharoe to POTW
EDN/A .1b
Other off-ilte location |----- 1
6.2 (Enter block number
11
from Part 1, Section 2.) l--l
EDN/A 6.2b
6.3 Q(EJnhteerrobflfo-ckltenulomcbaetiron
1----- 1|
from Part 1. Section 2.) 1------1
6.4
Othor (Entor
obflfo-ctkitsnutomebaetrton
i--1
from Part 1. Section 2.) 1--
N/A N/A
.3b .4b Q
| | (Check If additional Information Is provided on Part IV-Supplemental Information)
Pag* ioli C. Typo of Treatment/
DitpotaJ fontor cod#)
6.2c 6.3c 6.4c
7. WASTE TREATMENT METHODS AND EFFICIENCY
A. General Wastestream (enter code)
B. Treatment Method (enter code)
C. Range of
D. Sequential
Influent
Treatment?
Concentration
(check If
_____(enter code) _____ applcable)___
7.1a
7.1b
A0k
7.1c
7.Id
E. Treatment Efficiency Estimate
7.ie
99 %
7.2a 7.3a
fw~l
7.2b 7.3b
C1 1
7.2c
7.2d
7-2*
7.3c
7.3d
7.3e
101 % %
7.4a
7.4b
7.4c
7.4d
7.4e
%
7.5a
7.5b
7.5c
7.5d
7.5e
%
7.6a
7.6b
7.6c
7.6d
7.6e
%
7.7a
7.7b
7.7c
7.7d
7.7e
%
7.8a
7.8b
7.6c
7.8d
7.8e
%
7.9a
7.9b
7.9c
7.9d
7.9e
%
7.10a 7.11a
7.10b 7.11b
7.10c 7.11c
7.10d 7.lid
7.10e 7.lie
% %
7.12a
7.12b
7.12c
7.12d
7.12e
%
7.13a
7.13b
7.13c
7.13d
7.13e
%
7.14a
7.14b
7.14c
7.14d
7.14e
%
(Check If additional Information la provided on Part IV-Supptemental Information.)
F. Based on Operating Data? Yes No
G37.If 7.2f 7.3f
7.4f 7.5f
7.6f 7.7f 7.8f 7.9f 7.10f 7.Ilf 7.12f
7.13f 7.14f
8. OPTIONAL INFORMATION ON WASTE MINIMIZATION
(Indicate action* taken to reduce the amount of the chemical behg released from the facBty. See the Instruction* for coded Items and an explanation of what Information to Include.)
A. Type of
modification (enter code)
B. Quantity of the chemical In the wastestream prior to treatment/dlspoeal
C. Index
D. Reaeon for action (enter code)
1m
Current reporting year (bs/yr)
Prior year (bs/yr)
| Or percent | enange ,
11 %%
nn
m
EPA Form 9350-1(1-88)
CTL016312
(Important: Type or print; read instructions before completing form.)
REPA FORM
PART IV. SUPPLEMENTAL INFORMATION Us* this section If you need additional spac* for answers to questions In Parts I and III. Number or letter this Information sequentially from prior sections (e.g., D.E, F. or 5.54. 5.55).
Pag* 5 of 5
ADDITIONAL INFORMATION ON FACILITY IDENTIFICATION (Part 1 - Section 3)
----- SIC Cods ----3.5
-----
1 1 1111 Dun & Bnd*tr##t Number(t)
III,
3.7 ZLj___i -1 i i i -1 i i i
EPA identification Number (a) HCRA I.D. No.)
3.8 1 111 1 111111
NiPOCS Permit Numb#r(s) 3.9
1
_____i___ i___i i i i i i_____________ Name of Recalving Stream(s) or Water Body(i)
3.10
1 - 111 1 ~ 1 1 1 1 1 111 1 1111 1 1 1 1 1 1 1 1 1 1_____________
ADDITIONAL INFORMATION ON RELEASES TO LAND ( Part III - Section 5.5)
Releases to Land
A. Total Release (bs/yr)
A. 1 Reporting Ranges
0 1-499 500-999
A.2 Enter
Estimate
5.5____
(enter code)
5.5____ a
.5 5.5____
(enter code) (enter code)
5.5____ a 5.5____ a
B. Basis of Estimate
(enter code)
5.5____b Q
5.5____ b Q
5.5____ b Q
ADDITIONAL INFORMATION ON OFF-SITE TRANSFER ( Part III - Section <)
A.Total Transfers (Ibs/yr)
A. 1 Reporting Range*
0 1-499 500-999
A.2 Enter Estimate
------
6.
6. -------
Olacharge to POTW
Oth#r off-sit# location (Ent#r block numbtr
from Part 1, Section 2.)
Other off-alt* location (Enter block number
from Part 1, Section 2.)
6.___ a
i I
1--1
r-1 1 1----- 1
6.___ a 6.___ a
B. Basle of
C. Type of Treatment/
Estimate
Disposal (enter code)
(enter code)
6._b
EZ6.___b
6.___b CU
6. c. 6.___ c.
ADDITIONAL INFORMATION ON WASTE TREATMENT (Part III - Section 7)
A. General Wastestream (enter code)
B. Treatment Method (enter code)
C. Rang* of Influent Concentration
(enter code)
D. Sequential Treatment? (check If
applicable)
7. b
7.___ d
E. Treatment
Efficiency Estimate
F. Based on Operating Data?
Yes No
7.___ e
7.___ f %
"4l
n
LL
nn !
n! !
--------
u 1
ooo
1
r-'
7. b
7.___ d 7._*
7.___ f %
J
k_.
7. b 7. b 7. b
7-_*
1
J
EZ7.___ c
EZ7.___ d
7-__* ?._
7.___ 1 %
% 7._ 7.___ 1
%
EH EZ
'
m
1
N
EPA Form 9350-1(1-88)
CTL016313
(Important: Type or print; read instructions before completing form.)
Approval Expires
01/91
Page 1 of 5
EFA
U.S. Environmental Protection Agency TOXIC CHEMICAL RELEASE INVENTORY REPORTING FORM
Section 313, Title III of The Superfund Amendments and Reauthorization Act of 1986
EPA FORM
R
(This spec* (or EPA us* only.)
PART I. FACILITY IDENTIFICATION INFORMATION
1 1 Doe* this report contain trade secret Information?
1.
[ 1 Ves (Answer 1.2)
| xl No (Do not answer 1 2)
1.2 Is this a sanitized copy?
(_J Ves
|_J No
1.3 Reporting Year
1987
2. CERTIFICATION (Read and sign after completing all sections.)
1 hereby certify that I have reviewed the attached documents and that, to the best of my Inowledge 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.
Nam* and official tit!* ol owner/operator or senior management official
C. A. GELLNER, PLANT MANAGER
Signature
Date signed
(oK-7/r^
3. FACILITY IDENTIFICATION
Facility or Establishment Name
CERTAINTEED CORPORATION
Street Address
PETE MANENA ROAD 3.1 City
County
This report contains Information for: (check one)
a 1 Xl ^
covered facility.
3.2 ^ | | Part of a covered facility.
|) 3.3 3.4 3.5 3.6
3.7 3.8 3.9
SULPHUR
State
CALCASIEU
Zip Code
LOUISIANA
Technical Contact
7 1 0 16 1 6l 1*1-10 1 21 SIR
Telephone Number (Include area code)
BRUCE J. BR0CKA
Public Contact
C. A. GELLNER
a. SIC Code
b- N/A
2) 8| 2i 1 111
Latitude
Deg.
Min. Sec.
C.
1 1___ 1__
Longitude
Deg.
Min.
Sec.
___l. 3-1 011 i 313 10 i S i 31 1 17 1 Si 0
Dun & Bradstreet Numbe'(s)
N/A _J__ LJ__ I I 1 - I
b. I___L.-
IIIL
EPA Identification Number (RCRAI.D. No.)
* L i A i 0 |0 i 4i0 i 3i 3i 2 iQ i 2t5
N/A
tii i iii
NPOES Permit Number (s)
* Ll AiOiO l <i|1 1 Ol 2l5
Name of Receiving Stream(s) or Water Body(s)
N/A J__ L I I
J__ I__ L
a. BAYOU D1I NOE
(318 882 - 11*41
Telephone Number (Include area code)
(318 882 -1ii*1
I___I
Where to send completed lorms:
U S. Environmental Protection Agency P O. Box 70266 Washington, DC 20024-0266 Attn: Toxic Chemical Release inventory
3.10 N/A
Underground injection Well Code (UlC) identification No.
3.n i i i i VAi i i i i i 1_____
a. PARENT COMPANY INFORMATION
Neme of Parent Company
CERTAINTEED CORPORATION
Parent Company's Dun & Bradstreet No.
P. D
0 101-12 I 31 5 1 - I 81 2 16 I S
EPA Form 9350-1 (1-88)
ROY RAn
VALLEY FORGE. PA 19*tS2
CTL016314
(Important: Type or print; read instructions before completing form.)
REPA FORM
PART II. OFF-SITE LOCATIONS TO WHICH TOXIC CHEMICALS ARE TRANSFERRED IN WASTES
Pay 2 of 5
1. PUBLICLY OWNED TREATMENT WORKS (POTW)
Facility Nam*
N/A
Street Address
City
County
Slat*
zip
< III 1-11 II
2. OTHER OFF-SITE LOCATIONS - Number these locations sequentially on this and any additional page of this form you use.
| | Other off-site location
EPA Identification Number (RCRA ID. No.)
Facility Name Street Address
N/A
111 1 1 ..................................
City
County
State
Zip
1 III l-l 1
j |It location under control of reporting facility or parent company? |
]
Ye* No
1 | Other off-site location
1 EPA Identification Number (RCRA O. No.)
Facility Name Street Addrett
N/A
111 1 1 1 1 1 1
II 11
City
County
State
Zip
J___ 1 1 1___ l-l It location under control of reporting facility or parent company? | | |
1___1 |
| | Other off-site location
Ye* No
1
EPA identification Number (RCRA O. No.)
Facility Name Street Addrett
N/A
1 1 1 1 1 1 1 1 1 1 L_
City
County
State
Zip
1 III l-l 1 It location under control of reporting facility or parent company? | | | |
Yet No
II
H I Check if additional page* of Part 1 are attached.
EPA Form 9350-1(1-88)
CTL016315
(Important-: Type or print; read instructions before completing form.)_____________________
REPA FORM
PART III. CHEMICAL SPECIFIC INFORMATION
Pag# 3 of 5
^ 1. CHEMICAL IDENTITY
1.1 | | Trade Secret (Provide a generic name in 1.4 below. Attach substantiation form to this submission.)
1.2 CAS# 00 766 k 3 3 | "| 9 1 (Use leading zeros if CAS number does not fill space provided.)
Chemical or Chemical Category Name
1.3 SULPHURIC ACID
Generic Chemical Name (Complete only If 1.1 Is checked.)
1.4
MIXTURE COMPONENT IDENTITY (Do not complete this section If you have completed Section 1.) 2. Generic Chemical Name Provided by Supplier (Limit the name to a maximum of 70 characters (e.g.. numbers, letters, spaces, punctuation)).
3. ACTIVITIES AND USES OF THE CHEMICAL AT THE FACILITY (Check all that apply.)
3.1 Manufacture:
a.| | Produce
b. | | Import
< For on-sit# use/processing
d 1 1 For sale/ '1--1 distribution
e. [ | As a byproduct
As an Impurity
3.2 Process:
a. | ] As a reactant
b 1 1 As a formulation ' 1--1 component
- At an article component
d. | | Repackaging only
3
Otherwise Used:
I y| As a chemical * L_ii processing aid
b. | | As a manufacturing aid
- Ancillary or other use
MAXIMUM AMOUNT OF THE CHEMICAL ON SITE AT ANY TIME DURING THE CALENDAR YEAR | 0| ^ | (enter code)
1 5. RELEASES OF THE CHEMICAL TO THE ENVIRONMENT
A. Total Release llbs/yr)
You may report releases of less than 1,000 lbs. by checking ranges under A.1.
A.1 Reporting Ranges
o t-<ee 50o-eoo
S.1 Fugitive or non-point air emissions 5.1a
5.2 Stack or point air emissions
5.2a
5.3 Discharges to water
(Ent#r letter cod# from Part 1 Section 3.10 for *tram*().)
5.3.1 | |
i----- 1
5.3.2 |__ 1
5.3.1a 5.3.2a
A.2 Entsr Estimate
N/A
N/A
H/A
B. Basis of Estimate (enter code)
5.1b O
5.2b Q 5.3.1b Q 5.3.2b Q
C. % From Stormwater 5.3.1c
5.3.2c
5.3.3 5.3.3a
5.3.3b Q 5.3.3c
5.4 Underground Injection
5.4a
5.5 Releases to larid
...
1"
(#nt#r cod#)
5.5.2
1 (#nt#r cod#)
5.5.1a 5.5.2a
B 5.5.3
(#nt#r cod#)
5.5.3a
(Ch*ck If additional Information Is provided on Part IV-Supplemental Information.)
N/A
5.4b Q
N/A
5.5.1b Q
N/A
5.5.2b Q
5.5.3b Q
N/A______
--
CTT.n leu.
EPA Form 9350-1(1-88)
EPA FORM n.Pan Hi (Continued/
. TRANSFERS OF THE CHEMICAL IN WASTE TO OFF-SITE LOCATIONS
You may report tr&ntfart
rang#t urx3#r A.V.
A.Total Transfer* (b/yr)
A. 1 Reporting Range*
0 1-4*9 500-909
A.2 Enter Ettlmat*
B. Ba*i* of Ettlmate (enter code)
8.1 6.2 6.3 6.4
Dltcharp* to POTW
Otlw off-tlle location (Enter block number from Part 1. Section 2.)
Ojher otf-lte location (Enter block number from Part 1, Section 2.)
Other ofl-tlto location (Snt#f block number from Part 1, Section 2.)
N/A 6.1b
N/A 6.2b N/A 6.3b N/A 6.4b
[ | (Check If additional Information It provided on Part IV-Supplemental Information)
Pag* 4 of S C. Type of Treatment/
Disposal (enter code)
6.2c 6.3c 6.4c
7. WASTE TREATMENT METHODS AND EFFICIENCY
A. General Wastestream (enter code)
B. Treatment Method (enter code)
7.1a
7.1b
C. Range of
D. Sequential
Influent
Treatment?
Concentration
(check If
_____(enter code) _____ applicable)___
7.1c
7.Id
E. Treatment Efficiency Ettlmate
7.V*
%
7.2a
7.2b
7.3a
7.3b
7.2c
7.2d
7.2*
7.3c
7.3d
7.3*
% %
7.4a
7.4b
7.5a
7.5b
7.4c
7.4d
7.4*
7.5c
7.5d
7.5*
% %
7.6a
7.6b
7.6c
7.6d
7.6*
%
7.7a
7.7b
7.8a
7.8b
7.7c
7.7d
7.7*
7.8c
7.6d
7.8*
% %
7.9a
7.9b
7.9c
7.9d
7.9*
%
7.10a 7.11a
7.10b 7.11b
7.10c 7.11c
7.10d 7.lid
7.10* 7.11*
% %
7.12a
7.12b
7.12c
7.12d
7.12*
%
7.13a
7.13b
7.13c
7.13d
7.13*
%
7.14a
7.14b
7.14c
7.14d
7.14*
%
(Check If additional Information la provided on Part IV-Supplemental Information.)
F Based on Operating
Data? Yes No
7.If 7.2f 7.3f 7.4f 7.5f 7.6f 7.71 7.61 7.91 7.10f 7.Ilf 7.12f 7.13f 7.14#
8. OPTIONAL INFORMATION ON WASTE MINIMIZATION
(Indicate actions taken to reduce th* amount of the chemical being released from the facBty. See the Inetructlon* for coded Items and an explanation of what Information to Include.)
A. Type of modification (enter code)
B. Quantity of the chemical In the wastestream prior to treatment/dlsposal
C. Index
D. Reason for action (enter code)
Current reporting
year (bs/yr)
Prior year
(fes/yr)
| Or percent i change (
11 %%
nn
m
EPA Form 9350-1(1-88)
CTL016317
(Important: Type or print; read instructions before completing form.)
REPA FORM
PART IV. SUPPLEMENTAL INFORMATION Use this section If you need additional space for answers to questions In Parts I and III. Number or letter this Information sequentially from prior sections (e.g., D.E. F, or 5.54, 5.55).
Page 5 of S
(TW tpec* tor EPA um onty.)
ADDITIONAL INFORMATION ON FACILITY IDENTIFICATION (Part 1 - Section 3)
3.5 3.7 3.8 3.9
----- SIC Cod*_____
____
_J___11III
Dun & BradstrMt Number(*)
III
i i -1 i i i -1 i i i
EPA identification Number(a) RCRA I.D No.)
1 111 t 11111 1 NPOES Permit Number(s)
i i -1 i i i -1 i i i
i iii i iiii i i
______ i____ i i i i i____i____i_________________
Name of Receiving Stream(s) or Water Body(s)
3.10
i iii i iii
ADDITIONAL INFORMATION ON RELEASES TO LAND ( Part III - Section 5.5)
Releases to Land
A. Total Release (Ibs/yr)
A. 1 Reporting Ranges 0 1-496 500-999
A.2 Enter Estimate
5.5____
(*nt*r cod*)
5.5____ a
5 5.5____
(*nt*r cod*) (enter code)
5.5____ a 5.5____ a
B. Basis of Estimate
(enter code)
5.5____ b Q 5.5____ b EH 5.5------ b Q
ADDITIONAL INFORMATION ON OFF-SITE TRANSFER ( Part III - Section )
A.Total Transfers (Ibs/yr)
A. 1 Reporting Ranges
0 1-499 500-999
A.2 Enter Estimate
-------
6.
,, 6.
-----
Discharge to POTW
Other off-sit* locstlon (Ent*r block number
from Psrt 1, Section 2.)
Other ort-lte location (Enter block number
from Part 1. Section 2.)
6.___ a
i---- 1
l--l
1-----1 1-----1
6.___ a 6.___ a
B. Basis of
C. Type of Treatment/
Estimate
Disposal (enter code)
(enter code)
_ 6.___b EH
EH6.___ b
6. c. 6.___ c.
|
ADDITIONAL INFORMATION ON WASTE TREATMENT (Part III - Section 7)
A. General Wastestream (enter code)
B. Treatment Method (enter code)
C. Range of Influent
Concentration (enter code)
D. Sequential Treatment?
(check If applicable)
EH7.___ a
7.___ b
EH7.___c 7.___ d
7. b
EH EU7.___c
7.___ d
E. Treatment Efficiency
Estimate
F. Based on Operating Data?
__________ YfiJ____Na_
7.___ e
%
._t %
1L at
7. b
7.___ d
_f %
7. b
EH ED7.___c
7. d
7-
7._. %
7. b
EH EH7.___c
7.___ d
7__
_J ' %
EPA Form 9350-1(1-88)
CTL016318
u
o
J
.!,
r*!
(Important: Type or print; read instructions btfort completing form.)
Approval E*p<r#$- 01/91 Pag 1 of S
o-EFA
U S. Environmental Protection Agency
TOXIC CHEMICAL RELEASE INVENTORY REPORTING FORM
Section 313, Title III of The Superfund Amendments and Reauthorization Act of 1986
EPA FORM
R
(This space for EPA ute ortfy J
PART I. FACILITY IDENTIFICATION INFORMATION
1 1 Does this report contain trad* secret information?
1.
| | Vaa (Answer 1.2)
| J([ No (Do not answer 1 2)
1.2 b this a sanitised copy?
Q Y"
NO
1.3 Reporting Vaar
1987
2. CERTIFICATION (Read and sign after completing all 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 repon are accurate based on reasonable estimates using data available to the preparers of this report.
Nam* and official tit!# of ewmr/operator or senior management official
C. A. GELLNER, PLANT MANAGER
Signature
Date signed
3. FACILITY IDENTIFICATION
Facility of Establishment Name
CERTAINTEED CORPORATION
Street Address
PETE MANENA ROAD
3.1 City
County
This report contains Information for: (check one)
a | X| An entire covered facility,
3.2 b | | Part of a covered facility.
SULPHUR
State
CALCASIEU
Zip Code
| LOUISIANA
Technical Contact
3.3
BRUCE J. BR0CKA
Public Contact
3.4 C. A. GELLNER
7 1 0 16 1 6l 1*1-10 1 21 sn
Telephone Number (Include area code)
(318 882 -lWl
Telephone Number (Include arta code)
(318 882 -11*1*1
a. SIC Code
35
b N/A
2| 8 I 2i 1 111
| Latitude
C.
___1___1__
longitude
3.6
Deg.
Min. Sec.
Deg.
Min. Sec.
_l..3i o 11 i 313 iQ - 13 l 31 117 1 SiO.
Oun i Bradstreet Numbe'(a)
3.7 *
N/A
____ I 1-1 I I I - I
J__ L
JYV
I I-I I
J__ L
3.8
EPA Identification Number (RCflA 1.0. No.)
b.
* L t A I Dip I 4|0 I 3* 3i 2 iQ i 2iS
I
N/^A
I1
till
NPOES Permit Number(t)
3.9
b- N/A
l 1 A) 0)0 | Li 1 i 0i 2l5
____ I____I___ I--I-- i_l__ I__ L
Name of Receiving Straam(s) or Water Body(s)
J__ L
Whore to send completed forms:
U S. Environmental Protection Agency P.O. Boa 70266 Washington. DC 20024-0266 Atln: Tonic Chemical Release Inventory
* b.
3.10
BAYOU D ' I NDE N/A
Underground Injection Well Code (DC) Identification No.
3.11 II I |N/AI I I I I I
4._ PARENT COMPANY INFORMATION
Name of Parent Company
CERTAINTEED CORPORATION P. 0
4.2
Parent Company's Oun & Bradstreet No
0 I 01-12 nm -I 81216 1 A
EPA Form 9350-1 (1-88)
ROY RAd
VALLEY FORGE. PA 19^82
CTL016319
(Important. Typ? or print; read instructions before completing form.)
REPA FORM
PART II. OFF-SITE LOCATIONS TO WHICH TOXIC CHEMICALS ARE TRANSFERRED IN WASTES
Pag* 2 of S
1. PUBLICLY OWNED TREATMENT WORKS IPOTW1
Facility Ntm#
N/A
Street Addrett
City
County
State
Zip
......................... -Mil
2. OTHER OFF-SITE LOCATIONS - Number the** location* sequentially on thla and any additional page of thla form you uae.
[ ] Other off-site location
EPA Identification Number (RCRA O. No.)
1 1 111111111
Facility Nam* StrMt Addrett
N/A
City
County
State
Zip
1 1 1 1 l-l 1 1 1
|It location under control of reporting facility or parent ocmpany? | |
|
| | Other off-alte location
Ye* No
[ EPA Identification Number (RCRA O. No.)
1 1 11 1111 111
Facility Name StrMt Addreaa
N/A
City
County
State
Zip
1 1 1 1 l-l 1
orIt location under control of reporting facility parent oompany? | [ j |
Yea No
| | Other off-alte location
11
EPA identification Number (RCRA O. No.)
Facility Nama StrMt Addrett
N/A
(|1I1 11 1 111
City
County
State
Zip
1 III l-l 1
|It location under control of reporting facility or parent company? | | j
k Yet No
11-
| | Check If additional paget of Part 1 are attached.
EPA Form 9350-1(1-88)
CTL016320
(Important.' Type or print; read instructions before completing form.)_____________________
REPA FORM
PART III. CHEMICAL SPECIFIC INFORMATION
Page 3 of 5
1. CHEMICAL IDENTITY 1.1 [ | Trade Secret (Provide a generic name in 1.4 below. Altacb subjtantialion form to this submission.)
1.2 CAS# 0 0 1 3 1 01 --1 7 | 3 |-[""Tj (Use leading zeros If CAS number does nol fill spice provided.)
Ch#mical or Chemical Category Name
1.3 SODIUM HYDROXIDE (SOLUTION)
Generic Chemical Name (Complete only If 1.1 la checked.)
1.4
MIXTURE COMPONENT IDENTITY (Do not complete this section if you have completed Section 1.) 2. Generic Chemical Name Provided by Supplier (Limit the name to a maximum of 70 characters (e.g., numbers, letters, spaces, punctuation)).
3. ACTIVITIES AND USES OF THE CHEMICAL AT THE FACILITY (Cheek all that apply.)
3.1 Manufacture:
a.Q Product
b. Q Import
e/elng
d- dlstrtoutlon
e. Q] A* a byproduct
f. Q A. an Impurity
3.2 Pro....:
d. | | Repackaging onfy
`
Otherwise Used: a.[ ]p^ocessIng^aJd
___
b. CD A* * rn*ntrf*ctuf1nfl aid
c-CZ3 AnclBarY f other use
MAXIMUM AMOUNT OF THE CHEMICAL ON SITE AT ANY TIME DURING THE CALENDAR YEAR | 0 14 1 (enter code)
5. RELEASES OF THE CHEMICAL TO THE ENVIRONMENT
You may report releases of less than 1,000 lbs. by checking ranges under A.1.
A. Total Release (tos/yr)
A.1 Reporting Ranges
o i-4se soo-eee
5.1 Fugitive or non-point air emissions 5.1a
A.2 Enter Estimate
N/A
5.2 Stack or point air emissions
5.2a
N/A
5.3 Discharges to water 5.3.1 [ a|
Section 3.10 for straama(s).)
j--i
5.3.2 LJ
5.3.1a 5.3.2a
5.3.3 5.3.3a
A, 200
N/A N/A
5.4 Underground Injection
5.4a
5.5 Relea ses to larid
5.5.1 IT (enter code)
5.5.2
(enter code|
5.5.1a 5.5.2a
A 5.5.3
(enter code)
5.5.3a
| [ (Check If additional Information It provided on Part (V-Suppfemental Information.)
N/A N/A N/A N/A
EPA Form 9350-1(1-88)
B. Basis of Estimate (enter code)
5.1b
5.3.1b Q 5.3.2b Q] 5.3.3b Q
**
5.5.1b CD
C. % From Stormwater 5.3.1c
5.3.2c
5.3.3c
5.5.2b Q 5.5.3b Q
CTL016321
EPA FORM ft. Part 111 (Continued;
6. TRANSFERS OF THE CHEMICAL IN WASTE TO OFF-SITE LOCATIONS
You may r#port transfer*
of l#s (Kan 1.000 lb by checking
rang unoor A.1.
A.Total Transfers (bs/yr)
A.1 Reporting Ranges 0 1-490 500-000
A.2 Enter Estimate
B. Basis of Estimate (enter code)
6.1 Discharge to POTW
Other off-lit* location
i----i
6.2 (Enter block number
1
from Part 1, Section 2.) 1----- 1
6.3 OJher off-alta location [Enter block number
from Part 1, Section 2.)
t~~1(
11
-
6.4 Other off-alta location
i--|
(Enter block number
from Part 1, Section 2.) 1--1
N/A N/A
N/A
N/A
6.1b 6.2b 6.3b 6.4b
| | (Check If additional Information Is provided on Part IV-Supplemental Information)
O D O Q
Pag* 4 of 5 C. Typ of Trgatmgnt/
Dttpo4f (*nt#r cod)
6.2c 6.3c 6.4c
7. WASTE TREATMENT METHODS AND EFFICIENCY
A. Genera] Wastestream (enter code)
B. Treatment Method (enter code)
07.1a
7.1b
7.2a
7.2b
C1 1
C. Range of Influent
Concentration __ fenter code!
7.1c 7.2c
D. Sequential
Treatment? (check If aoodcablel
7.Id 7.2d
E. Treatment Efficiency Estimate
7-i* 7.2e
99% %
7.3a
7.3b
7.3c
7.3d
7.3e
%
7.4a
7.4b
7.4c
7.4d
7.4e
%
7.5a
7.5b
7.5c
7.5d
7.5e
%
7.6a
7.6b
7.6c
7.6d
7.6e
%
7.7a
7.7b
7.7o
7.7d
7.7e
%
7.8a
7.8b
7.6c
7.6d
7.8e
%
7.9a
7.9b
7.9c
7.9d
7.9e
%
7.10a
7.10b
7.11a
7.11b
7.10c 7.11c
7.10d 7.lid
7.10e 7.lie
% %
7.12a
7.12b
7.12c
7.12d
7.12e
%
7.13a
7.13b
7.13c
7.13d
7.13e
%
7.14a
7.14b
7.14c
7.14d
7.14e
%
(Check If addKIonal Information Is provided on Part IV-Supplemental Information.)
F Based on Operating
Data? Yes No
7.If 7.2f 7.3f 7.4f 7.5f 7.6f 7.7f 7.8f 7.9f 7. lOf 7.Ilf 7.12f 7.13f 7.14f
#. OPTIONAL INFORMATION ON WASTE MINIMIZATION
(Indicate actions taken to reduce the amount of the chemical being released from the facRty. See the Instructions for coded Kerns and an explanation of what Information to Include.)
A. Type of
modification (enter code)
B. Quantity of the chemical In the wastestream prior to treatment/dUposai
C. Index
D. Reason for action (enter code)
Current reporting
year (bs/yr)
Prior year
(be/yr)
( Or percent | change (
11 %*
nn
m
EPA Form 9350-1(1-88)
CTL016322
(Important: Type or print; read instructions before completing form.)
REPA FORM
PART IV. SUPPLEMENTAL INFORMATION Use this section If you need additional space for answers to questions In Parts I and III. Number or letter this Information sequentially from prior sections (e.g., O.E, F, or 5.54, 5.55).
Page S of S
ADDITIONAL INFORMATION ON FACILITY IDENTIFICATION (Part 1 - Section 3)
----- SIC Code ----3.5
-----
1 1 1111 Dun A SradstrMt Numbr(ij
'll,
3.7 i i -1 i i i -1 j i i '
EPA Identification Nlumber() RCRA I.O. No.) 3.*
1 111 1 111111 NPOES Permit Number() 3.9
1 1 - 1 1 1 1 - 1 11 1 1 111 11111 1
1
_____1___ 1-J- 1___ 1 1 1 1_____________ Name ot Receiving Stream(i) or Water Body(t)
.........................Ill
3.10
ADDITIONAL INFORMATION ON RELEASES TO LAND ( Pert III - Section 8.5)
Releases to Land
A. Total Release (bs/yr)
A.1 Reporting Ranges
0 1-409 500-999
A.2 Enter Estimate
5.5____
(enter code)
5.5____ a
.5
5.5____
(enter code) (enter code)
5.5____ a 5.5____ a
B. Basis of Estimate
(enter code)
5.5____b Q
S.5____ b O
5.5____b Q
ADDITIONAL INFORMATION ON OFF-SITE TRANSFER ( Part III - Section 8)
A.Total Transfers (be/yr)
A.1 Reporting Ranges
0 1-490 500-999
A.2 Enter Estimate
'-------
Dlchrg# to POTW
6.___ a
6.
_ 6.
-------
Other on-lte location (Enter block number
from Part 1, Section 2.)
Other off-site location (Enter block number
from Part 1, Section 2.)
ii 1
1--1
r~~1 1 1------- 1
6.___ a 6.___ a
8. Basle of C. Type of Treatment/
Estimate
Disposal (enter code)
(enter code)
6-_b 6.___b CH
S. c. 8.___ c.
1
ID
ADDITIONAL INFORMATION ON WASTE TREATMENT (Part III - Section 7)
A. General Wastestream (enter code)
B. Treatment Method (enter code)
C. Range of Influent Concentration
(enter code)
D. Sequential Treatment?
(check If applicable)
7. b
CD7.___ c
7.___d
E. Treatment Efficiency Estimate
F. Based on Operating Data?
__________ Yu____Ng_
7.___ e
%
7. b
7.___c 7.___d 7__*
_f %
u
J
----N-1
O
J
h.
7. b
7_*
7._r %
r._.
7. b
CH7.___ c
7.___
7._< %
o
1
_.
7. b
7.___d 7._#
% ._f
EPA Form 9350-1(1-68)
CTL016323
-4
L
-4
L
n