Document a3KOE0DQKX4ZE0Ka7E7zGkYB

Form Approved 0MB Number: 2070*0092 (IMPORTANT: Type or print; reed instructions before completing form) Approvsl Expires: 11/92 ------------------------------------------------- ------------------ ------------------------- ------------------------------------------------- ---------------------------------- --------------- PAGE 1 OF 9 |TRI FACILITY ID EPA FORM R TOXIC CHEMICAL RELEASE Tited States INVENTORY REPORTING FORM | 70765THDWCHIGHW | .................................... ................... environmental Section 313 of the Emergency Planning and Community Right-to-Know Act of 1986, |Chem., Cat., or Gen. Name [ Protection also known as Title III of the Superfund Amencknents and Reauthorization Act Agency FORMALDEHYDE 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 X IMPORTANT: See instructions to determine when "Not Applicable (NA)11 boxes should be checked. |For EPA use only | PART I. FACILITY IDENTIFICATION INFORMATION SECTION 1. REPORTING YEAR 1995 ................................................................................ |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 forma) Go to Section 3) +--------------------------------------------- -------------------------------------------------------------- | 2.2| If yes in 2.1, is this copy: ---- ------------------ ----------------------- [ 3 Sanitized C ] Unsanitized SECTION 3. CERTIFICATION (Important: Read and sign after completing all form sections.) 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 mounts and values in this report are accurate based on reasonable estimates using data available to the preparers of this report. +----------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------- I Name and officiay't/tle of owner/oper^or or senior management official | DOYLE A. HANEY^M)U*apSNIAk MANAjJ + - yfc - TtWm Signayrff'e jf / iDate Signed 08/21/96 | SECTION tyf FACILITY IDENTIFICATION --......................................................... -................... ......................................................... Facility or Establishment Naaw THE DOW CHEMICAL COMPANYLOUISIANA DIVISION Street Address HIGHWAY 1 SOUTH;P.O. BOX 150 City PLAQUEMINE State LA Mailing Address (if different from street address) N/A TRI Facility ID Number 70765TH0WCHIGHW | County |IBERV1LLE/UBR PARISH (Zip Code |70765-0150 EPA Form 9250-1 (Rev. 12/4/94) - Previous editions are obsolete. DO A 05457? CONFIDFNTIAI .......................................................................................................................................................... EPA United states Environmental rotection | Agency EPA FORM R PART I. FACILITY IDENTIFICATION INFORMATION (CONTINUED) PAGE 2 OF 9 |TRI FACILITY ID NUMBER | --------------------------------- - | 70765THOWCHIGHW | .................................. .... (Chew., Cat., or Gan.Name | +................. ............................... --.................. | FORMALDEHYDE I .............................................. ................ -....................................................................................................................................... ........................................................................................................................................ ........................................................................................................................................................................................................................................................................................................................................................................................................... - *................................................................................ ... (SECTION 4. FACILITY IDENTIFICATION (Continued) | --...................................................................................................................... ... ...................................................................................................................................................................................... .................................................................................... .... 14.2 I This report contains information for:I | | (Important: check only one) |a.[X] An entire facility +------ -......................-.................................-................... -- b. ( ] Part of a facility c. .C.J...F.e.d.e.r.a.l..F.a..c.i.lit--y ...| 14.3 I Technicall Name I I Contact I DOYLE A. HANEY +---------- +------------------------------- ------------------------------------------------------------------------------------ - - Telephone Number (include area code) (504)353-6128 + 14.4 I Public I Name | I Contact I GERRY DAIGRE +------ +.......... ...........-++------------------------------- +-------------------- I Telephone Number (include area code) I (504)353-1602 4..................... ....................................................... +.......................... 4.5 STC Code (4-digit) - - - -H a. 2812 1 ! 4.6 Degrees i Longitude 030 b. 2821 Latitude 1 Minutes 1 19 c. 2869 d. NA f. 1 Longitude i `| Seconds Degrees | Minutes | 1 11 1 00 091 1 16 Seconds 20 4.7 Dun l Bradstreet Nunber(s) (9 digits) --------- a EPA Identification Number(s) (RCRA I.D. No.) (12 characters) +------ 4.9 Facility NPDES Permit Nuiber(s) (9 characters) a. 008187080 b. NA a. LAD008187080 b. NA a. LA0003301 1 i ! ------ b. 4.10 Underground Injection Well Code (UIC) I.D. Nuiber(s) (12 digits) a. I b. +---- +.... .......................... .............................. .............................................. +............... ...................................................................... ................................................................................................ ............................................ ............. .............................. ... ........................- - - (S--EC+T-I-O--N------5--.-----P--A--R---E--N---T..C.O.M.P.A.N.Y..I.N.F.O.R.M.A.T.I.O.N...........................................--... 5.1(Name of Parent Company | ......................................... ......................... |t ] NA | --+....................................................................... ............ ............... ... THE DOW CHEMICAL COMPANY ........................................ .................. 5.2|Parent Coapany's Dun I Bradstreet Niafeer| ------------------------------- --------------------- -- +--+I -[--]---N-A----------- -| -----------(.9..D.i.g.i.t.s.)........0.0.1.3.8.15.8.1.------- ........ EPA Form 9250-1 (Rev. 12/4/94) - Previous editions are obeolete. LA0049638 NA DO A 054570 CONFTDFNTTAL ................................................................................................................................................................................................................................... -...................................................................................................... EPA EPA FORM R United States nvirormental rotection | Agency PART II. CHEMICAL-SPECIFIC INFORMATION ........................................................................................................................................................................................................................................................................................................................... PAGE 3 OF 9 -------------------------------- - |TRI FACILITY ID NUMBER | ......................................... | 70765THDWCH1GHW | ................................ -........................................... .... |Chem., Cat., or Gen. Name | ......................... .................... | FORMALDEHYDE | --------- ----------------- -------------------------------------* I SECT ION 1. TOXIC CHEMICAL IDENTITY (Important: DO NOT complete this section I if you complete Section 2 below.) .......................................................*.............................................................................................. ......................................................................... .........................*' 1.1| CAS Member (Important: Enter only one nunber exactly at it appears on the Section 313 list. ........ ........................... ...........--..................................................................................--...................................... ..... | 000050-00-0 +............................................................. ................................................................................................................................................................................................................ 1.2| Toxic Chemical or Chemical Category Name (Important: Enter only one name exactly as it appears on the Section 313 list.) -------- ------------------------------- --------- -- ~ -- - -- - -- - -- ----------------------------------------------------------------------------------------------------------------------------------- --.|......---------F--O-R-M--A-L-D-E--H-Y-D-E-------------------------------------------------------------------- ---------- 1.3| Generic Chemical Name (Important: Complete only if Part I, Section 2.1 is checked "yes.M -------- .......----------------------------------------------------------------------------------- ------------------------------------------------------------- NA I SECTION 2. MIXTURE COMPONENT IDENTITY (Important: DO NOT complete this I section if you complete Section 1 above.) 2.1 Generic Chemical Name Provided by Supplier (Important: Max. of 70 chars., including nunbers, letters, spaces, and punct.) NA SECTION 3.---A-C-T-I-V--IT--IE- S+--A-N-D---U-S--E-S--O-F---T-H-E--C--H-E-M--I-CAL AT THE FACILITY Manufacture the toxic chemical: 3.1 a. [X] Produce b. ( ] Irrport -------... Process 3.2 the toxic chemical +--+ Otherwise use 3.3 the toxic chemical: a. CX] As a reactant b. [] As a formulation component a. [ ] As a chemical processing aid b. [ ) As a manufacturing aid (Important: Check all that apply.) If produce or import: c. C ] For on-site use/processing d. [ ] For sale/distribution e. [] As a byproduct f. CXI As an impurity c. C ] As an article component d. [ 1 Repackaging c. [ 1 Ancillary or other use Section 4. MAXIMUM AMOUNT OF THE TOXIC CHEMICAL ON-SITE AT ANY TIME DURING THE CALENDAR YEAR 4.11 02 (Enter two-digit code from instruction package.) EPA Form 9250-1 (Rev. 12/4/94) - Previous editions are obsolete. i DO A 054574 CONFTDFNTTAl EPA United States Environmental 'rotection agency EPA FORM R PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED) PAGE 4 OF 9 ----------------------------------------------------------------- --- |TRI FACILITY ID NUMBER | ........................................................ | 70765TH0WCHIGHW | -------------------------------------------------------------------------- --- |Chem., Cat., or Gen. Name | ................................................................................ | FORMALDEHYDE | ................................................................ ............... ... SECTION 5. RELEASES OF THE TOXIC CHEMICAL TO THE ENVIRONMENT ON-SITE j 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 emission* 5.2 Stack or point air emissions 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 DONA NA [ ]NA 250 k 0 5.3.3 Stream or Water Body Name 5.4 Underground injections on-site 5.5 Releases to land on-site DONA NA 5.5.1 Landfill 5.5.2 Land treatment/ application farming 5.5.3 Surface impoundsent 5.5.4 Other disposal DONA NA DONA NA DONA NA DONA NA * [ J Check here only if additional Section 5.3 information it 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 > 500 - 999 poinds. DO A 054575 CONFIOFNTTA! -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- --- EPA EPA FORM R United State* 'nviTormental otection | agency PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED) ......................................................................................................................................................................................................................................................................................... ... PAGE 5 OF 9 |TRI FACILITY 10 NUMBER | ........... ............................. . I 7076.5.TH.D..W.C.H.I.G.H.W..... ... I |Chem., Cat., or Gen. Name ......................-................ ... | FORMALDEHYDE Sect ion 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) (enter range code from instructions or estimate) B. Basis of Estimate (enter code) C. X From Stormwater 15.3.4 Stream or Water Body Na 15.3.5 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) 1.A Total Quantity Transferred to POTW* and Baai* of Eatimate | .o.l.A.1 Total Transfer* (pounds/year) I (enter range code or estimate) I6.1.A.2 Baai* of Eatimat* | (enter code) I | +................................................................................................................................................................................................................................................................................................ .. NA |6.1.B POTW Name and Location Information I 6.1.B.1| POTW Name 6.1.B.2I POTW Na Street Address Street Address City County City Cointy 4--------------- State Zip Cod* State .....................................................................-- ............................... ..................................................................................... -+ Zip Code --------- -- -- If additional pages of Part II, Section* 5.3 and/or 6.1 are attached, indicate the total ntater of pages in this box [ ] and indicate which Part II, Sections 5.3/6.1 page this is, her*. (1 ] (example: 1,2,3,etc.) EPA Form 9250-1 (Rev. 12/4/94) - Previous editions are obsolete. Rang* Codes: A * 1-10 poinds; B * 11-499 pounds; C 500 - 999 pounds. DO A 054576 CONFIDENTTAL EPA United States Environmental rotection Agency EPA FORM R PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED) [SECTION 6.2 TRANSFERS TO OTHER OFF-SITE LOCATIONS ------------------------------------------------------------------------------------------------------------------------------------------- 16.2.1 Off-site EPA Identification Nimber (RCRA ID No.) PAGE 6 OF 9 ---------- -- --------- ITRI FACILITY ID NUMBER | +.................... .................. .. | 70765THOWCHIGHV | -------------- ----------------------------------------- *------------------- |Chem., Cat., or Gan. Name | ................................................. ...... + | FORMALDEHYDE | ------------------------------------------------------------4 4 | Off-Site Location Name -....................... -...................... | Street Address ................. ------------------ I City Cointy 4 --------------------------------------- --+-------------------------------------- ------------------------------------------* --................................... . f State [Zip Code | Is location under control of reporting [ ] YES t J NO | ------------------------------------------------------------------------------------ -- -------------------- +----------------------------------------------------- ----------------------------------------------------- -- --------------------------------------------------------------------------------------------------------------- A. Total Transfers (pounds/year) B. Basis of Estimate C. Type of Waste Treatment/Disposal/ (enter range code or estimate) (enter code) Recycling/Energy Recovery (enter code) i.. , 1 1- i. 2- 2- j k 3- 3- 1 4. 1 *. 4................................................................................................4................................................................................................ 4 I SECT ION 6.2 TRANSFERS TO OTHER OFF-SITE LOCATIONS 16.2.2 Off-site EPA Identification Nuitoer (RCRA ID No.) NA Off-Site Location Na | Street Address City County -4--------------- State [Zip Code | Is location under control of reporting [ ] YES ( ] NO -4---- ---------------------------------4................................................... ................. ................. A. Total Transfers (potnds/year) (enter range code or estimate) B. Basis of Estimate (enter code) C. Type of Waste Treatment/Disposal/ Recycling/Energy Recovery (enter code) .. 2- 2- 2- 3- 3- , 4. If additional pages of Part II, Section 6.2 are attached, indicate the total nuntoer of pages in ;his box t ] and indicate uhich Part II, Sactions 6.2 page this is, here. [1 ] (example: 1,2,3,etc.) DO A 054577 rnMcmruTT*. i-uinudfNTIAL EPA Form 9250-1 (Rev. 12/4/94) - Previous editions are obsolete. Range Codes: A 1-10 poinds; B 11-499 pounds; C 5<jj) - 999 pounds. EPA United States "nvironmental -otection *gency EPA FORM R PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED) PAGE 7 OF 9 + --....................................................................... |TRI FACILITY ID NUMBER 4-------------------- | | 70765THDWCHIGHU | ......................-.........- - |Chem., Cat., or Gen. Name | ................. ..................... .........................-- I FORMALDEHYDE I I Sect ion 7A. ON-SITE WASTE TREATMENT METHOOS AND EFFICIENCY C ] Not Applicable (NA) - Check here if no on-site treatment is applied to any waste stream containing the toxic chemical or chemical category. a. General Waste Stream (enter code ) b. Waste Treatment Method(s) Sequence tenter 3-character code(s)] c. Range of Influent Concentration d. Treatment Efficiency Estimate 7k.lt 7A.1b 3i + 6i + |7A.2b .......... i | A01 + i 4i + i 7i + ........I 2 | NA i 5i 1 i 8i 1+ i 1 i 1 j 1 i j 2i j 7A.1c | 7A.1d | --------------------------------------------------- - 099.00 e. Based on Operating Data? 7A.1e Yes (1 No tXJ NA 7A.5a 3i + 6i |7A.3b 1 3j 6! |7A.4b 1 3j 6i + |7A.5b 1 i 4i i 7i * 1i * i 1 * i 7i 4' + 1i ! 4i i 7i 1i i 5i 1+ j 8i + j 2i i 5i 1 i 8i 1 i 2i 1 i 5i 1 i 8! 1 j 2i i j j j j i 1 i i 1 j 7A.4c 7A.4d | -----------------------------+. 7A.4e Yes [] No CI 3i + 6i ....... i 4i i 5i 1+ i 7i ---- i 8i ........ i 1 i -| --I-f---a--d-d--i-ti-o--n-a--l--p--a-g-e--s--a--r-e--a--t-ta--c-h--e-d--,---in--d--ic--a-t-e---t-h--e---to--t-a--l--r-e-a--fe--e-r--o--f--p--a-g-e--s--i-n---t-h--i-s--b--o-x---(----]--a--n-d---in--d--ic--a-t-e---w--h-i-c-h-- -p-a-g-e-- -t-h-i-s---i-s--,--h- e-r-e---H---I. EPA Forts 9250-1 (Rev. 12/4/94) - Previous editions are obsolete. DO A 05457B CONFIDENTT Al + ------EPA United States Environmental rotection j Agency EPA FORM R PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED) ............................................................................................................................................................................................................................................................................................ PAGE 8 OF 9 ............................ .......... |TRI FACILITY ID NUMBER | -------------------------------- - I ...7..0..7..6..5.T.H.D.W.C.H.1.G.H.W.......... I |Chem., Cat., or Gen. Name ----- ------- ---------------- | FORMALDEHYDE | --------------------------------------- ------------------------ Section 78. 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-cherecter code(s)] 1 1 1 | NA 1 21 1 i3 i *1 1 |Sect ion 7C. ON-SITE RECYCLING PROCESSES - - -- ................... .......-------------------------------- ----------------------------------------------------------- -------------------------------- --------------- I (X) Not Applicable (NA) - Check here if no on-site recycling is applied to any waste *I ---------------------------- -st--rea-m---c-o.n.t.a.i.n-in--g--t-h.e..to..x.i.c.--che.m..ic.a.l..o.r--c-h-e-m--i-ca-l --ca.te..g.o.r.y... Recycling Methods [enter 3-character code(s)} NA | 1 ....... 21 1 7 I ....... i .......... 31 1 *i .......... 1 .......... 4! *i .......... i 1 51 io r EPA Form 9350-1 (Rev. 12/4/94) - Previous editions ere obsolete. DO A 054579 CONFIDENTIAL EPA United State* "nvironmental rotection Agency EPA FORM R PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED) Section 8. SOURCE REDUCTION AND RECYCLING ACTIVITIES All estimates can be reported using up to two significant figures. Colum A 1994 (pounds/year) Colum B 1995 (pounds/year) 8.1 Quantity released * 0 250 Quantity used for energy 8.2 recovery on-site 0 0 Quantity used for energy 8.3 recovery off-site 0 0 8.4 Quantity recycled on-site 0 0 8.5 Quantity recycled off-site 0 0 PAGE 9 OF 9 ----------------------------------------------------------------------------- --- |TRI FACILITY ID NUMBER | ................................................................................ ... | 70765THDWCHIGHW | ............................ -.............................. ....................... .... |Chem., Cat., or Gen. Name | ............................................................................. | FORMALDEHYDE | Colum C 1996 (poinds/year) 250 0 0 0 0 Colum D 1997 (pounds/year) 250 0 0 0 0 .6 Quantity treated on-site 0 00 0 8.7 Quantity treated off-site 0 00 0 -..-4 8.8 Quantity released to the environment as a result of remedial actions. catastrophic events, or one-time events not associated with production processes (pounds/year) |8.9 (Production Ratio or Activity Index 0001.09 8.10 (Did your facility engage in any source reduction activities for this chemical during I the reporting year? If not, enter "NA" In Section 8.10.1 and answer Section 8.11. +-------.....--......--.----------------------- --.....------------- ....-------...-------------- I Source Reduction Activities | 1 Center eode(s)] I Methods to Identify Activity (enter codes) 0 |8.10.1 NA l* |b. Ic- ............... . -* |8.10.2 +............ |b. l<= ----- |8.10.3 I ----------- |b. lC ............. |8.10.4 |b. IC* - - -- 8.111 It tddftiontl optional infonwtion on sourct reduction, recycling, or ' I YES NO I pollution control activities included with this report? (Check one box) | Cl CX] ........... ..................................................... ............................................. .......................................................................... ............................................. ................................................................. +............................................. * Report releases pursuant to EPRCA Section 329(8) including "any spilling, leaking, pusping, pouring, eaiitting, emptying, discharging, injecting, escaping, leaching, dinping, or disposing into the environment.1* Do not include any c^antity treate i on-site or off-site. EPA Form 9250-1 (Rev. 12/4/94) - Previous editions are obsolete. C^^A ^O5?4r55A80(--.