Document aBJb0VvLvN2VqXaKVd9gNOanB
Form Approved OMB No.: 2070-0093 Approval Expires:. 01/91 Paoe 1 of 5
^
U.S. Environmental Protsctlon Agency
TOXIC CHEMICAL RELEASE INVENTORY REPORTING FORM
Section 313 of the Emergency Planning and Community Rtght-to-Know Act of 1986.
also known as Title III of the Superfund Amendments and Reauthortzatfon Act
EPA FORM
R
PART 1.
FACILITY IDENTIFICATION
INFORMATION
(This space for your optional use.)
Public reoortlng burden for this
cotlection of information is estimated to
vary from 30 to 34 hours per response,
with an average of 32 hours per
response, including time tor reviewing
Instructions, searching extatlng data
sources, oatherino and maintaining the
data needed, end completing and
reviewing the collection of Information.
Send comments regarding this Ourden
estimate or arty other aspect ot this
collection ot Information. Including
suggestion* for reducing this burden, to
Chief. information Policy Branch
(PM-223). US EPA. 401 M St., SW.
Washington, D.C. 20460 Attn: TRI
Burden and to the Office ot Information
and Regulatory Affairs, Office ot
Management and Budget Paperwork
Reduction
Protect
(2070-0003).
Washington. D.C. 20603.
1.1 Are you claiming the chemical Identity on page 3 trade *acret7
1.2 If "Yes" In 1.1, is this copy:
1 1 X J1.
Yes (Answer auastlon 1.2:
L No (Do not anavyer 1,2:
^^j^taej^uoatantlatloj^orrnj^
[ ] Sanitized [ 1 Unsanitlzed
1.3 Reporting Year 19_&S_
2. CERTIFICATION (Read and sign after completing all sections.)
I hereby certify that l have reviewed tha attached document* and that, to the beat of my knowledge and ballet, the submitted Information la true and complete and that the amount! and values In thla report are accurate baaed on reasonable estimates using data available to the preparers Of this report.
Name and official title of owner/operator or senior management official
T. G.
Signature
Brown.
Works
Manager. FPG
im
Industries.
Lake Charles. La
Date signed
ofysltf
1a.
Facility or Establishment Name
PPG Industri?s. Tnr.
WHERE TO SEND COMPLETED FORMS:
1. U.S. ENVIRONMENTAL PROTECTION AGENCY
Strwt Ador*
Columbia Southern Road
3.1
City
Westlake
State
LA
County
Zip Code
70669
P.O. BOX 70266 WASHINGTON, DC 20024-0266 ATTN: TOXIC CHEMICAL RELEASE INVENTORY
2. APPROPRIATE STATE OFFICE (Se instruct! ns Appendix E)
This report contains Information tor (Check one):
3.2
a.[x] An entire facility
[ ]b, Part of a facility.
Technical Contact
3.3
A,, qv
P1 a n c h e
Public Contact
3.4
V.' i 11 i t. J . P s a r d
SIC Code (4 digit)
3.5 a.2812
b. 2815
3.6
Latitude
e. 286 9
Dun & Bradstreet Number(s)
3.7 .oo-8Q8-6i;n-
EPA Identification Numoer(s) (RCRA I.D. No.)
3.6 a.LAD 00 808
________
NPDES Permit Number)*)
3.9 a.LA 0000751
Receiving Streams or Water Bodies (enter one name per box)
a.Calcasieu River
o. NA
Telephone Number (include area code)
(318) 491-4184
Telephone Number (include area code)
Longitude Minutes
15
Lii p. NA
b. Bavou D'Inde
3.10 Bavou Verdini
d. N K
Underground mie :tlon Wall Cooe (UIC) Identification Numoar(s)
3.11 a.NA
4. PARENT COMPANY INFORMATION
Name of Parent Company
4.1 PFG Industries. Tnr
Parent Company's Dun & I
4.2 00-134-4803
PA Form 9350-1 (1-89) Revised--Do not use previous versions.
4i A Of tKA
EPA FORM R
PART II. OFF-SITE LOCATIONS TO WHICH TOXIC CHEMICALS ARE TRANSFERRED IN WASTES
1. PUBLICLY OWNED TREATMENT WORKS (POTWs)
1.1 POTW name
NA
Street Address
1.2 POTW name
Street Address
City
County
City
State
Zip State
(This space for your optional use.)
County Zip
2. OTHER OFF-SITE LOCATIONS (DO NOT REPORT LOCATIONS to which wastes ARE SENT ONLY FOR RECYCLING OR REUSE).
2.1 Off-site location name
Chemical Waste Management, Inc.
EPA Identification Number (RCRA ID. No.)
ALD 000622464
Street Address
Alabama Highway 17 at Milemarker
City
Emelle
County
Sumter
State
Zip
AL 35459
Is location under control ot reporting facility or parent company?
2.2 Off-site location name
NA
EPA Identification Numoer (RCRA ID. No.)
Street Address
163
City
County
State
Zip
Is location under control of reporting facility or parent company?
1[ Yes
[X ]no
[ ] Yes
[ ] No
2.3 Off-site location name
EPA Identification Numtw (RCRA ID- No.)
Street Address
City
County
2.4 Off-site location name
EPA Identification Numoer (RCRA ID. No.)
Street Address
City
County
State
Zip
State
Zip
Is location under control ot reporting facility or parent company?
2.5 Off-site location nama
[ ] Yes
[ ] No
Is location under control of reporting facility cr parent company?
2.6 Off-site location name
[ ] Yes
[ ] No
EPA Identification Numoer (RCRA ID. No.)
EPA Identification Number (RCRA ID. No.)
Street Address
Street Address
City
County
City
County
State
Zip State
Zip
Is location under control ot reporting facility or parent company?
[ ] Yes
[ ] No
Is location under control of reporting facility or parent company?
[ ] Yes
[ ] No
EPA Form 9350-111-89) Revised--Do not use orevlous versions.
(Important: Type or print; read instructions before completing form.)
a EDA "
epa form R PART III. CHEMICAL-SPECIFIC INFORMATION
(This space for your optional use.)
1. CHEMICAL IDENTITYIDo not complete this section If you complete Section 2.)
1.1 [Reserved]
1310-73-2 )1.2
CAS Number (Enter the number exactly as it appears on the 313 list. Enter NA if reporting a chemical category.
Chemical or Chemical Category Name (Enter the name exactly as It appears on the 313 list.) 1.3
Sodium hydroxide (solution) 1 " )Generic Chemicel Name (Complete only If Part I, Section 1. is Checked "Vet. Generic name must be structurally descriptive-
1.4
MIXTURE COMPONENT IDENTITY (Do not complete this section if you complete 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. 4iCTIVITIES AND USES OF THE CHEMICAL AT THE FACILITY (Check all that apply.I
Manufacture the chemleel: 3.1
ry -i
a.IA J Produce
If produce or import:
o
f i.
Xl
J
For on-site use/processing
f XI For sale/
o.L J distribution
b. [ ] Import
e.[ ] As a byproduct
f. [ ] As an impurity
Process the 3.2 chemical:
3.3
Otherwise use the chemical:
[1
ro,.t.n(
a-IX J As a reactant
d.[ ] Repackaging only
f 1 As a chemical a-L J processing aid
[ 1 As a formulation
J component
f]
b.L J As a manufacturing aid
f 1 As an article
C-L J component
fi c.l J Ancillary or other use
4. MAXIMUM AMOUNT OF THE CHEMICAL ON-SITE AT ANY TIME DURING THE CALENDAR YEAR (enter code)
5, RELEASES OF THE CHEMICAL TO THE ENVIRONMENT ON-SITE
A. Total Release (Ibs/yr)
You may report releases of less than 1.000 lbs. by checking ranges under A.1. (Do not use both A.1 and A.2)
A.i Reporting Ranges
0 1-499 500-999
A.2 Enter Estimate
5.1 Fugitive or non-point air emissions 5.1a [][][]
NA
5.2 Staok or point sir emissions
5.2a [][][] 22,000
5.3 Discharges to receiving
a1
streams or water bodies 5.3.t |--i
(Enter tatter coda from Part 1 Section 3. to tor ttream(i) >n tna box provided.)
1", 1
5.3.2 u '
5.3.3 0
5.3.la MMM
1300
5.3.2a [][][] LOO,000
5.3.3a [][][]
2700
B. Basis of 1 Estimate (enter code)
5.1b CH
5.2b 0
0 C. % From Stormwater 5.3.1c NA
5.3.2b B 5.3.2c NA 5.3.3b 0 5.3.3c NA
5.4 Underground Injection 5.5 Releases to land
5.5.1 On-sita landfill 5.5.2 Land traatmant/appllcation farming
5.5.3 Surface impoundment
5.5.4 Other ditpoaal
5.4a [][][] 5.5.1a [][][]
Ml5.5.2a ] [ ]
5.5.3a [][][] 5.5.4a [][][]
NA NA NA
NA
1300
5.4b 0 5.5.1b 0 5.5.2b 0 5.5.3b 0 5.5.4b 0
(Check if additional Information is provided on Part !V-Sueplemental information.)
SL 022569 EPA Form 9350-1(1-89) Revised--Do not use previous versions. ^
u
(Important: Type or print; read instructions before completing form.)
A EPA
EPA FORmR
PART III. CHEMICAL-SPECIFIC INFORMATION (continued)
Page 4 of 5 (This space for your optional use.)
6. TRANSFERS OF THE CHEMICAL IN WASTE TO OFF-SITE LOCATIONS
You may report transfers of less than 1.000 lbs. by checking ranges under A.1. (Do not use both A.1 and A.2)
A. Total Transfers (Ibs/yr)
A.1 Reporting Ranges
0 1-490 500-000
A.2 Enter Estimate
B. Basis of Estimate (enter code)
Discharge to POTW
._____ ______
(enter location number I . II
6.1.1 from Part II, Section i.) | M l
[][)[]
NA
>.1.1b n
Other ott-nte location (enter location numbei
iBlu [][][]from Part II. Section 2
Other ott-slte location
(enter location numbei from Part II, Section 2
[1(1(1
Other ott-site location
(Mill6
2
3
(enter location number..mn
from Part II. Section 2
980
NA
6.2.1b
6.2.2b
6.2.3b
[ ] (Check if additional Information is provided on Part IV-Supplemental Information.)
C.Type of Treatment/ Disposal
5.2.1c 1MI ?| ^1
H6,2.2c
6.2.3c [M
7. WASTE TREATMENT METHODS AND EFFICIENCY
A. General Wastestream
(enter code)
B, Treatment Method
(enter code)
C. Range of
Influent Concentration (enter code)
D. Sequential Treatment? (cheek if
applicable)
E. Treatment
Efficiency Estimate
F. Based on Operating Data? Yes
No
GD7.1a
7,ib
d li il
7.2a
7.2b 1 a! rl, i
7.3a
7,3b
7.4a
7.4b
7.5a
7.5b
7.6a
7.6b
7.7a
7.7b
7.Ba
7.8b
7.9a
7.9b
7.10a
7.10b
Me [T]
7.2c 7.3c 7.4c 7.5c 7.6c 7.7c 7.8c 7.9c 7.10c
7.Id t 1
7.2d [ 1
7.3d E ]
7,4d [ ]
7,5d [ ] 7.6d E ] 7.7d E 1 7.8d [ ] 7.9d E ] 7.10d t ]
7.ie99.6 7.2e95 7.3e 7,4e 7,5e 7.6e 7,7e 7.8e 7.9e 7.10e
[ ] (Check If additional Information Is provided on Part IV-Supplemental Information,
% 7.if % 7.2.
(X1 ( 1
[ ] [ X]
% 7-"
% 7.4f
E 1E 1 [ ][ ]
% 7.5f [ ] E 1 7.6f E ] E ]
% 7.7f E ] E ] % 7.8f [ ] [ ] % 7.9f E ] E ] % 7.1 Of E ] E 1
8. OPTIONAL INFORMATION ON WASTE MINIMIZATION
(Indicate actions taken to reduce the amount of the chemical being released from the facility. See the instructions for coded
items and an explanation of what information to include.)_____________
____________________
A. Type of Modification (enter code)
B. Quantity of the Chemical in Wastes Prior to Treatment or Disposal
C. Index
Reason for Action (enter code)
H
Current reporting year (Ibs/yr)
NA
Prior year (Ibs/yr)
I Or percent ! change
I
EPA Form 9350-1(1-89) Revised - Do not use previous versions.
SL 022570
<
(Important: Type or print; read instructions before completing form.
EPA
REPA FORM
PART IV. SUPPLEMENTAL INFORMATION
Use this section if you need additional space for answers to questions in Part III. Number the lines used sequentially from lines in prior sections (e.g,. 5.3.4. 6.1.2. 7.11)
ADDITIONAL INFORMATION ON RELEASES OF THE CHEMICAL TO THE ENVIRONMENT ON-SITE (Part III, Section 5.3)
You may report releases of less than 1.000 lbs. by checking ranges under A.1.
(Do not use both A.1 and A.2)
5.3 Discharges to
,--.
receiving streams or
waterbodies
5.3----------1--1
A. Total Release (Ibs/yr)
A.1 Reporting Ranges
0 1-499 son-999
A.2 Enter Estimate
[][][]5.3______a
B. Basis of Estimate
(enter code in box
provided)
C.% From Stormwater
..3 5.3_____ c
(Enter letter cob* from Part 1
Section 3.10 for str*am(s) men
Mthe box provided.)
""
----
11--1I1
5.3____ a
M
M
bl 15.3.______
5.3.____ c
[][][]5.3______a
bd5-3.______
5.3.
0
ADDITIONAL INFORMATION ON TRANSFERS OF THE CHEMICAL IN WASTE TO OFF-SITE LOCATIONS (Part III, Section 6)___________________________ ________
You may report transfers of less than 1.000 lbs. by checking ranges under A.1. (Do not use both A.1 and A.2)
A.Total Transfers (Ibs/yr)
A.1 Reporting Ranges
0 1-499 500-999
A.2 Enter Estimate
B. Basis of Estimate
(enter code in box
provided)
C. Type of Treatment/ Disposal
(enter code in box
provided)
Discharge to POTW
,
,,,
(enter location number I
6.1.______from Part II, Section 1.) I
,, , , II
1 I I___|
[][][]
6.1.
Other ott-aite location
6 5 (enterrloloccaatitoionnnnuummbbeerr I 5 I 1 I
z.----------j.
Part II. Section 2.) I * I I___|
[][][]
6.2.
M
6.2
6.2.
Other off-sit* location (enter location number from Part II. Section 2.1
Other off-site location (enter location number - from Part II, Section 2
Mill]
[][][]
6.2. 6.2. M 6.2. M
ADDITIONAL INFORMATION ON WASTE TREATMENT METHODS AND EFFICIENCY (Part III. Section 7)
A. General Wastestream (enter code
in box provided)
B. Treatment Method
(enter code in box provided)
C. Range of Influent Concentration (enter code
7.
D. Sequential Treatment? (check if applicable)
(1
E. Treatment Efficiency Estimate
7.
F. Based on Operating
Data? Yes
No
-'[ H 1
--"[ )
-'( H 1
7.
-[ 1 --[ 1
[HI
U1
--[ 1
% .'[ H 1
-<[ 1
% -f[ H ]
--a
--
[]
-*[ 1 -*[ ]
-'MM
-'MM
][ ]
EPA Form 9350-1(1-89) Revised--Do not use previous versions.
SL 022571