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