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(IMPORTANT Type or print; read instructions before completing form) Form Approved OMB Number 2070-0093 Approval Expires. 04/2000 Page 1 of 9 EPA United States Environmental Protection Agency FORM R TOXIC CHEMICAL RELEASE ia |NVENT0RY REPORTING FORM Section 313 of the Emergency Planning and Community Right-to-Know Act of 1986. also known as Title III of the Superfund Amendments and Reauthorization Act TRI FACILITY ID NUMBER 70765THDWCHIGHW Tone Chemical. Category or Generic Name TRICHLOROFLUOROMETHANE WHERE TO SEND COMPLETED FORMS: 1. EPCRA Reporting Center 2. APPROPRIATE STATE OFFICE PO Box 3348 (See instructions in Appendix F) Memfield, VA 22116-3348 ATTN TOXIC CHEMICAL RELEASE INVENTORY j Enter "X" here if this is a revision X Important: See instructions to determine when "Not Applicable (NA)" boxes should be checked. For EPA use only PART 1. FACILITY IDENTIFICATION INFORMATION SECTION 1. REPORTING YEAR 1996 SECTION 2. TRADE SECRET INFORMATION Are you claiming the toxic chemical identified on page 3 trade secret? 2.1 1 1 Yes. (Answer question 2.2; I___| Attach substantiation forms) rc-| No (Do not answer 2.2; | * | Go to Section 3) 2.2 If yes in 2.1, is this copy: | | Sanitized | j Unsanitized SECTION 3. CERTIFICATION (Important: Read and sign after completing all form sections 1 hereby certify that 1 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. SECTION 4 Facility or Establishment Name THE DOW CHEMICAL COMPANY Stre t Address HIGHWAY 1 SOUTH; City PLAQUEMINE State LOUISIANA DIVISION 4.1 LA Mailing Address (if different from street address) N/A City N/A State Zip Code LA 70765-0150 TRI Facility ID Number 70765THDWCHIGHW P.O. BOX 150 County IBERVILLE/WBR PAR Zip Code 70765-0150 EPA Form 9350-1 (Rev 04/97) - Previous editions are obsolete. Printed using AFR for Windows 1 0 on 7/24/97 DO A 055651 CONFrDfNTrA! ^ EPA united States Environment31 ProtectTM EPA FORM R PART 1. FACILITY IDENTIFICATION INFORMATION (CONTINUED) Page 2 of 9 TRI FACILITY ID NUMBER 70765THDWCHIGHW Toxic Chemical. Caiejory or Generic Name TRICHLOROFLUOROMETHANE SECTION 4. FACILITY IDENTIFICATION (continued) 4.2 This report contains information for: (Importantcheck a or b; check c if aDDlicable ___ . An entire .--. a. | * | facility b. |___ | Part of a ___ _ A Federal facility c. facility 4.3 Technical Contact Name DOYLE A. HANEY Telephone number (include area code) (504) 353-6128 4.4 Public Contact Name DONNA CARVILLE Telephone number (include area code) (504) 353-1824 SIC Code 4.5 (4-digit) 2812 a. Latitude 4.6 Lonoitude o^o 2821 2869 NA b. c. Latitude Minutes Seconds d. o^i e. Longitude 4.7 Dun & Bradstreet Number(s) (9 digits) a. 008187080 b. NA 20 4.8 EPA Identification Number(s) (RCRA I.D. No.) (12 characters) a. LAD008187080 b. NA 4.9 Facility NPDES Permit Number(s) (9 characters) a. LA0003301 b. LA0049638 Underground Injection Well Code (UIC) I.D. 4.10 Number(s) (12 digits) a. NA b. SECTION 5. PARENT COMPANY INFORMATION Name of Parent Company 5.1 THE DOW CHEMICAL COMPANY Parent Company's Dun & Bradstreet Number 5.2 001381581 -------------------- 1 >z >z EPA Form 9350-1 (Rev 04/97) - Previous editions are obsolete. Printed using AFR for Windows 1 0 on 7/24/97 DO A 05565? OONFTOFNTTAL o EPA United States Environmental Protection Agency EPAFORM R PART II. CHEMICAL-SPECIFIC INFORMATION TRI FACILITY ID NUMBER 70765THDWCHIGHW Page 3 of 9 Toxic Chemical. Category of Generic Name TRICHLOROFLUOROMETHANE SECTION 1. TOXIC CHEMICAL IDENTITY <K?i?yoS?om1."lsSSton'i'b.low.) 1.1 CAS Number {Important: Enter only one number erectly as it appear! on the Section 313 list. Enter category code if reporting a chemical category.) 000075694 1.2 Toxic Chemcal or Chemical Category Name llmponant: Enter only one name exactly as it appears on the Section 313 bst.) TRICHLOROFLUOROMETHANE Generic Chemical Name {Important: Complete only if Part 1, Section 2.1 is checked "yes". Genenc Name must be structurally descriptive) 1.3 NA (Important: DO NOT complete this SECTION 2. MIXTURE COMPONENT IDENTITY section if you complete Section 1 above.) 2.1 Generic Chemical Name Provided by Supplier {Important: Maximum of 70 characters, including numbers, letters, spaces, and punctuation.) NA SECTION 3. ACTIVITIES AND USES OF THE TOXIC CHEMICAL AT THE FACILITY (Important: Check all that apply.) If produce or import: 3.1 Manufacture the toxic chemical: a. Q Produce b Q Import c. d e. Q f. For on-site use/processing For sale/distribution As a byproduct As an impurity Process 3.2 the toxic chemical: a. Q As a reactant b. Q As a formulation component c. Q As an articl component d. Repackaging 3.3 Otherwise use th toxic ch mical: a. As a chemical processing aid b. [X] As a manufacturing aid c. [^] Ancillary or other use SECTION 4. 4.1 04 MAXIMUM AMOUNT OF THE TOXIC CHEMICAL ON-SITE AT ANY TIME DURING THE CALENDAR YEAR (Enter two-digit code from instruction package.) DO A 055653 EPA form 9350-1 (Rev. 04/97) - Previous editions ar obsolete. Printed using AFR for Windows 1.0 on 7/24/97 CONFTDFNTTAl <& EPA United States Environmental Protection Agency L EPAFORM R PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED) TRI FACILITY ID NUMBER 70765THDWCHIGHW Page 4 of 9 Toxic Chemical. Category or Generic Name TRICHLOROFLUOROMETHANE SECTION 5. RELEASES OF THE TOXIC CHEMICAL TO THE ENVIRONMENT ON-SITE 5.1 Fugitive or non-point air emissions A. Total Release (pounds/ year) (enter range code from instructions or estimate) B. Basis of Estimate (enter code) T , NA 2200 E C. % From Stormwater 5.2 Stack or point air emissions Discharges to receiving 5.3 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 5.3.3 Stream or Water Body Name NA 100 O :?.'7 .. , 5.4.1 5.4.2 Underground injections on-site to Class 1 Wells Underground injections on-site to Class ll-V Wells 5.5 Disposal to land on-site [*] NA X NA - > listed sare ** - 5.5.1A RCRA Subtitle C landfills 5.5.1 B Other landfills 5.5.2 Land treatment/ application tanning 5.5.3 Surface impoundment 5.5.4 Other disposal QNA prj na BN* [XT] NA - ! T ' a s-A,. * r# V C1h. eck| |here only if p additionalt ASecat*ion 5g|.3 in. ffo. rma. it*io. n.. is _ provided on pa..g. e 5P of_ f thisi|_ _ ff rm. . I: EPA Form 9350 - 1 (Rev. 04/97) - Previous editions are obsolet . Printed using AFR for Windows 1.0 on DO A 055654 OONFTDFNTTA. 7/24/97 S. EPA United States Environmental Protection Agency EPAFORM R PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED) Page 5 of 9 I HI FACILITY ID NUMBbhC 70765THDWCHIGHW Toxic Chemical, Category or Generic Narrv i TRICHLOROFLUOROMETHANE SECTION 5.3 ADDITIONAL INFORMATION ON RELEASES OF THE TOXIC CHEMICAL TO THE ENVIRONMENT ON-SITE Discharges to receiving streams or water bodies (enter one name per box) 5.3.4 Stream or Water Body Name A. Total Release (pounds/ year) (enter range code from instructions or estimate) B. Basis of Estimate (enter code) C. % Fr m Stormwater 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) 6.1.A Total Quantity Transferred to POTWs and Basis of Estimate 6.1 .A. 1 Total Transfers (pounds/year) (enter range code or eStimat3)Basis of Estimate (enter code) NA 6.1.B POTW Name and Location Information 6.1.B.1 POTW Name 6.I.B. 2 POTW Name Street Address City State County Zip Code - Street Address City State County Zip Code - If additional pages of Part II, Section 5.3 and/or 6.1 are attached, indicate the total number of pages in this box "q- and indicat which Part II, S ction 5.3/6.1 page this is, here7j~| ( xampie: i, 2,3, etc.) EPA Form 9350-1 (Rev 04/97) - Previous editions are obsolete. Printed using AFR for Windows 1.0 on 7/24/97 DO A 055655 CONFIDENTIAL United States Environmental Protection Agency EPA FORM R PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED) Page 6 of 9 TRI FACILITY ID NUMBER Toxic Chemical. Category or Generic Name SECTION 6.2 TRANSFERS TO OTHER OFF-SITE LOCATIONS O.l.l Off-site EPA Identification Number (RCRA ID No ) Off-Site Location Name Street Address City County State Zip Code A. Total Transfers (pounds/year) (enter range code or estimate) 1. 2. 3. 4. Is location under control of reporting facility or parent company? i------ 1 |____ | 1----- 1 No |___ | g Basis of Estimate (enter code) C. Type of Waste Treatment/Disposal/ Recycling/Energy Recovery(enter code) 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.) 6.2.2 Off-Site Location Name Street Address City County State Zip Code A. Total Transfers (pounds/year) (enter range code or estimate) 1. 2. 3. 4. Is location under control of reporting facility or parent company? i----- 1 Y#> |___ | i-----1 [___ | g Basis of Estimate (enter code) C. Type of Waste Treatment/Disposal/ Recycling/Energy Recovery(enter code) 1. 1. 2. 2. 3. 3. 4. 4. If additi nal pag s f Part II, Section 6.2 ar attach d, indicate the total number of pages in thi box and indicat which Part II, S cti n 6.2 pag this is, h r . ( xampl : 1, 2, 3, etc.) EPA Form 9350-1 (Rev. 04/97) - Previous editions are obsolete. Range Codes: A * 1 -10 pounds: B * 11 - 499 pounds. C 500 - 999 pounds 7/24/97 DO A 055656 CONFIDENTIAL Page 7 of 9 If additi nal copies of page 7 are attached, Indicate the total number of pages in this box | i | and indicate which page 7 this is, here. | 1 | (example: 1, 2, 3, etc.) EPA Form 9350-1 (Rev. 04/97) - Previous editions are obsolete. Printed using AFR for Windows 1.0 on 7/24/97 DO A 055657 CQNF TDENTTAl <&EPA United States -.nvironmental Protection \gency EPAFORM R PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED) Page 8 of 9 TRI FACILITY ID NUMBER 70765THDWCHIGHW Toxic Chemical, Category or Genenc Name TRICHLOROFLUOROMETHA SECTION 7B. ON-SITE ENERGY RECOVERY PROCESSES [ | 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-character code(s)] 1 NA 2 3 4 SECTION 7C. ON-SITE RECYCLING PROCESSES | | N t Applicable (NA) - Check here if no on-site recycling is applied to any waste stream containing the toxic chemical or chemical category. Recycling Methods [enter 3-character code(s)] NA 2. 3. 4. 5. 7. 8. 9. 10. EPA Form 9350-1 (Rev 04/97) - Previous editions are obsolete. Printed using AFR for Windows 1 0 7/24/97 D0 A 055658 CONFTDFNTTAt United States Environmental Protection Agency EPAFORM R PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED) Page 9 of 9 TRI facility id number 70765THDWCHIGHW Toxic Chemical. Category or Generic Name TRICHLOROFLUOROMETHANE SECTION 8. SOURCE REDUCTION AND RECYCLING ACTIVITIES All quantity estimates can be reported using up to two significant figures. 8.1 Quantity released* Column A Prior Year (pounds/year) 8900 Column B Current Reporting Year (pounds/year) Column C Following Year (pounds/year) C lumn D Second Following Year (pounds/year) 2300 2300 2300 8.2 Quantity used for energy 0 0 0 0 rec very on-site Quantity used for energy 8.3 recovery off-site 0 0 0 0 8.4 Quantity recycled on-site 0 0 0 0 8.5 Quantity recycled off-site 0 0 0 0 8.6 Quantity treated on-site 0 0 0 0 8.7 Quantity treated off-site 0 0 0 ,0 Quantity released to the environment as a resu t of 8.8 remedial actions, catastropic events, or one-tirrte events not associated with production processes (pc>unds/year) 0 8.9 Pr duction ratio or activity index 0001 09 8.10 Did your facility engage in any source reduction activities for this chemical during the reporting year? If not, enter "NA" in Section 8.10.1 and answer Section 8.11. Source Reduction Activities (nter cod*U)] Methods to Identify Activity (enter codes) 8.10.1 W39 a. T01 b. NA C. 8.10.2 NA a. b. c. 8.10.3 a. b. c. 8.10.4 a. b. c. 8.11 Is additional optional information on source reduction, recycling, or pollution control activities included with this report? (Check one box) YES j NO X 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 9350 -1 (Rev 04/97) - Previous editions are obsolete. Printed using AFR for Windows 1 0 7/24/97 DO A 055659 CONFIDENTIAL