Document bBd8NBkNzEgn3zDOJXb4mp83o
Form Approved 0MB Nimtoer: 2070-0092
(YMPORTANT: Type or print; reed instructions before completing form)
Approval Expires: 11/92 __________________________________ _
----- ....P-A-G-E--1..O.F..9.....
EPA FORM R
TOXIC CHEMICAL RELEASE
|TRI FACILITY ID NUMBER
INVENTORY REPORTING FORM
| 70765THDWCHIGHW
nited States
environmental Protection
Section 313 of the Emergency Planning and Community Right-to-Know Act of 1986, also known as Title III of the Superfund Amendnents and Reauthorization Act
|Cham., Cat., or Gen. Name
Agency
NITRATE COMPOUNDS
WHERE TO SEND COMPLETED FORMS:
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 "XM 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
t +----------------------------------------------------------------
Section 2. TRADE SECRET INFORMATION
---- --------------------------------- -------
2.1 Are you claiming the toxic chemical [ ] Yes (Answer question 2.2; Attach substantiation forms)
identified on page 3 trade secret? [X] No (Do not answer 2.2; Go to Section 3)
| 2.2| If yes in 2.1, is this copy: + +------ *--------------------------------- ---------------------
C ] Sanitized
[ ] 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 amounts and values in this report are accurate based on reasonable estimates using data available to the preparers of this report.
Facility or Establishment Name THE DOW CHEMICAL COMPANYLOUISIANA DIVISION
Street Address
HIGHWAY 1 SOUTH;P.O. BOX ISO
City PLAQUEMINE 4.1+State LA
Mailing Address (if different from street address) N/A
TRI Facility ID Nuitoer 70765THDWCHIGHU
I County flBERVILLE/WBR PARISH ----------------..... -- .... (Zip Code |70765-0150
-+-----------------...----
EPA Form 9250-1 (Rev. 12/4/94) - Previous editions are obsolete.
0547^ A
%
DO 0 dfntial comf 1
EPA United States Environmental
otection gency
EPA FORM R PART I. FACILITY IDENTIFICATION
INFORMATION (CONTINUED)
PAGE 2 OF 9
.. ....................................................................................... ...
|TRI FACILITY 10 NUMBER |
---------- ---------------------------------------- -------- ---
| 70765 THOWCHIGHW
|
....................... ............... .................
|Chen., Cat., or Gen. Name |
........... .................... ..... >
| NITRATE COMPOUNDS
|
. ...............................................................................
(SECTION 4. FACILITY IDENTIFICATION (Continued)
+------ -------- ------------------------------------------------------------ --
4.2 | This report contains information for: 1
(Important: check only one)
| a.
CXI An entire facility
b. t ] Part of a facility
c. t ] Federal Facility
4.3 |
H
Technical I Name Contact | DOYLE A. HANEY
Public | Name Contact GERRY DAIGRE
1 Telephone Nunber (include area code) | (504)353-6128
I Telephone Nunber (include area code) (504)353-1602
4.5 SIC Code (4-digit)
a. 2812
b. 2821
Latitude 4.6 I
and +
Longitude
---------
Degrees 030
Latitude Minute*
19
4.7 Dun 8 Bradstreet NuAer(s) (9 digits)
c. 2869
Seconds 00
5 EPA Identification Nuifcer(s) (RCRA I.D. No.) (12 characters)
4.9 Facility NPDES Permit Nuifcer(s) (9 characters)
4.10 Underground Injection Weil Code (UIC) I.D.
Nunber(s)
(12 digits)
d. NA
Degrees
091
|
b.
j
a.
!
b.
i
a.
i
b.
i
a.
Longitude Minutes
Seconds
16 20
008187080
NA
LAD008187080
NA
LA0003301
LA0049638
NA
SECTION 5. PARENT COMPANY INFORMATION
5.1|Name of Parent Company |
|t 1 NA
|
THE DOW CHEMICAL COMPANY
5.2|Parent Company's Dun 8 Bradstreet Nimber|
|t ] NA
1
(9 Digits)
001381581
EPA Form 9250-1 (Rev. 12/4/94) - Previous editions are obsolete.
DO A 05471? CONFTDFNTIAL
EPA
United States Environmental
otection '9*ncy
EPA FORM R
PART II. CHEMICAL-SPECIFIC INFORMATION
PAGE 3 OF 9
|TRI FACILITY ID NUMBER
|
........ .... .........................
| 70765THDUCHIGHW
)
............................. .........
|Chem.( Cat., or Gen. Name |
...........................................................................
| NITRATE COMPOUNDS
|
........................................................
I SECT I ON 1. TOXIC CHEMICAL IDENTITY (Important: DO NOT complete this section I if you complete Section 2 below.)
I |
+---..................................................................................................................................................................................................................................................................................................................................................................................................................................
1.1| CAS Nimber (Important: Enter only one nurber exactly as it appears on the Section 313 list.
|
..........................................................................................................................................................................................................................................................................................................................................................................................................................................
| N511 - -
|
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------------
1.2| Toxic Chemical or Chemical Category Name (Important: Enter only one name exactly as it appears on the Section 313 list.)
|
.................................................................................................................................................................................................. .
| NITRATE COMPOUNDS
|
--+--...............------------------------------------------------------- ------ ------------------------------------------------------ ----------------------------------------------------------
1.3| Generic Chemical Name (Important: Complete only if Part I, Section 2.1 is checked "yes."
|
..........................................................................................................................................................................................................................................................................................................................................................................................................................................
NA
------------------.--.-.... --...................................................--+--
---------------------------------------------- ------------------- ------------------------------------ --- ------------------------------------ ---------------------------------------------
(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 Sipplier (Important: Max. of 70 chars., including nunbers, letters, spaces, and punct.)
NA
|SECTIO.N..3... ..A.C.T.IV--ITI-ES-A--N-D--U-S--E-S--O--F T.H.E..C.H.E.M..IC.A.L..A.T..T.H.E..F.A..C.IL.I.T.Y. --....(.Im--po..rt.a.n.-t:--C-h-e-c-k--a--l-l--t-h--a-t--a--p-p--ly-.-)---- ------
Manufacture the toxic chemical: 3.1
a. DO Produce b. [ ) Import
If produce or import: c. C ] For on-site use/processing d. C ] For sale/distribution
e. DO As a byproduct
f. DO As an impurity
Process 3.2 the toxic
chemical
a. ( ] As a reactant b. [ ] As a formulation component
c. C ] As an article component d. DO Repackaging
Otherwise use 3.3 the toxic
chemical:
a. [ ] As a chemical processing aid b. t ] As a manufacturing aid
Section 4. MAXIMUM AMOUNT OF THE TOXIC CHEMICAL ON-SITE AT ANY TIME DURING THE CALENDAR YEAR
4.1|
04
(Enter two-digit code from instruction package.)
EPA Form 9250-1 (Rev. 12/4/94) - Previous aditiona are obsolete.
c. t ) Ancillary or other use
i
DO A 054713 % OONFTDFNTIAI
EPA United States Envi romental
otection .gency
5.1 Fugitive or non-point air emissions
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 MISSISSIPPI RIVER 5.3.2 Stream or Water Body Name 4 5.3.3 Stream or Water Body Name
EPA FORM R
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
PAGE A OF 9 -------- -------------------------------------- -
|TRI FACILITY ID NUMBER
|
..................................................
| 70765 THDWCHIGHW
|
................................................ ........
|Chem., C*t., or Gen. Name |
......................................... .
| NITRATE COMPOUNDS
|
........ --
-- -................................................. ....
A. Total Release (pounds/year) B. (enter range code from instructions or estimate)
Basis of Estimate (enter code)
C. X From Stormwater
DONA NA CX]NA NA
57200
| j
M 000.00
5.4 Underground injections on-site
5.5 Releases to land on-site
DONA NA
5.5.1 Landfill
DONA NA
5.5.2 Land treatment/ application farming
DONA NA
5.5.3 Surface impoundaent
DONA NA
5.5.4 Other disposal .......... A
DONA NA
] Check here only if additional Section 5.3 information it provided on page 5 of this form.
-................. ...................................... ............................................................................................................................................................................................................................................................................................................................................................................................................... -- * *----------------
EPA Form 9250-1 (Rev. 12/4/94) - Previous edition* are obsolete.
Range Codes: A 1-10 pounds; B 11-499 pounds; C 500 - 999 pounds.
% DO A 054714 CONFIDENTIAL
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- EPA EPA FORM R
United States Environmental
rotection
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
.gertcy
I
................. -...............................-.............................. ................... ...................................-...................-................... -------------------------------------------------------- ---------------------------------------------------------------------------------------------------------
PAGE 5 OF 9
|TRI FACILITY ID NUMBER
h-..........--------
+I .7.0.7.6.5.T.H.D.W..C.HIGHU
|Chen., Cat., o..r.G..e.n.. .H.e.m..e..|
| NITRATE COMPOUNDS
|
........................................ ...............+
Section 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)
|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. X From Stormwater
|5.3.5 Stream or Water Body Name
|5.3.6 Stream or Water Body Name
|SECT ION 6. TRANSFERS OF THE TOXIC CHEMICAL IN WASTES TO OFF-SITE LOCATIONS
....----------------------- ----------------- -------
| 6.1 DISCHARGES TO PUBLICLY OWNED TREATMENT WORKS (POTW)
4.1.A Total Quantity Transferred to POTWs and Basis of Estimate
.1.A.1 Total Transfers (pounds/year) | (enter range code or estimate)
----------------------------------------------------------------------------------------------------
6.1.A.2 Basis of Estimate (enter code)
NA
|6.1.B POTW Name and Location Information 6.1.B.1I POTW Name
Street Address
.................
6.1.B.2I POTW Na
+------------+-------------Street Address
City
County
City
County
State
Zip Code
State
Zip Code
If additional pages of Part 11, Sections 5.3 and/or 6.1 are attached, indicate the total nueber of pages in this box [ ] and indicate which Part II, Sections 5.3/6.1 page this is, here. [1 ]
(example: 1,2,3,etc.)
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 054715
DONFrDFNTlAl
EPA
United States Environmental
-otection .gency
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 Nurber (RCRA ID No.)
PAGE 6 OF 9
|TRI FACILITY ID NUMBER ----
I 70765THDUCHIGHU
....................................................+
|Chem., Cat., or Gen. Name | ........................................
| NITRATE COMPOUNDS
|
......................-.................................... ...........................
.............. ......................... .
Off-Site Location Name
| Street Address
| City
J County
j
--------------------------------+------------------------------------------------------------------------------------------------------- -------------------------------- +
---------------------------------------------------------- ---------- -----------------+
| State
(Zip Code
| Is location under control of reporting
C ] YES
l I NO
|
+.................................. ..............................................+---------------- +----------------------------------------- +----------------------------------------- ---------------------------- ---------- -------------------------- ---------- -----------------------
A. Total Transfers (pounds/year)
8. Basis of Estimate
C. Type of Waste Treatment/Disposal/
(enter range code or estimate)
(enter code)
Recycling/Energy Recovery (enter code)
|l. 1.
k ,
k 3-
L.
1- 1 ,1 3- 1 .. 1
|SECT ION 6.2 TRANSFERS TO OTHER OFF-SITE LOCATIONS
4...............................................
16.2.2 Off-site EPA Identification Nutoer (RCRA ID No.)
1
Off-Site Location Name ................................
| Street Address +............ -...........
j City
| County
|
------------------------------------------------------------ --------------------------------------------------------- ------------------------------------------------ --------------------------------------------------------------------------+
| State
|Zip Code
| Is location under control of reporting
[ ] YES
t 1 NO
|
+........................................................................ +--.................. -........................................... +--..........................................................................................................................
A. Total Transfers (pounds/year)
B. Basis of Estimate
C. Type of Waste Treatment/Disposal/
(enter range coda or estimate)
(enter code)
Recycling/Energy Recovery (enter code)
1, ,
1, *
1. 1 2-
3- 3-
3.
k
-- - - - .................... ..........----------------------------------------------------------------------------------------------------------------------------------------------------- ---+
+------- --
-------- -------- ---------
--------
------------------ ----------------------------------- --------------------------------- -----------------------------------
If additional pages of Part II, Section 6.2 are attached, indicate the total nuifcer of pages in
his box [ ] and indicate which Part II, Sections 6.2 page this is, here. [1 1
- .......------------------------------------------------------------------------------------------------------------------------------------------------------------ ------------------
(exanple: 1,2,3,etc.)
-------------------------------------------------------------------------------------
EPA Form 9250-1 (Rev. 12/4/94) - Previous editions are obsolete.
Range Codes: A 1-10 poinds; B 11-499 pounds; C * 500 - 999 pounds.
DO A 05471^ CONFIDENTIAL
EPA
United Statea Environmental
rotection Agency
EPA FORM R
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
PAGE 7 OF 9
--------------------- ----------------------------------- --
|TRI FACILITY ID NUMBER
|
------------------------------------------------------------
| 70765THDWCHIGHU
|
......................................................................... ...
|Chem., Cat., or Gen. Hone |
......................................................................... ...
| NITRATE COMPOUNDS
|
I Sect ion 7A. ON-SITE WASTE TREATMENT METHOOS AND EFFICIENCY
[ ] Not Applicable (NA) - Check here if no on-aite treatment ia applied to any waate stream containing the toxic chemical or chemical category.
a. General Waate Stream (enter code )
b. Waste Treatment Method(s) Sequence Center 3-character code(s)]
.......... ............................ 7A.1b
3|
6i
........
..........
i | A01 | 2 | NA 1
1
j 4|
| 5I
j
4
i 7|
i i
j
4
7A.2a NA
|7A.2b 1 + 3i
6)
1i
+
1 4i
4
1 7i
44
j 2i
j 5i
4
i 8i
14
i
i
I 1
|7A.3b
1 i i 2i i
c. Range of Influent Concentration
7A.1c
d. Treatment Efficiency Estimate
7A.1d
3j
6!
|7A.4b I
( 31
6!
|7A.5b 1
3i
4
6i ........
i 4i 4
i 7I
i 5i
14 i 8I
14
!
1 i
1
1j
| 4j
i 7i 44
i 2i 4
j 5j
i 8i 14
j i i
1i
4
i 4i
i 2i
14 j 5i
j j
i
7i ..........
i
8i ..........
!
e. Based on Operating Data?
7A.1e
| If additional pagea are attached, indicate the total mmfcer of pagea in thia box ( ] and indicate which page thia ia, here C1].|
......................................................................................................................................................................................................................................................................................................-.............................................................................................................. ...
EPA Form 9250-1 (Rev. 12/4/94) - Previoua edit Iona are obeolete.
% DO A 054717 CONFTDFNTTAL
EPA
United States Environmental
rotection .gency
EPA FORM R PART II. CHEMICAL-SPECIFIC
INFORMATION (CONTINUED)
Section 7B. ON-SITE ENERGY RECOVERY PROCESSES
D(] 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)]
PAGE 8 OF 9
|TRI FACILITY ID NUMBER t-----I 70765THDWCHIGHW +------------------------------------------------- -|Chem., Cat., or Gen. Name |
................................................................................ ...
| NITRATE COMPOUNDS
............................. .
1 | NA i
.................. .+
21 i
..6 -------- --*
3i i
------ -
.............
^I
|Sect ion 7C. ON-SITE RECYCLING PROCESSES
I
...........................................................................................................................................................................................................................................................................................................................................................................................................................
I [X] Not Applicable (NA) - Check here if no on-site recycling is applied to any waste
I
I stream containing the toxic chemical or chemical category.
|
........................................................................................................................................................................................................................--............................................... +
Recycling Methods [enter 3-character code(s)]
|11 NA
6i i
|..............
2
ti
..............
1 i
..............
3|
8I ..............
|
i
..............
4!
9i
..............
i i
51
T10
EPA Form 9350-1 (Rev. 12/4/94) - Previous editions are obsolete.
OE."7 IS
%
DO ^ oFN-n*1C.O^fT
EPA
United States Environmental
rotection .gency
EPA FORM R
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
I Sect ion 8. SOURCE REDUCTION AND RECYCLING ACTIVITIES
All estimates can be reported using up to two significant figures.
Colum A 1994
(pounds/year)
8.1 Quantity released *
0
Quantity used for energy 8.2 recovery on-site
0
Quantity used for energy 8.3 recovery off-site
0
Colum B 1995
(pounds/year)
57200
0
0
8.4 Quantity recycled on-site
0
0
8.5 Quantity recycled off-site
PAGE 9 OF 9
|TRI FACILITY ID NUMBER
|
70765 THDWCHIGHW
I
|Chew., Cat., or Gen. Name |
----------------------------------------------------------------- --
| NITRATE COMPOUNDS
|
Colum C 1996
(pounds/year) 57200
0
0
0
Colum 0 1997
(pounds/year) 57200
0
0
0
Quantity treated on-site
8.7 Quantity treated off-site
8.8 Quantity released to the environment as a result of remedial actions, catastrophic events, or one-time events not associated with production processes (pouids/year)
|8--.9- (--Pro+d-u--c-t-io-n---R--a-t-io---o-r--A--c-t-i-v-i-t-y--I-n-d-e.x.......-------...---- ---------------- ----------------------- -I -------------0-001.09
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 I
Methods to Identify Activity (enter codes)
tenter code(s)]
|
--------------4---------------------------------......----- ---------------------- ...----------------------------------- 4----- ----------------------------------------------- 4--------------
|8.10.1 |
NA
|a.
|b.
|c.
4-------------------4---------------------------------------------------------....----------4----------------------------- ------------------------------------------4------------------------------------.....-------------------------4..---------------
|8.10.2 |
|a. |b.
|c.
4-------------------4-------------------------------------------.....----------------------4----------...------------ .........------------------4-------------------------------------------------------------------------4--------------------
|8.10.3 |
|a. |b.
|c.
4-------------------4---------------------------------------------------------- -----------------------------------------------------...-------------------------------- 4---------------..........----------...------------ -4-------------------
18.10.4 |
|a. |b.
|c.
4---------4-------4----------------------------------------------------------------------------------------------------------....-------------------------------------4-----------------------------------------------...------------ ---4----------4---
18.111 Is additional optional information on source reduction, recycling, or
YES NO
| I pollution control activities included with this report? (Check one box)
( 1 [X]
4---------4---------------------------------------------------------------- ---------------------- ----------------------------------------------------------------------------------------------------------------------------------- -------------------------------4......................................................................
4---------------------------.......------------------------------------------------.......-------------------......-------...------------------------------...............-------.....-------------------------------------------------------------------------
* Report releases pursuant to EPRCA Section 329(8) including "any spilling, leaking, puaping, pouring, emitting, emptying, discharging, injecting, escaping, leaching, dumping, or disposing into the environment." Do not include any quantity treated
, on-sit-e- .o.r..o.f.f.-.s.i.te................................................ ....... ........... ............................................................ *--------
EPA Form 9250-1 (Rev. 12/4/94) - Previous editions are obsolete.
DO A 0S4719 CONFIDFNTIAl