Document baoK25N72kywL2Ln1oJMVDOg0
(Important: Twe or print: read instructions before completing form.)
Form Approved OMB No.: 2070-0093 Approval Expires:. 01/91
_Pg2! 1 of 5
EPA U.S. Envtr nmantal Protection Agency
TOXIC CHEMICAL RELEASE INVENTORY REPORTING FORM
Section 313 of the Emergency Hanning and Community Rlght-to-Know Act of 1986,
also known as Title III of the Superfund Amendments and Reauthorlzatton Act
EPA FORM
R
PART I.
FACILITY IDENTIFICATION INFORMATION
(This space for your optional use.)
Public reporting buroan tor this
collection of Information la estimated to
vary from 30 to 34 hours par response,
with an average of 32 hours per
response. Including time tor reviewing
Instructions, searching existing data
sources, gathering and maintaining the
data needed, and completing and
reviewing the collection ot Information.
Send comments regarding this burden
estimate or any other aspect of this
collection of Information, Including
suggestions tor reoucingtnls buroan, to
Chief, Information Policy Branch
(PM-223), US EPA. 401 M St.. SW,
Washington. D.C. 20460 Attn: TRI
Burden and to tna Office of information
and Regulatory Affairs. Office of
Management and Budget Paperwork
Reduction
Protect
(2070-0003),
1.1 Are you claiming tna cnemical idantity on paga 3 trade secret?
[ X ]1. [ ] Yes (Answer oueetlon 1.2;
No (Do not anewer 1.2;
Attach eubetantiatton forma.)
Go to Question 1.3.)
1.2
It -Yes' In 1.1, is thi b copy:
[ ] Sanitized [ ] L Jn*anitmd
1.3 Reporting Year 19 -8,8-
2. C ERTIFICATION (Read and tlgn after completing all Motions.)
1 herelyy certify that 1 nave reviewed oomcMate and tnat tna amounts and
the attached documents values in this reoort are
and tnat. aocurate
to tna best ot my knowledge and belief, the submitted based on reascmaple estimates using data available to
informatlon Is true and the preoarers ot this reoort.
Name and official title ot owner/operator or senior management official
T. G. Brown, Works Manager. PPG Industries. Lake Charles. T.a
Signature
'J/hJJ &/) Iciok^
Date signed
(sim/M
Facility or Establishment Name
PPG Industries. Tnr.
Street Address
Columbia Southern Road
3.1
City
Westlake
State
LA
County
Zip Coda
70569
WHERE TO SEND COMPLETED FORMS:
1. U.S. ENVIRONMENTAL PROTECTION AGENCY P.O. BOX 70266 WASHINGTON, DC 20024-0286 ATTN: TOXIC CHEMICAL RELEASE INVENTORY
2. APPROPRIATE STATE OFFICE (S Instruct! ns Appendix E)
This report oontains Information for (Cheek one):
3.2
i.[x] An entire facility
> t ] Part cf a facility.
Technical Contact
3.3 Andv F. Plauche'
Public Contact
3.4 V.' i 11 i a m J . P e a r d
SIC Coda (4 digit)
3.5 a 2812
b. 2815
c.2359
Latitude
3.6
Degrees
Minutes
Seconds
30 13
27
Dun & SradfltrMt Numbar(f)
3.7 .,00-808-6505
EPA Identification Number)*) (RCRA I.D. No. I
3.8 LAD 00 808 c506_______
NPOES Permit Number(s)
3.9 a.LA 0000751
Receiving Streams or Water Bodies (enter one name oer box)
..Calcasieu River
a. NA
Degrees
O1
Telephone Numoer (include area code)
(318) 491-4184
Telephone Numoer (include area code)
(318)491-4848
.
Longitude Minutes
15
T
Seconds
5C
>JSLA. il.ELL
b. NA
b. Bayou D ' Ind
3.10 Bayou Verdine
d. NA
Underground infection Well Code (UIC) Identification Number(s)
3.11 a.NA
4. PARENT COMPANY INFORMATION
Name ot Parent Company
4.1 PPG Industries .__ Tnr
Parent Company' a Dun & Braostreet Numoer
4.2 00-134-4803
EPA Form 9350-1 (1-89) Revised--Do not use previous versions.
SL 022447
(Important: Type or print; read instructions before completing form.)
trAO rn.
REPA FORM
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
Page 2 of 5 (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-slte location name
Chemical Waste Management, Inc.
EPA Identification Number (RCRA ID. No.)
LAD 000777201
Street Address
John Brannon Road
City
Carlyss
County
Calcasieu
Slat*
LA
Zip
70663
Is location under control of reporting facility or parent company?
2.2 Off-site location name
NA
EPA identification Number (RCRA ID. No.)
Street Address
City
County
State
Zip
is location under control of reporting facility cit parent company?
[ ]y [x ]no
[ ] Yes
[ ] No
2.3 Off-site location name
2.4 Off-slte looatlon name
EPA Identification Number (RCRA ID. No.)
EPA Identification Number (RCRA ID. No.).
Street Address
Str*t Address
City
County
City
County
State
Zip State
Zip
Is location under control of reporting facility or parent company?
2.5 Off-slte location name
[ ] Yes
[ ] No
Is location under control ot reporting facility or parent company?
2.6 Off-slte location name
[ ] Yes
[ ] No
EPA Identification Number (RCRA ID. No.)
EPA Identification Number (RCRA ID. No.)
Street Address
Street Address
City sut*
County
zip
City State
County Zip
Is location under control of reporting facility or parent company?
[ ] Yes
[ ] No
is location under control ot reporting facility or parent company?
[ ] Yes
[ ] No
[ ] Chet* if additional pages of Part I) ara attached. How many? EPA Form 9350-1 (1-89) Revised--Do not use previous versions.
(Important: Type or print: read instructions before completing form.)
A CDA
** tHA
EPA FORM ^
PART m, CHEMICAL-SPECIFIC INFORMATION
Page 3 of 5
(This space for your optional use.)
1. CHEMICAL IDENTITY(Do not complete this section if you complete Section 2.)
1.1 1.2 1.3 1.4
(Reserved) CAS Number (Enter the number exactly as it appears on the 313 list. Enter IMA it reporting a chemical category.)
92-52-4
Chemical or Chemical Cateoory Name (Enter the nam# exactly a* it appaar* on the 313 list.)
BiDhenvl Generic Chemical Name (Complete only if Part 1, Section 1.1 is checked "Yes." Generic name must Pe structurally descriptive. I
MIXTURE COMPONENT IDENTITY (Do not complete this section if you complete Section 1.) 2. Generic Chemical Name Proceed by Supplier (Limit the name to a maximum o! 70 characters (e.g., numbers, letters, spaces, punctuation),)
3. 4kCTIVITIES AND USES OF THE CHEMICAL AT THE FACILITY (Check all that apply. 1
Manufacture the chemical:
3.1
r -i
a.1 J Produce
If produce or import: f 1 For on-site
c.l J u$e/processing
f c.l
1 For sale/ J distribution
b. [ ] Import
e.[ ] As a byproduct
f.[ ] As an impurity
Process the 3.2 chemical:
[1 a' * J As a reactant d.[ ] Repackaging only
h f 1 As a formulation b-L J component
\ 1 As an article c-l J component
3.3
Otherwise use the chemical:
T 1 As a chemical a'1 J Processing aid
fv1 b.L A J As a manufacturing aid
r1 c.l J Ancillary or other use
4. MAXIMUM AMOUNT OF THE CHEMICAL ON-SITE AT ANY TIME DURING THE CALENDAR YEAR
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.1 Reporting Ranges
0 1-499 500-999
A.2 Enter
Estimate
5.1 Fugitive or non-point air emissions 5.1a [][][]
NA
5.2 Stack or point air emissions
5.2a (][][]
5.3 Discharges to receiving . 1 a 1 streams or water bodies 5-3-1 L^-l
(Enter letter coda from Part 1 Section 3.10 for stream!*) in tna box providad. 1
1, I 5.3.2 1 D 1
u,0
5.3.la [][][] 5.3.2a MMM 5.3.3a [][][]
NA NA
1600 NA
5.4 Underground injection 5.5 Releases to land
5.5.1 On-slta landfill
5.4a [][][! 5.5.1a [][][]
NA NA
5.5.2 Land traatmant/appllcatlon tarming
5.5.2a [][][]
NA
5.5.3 Surfaca impoundmant
5.5.3a [][][]
NA
5.5.4 Othar disposal
5.5.4a [][][]
NA
B. Basis of 1 Estimate (enter code)
5.ib 5.2b 5.3.1b 0 5.3.2b H 5.3.3b O
5.4b 5.5.1b O 5.5.2b Q 5.5.3b Q 5.5.4b O
[ ] (Cheek If additional Information I* provided on Part IV-Supplemantal Information.)
SL 022449
EPA Form 9350-1(1-89) Revised--Do not use previous versions.
(Important: Type or print; read instructions before completing form.)
g CDA
EPA FORM R
PART III. CHEMICAL-SPECIFIC INFORMATION (continued)
(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/yrl
A.1 Reporting Ranges
0 l-98 500-080
A.2 Enter Estimate
B. Basis of Estimate
Discharge to POTW
.------.
(enter location numoer I J
.1.1 from Part II. Saction 1.
.
[][)[]
Othar off-Jita location
.,ram I(enter location numoai
from Part ll. Saction 2
Othar off-site location _--.
_ - ,, (antar location mimdar
2
6.2.2 from Part ll. Section2.)l *11
I[
1MM ]I 1[ 1
Othar off-site location (entar location number
6.2.3 from Part 11. Sections
( 1[ ]t 1
NA 2700
NA
5.1.1b n
5.2.1b 0
6.2.2b 6.2.3b
[ ] (Check If additional Information is provided on Part IV-Supplemental Information.)
C.Type of Treatment/ Disposal
(enter code)
6.2.1c M 7| 2I
6.2.2c 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? (check if applicable)
E. Treatment Efficiency Estimate
F. Based on Operating
Data? Yes
No
7.1a
0 7.1b
0
7.1c
7.Id [ 1
7.1e 99.99 % 7" [X ] [ ]
7.2a
7.2b
7.3a
7.3b
7.4a
7.4b
7.5a
7.5b
7.6a
7.6b
7,7a
7.7b
7.8a
7.8b
7.9a
7.9b
7.10a
7.10b
P42
7.2c m
7.3c 7.4c 7.5c 7.6c r,7c 7.8c 7.9c 7.10c
7.2d 7.3d 7.4d
7.2e NA
% 7.2f
73e 99.68 % 7 3f
7.4e
% 7.4f
7.5d [ ]
7.6d 7.7d 7.8d 7.9d
7,10d [ ]
7.5e 7.6e 7,7e 7.8e 7.9e 7.10e
% 7.5f
7
% 7.7f % 7.8f
7.9f
% 7.1 0t
[ ] (Check If additional Information is provided on Part IV-Supplemental Information.)
[ ][
[X ] [
[ ][
[ ][ [ ][ [ ][
[ 1[ [ 1[
[ 1[
]
]
]
]
1
] ] ]
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
D. Reason for Action (enter codel
Current reporting year (Ibs/yr)
Prior
year (Ibs/yr)
I Or percent . change
M NA
%
EPA Form 9350-1(1-89) Revised - Do not use previous versions.
022450 SL
.
(Important: Type or print; read instructions before completing form.)
Page 5 of 5
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)
A. Total Release (Ibs/yr)
A.1 Reporting Ranges
0 1-499 500-999
A.2 Enter Estimate
5.3 Discharges to
|--,
receiving streams or waterbodies
53------- 1--1
5.3____a [][][]
B. Basis of Estimate
(enter code in box
provided) C.% From Stormwater
5.3_____ bO 5.3_____ c
(Enter lattar coda from Part l Section 3.10 for stream H) in
c
n
11
|
[][][]the box provided.)
3 -----------'--------1
5.3____ a
5.3.____bl 1 5.3.____ c
,,_0 5.3------ a [ ] [ ] [ ]
._] 5.3.____ c
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 1-409 500-999
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
1,00 [][][]o.t.______from Part II, Section
6.1.
6.2.
Other off-aite location (enter location number . from Part II, Section 2.
[][][]
6.2.
6.2.
6.2.
Other off-tite location (enter location numbei
,00~ from Part II, Section 2
Other otf-tlte location (enter location number
,0.0. from Part II. Section 2.
t ][ ] [ 1
(Hit)
6.2.
06.2.
ADDITIONAL INFORMATION ON WASTE TREATMENT METHODS AND EFFICIENCY (Part 111. Section 7)
A. General Wastestream (enter code
in box provided)
8. Treatment Method
(enter code
in box provided)
C. Range of
Influent Concentration (enter code)
D, Sequential Treatment? (check if applicable)
E. Treatment Efficiency
Estimate
F. Based on Operating Data? Yes
7.
7.
07. 7. -d[ ]
0 [ ]7. 7.
7,
?'[ ][ 1
7.'t H I
No
O O []
0 0 (1
[1
0 n o A1
0 [ 1
% .'[ H 1 -'[ H ] -'[ H I -'[ H 1 -'[ H 1
o cn
0 QZ
o ii
0 [)
.a n i
-<[ n 1
EPA Form 9350-1(1-89) Revised--Do not use previous versions.
SL 022451