Document dQyarXY4L3yVoJroEQv8LKoJB
CertainTeed Corporation Pipe & Plastics Group P.O. Box 253 Sulphur, LA 70663 (318) 882-1441
CertainTeed El
September 8. 1988
Ms. Meredith N. Scheck Assistant Director^. The Vinyl Institute Wayne Interchange Plaza 155 Route 46 West Wayne, NJ 07470
II
Dear Ms. Scheck:
As requested in your letter o-f August 31, 1988, please note the attached copies of our SARA Section 313 forms.
If further assistance is needed concerning this matter, please contact me.
Sincerely,
Technical Supervisor cma Attachments
pc: C. A. Gel 1ner, Plant Manager
0i-9t-0283
ctloitios
(Important Type or print; read instructions before completing form.)
Approval Expires
01/91
Pag* 1 ol 5
&EPA
U.S. Environmental Protection Agency TOXIC CHEMICAL RELEASE INVENTORY REPORTING FORM
EPA FORM
Section 313, Title III ol The Superfund Amendments and Reauthori2ation Act of 1986
R
(Thl space for EPA use snty )
part I. FACILITY IDENTIFICATION INFORMATION
1 1 Do#* thlt .port contain trade secret Information?
I j V* (Answer 1.2)
[ )(] No (Do not antwer 1.2)
1.2 l* thli a sanitized copy?
Y" NO
1.3 Reporting Year
1987
2. CERTIFICATION (Read and sign after completing all sections.)
I hereby 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 reporl.
Nam* and official title of owner /operator of senior management official
C. A. GELINER, PLANT MANAGER
_____________ ___________pw. S*grtati/r
Oata atgned
(p 1 t-'T) 5-y
3. facility identification
Facility or Establishment Name
CERTAINTEED CORPORATION
Street Address
PETE MANENA ROAO
3.1 City
County
This report contains Information lor: (choc* one)
a 1 xl An entlf* covered facility.
3.2 |j | ) Part of a covered facility.
3.3 3.4 3.5 3.6 3.7 3.8 3.9
SULPHUR
Stale
CALCASIEU
Zip Cod*
LOUISIANA
Technical Contact
7 i 016 i 6i Jn-io i 2i sn
Telephone Number (Include area code)
BRUCE J. BROCKA
Public Contact
C. A. GELLNER
a. SIC Code
*> N/A
C.
% 8 1 2| 1
11_______ ____1 1___ 1___
Latitude
Longitude
Deg.
Min. Sec.
Deg.
Min.
Sec.
1 3i on i 313 .0
19 i 31 1 i7_i-5i Q
Dun & Bradstreet Numbr(i)
* N/A
_____ L-L- I I 1 . I - I. I
EPA identification Number (RCRA I.D. No.)
I I-I b.
L|A iD|0| 4[0i 3i3i2iO i2i5 I
NPDES Permit Number (*)
b.
* L | AiOiO i 4|1 | 0| 2lS
Name of Receiving Stream(t) or Water Sody(t)
a. BAYOU O'(NOE
l I
vv I I
N/A
Ili
N/A L1 J
iii 1 LJ-
(318 882 -litAl
Telephone Number (include area code)
(318 882 -1441
I___i
Wher* to **nd completed forms:
U.S. Environmental Protection Agency P 0. Box 70264 Washington. DC 20024-0266 Attn: Toxic Chemical Relaase Inventory
3.10
N/A
Underground Injection Well Code (LC) Identification No. 3.11
II I I N/Al
Q. PARENT COMPANY INFORMATION
( Name of Parent Company CERTAINTEED CORPORATION P. 0. RDY RAn
b
Parent Company's Dun 4 Bradstreet No.
0 IQI-I2I HEJ-1 81216 1A
EPA Form 9350-1 (1-88)
VALLEY FORGE. PA 19*t82..
CTL017107
(Important: T?j>e or print; read instructions before completing form.)
REPA FORM
PART II. OFF-SITE LOCATIONS TO WHICH TOXIC CHEMICALS ARE TRANSFERRED IN WASTES
Pag# 2 of S
1. PUBLICLY OWNED TREATMENT WORKS fPOTW)
facility Mirra
N/A
Stroat Addratt
'
City
County
Slata
Zip
-1. ! 1 1.1-1 1 1. 1 ,,
2. OTHER OFF-SITE LOCATIONS - Numbtf lhasa locations sequentially on thla and any additional paga of this form you u*a.
| | Othar off-slta location
EPA idantlficatlon Number (RCRA O. No.)
facility Nimt
Straat Addratt
N/A
1 1 111111111
City
County
Stata
Zip
- 1 J.J.. 1- 1-1 1....1-J-
ti location under control of reporting facility or pa/ant company? [ [ [ |
1 Othar off-slta location
' ^EPA Idantlficatlon Number (RCRA O. No.)
Facility Nama Straat Addratt
N/A
ym no
1 1111111111
City
County
Stata
Zip
1___ 1 1
location undor control of reporting facility or poront oompanyt
l-l 1
Yaa No
| | Othar off-slta location
II
EPA Idantlficatlon Numbar (RCRA O. No.)
Facility Nama Straat Addratt
N/A
|1 111111111
City
Cointy
Stata
ZIP
1111 1-1 1
nn6It location undar control of reporting facility or parant company?
Yaa No
11
CTL017108
Chock if additional pagat of Part I arc attachad.
EPA Form 9350-1(1-88)
(Important: T,ype or pnm; read instructions before complttinf form.)
REPA FORM
PART III. CHEMICAL SPECIFIC INFORMATION
1. CHEMICAL IDENTITY
1.1 | | Trade Secret (Provide a generic name in 1.4 below. Attach substantiation form to this submission.)
1.2 CAS # 0 00 07 5) ~ j 0 11 | -fit] (Use leading zeros if CAS number does not fill space provided.)
Chemical or Chemical Category Name 1.3
VINYL CHLORIDE
Generic Chemical Name (Complete only If 1.1 Is checked.) 1.4
MIXTURE COMPONENT IDENTITY (Do not complete this section if you have completed Section 1.) 2. Generic Chemical Name Provided by Supplier (Limit the name to a maximum of 70 characters (e.g.. number*, letter*, paoe, punctuation)).
3. ACTIVITIES AND USES OF THE CHEMICAL AT THE FACILITY (Check all that apply.)
3.1 Manufacture:
a.| ] Produce
b. | | Import
c.f^j use/proeeeehg
d- distribution
*' As byproduct
f.f] As n Impurity
3.2 Process:
a. fx] As a reactant 1--1
d. | | Repackaging only
3 Otherwise Used: * 1 Ip^ocessk^aid
____
b. (~| As a formulation 1--1 component
b. | | As a manufacturing aid
c I-) A. an article 1 1 component
c.| | Ancillary or other use
EPA Form 9350-1(1-88)
tr A C'U /\.*i I I, f4il m
6. TRANSFERS of the chemical in waste to off-site locations
You m*Y report of lt (Kaa 1,000 lb*. by c*#c**ng rtngtt gnOor A. 1.
A.Total Tranafera (bs/yr)
A.1 Reporting Ranges 0 1-409 SCO-909
A.2 Enter Eatlmate
B. Batia of Eatlmate (enter code)
8.1 OlK^^O* 10 POTW
N/A 6.1b
Otlw ort-*lt# location
|---- |
6.2
f(rEonmtarPabrlot c1k.
numbar Sact ton
2.)
1---- 1
N/A
6.2b O
6.3
Of(rtotnhmlaoffPoabfrlfot-ci1lkt, anSuelomcctbiaoetniron2.)
1---- 1 1-----|'
N/A 6.3b
6.4 Other oft-*lta location
i--|
(Enter block number
from Part 1, Sactlon 2.) 1---- 1
N/A 6.4b Q
| | (Check If additional Information l provided on Part IV-Supplementsl Information)
p|^| 4 5, j C. Type of Treatment/
Disposal (enter code)
6.2c 6.3c 6.4c
7. WASTE TREATMENT METHODS AND EFFICIENCY
A. General
Wastestream (enter code)
B. Treatment Method (enter cods)
7.1a
0 7.1b
F71
C. Range of
Influent Concentration
(T)tenter cods)
Me
D. Sequential Treatment? (check If
applicable)
Md
Q
E. Treatment Efficiency
Estimate
Me
99.99%
7.2a
7.2b
7.2c
Q
7.2d
7.2e
%
7.3a 7.4a
7.6a 77a 7.8a
Q
7.3b 7.4b 7.5b 7.6b 7.7b 7.8b
7.3c 7-4c 7.SC
7.7. 7C
Q
Q
Q
7.3d ?.4d 7.5, 7. 7.7, 7.8d
Q Q Q Q
7.3e 7.4e 7.5. 7-6e 7.7. 7.8e
% % * % * %
7_9.
7-io 7` 11* M2.
7`13* M4
[
Q 7.9b
7,fc
Q
7.M
Q
7.9e
7.10b 7.11b Q 7.12b 7.13b Q 7.14b
',te QMIC Q7.17, Q7.13. Q7,14.
7.1M Mid 7.13, 7.13, 7.U,
Q
Q Q Q Q
7.10e 7.11. 7.12. 7.13e 7.14.
| (Check If additional Information la provided on Part IV-Suppfemental Information.)
% % % % % *
F. Based on Operating Data? Yes No
7"
7i1 7 ' 7" 7-77 7W 1M 7,W 71" 7,3,
7," Q Q'.HI
6. OPTIONAL INFORMATION ON WASTE MINIMIZATION
(Indicate actions taken to reduce the amount of the chemical being released from the faclty. See the batructtona for coded Items and an explanation of what Information to Include.)
A. Type of modification (enter code)
B. Quantity of the chemical In the wastestream prior to trsatment/dlsposai
C. Index
D. Reason for action (enter code)
m
Current reporting year (ba/yr)
Prior year (bs/yr)
| Or percent j change (
1%
D
CTL017110
m1
EPA Form 9350-1(1-88)
(Important: Type or print; read instructions before completing form.)
REPA FORM
PART IV. SUPPLEMENTAL INFORMATION Us* this section H you need additional tpac* for answers to question* In Parts I and III. Number or letter this Information sequentially from prior sections (e.g., D.E. F, or 5.54 , 5.55).
Pag# 5 of S
ADDITIONAL INFORMATION ON FACILITY IDENTIFICATION (Pari I - Section 3)
------ SIC Cod*____ 3.5
____
-1-1 1
III
III,
Dun & 8radstr*t KJumt>*r(*)
3.7
1 1 -1 1 1 1 -1 1 1 1
EPA Sdantffication Numbar(i) RCflA 1 0. No.)
3.8
1)1)1111111
NPOES Pofmit Numborfi)
3.9
1 1-1 1 1 1 -1 1 1 1 1 111 1 11 1 1 1 1
_____ 1____L 1 1 1____1 1 1_______________ Name ol Receiving Stream(s) or Water Body()
3.10
1 1 1 1 1 1 J___ I_______________
ADDITIONAL INFORMATION ON RELEASES TO LAND ( Part III - Section 6.5)
Releases to Land
A. Total Release ____________ (t>/yr)
A.1 Reporting Ranges
0 1-499 500-998
A.2 Enter Estimate
5.5
(enter code)
5.5
(enter code) (enter code)
5.5 a 5.5 a
B. Basis of Estimate
(enter code)
5.5->
5.5_>
5.5->
ADDITIONAL INFORMATION ON OFF-SITE TRANSFER ( Part III - Section 6)
A.Total Transfers (tos/yr)
A.1 Reporting Ranges
0 1-499 500-999
A.2 Enter
Estimate
-----$.
6- .
Dl*ch*rg# to POTW
Other off-lt* location (Enter block number
from Pan 1, Section 2.)
Other off-elt* location (Enter bloc* number
from Part 1, Section 2.)
6.___ a
r--i 1 1--1
|---- l
11 l--l
8.___ a 6.___ a
8. Basis of
C. Type of Treatment/
Estimate
Disposal (enter code)
(enter code)
'
eh6.___b
6.___b EH
6. c. 6.___ c.
LL
jN
LL
nn
ADDITIONAL INFORMATION ON WASTE TREATMENT (Part III - Section 7)
A. General Wastestream (enter code)
B. Treatment Method (enter code)
7. b 7. b
............
C. Range of Influent Concentration (enter code)
ED7.___c ED7.___c
D. Sequential Treatment? (check If applicable)
ED7.___ d
7. b
7. b
ED ED7.___c
7.___ d
CD CD7.___c
7.___ d
7. b
CD7.___c
E. Treatment Efficiency
Estimate
F. Based on Operating Data?
__________ YM No
7.___ e
7.___ 1 %
7.___e
7.___ ( %
7__*
7.___ 7 %
7.___ ( %
7.__e
7.___ 1 %
EPA Form 9350-1(1-88)
CTL017111
(Important: Type or print: read instructions before completing form.)
Approval Exp*-#* 01/91
Pag* 1 of S
U S. Environmental Protection Agency
<yEFft
TOXIC CHEMICAL RELEASE INVENTORY REPORTING FORM
EPA FORM
Section 313, Title III of The Superfund Amendments and Reauthorization Act of 1986
R
(This space lor EPA us* only.)
PART I. FACILITY IDENTIFICATION INFORMATION
1. 1 Does this report contain trap# secret information?
1.
| ] Yes (Aniwar 1 2)
[ )(] No (Do not answ#r 1.2)
1.2 Is this sanitized copy7
1 1 y" 1 1
1.3 Reporting Year
1587
2. CERTIFICATION (Read and sign after completing all sections.)
I hereby 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.
Nam* and official title of own*r/operator or senior management official
C. A. GELLNER, PLANT MANAGER
M3E=:Signature
q
Oat# signed
____ \yy
3. FACILITY IDENTIFICATION
Facility or Establishment Nam#
3.1
1) 3.3 3.4 3.5
3.6
3.7 3.8 3.9
CERTAINTEED CORPORATION
Street Address
PETE MANENA ROAD
City
County
This report contains Information for: (check on#)
a 1 x| ^
oov#r#d facility.
3.2 ^ | | Part of a covered facility.
SULPHUR
State
CALCASIEU
Zip Cod*
LOUISIANA
Technical Contact
7 i 016 i 6f A i-io i 21 sn
Telephone Number (Include area code)
BRUCE J. BROCKA
Public Contact
C. A. GELLNER
a. SIC CorS* B- N/A
c.
2| 8, 2i 1 _J___1l
Latitude
Deg.
Min. Sec.
_1__ 1__ 1__
LonQltud#
Deg.
Min. Sec.
l 3i PM i 3i13-iP-- i9 t 311 i7
Dun & Bradstreet NumO*'(t)
N/A 1 I - I I I 1-1 I I 1
EPA identification Number (RCRA 1.0. No.)
SlO
1__ L
b.
L i A i D 10 i ffiOi 3i 312 iQ i 2 15
NPOES Permit Number (a)
L I AlOlO | fill | Ol 21 S
Name of Receiving Stream(t) or Water Body(s)
1111
N/A
ili i iii
N/A I 1. L... i 1 1
(318 882 - 1AAl
Telephone Number (Include area code)
(318 882 - 1^1
J___ I
Where to send completed forms:
U S. Environmental Protection Agency P.O. Box 70264 Washlngion. DC 20024-0264 Attn: Toxic Chemical Release memory
* BAYOU O' INDE
3.10 c.
N/A
Underground injection W#ll Cod# (LAC) Identification No.
3.!] ii i i VAi i i i i i
. PARENT COMPANY INFORMATION
Nam* of Parent Company
CERTAINTEED CORPORATION P. fl. ROY RAn
Par#nt Company' i Dun & Bradstreet No.
4.2
0 101-12 I 31 5 I - I 81 2 16 1 A EPA Form 9350-1 (1-88)
VALLEY FORGE. PA 19^82
CTL017112
(Important: Type or print; read instructions before completing form.)
REPA FORM
PART II. OFF-SITE LOCATIONS TO WHICH TOXIC CHEMICALS ARE TRANSFERRED IN WASTES
Page 2 Of $
I ' 1. PUBLICLY OWNED TREATMENT WORKS (POTW)
Facility Nima
N/A
Street Addr
City
County
Stele
Zip
1 1 1 1 1-1 1 1 1
2. OTHER OFF-SITE LOCATIONS - Number these location* aequentlally on thli and any additional page of thl* form you usa.
| | Other off-site location
EPA Identification Number (RCRA O. No.)
Facility Nama
Street Addreaa
N/A
1 1 1 1 1 1 1 1 111
City
County
State
Zip
1 1 1 1 1-1 1 1 1 ti location under control of reporting facility or parent oompany? | | | |
a| 1 Other off-*lte location VePA Identification Number (RCRA D. No.)
Yea No
| | | | || | IIII
Facility Name
Straat Addrasi
N/A
City
County
State
Zip
J___ 1 1 1___ l-l 1 1 1
la location under control of reporting facility or parent company? [ | | |
[ | Other off-*lte location
Yaa No
EPA Identification Number (RCRA O. No.)
Facility Nama Street Addreaa
N/A
| | | | II I1111
City
County
State
Zip
J___ 1 1 1___ 1-1
la location under control of reporting facility or parent company? | | |
1 |
^ Yea No
1 I--
j | Check If additional pages of Part 1 are attached.
CTL017113
EPA Form 9350-1(1-88)
(Important: Type or print; read instructions before completing form.)
REPA FORM
PART III. CHEMICAL SPECIFIC INFORMATION
Pag* 3 of 5
*1. CHEMICAL IDENTITY
1.1 | | Trade Secret (Provide a generic name in 1.4 below. Attach substantiation form to this submission.)
1.2 CAS # 00 7 (> h 7 | "| 0 | 1 | -| 0 (Use leading zeros if CAS number does not fill space provided.)
Chemical or Chemical Category Name
1.3 HYDROCHLORIC ACID
Generic Chemical Name (Complete only If 1.1 Is checked.) 1.4
MIXTURE COMPONENT IDENTITY (Do not complete this section if you have completed Section 1.)
2. Generic Chemical Name Provided by Supplier (Limit tha ntma to a maximum of 70 character* (a.g., number*. lattara, spacaa, punctuation)).
3. ACTIVITIES AND USES OF THE CHEMICAL AT THE FACILITY (Check all that apply.)
3.1 Manufacture:
a.| x] Produce
b. Q] Import
3.2 Process:
x 1 1 For sale/ '1--1 distribution
a. | | As a reactant
d. | ] Repackaging only
e. | X | As a byproAict
b I 1 As a formulation ' 1___1 component
1
Otherwise Used:
1 1 As a chemical *[__ I processing aid
b. [ ) As a manufacturing aid
For on-stte use/processlng As an Impurity
As an article component
Ancillary or other use
r. MAXIMUM AMOUNT OF THE CHEMICAL ON SITE AT ANY TIME DURING THE CALENDAR YEAR
Ol 1 | (enter code)
5. RELEASES OF THE CHEMICAL TO THE ENVIRONMENT
You may report releases of less than 1.000 lbs. by checking ranges under A.1.
A. Total Release (fcs/yr)
A.1 Reporting Ranges o t-ss soo-eee
5.1 Fugitive or non-point air emissions 5.1a
5.2 Stack or point air emissions
5.2a
5.3 Discharges to water
S(Eenctteior nle3tt.e10r
code from Pan 1
for (treamt(i).)
5.3.1 | |
i--] 5.3.2 |___|
5.3.1a 5.3.2a
5.3.3 5.3.3a
5.4 Und rground Injection
5.4a
5.5 Releases to larid
(enter code)
.5.2
(enter code)
5.5.1a 5.5.2a
5.5.3
(enter code)
5.5.3a
[ | (Check I( additional Information Is provtdad on Part IV-Supplemental Information.)
A.2 Enter Estimate
N/A
B. Basis of Estimate (enter code)
5.1b
3,800
N/A
5.2b 5.3.1b Q]
C. % From Stormwater 5.3.1c
N/A
5.3.2b Q]
5.3.2c
5.3.3b Q
5.3.3c
N/A
,
N/A
5.5.1b Q
N/A
5.5.2b Q
N/A
5.5.3b Q
N/A_____
CTL017114
EPA Form 9350-1(1-68)
CfA rvjn-*l a a.
6. TRANSFERS OF THE CHEMICAL IN WASTE TO OFF-SfTE LOCATIONS
You my report trentfor r uodor A. 1.
A.Total Transfsrs t*>/yr)
A.1 Reporting Range*
0 1-49* SCO-999
A.2 Enter Estimate
B. Basis of Estimate (enter code)
Dlccharo* to POTW
Othof ot1-*lt location
6.2 [Enter block number
from Part 1, Sactlon 2.)
6.3 OJher off-alta location
(Entar block number
from Part 1, Sactlon 2.)
N/A 6.1b N/A 6.2b N/A 6.3b
6.4 Other off-ilte location
(Entar block number
from Part 1, Sactlon 2.)
N/A 6.4b
| | (Check If additional Information Is provided on Part IV-Supplemental Information)
Pag* 4 of 4 C. Type of Treatment/
Disposal (enter code)
6.2c 6.3c 6.4c
7. WASTE TREATMENT METHODS AND EFFICIENCY
A. General Wastestream (enter code)
B. Treatment Method (enter code)
7.1a
7.1b
A0 k
C. Range of
D. Sequential
Influent
Treatment?
Concentration
(check If
_____(enter code) _____ applcable)___
7.1o
7.Id
E. Treatment Efficiency Estimate
7.ie
99 %
7.2a 7.3a 7.4a 7.5a J /.6a r.7a 7.8a 7.9a
f~W~l 7.2b
7.3b 7.4b 7.5b 7.6b 7.7b 7.8b 7.9b
C1 1
7.2c
7.2d
7-2*
7.3c
7.3d
7.3*
7.4c
7.4d
7.4*
7.5c
7.5d
7.5*
7.6c
7.6d
7.6*
7.7e
7.7d
7.7*
7.8c
7.8d
7.8*
7.9c
7.9d
7.9*
101 % % % % % % % %
7.10a
7.10b
7.11a
7.11b
7.10c 7.11c
7.10d 7.lid
7.10* 7.11*
% %
7.12a 7.13a 7.14a
7.12b 7.13b 7.14b
7.12c 7.13c 7.14c
7.12d 7.13d 7.14d
7.12* 7.13* 7.14*
% % %
(Check If additional Information Is provided on Part IV-Supplemental Information.)
F. Based on Operating
Data? Yes No
7.If 7.21 7.3f 7.4f 7.5f 7.6f 7.71 7.81 7.9f 7.10f 7.Ilf 7.12f 7.13f 7.14f
8. OPTIONAL INFORMATION ON WASTE MINIMIZATION
(Indicate action* taken to reduce the amount of the chemical being released from the facBty. See the Inetructlon* for coded
Items and an explanation of what Information to Include.)
___________________________________________________
A. Type of
modification (enter code)
B. Quantity of the chemical In the wastestream prior to treatment/dUposal
C. Index
D. Reason for action (enter code)
u
Current reporting
year (bs/yr)
Prior year
(bs/yr)
t Or percent i change
,
EPA Form 9350-1(1-88)
1 * OP 1%
m CTL017115
(Important: Type or print; read instructions before completing form.)
REPA FORM
PART IV. SUPPLEMENTAL INFORMATION Use this faction If you need additional tpaca for answers to quattlona In Parts I and III. Number or letter this information sequentially from prior sections (e.g., D,E, F. or 5.54. 5.55).
Page 5 of S
ADDITIONAL INFORMATION ON FACILITY IDENTIFICATION (Part 1 - Section 3)
------ SIC Coda ____ 3.5
____
-ill
III
Dun & Bradstr*t Numb*r(i)
3.7
III
i i -1 i i i -1 i i i
EPA identification Number() RCRA I.O. No.) 3.S
1 )11 1 1111t1
NPOES Permit Number(f) 3.9
11 - J 1 1 11
_____i___ i___i i i i i i_____________
Name of Receiving Slrem(s) or Water 8ody()
1 11
3.10
1 1-1 1 1 1 111111 1 11111
1
ADDITIONAL INFORMATION ON RELEASES TO LAND ( Part III - Section 5.5)
Releases to Land
A. Total Release (bs/yr)
A. 1 Reporting Ranges
o 1-499 soo-eee
A.2 Enter Estimate
5.5____
(enter code)
5.5____ a
.5 | 5.5____
(enter code) (enter code)
5.5____ a 5.5____ a
B. Basis of Estimate
(enter code)
5-5------ b Q 5.5____ b 5.5------ b Q
ADDITIONAL INFORMATION ON OFF-SITE TRANSFER ( Part III - Section 8)
A.Total Transfers (bs/yr|
A. 1 Reporting Ranges
0 1-499 500-999
A.2 Enter Estimate
----6.
, 5.
Discharge to POTW
Other off-lte location (Enter Mock number
from Pert 1, Section 2.)
Other otf-lte location (Enter block numbar
from Pan 1. Section 2.)
6.___a
i--i 1--J 6.___ a
(-- |
1 1 6.___a
l--l
B. Basis of C. Type of Treatment/
Estimate
Disposal (enter code)
(enter code)
--b 6.___b 0
cd6.___b
6. c.
6.____ c.
ADDITIONAL INFORMATION ON WASTE TREATMENT (Part III - Section 7)
A. General Wastestream (enter code)
B. Treatment Method (enter code)
7,_.
7. b ' 1
C. Range of Influent Concentration (enter code)
CD7.___ c
0. Sequential Treatment? (check If
applicable)
1
1
N
r._.
7. b
ED7.___ c
E. Treatment Efficiency Estimate
F. Based on Operating Data?
__________ Yu____Nfi__
7.___ e
7.___ t %
7.___ e
7.___ f %
7. b 7. b 7. b EPA Form 9350-1(1-88)
7.___d 7.___e
ED7.___c 7.___d
7._e
_ ED ED7. c
7.___ d
7.___ e
7.___ f %
7.___ t %
._f %
'
CTL017116
-4
1L
u
-4 L n **4 L n
' (Important: Type or print; read instructions before completing form.)
Approval Explres'- 01/91 Pag 1 of 5
&EFA
U.S. Environmental Protection Agency
TOXIC CHEMICAL RELEASE INVENTORY REPORTING FORM
EPA FORM
Section 313, Title III of The Superfund Am ndments and Reauthorization Act of 1986
R
(Tbit space for EPA use only.)
PART I. FACILITY IDENTIFICATION INFORMATION
1.1 Does this report contain trade secret Information?
1.
1 | Yes (Answer 1.2)
(jj[] No (Do not answer 1.2)
1.2 Is this a sanitized copy?
Y
Q No
1.3 Reporting Year
1987
2. CERTIFICATION (Read and sign after completing all sections.) I hereby 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.
Name and official title of owner/operator or senior management official
C. A. GELLNER, PLANT MANAGER
Bignatur.
__
Date signed
(el'll Iff
3. FACILITY IDENTIFICATION
Facility or Establishment Name
CERTAINTEED CORPORATION
Street Address
3.1
|)
3.3 3.4 3.5
PETE MANENA ROAD
City
SULPHUR
State
LOUISIANA
Technical Contact
BRUCE J. BR0CKA
Public Contact
C. A. GELLNER
ft. SIC Code
N/A
This report contains Information for: (check one)
County
CALCASIEU
Zip Code
7 1 0 16 1 6l 41-101 21 SIR
a | X|
entire covered facility.
3.2 b | | Part of a covered facility.
Telephone Number (Include area code)
(318 882 - 1441
Telephone Number (Include area code)
(318 882 -1441
3. S 3.7 3.8 3.9
Latitude
Deg.
Mm.
Sec.
Longitude
Deg.
Min.
Sec.
____ I 3i 0 11 i 3 1 3 iQ
i 311 17 1 Si 0
Oun & Bradstreet NumOs'(i)
w
N/A
11 - 1111 - 1
11 1
EPA Identification Mumper (RCRA I.O. No.)
* L |A 1 D|0 1 41 0 1 3i 31 2 0 1 2iS
N/A
____11 - 1 1
b' N/A
i iii
1 i
1 - 1 J__ 11
iii
i
NPOES Permit Number(s) * L| AiOiO i 4| 1 | 01 2lS
b` N/A _____ 1____ 1 1--1____ 1____ 1 . L . i--
Name of Receiving Straam(s) or Water Body(s)
a- BAYOU D'IMDE
b. 3.10
N/A
i
Where to send completed forms:
U. S. Environmental Protection Agency P.O. Boa 70266 Washington, DC 20024-0266 Attn: Toxic Chemical Release inventory
Underground Injection Well Cod# (L*C) Identification No.
3.11 ii i i N/Ai i i i i i
4. PARENT COMPANY INFORMATION
Name of Parent Company
CERTAINTEED CORPORATION P. IT ROX Pfin
Parent Company's Cun 6 Brads treat No.
4.2 o 1 01 -12 nm -1812161 s
EPA Form 9350-1 (1-88)
VALLEY FORGE. PA 19482
CTL017117
EPA Form 9350-1 (1-88)
(Important: Type or print; read instructions before completing form.)_____________________
REPA FORM
PART III. CHEMICAL SPECIFIC INFORMATION
Page 3 of 5
P. CHEMICAL IDENTITY 1.1 | | Trade Secret (Provide a generic name in 1.4 below. Attach substantiation form to this submission.)
1.2 CAS # 00 766 A | -| 9| 3 | -| 9 | (Use leading zeros If CAS number does not fill space provided.) Chemical or Chemical Category Name
1.3 SULPHURIC ACID Gonorlc Chemical Nam (Complala only If 1.1 It chockod.)
1.4
MIXTURE COMPONENT IDENTITY (Do not complete this section if you have completed Section 1.) 2. Gonorlc Chemical Name Provided by Supplier (Limit the name to a maximum of 70 characters (e.g.. numbers, letters, spaces, punctuation)).
3. ACTIVITIES AND USES OF THE CHEMICAL AT THE FACILITY (Check all that apply.)
3.1 Manufacture:
a.| | Produce
b. Import
1 1 For sale/ `1--1 distribution
e.| | As a byproduct
For on-site use/processing
As an Impurity
3.2 Process:
a. | | As a reactant d. | | Repackaging only
b 1 1 As a formulation ' 1--1 component
- As an article component
U
3
Otherwise Used:
("TTIAs a chemical *1 Al processing aid
b. [ | As a manufacturing aid
Ancillary or other use
MAXIMUM AMOUNT OF THE CHEMICAL ON SITE AT ANY TIME DURING THE CALENDAR YEAR | 0| ^ ) (enter code)
5. RELEASES OF THE CHEMICAL TO THE ENVIRONMENT
A. Total Relaasa _______ (Ibs/yrl
You may report releases of less than 1.000 lbs. by checking ranges under A.1.
A.1 Reporting Ranges
0 1-498 SOO-OOB
5.1 Fugitive or non-point air emissions 5.1a
A.2 Enter Estimate
N/A
5.2 Stack or point air emissions
5.2a
5.3 Discharges to water
(Enter 1st tar coda from Part I Section 3.10' rtor stream, ().)
5.3.1 | |
i----- 1
5.3.2 LJ
5.3.1a 5.3.2a
N/A M/A
5.3.3 5.3.3a
5.4 Underground Injection
5.4a
nr5.5 Releases to land
5.5.1
(enter oode)
5.5.2
(enter code)
5.5.1a 5.5.2a
5.5.3
(enter code)
5.5.3a
| | (Check If additional Information la provided on Part rv-Sopplemantal Information.)
N/A N/A N/A ilZA_
EPA Form 9350-1(1-88)
B. Basis of Estimate (enter code)
5.1b Q
5.2b Q
>.3.1b Q
5.3.2b Q
5.3.3b
5.4b Q
C. % From Stormwater 5.3.1c
5.3.2c
5.3.3c
5.5.1b
5.5.2b | | 5.5.3b Q
CTl'0l7li9
hr'A tUK>t l l.r'an in (continued/
TRANSFERS OF THE CHEMICAL IN WASTE TO OFF-SITE LOCATIONS
You may report transfers rtnQt ur*0#f A. 1.
A.Total Transfers
______ ______________________
A. 1 A.2
Reporting Rangee
Enter
o i-*#e soo-eee Estimate
6.1 Discharge to POTW
Other
location
6.2 (Enter block number
from Part 1. Section 2.)
6.3 OJher off-*lte location (Enter block number
from Part 1, Section 2.)
6.4 Otfw off-tit* location
(Ent*r block numtar
from Part 1, Section 2.)
N/A N/A N/A N/A
8. Basis of Estimate (enter code)
ED6.1b ED8.2b ED#.3b
8.4b Q
(Check If additional Information Is provided on Part IV-Supplemental Information)
P*g# 4 of 5 C. Type of Treatment/
Disposal (enter code)
6.2c 6.3c 6.4c
7. WASTE TREATMENT METHODS AND EFFICIENCY
A. General Wastestream (enter code)
B. Treatment Method (enter code)
7.1a
7.1b
7.2a
7.2b
7.3a
7.3b
C. Range of
D. Sequential
Influent
Treatment?
Concentration
(check If
_____(enter code! _____ applicable)___
7.1c
7.Id
7.2c
7.2d
7.3c
7.3d
E. Treatment Efficiency Estimate
7.1e 7.2# 7.3e
% % %
7.4a 7.5a |7.6a 7.7a 7.8a
7.4b 7.5b 7.6b 7.7b 7.8b
7.4c
7.4d
7.4#
7.5c
7.5d
7.5#
7.6c
7.6d
7.6#
7.7c
7.7d
7.7#
7.8c
7.8d
7.8#
% % % % %
7.9a
7.9b
7.10a
7.10b
7.11a
7.11b
7.12a
7.12b
7.13a
7.13b
7.9c 7.10c 7.11e 7.12c 7.13c
7.9d 7.10d 7.lid 7.12d 7.13d
7.9# 7.10# 7.11# 7.12# 7.13#
% % % % %
7.14a
7.14b
7.14c
7.14d
7.14#
%
(Check If additional Information la provided on Part IV-Supplemental Information.)
F Based on Operating Data?
Yes No
7.If 7.2f 7.31 7.4f 7.SI 7.61 7.71 7.61 7.9f 7.10f 7.Ilf 7.12f 7.13f 7.14f
8. OPTIONAL INFORMATION ON WASTE MINIMIZATION
(Indicate actions taken to reduce the amount of the chemical behg released from the faclty. 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 tn the wastestream prior to treatment/dlspocal
C. Index
D. Reason for action (enter code)
4f m
EPA Form 9350-1(1-88)
Current reporting
year (fes/yr)
Prior year
(fee/yr)
| Or percent j change (
i %1 %
JD
mrwyiT.m mn
(Important: Type or print: read instructions before completing form.)
REPA FORM
PART IV. SUPPLEMENTAL INFORMATION Use this section If you need additional space for answers to questions In Parts I and III. Number or letter this Information sequentially from prior sections (e.g., D.E. F, or 5.54 , 5.55).
Pag* 5 of 5
ADDITIONAL INFORMATION ON FACILITY IDENTIFICATION (Part 1 - Section 3)
------ SIC Code____ 3.5
____
III
III
III
Dun & Bradstreet Number()
3.7
i i -1 i i i -1 i i i
EPA identification Number(s) RCRA I.D. No.)
3.8
1 1t1 1 |||| | |
NPDES Permit Number(s)
3.9
1
______i____ L_i___i___ i___ i i i_____________
Name of Receiving Stream() or Water Sody(s)
3.10
1-1 1 1 1 -1 1 1 J
1 111 1 1111 1 1
1 1 1 1___1___1 1 1_____________
ADDITIONAL INFORMATION ON RELEASES TO LAND ( Part III - Section 5.5)
Releases to Land
A. Total Release (Ibs/yr)
A.1 Reporting Ranges
0 1-409 500-000
A.2 Enter Estimate
5.5
(nler code)
5.5
(enter code)
5.5
5.5
(enter code)
5.5
B. Basis of Estimate
(enter code)
5.5
5.5_____ b
5.5---------b Q
ADDITIONAL INFORMATION ON OFF-SITE TRANSFER ( Part III - Section )
A.Total Transfers (Ibs/yr)
A.1 Reporting Ranges
0 1-400 500-000
A.2
Enter Estimate
-----S.
6.
Discharge to POTW
Other ott-slte location (Enter block number
from Part 1. Section 2.)
Other ott-slte location (Enter block number
from Part 1, Section 2.)
6.___ a
i--| 1--1 1-1--- 1I 1---- 1
6.___ a 6.___ a
B. Basis of
C. Type of Treatment/
Estimate
Disposal (enter code)
(enter code)
--b
6.___b 0
ED6.___ b
6. c. 6.___ c.
ADDITIONAL INFORMATION ON WASTE TREATMENT (Part III - Section 7)
A. General Wastestream (enter code)
B. Treatment Method (enter code)
7. b
C. Range of Influent
Concentration (enter code)
D. Sequential Treatment? (check If applicable)
EU7.___ d
E. Treatment Efficiency Estimate
F. Based on Operating Data?
__________ Yll____Nfi_
7.___ e
_, %
uu
ooo
1J J
N
*
11
7. b
7.___ d d] 7-_
._t %
7. b
7.___ d O
_. %
7.___ a
CZ1
7. b 7. b
7.___ d
ED7.___ d
7_
r._r %
7.___ f %
'
EPA Form 9350-1(1-88)
CTL017121
-jl L
4
LL
n
(Important: Type or print; read instructions before completing form.)
Approval Exp<r**'_ 01/91 Page 1 of 5
6EFA
U S. Environmental Protection Agency
TOXIC CHEMICAL RELEASE INVENTORY REPORTING FORM
EPA FORM
Section 313, Title III oI The Superfund Amendments and Reauthorization Act of 1986
R
(This space tor EPA use only )
PART I. FACILITY IDENTIFICATION INFORMATION
1.1 Does this report contain trad* secret Information?
1.
| I Yes (Answer 1.2)
| y) No (Oo not answer 1.2)
1.2 H tN a sanltlaed copy?
Y
Q NO
1.3 Reporting Yaar
1987
2. CERTIFICATION (Read and sign after completing ill sections.)
I hereby 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.
Nam* and official tills of owns /operator or senior management official
C. A. GELLNER, PLANT MANAGER
Signature
cl-iMr/Oat* signed
3. FACILITY IDENTIFICATION
Facility or EstaWlshmant Nam#
CERTAINTEED CORPORATION
Street Address
PETE MANENA ROAD
3.1 City
County
)
3.3 3.4 3.5
3.6 3.7 3. S 3.9
SULPHUR
State
CALCASIEU
Zip Code
LOUISIANA
Technical Contact
7 1 0 16 1 6l lH-101 2ISI3
BRUCE J. BROCKA
Public Contact
C. A. GELLNER
e. SIC Code
*> N/A
e.
Z 8 | 2| 1
11L
latitude
Deg.
Min. Sec.
1___ J___ 1 Longitude
Deg.
Min.
Sec.
i 3i 0 11 i 313 .0
i 9 i 31 1 < 7 1 Si 0
Dun i Bradstreet Numbe'(a)
N/A
_l___I - 1 1 I 1 - 1 1 1 1
EPA identification Number (RCRAI.D. No.)
b.
L i A I D|0 ) A, 0 I 3i It 2 |0 i 2 i 9
NPOES Permit Number(s)
b. _L
b.
.N<V.
N/A
iii i iii
N/A
Li At 0 |0 i Ai 1 i 0i 21 5
Nam* of Rcalving Straam(t) or Watar Body (a)
J___I 1. 1.. 1.
3.10
*
b.
BAYOU D'INDE N/A
This report contains Information for: (check one)
a 1 Xl
entire oovered facility.
3.2 |j | | Pert of t covered facility.
Telephone Number (Include ares oode)
(318 882 - 1^1
Telephone Number (Include area code)
(318 882 - 1AAl
Where to send completed forms:
U S. Envlrorvnantal Protection Agency P O. Box 70366 Washington. DC 30034-0366 Attn: Toxic Chemical Paiaasa Inventory
Underground tn|ectk>n Well Code (DC) Identification No. 3.11
'I I I VAI I I I I I
k4. PARENT COMPANY INFORMATION Name of Parent Company CERTAINTEED CORPORATION
P.
Parent Company' Dun & Bradstreet No. 4.2
0 101-12 I 31 S I - I 812 16 1A
EPA Form 9350-1 (1-88)
h
ROY RAn
VALLEY FORGE. PA 19^82
CTL017122
(Important. Type or print; rtad instructions btfort complttinf form.)
REPA FORM
PART II. OFF-SITE LOCATIONS TO WHICH TOXIC CHEMICALS ARE TRANSFERRED IN WASTES
Pag* 2 of S
1 1. PUBLICLY OWNED TREATMENT WORKS (POTW1
Facility Nam*
N/A
Str**t Address
City
Cocnty
Stat*
Zip
1 1 1 1 1-1 1 1 1
2. OTHER OFF-SITE LOCATIONS - Numbar these locations sequentially on this and any additional page of this form you us*.
| ) Oth*r off-sit* location
EPA identification Number (RCRA C. No.)
Facility Nam* Street Address
N/A
111111 111l1
City
Cotnty
Stat*
Zip
111) [HI___1 1
1* location under control of reporting facility or parant oomparry? | | | |
tf1 Oth*r off-sit* location
Y*a No
EPA Identification Number (RCRA O. No.)
Facility Nam*
1 1 1 1 1 1 1 1 1 1 1-
Slr**t Addr*ai
N/A
City
Cocnty
Stat*
Zip
1 1 1 1___ l~l
la location under control of reporting facility or parent company? | | |
1___ 1 |
1
[ ~| Oth*r off-sit* location
Y** No
EPA identification Number (RCRA D. No.)
Facility Name Street Addreaa
N/A
|||||| | | 111
City
Canty
Stat*
Zip
1 III l-l Is location under control of reporting facility or parent company? | | |
1 |
e Ye* No
1 1-
| ] Check If additional pages of Part 1 are attached.
CTL017123
EPA Form 9350-1(1-68)
(Important: Type or print; read instructions before completing form.)_____________________
REPA FORM
PART III. CHEMICAL SPECIFIC INFORMATION
Page 3 of 5
Wl. CHEMICAL IDENTITY 1.1 | | Trade Secret (Provide a generic name in 1.4 below. Attach substantiation form to this submission.)
1.2 CAS # 0 01 31
"I ^ | 3 | -| 2j (Use leading zeros If CAS number does not fill space provided.)
Chemical or Chamteal Category Nama
1.3 SODIUM HYDROXIDE (SOLUTION)
Generic Chemical Name (Complete only If 1.1 Is checked.) 1.4
MIXTURE COMPONENT IDENTITY (Do not complete this section if you have completed Section 1.) 2. Generic Chemical Neme Provided by Supplier (Limit the name to a maximum of 70 characters (e.g., numbers, letters, spaces, punctuation)).
3. ACTIVITIES AND USES OF THE CHEMICAL AT THE FACILITY (Check all that apply.)
3.1 Manufacture:
a. Produce
b. Q Import
e`D
dO dlrtrtoH?ton
A* * bypr0duCt
f.Q At an Impurity
3.2 Process:
a. (7)As a reactant d. | ~| Repackaging onty
cO
Otherwise Used: a.| [ processing*aid
-___
b. | | At a manufacturing aid
e (Z] AncBary or other ute
MAXIMUM AMOUNT OF THE CHEMICAL ON SITE AT ANY TIME DURING THE CALENDAR YEAR | 0 | 4 | (enter code)
5. RELEASES OF THE CHEMICAL TO THE ENVIRONMENT
You may report releases of less than 1.000 lbs. by checking ranges under A.1.
A. Total Release (fct/vr)
A.1 Reporting Ranges
o i-400 soo-eoo
5.1 Fugitive or non-point air emissions 5.1a
A.2 Enter Estimate
N/A
5.2 Stack or point air emissions
5.2a
5.3 Discharges to water
(Entr lttr cod* from Part 1 Section 3.10 tor streams(s).)
5.3.1 | a|
LJ|----- I
5.3.2
5.3.3
5.3.1a 5.3.2a 5.3.3a
N/A 4,200 N/A N/A
5.4 Undergr und Injection
5.5 Relea ses t larid
5.5.1
nr (enter code)
5.5.2
(enter code)
S.4a 5.5. la 5.5.2a
N/A N/A N/A
5.5.3
(enter code)
5.5.3a
| | (Check If additional Information Is provided on Part IV-Supptemental Information.)
N/A
EPA Form 9350-1(1-88)
B. Basis of Estimate (enter code)
O5.1b Q5.2b Q5.3.1b Q5.3.2b Q5.3.3b Q5.4b Q5.5.1b Q5.5.2b Q5.5.3b
C. % From Stormwater S.3.1c 5.3.2c 5.3.3o
CTL017124
L.tr\
t 4, rn iii ^onunuea;
e. transfers of the chemical in waste to OFF-SITE LOCATIONS
You may report transfer* of lost than 1.000 lb. by clocking ringss under A.1.
A.Total Transfers (fcs/vrl
A.1 Reporting Ranges o t-tee soo-eee
A.2 Enter Estimate
B. Basis of Estimate (enter code)
6.1 Dlich*!-* lo POTW
. 6.2
Othef ot1-lte location (Enter block number from Part 1, Section 2.)
6-3 6.4
from Part 1, Sactlon 2.)
Other oft-lta location (Enter block number from Part 1, Section 2.)
i----- 1 11 1------1
n
l--l
i------1 1
*------'
N/A N/A N/A N/A
8.1b
6.2b 6.3b 8.4b
| [ (Check If additional Information Is provided on Part IV-Supplemental Information)
n
CD
Q
Page 4 of 5 C. Type of Treatment/
Dtsp sal (enter code)
6.2c 6.3c 6.4c
7. WASTE TREATMENT METHODS AND EFFICIENCY
A. General Wastestream (enter code)
B. Treatment Method (enter code)
07.1a
7.1b
7.2a
7.2b
C1 1
C. Range of Influent Concentration (enter code)
7.1c 7.2c
0. Sequential Treatment?
(check If aDDdcabie)
7.Id 7.2d
E. Treatment Efficiency Estimate
7.1e 7.2e
gg% %
7.3a
7.3b
7.3c
7.3d
7.3e
%
7.4a 7 5a J 7.6a
7.4b 7.5b 7.6b
7.4o
7.4d
7.4e
7.5c
7.5d
7.5e
7.6c
7.6d
7.8e
% % %
7.7a
7.7b
7.8a
7.8b
7.7c
7.7d
7.7e
7.8c
7.6d
7.6e
% %
7.9a
7.9b
7.10a
7.10b
7.11a
7.11b
7.12a
7.12b
7.9c
7.9d
7.10c
7.10d
7.11c
7.lid
7.12c
7.12d
7.9e 7.10e 7.lie 7.12e
% % % %
7.13a
7.13b
7.13c
7.13d
7.13#
%
7.14a
7.14b
7.14c
7.14d
7.14e
%
(Check If adtftlonaJ Information Is provided on Part IV-Supplemental Information.)
F Based on Operating Data? Yes No
7.If 7.21 7.31 7.4f 7.5f 7.6f 7.71 7.61 7.9f 7.10f 7.Ilf 7.12f 7.13f 7.14f
8. OPTIONAL INFORMATION ON WASTE MINIMIZATION
(Indicate actions taken to reduce the amount of the chemical being released from the facBty. 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 the wastestream prior to treatment/disposal
C. Index
D. Reason for action (enter code)
1Lm
Current reporting
year (tos/yr)
Prior year
(tos/yr)
t Or percent | change
1( %
nn
rn
EPA Form 9350-1(1-88)
CTL017125
(Important: Type or print; read instructions before completing form.)
REPA FORM
PART IV. SUPPLEMENTAL INFORMATION Use this taction If you need additional tpaca for answer* to quettlona In Parts I and III. Number or lattar this Information sequentially from prior tactions (e.g., D.E, F. or 5.54, 5.55).
Pag* 5 of S
ADDITIONAL INFORMATION ON FACILITY IDENTIFICATION (Part 1 - Section 3)
---- SIC Cod* ___
___
3. J
_J__ 1t
III
Dun S Bredstreet Number (s)
III,
3.7
1_______LJ___11_____ J - 1 1 I J i" i-i i i i -1 i i i
EPA Identification Numb*r() RCRA I.O. No.)
3.8
1 111 1 111111 NPOES Permit Numb#r{)
i iii i ii ii i i
3.9
i iii i iii
Nam* of P*c*lvlng Stroam(s) or Wator Body(i)
i iiiiiii
3.10
--
ADDITIONAL INFORMATION ON RELEASES TO LAND ( Part III - Section 8.5)
Releases to Land
A. Total Release (tos/yr)
A.1 Reporting Ranges
0 1-499 500-909
A.2 Enter Estimate
5.5____
(enter coda)
5.5____ a
.5
1"--
(enter code) (enter code)
5.5____ a 5.5____ a
B. Basis of Estimate
(enter code)
5.5____ b Q]
S.5____ b
5-5------ b Q
ADDITIONAL INFORMATION ON OFF-SITE TRANSFER ( Part III - Section )
A.Total Transfers (tos/yr)
A.1 Reporting Ranges
0 1-490 $00-999
A.2 Enter Estimate
'------ Dlchrg* to POTW
6.___ a
6.
-----m
6.
Other off-lt* location (Enter block number from Pert 1, Section 2.)
Other off-sit* location (Enter block number
from Part 1, Section 2.)
i--i 1
1------1
l1 11 L-_)
6. a 6.___ a
B. Basis of C. Type of Treatment/
Estimate
Disposal (enter code)
(enter code)
--b
6. b 0
'
6. b 1 1
6. c. 6.___ c.
ADDITIONAL INFORMATION ON WASTE TREATMENT (Part III - Section 7)
A. General Wastestream (enter code)
B. Treatment Method (enter code)
r._. r._.
7. b 7. b
1
C. Range of Influent Concentration (enter code)
7.___ C
CD7.___ c
D. Sequential Treatment? (check If appflcable)
CD7.___ d CD7.___ d
7. b
CD CD7.___c
7.___ d
k_.
7. b
CD CD7.___c
7.___ d
7. b
CD CD7.___c
7.___ d
E. Treatment Efficiency
Estimate
F. Based on Operating Data?
Yes No
7.___ e
7.___ 1 %
7.__*
7.___ 1 *
7.___
7.___ 1 %
7.___
7._, %
7.___
7.___ f %
EPA Form 9350-1(1-88)
CTL017126