Document evdwoXgvqKKmRNzNRLRdY8ba4

Vista Polymers A Division of Vista Chemical Company hhghway 25 Post Office Box 91 Aberdeen, Mississippi 39730 Phone (601) 369-8111 Jane 25, 1991 EPCRA Reporting Center P.O Box 23779 Washington, DC 20026-3779 Dear Sirs: / Enclosed please find one (1) microcomputer diskette containing toxic chemical release reporting information for the Vista Polymers Aberdeen, Mississippi facility, as required under section 313, Title III of the Superfund Amendments and Reauthorization Act of 1986. A total of seven (7) reports are included from our facility, concerning the following chemicals: Chemical Name Antimony compounds Barium compounds n-Dioctyl Phthalate Hydrochloric Acid Lead compounds Phthalic Anhydride Vinyl Chloride Reoort Number 00009 0 0003 00004 00005 00006 00007 00008 CAS Number NA NA 117-84-0 7647-01-0 NA 85-44-9 75-01-4 Our contact is Kenny Akins, who can be reached at (601) 369-3637. He is available should any questions or problems arise in your processing of these diskettes. I hereby certify that I have reviewed the attached information 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 preparcjrs of this report. Sincerely, A R. W. Seymour Plant Manager enclosure hardcopy: Mr. J. E. Maher Mississippi Emergency Response P.O. Box 4501 Fondren Station Jackson, MS 39216-0501 Commission VAB.0001159328 A (ImDortant: Type or print: read instructions before completing form.) Form Approved OMB No * * 2070-0093 Approval ExpiresJH225, Page 1 of 5 SEPA U.S. Environmental Protection Agency TOXIC CHEMICAL RELEASE INVENTORY 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 EPA FORM PART I. FACILITY IDENTIFICATION INFORMATION (This space for your optional use.) Public rsporting burden (or thia collection of Information Is estimated to vary from 30 to 34 hours par response, with an average of 32 hours per response, including time for reviewing Instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of Information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Chief, information Policy Branch (PM--223), US EPA, 401 M St., SW, Washington, O.C. 20400 Attn: TRI Burden and to the Office of Information and Regulatory Affairs, Office of Management and Budget Paperwork Reduction Protect (2070-0003), Washington. D.C. 20603. Are you claiming the chemical identity on page 3 trade secret? 1. Yes (Answer question 1.2; 1^1 No (Do not answer 1.2; Attach substantiation forms If "Yes- In 1.1, Is this copy: Reporting Year 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 R, W. Seymour/Plant Manager Signature >k-4M Date signed June 25, 1991 IQ.ENTIFISAT19N Facility or Establishment Name 3973GVSTPLP0B0X VISTA POLYMERS P. O. BOX 91 * HWY 3.1 ABERDEEN MS 5 aui. TRI Facility Identification Number 39730 WHERE TO SEND COMPLETED FORMS: 1. EPCRA REPORTING CENTER P.O. BOX 23779 WASHINGTON. DC 20026-3779 ATTN: TOXIC CHEMICAL RELEASE INVENTORY 2. APPROPRIATE STATE OFFICE (See Instructions in Appendix G) 3.2 report contains information for (Check Technical Contact 3.3 Kenneth G. Akins ..[X] An entire facility A 3.4 Public Contact Bruce L. Trego Coda (4 t 3.5 2821 b. 2869 Part of a facility Telephone Number (Include 601-369-3637 Telephone Number (include area coda 601-369-3618 3.6 Degrees Minutes Seconds 33 &Dun Bradstreet Number(s) 3.7 a. 11-527-0654 48 49 EPA Identification Number(s) (RCRA 1,D. No.) 3.8 a. MSD007031230 NPOES Permit Number(t) 3.9 MS0001970 . . Receiving Streams or Water Bodies (enter one name per box) a. James Creek 3.10'1 c. e. Underground Injection Well Code (U1C) Identification Number(s) 3.11 la. N/A 4. PARENT COMPANY INFORMATION Name of Parent Company 4.1 Vista Chemical Company Degrees 88 Minutes 33 Seoonds 34 1 I * N/A * N/A b. N/A b. N/A 1 1 1 1 d. f. b-- - ------------ I I - A/A-R umi-15937.91 &Parent Company's Dun Bradstreet Number 42 10-266-6872 (Important: Type or print; read instructions before completing form.) d EPA REPA FORM PART II. OFF-SITE LOCATIONS TO WHICH TOXIC CHEMICALS ARE TRANSFERRED IN WASTES 1. PUBLICLY OWNED TREATMENT WORKS (POTWa) 1.1 POTW name N/A Street Address 1.2 POTW name Stmt Address City County City state Zip State A r Page 2 of (This space for your optional use.) County Zip 2. OTHER OFF-SITE LOCATIONS (DO NOT REPORT LOCATIONS TO WHICH WASTE8 ARE SENT ONLY FOR RECYCLING OR REUSE) 2.1 Off-site location name Chemical Waste Management> EPA identification Number (RCRA O. No.) ALD000622464 Street Addrms Inc. P. 0. Box 55 Is location under control of reporting facility or parent company? 2.2 Off-site location name Technical Environmental Systems, Inc EPA Identification Number (RCRA O. No.) TXD982290140 Street Address 500 Battleground Road city County La Porte State Harris Zip 77571 Is location under control of reporting facility or parent oompany? ( 1 Yes [x 1 No [ ] [x] No 2.3 Off-site looatlon name EPA Identification Number (RCRA IO. No.) LAD000777201 Street Address Route 2, John Brandon Road City County Carlvss State Calcasieu Zip Louisiana 70663 Is location under control of reporting facility or parent company? 2.4 Off-sile looatlon nemo N/A EPA Identification Numbar (RCRA O. No.) Street Address City County Stete Zip is looatlon under control of reporting facility or parent company? 2,5 Off-ails location name 11 [X] NO 2.6 Off-sito location nemo [] [ I No ERA identification Number {RCRA ID. No.) Street Address EPA Identification Number (RCRA ID. No. I .km Street Address City Stats County Zip City M4 Stete County Zip Is location under control of reporting facility or parent company? [ ] [ I No Is location under control of reporting facility or parent company? Check II additional pages of Part i are attached, Mow many? EPA Form 9350-1 (Rev. 1-91) - Previous editions are obsolete. LmwhnI (Important: Type or print; read instructions before completing form J dEPA REPA FORM PART III. CHEMICAL-SPECIFIC INFORMATION A Page 3 of (This space for your optional use 1. CHEMICAL IDENTITY(Do not complete this section If you complete Section 2.) (Reserved] CAS Number (Enter only one number exactly as It appears on the 313 list. Enter NA if reporting a chemical category.) N/A Chemical or Chemical Category Name (Enter only one name exactly as it appears on the 313 list.) Antimony Compounds Generic Chemical Name (Complete only If Part s, Section 1.1 Is checked ``Yea.'' Generic name must be structurally descriptive.) 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, ACTIVITIES AND USES OF THE CHEMICAL AT THE FACILITY (Check all that apply.) Manufacture the chemical: 3.1 *.[ ] Produce If produce or import: f 1 For on-site c.L J use/processing d.[ b.[ ] Import e.[ ] As a byproduct f[ Process the 3.2 chemical: 1 3 1 3.3 Otherwise use the chemical: .[ ] As a reactant <*.[ J Repackaging only ..( 1 As a chemical J processing aid . f Y I As a formulation D L J component b.[ 3 As a manufacturing aid c.[ =.[ 1 For sale/ J distribution ] As an Impurity 1 As an article J component 3 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 (pounds/year) You may report releases of less than 1,000 pounds by checking ranges under A.l1. (Do not use both A.l and A.2) A.l Reporting Ranges '-10 11-400 500-009 A.2 Enter Estimate (][][]5.1 Fugitive or non-point air emissions 5.1a N/A 5.2 Stack or point air emissions 5.3 Discharges to receiving streams or water bodies tnt*r letter cod* from Part l Section 3,10 for streamfs) in box provided.) n 5.3.1 I___I 5.3.2 5 .3.3 5.4 Underground injection 5.5 Releases to land 5.1i,. On-site landfill 5.2a j i5.3.1a j 1iiij 5.3.2a < !\ 5.3.3a ! 5.4a 5.5.la [](][] [](][] [][][] [][][] [][][] (][][] N/A N/A & N/A N/A 5.2 Land treatment/application farming [][][]5.5.2a i 5,3 Surface impoundment .5.4 Other disposal [][][]i 5.5.3a ..... 5.5.4a [](](] M. [ ] fCheck if additional information is provided on art IV-Suppiementai Information,} EPA Form 9350-1 (Rev. 1-91) - Previous edi Ions are obsolete. B. Basis of Estimate C. % From Stormwater (enter code) HU5.1b 5.2b r~l 5.3.1b 1___I HU5.3.2b HU5.3.3b HU5.4b 5.3.1c N/A % 5.3.2c % 5.3.3c % HU5.5.1b HU5.5.2b HU5.5.3b HU5.5.4b j VAB.0001159331 (Important: Type or print; read instructions before completing form.) A [ Page 4 01 (This space for your optional usf 6. TRANSFERS OF THE CHEMICAL IN WASTE TO OFF-SITE LOCATIONS You may report transfers of less than 1,000 pounds by checking ranges under A.t. (Do not use both A.1 and A.2) A. Total Transfers (pounds/yr) A.1 I"Reporting Ranges 0 11-409 500-099 A.2 Enter Estimate POTW . >n number I . I I ] 6 Section 1.) 1 1 |-1___1 Other off-site location *. * ,, (enter location number B [- 2. i from Part II, Section 2, ]t ] ] Other off-ite location BE* * ~ (enter location number from Part H, Section 2, [][][] 1843 3 Other off-site location * ------, [enter location number i ~ 6,2.3 Trom Part II, Section 2.) 1 * | -j I[ ][ 1 N/A B. Basis of Estimate (enter code! 6 HI6.2.2b 6.2.3b ] (Check if additional information Is provided on Part IV-Suppiemental Information.) C.Type of Treatmer Disposal 6.2.2c |m|7 | 2 6.2.3c |M| 7. WASTE TREATMENT METHODS AND EFFICIENCY Check If no on-site treatment Is applied to any waste stream catagory A. General Wastestream (enter code) <n4AJ B. Treatment Method (enter code) C. Range of influent Concentration (enter code) D. Sequential Treatment ? (check if applicable) E. Treatment Efficiency Estimate 7 la ED 7.1b 7.1c 7.Id [ 1 7.1e 100 * 7 2a 7 3a 7 4a 7.2b 7.3b 7.4b 7.2c 7.3c ON i il 7.4c 41 7.2d [ ] 7.3d [ 1 [ ]7.4d 7.2e 7.3e 7.4e % % % 7.5a 7.5b 7.5c 7.5d [ ] 7.5e % F. Based on Operating Data? Yes Nc 7.If [ ] [ X 7.2f [ 1 [ 7.3f [ 1 [ 7.4f [ ] [ 7.5f [ ] ( 7.6a 7.6b 7.6c 7.6d [ ] 7.6e % 7.6f [ ] [ 7.7a 7.7b 7.7c [ ]7.7d 7.7e % 7.7f [ 1 [ 7.3a 7.8b 7.8c 7.8d [ ] 7.8e % 7.8f [ 1 [ 7.9a 7.9b 7.9c 7.9d [ 1 7.9e % 7.9f [ 1 [ 7.10a 7.10b 7.10- 7. lOd [ ] 7.10e [ ] (Check if additional Information is provided on Part IV-Supplementai Information. ) % 7. lOf [ 1 [ 8 POLLUTION PREVENTION: 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 A Type of Modification (enter code) m| B. Quantity of the Chemical in Wastes Prior to Treatment or Disposal Current reporting year (pounds/year) P'ior 1 Or percent change year i (Check ( + ) or (-)) (pounds/year) j "] + (q i% C. Index . D. Reason for Action (enter code) VAB.00011 EPA Form 9350-1 (Rev. 1-91) - Previous ecitlons are obsolete. A (Important: Type or print; read instructions before completing form ) Form Approved OMB No.: 2070-0093 Approval Expires:-- C Paqe 1 of &EPA U.S. Environmental Protection Agency TOXIC CHEMICAL RELEASE INVENTORY REPORTING FORM Section 313 of the Emergency Planning and Community Rlght-to-Know Act of 1986, also known as Title III of the Superfund Amendments and Reauthorization Act EPA FORM PART I. FACILITY IDENTIFICATION INFORMATION (This space for your optional use.) Public reporting burden for this collection of Information is estimated to vary from 30 to 34 hours per response, witn an averaoge orf 32 Ihours per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any otner aspect of this collection of information, suggestions for reducing this burden, to Chief, Information Policy Branch (PM-223), US EPA, 401 M St., SW, Washington, D.C. 20460 Attn: TR1 Burden and to the Office of Information and Regulatory Affairs, Office of Management and Budget Paperwork Reduction Project (2070-0093), Washington, D.C. 20603. 1 .1 Are you claiming the chemical identity on page 3 trade secret? 1. Yes (Answer question 1.2; Attach substantiation forms. No (Do not answer 1.2; 1.2 If "Yes" in 1.1, is this copy: Sanitized Unsanitized 1.3 Reporting Year 2. CERTIFICATION (Read and sign after completing ail sections.) reviewed the attached documents and that, to the best of my knowledge xjnts and values in this report are accurate based on reasonable estimate owner /operator or senior management R. W. Seymour/Plant Manage r 'tl Signature Date signed June 25, 1991 Facility or Establishment Name 3973GVSTPLP0B0X VISTA POLYMERS P. O. BOX 91 * HWY 3.1 ABERDEEN MS 5 39730 WHERE TO SEND COMPLETED FORMS: 1. EPCRA REPORTING CENTER P.O. BOX 23779 WASHINGTON, DC 20026-3779 ATTN: TOXIC CHEMICAL RELEASE INVENTORY TRI Facility Identification Number 2. APPROPRIATE STATE OFFICE (See Instructions in Appendix G) .[*]3.2 This report contains Information for (Check orty one) An entire facility * - i Technical Contact j Kenneth G. Akins 3^ .4 Public Contact Bruce L. Trego SIC Code (4 digit) 3,5 a. 2821 b. 2869 c- - n/a_______ _ d. Latitude 3.6 Degrees Minutes Seconds 33 48 49 Dun & Bradstreet Number(s) 3.7 a. 11-527-0654 I EPA identification Number(s) (RCRA i.D. No.) 3,8 U MSD007031230 b. b- 3.9 NPOES Permit Number(s) MSOOO! 9 !0 .. ____ ____ b. Receiving Streams or Water Bodies (enter one name per box) a. James Creek b. b. [ ] Part of a facility Telephone Number (include area code) 601-369-3637 Telephone Number (Include area code) 601-369-3618 Degrees 88 N/A N/A N/A N/A e. Longitude Minutes 33 Seconds 34 * i : 3.10 r# * * f e. Underground injection Well Code (UIC) Identification Number(s) 3.11 a. n/a PARENT COMPANY INFORMATION Name of Parent Company 4.1 Vista Chemical Com an EPA Form 9350-1 (Rev. 1-91) - Previous editions are obsolete. d. f. b. VAB.00011 Parent Company's Dun 6 Bradstreet Number 10-266-6872 (Important: Type or print; read instructions before completing form.) &EPA REPA FORM PART II. OFF-SITE LOCATIONS TO WHICH TOXIC CHEMICALS ARE TRANSFERRED IN WASTES PUBLICLY OWNED TREATMENT WORKS (POTWs) 1.1 POTW name N/A Street Address 1.2 POTW name Street Address City County City State Zip State k Page 2 o (This space for your optional use County Zip 2. OTHER OFF-SITE LOCATIONS (DO NOT REPORT LOCATIONS TO WHICH WASTES ARE SENT ONLY FOR RECYCUNa OR REUSE) 2.1 Off-site location name EPA identification Numbmr (RCRA IO. No.) ALD000622464 Street Address P. 0. Box 55 City Emeiie State County Sumter Zip Alabama 35459 It location under control of reporting facility or parent company? 2.2 Off-site location name Technical Environmental Systems, Inc EPA Identification Number (RCRA IO. No.) TXD982290140 Street Addreea 500 Battleground Road City County La Porte State Harris Zip Texas 77571 Is location under control of reporting facility or parent oompany? [ ]v.. [x]h. [ ] Yes [x ]no 2.3 Off-site location name Chemical Waste Management, Inc. EPA identification Number (RCRA IO. No.) LAD000777201 Street Address Route 2, John Brandon Road City County Carlvss State Calcasieu Zip Louisiana 70163 Is location under control of reporting facility or parent company? 2.5 Off-site location name ( ]v [x]no 2.4 Off-site location name N/A EPA Identification Number (RCRA O. No.) Street Address City State County zip Is location under control of reporting facility or parent company? 2.6 Off-site location name [ ] Yss [ ] No EPA identification Number (RCRA ID. No.) EPA Identification Number (RCRA ID. No.) Street Address Strset Addrsss Cily County City County State Zip State Zip Is location under control of reporting facility or parent company? [ ] Yss [ ]no Is location under control of reporting facility or parent company? [ 1 Yss [ ] No Chock II additional pagn of Part H ara attached, How many? EPA Form 9350-1 (Rev. 1-91) - Previous editions are obsolete (Important: Type or print; read instructions before completing form.) a EPA REPA FORM PART III. CHEMICAL-SPECIFIC INFORMATION AC Page 3 of (This space for your optional use 1. CHEMICAL IDENTITY(Do not complete this section If you complete Section 2.) (Reserved] CAS Number (Enter only on* number exactly as It appears on tha 313 list. Entar NA If reporting a chemical category.) N/A Chemical or Chemical Category Name lEnter only one name exactly as It appears on the 313 list.) 1.3 Barium Compounds Generic Chemical Name (Complete only If Part I, Section 1.1 Is checked "Yes." 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. ACTIVITIES AND USES OF THE CHEMICAL AT THE FACILITY (Check all that apply.! Manufacture the chemical: 3.1 [ ] Produce If produce or import: [1 For on-site J use/processing ,f d. L Process the chemical: 3.3 Otherwise use the chemical: b. [ ] Import a i ..[ 1 As a reactant ( ] Repackaging only [I As a chemical J processing aid e. [ 1 As a byproduct [ x] As a formulation component b. [ ] As a manufacturing aid f.t f l c. [ 1 For sale/ J distribution 1 As an Impurity 1 As an article J component ] Ancillary or other use 4. MAXIMUM AMOUNT OF THE CHEMICAL ON-SITE AT ANY TIME OURINQ THE CALENDAR YEAR (enter code) 5. RELEASES OF THE CHEMICAL TO THE ENVIRONMENT ON-SITE A. Total Release (pounds/year) You may report releases of less than 1,000 pounds by checking ranges under A.t (Do not use both A.1 and A.2) A.1 Reporting Ranges 1-10 11-49S 500-990 A.2 Enter Estimate 5,1 Fugitive or non-point air emissions 5.1a [][][] N/A 5.2 Stack or point air emissions 5 3 Discharges to receiving streams or water bodies 5*3 Enter letter code from Part I Section 3. 10 for siream(s) in he box provided.) 5.3.2 5.2a [][][] IhJM 5.3.1a [][][] 5.3.2a [)[][] N/A N/A 5.3.3 5.3.3a [][][] B. Basis of Estimate C. % From Stormwater (enter code) 5. 5.2b 5.3.1b 5.3.2b 5,3,10 N/A * 5.3.2c 5.3.3b 5.3.3c % 5.4 Underground injection 5.5 Releases to land 5,5 1 On-stte landfiM 5.5 2 Land treatment/application farming 5.4a [](][] f 5 5.1a [][][] i" 5 5.2a [][][] N/A N/A 5.4b I------I 5 .5.1b |___| 5.5.2b 5.5 3 Surface impoundment 5 5.3a [][][] 5 5.3b >.5.4 Other disposal 5.5.4a [][][] 5.5.4b ] Check if additional information is provided on Part IV-Suppiemental information.) EPA Form 9350-1 (Rev. 1-91) - Previous editions are obsolete. VAB.0001159335 n (Important: Type or print; read instructions before completing form.) 3 EPA REPA FORM PART HI. CHEMICAL-SPECIFIC INFORMATION (continued) Ar Page 4 of (This space for your optional use S. TRANSFERS OF THE CHEMICAL IN WASTE TO OFF-SITE LOCATIONS You may report tranefers of less than 1,000 pounds by checking ranges under A. t. (Do not use both A.1 and A.2) A. Total Transfers (pounds/yr) A.1 Reporting Ranges 1- 0 11-409 500-000 A.2 Enter Estimate Discharge to POTW ,____, 'enter location number | 1 | | .1.1 from Part II, Section I N/A Other off-site location (enter location number from Part IJ. Section 2 Other off~*it location * * ~ (enter location number 0.00,2.2 from Part II, Section 2.) 180 Other off-stte location (enter location number i 0 6 2.3 from Part H, Section 2.) I 2 M 3 ? B. Basis of Estimate (enter code) i.,b 6.2.1b 6.2.2b 6.2.3b J(Check if additional information is provided on Part IV-Supplemental Information.) C.Type of Treatmen Disposal enter code 6.2.2c 6.2.3c M 7 2 WASTE TREATMENT METHODS AND EFFICIENCY Check if no on-site treatment is applied to any waste stream category A. General Wastestream (enter code) B. Treatment Method (enter code) C. Range of influent Concentration (enter code) D. Sequential Treatment 7 (check If applicable) E. Treatment Efficiency Estimate 07 la 7.1b 7.1c Q] 71d t 1 7.1e 100 % F. Based on Operating Data 7 Yes No 7" ( ] [x 7 2a 7.2b 7.2c 1j_--__1| 7.2d [ ] 7.2e % 7 t 1 [ : 7.3a 7.3b ?.3o 0 7.3d [ ] 7.3e % 7 3f [ 1 [ : 7.4a 7.4b 7.4c ( | 7.4d [ ] 7.4e % 7 << [ i [ : 7,5a 7,6a 7.7a 7.5b 7.6b 7.7b 7.*. 0 r.ec 0 7.7o 0 7.5d [ ] 7.6d [ ] 7.7d [ ] 7.5e 7.6e 7.7e % 7 5f % 7 6f % 771 t i[ : [ ][ : [ 11 : 7,3a 7.9a 7.8b 7.9b 7.8c 7.9C I1 wemsiJ 0 7.d [ ] 7.9d [ ] 7.8e 7.9e % 7 8t % 7 sf t ][ ; [ ][ : 7.i0a 7.10b 7.10C Q 7.10d [ 1 7.100 [ ] (Check if additional Information is provideo on Part IV-Supplemental Information ) % 7 ,' [ 11 ; 8 POLLUTION PREVENTION: OPTIONAL INFORMATION ON WASTE MINIMIZATION (Indicate actions taken to reduce the amount of the chemical being released from the facility 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 Current P^lor I Or percent change reporting year I (Check (+) or (-)) year (pounds/year) | j~) + (pounds/year) (g M% See the instructions for coded Reason for Action (enter code) EPA Form 9350-1 (Rev.1-91) - Previous ecitions are obsolete. A Form Approved OMB No.: 2070-0093 Approval Expires:___ -- Paae 1 of 5 pDy\ U.S. Environmental Protection Agency TOXIC CHEMICAL RELEASE INVENTORY REPORTING FORM Section 313 of the Emergency Planning and Community Rlght-to-Know Act of 1986, also known as Title HI of the Superfund Amendments and Reauthorization Act EPA FORM R PART 1. FACILITY IDENTIFICATION INFORMATION (This space for your optional use.) Public reporting burden for this collection of Information Is estimated to vary from 30 to 34 hours per response, with an average of 32 hours per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of Information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Chief, Information Policy Branch (PM-2231, US EPA, 401 M St., SW, Washington, O.C. 20460 Attn: TR1 Burden and to the Office of information and Regulatory Affairs, Office of Management and Budget Paperwork Reduction Project (2070*0003), Washington, O.C. 20603. t i f I I Are you claiming the chemical Identity on page 3 trade secret? 1. [ i Yes (Answer question 1.2; [>-i No (Oo not answer 1.2; Attach substantiation forms Go to question 1.3. If *Yes* In 1.1, is this copy: Sanitized Unsanitized Reporting Year 2. CERTIFICATION (Read and sign after completing ail sections.) I hereby certify that I hava reviewed tha attaehad documents and that, to tha bast of my knowiedQe and baliaf, tha submitted information Is trua and compiata and that tha amounts and valuas in this rsport ara aceurata basad on raasonabla asttmatas using data availabta to tha praoarars of this raport Nama and official tltla of owner/operator or sanior managamant official R. W. Seymour/Plant Manager S Ignat ur Data signed June 25, 1991 3. FACILITY IDENTIFICATION Facility or Establishment Name 39730VSTPLPOBOX VISTA POLYMERS P. O. BOX 91s HWY ABERDEEN MS 39730 WHERE TO SEND COMPLETED FORMS: EPCRA REPORTING CENTER P.O. BOX 23779 WASHINGTON, DC 20026-3779 ATTN: TOXIC CHEMICAL RELEASE INVENTORY tri Facility identification Number report contains Information for (Check 3.3 inleal Contact Kenneth G. Akins Public Contact Bruce L. Trego Coda (4 c 2821 2869 3.6 Degr Latitude Minutes mi u W4 <4 2. APPROPRIATE STATE OFFICE (Sett instructions in Appendix G) An entire facility Degr Part of a facility Telephone Number (Include 601-369-3637 > Telephone Number (Include area code 601-369-3618 Longitude Minutes f Bradstrset Number(s) 3.7 11-527-0654 EPA identification Numbar(s) (RCRA I.O. No.) 3.8 MSD007031230 NPDES Permit Number () 3.9 MS00019 70 .. . Receiving Streams or Water Bodies (enter one name par box) a. James Creek 3.10 Cm 9, Underground Injection Well Code (UlC) Identification Number (*) 3.11 V N/A 4. PARENT COMPANY INFORMATION Company 4.1 Vista Chemical Company b. b. d. f. b. 4.2 N/A N/A Company's Dun & Br 10-266-6872 1 I | var norm 593371 (Important: Type or print; read instructions before completing form.) #EPA REPA FORM PART II. OFF-SITE LOCATIONS TO WHICH TOXIC CHEMICALS ARE TRANSFERRED IN WASTES 1. PUBLICLY OWNED TREATMENT WORKS (POTWa) 1.1 POTW name N/A Street Address 1.2 POTW name Street Address City County City Stat# Zip Stat* A C Page 2 ofi (This space for your optional use.) County Zip 1 2. OTHER OFF-SITE LOCATIONS (DO NOT REPORT LOCATIONS TO WtSCH WASTES ARE SENT ONLY FOR RE[CYCLING OR REUSE). 1 2.1 Off-site location name 1 Chemical Waste Management, 1 EPA Identification Number (RCRA C. No.) | ALD000622464 Inc. 1 Street Address 1 P. 0. Box 1 City 55 County Erne lie State Sumter zip Alabama 35459 Is location under control of reporting facility or parent company? 2.2 Off-site location name Technical Environmental Systems, | EPA identification Number (RCRA D. No.) | TXD982290I40 Inc. Street Address 500 Battleground Road City County La Porte State Harris ZIP Texas 77571 Is location under oontrol of reporting facility or parent oompany? T * r 1 \ | [ ]v- b]m ________________________________________[ 1 v-- [x]n 2.3 Off-site location name Chemical Waste Management, Inc. EPA kionttfteation Numb#r (RCRA IO, No*) *4 LAD000777201 Street Address Route 2. John Brandon Road k*4' City County Carlvss Slat* Calcasieu mm Zip Louisiana 70663 Is location under control of reporting facility or parent company? 2.S Off-site location name [1 [xl No 2.4 Off-site location name N/A EPA identification Number (RCRA O. No.) 8tr**t Addr*u City County State ZIP Is location under oontrol of reporting facility or parent company? 2.6 Off-site location name [1 [ ] No EPA Identification Numb# (RCRA ID* No.) EPA Identification Number (RCRA O. No.) Street Address Street Address City County City County Stat# zip State Zip It location under control of reporting facility or pararrt company ? [ ]v- [ ] No is location under control of reporting facility or parent company? Check if additional pages of Part I are attached. How many? EPA Form 9350-1 (Rev. 1-91) - Previous editions are obsolete. (Important: Type or print; read instructions before completing form,) k L Page 3 of (This space for your optional use 1. CHEMICAL IDENTITYfDo not complete this section If you complete Section 2.) 1.1 [Reserved] ip-' CAS Number (Enter only one numbar exactly as it appears on tha 313 list. Entar NA if raportlng a chamlcai category.) 117-84-0 Chemical or Chemical Category Name <Entar only ona name axactly as It appaars on tha 313 list.) n--Dioctyl Phthalate 3. ACTIVITIES AND USES OF THE CHEMICAL AT THE FACILITY (Check all that apply.! Manufacture the chemical: 3.1 [ x] Produce t_ ]b. Import If produce or Import: c [x ] ^or on_8*te use/processing ..[ 1 As a byproduct d.[ x]dFiostrrsibIu,eti/on t.l ] As an Impurity Process the chemical: [ ] As a reactant -.[ 1 Repackaging only [x ] A a formulation component c. f 1 As an article component Otherwise use the chemical: [1 As a chemical J processing aid b. [ 1 As a manufacturing aid c. [ 1 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 (pounds/year) You may report releases of less than 1.000 pounds by checking ranges under A.1 (Do not use both A.1 and A.2) r A.1 Reporting Ranges -10 11-409 500-000 A.2 Enter Estimate 5.1 Fugitive or non-point air emissions 5.1a [][][] N/A S.2 Stack or point air emissions 5.3 Discharges to receiving streams or water bodies 5-3-1 (Enter letter code from Part I Section 3.10 for stream(s) in t~ie box provided.) 5.3.2 5.2a [][][] l*KI 5.3.1a [][][] 5.3.2a [][][] N/A 39 N/A 5.3.3 5.3.3a [][][] B. Basis of Estimate C. % From Stormwater (enter code) 5. 5.2b 5.3.1b a 5.3.1c 5.3.2b 5.3.2c 5.3.3b 5.3.3c % % 5.4 Underground injection 5.5 Releases to land f..5. 1 On-site landfill 5.4a [][][] 5.5.1a [][][] N/A N/A 5.4b 5.5.1b f 5.2 Land treatment/application farming 5.5.2a [][][] 5.5.2b i 5.3 Surface impoundment 5.5.3a [][][] 5.5.3b 5.5.4 Other disposal 5 5.4a [][][] i. , [ ] Check if additional information is provided on Part IV- Information. ) 5.5.4b VAB.0001159339 EPA Form 9350-1 (Rev. 1-91) - Previous editions are obsolete. n (Important: Type or print; read instructions before completing form.) 6 EPA REPA FORM PART III. CHEMICAL-SPECIFIC INFORMATION (continued) k [ Page 4 of (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 pounds by checking ranges under A. 1. (Do not use both A.1 and A.2) A. Total Transfers (pounds/yr) A.1 Reporting Ranges 1-10 11-400 500-000 A.2 Enter Estimate Discharge to POTW r--n i------r 8. 1 1 (enter location number J from Part II, Section 1.) | tI1 1 H____ [][][] :>LlLOther off-site location (enter location number from Part II, Section 2 [][][] Other off-site location sr o (enter location number 0.2.2 from Part li, Section 2.) [][][] N/A 7999 N/A Other off-sit* location (enter location number 6.2.3 from Part II, Section 2 (][](] B. Basis of Estimate (enter code) 8.2.,,, 0 6.2.2b O 6.2.3b n J (Check If additional information is provided on Part IV-Supplemental Information.) C.Type of Treatmen Disposal 6.2.1c 6.2.2c 6.2.3c M WASTE TREATMENT METHODS AND EFFICIENCY Not Applicable (NA) - Check if no catagory on-site treatment is applied to any waste stream containing the chemical or chemlcai A. General Wa8testream (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 Nc 7 la 0 7.1b Ib |i 11 7.1c 7.H [ ] 7.le 99.9 % 7.If [ X] [ 7 2a 7.2b 7.2c 7.2d [ ] 7.2e % 7.2, [ ] [ 7 3a 7.3b 7 4a 7.4b 7.3c t*. 7.4c 7.3d [ ] 7.4d [ ] 7.3e 7.4e % 7.3, % 7.4, [ ][ [ ][ 7 5a 7 6a 7 7a 7.8a 7.5b 7.6b 7.7b 7.8b T 7.5c 7.6c ?. 7c 7.8c 7.5d [ ] 7.6d [ ] 7.7d [ ] 7.8d [ ] 7.5e 7.6e 7.7e 7.8e % 7.5, % 7.6, % 7.7, % 7.8, [ ][ [ ][ [ ][ [ ][ 7.9a 7.9b 7.9c 7.9d [ ] 7.9e % 7.9f [ n 7.10a 7.10b 7.10c ; 7 1d [ ] 7.10e [ J (Check if additional information is provided on Part IV-Supplemental Information.) % 7 i, [ j [ 8. POLLUTION PREVENTION: 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 code) Current Prior I Or percent change reporting year l (Check (+) or (-]) year (pounds/year) | r~j + (pounds/year) | L-J M 1 % ITfl VAB.00Q1139340 EPA Form 9350-1 (Rev. 1-91) - Previous editions are obsolete. A Important: Type or print: read instructions before completing form. ) Form Approved OMB No.: 2070-0093 Approval Expires :__2!Z2__ C Page 1 of 5 SEPA U.S. Environmental Protection Agency TOXIC CHEMICAL RELEASE INVENTORY REPORTING FORM Section 313 of the Emergency Planning and Community Right-to-Know Act of 1986, also known as Title lit of the Superfund Amendments and Reauthorfzatlon Act Public reporting burden for this collection of Information Is estimated to vary from 30 to 34 hours per response, with an average of 32 hours per response. Including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. PART I. (This space for your optional use.) FACILITY IDENTIFICATION INFORMATION 4. PARENT COMPANY INFORMATION Name of Parent Company Vista Chemical Com an Parent Company's Dun & Qradstreet Number 4.2 10-266-6872 (Important: Type or print; read instructions before completing form.) dEPA REPA FORM PART II. OFF-SITE LOCATIONS TO WHICH TOXIC CHEMICALS ARE TRANSFERRED IN WASTES 1. PUBUCLY OWNED TREATMENT WORKS (POTWs) 1.1 POTW name N/A Street Address 1.2 POTW name Street Address c _________Page 2 of S (This space tor your optional use.) City County City County State zip Stats Zip 2. OTHER OFF-SITE LOCATIONS (DO NOT REPORT LOCATIONS TO WHCH WASTES ARE SENT ONLY FOR RECYCLING OR REU8E) 2.1 Off-site location name MRS Chemical Waste Management, EPA Identification Numbar (RCRA D. No.) ALD000622464 Street Address Inc. P. 0. Box 55 m City Emelle State County Sumter Zip Alabama 35459 Is location under control of reporting facility or parent company? 2.2 Off-site loeation name Technical Environmental Systems, Inc. EPA Identification Numbar (RCRA O. No.) TXD982290140 Street Address 500 Battleground Road City County La Porte State Harris . Zip Texas 77571 Is location under control of reporting facility or parent oompany? 1 [ 1 y-- [x ] No [ ] [x] No 2.3 Off-site location name Chemical Waste Management, Inc. EPA Identification Numbar (RCRA ID. No.) LAD000777201 Street Address I- 41 Route 2. John Brandon Road City County Carlvss State Calcasieu Zip Louisiana 70663 is location under control of reporting facility or parent company? 2.4 Off-site location name N/A EPA identification Number (RCRA O. No.) Street Address City State County zip Is location under control of reporting facility or parent company? j 1 2.5 Off-site location name [ 2.6 Off-site ioostion nsmo EPA identification Number (RCRA ID. No.) EPA Identification Number (RCRA ID, No. \ Street Address Street Address City County City County I Stats Zip ts local inn under control of reporting facility or parent company i] t ]~ Stats Zip J : l Is location under control of reporting facility or parent company? [ 1 Yes [ ] No [ i Chock If additional pagas of Pari N ars attached. Mow many? EPA Form 9350-1 (Rev. 1-91) - Previous editions ars obsolete. (Important: Type or print; read instructions before completing form.) EPA REPA FORM PART III, CHEMICAL-SPECIFIC INFORMATION Page 3 of (This space for your optional use 1. CHEMICAL IDENTITY(Do not complete this section If you complete Section 2.) [Reserved] CAS Number (Ent*r only on* number exactly as t appears on the 313 list. Enter NA if reporting a chemical category.) 7647-01-0 Chemical or Chemical Category Name (Enter only one name exactly as It appears on the 313 list.) Hydrochloric Acid Generic Chemical Name (Complete only f Part t, Section 1.1 is checked "Yes." Generic name must be structurally descriptive.) 1.4 MIXTURE COMPONENT IDENTITY (Do not complete this section If you complete Section 1.) Generic Chemical Name Provided by Supplier {Limit the name to a maximum of 70 characters (e.g., numbers, letters, spaces, punctuation).) 3.1 Produce J For on-site use/processlng ^ T 1 For sale/ J distribution Process the 3.2 chemical: 3.3 Otherwise use the chemioal: import As a reactant Repackaging only [1 As a chemical J processing aid As a byproduct [1 As a formulation J component As a manufacturing aid As an Impurity f 1 As an article I J component 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 (pounds/year) You may report releases of less than 1,000 pounds by checking ranges under A. (Do not use both A.1 and A.2) PM' >*ii A.1 Reporting Ranges 1-10 11-409 500-909 A.2 Enter Estimate 5.1 Fugitive or non-point air emissions 5.1a [][][] -*Sp N/A 5.2 Stack or point air emissions 5.2a [][][] 283 5.3 Discharges to receiving .3.1 streams or water bodies 5 Enter tetter code from Pert I Section 3.10 tor streem(s) In he box provided.) 5.3.2 5.3.1a [][][] 5.3.2a [][][] 0 N/A 5.4 Underground injection 5.5 Releases to land 5.5 1 On-site landfill 5.3.3 5.3.3a [][][] 4- 5.4a [ 1 [ 1 [ 1 5.5.1a [][][] N/A N/A 5.5.2 Land treatment/application farming 5.5.2a [][][] 5 5 3 Surface impoundment 5.5 4 Other disposal 5.5,3a [][][] 5.5.4a [][][] [ ] Check if additional information is provided on Part IV-sSupplemental Information,) UM EPA Form 9350-1 (Rev. 1-91) - Previous edl lons are obsolete. B. Basis of Estimate C. % From Stormwater (enter code) n5. 1b I___I 5.2b 5.3.1b 5.3.1c N/A* 5.3.2b 5.3.2c % 5.3.3b 5.3.3c % 5.4b 5.5.1b 5.5.2b 5.5.3b 5.5.4b VAB.0001159343 (Important: Type or print; read instructions before completing form.) 3 EPA REPA FORM PART III. CHEMICAL-SPECIFIC INFORMATION (continued) Page 4 of (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 pounds by checking ranges under A. 1. (Do not use both A.1 and A.2) A. Total Transfers (pounds/yr) A.1 Reporting Ranges 1-10 11 -498 500-899 A.2 Enter Estimate Discharge to POTW . 6 1.1 TfreonmterPalorct atioSnencutimonbe1r.) I 1 | -1 . |[ Other off-site location (enter location number from Part II, Section 2 Other off~slt* location e - tenter location number o from Part tt, Section 2. Other off-site location (enter location number 6,2.3 from Part II, Section 2 [][][] so [][][] ^WhisaPMir'^iiiisiiMaMBaiiMitMP'e^HaiMviMHaBhi^eWPW^MMMIRe BO [][][] N/A [ Information B. Basis of Estimate C.Type of Treatment Disposal (enter code) 6.2.1b 6.2.2b 6.2.3b 6.2.1c 6.2.2c iMI 6.2.3c WASTE TREATMENT METHODS ANO EFFICIENCY Not Applicable (NA) - Check if no on-site treatment Is applied to any waste stream containing the chemical or chemical catagory A General Wastestream (enter code) B. Treatment Method (enter code) h -41 C. Range of Influent Concentration (enter code) D. Sequential Treatment? (check if applicable) E. Treatment Efficiency Estimate F. Based on Operating Data? Yes No E7. la 7.1b U 7.1c as-1 [1 7-w 7.1e 100 % 7.If [x ] [ ] 7.2a 7.2b 7.2c 7.2d [ ] 7.2e % 72' [ 1 [ ] 7.3a 7.3b 7.3c 7.3d [ ] 7.3e % 7- [ 1[ ] 7.4a 7.4b 7 *4c 7.4d [ ] 7.4e % 7-4f [ ][ ] 7. f>a 7,6a 7.7a 7 7.5b 7.6b 7.7b . 7.8b 7.5c 7.6c W- -i 7.7c 7.8c 7.5d [ ] 7.6d [ ] 7.7d [ ] 7.3d [ ] 7.5e 7.6e 7.7e 7.8e % 7 5< % 7-w % 7 71 % 78( [ 1[ ] [ ][ 1 [ 1[ 1 ( ]t 1 7.&a 7.9b 7 9c 7.9d [ ] 7.9e % 7 9f [ ] [ ] 7.10a 7.10b 7 10c 7.10d [ ] 7. lOe [ ] (Check if additional information is provided on Part IV-Supplemental Information.) % 7 10f [ ] [ 1 8. POLLUTION PREVENTION: 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.) Type of Modification (enter code) B Quantity of the Chemical in Wastes Prior to Treatment or Disposal C. Index D. Reason for Action (enter code) Current reporting year (pounds/year) Prior I Or percent change year I (Check ( + ) or (--T) (pounds/year) | rn f 1 - % EPA Form 9350-1 (Rev.1-91) - Previous editions are obsolete. Important or print: read instructions ore completing form.) Form Approved OMB No.: 2070-0093 L Approval Expires:--JUZ21 Page 1 of` EPA U.S. Environmental Protection Agency TOXIC CHEMICAL RELEASE INVENTORY 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 EPA FORM PART I. FACILITY IDENTIFICATION INFORMATION (This space for your optional use.) Public reporting burden for this collection of Information Is estimated to vary from 30 to 34 hours per response, with an average of 32 hours per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of Information. Send comments regarding this burden estimate or any other aspect of this collection of Information, including suggestions 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 of Information and Regulatory Affairs, Office of Management and Budget Paperwork Reduction Project (2070-0003), Washington, D.C. 20009. 1.1 you claiming the chemical identity on page 3 trade secret? I JX1. [ ] Yes (Answer question 1.2; (do not answer 1.2; Attach substantiation forms 1,2 If "Yes" in 1.1, is this copy: 11 Santtlzad [ ] Unsanitlzad 1.3 Reporting Yaar 2. CERTIFICATION (Read and sign after completing all sections.) I hereby certify that I have reviewed the attached document* and that, to the beat of my knowledge end belief, the submitted Information Is true and complete and that the amounts and value* In thl* 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 R. W. Seymour/Plant Manager Signature Data signed June 25, 1991 Facility or Establishment Name 3973GVSTPLPOBQX VISTA POLYMERS P. O. BOX 91* HWY 25 3.1 ABERDEEN MS Oiat TRI Facility Identification Number 39730 WHERE TO SEND COMPLETED FORMS: 1. EPCRA REPORTING CENTER P.O. BOX 23779 WASHINGTON, DC 20026-3779 ATTN: TOXIC CHEMICAL RELEASE INVENTORY 2. APPROPRIATE STATE OFFICE (See Instructions In Appendix G) 3.2 This report contains information for (Check only one) Technical Contact 3.3 Kenneth G. Akins 4- Public Contact 3,4 Bruce L. Trego SIC Code (4 digit) 3.5 2821 2869 3.6 Degr Latitude Minutes H- ll An entire facility IN'*! Part of a facility Telephone Number (Include area 601-369-3637 i Tslaqhono Numbar (ineludo araa cods) 601-369-3618 Dun & Bradstrset Number() 3.7 a. 11-527-0654 EPA Identification Number(s) (RCRA i.D. No.) 3.8 a. MSD007031230 NJPDES Permit Number(s) MS0001970 Receiving Streams or Water Bodies (enter one name per box) James Creek 3.10 c. Underground Injection Well Code (UIC) identification Number(s) 3.11 N/A 4. PARENT COMPANY INFORMATION Name of Parent Company Vista Chemical Compan : Numbar 4.2 10-266-6872 (Important: Type or print; read instructions before completing form.) 3-EPA REPA FORM PART II. OFF-SITE LOCATIONS TO WHICH TOXIC CHEMICALS ARE TRANSFERRED IN WASTES 1. PUBLICLY OWNED TREATMENT WORKS (POTWa) 1.2 POTW name Street Address County City State State A c Page 2 of i (This apace for your optional use.) County Zip 2. OTHER OFF-SITE LOCATIONS (DO NOT REPORT LOCATIONS TO WHTCH WASTES ARE SENT ONLY FOR RECYCUNQ OR REUSE) 2.1 Off-site loestlon name Chemical Waste Management, EPA Identification Number (RCRA ID. No.) ALD000622464 Street Address Inc P. 0. Box 55 City County Erne lie State Sumter Zip Alabama 35459 Is location under control of reporting facility or parent company? 2.2 Off-site location name Technical Environmental Systems, Inc. EPA Identification Number (RCRA ID. No.) TXD982290140 Street Address 500 Battleground Road City County La Porte State Harris Zip Texas 77571 IS location under control of reporting facility or parent oompeny? i 1 i i i1I i [] [x ] No [ 1 [x] No 2.3 Off-eite location name Chemical Waste Management, EPA identification Number (RCRA ID. No.) Inc. LAD000777201 StfMt AddfMS Route 2. John Brandon Road City County Carlvss Stmim Calcasieu Zip PhS 141 Louisiana 70663 Is location under control of reporting facility or parent company? EPA Identification Number (RCRA O. No.) Street Address City County State Zip Is location under control of reporting facility or parent oompeny? 2.5 Off-site location name [ ] Y [X] No 2.6 Off-slto location name [] [ 1 No EPA Identification Number (RCRA ID. No.) EPA Identification Number (RCRA IO. No.) Street Address Street Address City County State Zip lJH Is location under control of reporting facility or parent company ? [ i NO City stat* County zip Is location under control of reporting facility or parent company? Cheofc if additional page* of Part N are attached. How many? EPA Form 9350-1 (Rev. 1-91) - Previous editions ars obsolete. (Important: Type or print; read instructions before completing form.) dEPA REPA FORM PART III. CHEMICAL-SPECIFIC INFORMATION h r Page 3 of (This space for your optional use 1. CHEMICAL IDENTITY(Do not complete this section If you complete Section 2.) HU (Reserved) CAS Number (Enter only one number exactly at It appears on the 313 list. Enter NA if reporting a chemical category.) N/A Chemical or Chemical Category Name (Enter only one name exactly at it appears on the 313 list.) Lead Compounds Generic Chemical Name (Complete only If Part I, Section l.l Is checked "Yes." 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. ACTIVITIES AND USES OF THE CHEMICAL AT THE FACILITY (Check all that apply.) Manufacture the chemical: 3.1 [ ] Produce If produce or import: c [ ] ^r on_8*te use/processing d f l ] For sale/ J distribution +j Process the 3.2 ! chemical: LJ Import [ ]a As a reactant [ ]d Repackaging only ..[ 1 As a byproduct b[x] As a formulation component f. [ ] As an impurity [1 As an article J component pwi 3.3 Otherwise use the chemical; [1 As a chemical J processing aid b. [ 1 As a manufacturing aid c. [ ] 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 (pounde/year) You may report releasee of less than 1.000 pounds by checking ranges under A.1. (Do not use both A.1 and A.2) is 5.1 Fugitive or non-point air emissions A.1 Reporting Ranges f-10 11-490 500-009 5.1a [][][] A.2 Enter Estimate N/A 5.2 Stack or point air emissions 5.2a [][][] 7 5.3 Discharges to receiving streams or water bodies <nter letter code from Part 1 tSneectbioonx 3.10 for itream (t) provided,) in 5-3-1 --> fTM j 5.3*2 1 1 5.3.3 || 5,3.1a [ 5.3.2a 5.3.3a [][][] [][][] [][][] 5.4 Underground injection 5.5 Releases to land I 1 .5. i On-site landfill : 5.2 Land treatment /application farming 5.4a [][][] 5.5.1a [][][] i 5,5.2a [][][] N/A N/A N/A ! 5.3 Surface impoundment 5.5.3a [][][] f .5.4 Other disposal 5.5.4a [][][] [ i Check if additions* information is provided on fart fV-Suppiemental Information.) Mr 4 EPA Form 9350-1 (Rev. 1-91) - Previous editions are obsolete B. Basis of Estimate C. % From Stormwater (enter code) 5.1b n 5.2b [JD 5.3.1b LJ5.3.2b 5.3.3b CD 5.4b 5.3.1c n/a % 5.3.2c 5.3.3c % % 5.5.1b O 5.5.2b CH 5.5.3b Q 5.5.4b \~J VAB.0001159347 (Important: Type or print; read instructions before completing form.) &EPA REPA FORM PART III. CHEMICAL-SPECIFIC INFORMATION (continued) k [ Page 4 of (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 pounds by checking ranges under A.1. (Do not use both A.1 and A.2) A. Total Transfers (pounds/yr) 14^ A.1 Reporting Ranges 1-10 11-490 500-999 HMtW UrMtt POTW --r i (enter location number I * I I [6 1.1 from Part II, Section 1*) | 7 |.____ i Other off-site location BCD [(enter location number from Part II, Section 2 [ ][ 1 [ ][ i A.2 Enter Estimate N/A 2629 Other off-site location 6* .2~ ,2^ (enter location number i from Part II, Section 2.) * ? [ i[ 30 Other off-site location ,------, .------, (enter location number ~1 I I [6.2,3 from Part H, Section 2.) 1 z | | | it i i N/A B. Basis of Estimate (enter code) 6.1.1b 6.2.1b 6.2.2b 0 6.2.3b [ Information C.Type of Treatment Disposal 6.2.1c Hm 6.2.2c 6.2.3c M 7 WASTE TREATMENT METHODS AND EFFICIENCY Not Applicable (NA) - Check if no catagory on-site treatment is applied to any waste stream containing the chemical or chemical A. General B. Treatment C. Range of D. Sequential E. Treatment F. Based on Wastestream Method Influent Treatment? Efficiency Operating Concentration (check If Estimate Data? (enter code) (enter code) (enter code) applicable) Yes No it a 7.1a 7.2a 7.3a 7.1b 7.2b 7.3b 7.4b hud 7.1c 0 7.20 d <m 7-3C 7 40 7.,d [ ] 7.2d [ ] 7.3d [ ] 7."d [ ] 7.2e 7.3e 7.4e * o e 7" % 7 2' % 7 3' % 7 4' t )u; [ ][ ] [ ]( ] [n] 7,fja 7.6a 7.7a 7.6a 7.Sa 7.10a 7.5b 7.6b 7.7b 1 f 7.8b f ; 7.9b j 7.10b _LL r ii |1 TT 7.50 .. ...... -.........-........ . - 7'6 7.5d 7.6d 7 7c 1Q---- ! 7.7d [ [ [ 7 50 7 90 Q7 IOC 7.8d [ 7.9d 7.10d [ [ ] ] ] ] ] 1 7.5e 7.6e 7.7b 7.8e 7.9e 7. lOe % 7 5f t ][ i % 7 6f [ ][ i % 7 7 t )t i % 7 8f [ ][ ) % 7 9f [ ] [ ] % 7 ,of [ ] [ ] [ ](Check if additional information is provided on Part IV-Supplemental Information.) 8. POLLUTION PREVENTION: 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.) Type of Modification (enter code) B Quantity of the Chemical in Wastes Prior to Treatment or Disposal C. Index D. Reason for Action (enter code) Current Prior l Or percent change reporting year I (Check () or (-T) year (pounds/year) i r] +1 (pounds/year) M %1 - VAkuOul 1^345 EPA Form 9350-1 (Rev. 1-91) - Previous editions are obsolete. k Important: Tvpe or print: read instructions before completing form.) Form Approved OMB No.: 2070-0093 Approval FvptrA*- 01/94 Page 1 of 5 oEPA U.S. Environmental Protection Agency TOXIC CHEMICAL RELEASE INVENTORY REPORTING FORM Section 313 of the Emergency Planning and Community Right-to-Know Act of 1986, also known ae Title Ml of the Superfund Amendments and Reauthorization Act PART 1. (This space for your optional use.) FACILITY IDENTIFICATION INFORMATION Public reporting burden for this collection of information Is estimated to vary from 30 to 34 hours per response, with an average of 32 hours per response, including time for reviewing Instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information. Including suggestions for reducing this burden, to Chief, information Policy Branch (PM--223), US EPA, 401 M St., SW, Washington, O.C. 20460 Attn: TRI Burden and to the Office of Information and Regulatory Affairs, Office of Management and Budget Paperwork Reduction Protect (2070-0003), Washington, O.C. 20603. 1.1 chemical identity on page 3 trade secret? F j Ves (Answer question 1.2; [ ^ 1 No (Do not answer 1.2; Attach substantiation forms Go to question 1.3 If "Yes' in 1.1, is this copy: Sanitized Unsanitized Reporting Year 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 awner/operator or tanlor management official R. W. Seymour/Plant Manager Signature Data ttQned June 25, 1991 3. FACILITY 1 Facility or Establishment Name 39730V3TPLP0B0 X VISTA POLYMERS IP. O. BOX 91* HWY ABERDEEN MS 39730 WHERE TO SEND COMPLETED FORMS: EPCRA REPORTING CENTER P.O. BOX 23779 WASHINGTON, DC 20026-3779 ATTN: TOXIC CHEMICAL RELEASE INVENTORY aiaie TRI Facility Identification Number 2. APPROPRIATE STATE OFFICE (S Instructions in Appendix G) 3.2 report contains Information for (Check inicai Contact 3.3 Kenneth G. Akins 3.4 Public Contact Bruce L. Trego Code (4 < 2821 2869 3.6 Degr Latitude Minutes mu si. j An entire facility Part of a facility. Telephone Number (Include 601-369-3637 > ilephone Number (include area code 601-369-3618 Longitude WH Degrees Minutes Cun & Bradstreet Number(s) 3.7 a. 11-527-0654 la EPA Identification Number(s) (RCRA I.D. No.) 3.8 a. MSD007031230 NPDES Permit Number(s) 3.9 *>!* Receiving Streams or Water Bodies (enter one name per box) a. James Creek 3.10 c. > N/A b. N/A b. N/A d. 1 | I e. Underground Injection Well Code (UIC) Identification Number(*) 3.11 a. N/A 4. PARENT COMPANY INFORMATION Name of Parent Company Vista Chemical Compan f. b- var nnm i Parent Company1 s Dun & Bradstreet Number 4.2 10-266-6872 I 1 (Important: Type or print; read instructions before completing form.) dEPA REPA FORM PART II. OFF-SITE LOCATIONS TO WHICH TOXIC CHEMICALS ARE TRANSFERRED IN WASTES 1. PUBLICLY OWNED TREATMENT WORKS (POTWt) 1.1 POTW name N/A Street Address 1.2 POTW name Street Address City County State zip Stats A c Page 2 of . (This space for your optional use.) County 2. OTHER OFF-SITE LOCATIONS (DO NOT REPORT LOCATIONS TO WHCH WASTES ARE SENT ONLY FOR RECYCLING or REUSE). 2.1 Off-site location name EPA Identification Number (RCRA ID. No.) ALD000622464 Street Address Inc. P. 0. Box 55 City Ernelie State County Sumter Zip Alabama 35459 It location under control of reporting facility or parent company? 2.2 Off-site location name Technical Environmental Systems, Inc EPA Identification Number (RCRA O. No.) TXD982290140 Street Address 500 Battleground Road City County La Porte State Harris Zip Texas 77571 la location under control of reporting facility or parent company? [ ]y- (x In. [U [x]no ! ! : 2.3 Off-aits loeatien nams Chemical Waste Management, Inc. EPA identification Number (RCRA ID. No.) LAD000777201 Street Address Route 2, John Brandon Road City County Carl vss State Calcasieu Zip Louisiana 70663 Is location under control of reporting facility or parent company? 2.4 Off-sits iooatlon nams N/A EPA identification Number (RCRA D. No.) Street Address City State County zip Is location under oontrol of reporting facility or parant company? i ( j ) ! 2.5 Off-site location name [ ] Ye* U]no ! 2.6 Off-site location name 1 ] Yea [ ] No EPA Identification Number (RCRA ID. No.) nsWBhvitii EPA Identification Numbor (RCRA IO. No.) Street Address City -.into State to -i County Zip H- Straat Addraas City State County Zip i la location under control of reporting facility or parent company? [] ft* l 1 Mo ] Check if addition*} pages of Part N are attached. How many? la location under control of reporting facility or parent company? EPA Form 9350-1 (Rev. 1-911 - Previous edition# ere obsolete. (Important: Type or print; read instructions before completing form.) EDA CrM epa form ^ PART 111. CHEMICAL-SPECIFIC INFORMATION A c Page 3 of (This space for your optional use. 1. CHEMICAL IDENTITYfDo not complete this section If you complete Section 2.) 1.1 (Reserved] CAS Number (Enter only one number exactly as it appears on the 313 list. Enter IMA If reporting a chemical category.) 1.2 85-44-9 Chemical or Chemical Category Name (Enter only one name exactly as it appears on the 313 list.) Phthalic Anhydride i Generic Chemical Name (Complata only if Part I, Sactlon 1.1 Is chackad "Yas." Qanarlc nama mutt ba structurally datcrlptlva.) 1.4 ! 3, ACTIVITIES AND USES OF THE CHEMICAL AT THE FACILITY (Check all that apply. > Manufacture the chemical: 3.1 \ a.L J Produce If produce or import: f 1 For on-site c.L J use/processlng -I 1 For sale/ J distribution Process the 3.2 chemical: Otherwise use the chemical: b. [ ] Import e.[ j As a byproduct [ x] As a reactant [ ] Repackaging only MMH [lAs a chemical J processing aid [1 As a formulation J component b [ ] As a manufacturing aid ft J As an impurity [1 As an article J component c. [ ] Ancillary or other use MAXIMUM AMOUNT OF THE CHEMICAL ON-SITE AT ANY TIME DURING THE CALENDAR YEAR 6. RELEASES OF THE CHEMICAL TO THE ENVIRONMENT ON-SITE A. Total Release (pounds/year) You may report releases of less than 1,000 pounds by checking rainnges under A.1 (Do not use both A.1 ana A 21 A.1 Reporting Ranges 1-10 11-499 500-999 A.2 Enter Estimate 5.1 Fugitive or non-point air emissions 5.1a [][][] N/A 5.2 Stack or point air emissions 5.3 Discharges to receiving streams or water bodies 5,3<' L_J (Enter letter code from Part 1 Section 3.10 for stream(s) in the box provided,) |j 5*3.2 1___ 1 5*3*3 j1_--_ || 5.2a .... [][](] 5.3.1a [][][] 5.3.2a [][][] 5.3.3d [][][] N/A N/A 5.4 Underground injection S.5 Releases to land S 5. t On-site landfill b .5.2 Land treatment/application farming 1 5 5,3 Surface impoundment 5 5.4 Other disposal 5 4a [][][] 5.5.1a [][][] m '4BH tu 3 5 2a ( ] [ ] [ 1 5 3a [ `tfc watt ] 5 4a f [ [ 1[ ][ 1 1 N/A N/A [ ] (Check if additional information is provided on Fart tV-Suppiementai information.) EPA F:orm 9350-1 (Rev. 1-91) - Previous editions are obsolete. B. Basis of Estimate C. % From Stormwater (enter code) 5.1b 5.2b 5.3.1b 5.3.2b 5.3.1c N/A % 5.3.2c % 5.3.3b 5,4b 5 * 3 3c 5.5. 1b I I 5.5.2b I I % 5.5.3b 5.5.4b VAB.0001159351 (Important: Type or print; read instructions before completing form.) d EPA EPA FORM PART III. CHEMICAL-SPECIFIC INFORMATION (continued) Page 4 of (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 pounds by checking ranges under A. 1. (Do not use both A.1 and A.2) A. Total Transfers (pounds/yr) A.1 Reporting Ranges 1-i0 11-409 500-999 A.2 Enter Estimate Discharge to POTW , .____. (enter location number .ll 6 .1.1 from Part ll. Section 1.) | 1 | | | [][][] N/A Other off-site location (enter location number from Part II, Section 2.) [][][] 2024 Other off-site location . ,, (enter location number an (](][]t>from Part II, Section 2. N/A Other off-site location [][][]6.2.3 (enter location number | from Part ll, Section 2.) | 9I | I z ||____| B. Basis of Estimate C.Type of Treatmen Disposal (enter code) 6.1.1b O 06.2.1b 6.2.2b 6.2.3b enter code (jl6.2.10 7.12.. 6.2.2c M | 6.2.3c M WASTE TREATMENT METHODS AND EFFICIENCY Not Applicable (NA) - Check if no on-site treatment Is applied to any waste stream containing the chemical or chemical category 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 la 7 2a 7 3a 7 4a 7.1b 7.2b 7.3b 7.4b 7.1c O 1.2c 7 3c n 7.4c 71d ( 1 ?.2d [ ] 7.3d [ ] 7.4d [ ] 7.1e 7.2e 7.3e 7.4e % 7 11 % 7 21 % 7 3f % 7-4* ( 1[ t i[ : t i[ : [ i[ : 7.5a 7.6a 7.7a 7.5b 7.6b 7.7b 7.5c Q 7.6c 7.7C [1 J1----------------------- 7.5d [ ] 7.8d [ ] 7.7d [ ] 7.5e 7.6o - 7.7e 7.8a Hkwwi MMtMaMe 7.9a 7.8b 7.9b 7.8c Q 7.9c |1 1------------------------ 7.8d [ ] 7.9d [ ] 7.8e 7.9e 7.10a 7.10b | 17.10c i ' [ ]7.10d 7. lOe [ 1 (Check If additional Information is provided on Part IV-Supplemental Information. > % 7 5( [it; % 7-6t t ][ : % 7 7( [ ][ : ] [ :% 781 i 11 :% 7 9f t % nof [ ] [ ] 8, POLLUTION PREVENTION: 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 code) Current Prior 1 Or percent change reporting year I (Check ( + ) or (-)) year (pounds/year) | f~l + m| (pounds/year) | I-- % QiL * VAl3.000lIDY3DZ EPA Form 9350-1 (Rev. 1-91) - Previous editions are obsolete. (Important: Type or print; read instructions before completing form. Form Approved OMB No.: 2070-0093 Approval Expires:--__2i221 C Page 1 of 5 &EPA U.S. Environmental Protection Agency TOXIC CHEMICAL RELEASE INVENTORY REPORTING FORM Sectton 313 of the Emergency Planning and Community Rlght-to-Know Act of 1986, also known as Title III of the Superfund Amendments and Reauthorlzatton Act EPA FORM PART l. FACILITY IDENTIFICATION INFORMATION Public reporting burden tor this collection of information la estimated to vary from 30 to 34 hours per 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 of Information. Send comments regarding this burden estimate or any outer as of this collection of Information including suggestions for reducing this burden, to Chief, information Policy Branch (PM--223), US EPA, 401 M St., SW, Washington, D.C. 20460 Attn: TPl Burden and to the Office of Information and Regulatory Affairs, Office of Management and Budget Paperwork Reduction Project (2070-0003), Washington. D.C. 20603. 2. CERTIFICATION (Read and sign after completing ail sections.) 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 amounts and values In this report are aocurate based on reasonable estimates using data available to the preparers of this report and official title of owner /operator or senior management R W. Seymour/Plant Manager Signature Oat# signed June 25, 1991 FACILITY I Facility or Establishment Name 39730VSTPLP0B0X VISTA POLYMERS IP. O. BOX 91 * HWY ABERDEEN MS 911IS 39730 WHERE TO SEND COMPLETED FORMS: EPCRA REPORTING CENTER P.O. BOX 23779 WASHINGTON, DC 20026-3779 ATTN: TOXIC CHEMICAL RELEASE INVENTORY mi Facility Identification Number 2. APPROPRIATE STATE OFFICE (Sh Instructions In Appendix G) This report contains information tor (Check ontv one) ..[x] An entire facility Technical Contact Kenneth G. Akins 3.4 Public Contact Bruce L. Trego SIC Code (4 digit) *. 2821 2869 HHnH 3.6 Degrees Latitude Minutes Degrees Part of a facility Telephone Number (include are# code) 601-369-3637 Telephone Number (Include area code) 601-369-3618 Longitude Minutes t Dun & Bradstreet Number(s) 3.7 . 11-527-0654 EPA identification Number(s) (RCRAI.D. No.) 3.8 >. MSD007031230 NPDES Permit Number(s) 3.9 MS0001970 Raceiving Streams or Water Bodies (enter one ram* par box) a James Creek 3.10 N/A Underground injection Wall Coda (UlC) Idantlflcation Number) s) 3.11 a. N/A ____________ PARENT COMPANY INFORMATION Name of Parent Company Vista Chemical Compan f Company's Dun & Br 4.2 10-266-6872 (Important: Type or print; read instructions before completing form.) dEPA REPA FORM PART II. OFF-SITE LOCATIONS TO WHICH TOXIC CHEMICALS ARE TRANSFERRED IN WASTES 1. PUBLICLY OWNED TREATMENT WORKS (POTWa) 1.1 POTW name N/A StrMt Address 1.2 POTW name 8trest Addrtu City County City State Zip State h c ________ Page 2 of (This spaca for your optional use.) County Zip 2. OTHER OFF-SITE LOCATIONS (DO NOT REPORT LOCATIONS TO WHKX WASTES ARE SENT ONLY FOR RECYCUNG OR REUSE) 2.1 Off-site location name Chemical Waste Management, EPA tdantlflcation Numtoar <RCRA O. No.) ALD000622464 Street Address Inc P. 0. Box 55 City Erne lie State County Sumter Zip Alabama 35459 Is location undar control ot reporting facility or parent company? 2.2 Off-elte looatlon name Technical Environmental Systems, Inc. EPA Identification Number (RCRA IO. No.) TXD982290140 8treet Address 500 Battleground Road City County La Porte Ststs Harris z Texas 77571 la location under oontroi of reporting facility or parent company? [ 1 [x] NO [ ] [x] NO Off-alta location namo Management, 1 EPA ktontiflcatkon Numtoar (RCRA ID. No.) 1 LAD000777201 Inc 1 Stroot AddrMs 1 Route 2, John Brandon Road [City County I Carlvss J State Calcasieu zip I Louisiana 70663 11 location undar control of raportlng facility or parant company? 2.4 Off-aita looatlon name S/A D.EPA Identification Number (RCRA No.) Street Address City State County zip Is location under control of reporting facility or parent company? 2.5 Off-alte location name [ L- [x] No 2.6 Off-site location name [ ] Yes [ ] No EPA tdantificatkon Numtoar (RCRA IO. No.) EPA Idantkfleaf ion Numtoar (RCRA ID. No.) StrMt AddrMS 8treat Address City County City County State Zip State Zip Is location undar control of raportlng facility or parant company? [ ] [ ] No la location undar control of raportlng facility or parant company? Check If additional pages of Part I are attached. How many? m EPA Form 9350-1 (Rev.1-91) - Previous editions are obsolete. (Important: Type or print; read instructions before completing form.) S-EPA PART REPA FORM CHEMICAL-SPECIFIC INFORMATION Ar Page 3 of (This space for your optional use 1. CHEMICAL IDENTITY(Do not complete this section If you complete Section 2.) [Reserved | CAS Number (Enter only one number exactly as It appears on the 313 list. Enter NA If reporting a chemical category.) 75-01-4 PK-4* Chemical or Chemical Category Name (Enter only one name exactly as It appears on the 313 list.) 1.3 Vinyl Chloride Generic Chemical Name (Complete only if Part I Section i.i Is checked "Yes." 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. ACTIVITIES AND USES OF THE CHEMICAL AT THE FACILITY (Check all that apply.) Manufacture the If produce or Import: chemical: 3.1 11a. Produce T 1 For on-site c.L J use/processing d.[ Process the 3.2 chemical: i 3.3 Otherwise use the chemical: b. [ i Import j a. t $ As a reactant [ ]d. Repackaging only a. [ i As a chemical processing aid e.[ j As a byproduct b.[ 1 As a formulation J component b.[ J As a manufacturing aid c.[ c.[ 1 For sale/ J distribution J As an Impurity 1 As an article J component J Ancillary or other use MAXIMUM AMOUNT OF THE CHEMICAL ON-SITE AT ANY TIME DURINQ THE CALENDAR YEAR (enter code) 5. RELEASES OF THE CHEMICAL TO THE ENVIRONMENT ON-SITE A. Total Release (pounds/year) You may report releases of less than 1.000 pounds by checking ranges under A. 1 (Do not use both A.1 and A.2} HtU A. 1 Reporting Ranges 10 11-490 500-990 A.2 Enter Estimate 5.1 Fugitive or non-point air emissions 5.1a 3017 5.2 Stack or point air emissions 5.2a 60976 5.3 Discharges to receiving . streams or water bodies 5&'3' 5.3.1a (Enter tetter code from Part I Section 3.10 for stream(s) in tne box provided.) 5.3.2 33n* ^ i__\ 5.3.2a 5 3.3a 5.4 Underground injection 5.5 Releases to land ,.5.i On-site landfill 5.4a 5.5.1a 1X1*1 N/A N/A B. Basis of Estimate C. % From Stormwater (enter code) 5.1b 5.2b 5.3.1b 5.3.2b 5.3.1c N/A 5.3.2c 5.3.3b 5.3.3c 5.4b .ib 5.5 i; 5.2 Land ireatment/application farming 5.5.2a 5.5.2b L 5.3 Surface impoundment 5.5.3a- [ 5.5.3b 5.4 Other disposal 5.5.4a f 5.5.4b [ ] Check if additional information is provided on Fart (V-Suppiemental Information.) EPA ^orm 9350-1 (Rev. 1-91) - Previous editions are obsolete VAB.OOOl 159355 (Important: Type or print; read instructions before completing form.) A EPA REPA FORM PART III. CHEMICAL-SPECIFIC INFORMATION (continued) A c Page 4 of (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 pounds by checking ranges under A.1. (Do not use both A.1 and A.2) A. Total Transfers (pounds/yr) Mr* A.1 Reporting Ranges 1-1C 11-490 500-909 A.2 Enter Estimate Discharge to POTW . --.... (enter location number ill I [6 1,1 from Part II, Section 1.) | 1 |.|____ Other off-site location (enter location number from Part II, Section 2 Him [ Other off-alte location c ^ o (enter location number tsoo d.d from Part ll( Section 2. Other off-site location so(enter location number 6.2,3 from Part If, Section 2,) [ HtH i m-' -m 1 [ [ [ ][ [ 1 ] N/A N/A B. Basis of Estimate (enter code) 6.1.1b 6.2.2b [ ](Check If additional Information is provided on Part iV-Suppiementai Information.) C.Type of Treatmeni Disposal enter code) 6.2.1c 6.2.2c WASTE TREATMENT METHODS AND EFFICIENCY Not Applicable (NA) - Check If no on-site treatment Is applied to any waste stream containing the chemical or chemical catagory 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 7.2a 7.3a 7.4a --rtsi 7.5a 7.6a 7.7a k. "M 7.8a 7.9a S 7.1b 7.2b 7.3b 7.4b 7.5b 7.6b 7.7b 7.8b 7.9b B1 7.1c H IP- 4 7.2c 7.30 7.4C 1L---J- 1 7.5c 7.6c 1L---J- 1 7.7C 7.5C 7 9c Q 7.,d [ ] 7.2d [ ] 7.3d [ ] 7.4d [ ] 7.5d [ ] 7.6d [ ] 7.7d [ ] 7.5d [ ] 7.9d [ ] 7.1e 99.9 % 7.ir [ x] [ ; 7.2e % 7 2' [ 1[ ] 7.3e % 731 mm 7.4e % 747 MM 7.5e % 7 [ ] [ ] 7.6e % 7 6' MM 7.7e % 771 [ 1[ ] 7,8e % 7" [ )[ ] 7.9e % 7 9f [ ] [ ] 7.' Oa 7.10b 7,0c 7.,0d [ ] 7. lOe [ ] (Check If additional Information Is provided on Part IV-Supplemental Information.) % 710f [ ][ ] 8. POLLUTION PREVENTION: OPTIONAL INFORMATION ON WASTE MINIMIZATION (Indicate actions taken to reduce the amount of the chemical being released from the facility Items and an explanation of what Information to Include.) Type of Modification (enter code) B Quantity of the Chemical in Wastes Prior to Treatment or Disposal Current reporting year (pounds/year) Prior year I Or percent change I (Check ( + ) or (-)) (pounds/year) | rn + ' I % See the Instructions for coded Reason for Action (enter code) VAB' EPA Form 9350-1 (Rev. 1-91) - Previous editions are obsolete.