Document eveq1gad9L9ZqbpOMpnjbKdke
(IMPORTANT: Type or print; read instructions before completing form)
Form Approved OMB Number. 2070-0083 Approval Explraa: 11/92
__ Page 1 0(9
$jepa
United States Environmental Protection
Taney
FORM R TOXIC CHEMICAL RELEASE INVENTORY REPORTING FORM
Section 313 af the Emergency Ptevmg and Community Right-to-Knau Act oi 1936. i Title III oi tea Scparfimd Amendments and Raouthorization Act
TRI FACILITY 10 NUMBER
707S5THDICHICH1
TeMc Celegen. m teeette
XTHTLXMX CLTCOL
WHERE TO SEND COMPLETED FORMS:
1.EPCRA Reporting Canter P.O. BOX 3348 Mwrillald VA 991ia.aiil
2. APPROPRIATE STATE OFFICE (See instructions in Appendix F)
ATTN: TOXIC CHEMICAL RELEASE INVENTORY
IMPORTANT: See Instructions to determine when "Not Applicable (NA)" boxes should be checked.
Enter *X* here it Ihia is a revision For ERA uss aniy
PART I. FACILITY IDENTIFICATION INFORMATION
SECTION 1.
REPORTING YEAR 1934
SECTION 2. TRADE SECRET INFORMATION
Are you claiming the toxic chemical identified on page 3 trade secret?
Q Yes (Answer question 2.2;
ID No (Do not answer 2.2;
Attach substantiation forms)
Go to Section 3)
If yes in 2.1, is this copy:
Sanitized Q Unsanitized
SECTION 3. CERTIFICATION (Important: Read and sign after completing all form sections.)
1 hereby certify that I have reviewed the attached documents and that, to the best of my kn wi dge nd 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 end official title ef awner/aperatar or senior rnatagemait offleref
DOTH A. pfoirr. IMVIROHMXMTAL MAHACIR
Signature
/// J' /f
Oats Signal
05/50/95
SECTION 4. FACILITY IDENTIFICATION
Facitty or EstabteUnmt Py? j
THE 00V CHEMICAL COMPAMT LOUISIAHA DIVISION Street Address
HICHWAT 1 SOUTH;
P.O. BOX 150
Coutfy
PLAQTJIMINI State
IBIRVILL1/WBR PARISH Zip Cade
LA | Muling Addnee (It dWarent tram etnat ad*te)
70765-0150
1 H/A (city | '
j M/A State |
Zip Coda
LA 70765-0150
EPA Form 9350-1 (Rav. 12/4/94) - Previous editions are obsolete.
DO A 033044 CONI ' 1 DFNT T 31
TRI Facility 10 Hunter 70765THDWCHIGHW
EPA Automated Form R
A**wy
EPAFORMR
PART I. FACILITY IDENTIFICATION INFORMATION (CONTINUED)
"na ftcwjn to'wuiim________ ~
707t6nDcnen
fi I. K Sm* --
ETHYLENE GLYCOL
SECTION 4. FACILITY IDENTIFICATION (Continued)
This report contains Information for 4.2 /Important check a or b; check C V appBabte)
rnm |
4.3 Technical Contact DOTU A. 1ART
*NM |
4.4 Public Contact
BUT a. BA10R
SIC Code 4.5 (4-dlgIt)
Latitude 4.6 and
Longitude
a. sail
Degree*
oao
b. aaai
Latitude Mhutee
ia
O D.An entire facility bi_J Part o< tacUKy
Federal Facility
TUai*aaa NaaOai (lacMa vn ta*a)
(04) aaa-eias Talafbaaa Blar lUM m ca4)
(504) aaa-sxsa
c. aaaa
Second* 00
d. u
Degrees oei
e.
Longitude Minute*
f.
Second*
1* ao
4.7 Dun & Bradstreet Number(s) (9 digits)
4.8 EPA Identification Number(s) (RCRA I.D.No.) (12 characters)
4.9 Facility NPDES Permit Number(s) (9 characters)
4.10 Underground Injection Welt Code (UtC) I.D.
Number(s)
(12 digits)
a. 008187080
b. NA
3. LAD0Q8187080
b. NA
a. LA0003301
b. LA0049638 a. na b.
SECTION 5. PARENT COMPANY INFORMATION
Name of Parent Company |
5.1 NA
| TDOOI COMICAL COMFAMT
Parent Company's Dun A Bradstreet Number
5.2 na
(9 digits)
ooisAisai
EPA Form 3350-1 (Rev. 12/4/94) Previous aditioni are obaolau.
no A 05 AO4 F> CONF T DFN1 T A!
l&EPA Unttad SMm Environmental Protaction *iency
EPAFORMR
PART II. CHEMICAL-SPECIFIC
INFORMATION
Page 3 ot9
TRI FACILITY 10 NUMBER
7076STHDVCHXGHV
Tata CNwtaL fttatwv. f Generic
CTHYLIX! GLYCOL
SECTION 1. TOXIC CHEMICAL IDENTITY
M .j
aCAS Number (Important: Enter only one number exactly as it appeals on the Section 313 list. Enter category code if reporting chemical category.) 1.1 000107-21-1
1.2
Toxic Chemical or Chemical Category Name (Important: Enter only one name exactly as it appears on the Section 313 list.) ZTHYLIV1 GLYCOL
Generic Chemical Name (Important: Complete only if Part 1, Section 2.1 is checked 'yes.' Generic Name must be structurally descriptive.)
1.3 M
_ __________ _______ _____________ _____________ _ (Important: DO NOT complete this SECTION 2. MIXTURE COMPONENT IDENTITY section U you complete Sect! n 1 ab ve.)
Generic Chemical Name Provided by Supplier (Important: Maximum of 70 characters, including numbers, letters, spaces, and punctuation.)
2.1 MA
SECTION 3. ACTIVITIES AND USES OF THE TOXIC CHEMICAL AT THE FACILITY (Important: Check all that apply.)
Manufacture 3.1 the toxic
chemical:
a. E Produce b. G Import
If produce or import
c. E For on-site use/processing d. E For sale/distribution e. 0 As a byproduct f. D As an impurity
Process 3.2 the toxic
chemical:
a. E As a reactant b. D As a formulation component
c. As an article component d. G Repackaging
Otherwise use a. G As a chemical processing aid c. E Ancillary or other use
3.3 the toxic
b. E As a manufacturing aid
chemical:
SECTION 4. MAXIMUM AMOUNT OF THE TOXIC CHEMICAL ON-SITE AT ANY TIME DURING THE CALENDAR YEAR
07 1 (Enter two-digit code from instruction package.)
EPA Form 9350-1 (Rev. 12/4/94) - Previous editions are obsolete
DO A 053046 CONFTDFNTTAI
&EPA
United Environment* Protection
Aowwy
EPAFORMR
PART II. CHEMICAL-SPECIFIC
INFORMATION (CONTINUED)
Page 4 of 9
TUI FACILITY 10 NUMBER
707S5THDWCHICHV
Twit Owite*. Ctt--rv. i Gewrit New
BTBTLUX CLTCOL
SECTION 5. RELEASES OF THE TOXIC CHEMICAL TO THE ENVIRONMENT ON-SITE
5.1
Fugitive or non-point air emissions
Stack or point air 5.2 emissions
Discharges to receiving 5.3 streams or water bodies
(enter one name per box)
5.3.1 Stream or Water Body Name
HA
5.3.2 Stream or Water Body Name
5.3.3 Stream or Water Body Name
A. Total Release (Ibs/year) (enter range code from instructions or estimate)
B. Basis of
Estimate (enter code)
C. % From Stormwater
.%
.% .%
5.4
Underground injections on-site
Qna
5.5 Releases to land on-site
5.5.1 5.5.2 5.5.3 5.5.4
Landfill
ha
Land treatment/ application farming
Surface impoundment
NA NA
Other disposal
Ena
| | Check here only if additional S ction 5.3 information is provided on page 5 of this form.
DO A 050047
EPA Form 9350-1 (Rter. 12/4/94) - PravkxM edition* are obaotete. cnNFTDFNTTAl RwgeCortei:
11 'm P001**
vyEPA
United Environmentel Protection
Agancy
EPAFORMR
PART II. CHEMICAL-SPECIFIC
INFORMATION (CONTINUED)
Pag* 5 <X 9
TN FACILITY 10 NUMBED
70766THDVCHIGXV Tort gawtol, CttoQoiy. f Sawt Ni CTHYLXHI GLTCOL
SECTION 5.3 ADDITIONAL INFORMATION ON RELEASES OF THE TOXIC CHEMICAL TO THE ENVIRONMENT ON-SITE
Discharges to receiving 5.3 streams or water bodies
(enter one name per box)
A. Total Releat* (pounds/ year)(enter range code from instructions or estimate)
B. Basis of Estimate (enter code)
C. % From
Stormwater
5.3.4 Stream or Water Body Name 5.3.5 Stream or Wafer Body Name 5.3.6 Stream or Water Body Name
.% .X .X
SECTION 6. TRANSFERS OF THE TOXIC CHEMICAL IN WASTES TO OFF-SITE LOCATIONS
6.1 DISCHARGES TO PUBLICLY OWNED TREATMENT WORKS (POTW)
1.A T tal Quantity Transferred to POTWs and Basis of Estimate
6.1JL1
Total Transfers (pounds/year) (enter range code or estimate)
A
S.1.A.2 Basis of Estimate (enter code)
6.1.B POTW Name and Location Information 6.1.B.01 POTW Name
6.1.B.02 POTW Name
Street Address City State
County Zip Code
Street Address City State
County Zip Code
If additional pages of Part II, Sections 5.3 and/or 6.1 are attached, indicate the total number f >ages In this box EU and indicate which Part II, Sections 5.3/6.1 page this is, here. [iD
no 0 ^ 4
(exampl : 1,2,3, etc.)
---------------------------------------------------------- ------------------ CONFTDFNTTAl. -----------------------------------------------------------
EPA Form 9350-1 (Rav. 12/4/94) - Previous adlttona are obaohNa.
Ranga Codas: A 1 -10 pounds; B - 11 - 499 pounds; C 500 - 999 pounds.
Unted SWn Environment* Protection Agency
EPAFORMR
PART II. CHEMICAL-SPECIFIC
INFORMATION (CONTINUED)
Pag* 6 of 9
TH FACILITY ID WUMBCT
7076BTHDWCXI6HW
Tedt Ctewtei. Ctte*Y. Surtt itee
ITHTLXHK GLYCOL
SECTION 6.2 TRANSFERS TO OTHER OFF-SITE LOCATIONS
6.2.01
On-site EPA Identification Number (RCRA10 No.) XA
Off-Site Location Nam*
XA
Street Address
City County
State
Zip Code
A. Tot* Traralort (pounds/ysar)
(enter range code or estimate)
1. XA
2. 3. 4.
Is location under control of reporting facility or parent company?
|--| |--| 1--1l--l No
B. Basis of Estimste (snter cods)
C. Type at Waste Tieatmant/Dispoe*/
RecycHng/Energy Recovery (enter cod*
1. 1.
2. 2.
3. 3.
4. 4.
SECTION 6.2 TRANSFERS TO OTHER OFF-SITE LOCATIONS
6.2.02
On-site EPA Identification Number (RCRA ID No.)
Off-Site Location Name
Street Address
City County
State
Zip Cod*
A. Tot* Transfers (pounds/year) (enter range code or oaten**)
1.
2.
3. 4.
Is location under control of reporting facility or parent company?
i--< 1--1 Tee
i--j
LJ No
B. Beale of Estimate (enter code)
C. Type of Waste Traaansnt/Disposal/ Recycting/Energy Recovery (enter code)
1. 1.
2. 2.
3. 3. 4. 4.
' additional pages of Part II, Section 6.2 are attached, Indicate th&total number of pages in this oox and indicate which Part II, Section 6.2 page this is, here. [_ (example: 1,2,3, etc.)
DO A 0^004'-.' __________________________________________ __
EPA Form 9350-1 (Rev. 12/4/94) - Previous editions ere otoeotete. OONFIDFNTTA
Codes: A - T^IO^unde;- 11 - 499 pounds;
&EPA
unM swm
Pro^cion
EPAFORMR
PART fl. CHEMICAL-SPECIFIC
INFORMATION (CONTINUED)
Page 7 of 9 TN FACILITY IB UWtl
70765THDVCHIGHV
in* ca--fcH cn^n>, m
KTXYLKXI CLTCOL
aJ
SECTION 7A. ON-SITE WASTE TREATMENT METHODS AND EFFICIENCY
D Not Applicable (NA) - Check here if nfi on-site waste treatment is applied to any waste stream containing the toxic chemical or chemical category.
a. SMr*l Watla StrMM (ter nte)
k. Traatewte Hateo4(a) Saqataca [tor 3-cfearacter caia(a)]
Si IImqs sf toiMrt
A Waate Traatewal Elflelaacy Istenata
a. Baaad n Oparatiai Date?
7A.01a 7A.01b
1 rn
2 A
7A.01c 7A.01d 7A.01e
345 i,
678
H Bi 99.99 X
7A.02a s
7A.02b 3 6
1m 4 7
2 KA 5 8
7A.02C i
7A.02d 7A.02e Yes No
99.99 X
7A.03a w
7A.03b
3
6
1 Bll 4 7
2 KA 5 8
7A.03C
2
7A.03d 7A.03e
Yfis No
s98.00 X
7A.04a
v
7A.04b 3 6
1 Pll 4 7
2 KA 5 8
7A.04C 2
7A.04d 7A.04e
0.00 x
Yes No
rn ixi
7A.05a KA
7A.05b 3 6
1 4 7
2 5 8
7A.05C
7A.05d 7A-05e
0.00 X
Yes No
' additional copies of page 7 are attached, indicate the total number of pages in this
, jox and indicate which page 7 this is, here. ED (example; 1,2,3, etc.)
EPA Form 9350-1 (Rov. 12/4/94) - Pravkxi* ditiona art obsolete.
DO A OSDODO OONFTDFNTTA!
S' EPA
United State*
Envtronntentei Protection
EPAFORM R
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
Page 8 of 9 TM FACjUrrjp MJMBEIl
70765THDVCHICHV
Tu* Clitcrt, CWn**l. at twwii iaS
ITETLUX CLTCOL
SECTION 7B. ON-SITE ENERGY RECOVERY PROCESSES
Q N I Applicable (NA) - Check here H no on-site energy recovery is applied to any waste stream containing the toxic chemical or chemical category.
EjMrn itocanfy Mem [Mtef 3-aharaclar t*4a(t))
KA 2 3 4
1---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ECTION 7C. ON-SITE RECYCLING PROCESSES
Q Not Applicable (NA) Check here If no on-site recycling is applied to any waste
stream containing the toxic chemical or chemical category.
Rwycliai Matead* [aater t-abaractar a*4a()l
1 MA
2
3
4
5
6 7 8 9 10
EPA Form 9350-1 (Rav. 12/4/94) Pravtoua adittona ara obaotete.
DO A ODOOfO, OONF TDFNT 1 A1
&EPA
United States Envtronntentel Protection
*Qney
EPAFORMR
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
Page 9 of 9
TRl FACILITY ID NUMBER
70765THDffCHICHW
Tone OsnwaL Cittoory. or Gssric Iw
ITHYLCXI GLYCOL
SECTION 8. SOURCE REDUCTION AND RECYCLING ACTIVITIES
All quantity estimates can be reported using up to two significant figures.
a 8.1 Quantity released
Quantity used tor energy 8.2 recovery on-site
Quantity used tor energy 8.3 recoveiy off-site
8.4 Quantity recycled on-site
Column A 1993
(pounds/year) 64000
0
0
0
Column B 1994
(pounds/year)
71000
Column C 1995
(pounds/year)
71000
00
00
00
8.5 Quantity recycled off-site 0 0 0
8.8 Quantity treated on-site
84000
150000
8.7 Quantity treated off-site
00
Quantity released to the environment as a result of \8 remedial actions, catastrophic events, or one-time events
not associated with production processes (pounds/year)
150000 0
Column D 1996
(pounds/year)
71000 0 0 0 0
150000 0
0
8.9 Production ratio or activity index
1.09
8.10
Did your facility engage in any source reduction activities for this chemical during the reporting year? If not, enter "NA" in Section 8.10.1 and answer Section 8.11.
Source Reduction Activities [enter eode(s)]
8.10.1
li
Methods to Identify Activity (enter codes)
8.10.2
8.10.3
8.10.4
8.11
Is additional optional information on source reduction, recycling, or poOution control activities included with this report? (Check one box)
YES NO
H
leport releases pursuant to EPCRA Section 329(8) including `any spilling, leaking, pumping, pouring, emitting, emptying, discharging,
injecting, escaping, leaching, dumping, or disposing into the environment* Do not include any quantity treated on-site or off-site.
EPA Form 9350-1 (Rsv, 12/4/94) - Previous editions are obsolete.
DO A 0 0 DO DP' OONFTDFNTTAI