Document jgZ9NmO8EVRko4ekgpQ2qdVVZ
(IMPORTANT Type or print, read instructions before completing form)
Form Approved OMB Number 207043093 Approval Expires 04/2000
P39 1 Of 9
EPA
United States Environmental Protection Agency
FORM R TOXIC CHEMICAL RELEASE
INVENTORY REPORTING FORM
Section 313 of the Emergency Planning and Community Righi-to-Know Act of 1986, also known as Title 111 of the Superfund Amendments and Reauthonaanon Act
tri facility id number
70765THDWCHIGHW
Tone Chemical. Category or Generic Name
AMMONIA
WHERE TO SEND COMPLETED FORMS:
1. EPCRA Reporting Center
2 APPROPRIATE STATE OFFICE
P O Box 3348
Mernfield, VA 22116-3348
(See instructions in Appendix F)
ATTN TOXIC CHEMICAL RELEASE INVENTORY
Enter "X" here if this is a revision
Important: See instructions to determine when "Not Applicable (NA)" boxes should be checked.
For EPA use only
PART 1. FACILITY IDENTIFICATION INFORMATION
SECTION 1. REPORTING
YEAR
1996^
SECTION 2. TRADE SECRET INFORMATION
Are you claiming the toxic chemical identified on page 3 trade secret?
2.1 1 1 Yes. (Answer question 2.2;
I__ | Attach substantiation forms)
y No (Do not answer 2.2; A Go to Section 3)
2.2 If yes in 2.1, is this copy: | | Sanitized |' | Unsanitized
SECTION 3. CERTIFICATION {Important: Read and sign after completing all form sections
1 hereby certify that 1 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 thepreparers of this report.
ame and official title of otoner/operator or senior management official ENVIRONMENTAL MANAGER Date Signed
07-24-97
SECTION 4/TACILITY IDENTIFICATION
Facility or Establishment Name
THE DOW CHEMICAL COMPANY Street Address
LOUISIANA DIVISION
HIGHWAY 1 SOUTH; City
PLAQUEMINE State
4.1 LA Mailing Address (if different from street address)
N/A
City
N/A State LA
Zip Code 70765-0150
TRI Facility ID Number 70765THDWCHIGHW
P.O. BOX 150 County IBERVILLE/WBR PAR Zip Code 70765-0150
EPA Form 9350-1 (Rev 04/97) - Previous editions are obsolete. Pnnted using AFR for Windows 1 0 on
7/24/97
DO A 055080 CONFTOFNTTAl
<& EPA
United States Environmental Protection Xgency
EPAFORM R
PART 1. FACILITY IDENTIFICATION INFORMATION (CONTINUED)
Page 2 of 9
TRI FACILITY ID NUMBER 70765THDWCHIGHW
Toxic Chemical. Category or Generic Name
AMMONIA
SECTION 4. FACILITY IDENTIFICATION (continued)
4.2 This report contains information for:
(Importantcheck a or b; check c if applicable
a.
4.3 Technical Contact Name
DOYLE A. HANEY
4.4 Public Contact
Name DONNA CARVILLE
An entire facility
>
Part of a
____ A Federal
facility c. |___] facility
Telephone number (include area code)
(504) 353-6128
Telephone number (include area code)
(504) 353-1824
4.5
SIC Code (4-digit)
2812
a.
2821 b.
2869 c.
NA
e.
f.
Latitude 4.6
Degrees
and Longitude 030
Latitude Minutes
19
Seconds 00
Longitude
Degrees 091
Minutes 16
Seconds 20
4.7 Dun & Bradstreet Number(s) (9 digits)
a. 008187080
b. NA
4.8 EPA Identification Number(s) (RCRA I.D. No.) (12 characters)
a. LAD008187080 b. NA
4.9 Facility NPDES Permit Number(s) (9 characters)
a. LA0003301 b. LA0049638
Underground Injection Well Code (UIC) I.D.
4.10 Number(s)
(12 digits)
a. NA b.
z<
SECTION 5. PARENT COMPANY INFORMATION
Name of Parent Company 5.1
THE DOW CHEMICAL COMPANY
Parent Company's Dun & Bradstreet Number 5.2
001381581
>
EPA Form 9350-1 (Rev. 04/97) - Previous editions are obsolete. Printed using AFR for Windows 1.0 on 7/24/97
OO A 0550B1 OONFIDFNT TAL
>& epa
United States Environmental Protection Agency
EPA FORM R PART II. CHEMICAL-SPECIFIC
INFORMATION
TRI FACILITY 10 NUMBER
70765THDWCHIGHW
Toxic Chemical. Category or Generic Name
AMMONIA
SECTION 1. TOXIC CHEMICAL IDENTITY
i'eToflfyo??om'l."'Se^IJn 2*b.low.)
1.1 CAS Number (Important' Enter only one number erectly as it appears on the Section 313 list. Enter category code if reporting a chemical category.) 007664417
1.2 Tone Chemical or Chemical Category Name (Important: Enter only one name eractly as it appears on tha Section 313 list.) AMMONIA
Generic Chemical Name (Important: Complete only if Part 1. Section 2.1 is checked "yes" Genenc Name must be structurally desenptive) 1.3
NA
(Important: 00 NOT complete this
SECTION 2. MIXTURE COMPONENT IDENTITY section if you complete Section 1 above.)
2.1 Generic Chemical Name Provided by Supplier (Important: Marimum of 70 characters, including numbers, letters, spaces, and punctuation.) NA
SECTION 3. ACTIVITIES AND USES OF THE TOXIC CHEMICAL AT THE FACILITY
(Important: Check all that apply.) If produce or import:
3.1 Manufacture the toxic chemical:
a. 1 Produce b. H lmPrt
c. r j d' D e. Q f.
For on-site use/processing Forsale/distribution As a byproduct As an impurity
Process 3.2 the toxic
chemical:
a. [XJ As a reactant b. QJ As a formulation component
c. Qj As an article component d. QJ Repackaging
3.3
Otherwise use the toxic
chemical:
a. Q As a chemical processing aid b. Q As a manufacturing aid
c. X Ancillary or other use
SECTION 4.
4.1 05
MAXIMUM AMOUNT OF THE TOXIC CHEMICAL ON-SITE AT ANY TIME DURING THE CALENDAR YEAR
(Enter two-digit code from instruction package.)
DO A 05508? CONFIDFNTTAL
EPA form 9350-1 (Rev. 04/97) - Previous editions are obsolete. Printed using AFR for Windows 1.0 on 7/24/97
<& EPA
United States Environmental Protection Agency
EPA FORM R PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
TRI FACILITY ID NUMBER 70765THDWCHIGHW
Page 4 or y
Toxic Chemical Category or Generic Name
AMMONIA
SECTION 5. RELEASES OF THE TOXIC CHEMICAL TO THE ENVIRONMENT ON-SITE
A. Total Release (pounds/
year) (enter range code from instructions or estimate)
B. Basis of Estimate
(enter code)
C. % From Stormwater
5.1
Fugitive or non-point air emissions
3700
E
>Z
5.2
Stack or point air emissions
5.3
Discharges to receiving streams or water bodies
(enter one name per box)
5.3.1 Stream or Water Body Name
MISSISSIPPI RIVER
5.3.2 Stream or Water Body Name NA
5.3.3 Stream or Water Body Name
4900 NA 47400
O
M 000.00 ,
5.4.1 5.4.2
Underground injections on-site to Class 1 Wells
Underground injections on-site to Class fi-V Wells
5.5 Disposal to land on-site
5.5.1A RCRA Subtitle C landfills
X NA X NA
i -.a`^*.^7.' .-- ' , [Xj NA
<Z
5.5.IB Other landfills
5.5.2
Land treatment/ application farming
5.5.3 Surface impoundment
150 |~X~| NA |X] NA
5.5.4 Other disposal
[X] NA
V : - <. ` . ,, O
Check here only if additional Section 5.3 information is provided on page 5 f thi form.
I DO A 055083
CONFIDENTIAL
EPA Form 9350 -1 (Rev. 04/97) - Previous editions ar obsol te. Printed using AFR for Windows 1.0 on 7/24/97
& EPA
United States Environmental Protection Agency
L
EPAFORM R PART II. CHEMICAL-SPECIFIC
INFORMATION (CONTINUED)
Page 5 of 9
TRI FACILTTV IU NUMBER-------------------
70765THDWCHIGHW
Toxic Chemical, Category or Generic Nairn i
AMMONIA
SECTION 5.3 ADDITIONAL INFORMATION ON RELEASES OF THE TOXIC CHEMICAL TO THE ENVIRONMENT ON-SITE
Discharges to receiving streams or water bodies (enter one name per box)
5.3.4 Stream or Water Body Name
A. Total Release (pounds/ year) (enter range code from instructions or estimate)
B. Basis of Estimate
(enter code)
C. % From ' Stormwater !
5.3.5 Stream or Water Body Name
5.3.6 Stream or Water Body Name
SECTION 6. TRANSFERS OF THE TOXIC CHEMICAL IN WASTES TO OFF-SITE LOCATIONS
6.1 DISCHARGES TO PUBLICLY OWNED TREATMENT WORKS (POTW)
6.1.A Total Quantity Transferred to POTWs and Basis of Estimate
6.1 .A.1 Total Transfers (pounds/year) (enter range code or e$tiTTAta)Basis 0f Estimate (enter code)
NA
6.1.B POTW Name and Location Information
6.1.B.1 POTW Name
6.1 .B. 2 POTW Name
Street Address
Street Address
City
County
City
County
State
Zip Code -
State
Zip Code -
DO A 055084 CONFTDFNTTAl.
If additi nal pag s f Part II, Section 5.3 and/or 6.1 are attached, indicate the total number of pag s in this b xfoland indicat which Part II, S ction 5.3/6.1 pag this is, h re7i"| (exampi : i, 2,3, etc.)
EPA Form 9350-1 (Rev 04/97) - Previous editions are obsolete. Printed using AFR for Windows 1.0 on 7/24/97
United States Environmental Protection
\gency
EPAFORM R PART II. CHEMICAL-SPECIFIC
INFORMATION (CONTINUED)
Page Bui
TRI FACILITY ID NUMBER
Toxic Chemical. Category or Generic Name
SECTION 6.2 TRANSFERS TO OTHER OFF-SITE LOCATIONS
Off-site EPA Identification Number (RCRA ID No )
6.2.1
Off-Site Location Name
Street Address
City County
State
Zip Code
A. Total Transfers (pounds/year)
(enter range code or estimate)
1.
2.
3.
4.
Is location under control of reporting facility or parent company?
i----- 1 |___ |
i----- 1 1___ ]
g Basis of Estimate
(enter code)
C. Type of Waste Treatment/Disposal/
Recycling/Energy Recovery(enter code)
1. 1.
2. 2. 3. 3.
4. 4.
SECTION 6.2 TRANSFERS TO OTHER OFF-SITE LOCATIONS
Off-site EPA Identification Number (RCRA ID No.) 6.2.2
Off-Site Location Name
Street Address
City County
State
Zip Code
A. Total Transfers (pounds/year)
(enter range code or estimate)
1.
2.
3.
4.
Is location under control of reporting facility or parent company?
i----- 1 Yet |___ |
1-----1 No (___ |
g Basis of Estimate (enter code)
1.
C. Type of Waste Treatment/Disposal/
Recycling/Energy Recoveryfenter code)
1.
2. 2. 3. 3.
4. 4.
A 055oc; conftdennttttaal:
If additional pages of Part II, Section 6.2 are attached, indicate the total number of pages in this
box and indicate which Part II, S ction 6.2 pag this is, here. (exampl : 1, 2, 3, etc.)
EPA Form 9350-1 (Rev. 04/97) - Previous editions are obsolete. Range Codes. A = 1 -10 pounds, B * 11 - 499 pounds, C 500 - 999 pounds
7/24/97
S'EPA
United States Environmental Protection Agency
EPAFORM R
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
Page 7 of 9
TRI FACILITY ID NUMBER
70765THDWCHIGHW
Toxic Chemical. Category or Genenc Name
AMMONIA
SECTION 7A. ON-SITE WASTE TREATMENT METHODS AND EFFICIENCY
| | Not Applicable (NA) - Check here if no on-site waste treatment is applied to any
waste stream containing the toxic chemical or chemical category.
a General Waste Stream (enter code)
b Waste Treatment Method(s) Sequence [enter 3-character code(s)]
7A.1a
7A.1b
A03 NA
c. Range of Influent Concentration
7A.1c
d Waste Treatment Efficiency Estimate .
7A.1d
e Based on Operating Data?
7A.1e
7A.2a
7A.2b
99.99 %
Yes No
0
F11
NA
7A.2C
7A.2d
7A.2
7A.3a
7A.3b
99.99 %
Yes N
F99
NA
7A.3C
7A.3d
7A.3
7A.4a
7A.4b
99.98 %
Yes N
0
A03
NA
7A.4C
7A.4d
7A.4e
7A.5a
7A.5b
Yes No
095 %
B11
NA
7A.5C
7A.5d
7A.5
w Yes N
0099 %
If additional copies of page 7 are attached, indicate the total number of pages in this box [~Z~| and indicate which page 7 this is, here. | 1 | (example: 1, 2, 3, etc.)
EPA Form 9350-1 (Rev 04/97) - Previous editions are obsolete. Printed using AFR for Windows 1 0 on
7/24/97
DO A 055086 CONFIDFNTTAl
EPA
United States Environmental Protection Agency
EPAFORM R
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
Page 7 of 9
TRI FACILITY ID NUMBER
70765THDWCHIGHW
Toxic Chemical. Category or Genenc Name
AMMONIA
SECTION 7A. ON-SITE WASTE TREATMENT METHODS AND EFFICIENCY
| | Not Applicable (NA) - Check here if no on-site waste treatment is applied to any
waste stream containing the toxic chemical or chemical category.
a General Waste Stream (enter code)
b. Waste Treatment Method(s) Sequence [enter 3-character code(s)]
7A.1a
7A.1b
B11 NA
c Range of Influent Concentration
7A.1c
d. Waste Treatment Efficiency Estimate
7A.1d
e Based on Operating Data''
7A.1
w
7A.2a
7A.2b
99 %
Yes N
0
P21
NA
7A.2c
7A.2d
7A.2e
w
7A.3a
7A.3b
25 %
Yes N
0
P42
NA
7A.3c
7A.3d
7A.3e
W
7A.4a
7A.4b
7A.4c
99 %
7A.4d
Yes N
7A.4e
NA
7A.5a
7A.5b
7A.5c
0%
7A.5d
Yes No
7A.5e
Yes N
%
If additional copies of page 7 are attached, indicate the total number of pages in this b x | 2 | and indicate which page 7 this is, here. | 2 | (example: 1, 2, 3, etc.)
EPA Form 9350-1 (Rev 04/97) - Previous editions are obsolete. Pnnted using AFR for Windows 1 0 on
7/24/97
055087 DO A C.ONF T ofntial
-&EPA
United States Environmental Protection Agency
EPAFORM R
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
Page 8 of 9
TRI FACILITY ID NUMBER
70765THDWCHIGHW
Toxic Chemical. Category or Generic Name
AMMONIA
SECTION 7B. ON-SITE ENERGY RECOVERY PROCESSES
| [ Not Applicable (NA) - Check here if no on-site energy recovery is applied to any waste stream containing the toxic chemical or chemical category.
Energy Recovery Methods [enter 3-character code(s)]
1 NA
2
3
4
SECTION 7C. ON-SITE RECYCLING PROCESSES
[ | Not Applicable (NA) - Check here if no on-site recycling is applied to any waste stream containing the toxic chemical or chemical category.
Recycling Methods [enter 3-character code(s)]
1. NA
2.
3.
4.
5.
6. 7. 8. 9. 10.
EPA Form 9350-1 (Rev. 04/97) - Previous editions are obsolete. Printed using AFR for Windows 1 0 7/24/97
D0 A 055088 OONF TDFNTTAL
United States Environmental Protection
.gency
EPAFORM R PART II. CHEMICAL-SPECIFIC
INFORMATION (CONTINUED)
Page 9 of 9
TRI FACILITY ID NUMBER
70765THDWCHIGHW
Toxic Chemical Category or Generic Name
AMMONIA
SECTION 8. SOURCE REDUCTION AND RECYCLING ACTIVITIES
All quantity estimates can be reported using up to two significant figures.
8.1 Quantity released*
Column A Prior Year
(pounds/year)
104000
Column B
Current Reporting Year
(pounds/year)
Column C Following Year
(pounds/year)
Column D
Second Following Year
(pounds/year)
56000
56000
56000
8.2 Quantity used for energy
0
0
0
0
recovery on-site
Quantity used for energy 8.3 recovery off-site 0 0 0 0
8.4 Quantity recycled on-site
0
0
0
0
8.5 Quantity recycled off-site
0
0
0
0
8.6 Quantity treated on-site
30000
2100
2100
2100
7 Quantity treated off-site
0
0
0 .0
Quantity released to the environment as a resu t of
8.8 remedial actions, catastropic events, or one-tinle events n t associated with production processes (pc>unds/year)
0
8.9 Production ratio or activity index
0001 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
[anter coda(s)l
Methods to Identify Activity (enter codes)
8.10.1 NA a.
b.
C.
8.10.2
a. b.
c.
8.10.3
a. b.
c.
8.10.4
a. b.
c.
_ Is additional optional information on source reduction, recycling, or 8' 1 pollution control activities included with this report? (Check one box)
YES j)
NO 5C
teport 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 (Rev 04/97) - Previous editions are obsolete. Printed using AFR for Windows 1.0 7/24/97
DO A 055089 CONFTDFNTTAL