Document nkXqE5gpg0oyygrB95M3dJQjX
IMPORTANT:
epa
mcy
FORM R TOXIC CHEMICAL RELEASE INVENTORY REPORTING FORM
Sactta 313 *1 tw Emarpncy Pteming and Community NdtMo-Knaw Act l 1986, atea tawwi aa TXte III of lha Star(urtd AmanOnanti and Raauthariatian Act
TW fACIUTY IP HUMBER
70765THDWCHICHW
TaiHI
, Cataaaiy, m laawta i
MSRCURY
__________________
WHERE TO SEND COMPLETED FORMS;
1.EPCRA Raporting Canter pjo. BOX 3346
2.APPROPRIATE STATE OFFICE (Saa inttructiont in Appendix F)
VA 22HF-334*
ATTN: TOXIC CHEMICAL RELEASE INVENTORY
IMPORTANT: Sm Instructions to dstsrmino when "Not AppRcabls (NA)" boxst should bo chockod.
Enter *X'hara if this te a ravteion For EPA uaa only
PART I. FACILITY IDENTIFICATION INFORMATION
SECTION 1.
REPORTING YEAR 1991
SECTION 2. TRADE SECRET INFORMATION
Are you claiming the toxic chemical identified on page 3 trade secret?
G Yes (Answer question 2.2;
No (Do not answer 22;
Attach substantiation forms)
Go to Section 3)
If yes in 2.1, is this copy:
O Sanitized O Unsanitized
SECTION 3. CERTIFICATION (Important: Read and sign after completing ail form sections.)
'lereby certify that I have reviewed the attached documents and that, to the best of my knowledg 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 f this report
Nam and official titte
DOTH A. Spiatur*
/oparatar or teoior managmwnt affietei
IHVIROmfXNTAL MANAGER
Oat* Signad
09/15/96
SECTION 4. FACILITY IDENTIFICATION
Facility or Establishment Nan
TN Facility 10 Natter
TBS DOS CHEMICAL COMPART LOUISIANA DIVXSXOH Stmt Addms
70765THDICHICHW
HIGHWAY 1 SOUTH; City
P.O. BOX 150
Cotfdyl
PLAQUEMIHE
4.1 State
LA Wailing Address (if diftarant tram street addract)
XBIRVILLX/WBR PARISH Zip Coda 1
70766-0150
H/A City
K/A State
Zip Coda
PUT LABEL HERE
LA 70765-0160
EPA Form 9350*1 (Rav. 12/4/94) Previous aditiona ara obaoiate.
no A OF..-'701 CONF T OF NTT Al
EPA Automatad Form R
v>EPA
UniMd SMw Environmental Protmaon
gncy
EPAFORMR
PART I. FAClUTY IDENTIFICATION INFORMATION (CONTINUED)
TIM FACILITY ID NUMBER
7076STHDVCHICHV Tate Pwniqi. Catioov. or Gmmt --m MERCURY
SECTION 4. FACILITY IDENTIFICATION (Continued)
This report contains information for:
4.2 flmoortant check a or b; check c if appliable)
a. (Z3An enure facility bJZD Part of a facility cOA Federal Facility
Maaw Talaptsa* Namier (Isciad* am c*4t)
4.3 Technical Contact DOYLE A. HAREY
(804) 888-8128
Mam TileplMM Number fl*cl*4* art* cade)
4.4 Public Contact
CUT S. BARONE
(804) 888-8236
SIC Code 4.5 (4-digit)
Latitude 4.6 and
Longitude
a. 2812
b. 2821
Latitude
Degree*
Minute*
080 19
C. 2889 Second* 00
d. RA Degrees 091
e.
LongHud Minute*
16
f.
Seconds 20
4.7 Dun & Bradstreet Number(s) (9 digits)
a. 008187080
k* NA
4.8 EPA Identification Numbers) (RCRA i.D.No.) (12 characters)
8. UD008187080 b* NA
4.9 Facility NPDES Permit Number(s) (9 characters)
LA0003301 b. LA0049638
4.10 Underground Injection Well Code (UIC) I.D.
Number(s) . ^
(12 digits)
a- NA b.
SECTION 5. PARENT COMPANY INFORMATION
Name of Parent Com pany |
5.1 na
THE DOW CHEMICAL COMPART
Parent Company's Dun & Bradstreet Number
5.2 na
(9 digits)
ooississi
EPA Form 9350-1 (Rev. 12/4/94) - Provtoua edition* *r* obsolete.
DO A 05070? 0 ON" T DON'T! A!
svEPA
Unted EnvironmantM Protection Agancy
EPAFORMR
PART II. CHEMICAL-SPECIFIC INFORMATION
r*y J ut a TN FACILITY 10 NUMBER
7076STHDVCHI6HV
Tade Ctewtal. Cteowy, o> Gatet -- MEXCTOT
SECTION 1. TOXIC CHEMICAL IDENTITY
1.1 1.2 1.3
CAS Nuntar (Important Enter only ono nunbor exactly as it appears on the Section 313 list. Enter category code if reporting a chemical category.) 007459-97-6 Toxic Chemical or Chemical Category Name (Important: Enter only one name exactly as it appears on the Section 313 list.) HCRCORT Ganotic Chemical Name (Important: Complete only if Part 1. Section 2.1 is chocked `yes.' Genetic Name must be structurally descriptive.) IA
(Important: DO NOT complete this SECTION 2. MIXTURE COMPONENT IDENTITY section H you complete Section 1 above.)
2.1
Generic Chemical Name Provided by Supplier (Important: Maximum of 70 characters, including numbers, letters, spaces, and punctuation.) XA
SECTION 3. ACTIVITIES AND USES OF THE TOXIC CHEMICAL AT THE FACILITY (Important: Check all that apply.)
Manufacture 3.1 the toxic
chemical:
a. D Produce b. D Import
If produce or import:
c. For on-site use/processing d. For sale/distribution e. D As a byproduct
f. As an impurity
Process 3.2 the toxic
chemical:
a. 0 As a reactant
b. D As a formulation component
c. As an article component d. Repackaging
Otherwise use a. As a chemical processing aid c. Ancillary or other use
3.3 the toxic
b. 0 As a manufacturing aid
chemical;
SECTION 4. MAXIMUM AMOUNT OF THE TOXIC CHEMICAL ON-SITE AT ANY TIME DURING THE CALENDAR YEAR
,.1 08 I (Enter two-digit code from instruction package.) I
EPA Form 9350-1 (R*v. 12/4/94) Previous odfflons arc obsolete.
no A O5 P 7 0?. CONFTDFNTTA1
vvEPA
Unifed Environmental ProtecBon
EPAFORMR
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
Page of 9 rm Mciimr 10 number
70785TBDVCHIGHV Taat QukkM. Ctttm m 6--nt MEECURT
SECTION 5. RELEASES OF THE TOXIC CHEMICAL TO THE ENVIRONMENT ON-SfTE
A. Total Retasa (lbs/year) (enter range code from instructions or estimate)
5.1
Fugitive or non-point air emissions
SNA
5.2
Stack or point air emissions
na
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
B. Basis of Estimate (enter code)
C. % From Stormwafer
.%
.% .%
5.4
Underground injections on-site
na
HA
5.5 Releases to land on-site
5.5.1 5.5.2 5.5.3 5.5.4
Landfill .$f.'
Land treatment/ application farming
Surface impoundment
Qna na na
Other disposal
na
HA HA HA HA
I I Check here only H additional Section 5.3 Information is provld d on page 5 of this form.
ERA Form 9350-1 (Rev. 12/4/94) - Previous edition* are obsolete. nn A 0F,?704
C.ONF T OF NT T A!
Range Codes: A 1 * 10 pounds: 8 - 11 - 499 pounds: C 500 - 999 pounds.
<9 EPA
United Envtrenmentel Protection
Agency
EPA FORM R
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
r*yt 9 ut TM FACILITY 10 NUMBER
70765THDWCHXCKV
Todc Uapory, m Gilt Haw
MERCURY
SECTION 5.3 ADDmONAL 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 Ralaasa (pounds/ y#ar)(enter range code from instructions or estimate)
B. Baste of Estimate (enter code)
C. % Ft m
Stormwater
5.3.4 S tream or Water Body Name 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)
j.1.A Total Quantity Transferred to POTWs and Basis of Estimate
8.1A.1 Total Transfers (pounds/year) (enter range code or estimate)
It
6.1 JL2 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 i City State
County Zip Code
If additional pages of Part II, Sections 5.3 and/or 6.1 are attached, indicate the total number of >ages in this box EH and indicate which Part II, Sections 5.3/6.1 page this is, here. [O
DO a os?70s
(example: 1,2,3, etc.)
------------------------------------------------------------------------------ OONFTDFNTTAl -------------------------------------------------------------------- -
EPA Form 9350-1 (Raw. 12/4/94) - Previous sdWons ara obsolete.
Rang* Code*: A * 1 - 10 pounds; B 11 - 499 pounds C - 500 - 999 pounds.
SEPA
United State* Environmental Protection Agency
EPAFORMR
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
TN FACILITY ID NUMBER
70765THDVCHXCKW Tade qi--Nd. Cmany. m 6--te aw MERCURY
SECTION 6.2 TRANSFERS TO OTHER OFF-SITE LOCATIONS
6.2.01
Off-site EPA fcfentification Number (RCRA ID No) RA
Off-Site Location Name
HA
Street Address
City County
State
Zip Code |
A. Total Transfer* (pounds/yeai) tartar range code or estimate}
1. HA
I* location under control of reporting facility or parent company?
t--i i--i I--1 Ye* I--I No
B. Basfe of Estimate (enter ooda)
C, Type of Waste Treetment/Disposal/ Recydtng/Energy Recovery (enter code)
1.
3. 3. 4. 4.
3.
SECTION 6.2 TRANSFERS TO OTHER OFF-SITE LOCATIONS
Off-site EPA Identification Number (RCRA ID No.)
6.2.02
Off-Site Location Name
Street Address
City County
State
Zip Code
A. Total Transfer* (pounds/y (anter range cod* or esde
la location under control of reporting facility or parent company?
No
of Estimate ' code)
C. Type of Waste Treatment/Disposal/ Recycling/Energy Recovery (enter code)
1.
3.
additional page* of Part II, Section 6.2 are attached, Indicate th&total number of pages in this box O and Indicate which Part II, Section 6.2 page this Is, h re. lD ( xample: 1,2,3, etc.)
EPA Form 9350-1 (Rev. 12/4/94) - Previous i
i are obsolete
DO A 05?70A C.ONF TDFNT I A!
Range Codes: A 1 -10 pounds; B 11 - 499 pounds; C - 500 - 999 pounds.
&EPA
United State* Environmental Pr^aetton
Agency
EPAFORMR
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
Hags i oi tw facaitt a mmata
70766TBDVCHIGH1 T*a cteiwt. cm-->,. m a***rti teS
XIRCURY
SECTION 7A. ON-SITE WASTE TREATMENT METHODS AND EFFICIENCY
Not Applicable (NA) - Check here If ng on-site waste treatment is applied to any waste stream containing the toxic chemical or chemical category.
a. CW(atsastsettferselSst4ru*|m
h. T(arsstaetrew3-scltaHrsatctotedr(sc)etSfas(gsa)]sass
a. Kaafa al taSssat Csacaatrattes
C TEWEsrfafatiicsamtieMeantsecayl
a. IOspuaSratsloaf Date!
7A.01a 7A.01b
1 799
2 A04
7A.01c 7A.01d 7A.01e
3 AOS
4 099
5 Oil
A
6 XA
7
8
4
B B0.00 %
7A.02a XA
7A.02b 3 6
1 4 7
2 5 8
7A. 02c
7A.02d 7A.02e
0.00 %
Ym No
7A.03a 7A.03b 3
6
1 4 7
2 5 8
7A.03C
7A.03d 7A.03e Yes No
0.00 %
7A.04a
7A.04b 3
6
1 4 7
2 5 8
7A.04C
7A.04d 7A.04e
0.00 %
Yes No
7A.05a 7A.05b 3
6
1 4 7
2 5 8
7A.05C
7A.05d 7A.05e Yes No
0.00 %
i additional copies of page 7 are attached, indicate the total number of pages in this
box and indicate which page 7 this is, here. ED (example: 1,2,3, etc.)
EPA Form 9350-1 (Rav. 12/4/94) - Previous editions are obsolete.
DO A 050707 CONFTDFNTT Al
&EPA
Unrtad EnvirorananM PiiXarfon
EPAFORMR
PART II. CHEMICAL-SPECIFIC
INFORMATION (CONTINUED)
Hag* on* tm FACiurr n mjmiu
70765THDVCHIGBV
Tam CXim, Oman, m Baiam i MERCURY
SECTION 7B. ON-SITE ENERGY RECOVERY PROCESSES
r] N t Applicable (NA) - Check here H dp on-site energy recovery Is applied to any waste stream containing the toxic chemical or chemical category.
iaargy Plaewsiy Matbo4* [aataf 3-cbaractar Mda(t))
1 VA
2
3
4
I-----------------------------------------------------------------------------------------------------
>ECTION 7C. ON-SITE RECYCLING PROCESSES
[*] Not Applicable (NA) - Check here H no on-site recycling is applied to any waste stream containing the toxic chemical or chemical category.
Hacycllai Mattotfa [aatar 3-cfcaractar ca4a(t)|
1 RA
2
3
4
5
6 7 8 9 10
EPA Form 9350-1 (Rav. 12/4/94) - Pravtout odiUon* in ofasotata.
DO 0 000700 CONFTDFNTTA l
xvEPA
UfVM SMn EnvfranmanW Pro4cSoo
Agmey
EPAFORM R
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
Page 9 of a
TBI FACILfTY IP NUMBER
ypyesiHDwcHicBw
Tadt QmwcM, Canon. or 6--ric *wm MI8CTOY
SECTION 8. SOURCE REDUCTION AND RECYCLING ACTIVITIES
All quantity estimates can be reported using up to two significant figures.
* 8.1 Quantity relaased
Quantity used for energy 8.2 recovery on-site
Quantity used for energy 8.3 recovery off-site
Column A 1993
(pounds/year) s
0
0
8.4 Quantity recycled on-site
0
Column B 1994
(pounds/year)
0
0
Column C 1995
(pounds/year)
-0)_
Column D 1996
(pounds/year)
CD
00
000
000
8.5 Quantity recycled off-site 0 0 0 0
8.8 Quantity treated on-site
0 160 160 160
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)
00 0
8.9 Production ratio or activity Index
1.09
Did your facility engage in any source reduction activities for this chemical during 8.10 the reporting year? If not, enter "NA" In Section 8.10.1 and answer Section 8.11.
Source Reduction Activities [enter code(s)1
8.10.1
XA
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 pollution control activities included with this report? (Check one box)
YES NO m
Report 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 r off-site.
EPA Form 9390*1 (Rev. 12/4/94) - Prtvlouo edition* art obeolete.
DO A 05D709 CONFTDFNTTAl