Document o94zkb0vyjRgL870D5Z7XMvXX
Form Approved OMB No.: 2070-0093 Approval Expire*.___^1/91-----_Paj 1 Of 5
u.S. Environmental Protection Agency
TOXIC CHEMICAL RELEASE INVENTOFIY REPORTING FORM
Section 313 of the Emergency Planning and Commuinlty Rlght-to-Know Act of 1986. also known as Title III df the Suoertund Amendments and Reauthortzatlon Act
EPA FORM
R
PART 1.
FACILITY IDENTIFICATION INFORMATION
(This space for your optional use.)
Public reporting otaden tor this
collectton ot Information la estimated to
vary trom 30 to 34 hour! per reaponaa,
with an average ot 32 hour* per
rosoonsa. including time tor reviewing
Instructions, searching existing data
sources, gathering and maintaining tha
data neadao. and completing ana
reviewing tne eollactlon ol Intormatlon.
Send oommanta regarding this burdan
estimate or any other aspect ot tnlt
collection ot Intormatlon. including
suggestion* tor reoucing tnlt buroan, to
Chief. Intormatlon Policy Branch
(PM-223), US EPA, 401 M St.. SW.
Washington, D.C. 20460 Attn: TRI
Burden and to the Office ot totormation
and Regulatory Affairs, Office ot
Management and Budgat Paperwork
Reduction
Protect
(2070-00631,
Washington, D.C. 20603,
1.1 Are you claiming tne chemical Identity on page 3 trade secret?
1.
I 1 Yss (Answer question 1.2;
I X J No (Do not answer 1.2;
__^*^^Att*cnjjup*tentlatlonitofmsi2^_'' ~pS!!!iZ>liJ_
1.2
It "Yes" in 1.1, is this oapy; [ ] Sanitized [ ] Unsanltlzed
1.3 Reporting Year
19 HR
2. CERTIFICATION (Read and sign after completing all tactions.)
I hereby certify that I have reviewed the attached documents and that, to tha bast ot my knowtadga and beiiaf, tha submlttad Intormatlon Is trus snd complete and that tna amounts snd values In tnis raoort sra sccursts bssso on reasonable aslimataa using data availabla to tna praparars of this rsoort.
Nine and official titia ot ownar/oparator or sanicr managemant official
T. G. Brown, .Works Manager, PPG Industries. Lake Charles. La
Signatura
~ !fr$yicu k-
Data signad
c'*!>&!
Facility or Ettadtlthmant Nimt
PPG Industries. Tne.
WHERE TO SEND COMPLETED FORMS:
1. U.S. ENVIRONMENTAL PROTECTION AGENCY
Street AOOrets
Columbia Southern Road
3.1
City
W e s 11 a !t e
State
LA
County
Zip Code
70569
P.O. BOX 70266 WASHINGTON, DC 20024-0266 ATTN: TOXIC CHEMICAL RELEASE INVENTORY
2. APPROPRIATE STATE OFFICE (See Instructions Appendix E)
This raoort contains Information tar (Cheek ona):
3.2
a.[X] An antlra facility
b. [ ] Psrt of a facility.
Technical Contact
3.3
Andy F . P1 a u_ch e '
Taiaphona NumMr (inciudd araa coda)
(318) 491-4184
Public Contact
3.4
V.' i 11 i r. t, J .
SIC CoOe (4 digit)
3.5 ..2812
P e ar d 281
e. 2 869
Taiaohona Numpar (include area coda)
(318)491-4848 '
NA
3.6
3.7 3.8
3.9
Lititud*
Degrees
30
Minutes
13
Sacondt
27
Dun A Bradstreet Numoarls)
..00-808-6506
EPA tdentlllcstton Numoarls) (RCRA I.D. No.)
a.LAD 00 808
________
NPDES Permit NumOar(s)
,.LA 0000751
Receiving Streams or water Bodies lamer one name oar box)
a.Calcasieu River
Degrees
Q"
Longitude Minutes
15
Seconds
cC
b. NA
b. Bavou D r Ind e
3.10 .Bavou Verdine
NA
3.1
Underground injection Wall Cooa (UIC) Identification Number(s)
a.NA
4. PARENT COMPANY INFORMATION
Name ot Parent Company
4.1 PPG Indnstriss. T n r_
Parent Company's Dun A Bradstreet Number
4.2 00-134-4803
EPA Form 9350-1 (1-89) R vised--Do not use previous versions.
u
A -nA fcrA
REPA FORM
PART II. OFF-SITE LOCATIONS TO WHICH TOXIC CHEMICALS ARE TRANSFERRED IN WASTES
1. PUBLICLY OWNED TREATMENT WORKS (POTWs)
1.1 POTW name
NA
Street Addratt
1.2 POTW name
Street Addratt
City
County
City
State
Zip State
(This space for your optional use.)
County Zip
2. OTHER OFF-SITE LOCATIONS (DO NOT report LOCATIONS to which wastes are sent only FOR RECYCLING OR REUSE).
2.1 Off-site location name
NA
EPA Identification Number (RCRA ID. No.)
2.2 Off-site location name
EPA Identification Number (RCRA 10. No.)
Street Aodraai
Street Address
City
County
City
County
State
Zip State
Zip
It location under control of reportmo facility or parent company?
[ ] Yea
[ ] No
Is location under control of reporting facility or parent company?
[ ] Yet
[ ] No
2.3 Off-site location name
EPA Identification Numbar (RCRA ID, No. 1
2.4 Off-site location name
EPA Identification Number (RCRA ID. No.)
Street Address City State
County Zip
Street Address City State
County
zip
Is location undar control ot reporting facility or parent company?
2.5 Off-site location name
[ ] Yes
[ ] No
Is location under control ot reporting facility or parent company?
2.6 Off-site location name
[ ] Yes
[ ] No
EPA loentitication Numoer (RCRA ID. No.)
EPA Identification Number (RCRA ID. No. I
Street Address
Street Address
City State
County
Zip
City State
County Zip
Is location under control of reporting facility or parent company?
[ ] Yes
[ ] NO
Is location under control ot reporting facility c>r parent company?
[ ] Yes
[ ] No
[ ] Chock II additional pages of Part U ara attached. How many?
EPA Form 9350-1(1-89) Revised--Do not use previous versions
(Important: Type or print; read instructions before completing form.)
Aa CD
tQr CrM
EPA ^ part III. CHEMICAL-SPECIFIC INFORMATION
Page 3 of 5
(This space for your optional use.)
1. CHEMICAL IDENTITY(Do not complete this section if you complete Section 2.)
1.1 (Reserved)
CAS Number (Enter the number exactly as it appears on the 313 list. Enter NA if reporting a chemical category.) 1.2
75-09-2
Chemical or Chemical Category Name (Enter the name exactly as it appears on the 313 list.)
1.3 Dichloromethane (Methylene chloride)
1.4
Generic Chemical Name (Complete only if Part 1. Section 1.1 is checked "Yes." 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. I
Manufacture the chemical: 3.1
ri
a. LX i Produce
If produce or import: f 1 For on-site
c.L J use/processing
[
L
1 For sate/ J distribution
b. [ ] Import
e.[ X] As a byproduct
f. [ X] As an impurity
Process the 3.2 chemical:
3.3
Otherwise use the chemical*
r1 a`* i As a reactant d.[x ] Repackaging only
\ 1 As a chemical
1 J processing aid
h f 1 As a formulation b L J component J1 b.L J As a manufacturing aid
f 1 As an article c-l J component
f1 c.L J Ancillary or other use
4. MAXIMUM AMOUNT OF THE CHEMICAL ON-SITE AT ANY TIME DURING THE (enter code)
5. RELEASES OF THE CHEMICAL TO THE ENVIRONMENT ON-SITE
A. Total Release (Ibs/yr)
You may report releases of less than 1.000 lbs. by checking ranges under A.1. (Do not use both A.1 and A.2)
A.i Reporting Ranges
0 1-499 500-999
A.2 Enter
Estimate
5.1 Fugitive or non-point air emissions 5.1a [][][]
1100
5.2 Stack or point air emissions
5.2a [][][]
640
B. Basis of 1 Estimate 1 (enter code)!
5.1b 0 5.a> 0
5.3 Discharges to receiving
~
streams or water bodies S-3-1 --
(Enter letter code from Part 1 Section 3.10 for stream(t) m the box provided.)
1. 1 5.3.2 1 D 1
5.3.3 0
5.3.1a [][][] 5.3.2a [][][] 5.3.3a [][][]
0NA 5.3.1b
5.3.2b 0
70
0NA 5.3.3b
5.4 Underground injection 5.5 Releases to land
5.5.1 On-eite landfill
5.4a [][][]
NA
05.4b
05.5.1a [][][] NA 5.5.1b
[][][] NA 05.5.2 Land treatment/application farming
5.5.2a
5.5.2b
5.5.3 Surface impoundment 5.5.4 Other ditpoaal
05.5.3a [][][] NA 5.5.3b 05.5.4a [][][] NA 5.5.4b
[ ] (Check If additional Information la provided on Part Iv-Supplemental Information.)
EPA Form 9350-1(1-89) Revised--Do not use previous versions.
SL 022529
n
(Important: Type or print; read instructions before completing form.)
ft EPA
REPA FORM
PART HI. CHEMICAL-SPECIFIC INFORMATION
(continued)
Page 4 of 5 (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 lbs. by checking ranges under A.1. (Do not use both A.1 and A.2)
A. Total Transfers (lbs/yr)
A.1 Reporting Ranges
0 1-499 500-999
A.2 Enter
Estimate
Discharge to POTW
------ ,
i.iLlJLJ(enter location number
6.1.1 from Part II, Section
.
(Mill
NA
B. Basis of Estimate
(enter code) 1.1.1b
Other otf-site location (enter location numbw from Part ll, Section 2
[ i[ ir l
NA
5.2.1b n
Other off-site location ... (enter location number 0.2.2 from Port II, Section 2
[ 1( 1[ 1
6.2.2b
Other oft-site location (enter location number
Mill!.BP6.2.3 from Part ll. Section 2.
6.2.3b
[ ](Check if additional information Is provided on Part IV-Supplemental Information.)
C.Type of Treatment/ Disposal
7. WASTE TREATMENT METHODS AND EFFICIENCY
A. General Wastestream
(enter code)
B. Treatment Method
(enter code)
C. Range of
Influent Concentration (enter code)
7.1a
7.1b
7.1c m
7.2a
7.2b
71
7.2c m
D. Sequential Treatment? (check if applicable)
7.Id [ 3 7.2d [ 3
E. Treatment Efficiency Estimate
7.1^9.99 %
7.2e 99.99 %
7.3a
0 7.3b
7.4a
7.4b
7.5a
7.5b
7.6a
7.6b
7.7a
7.7b
7.8a
7.8b
7.9a
7.9b
7.10a
7.10b
42
7.3c m
7.4c 0
7.5c
7-6C
7.7c 7,8c 7.9c 7.10c
7.3d [ 3 7.4d [ 3
7.5d [ 3
7.6d [ 3
7.7d [ 3
7,8d [ 3
7.9d [ 3 7,10d [ 1
7.3e 99.68 %
7.4e 0
%
7.5e 7.6e 7.7m
% %
7.8e
7.9e
7. lOe
%
[ ] (Check If additional Information is provided on Part IV-Supplemental Information.)
F. Based on Operating Data? Yes
No
7 " [X ] ( 3 7 21 [x ] [ ]
7 3, [X ] [ ]
7" [ 3 [x 3
7.5f [111
7,6f [ 3 [ 3
7.7f [111 7.8f [111 7.9f [311 7.10f 13 13
8. 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 reporting year (lbs/yr)
Prior year
(lbs/yr)
Or percent change
M NA
%
EPA Form 9350-1(1-89) Revised - Do not use previous versions.
SL 022530
(Important: Type or print; read instructions before completing form.)
EPA
REPA FORM
PART IV. SUPPLEMENTAL INFORMATION
Use this section if you need additional space for answers to Questions in Part III. Number the lines used sequentially from lines in prior sections (e.g.. 5.3.4. 6.1.2. 7.11)
(This space for your optional use.)
ADDITIONAL INFORMATION ON RELEASES OF THE CHEMICAL TO THE ENVIRONMENT ON-SITE (Part III, Section 5.3)
You may report releases of less than 1.000 lbs. by checking ranges under A.1.
(Do not use both A.1 and A.2)
5.3 Discharges to
._receiving streams or
water bodies
5.3.-
A. Total Release (Ibs/yr)
A.1 Reporting Ranges Si________ 1-499 500-999
A.2 Enter Estimate
[][][]
B. Basis of Estimate
(enter code in box
provided)
C.% From Stormwater
5.3..
5.3-------- c
(Enter tetter code trom Pert 1 SSection 3.10 tfor stream(t) in ce 3
the box provided.)
II | ) 5.3..
[][][]
5.3.
5.3 5.3,. [][][]
5.3.
ADDITIONAL INFORMATION ON TRANSFERS OF THE CHEMICAL IN WASTE TO OFF-SITE LOCATIONS (Part III. Section 6)
YrboaofonutlhgeesmAssa.1tyuhnaradennepdr1o,AAr0t0..1t20r).alnb(ssDf.eobrsynocthuesceking
A.Total (TIbrasn/ysrf)ers
ReportiAng.1Ranges 0 1-499 500-999
EsEAtnim.t2earte
B. BEasstiims aotfe (enprtineorvbidcooexdde)
C. Type oDfisTproesaatlment/ 1|
J(epnrtinoevrbidcooexdde)
0,.1,
__
frD(oeimanctehPraarlrogtcelal,ttoioSnPeOcntuTiomWnb1e.r)
1
--'-, H- _--_-
j
[31313
6.1.__ b O
e
9
----fOr(oetmhnetePrraolrottfc-Ua*.ittioeSnelocntcuioamntibo2en.r)
1--. r--1 1 *5I1 I__|
[][][]
6.2.
----fOr(oetmhnetePrroalrontc-lsal.ittioeSnelocntcuioamntibo2en.r)
i-- 1 i-- 1 1--2111-1 --11
[
3[
3t
3
_ 6.2.__c w j _ _6.2._c &
c n ----fOr(oetmhnetePrraolroftfc-leal.ittioeSnelocntcuioamntiDo2ne.r) |_i _; -).|,_1) [ 3 [ 3 [ 3
6.2.__ b n 6,2._c |m| c
ADDITIONAL INFORMATION ON WASTE TREATMENT METHODS AND EFFICIENCY (Part III. Section 7)
A. General
Wastestream (enter code in box provided)
B. Treatment Method
(enter code
in box provided)
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. 7.
7. 7. t ]
-'MM
7, 7.
-'MM
7. 7.
--[ 1
-'MM
7. 7. 7, 7.
7.
7.
3A
.<( i
-f[ 3 1 3 % -'[ 3t 1
7. 7. 7. 7. 7. 7. 7. 7.
n
7. 7. 7. 7.
.-[ 3 A3
3A
-'MM -'MM
[
EPA Form 9350-1(1-89) Revised--Do not use previous versions.
O^53*