Document ojmndjaqDB7MrOO0o61mQMEX
Form Approved OMB Number. 2070-0003
(IMPORTANT: Type or print; read instructions before completing form)
Approval Expiree: 11/02
r TOXIC CHEMICAL RELEASE
epa FORM R INVENTORY REPORTING FORM
Pag* 1 of 0
TRI FACILITY 10 NUMBER
70765THDVCHICHV
United Environmental Protection
Section 313 el the Biwgancy Planing end Community Right-to-Know Act el 1906,
Tub Categery, er leierh I
oncy
ako known aa TWa III el the Superfund Amemknants and Reauthorizetion Act
TRICHLOROFLUOROMETHA
WHERE TO SEND COMPLETED FORMS:
1.EPCRA Reporting Canter
P.O. BOX 3340 MenUtekl, VA 22110-3348
i APPROPRIATE STATE OFFICE (See inetructfone In Appendix F)
ATTN: TOXIC CHEMICAL RELEASE INVENTORY
IMPORTANT: Sm Instructions to dstarmlns when "Not Applicable (NA)" boxes should be checked.
Enter "X* here H tXa le a reviaion Far EPA uaa only
PART I. FACILITY IDENTIFICATION INFORMATION
SECTION 1.
REPORTING YEAR 1904
SECTION 2. TRADE SECRET INFORMATION
Are you claiming the toxic chemical identified on page 3 trade secret?
Yes (Answer question 2.2;
B No (Do not answer 2.2;
Attach substantiation forms)
Go to Section 3)
If yes in 2.1, is this copy;
G Sanitized G Unsanitized
SECTION 3. CERTIFICATION (Important: Read and sign after completing ail form sections.)
1 hereby certify that I have reviewed the attached documents and that, to the beat of my know! dge id belief, the submitted information Is true and complete and that the amounts and valu s in this
eport are accurate based on reasonable estimates using data available to the preparers of this report
Now md official titit at owner/jopwator or amior iraagamant offlciil
FACILITY IDENTIFICATION
Fealty or Establiahment Baa |
TEE DOW CHEMICAL COMPART LOUISIAKA DIVISION
Stmt Addrwa
HIGHWAY 1 SOUTH; P.O. BOX ISO
County
PLAQUEMIHI
IBERVILLE/WBR PARISH
zu cod*
70765-0100
Moiing Addma (if dMarant tram ttmt mUmt)
TBI Facility 10 Mumbar 70765THDWCHICHW
Zip Coda 70765-0160 EPA Form 9350-1 (Rav. 12/4/94) - Proviouo odltiont art obeolwla.
HO A 053778 OONFTDFNT T Al
EPA Automated Form R
EPA
IMM SIMM
InvloraninlH rfowon
Awy
EPAFORMR
PART I. FACILITY IDENTIFICATION INFORMATION (CONTINUED)
TW FACILfPf 10
707S4TMD4CIIC5W
_T^t ttM. UHmn. m tm* --
TRICHLOROFLUOROMETHA
SECTION 4. FACILITY IDENTIFICATION (Continued)
This report contains Information for
4.2 ftnaortmt dwelt e or fc* dwelt c V appfiade)
.E An enSre facility
bi_J Pan o( a fweiUty
cO A Federal Facility
4.3 Technical Contact MTU A. iavtt
) (504) 545-4155
4.4 Public Contact
m t. BAJton
SIC Code 4.5 (4-dlgit)
Latitude 4.6 and
L ngltude
a. 5515
Oegrees OM
b. 5551
UUtuOe
Mknutee
15
(504) 555-5554
C. 5545
Seconds 00
d. ia Degrees 001
a.
Longitude Minutes
f.
Seconds
if so
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 Numbers) (9 characters)
S. 008187080
b. NA
a. LAD008187080
b. NA
S. LA0003301 b. LA0049638
4.10 Underground Infection Well Code (UIC) I.D.
Number(s)
(12 digits)
NA
b.
SECTION 5. PARENT COMPANY INFORMATION
Name of Parent Company |
5.1 NA
| TBMI COMICAL COMPACT
Parent Company's Dun 5 Bradstreet Number
5.2 na
| (9 digits)
001551551
EPA Form 9350-1 (Rev. 12/4/94) - Previous editions are odaoleti.
DO A 00307A CONF 1 DF-'NTT A!
SEPA
Unted SMM Envtronmwtel Prctectton Agwicy
EPAFORMR
PART II. CHEMICAL-SPECIFIC INFORMATION
Page 3 of 9
TM FACILfTY 10 NUMBER
7076STHDWCBICKV
Tadt Oiniol. fatewv. r Crnwit > TBICBLOROFLUOROMXTHA
D0^,0T th,1! , .SECTION 1. TOXIC CHEMICAL IDENTITY section H you complete Section 2 bel w.)
CAS Number (Important: Enter only one number exactly as it appears on the Section 313 Ust. Enter category code H reporting a chemical category.)
1.1 000075-69-4
1.2
Toxic Chemical or Chemical Category Name (Important: Enter only one name exactly as it appears on the Section 313 list.) TRICHLOROFLVOROHETHABX
1.3
Generic Chemical Name (Important: Complete only if Part 1, Section 2.1 is checked `yes.* Generic Name must be structurally descriptive.) M
(Important: DO NOT complete thie
SECTION 2. MIXTURE COMPONENT IDENTITY section H you complete Section 1 above.)
Generic Chemical Name Provided by Supplier (Important: Maximum of 70 characters, including numbers, letters, spaces, and punctuation.)
2.1 BA
SECTION 3. ACTIVITIES AND USES OF THE TOXIC CHEMICAL AT THE FACILITY (Important: Check all that apply.)
Manufacture
3.1 the toxic
chemical: 9-
a. D Produce b. Import
If produce or import:
c. For on-site use/processing d. For sale/distribution e. As a byproduct f. As an impurity
Process 3.2 the toxic
chemical:
a. As a reactant b. Q As a formulation component
c. As an article component d. Repackaging
Otherwise use a. G As a chemical processing aid c. B Ancillary or other use
3.3 the toxic
b. B As a manufacturing aid
chemical:
SECTION 4. MAXIMUM AMOUNT OF THE TOXIC CHEMICAL ON-SITE AT ANY TIME DURING THE CALENDAR YEAR
(Enter two-digit code from instruction package.)
ERA Form 9350-1 (Rev. 12/4/94) - Previous edition* we obsolete.
nn a os3.-'so
OONFTDFNTTAI
&EPA
Unted Envtronmontel Protection
Afloney
EPAFORMR
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
Page 4 of 9
TRI FACILfTY ID NUMBER
70766THDVCHIGHV ; OitecN. CMrawv. m 6--ric M
TRlCHLOROrLtfOROUTHA
SECTION 5. RELEASES OF THE TOXIC CHEMICAL TO THE ENVIRONMENT ON-SITE
A. Total Release (Ibs/year) (enter range code from instructions or estimate)
5.1
Fugitive or non-point air emissions
na
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
M
5.3.2 Stream or Water Body Name
B. Basis of Estimate (enter code)
C. % From Stormwater
5.3.3 Stream or Water Body Name
5.4
Underground Injections on-site
5.5 Releases to land on-site
5.5.1 5.5.2 5.5.3 5.5.4
Landfill
Land treatment/ application farming Surface impoundment
Other disposal
| | Check here only H additional Section 5.3 information is provided on page 5 of this form.
EPA Form 9350-1 (ftev. 12/4/94) Previous oditforw an oUotete.
DO A 0SD781 rONFTDF NTTAI
RangoCodw: A 1 -10 pounds; B 11 - 499 pounds; ^ C - 500 - 999pOundr
Unttad SMn Environmental Protection ^ocy
EPAFORMR
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
Pag* 5 of 9
TW FACILITY ID NUMBER _______
70766THDWCHICHW Tmk Qmiai CMowy. m Girt N-- TRXCHLOROFLUOROHITHA
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 Releae* (pounds/
year)(enter range code from instructions or estimate)
B. Basle of Estimate
(enter code)
C. H From Stormwater
5.3.4 Stream 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)
.1.A T tal Quantity Transferred to POTWs and Basis of Estimate
S.1A.1 Total Transfers (pounds/year) (enter range code or estimate)
KA
6.1.A.2 Basts 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 1 State
County j Zip Code
Street Address
City
ese 1=
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 El] and Indicate which Part II, S ctions 5.3/6.1 page this Is, here. [H!
on a oonna;
(example: 1,2,3,etc.)
-------------------------------------------------- ------------------ CONF T OF N'T T A:-----------------------------------------------------------
EPA Form 9350-1 (Rev. 12/4/94) - Previouf edilfone ere obsolete.
Range Codes: A - 1 -10 pounds: B - 11 - 499 pound*; C 500 - 999 pound*.
SEPA
United Environmental Protection
*3*ncy
EPAFORMR
PART II. CHEMICAL-SPECIFIC
INFORMATION (CONTINUED)
Pag* 6 of 9
TM FACILITY 10 NUMBER
7076STHDVCHICHV Taiie Ctewtal. Camay, m Wart Maw
TXI CHLOROfTUOROlfl THA
SECTION 6.2 TRANSFERS TO OTHER OFF-SITE LOCATIONS
6.2.01
Off-site EPA Identification Number (RCRA ID No.) XA
Off-Site Location Name
A
Street Address
City County
State
Zip Code
A. ToW Tranatera (pounda/year) (enter range coda or estimate)
1. XA
2.
3. 4.
to location under control of reporting tedllty or parent company?
j--. >--< I--1 Yea l--l No
B. Basis of Estimate (enter coda)
C. Type of Waste Traatotent/Dtopoaal/ 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.)
6.2.02
Off-Site Location ame
Street Address
City County
State
Zip Code
A. Total Transfers (poonda/year) (enter range coda or aetimate)
1.
2.
3.
4.
to location under control of raporting facility or parent company?
i-- i--. 1--1 Yaa 1--1 No
B. Baate of Eatbnate code)
C. Type of Waste Treatment/Diapoeal/ RacycUng/Enargy Raoovary (enter code)
1.
2.
3.
4. 4.
' additional pages ol Part II, Section 6.2 are attached, Indicate thatotal number of pages in this oox and indicate which Part II, Section 6.2 page this Is, here. LH (example: 1,2,3, etc.)
EPA Form 9350-1 (Rev. 12/4/94) Previous editions are obsolete. DO A 003083
CONFTDFNTTAI
Range Codaa: A - 1 -10 pound*; B 11 * 499 pounds; C - 500 - 999 pounds.
&EPA
United State* Emrironmantel Protection
AflteKy
EPAFORMR
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
Pag* 7 of 9 TMFACHjrrjB WJMKI
70766THDVCHXCHV
Tan flwtil
m tents tea
TRICHLOROFLOOROMITHA
SECTION 7A. ON-SITE WASTE TREATMENT METHODS AND EFFICIENCY
D 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. Beserai Waite th
(alter aate)
7A-01a
x,
7A.01b 3
6
A Truteiiat Metfc*4|t) Ssgaaaca (aatar 3-character ea4a(i)|
1m 4 7
2 5
8
U
a. Itaag* al lallaaat fiftitritfttt
7A.01c
i Waala Traatmaal Efflcisacy CttMMl8
7A.Old
a. lual aa Oparailai Date?
7A.01
Yes No
s2 99.09 X
7A.02a
A
7A.02b 3
6
1 4 7
2 5
8
7A.02C
7A*02d 7A.02e
0.00 X
Yes N
7A.03a 7A.03b 3
6
1
.
4
7
2 5
8
7A.03c 7A.03d 7A.03e
B B0.00 x
7A.04a
7A.04b 3
6
1 4 7
2 5
8
7A.04C
7A.04d 7A.04e
0.00 X
Yes N
7A.05a
7A.05b 3
6
1 4 7
2 5
8
7A.05C
7A.05d 7A.05e
BB0.00 x
additional c pies of page 7 are attached, indicate the total number of pages in this
jox and indicate which page 7 this is, here. EH (example: 1,2,3, etc.)
EPA Form 9360-1 (ftev. 12/4/94) - Pravloua adHtona ara obsolete.
no A 053P84 CONF TDFNTT A1
vvEPA
UnMtd SUM
Ejrtronn^ Protecteo
EPAFORMR
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
Pag* 8 of 9 TN FACILITY MUHIER
70765THDWCKXCKV Tw* bwMwl, eKfT, W 1MWH iMM TRXCELOROFLOOROIIITRA
SECTION 7B. ON-SITE ENERGY RECOVERY PROCESSES
Q Not Applicable (NA) - Check here If na on-site energy recovery is applied to any waste stream containing the toxic chemical or chemical category.
laargy lUcsvsry MsIMs [ssttr l-cfcsracter cata(t)|
1 SA
2
34 j?
I----------------------------------------------------------------------------
ECTION 7C. ON-SITE RECYCLING PROCESSES
Q Not Applicable (NA) - Check here H no on-site recycling is applied to any waste stream containing the toxic chemical or chemical category.
RscycUat MtlMt [satar S-ctoiadar *(*}]
1 RA
2
3
4
5
6 7 8 9 10
EPA Form 9350-1 (Rtv. 12/4/94) - Previous tdWont art obtoiato.
DO A 050000 oonftdfntta:
&EPA
umM Sm EnvironmarM Protection
'fltney
EPAFORMR
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
Pag* 9 of 9
TRI FACILITY ID NUMBER
70766THDTCHICHW
Trit CNwieN. CstWWY. V S--ne llwi
TRICHLOROFLUOROMITHA
SECTION 8. SOURCE REDUCTION AND RECYCLING ACTIVITIES
All quantity estimates can be reported using up to two significant figures.
* 8.1 Quantity released
Quantity used lor energy 8.2 recovery on-site
Quantity used for energy 84 recoveiy off-site
Column A 1993
(pounds/year)
6900
0
O
8.4 Quantity recycled on-site
0
Column B 1994
(pounds/year)
3300
Column C 1998
(pounds/year)
3300
00
00
00
8.S Quantity recycled off-site O 0 0
8.8 Quantity treated on-site
6900
0
0
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)
0
Column D 1996
(pounds/year) 3300 0 0 0 0 0
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 "MA* hi Section 8.10.1 and answer Section 8.11.
Sourc* Reduction Activities [enter code(s)]
8.10.1
139
8.10.2
U
Methods to Identify AdQvky(enter cods*)
T01 u
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
E3
ieport 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 (Raw. 12/4/94) Previous dittons art otoootete.
Oi', A CONFTDFNT1 Al