Document qaV3z4KzVjQ6vyBoLg13gOmDq
(IMPORTANT: Type or print, read instructions before completing form)
Form Approved OMB Number 2070-0093 Approval Expires 04/2000
Page 1 of 6
.SL PPA ErA
United States Environmental Protection Agency
1
FORM R TOXIC CHEMICAL RELEASE m rv INVENTORY REPORTING FORM
Section 313 of the Emergency Planning and Community Right-to-Know Act of 1986, also known as Title III of the Superfund Amendments and Reauthorization Act
TRI FACILITY ID NUMBER
70765THDWCHIGHW
Toxic Chemical, Category or Genenc Name
FLUORINE
WHERE TO SEND COMPLETED FORMS:
1 EPCRA Reporting Center
2. APPROPRIATE STATE OFFICE
P O Box 3348
(See instructions in Appendix F)
Memfield, VA 22116-3348
ATTN TOXIC CHEMICAL RELEASE INVENTORY
Enter "X" h re if this is a revision
Important: See instructions to determine when "Not Applicable (NA)" boxes should be checked.
For EPA use only
PART I. 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;
|__ | 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 sect! ns
I hereby certify that I 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 the preparers of this report. lame and official title of/fwher/operator or senior management official
ENVIRONMENTAL MANAGER Date Signed
07-24-97
SECTION 4.
CATION
Facility or Establishment Name
THE DOW CHEMICAL COMPANY Street Address
LOUISIANA DIVISION
HIGHWAY 1 SOUTH;
City
PLAQUEMINE
State
LA
Mailing Address (if different from street address)
N/A
City
N/A State LA
Zip Code 70765-0150
TRI Facility ID Number 70765THDWCHIGHW
PO. BOX 150 County IBERVILLE/WBR PAR Zip Code 70765-0150
PUT LABEL HERE
EPA Form 9350-1 (Rev. 04/97) - Previous editions are obsolete. Printed using AFR for Windows 1.0 on
7/24/97
DO A 055354 CONFTDFNTIAi
EPA
United States Environmental Protection Agency
EPA FORM R
PART 1. FACILITY IDENTIFICATION INFORMATION (CONTINUED)
Pag 2 of 9 TRI FACILITY ID NUMBER 70765THDWCHIGHW
Toxic Chemical. Category or Generic Name
FLUORINE
SECTION 4. FACILITY IDENTIFICATION (continued)
4.2 This report contains information for:
(Importantcheck a or b; check c if applicable
a.
4.3
Name
Technical Contact
DOYLE A. HANEY
4.4 Public Contact
Name DONNA CARVILLE
An entire
.--. Part of a
.___ A Federal
facility b. |___ |
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 d.
e.
f.
Latitude
4.6
and
Degrees
Longitude
030
Latitude Minutes
19
Seconds 00
Longitude
Degrees 091
Minut s 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
1
>
1
EPA Form 9350-1 (Rev 04/97) Previous editions are obsolete. Pnnted using AFR for Windows 1 0 on 7/24/97
DO A 055355 CONFIDENTIAL
d EPA
United States Environmental Protection Agency
EPA FORM R PART II. CHEMICAL-SPECIFIC
INFORMATION
TRI FACILITY 10 NUMBER
70765THDWCHIGHW
Page 3 of9
Toxic Chemical. Category or Generic Name
FLUORINE
"
_
SECTION 1. TOXIC CHEMICAL IDENTITY
LS7yo??om0pI.Ctt'S1lon2b.l w.)
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.)
007782414
1.2 Toxic Chemical or Chenacal Category Name (Important: Enter only one name exactly as it appears on the Section 313 list.)
FLUORINE
1.3
Generic Chemcal Name (Important: Complete only NA
if Part 1, Section 2 1 is checked "yes" Genenc Name must be structurally descnptive)
(Important: DO NOT complete this
SECTION 2. MIXTURE COMPONENT IDENTITY section if you complete Section 1 above.)
2.1 Genenc Chemical Name Provided by Supplier (Important: Maximum of 70 characters, including numbers, letters, spaces, and punctuation.) NA
SECTION 3. ACTIVITIES AND USES OF THE TOXIC CHEMICAL AT THE FACILITY (Important: Chech all that apply.)
If produce or import:
3.1
Manufacture the toxic
chemical:
a. rX] Produce b. Import
c. [X] d' e. Q
f.
For on-site use/processrng For sal /distribution As a byproduct As an impurity
Process 3.2 the toxic
chemical:
a. [X] As a reactant b. Q As a formulation component
c. As an article component d. Repackaging
3.3
Otherwise use the toxic
chemical:
a. j^j 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.)
EPA form 9350-1 (Rev. 04/97) - Previous editions ar obsol t . Printed using AFR for Windows 1.0 on 7/24/97
DO A 055356 CONFTDFNTTAL
EPA
U'lllcU Oldicb
Environmental Protection Agency
(________________________________________
PCDrAA CrvHJKDMM Drt
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
Pag 4 Of 9
TRI FACILITY ID NUMBER
70765THDWCHIGHW
Toxic Chemical. Category or Generic Nana
FLUORINE
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.% Fr m Stormwater
5.1
Fugitive or non-point air emissions
[X~] NA
5.2
Stack or point air emissions
lJ na
4100
5.3
Discharges to receiving streams or water bodies
(enter one name per box)
5.3.1 Stream or Water Body Name
NA
5.3.2 Stream or Water Body Name
O
- ! , !- / *" r ** t , 7
'- ' *
> K' -Vr **.
5.3.3 Stream or Water Body Name
5.4.1 5.4.2
Underground injections on-site to Class 1 Wells Underground injections on-site to Class ll-V Wells
5.5 Disposal to land on-.it.
[X] NA
5.5.1A RCRA Subtiti. C landfill.
5.5.1 B Other landfills
5.5.2
Land treatment/ application farming
5.5.3 Surface impoundment
5.5.4 Other disposal
QNA
H"* 0NA
Qua
i'
.
* >.
ft
* *
1 Check here only if additional Section 5.3 information is provided on page 5 of this form.
EPA Form 9350 -1 (Rev. 04/97) - Previous ditions are obsol te. Printed using AFR for Windows 1.0 on
DO A 055357 C.ONF TDFNT T At
7/24/97
& ERA
United States Environmental Protection Agency
EPAFORM R PART II. CHEMICAL-SPECIFIC
INFORMATION (CONTINUED)
Pag 5 of9
rRIFACILIIYID NUMBER
70765THDWCHIGHW
~
Toxic Chemical, Category or Generic Nan*
FLUORINE
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. % Fr m 1 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 (POTVy)
6.1.A Total Quantity Transferred to POTWs and Basis of Estimate
6.1 .A. 1 Total Transfers (pounds/year) (enter range code or e6tiTTAt2)Basis of Estimate (enter code)
NA
6.1.B POTW Name and Location Information
6.1.B.1 POTW Name
61.B. 2 POTW Name
Street Address City State
County
Zip Code -
Street Address City State
County
Zip Code -
If additi nal pages of Part II, S ction 5.3 and/or 6.1 are attached, indicate the total numb r of pages in this boxfoland indicate which Part II, Section 5.3/6.1 pag this is, h reTTl ( xampie: 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
D0 A 055358 confidential
United States Environmental Protection
Agency
EPAFORM R PART II. CHEMICAL-SPECIFIC
INFORMATION (CONTINUED)
Page 6 of 9
TRI FACILITY ID NUMBER
Toxic Chemical. Category or Generic Name
SECTION 6.2 TRANSFERS TO OTHER OFF-SITE LOCATIONS
.0 4.1
Off-site EPA Identification Number (RCRA ID No )
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 yM |___ |
|---- 1 |___)
g Basis of Estimate (enter code)
C. Type of Waste Treatment/Disposal/
Recycling/Energy Recoveryfenter 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 )
0 4.4
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--i Y## |____ |
1-----1 No 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.
HO A 055359 OONFTDFNT TAl
If additional pages of Part II, Section 6.2 are attached, indicate the total number of pag s in this box[T]and indicate which Part II, S ction 6.2 pag this is, here. IT] ( xample: 1, 2, 3, tc.)
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
<& EPA
United States Environmental Protection Agency
EPA FORM R
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
Page 7 of 9
TRI FACILITY ID NUMBER
70765THDWCHIGHW
Toxic Chemical. Category or Generic Name
FLUORINE
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
c Range of Influent Concentration
7A.1c
d Waste Treatment Efficiency Estimate
7A.1d
e. Based on Operating Data7
7A.1e
NA
7A.2a
7A.2b
7A.3a
7A.3b
7A.4a
7A.4b
7A.5a
7A.5b
7A.2c 7A.3c 7A.4c 7A.5c
0%
7A.2d %
7A.3d %
7A.4d %
7A.5d
Yes No
7A.2e
Yes No
7A.3
Yes No
7A.4e
Yes No
7A.5e
Yes No
%
If additional copies of page 7 are attached, indicate the total number of pages in this box | 1 | 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 CONF
0 55360 idF^t 1AO
-&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
FLUORINE
SECTION 7B. ON-SITE ENERGY RECOVERY PROCESSES
[ | N t 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
| | N t 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
DO A 055361 CONFIDENTIAl
ss.EPA
United States Environm ntal Protection Agency
EPAFORM R PART II. CHEMICAL-SPECIFIC
INFORMATION (CONTINUED)
Page 9 of 9
TRI FACILITY ID NUMBER
70765THDWCHIGHW
Toxic Chemical, Category or Generic Name
FLUORINE
SECTION 8. SOURCE REDUCTION AND RECYCLING ACTIVITIES
All quantity estimates can be reported using up t two significant figures.
Column A Prior Year
(pounds/year)
Column B
Current Reporting Year
(pounds/year)
Column C Following Year
(pounds/year)
C lumn D
Sec nd F Mowing Year
(pounds/year)
8.1 Quantity released*
3000
4100
4100
4100
8.2
Quantity used for energy recovery on-site
0
0
0
0
8.3
Quantity used for energy 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
0
0
0
0
8.7 Quantity treated off-site
0
0
0 ,0
Quantity released to the environment as a resu tof
8.8 remedial actions, catastropic events, or one-tinrie events not 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 [mar cod*<)]
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.
8.11
Is additional optional information on source reduction, recycling, or pollution control activities included with this report? (Check one box)
YES
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. * Oo not include any quantity treated on-site or off-site.
NO
x
EPA Form 9350 -1 (Rev 04/97) - Previous editions are obsolete. Printed using AFR for Windows 1 0 7/24/97
DO A 05536? OONFTDFNTTAL