Document rpb9GaRoeD33or4Nbwq0ENYdG
Form Approved OMB No.:. :070-0093 Approval Expires 01/91
&EPA LI.S. Environmental Protection Ag ncy
TOXIC ClHEMICAL RELEASE INVENTOFIY REPORTING FORM
Section 313 of the Emergency Planning and Commuintty Rlght-to-Know Act ot 1966. also known as Title III ot the Suoerfund Amendments and Reauthdrlzatidn Act
EPA FORM
R
PART 1.
FACILITY IDENTIFICATION INFORMATION
(This space for your optional use.)
Public raoartlng burden tor ttila
coltaction at mtarmatlon la aatimatad to
vary from 30 to 34 hour* par raeponaa.
with an average ot 32 hotrs oar
raaoonaa, Including tlma tor reviewing
Inatructlona, aearoning exlatlng data
aourcaa. gatnartng and maintaining the
data needed, and oompletlng and
reviewing tha collection ot intormatlon.
Sand comment! regarding thla burden
aatimata or any other aaoact ot tnla
collection ot Intormatlon, including
auggeattona tor reducing tnla burden, to
Chief, mtormatlcn Polley Branch
(PM-223). US EPA, 401 M St., SW,
Waahington, D.C. 2O4S0 Attn; TRI
Burden and to the Oftloe ot intormatlon
and Regulatory Attalra, Ottlea ot
Managamant and Budget Paperwork
Reduction Prelect
(2070-0093),
Waahington. O.C. 20603._______________
1.1 Are you claiming tha chemical Identity on paga 3 trade aacrat?
1.2 it * Yea" in 1.1, ia thla oooy:
1.
I I Yea (Anawar ouaatlon 1.2;
L X ] No (Do not answer 1.2;
^^^^Attaenjubstantlatte^orms^ ^^^^jo(tOjguaatlonji;3J<^^
[ ] Sanitized [ 3 Unaanitized
1.3 Reporting Year
19__
2. CERTIFICATION (Read and sign after completing aD sections.)
I hereby certify that i have reviewed the attached documents and that, to the beat ot my knowledge and belief, the submitted intormatlon la true and complete and tnat the amounts and values in this report are aceurata baaed on reasonable estimates using data available to the preparers ot this report.
Name and official title ot owner/operator or senior management official
T. G. Brown. Works Manager. PPG Industries. Lake Charles. La.
Signature
%
Date signed
ii!xxlei
Facility or Establishment Name
PPG Industries. Inr.
WHERE TO SEND COMPLETED FORMS;
1. U.s. ENVIRONMENTAL PROTECTION AGENCY
Street Address
Columbia Southern Road
3.1
City
Westlake
State
LA
County
Zip Code
70559
P.O. BOX 70266 WASHINGTON, DC 20024-0266 ATTN: TOXIC CHEMICAL RELEASE INVENTORY
2. APPROPRIATE STATE OFFICE (Se instructions Appendix E)
This report contains Information tor (Check one):
3.2
>.[x] An entire facility
, [ ] Part ot a facility.
Technical Contact
3.3
Andv P. Plauche'
Public Contact
3.4
V.'illiaT. J. Peard
SIC Code (4 digit)
3.5 a.2812
b. 2815
e. 286 9
Latitude
3.6
Degree!
Minutes
Seconds
30 13
27
Dun A Bradatraet Number!a)
3.7 a. 00-808-6 50"
EPA Identification NumOer(s) (RCRA I.D. No. I
3.6 ..LAD 00 808 *506_______
NPDES Permit Number(S)
3.9 e.LA 0000751
Receiving Streams or Water Bodies (enter one name per box)
a.Calcasieu River
Teioohona Number (include area code)
(318) 491-4184
Telephone Number (Incluoe area coda)
o. NA
Degrees
Longitude Minutes
15
S-KA. k-JLL
b. NA
b. Bavou D : Ind :
Seconds
0C
3.10 Bavou Verdins
N;4.
underground injection Well Cooe (UIC) identification Numoer(t)
3.11 a.NA
4. PARENT COMPANY INFORMATION
Name ot Parent Company
4.1 PPG Industries .__Lac,
Parent Company' a Dun A Bradatraet Numoer
4.2 00-134-4803
EPA Form 9350-1 (1-89) Revised--Do not use previous versions.
b.
'SL 022602:
(Important: Type or print; read instructions before completing form.)
Mna ** fcrA
EPA FORM R
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 Address
1.2 POTW name
Street Address
City
County
City
State
Zip Stata
Page 2 of 5 (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
Chemical Waste Management,
EPA Identification Number (RCRA ID. No.)
Inc.
ALD 000622464
Straat Address
Alabama Highway 17 at Milemarker
City
County
Emelle
State
Sumter
Zip
AL 35459
Is location under control ot reporting facility or parant company?
163
2.2 Off-slte location name
Chemical Waste Management, Inc.
EPA Identification NumDer (RCRA ID. No.)
LAD 000777201
Street Address
John Brannon Road
City
County
Carlyss
Calcasieu
State
LA
Zip
70663
Is location under control of reporting facility or parent company?
[ ] Ye.
[^]no
[ U PI*
2.3 Off-site looatlon name
2.4 Off-slte looatlon name
iollins Environmental Services(TX)Inc Waste-Tech Services, Inc.
EPA Identification Numoer (RCRA ID. No.)
EPA Identification Number (RCRA ID. No.)
rxn _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ LAD 981514441
Street Address
Street Address
? 0-7 7__Baft-1 pgrnnn r)__ Enari
City
County
Columbia Southern Road
City
County
)eer Park
Harris
Westlake
Calcasieu
State
rx
Zip
77536
Stata
LA
2ip
70669
Is location under control of reporting facility or parent company?
Is location under control of reporting facility or parent company?
2.6 Off-site looatlon name
NA
EPA Identification Number (RCRA ID. No.)
][ ] Yes [ X No
2.6 Off-slte location name
EPA Identification Number (RCRA ID. No.)
[ ] Yes
[^ ] No
Street Address
Street Address
City
County
City
County
State
Zip State
Zip
Is location under control of reporting facility or parent company?
Is location under control of reporting facility or parent company?
I[ yps [ ] No [ j Check If additional pages of Part n are attached. How manv?
^____ 022603^^^^!
[ ] Yes
[ ] No
EPA Form 9350-1 (1-89) Revised--Do not use previous versions.
(Important: Type or print; read instructions before completing form.)
A tF HA
REPA FORM
part III. CHEMICAL-SPECIFIC INFORMATION
Page 3 of 5 (This space for your optional use.)
1. CHEMICAL ID ENTITY (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 79-01-6
Chemical or Chomioal Category Name (nt*r th# nsm* exactly a* it appear* on tn 313 list.) 1.3 Trichloroethylene
Generic Chemical Name (Complete only if Part I, Section 1,1 is checked 'Yes." Generic name must be structurally descriptive.) 1.4
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.)
Manufacture the chemical:
3.1
r -i a. L XI Produce
If produce or Import:
f Y1 For on-site
c.l a J use/processing
f Y1 For sale/
d.l A J distribution
b. [ Y] import
e.[ X ] As a byproduct
f [ X] As an impurity
Process the 3.2 chemical:
3.3
Otherwise use
.in*.c.ne.mi.cili
ri
a- 1 Aj As a reactant d.[ ] Repackaging only
f a. L
1J
As a chemical processing aid
w f 1 As a formulation
b L J component
f1
,
b.l j As a manufacturing aid
[ 1 As an article J component
f1 c.L Y i Ancillary or other use
4. MAXIMUM AMOUNT OF THE CHEMICAL ON-SITE AT ANY TIME DURING THE CALENDAR YEAR
h Ifi 1 (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.1 Reporting Ranges
0 1-499 500-999
A.2 Enter Estimate
8. Basis of 1 Estimate (enter code)
5.1 Fugitive or non-point air emissions 5.1a [][][]
5.1b Q
85,000
5.2 Stack or point air emissions
5.2a [][][]
5.3 Discharges to receiving e streams or water bodies
MMML"1
*2--l
5.3.1a
220.000 NA
EH5.2b
5.3.1b
C % From Stormwater 5.3.to NA
(Enter letter code from Pxrt 1
Section 3.10 lor stream!*) in the box provided.)
MMM[T 1
5.3.2 IP 1 5.3.2a
150 5.3.2b 5.3.2c NA
5.3.3 EH 5.3.3a [][][]
5.4 Underground injection
5.4a [][][]
5.3.3b Q
7
EHNA 5.4b
5.5 Releases to land
5.5.1 On-tlte landfill 5.5.2 Land treatment/applicatlon farming
5.5.3 Surface impoundment
5,5.1a [][][]
[- ] [5.5.2a
[1
1
5.5.3a [][][]
EHNA 5.5.1b EHNA 5.5.2b EHNA 5.5.3b
5.5.4 Other disposal
5.5.4a [)[][]
5.5.4b [3
17
[ ] (Check If additional Information l provided on Part iv-supplemental Information.)
EPA Form 9350-1(1-89) Revised--Do not use previous versions.
SL 022604
(Important: Type or print; read instructions before completing form.)
ft EPA
EPA FORmR
PART III. 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 (Ibs/yr)
A.1 Reporting Ranges
0 1-499 500-999
A.2 Enter Estimate
B. Basis of Estimate (enter code)
Discharge to POTW
------- - --------
(enter location number l , I I I
[][][]6.1.1 from Part il, Section 1,) I 1 I [
NA
5.1.1b n
Other off-ntb location (enter location number
-.am. [][][]from Part ll, Section 2.
Other of1-*ite location
_ ,, ,, (enter location number)E-[2
[][][]o.Z.Z from Part II. Section 2
5100
6.2.1b
6.2.2b M
Other off-site location (enter location numour
[][][]')B[I6.2.3 from Part II, Section 2
2700
6.2.3b M
[ X ] (Check if additional information is provided on Part IV-Supptementat 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
0 7.1b
7.1c
7.2a
0 7.2b
7.2c
7.3a
7.3b
7.3c
7.4a 0 7.4b
li3 la
7.4c
D. Sequential Treatment? (check if applicable)
7.Id [ ]
7.2d [ ]
7.3d [ ]
7.4d [ ]
E. Treatment Efficiency Estimate
Me 99.99 %
7-2e 99.99 %
7.3e 85
7.4e 0
%
fwl7.5a
7.5b
7.6a
7.6b
7.7a
7.7b
7.8a
7.8b
7.9a
7.9b
7,10a
7.10b
D7.5c
7.6c
D7.7c
7.8c 7.9c 7.10c
7.5d [ 1 7.6d [ ] 7.7d C ]
7.8d [ ]
7.9d [ ]
[7.10d ]
7 58 99.68 %
7,6e
7.7e
%
7.8e
%
7.9e
%
7.l0e
%
[ ] (Check if additional information is provided on Part IV-Supptementa! Information.
F. Based on Operating
Data? Yes
No
7.H [X] [ 1
7 2f [ X ] [ ]
73f l ] [x ] 7" [ 1 tx 1
7 5f [ X ] [ ]
7.6f [ ] t 1
7.7f [ 1 [ 1
7.8f [ ] [ ]
7,9f [ 1 [ ] 17.1 Of [ ] [
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 (Ibs/yr)
Prior
year (Ibs/yr)
Or percent change
M NA
%
EPA Form 9350-1 (1-89) Revised - Do not use previous versions.
SL 022605
'
(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)
I w Ui w
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)
A. Total Release (Ibs/yr)
A.1 Reporting Ranges
0 1 -499 5(10-909
A.2 Enter Estimate
5.3 Discharges to re eiving streams or waterbodies
-
53------1--1 5.3____a (][][]
NA
B. Basis of Estimate
(enter code in box
provided)
5.3______ n
C.% From Stormwater 5.3_____ c
(Enter letter coo* from Part 1
Section 3.10 for stream (1) in c ,
the box provided.)
3 "*
1III 5.3____a [][][]
5.3.____bl 1 5.3.____ c
5.3____a [][][]
5.3,____tC 5.3.
r
ADDITIONAL INFORMATION ON TRANSFERS OF THE CHEMICAL IN WASTE TO OFF-SITE LOCATIONS (Part III. Section 6) ______ _____
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 (tbs/yr)
A.1 Reporting Ranges
0 1-499 500-999
A.2 Enter Estimate
B. Basis of Estimate
(enter code in box
provided)
C. Type of Treatment/ Disposal
(enter code in box
provided)
6.1.
Discharge to POTW
,------- ,------ ,
(enter location number 1,11 I
till!from Part II, Section
)
NA
6.1.
6.2. 6.2.
6.2.
Other off-site location i--i i----i (enter location number 9 from Part 11, Section 2.) I I I I
Other off-aite location (enter location numbei from Part ll. Section 2
Other otf-slte location (enter location number from Pan 11, Section 2
[][][] [][][] [][][]
31,000 NA
6.2. 4 b fcTl
3.2.____ b O
6.2.
6.2.(
ADDITIONAL INFORMATION ON WASTE TREATMENT METHODS AND EFFICIENCY (Part III. Section 7)
A. General Wastestream (enter code
In box provided)
---n
B. Treatment Method
(enter code in box provided)
aQn
C. Range of Influent Concentration (enter code
7.
D. Sequential Treatment? (check if applicable)
[1
E. Treatment Efficiency Estimate
7,
F. Based on Operating
Data? Yes
No
-'[ H ]
[)
-'MM
7. -[ i
.-[ H 1
7. [ ]
][ ]
7.
l1
% -'( It ]
1
[1
% -'[ H 1
t]
[HI
cm 7. 7.
-"[ 1
[]
H1
-f[ ][ 1
EPA Form 9350-1(1-89) Revised--Do not use previous versions.
SL 022606