Document rpdo05YbxDjwveBp15ZzD4VK7
Form Approved OMB Number: 2070-0092
(IMPORTANT: Type or print; read instructions before completing form) Approval Expires: 11/92
. ..... .......PAGE 1 OF 9 ...............................................................
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| EPA
United States I Environmental | Protection
FORM R
TOXIC CHEMICAL RELEASE 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
|
6........................ ......... ............. .. *-----*
I 70765THDWCHIGHW
I
............................................................. *
IChem., Cat., or Gen.Name |
| Agency I
CHL0R0DIFLUOROMETHANE
I
| WHERE TO SEND COMPLETED FORMS:
1. EPCRA Reporting Center P.0. Box 3348 Merrifleld, VA 22116-3348 ATTN: TOXIC CHEMICAL RELEASE INVENTORY
2. APPROPRIATE STATE OFFICE (See instructions in Appendix F)
|Enter "X' here if this is a revision!
I
IMPORTANT:
See instructions to determine when 'Not Applicable (NA)* boxes should be checked.
|For EPA use only |
.....................................I I
|
I I I
PART I. FACILITY IDENTIFICATION INFORMATION
SECTION 1. REPORTING
YEAR
1995
| |Section 2. TRADE SECRET INFORMATION
| -------- 1"
1 1 a.H Are you claiming the toxic chemical identified on page 3 trade secret?
1 1 1 [ ] Yes (Answer question 2.2;
tX] NO (Do not answer 2.2;
1I
Attach substantiation forms)
Go to Section 3)
| -------
1 1 2.2| If yes in 2.1, is this copy:
( ] Sanitized
[ ] Unsanitized
| SECTION 3. CERTIFICATION (Important: Read and sign after completing all form sections.)
1 I hearby 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.
I
EPA Form 9250-1 (Rev. 12/4/94) - Previous editions are obsolete.
no A OS3698 fON^TDFNTT A
EPA United States Environmental Protection
Agency
EPA FORM R PART I. FACILITY IDENTIFICATION
INFORMATION (CONTINUED)
PAGE 2 OP 9
| | TRI FACILITY ID NUMBER
| | 70765THDWCHIGHW | ------- - ------ ------------------- -I |Chem., Cat., or Gen. Name 1 ---------------------- ----------- ----------| | CHLORODIFLUOROMETHANE
I SECTION 4. FACILITY IDENTIFICATION (Continued)
|4.2
This report contains information for:|
(Important: check only one)
| a. (X] An entire facility
b. [ ) Part of a facility
c. [ ) Federal Facility
1 4.3 I 1i
i |4.4 1i
Technical | Name Contact | DOYLE A. HANEY
Public | Name Contact | GERRY DAIGRE
1 1 4 * 5 I SIC Code
1 I (4-digit)
1 | a. 2812
i
1 |4.6 I
1
1 1 Longitude
|
1 |
Degrees 030
i i | b. 2821
Latitude
| Minutes
1 1 19
| Telephone Number (include area code) 1 (504)353-6128
i
I 1 C- 2869
| Telephone Number (include area code) | (504)353-1602
1
1 1 d- NA
1
1 | e.
1 Longitude
ii
Seconds
Degrees
|
Minutes
11 1 00 i 091 j
16
i i i f-
i
|1 i
Seconds 20
i i
l I
I i i
I
I 1 i
|4.7 Dun t Bradstreet Number(s) (9 digits)
1 1 1
i
.8 | EPA Identification Number(s) I
! 1
(RCRA I.D. No.) (jiuitACbCXS/
1 .9 | Facility NPDES Permit Number(a)
1 i i
(9 characters)
1 .10|
{ 11 i
Underground Number(s)
Injection Well Code (UIC) I.D. (12 digits)
1 i b. i
i a.
1 1 b.
1 1 a. i
i b.
1 i a. i
i b.
008187080 NA LAD0081B7080 NA LA0003301 LA0049638 NA
| SECTION 5. PARENT COMPANY INFORMATION
-------------------- --- - ----------- ------------ -------------+--------- ---
|5.1|Name of Parent Company |
| | [ ] NA
|
THB DON CHEMICAL COMPANY
--- ------------------- -------------------------------+ *
*
+---------------------------------------------------------------------------------
|5.2|Parent Company's Dun fc Bradstreet Number|
| [ ] NA
|
(9 Digits)
001381581
-------------- --------- -----------*------------------------------------------------+
--- --
--------------
---
------
EPA Form 9250-1 (Rev. 12/4/94) - Previous editions are obsolete.
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| EPA
i | United States
Environmental Protection i Agency
1
EPA FORM R
PART II. CHEMICAL-SPECIFIC INFORMATION
PAGE 3 OF 9
i | TRI FACILITY ID NUMBER
|
1 i 1 70765THDWCHIGHW
|
i i 1Chem., Cat., or Gen. Name |
i
i 1 CHLORODI FLUOROMETHANE |
|SECTION 1. TOXIC CHEMICAL IDENTITY (Important: DO NOT complete this section j if you complete Section 2 below.)
|1.1| CAS Number (Important: Enter only one number exactly as it appears on the Section 313 list.
000075-45-6 |1.2| Toxic Chemical or Chemical Category Name (Important: Enter only one name exactly as it appears on the Section 313 list.)
CHLORODIFLUOROMETHANE |1.3| Generic Chemical Name (Important: Complete only if Part I, Section 2.1 is checked "yes.*
|SECTION 2. MIXTURE COMPONENT IDENTITY (Important: DO NOT complete this | section if you complete Section 1 above.)
|2.1| Generic Chemical Name Provided by Supplier (Important: Max. of 70 chars., including numbers, letters, spaces, and punct.)
II I|
NA
| I
I I I
|SECTION 3. ACTIVITIES AND USES OF THE CHEMICAL AT THE FACILITY
11 | |Manufacture 1 |the toxic
|chemical: J.1| I1 1I 11 |
11
1 1 1 a. [ ] Produce 1 1 b. [ ] In?>ort 1 1 j
1
(Important: Check all that apply.) If produce or import:
c. [ ] For on-site use/processing d. [ ] For sale/distribution e. [ ) As a byproduct f. I ] As an impurity
|| j 3.2|
||
11 11 11
ii
Process the toxic
chemical
|| | 3.3 j
||
11 11
Otherwise use the toxic
chemical:
1 1 1 1 1 1
1 1 1 1 1 1
a. [ ] As a reactant b. [ I As a formulation conqponent
a. [ ] As a chemical processing aid b. [X] As a manufacturing aid
c. [ ] Aa an article component d. { ] Repackaging
c. [ ] Ancillary or other use
| Section 4. MAXIMUM AMOUNT OF THE TOXIC CHEMICAL ON-SITE AT ANY TIME | DURING THE CALENDAR YEAR
I I
i4.1| os (Enter two-digit cod* from instruction package.)
|
I
...... .--------+
........................................................................................................................................................................................... ................... .......................................... ............... ........................................................................................................................................... ............... ... - --------------------------------
EPA Form 9250*1 (Rev. 12/4/94) - Previous editions are obsolete.
r>0 A 053700
ror.TTorNTTA
EPA
United State* Environmental Protection Agency
EPA FORM R
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
PAGE 4 OF 9
1 |TRI FACILITY ID NUMBER 1 1 | 70765THDWCHIGHW 1 1 |Chem., Cat., or Gen. Name 1 1 | CHLORODIFLUOROMETHANE
SECTION 5. RELEASES OF THE TOXIC CHEMICAL TO THE ENVIRONMENT ON-SITE
| A. Total Release (pounds/year) | B.
1
(enter range code from
1
1 instructions or estimate) 1
11
Basis of Estimate (enter code)
| 5.1
T | 5.2
i |Fugitive or non-point air {emission* 1
1 |Stack or point air emissions 1
| 5.3
1 {Discharges to receiving
|streams or water bodies {(enter one name per box)
| S. 3 1 Stream or Water Body Name
| NA
11 i1 it ] NA| i1
1 it ] NA| i1
+ 1 1 1 1 i
1
126220 20
1 1 1E 1
1 10 1
i 1 1 1
5.3.2 Stream or Hater Body Name
i i i i | i i i | i i
i
i I
i iii i iii
'5.3.3 Stream or Water Body Name
i
ii
J5.4 | i
(Underground injections |on-site
i
1 i
1
11 11 1 [X]NA| 11
NA
11 11 1 11 11
ii
1i 1i 1i
ii |5.5 [Releases to land on-site
11
ii |S.S.1| Landfill 11 ii
|5.5.2 | Landtreatment/ | | application farming 11 11
{5.5.3{ Surface impoundment 11
11 15.5.4 | Other disposal 11
i |
1
1 [xl na|
1
i
NA
i tXJNAl
1 i
[X]KA| 1 i
[X]NA| 1
NA NA NA
1i 1i 1i ii
1i 1i 1i ii
ii ii ii
ii ii
1 | [ ] Check here only if additional Section 5 3 information is provided on page 5 of this form.
C. % From Stormwater
EPA Form 9250-1 (Rev. 12/4/94) Previous edition* are obsolete.
Range Codes: A - 1-10 pounds; B - 11-499 pounds; C 500 - 999 pound*.
00 A 053701
CONF TDFNTta;
| EPA
i | United States
Environmental Protection 1 Agency
1
EPA FORM R
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
PAGE S OF 9
1 | TRI FACILITY ID NUMBER 1 1 | 70765THDWCHIGHW 1 1 | Chem., Cat., or Gen. Name 1 1 | CHLORODIFLUOROMETHANE
|Section 5.3 ADDITIONAL INFORMATION ON RELEASES OF THE TOXIC CHEMICAL TO THE ENVIRONMENT ON-SITE
| 5.3 j
|
(Discharges to receiving jstreams or water bodies |(enter one name per box)
|5.3.4 Stream or Hater Body Name
1 1
|5.3.5 Stream or Water Body Name
1 1
(5.3.6 Stream or Water Body Name i
1
1 A. Total Release (pounds/year) |B.
Basis of
1 (enter range code from
1 Estimate
1 instructions or estimate) 1 (enter code)
i
1 11 11
i 1 1
11 11
ii
j i
1 11
|C. % From 1 Stormwater 1 i
1 1 1
1 1 1 i I 1 1
i
I SECTION 6. TRANSFERS OF THE TOXIC CHEMICAL IN WASTES TO OFF-SITE LOCATIONS
| 6.1 DISCHARGES TO PUBLICLY OWNED TREATMENT WORKS (POTW) +.........................................................................................................................................................
|6.1.A Total Quantity Transferred to POTWs and Basis of Estimate
|6.1.A.1 Total Transfers (pounds/year) I (enter range code or estimate)
6.1.A.2 Basis of Estimate (enter code)
| NA
..................................................................................................................................................................
I6.1.B POTW Name and Location Information
|6.1.B.1| POTW Name II
| Street Address I I
I City
| County
6.1.B.2| POTW Name I
Street Address
City
I | County
| State
|Zip Code I
State
I | Zip Code
| If additional pages of Part II, Sections S.3 and/or 6.1 are attached, indicate the total number of | pages in this box [ ] and indicate which Part II, Sections 5.3/6.1 page this is, here. [1 ] | (example: 1,2,3,etc.)
EPA Form 9250-1 (Rev. 12/6/94) Previous editions are obsolete.
Range Codes: A C
1-10 pounds; B 11-499 pounds; 500 - 999 pounds.
| EPA
| United States Environmental Protection
, Agency
EPA FORM R
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
PAGE 6 OF 9
|TRI FACILITY ID NUMBER
| 70765THDWCHIGHW
|
....................................... .
-------- ------ -|Chem., Cat., or Gen.Name |
* --- --------------------------------------- *
| CHLORODIFLUOROMETHANE I
| SECTION 6.2 TRANSFERS TO OTHER OFF-SITE LOCATIONS
|6.2.1 Off-site EPA Identification Number (RCRA ID No.) NA
| Off-Site Location Name
| Street Address
City I
State
|Zip Code
County
| Is location under control of reporting
[ ] YES
[ ] NO
|A. Total Transfers (pounds/year) | (enter range code or estimate)
|B. Basis of Estimate | (enter code)
|C. Type of Waste Treatment/Disposal/ | Recycling/Energy Recovery (enter code)
|1.
2. I 2 .
3. 3.
la.
3.
H-
'SECTION 6.2 TRANSFERS TO OTHER OFF-SITE LOCATIONS
j.2.2 Off-site EPA Identification Number (RCRA ID No.) | NA
| Off-Site Location Name
...........................................................................................
| Street Address
------------------------------------------------------------------------- ---
I City
County
State
|Zip Code
|A. Total Transfers (pounds/year) j (enter range code or estimate)
|B. Basis of Estimate | (enter code)
Is location under control of reporting
[ ] YES
[ ] NO
|C. Type of Waste Treatment/Disposal/ | Recycling/Energy Recovery (enter code)
I23. I 3
If additional pages of Part II, Section 6.2 are attached, indicate the total number of pages in this box [ ] and indicate which Part II, Sections 6.2 page this is, here. [1 )
(example: 1,2,3,etc.)
EPA Form 92S0-1 (Rev. 12/4/94) - Previous editions are obsolete.
Range Codes: A - 1-10 pounds; B - 11-499 pounds; C - 500 - 999 pounds.
c PNr TDFNT T A!
| EPA
1 | United States 1 Environmental
Protection
, Agency
1
EPA FORM R
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
PAGE 7 OP 9
1 | TRI FACILITY ID NUMBER
|
1 1 | 70765THDWCHIGHW
|
1 1 |Chem., Cat., or Gen. Name |
1 1 | CHLORODIFLUOROMETHANE
|
|Section 7A. ON-SITE WASTE TREATMENT METHODS AND EFFICIENCY
-
* - -*--
- ----------------------------- ------------------- * * * -- - ----------- --- -
*---------------------
| [ ] Not Applicable (NA) - Check here if no on-aite treatment is applied to
j any waste stream containing the toxic chemical or chemical category.
----
--*--
----------- - --
I
---------------------------------------------------------------------------------------- *
1 I
1a General 1 Haste Stream 1 (enter code )
!
1 7A. la
1 1 1 l 1 i 1
i
1 7A.2a
1 1 i 1 NA 1 i 1
| b. Waste Treatment Method(s) Sequence 1c Range of Influent|
|
[enter 3-character code(s)]
i Concentration
|
i ii
|7A.lb 1 1 |3 1
IS 1
7A.1C
| P99 |
| NA
! 11
ii 4
* ii
5
i 111 i1
1
ii 7 8i
1
1
1
I 1 l | |
l 1
|7A.2b 1 |
13 |
IS |
|
4 + i
7
11 ii
5 ii
8
i 7A.2c
1 1 1
i
1i
i 1
l
I | l 1 | l 1
d. Treatment Efficiency Estimate
7A. Id
000.00
%
7A.2d %
1 1 1
1
!
I
I 1 1 1
1
1 1 | 1 1 I 1 1
i 7A.3a
1 1 i 1 l i 1
l 7A. 4 a
i
|7A.3b 1 11 |3 1
IS |
[7A.4b
1
|
1
i 4
ii 7
i1
j1
i 5! ii
8 *
f
1
i 7A.3c
t 1 11 i 1 i 1
7A.4C
11 1
l
7A.3d
1
11 l |1 11
l %1 |1 11
l1 1
l
7A.4d
1
11 11 |1
1 i l1 1 1
i l 7A.5a
l
i l l i
|3 1
IS |
|7A.Sb 1 | 13 |
IS |
i 4i iI
7
1 |1 ii
4 * ii
7
i 5i ii
8
1 i1 ii
5 *
ii S
i 1 11
I 11 i 11
i 7A.Sc
11 1 1 i i I1 i 11 i 11
1 %1 11
11 1 1
\i 7A.Sd
| 11 11 11
l %i 11 11
1i 1
e. Based on Operating Data?
7A.le
Yes ri
No fX]
7A.2e
Yes
No r1
7A.3e
Yes No ri
7A. 4e
Yea ri
No [j
7A.5e
Yes
No f]
i i i
i
| | 1 1 | l 1 |
i
l I I 1 |
\
I |
i
| | I 1 l | i |
i
I l 1 1 l I 1 |
i
| | | i
1
I 1 j
| If additional pages are attached, indicate the total number of pages in this box ( ) and indicate which page this is, here [1].|
----------- - * - ----------- -------- - - -- -
- -- .......................... -- ..................... -- .............. -- - - -- ------ - - -- **-
EPA Form 9250-1 (Rev. 12/4/94) - Previous editions are obsolete.
| EPA | j United States
1 Environmental Protection Agency
EPA FORM R PART II. CHEMICAL-SPECIFIC
INFORMATION (CONTINUED)
|Section 7B. ON-SITE ENERGY RECOVERY PROCESSES
(X) Not 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))
PAGE 8 OF 9
|TRI FACILITY ID NUMBER
----------------- *------------
| 70765THDWCHIGHW
| |
- - -------------------------------------- ....-------4>
|Chem., Cat., or Gen. Name |
----- -------------------- ------
| CHLORODIFLUOROMETHANE
|
1 NA
3
----|Section 7C. ON-SITE
-----------------------------------------*
---
-R-E--C--Y-C--L-I-N-G---P-R--O-C-E-S--S--E-S------------
-----
----------------
-----------------
........
[X] Not 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)]
lI SI 9I
10
EPA Form 9350-1 (Rev. 12/4/94) - Previous editions are obsolete.
A Or-,?,"Cc f<'>Nr Tf - NTT A!
| EPA
1 | United States 1 Environmental
Protection
Agency
i
EPA FORM R
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
|Section 8. SOURCE REDUCTION AND RECYCLING ACTIVITIES
PAGE 9 OF 9
1 |TRI FACILITY ID NUMBER
|
1 1 | 70765THDWCHIGHW
I
1 1 |Chem., Cat., or Gen. Name |
1 1 | CHLORODIFLUOROMETHANE
|
| All estimates can be reported | using up to two significant | figures.
11 1 8 1 |Quantity released * 11
1 |Quantity used for energy 1 8.2 |recovery on-site 1i
1 1 1 1
1 1 i
1 1
|Quantity used for energy 1 8.3 |recovery off-site 11
1 1 1
1 1 8.4
1
i
1 |Quantity recycled on-site 1
i
1 8 5 iQuantity recycled off-site 11 11
ii
j 8.6 1 1
IQuantity treated on-site 1 1
i
1 8.7 IQuantity treated off-site 11 11
1 1 1
1 1 1 1
1 1 1
1 1 1
Column A 1994
(pounds/year) 146000
0
0 0
0
0
0
1 Column B
1 Column C
i Column D
1 1995
1 1996
i 1997
1 (pounds/year) 1 (pounds/year) i (pounda/year)
i 1i
1
128000
1
128000
i
128000
11I
11i
1
01
0i
0
11i
i 1i
1
01
0i
0
11i
i 1i
i
01
0I
0
i1i
i 1i
i
01
0i
0
i1i
i1i
i 1i
i
30800
1
30800
i
30800
i1I
i1i
i 1i
i
01
0i
0
i1i
i 1I
|8.8 |Quantity released to the environment as a result of remedial actions, | |catastrophic events, or one-time events not associated with | |production processes (pounds/year)
| | I
0
|8.9 |Production Ratio or Activity Index
I 0001.09
8.10
| Did your facility engage in any source reduction activities for this chemical during j the reporting year? If not, enter "NA* In Section 8.10.1 and answer Section 8.11.
| Source Reduction Activities | j Center code(s)] j
8.10.1 i 8.10.2 8.10.3 8.10.4
NA
|a. i-
i. i.
Methods to Identify Activity (enter codes)
ib. ic.
ib. |c.
ib. |c.
ib. |c.
|8.11| Is additional optional information on source reduction, recycling, or j j pollution control activities included with this report? (Chech one box)
| YES NO | [ ] [X]
i I i
i i i i i i i i i i I i i i I i i I 1 i l I i I
I I !
| |
| * Report releases pursuant to EPRCA Section 329(8) including 'any spilling, leaking, pumping, pouring, emitting, enq>tying,
|
| discharging, injecting, escaping, leaching, dunging, or disposing into the environment.* Do not include any quantity treaced|
| on-site or off-site.
I
EPA Form 9250-1 (Rev. 12/4/94) - Previous editions are obsolete.
r r '7 i'~S
f ONP T nr NT T A1