Document v1XNq53aQL3J5nxvZJ3zGZnGR
=orm ADDrovea OM8 No.: -070-0093
Important: T-:ve or print: read instructions before completing form. I
Aoorovai Exoires:. 01/91 p3Q 1 of 5
t) fciPA U.S. Environmental Protection Agency
TOXIC CHEMICAL RELEASE INVENTORY REPORTING FORM
i Section 313 of the Emergency Planning and Community Rlght-to-Know Act of 1906. aiso known as Title III of the Suoerfund AmenOments and Reauthonzatlon Act
ERA FORM
R
PART |.
FACILITY IDENTIFICATION INFORMATION
(This soace tor your optional use.!
Public reoortinq suroan lor :nij
collection ot information i* aatimataa to
vary trom 30 to 34 ttoura oar raaoonaa.
witn an average ot 32 nourt oar
raaoonaa. inciuaing time tor reviewing
inatrucnont, taarentng existing aata
sources, gatnermg ana maintaining tne
Oata naaoaO. ano comoieting ana
reviewing tne collection ot information.
Sena comments regarding tnia Ouraen
estimate or any otner asoect ot tnts
collection ot information, inciuaing
suggestions tar raoueing inis ouroan. to
Chief. information Policy Brancn
(PM-2231. US EPA. 401 M St.. SW.
Washington, O-C. 204S0 Attn: TPI Buroen ana to tne Office ot Information
ana Regulatory Affairs. Office at
Management ana Budget Paoerworx
Reduction
Protect
(2070-0003).
Washington. O.C. 20603.
1.1 Are you Claiming the cnermeai Identity on page 3 trade secret?
1.
[ ] Ves (Answer ouestlon l.2:
[X] No (Do not answer 1.2;
1.2 If "Ves" in 1.1. is this cooyi
Samtiaeo 1 1 unsamtizeO
1.3 Reporting Veer 199_
2. CERTIFICATION (Reed and sign after completing aH tactions.)
I n#r#ov certify that I haw ftwanad comoiata ano that th amount* ano
thd attached document*
value* m tnta roort arm
and that* aoetrat*
to th bast o my knowledge ano belief, the submitted information la true and
eased on ra*onaoie aatimataa using data available to tne oreoarers of this reoort.
Name and official title ot owner/aoerator or senior management official
T. G< Brown Works Manager. PPG Industries. T.alr Charles. LA
Signature
Al11 a
Date aigneo . .
ill Mo
Facility or Estaonenment Name
PPG Industries, Tne*
Street AOOresa
Columbia Southern Road
3.1
City
Westlake
County
Calcasieu
WHERE TO SEND COMPLETED FORMS:
1. EPCRA REPORTING CENTER P.O. BOX 23779 WASHINGTON, DC 20026-3779 ATTN: TOXIC CHEMICAL RELEASE INVENTORY
State
Louisiana
TRI Facility wentIdeation Numoer
70669 PPGND C0LUM
Zip Code
70669
2. APPROPRIATE STATE OFFICE (Sn instructions in Appendix G)
This reoort contains information tor (Chaox oniy one):
a.[xl3.2
An entire facility
[ ]b. Panola facility.
Taennicai Contact
3.3
Andy P. Plauche1
Public Contact
I3.4 William J. Peard
SIC Code (4 digit)
3.5
, 2812
b- 2816
Latitude
3.6
Degrees
Minutes
0. 2869
-2SL --13
Dun & Braastraet Numoer is)
3.7
a. 00-808-6506
EPA wentlfication Numoerfs) (RCRA I.D. No.)
3.8 a. LAD 00 808 6506_____________
_2Z_
NPOES Permit Numoerfs)
3.9
a. LA 0000761
Receiving Streams or Water Bodies (enter one name per Dox)
a. Calcasieu River______
Telephone NumOer (include
(318) 491-4814 .
Teieonone Numoer unciuoe
(318) 491-4848
NA____________ .
Longitude Minutes
93 16
T.
Seconds
59
o. m.
JiL.
Si____ HA.
1----- Bavou D'Inde
3.10' c. Bavou Verdine
____Ml
underground mieetwn Well Cooe (LHC) lOontltlcatlon Numbarls) 3.11 4. NA
4. PARENT COMPANY INFORMATION
Name of Parent Company
4.1 PPG Industries, Inc.
-______ mc n
Pau)*ah
Hi**
i tc^ nr'ieut^( t** voreinn*
,,D, SL 022330
Parent Company s Dun A Braoatreet Numoer 42 00-134-4803
important: T;oe or print: read instructions before completing jorm.)
_.n. uPA
epaformR
PART II. OFF-SITE LOCATIONS TO WHICH TOXIC CHEMICALS ARE TRANSFERRED IN WASTES
1. PUBLICLY OWNED TREATMENT WORKS (POTWs)
1.1 POTW nama
NA
Street Address
1.2 POTW nama
Straat AOaresa
City
County
City
Stata
Zip Stata
Paao Z of 5
County Zip
2. OTHER OFF-SITE LOCATIONS (DO NOT REPORT LOCATIONS T O WHICH WASTES ARE SENT ONLY FOR RE CYCLING OR REUSE).
2.1 Off-aita location name
CHEMICAL WASTE MANAGEMENT, INC.
EPA Identification Numoar (RCRA 10. No.)
LAD 000777201
Street Aooraea
JOHN BRANNON ROAD
City
CARLYSS
County
CALCASIEU
State
LA
Zip
70663
Is location unoar control ot reporting facility or parent oompany?
P [ ]ym [x]*.
2.2 Off-aita location nama
ROLLINS ENVTRONMFNTAT. SFRVTPFC (TX) INC.
EPA uantifleatien Numoar (RCRA ID. No. i
TXD 055141378
Street Address
2027 BATTLEGROUND ROAD
City
County
DEER PARK
HARRIS
State
Zip
TX 77536
i* location unoar control ot reporting facility or parent company?
[ 3 Yae
[x]no
2.3 Off-sit location nims
WASTE-TECH SERVICES, INC.
EPA identification Numoar (RCRA ID. No.)
LAD 981514441
Street awhi
COLUMBIA SOUTHERN ROAD
City
County
WESTLAKE
CALCASIEU
State
Zip
LA 70669
it location unoar control ot reporting facility or parent company?
2.4 Off-tito ioeatlon rum*
ENSCO, INC.______________
EPA identification Numoar (RCRA ID. No.)
ARD 069748192
Stmt Addraaa
AMERICAN OIL ROAD
City
County
EL DORADO
Stata
UNION
Zip
AR 71730
is location under control of reporting facility or paiom eomeany?
2.5 Off-sita location namo
NA
EPA loantitication Numoar (RCRA ID. No.)
[ I- [ X] NO
2.6 Off-aita location nam*
EPA Mantitication Numoar (RCRA ID. No.)
[ ] vas [x 1 No
Straat Aaoraat
Street Aoaraaa
City
County
City
County
Stata
Zip Stata
Zip
is location unoar control ot raoorttno facility or parent comoany? [ ] Ya. [ ] No
l* location unoar control ot reporting facility or parent company?
SL 022331
[ 1 Yea [ ]|
[ ] Checa if aopitionai page* of Part < arc attacneo. hcmt many?
Imcortant: T'.pe or prim: read instructions before completing form, i
1 EPA
REPA FORM
PART III. CHEMICAL-SPECIFIC INFORMATION
Page 3 of 5 (This SDace for your optional use.i
1. CHEMICAL IDENTITYfDo not comDieto this section if you complete Section 2.) 1.1 | I Reserved)
CAS NumPer (Enter oniy one numoer exactly as it aeeaara on tna 313 list. Enter NA it reoorting a cnamieal category. |
12 ! NA
Chemical or Chemical Category Name (Enter only one name exactly as it appears on me 313 list.)
1.3 Copper Compounds
Generic Chemical Name (Complete only if Part t. Section 1.1 IS cnecxed "Yes." Generic name must oe structurally aescriptlve. 1 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 le.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 J Produce
If produce or import: T 1 For on-site
c.L J use/processing
f
d-L
1 For sale/ 1 distnoution
Process the 3.2 chemical:
P. [ ] Import
ri a* l J As a reactant
d.[ ] Repackaging only
e .[ ] As a byproduct
K T 1 As a formulation
b.L J component
f. [ ] As an impurity
f 1 As an article
J component
3.3
Otherwise use the chemical*
f v 1 As a chemical a* L a J processing aid
J1
,, . ..
b-l J As a manufacturing aid
f1 c.L J Ancillary or other use
4. MAXIMUM AMOUNT OF THE CHEMICAL ON-SITE AT ANY TIME DURING THE CALENDAR YEAR
5. RELEASES OF THE CHEMICAL TO THE ENVIRONMENT ON-SITE
A. Total Release (pounds/year)
You may report releases of less than 1.000 pounds by checking ranges under A.1. (Do ndt use beth A.1 and A.2)
A.1 Reporting Ranges
0 i-4g 500-909
A.2
Enter Estimate
5.1 Fugitive or non-point air emissions 5.la [][][)
0
B. Basie of Estimate
C. % From Stormwater
(enter code)
0|
5.2 Stack or point air emissions
5.2a [][][]
0
5.2b 0
5.3 Discharges to receiving
I1
streams or water bodies s-3-1 LaJ
(Entsr latter coda tor stream from Part I Section 3.10 in tna Pox orovioad.)
1_ 1 5.3.2 1 h 1
5,3.3 [c]
5.3.fa [][][] 5.3.2a [][][] 5.3.3a [][][]
5.4 Underground ln)eetton on-site 5.5 Releases to land on-site
5.5.1 Landfill
5.5.2 Land treatmant/appllcatlon farming
5.4a [ J l ] [ ] 5.5.la [][](] 5.5.2a [ ] [ ] [ ]
5.5.3 Surface impoundment 5.5.4 Other oiSDoaal
5.5.3a [][][] 5.5.4a !(][][]
U (Chacx it additional information is provided on Part iV-Supolamantal information.)
0 5.3.1b 0
7,600 0 NA
5.3.2b M
5.3.3b 0
s.4b n
NA NA NA
0___________
5.5.1b Q 5.5.2b n 5.5.3b n 5.5.4b 0
SL 022332
"'e
5.3.2c 5.3.3c
NA*` NA % NA%
--------- t _ O/M Dauiob^ _ Pf/s nnt t ice hrAulnne
Important: Type or print: read instructions before comDiettne form.)
g
epaformR
PART III. CHEMICAL-SPECIFIC INFORMATION (continuod)
Pago 4 of 5 (This soace tor your optional use.i
6. TRANSFERS OF THE CHEMICAL IN WASTE TO OFF-SITE LOCATIONS
You may report transfers of less than i .000 pounds by checking ranges unaer A.1, (Do not use both A.1 and A.2)
A. Total Transfers Ipounos/year)
A.1 Reporting Ranges
0 i-*M 500-090
A.2
Enter Estimate
Discharge to POTW
i enter location nutnoar 1 . 1 1 6.1.1 from Part II. Section i.) | *1 | |
| [][][]
Other off-itta location .--.
- . , 1 anter location numear - ,, 6.2.1 from Part II. Section 2.) 1 d \ 1
[
1[
1[
1
Other otf-site location __ __
... (enter location numoar 1 -> 1 1 o 6.2.2 from Part ii. Section 2.11 11^
[
1(
1(
1
Other otf-site location __ ___
6.2.3
(enter location numoar
from Part II. Section 2.)
L_-J|
1 l3_
(][](]
NA 160,000
260
3300
B. Basis of Estimate
1 enter code) 6.1.1b n 6,2.1b H
H 6.2.3b n
[ X ] (Check if additional information Is provided on Part IV-Supptementai Information.)
C.Type of Treatment/ Disposal
(enter code)
6.2.1c M7 b I 6.2.2c l_Ml5 b 1
6.2.3c M 5 b
7. WASTE TREATMENT METHODS AND EFFICIENCY
r 1 Not Applicable (NA) - Check if no on-site treatment is applied to any wastestream containing the chemteal or chemical
li
category.
A. General Wastestream
(enter code)
B. Treatment Method
(enter code)
C.Range of
Influent Concentration (enter code)
D. Sequential Treatment? (check if applicable)
E.Treatment Efficiency Estimate
F. Based on Operating Data?
Yes
No
G37.1a
7.1b
7.2a
nLiU 7.2b
7.3a
7.3b
7.4a
7.4b
7.5a
7.5b
7.6a
7.6b
7.7a
7.7b
7.8b
7.9a
7.9b
7.10a
7.10b
,cbl:
3zn
,0
7.2c 7.3c 7.4c 7.5c 7.6c
r.7c Q
7.8c 7.9c 7.10c
7.Id [ X1
7,2d [ x] 7.3d [ ] 7,4d [ ]
7.5d [ ]
7.6d [ ]
[7.7d [7.8d [7.9d
7.10d [
] ] ]
1
7.1e
NA % 7.If [ I [ 1
7.2e
97
7 81 [x ] [ ]
7.3e
7.3f [ H ]
7.4e
% 7.4f ( 1 [ 1
7.5e 7.6e
% 7.5f
% 76f
[ ][ ]
l ][ ]
7.7e 7.8e 7.9e 7.10e
% 7.7f l ] [ I % 7.8f [ 1 [ ] % 7.9f [ 1 [ I
% 7.1 Of [ ] [ ]
[ ] (Check if additional Information Is provided on Part IV-Supplemental Information.)
8. POLLUTION PREVENTION: 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
tenter coos)
B. Quantity of the Chemical in Wastes Prior to Treatment or Disposal
C. index
D. Reason for Action (enter code)
|m| |
Current reporting
year (pounds/year)
NA
Prior
1 Or percent change
year
1 (Check (+) or (-))
(pounds/year) 1 n + | r=j
| U"
%
ll 1
CDA Cnrw
RaviabH _ Pa* rtnf h nrai/t^i
SL 022333
'mvonant: T-.pe or print: read instructions before completing form.)
PDA
EPA FORM R
CrM
PART ,v. SUPPLEMENTAL INFORMATION
[ Jse this section if you need additional space for answers to questions in Part HI. `Jumper the lines used sequentially from lines in pnor sections (e.g., 5.3.4. 6.1.2. 7.11)
Page 5 of 5 (This SDace tor your optional use.i
ADDITIONAL INFORMATION ON RELEASES OF THE CHEMICAL TO THE ENVIRONM ENT ON-SITE (Part III. Section 5.3)
You may report releases of less than 1.000 pounds Dy checking ranges under A.l.
(Do not use both A.l and A.2)
A. Total Release (pounds/year 1
A.l Reporting Ranges
0 500-999
A.2 Enter Estimate
B. Basis of Estimate
(enter code in box
provided 1
C.% From Stormwater
5.3 Discharges to
,--,
receiving streams or
[][][]
waterbodies
3-3-------1--1 5.3____ a
5.3_____ bO
NA
5.3___ c
%
Enter letter coam for stream
1
`r0m Part l Section a, 10 in 53
oox orovioea. 1
TM1
I 5.3____ a [][][]
5.3.____bdl 5.3___ c
%
5.3____ 5.3____a [][][]
5-3-____ JO *3-__ c
%
ADDITIONAL INFORMATION ON TRANSFERS OF THE CHEMICAL IN WASTE TO OFF-SITE LOCATIONS (Part III. Section 6)
You mav report transfers of less tnan 1.000 pounds by checking ranges unaer A.l. (Do not use botn A.l and A.2)
A.Total Transfers (pounds/yeari
A.l Reporting Ranges 0 1-409 soo-eoe
A.2 Enter Estimate
B. Basis of Estimate
C. Type of Treatment/ Disposal
(enter code in box
provided)
(enter code in box
provided)
Dlacnarge to POTW
______
- . (enter location number .
t *1-from Part 11. Section 1,) |__jj. |
| [][][]
NA
W Other ott-*ite location 1--1 1--1
w a 0 4 lenter location number
21 41
---------Irom Part U. Section 2.1 1 4 I I I
[
1[
3 [ .]
82
6.2. A b [~M] 6.2._i-o|Nl|5 io 1
Other oft-*ite location 1------1 1--1
6.2.
(enter location nurnoar 1 2 I 1 1
---------(ram Part 11, Section 2.) i Jl____1
Other ott-alte location r--1 1--1
c n lenter location number 0 1
--------from Part 11, Section 2.)
____1
Mini
[][][]
NA
6-2-_____b U 6.2. c|M| 1 1
6-2-_____b Q
11
ADDITIONAL INFORMATION ON WASTE TREATMENT METHODS AND EFFICIENCY (Part 111, 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? (cheek If
applicable)
E. Treatment Efficiency Estimate
F. Based on
Operating Data?
Yes
No
n " LU J7, a
7,. --
7. c
7.
d[ ]
7.
e
% 7, <1 ][ 3
r m ( 17. a
17. b
7.c
7--0
7. e
% 7..
][ 3
CLLJ d[ 3 _[ H ]7. a
7. >
7.c
7'---------
7, e
% 7..
7 ______a
7. _____ b
1 37. c
7`---------d
7. e
[ ][ 3% 7..--f
7, a
7. _____ b
7. c
7.---------a [ ]
7.
e
% 7..
][ 3
7. a 7. ______a
7. 7.
b b
d[ ]7.c
. 7-..
7.
[ ]7. c
7------- a
7.
e e
* [% 7. -- ][ 3 H ]% 7.
7 a 7. _m i 7. c 7`-- -d[ 3 7. e % 7, --'I ][ 3
* urn7 _____ a
7.
7`--- d [ ]7._____ c
7.______e
H 1% 7, --<l
SPA Form 9350-1 (1-90) Revised - Do not use previous versions.
SL 022334
