Document wKY0G665x3E7axmaXg38pkb73
-arm Approvea OMB No.: I07O-OO93
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01/91 Page 1 of S
3-EPA U.S, Environmental Protection Agency
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TOXIC CHEMICAL RELEASE INVENTORY REPORTING FORM
Section 313 of the Emergency Planning and Community Rlght-to-Know Act of 1986.
aiso known as Title III of the Suoerfund Amendments and Reauthonzatlon Act ___
EPA FORM
R
PART I.
FACILITY IDENTIFICATION INFORMATION
(This space for your optional use.)
Public 'eoonirvj ouroan tor inis collection ot information is aitimatao to vary from 30 to 34 hour* oar ratoons*.
wild an average ot 32 hours D*r retDont*. inclining tima tor raviawing instructions, saarcning existing oata sources, garnering ana maintaining tne data naeaeg. ana completing ana raviawing tne collection ot information. Sana comments regarding this Ouroan estimate or any otner aspect ot this collection of information, inclining
suggestions tor reoucing tms Ouroan. to Chief, information Policy Branch (PM-2231, US EPA. 401 M St.. SW. Washington. D.C. 20460 Attn: TPl
Buroen ana to the Office of information ana Regulatory Affairs. Office ot Management ano Budget Paperwork Reduction Protect (2070-0093),
1 .1 Are you claiming tne chemical Identity on page 3 trade secret?
1.
[ ] Yes (Answer question 1.2;
[x 1 No (Do not answer 1,2;
Attacn substantiation forms.)
Go to Question 1.3.)
1.2 if "Yes" in 1.1, is this copy:
[ ] Sanitized [ J Unsanitized
| 1.3 Reporting Year
1 9 ^9.---
2. CERTIFICATION (Read and sign after completing all sections.)
1 haraoy certify that i nave reviewed the attached deoumanta and that, to the bast ot my knowledge and belief, the submitted information is true and
comciota ana tnat the amounts ano values in tnis raoort are accurate based on reasonable estimates using data available to tne oreoarera of this raoort. Mama and official titia ot owner/operator or senior managamartt official
T. G. Brown, Works Manager. PPG Industries.
Signaiura
jyU
Charles. LA
Date signed
(oh ho
Facility or Estadlisnmant Name
-PPG Industries. Inc.
Street Address
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
TRl Facility Identification Number
70669 PPGND C0LUM
Zip Code
70669
2. APPROPRIATE STATE OFFICE (S*i instructions in Appendix G)
,[x]3.2 This report contains information for (Check only one):
An entire facility
b, [ ] Part of a facility.
Technical Contact
3.3
Andy P. Plauche*
Public Contact
3.4
William J. Peard
SIC Coda (4 digit)
3.5
2812_________ > 2816_________ C. 2869
Latitude
3.6 Degre
Minutes
Seconds
_2fl_
Dun & Braastreet Number(s)
3.7
a. 00-808-6506
13
EPA identification Numoar(a) (RCRA I.D. No.)
3.8
__ 2J--
3.9 NPDES Permit Numoerlt)
a. LA 0000761
Receiving Streams or Water Bodies (enter one name par boxl
a. Calcasieu River
a- NA
Degre.
93
Telephone Number (include area code)
(318) 491-4814,
Taieonone Number (include area code)
(318) 491-4848
9.
Longitude Minutes
16
f.
Seconds
59
_na. NA
b. NA b. Bavou D1Inde
3.10 o Bavou Verdine
d, NA...........
9. t.
Unoergrouno Injection Well CoOe (UlC) Identification Number(s)
3.11 M_______________________________________________ b.
4. PARENT COMPANY INFORMATION
Name Ot Parent Company
4,1 PPG Industries, Inc.
-DA ooxn_i M-QOl Rnvmeri - Dn not use ortsviou* versions.
4.2
SL 022410
Parent Company s Oun & Braastreet Numoor
00-134-480?
important: T\-pe or print: read instructions before completing form. I
_nA
trA
epaformR
PART II. OFP-SITE LOCATIONS TO WHICH TOXIC CHEMICALS ARE TRANSFERRED IN WASTES
1. PUBLICLY OWNEO TREATMENT WORKS (POTWs)
1.1 POTW name NA
Street Aoarest
1.2 POTW name
Street Adore..
City
County
City
State
Zio State
Paoo 2 of 5 (This soace for your optional use.)
County Zip
2. OTHER OFF-SITE LOCATIONS (DO NOT REPORT LOCATIONS TO WHICH WASTES ARE SENT ONLY FOR RE<:yCUNQ OR REUSE).
2.1 Off-sita location nama
CHEMICAL WASTE MANAGEMENT. INC.
EPA Identification Mumper (RCRA ID. No.)
LAD 000777201
Street Aaoreaa
JOHN BRANNON ROAD
City
County
CARLYSS
State
CALCASIEU
Zip
LA 70663
li location unaer control of reporting facility or parent company?
2.2 Off-sita looatlon nama
ROLLINS ENVIRONMENTAL RFRVTOFR ('TY'I TNP..
EPA identification Numoer (RCRA ID. no. )
TXD OSS141178
Street Addre*.
2027 BATTLEGROUND ROAD
City
County
DEER PARK
State
HARRIS
Zip
TX 77536
I. location under control of reporting facility or parent company?
F [ k ]n>
[ 1 Ye.
[ xIno
2.3 Off-sita location nama
ENSCO. INC.
EPA Identification Numoer (RCRA IO. No.)
ARD 069748192
Street Addreai
AMERICAN OIL ROAD
City
County
EL DORADO
State
UNION
Zip
AR 71730
la location under control of reporting facility or parent company?
2.4 Off-sita looatlon nama
NA
EPA Identification Numoer (RCRA IO. No.)
Street Aooreaa City
County
State
Zip
i* location under control of reporting facility or parent company?
2.5 Off-sita location nama
[ ]y [x]nf
2.6 Off-sita location nama
[ ] Ye.
[ ] No
EPA identification Numoer (RCRA ID. No.)
EPA Identification Numoer (RCRA ID. No.)
Street Addreai
StrMt Adorssa
City
County
City
County
State
Zip State
Zip
la location under control of reporting facility or parent company? [ ] Ye. [ ] No
l. location unoer control of reporting i-cility or parent company?
[ ] Ye.
[ ] No
[ ] cnee. it additional page* of Part u are attaened. How many?
ImDonant: Type or print: read instructions before completing form, i
EPA [
RERA FORM
PART III. CHEMICAL-SPECIFIC INFORMATION
Page 3 of 5 (This soace tor your optional use.
1. CHEMICAL IDENTITYIDo not complete this section if you complete Section 2.)
j1,1 1 [Reserved)
^ ^ CAS Number (Enter only one numoer exactly aa it aooeara on tne 313 hit. Enter NA if reoorting a cnemicai category. |
_____ 1.3
1 .4
71-H;----------------------------------------------------------------------------------------------------------------------- _--------------- -----------------------------Chemical or Chemical Category Name (Enter only one name exactly aa it appear* on tne 313 lilt. I
1 f 1 r 1-Trichloroethane (Methvl chloroform1) Generic Chemical Name (Comclete only If Part I, Section 1.1 if cnecxeo "Yea." Generic name mutt oe ftructurally deicriotlve. 1
... . .
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 character! (e.g., numoera. letter*. space*, punctuation).)
3. ACTIVITIES AND USES OF THE CHEMICAL AT THE FACILITY (Check all that apply.)
Manufacture the
if produce or import:
chemical: 3.1
1 JTyI
a. A Produce
f y 1 For on-site c.LA j use/processing
f V1 For sale/ d L distriDution
Process the 3.2 chemical:
b. [ ] Import
r1
a-LX J
a reactant
d.[ ] Repackaging only
e.[^ ] As a byproduct
1h f 1 As a formulation -i component
f. [ X] as an impurity
[ 1 As an article c*- J component
3.3
Otherwise use t..n cn. emicai.:
[ 1 As a chemical a. 1 J processing aid
1 . . ., b.l J As a manufacturing aid
c.l XJ Ancillary or other use
4. MAXIMUM AMOUNT OF THE CHEMICAL ON-SITE AT ANY TIME DURING THE CALENDAR YEAR
0 7 (enter code)
s. 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 not use Doth A.1 and A.2)
A.1 Reporting Ranges
0 1-499 500-999
A.2 Enter Estimate
[][][]5.1 Fugitive or non-point air emissions 5.1a
74.000
5.2 Stack or point air emissions
5.2a [][][]
110,000
5.3 Discharges to receiving streams or water bodies
Ia I l__l
5.3.la [][][]
(Enter letter code for ttream from Part I Section 3.10 in tne Dox provided.)
05.3.2
5.3.2a [][][]
5.3.3 0 5.3.3a [][][]
440 45
5.4 Underground Injection on-site 5.5 Releases to land on-site
5.5.1 Landfill
5.5.2 Land treatment/aoplicalioo farming
5.4a [][][]
5.5.1a [][][]
5.5.2a [ 1 [ 1 [ ]
NA NA NA
B. Basis of Estimate
(enter code)
a.lb 0
5.2b
5.3 lb 0
5.3.2b lH 5.3.3b |M
5.4b 5.5.1b 5.5.2b
5.5.3 Surface imoounoment
5.5.3a [][][]
NA
5.5.3b
5.5.4 Other diaodtal
5.5.4a [][][]
5.5.4b
[. ] fCnecx if additional information n orovioeo on Part Iv-Suootemental Information. I
SL 022412
Important: Type or print: read instructions before completing form, i
Page 4 of 5
EPA
EPA FORMn
PART III. CHEMICAL-SPECIFIC INFORMATION
(continued)
(This space tor your optional use.)
6. TRANSFERS OF THE CHEMICAL IN WASTE TO OFF- SITE LOCATIONS
Yofoulesmsatynareno1o.r0t0t0rapnosufenrdss by
checking ranges under A. 1. (Do not use both A.1 and A.2)
A. Total Transfers (pounds/year)
A.1 Reporting Ranges
0 ' -489 50O-BB9
A,2 Enter Estimate
Ditcnarge to POTW
__ __
6.1,1
11f[reonmterPlaorct at.ioSnencutimonbe1r.)
1.1) |__|_______
I |
[][][]
Other otl-stte location . - -
6- .2,.1,
(enter location numoer from Part ll. Section 2.) 1
,11 4I I
, 1I
[][][]
Other oft-site location . - --
.6..2..2
f[reonmterPalorct a11t.ioSnencutimonoeZr.) L,U
O LzL
[
1[
1[
1
Other oft-eite location
-
6,2.3
11[enter location numoer
from Part . Section 2.)
aid L_J L__
[1(11]
NA
1
220 270
B. Basis of Estimate
(enter code) 6.1.1b CD 6.2.1b 0 6.2.2b 0 6.2.3b 0
[ ] (Check if additional information Is provided on Part IV-Supplemental Information.)
C.Type of Treatment/ Disposal
tenter eodel
6.2.1C Im| 7 I2 1 6.2.2c |m[5 In I
6.2.3c |M| 5 !0 I
7. WASTE TREATMENT METHODS AND EFFICIENCY
j Not Applicable (NA) - Check If no on-site treatment is applied to any wastestream containing the chemical or chemical category.
A. General Wastestream
(enter code)
B. Treatment Method
(enter code)
C. Range of influent Concentration tenter code)
. Sequential Treatment? (check if applicable)
E. Treatment Efficiency Estimate
F. Based on Operating Data? Yes
No
ID7.1a 7.ib IF I 0
7.2a 7. If Hi I
7.3a 0 7.3b k lo|2 1
7.4a
0 7 4b
k l0l3 1
7.5a 7.5b
7.6a
7.6b
7.7a
7.7b
7.8a
7.8b
0 cm7.9a
7.9b
7.10a
7.10b
n
7.1e
7.2c m
El7.3c
7.4c 7.5c 7.6c 7.7c 7.8c 7.9c
7.10C o
7.Id [ 1
7.2d [ 1 7.3d [ ] 7.4d [ ]
7.5d [ ]
7.6d [ 1
7.7d [ ]
7.8d [ 7.9d [
7.10d [
] ]
]
7-,e 99.99* 7 " [ X] [ ]
7.2e 99.99% 7" [ x] [ ]
7.3e 34 % 7 S' [ ] [ X ]
7,4e 7" [ ][x]
7.5e
% 7.5f [ 1 [ 1
7.6e 7.7e
% 7.6f % 7.7f
[ 1[ ] l ][ ]
7.8e
% 7.8f [ I [ 1
7.9e
% 7.9f [ 1 [ ]
7.l0e
7. lOf ( 1 [ 1
[ ] (Check if additional information is provided on Part IV-Supptementai 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 (enter code)
B. Quantity of the Chemical in Wastes Prior to Treatment or Disposal
C. Index
D. Reason for Action (enter code)
Current
Prior
I Or percent change
reporting
year
1 (Check (*) or (-))
IM
year (pounds/year)
_____ NA
(pounds/year) | *
-
%
00
OR) *,,>*><></
SL 022413
Important: Type or print: read instructions before completing form. >
Rr EPA FORM
EPA PART IV. SUPPLEMENTAL INFORMATION ir Use tms section if you need additional space for answers to Questions in Part ill.
Jumoer tne tines used sequentially from lines in prior sections (e.g.. 5.3.4. 6.1.2. 7.11)
Page 5 of 5 (This space tor your optional use.)
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 pounas by checking ranges under A.1. (Do not use both A.1 and A.2)
A. Total Release (pounds/year)
A.1
Reporting Ranges
0 -499 500-999
A.2
Enter Estimate
B. Basis of estimate
(enter code in box
provided)
C.% From Stormwater
5.3 Discharges to
----,
receiving streams or
[][][]waterbodies
5.3. --1--1 5.3____a
5.3______iO
5.3____ C
%
Enter letter coae tor stream
1I
`rom Pan l Section 3.10 in c -a
[][][]me BOX orovioeo.)
-j.j. ------1
1 5.3.___ a
5.3.___ JO 5.3___ c
%
5.3.___a [HIM
5-3-__ 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 i .000 pounds by checking ranges unaer A.i. (Do not use ootn a. i ana A.2)
A.Total Transfers (pounas/year)
A.1 Reporting Ranges 0 1-499 500-999
A.2 Enter Estimate
B. Basis of Estimate
C. Type of Treatment/ Dispoeal
(enter code in box
provided)
(enter code in box
provided)
Ducnarge to POTW ____, ___. - , 1 enter location number . | |
[][][]6.1-____ from Part II. Section 1,) | 1 |.|___ |
____ b n
9
Other otl-iite location
i r--,
c o i enter location number | o | 1l
0 ' * `------ from Part ll. Section 2,) 1 * 1. | j
Other otf-*ite location i--i i-----1
6.2. ------ fr(oemntePralrotclal.tioSnecntuiomno2e.r) 1-- 2 1 I I 1
Mini [][][]
6-2------- b 6-2.____ b O 6.2.
lam
c|m| | !
Other otf-eite location .
c o (enter location number e ------ from Part ll, Section 2.) 1 * 1 1
1 [][][]
6.2.____ b 0 6.2. c|M| | |
ADDITIONAL INFORMATION ON WASTE TREATMENT METHODS AND EFFICIENCY (Part III. Section 7)
A. General Wastestream (enter code
in box provided)
B. Treatment
Method (enter code in box provided)
C. Range of Influent Concentration 1 enter codel
D. Sequential Treatment? (check If applicable)
E. Treatment Efficiency Estimate
F. Based on Operating Data? Yes
No
7. a n
7, a
L-eeJ
7--* I--I
7- * 1 ! 1
7. . ITT __r. b IT 1
7. c n 1___
7-_____ e Q
r7. c
7--------- 1 [ 7. d [
_d [
] ] ]
7. 7. 7.
e e a
% 7.
f [L 1J [L ]J
% 7.
f[ ][ 3
][ ]% 7-_____ '[
7-------- a
r.
. T in
7. 0 7. d[ j 7. e
% 7 f[ ][ ]
"4
iP
7 a Q7--------- a 1 |7. a Q7. .
7- run
! 17---- b
11
7--j. cm
7--0 LT LJ 7-b | | | |
7.-------- c
7' " -----------7-_c C 7C 7-------------
7. d[
1- "[-----------7. d[
7--d[ 7-__d[
]
] ]
] ]
7._____ e 7. e 7._____ B 7._____ e 7._____ e
][ ]% 7---'[ % 7 -f[ ][ ]
% 7-__*[ ][ ]
% 7---[ ][ ] % 7'--'[ ][ ]
EPA Form 9350-1 (1-90) Revised - Do not use previous versions.
SL 022414
