Document x1dRVqe4o0a4vZDkRdxKdagKQ
Form Approved 0MB Number: 2070-0092 (IMPORTANT: Type or print; reed instructions before completing form) Approval Expires: 11/92
PAGE 1 OF 9
EPA
lited States nvironmental Protection Agency
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
|TR! FACILITY 10 NUMBER
|
70765T HDWCHIGHU
Ichem., Cat., or Gen. Name
FLUORINE
WHERE TO SEND COMPLETED FORMS:
EPCRA Reporting Center P.O. Box 3348 Merrifield, 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
IMPORTANT: See instructions to determine when "Not Applicable (NA)n boxes should be checked.
|For EPA use only |
PART I. FACILITY IDENTIFICATION INFORMATION
.................... ............ ............... -+ -
SECTION 1.
|Section 2. TRADE SECRET INFORMATION
+------- +------------------------- -----------------------------------------
REPORTING YEAR
2.1 Are you claiming the toxic cheaiical identified on page 3 trade secret?
[ ] Yes (Answer question 2.2;
XJ No (Do not answer 2.2;
Attach siistantiation forma)
Go to Section 3)
+---- ----------------------------- ------------------------------- ------- ----------------------- --------------------------------
1995
| 2.2) If yes in 2.1, is this copy:
[ ] Sanitized
( ] Unsanitized
+ +---------- ---------------------------------------- --------------------------------------------------
SECTION 3. CERTIFICATION (Important: Read and sign after completing alt form sections.
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 Facility or Establishment Name
| TRI Facility ID Number
I
| THE DOW CHEMICAL COMPANYLOUISIANA DIVISION
| 70765THDWCHlGHW
|
............................................................................................. ..........................................................................+................................................................................................................
| Street Address *
1 HIGHWAY 1 SOUTH,-P.O. BOK ISO
i City PLAOUEMINE
ICounty |IBERVILLE/WBR PARISH
1 State LA
i Mailing Address (if different from street address) N/A
|Zip Code |70765-0150
i City N/A
i State LA
Zip Code 70765-0150
| PUT LABEL HERE
............................................................................................................. ...
EPA Form 9250-1 (Rev. 12/4/94) - Previous editions are obsolete.
DO A 054563 CONFTDFNTIAl
............................................................................................................................................................................................................................. ..
EPA United States environmental
rotection j Agency
EPA FORM R PART I. FACILITY IDENTIFICATION
INFORMATION (CONTINUED)
!............................................................................................................................................................................................................................. ..
PAGE 2 OF 9
|TRI FACILITY ID NUMBER |
| 70765THDWCHIGHW ..............................-.............-- |Chem., Cat., or Gen. Name I
............... ................................. .................---------
| FLUORINE
SECTION 4. FACILITY IDENTIFICATION (Continued)
4.2 This report contains information for:!
(Important: check only one)
| a. [X] An entire facility
b. [ ] Part of i facility
c. C ) Federal Facility
4.3 Technical I Name Contact | DOYLE A. HANEY
1 Telephone Nimfcer (include area code) 1 (504)353-6128
4.4 Public 1 Name Contact | GERRY DAIGRE
1 Telephone Nunber (include area code) 1 (504)353-1602
4.5 SIC Code (4-digit)
a. 2812
b. 2821
c. 2869
d. NA
a.
f.
Latitude 4.6 I
and
Degrees
Latitude Minutes
Seconds
Degrees
Longitude Minutes
Seconds
Longitude
030
19
00 091
16 20
4.7 Dun l Bradstreet Nunber(s) (9 digits)
1 .
008187080
i b.
NA
8 EPA Identification Ninber(s) (RCRA l.D. No.) (12 characters)
1 a. i b.
LAD008187080 NA
4.9 Facility NPDES Permit Nunber(s) (9 characters)
1 a.
LA0003301
1 b.
LA0049638
4.10 Underground Injection Well Code (UIC) l.D.
1
Nunber(s)
(12 digits)
i+--- +-....... .......................................... -- ......----------------- +
a. b.
NA
+...................................................................................................................... .................................. .....................................................................................................................................................................................................................................................................................--*
+|SECT+-IO-N---5-.--P-A-R-E-N-T--C-O-M-P-A-N--Y--IN-FORM-A-T-IO..N...............---...--------------------------------- ---------- ---------- ----- --------------- HI
5.1|Name of Parent Company | +..................... ...........---------- -
| [ ] NA
|
THE DOW CHEMICAL COMPANY
+--................................................. ............................................ ...
................... -....................... ............. ............
5.21Parent Company's Dun t Bradstraat Ntmfcer|
+......................................... ................... --...........................................
--IC---]---N-A----------- |-----------(-9--D--ig-i-t-s-)- .......0.0.1.3-8-1-5-8-1- ......----...
EPA Form 9250-1 (Rev. 12/4/94) - Previous editions are obsolete.
DO A 054564 CONFIDENTIAl
EPA
United States -nvirormental
otection agency
EPA FORM R
PART II. CHEMICAL-SPECIFIC INFORMATION
.......................................................................... .................................................................... * -
I SECTION 1. TOXIC CHEMICAL IDENTITY (Important: DO NOT complete this section I if you complete Section 2 below.)
+***........... ..................................................... .
1.11 CAS Nutter (Important: Enter only one nutter exactly as it appears on the Section 313 list. - ....................... ......................................................... --................... ..........................................................................
PAGE 3 OF 9
...................................................................................
|TRI FACILITY ID NUMBER
|
................................................................................ ..
| 70765THDWCHIGHW
|
................................................................................ ...
|Chem.( Cat., or Gen. Name | ...........................................................
| ..F.L.U..O.R.I.N.E...
....
.....---
-----
|
+
| 007782-41-4 1.2| Toxic Chemical or Chemical Category Name (Inportant: Enter only one name exactly as it appears on the Section 313 list.)
I |
FLUORINE 1.3| Generic Chemical Name (Important: Complete only if Part I, Section 2.1 is checked "yes."
NA
SECTION 2. MIXTURE COMPONENT IDENTITY (Inportant: DO NOT complete this section if you complete Section 1 above.)
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
2.1 Generic Chemical Name Provided by Sipplier (Important: Max. of 70 chars., including nuifcers,
letters,
spaces,
and punct.)
NA
|SECTION 3. ACTIVITIES AND USES OF THE CHEMICAL AT THE FACILITY -------------------------------- --------------------------------------------------------------------------------
Manufacture the toxic chemical: 3.1
a. CXI Produce b. C ] Import
(Important: Check all that apply.) If produce or import:
c. CXI For on-site use/processing d. C I For sale/distribution e. t } Aa a byproduct f. [ 1 Aa an inpurity
Process 3.2 the toxic
chemical
a. DO As a reactant b. [ I As a formulation component
c. [ I As an article component d. [ ] Repackaging
Otherwise use 3.3 the toxic
chemical:
a. [ ] As a chemical processing aid b. [ ] As a manufacturing aid
Section 4. MAXIMUM AMOUNT OF THE TOXIC CHEMICAL ON-SITE AT ANY TIME DURING THE CALENOAR YEAR
4.1|
05
(Enter two-digit code from instruction package.)
EPA Form 9250-1 (Rev. 12/4/94) - Previous editions are obsolete.
c. CX] Ancillary or other use
i
00 A 054565 OONFTDFNTTAl
.......-----................---- ............. -- . -- ..........--------------------- --- - - ---------------------------
---------------- ---------------- *---------------- +
PAGE 4 OF 9
EPA
EPA FORM R
|TRI FACILITY ID NUMBER
..... .....................................
United States Environmental
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
| 70765THDWCHIGHU ---.......................
rotection I .gency
.........................................................................................................................................................................................................................................................................................................................
|Cham., Cat., or Gen. Name
................. ...................
| FLUORINE
................................................................................................................................................................................................................................................................................................ ..
| SECTION 5. RELEASES OF THE TOXIC CHEMICAL TO THE ENVIRONMENT ON-SITE
|
A. Total Release (pounds/year) B. (enter range code from instructions or estimate)
Basis of Estimate (enter code)
C. X From Stormwater
5.1 Fugitive or non-point air emissions
DONA NA
5.2 Stack or point air emissions
C JNA
2980
0
5.3 Discharges to receiving streams or water bodies (enter one name per box)
|5.3.1 Stream or Water Body Name
i"
(5.3.2 Stream or Water Body Name
'
|5.3.3 Stream or Water Body Name
1
5.4 Underground injections on-site
5.5 Releases to land on-site
* DOHA NA
5.5.1 Landfill
DONA NA
5.5.2 Land treatment/ application farming
5.5.3 Surface impoundaent
DONA NA 00 NA NA
>
5.5.4 Other disposal
DONA NA
............................................. ...................... ........ ............................................... ....................................................... .
DO A 0F>456c>
; ] Check here only if additional Section 5.3 information it provided on page 5 of this form.
CONFinFNTTAl
................................. --... ........................... -................................................................................. ......................................................................................................... ...................................... ...
EPA Form 9250-1 (Rev. 12/4/94) - Previous editions are obsolete.
Range Codes:
...........................................................--
A 1-10 pounds; B 11-499 pounds; C - 500 - 999 pounds.
EPA
United States c.nvi rormental
rotection Agency
EPA FORM R
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
PACE 5 OF 9
4-------------------------------------------------------------- -4
|TRI FACILITY 10 NUMBER
|
| 70765TH0WCHIGHW
|Chem.,Cat., or Gen. Name | ............................................. ...........+
| FLUORINE
|
............................................................ ..............+
Section 5.3 ADDITIONAL INFORMATION ON RELEASES OF THE TOXIC CHEMICAL TO THE ENVIRONMENT ON-SITE
5.3 Discharges to receiving streams or water bodies (enter one name per box)
A. Total Release (pounds/year) (enter range code from instructions or estimate)
B. Basis of Estimate
(enter code)
X From Stormwater
15.3.4 Stream or Water Body Name
[5.3.5 Stream or Water Body Name
15.3.6 Stream or Water Body Name
I SECTION 6. TRANSFERS OF THE TOXIC CHEMICAL IN WASTES TO OFF-SITE LOCATIONS
4| --------6-.-1--D-I-S-C-H-A-R-G-E-S--T-O--P-U-B-L-IC--L-Y..O.W.N-E-D--T-RE.A.TM..E.N-T--W-O-R-K-S--(P-O--T-W-)-------- ----------- -----
'' .1--.A--T--o-ta--l -Q--u-a-n-t-i-ty--T--ra-n--s-fe-r-r-e-d--t-o..P.O.T-W-s--a-n-d--B-a-s-i-s--o-f--E-s-tim--a-t-e4------------- ------------
j.l.A.1 Total Transfers (pounds/year)
I6.1.A.2 Basis of Estimate
| (enter range code or estimate)
| (enter code)
--------------------------------------------------------------------------------------------- ----------------------- 4--------------------------- ---------------------
NA
|6.1.B POTW Name and Location Information
4-----------------4-----------------------------------------------------------....------------------
I6.1.B.1I POTW Name
4- -
-4---
Street Address
4-----------------4-------*----------
6.1.B.21 POTW Na
4.--------------4-------------------
Street Address
City
Couity
City
County
State
Zip Code
State
............................................................................................................... 4--------------------------------------------------- ------------ --4
Zip Code
4--------------------
If additional pages of Part II, Sections 5.3 and/or 6.1 are attached, indicate the total rxmber of pages in this box C ] 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. 12/4/94) - Previous editions are obsolete.
Range Codes: A * 1-10 pounds; B 11-499 pounds; C 500 - 999 pounds.
A 054567 CONFTDFNTIAl
................................................................................................................................................................................................................................................................................................................................................ ....
EPA EPA FOAM A
United States environmental
rotection j Agency
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
.......................................................................................................................................................... .
PAGE 6 OF 9 -------------------------- ------------------
|TRI FACILITY IDNUMER | ................ ......................................
| 70765THDWCH1GHU
|
.................... .............................................................
|Cheat., Cat., or Gen. Name | +............................. ............ ..................... ...
| FLUORINE
|
---------------------- * -----------------------------------------
(SECTION 6.2 TRANSFERS TO OTHER OFF-SITE LOCATIONS
....... ................................................................................................
--- -- -- --------- - -
16.2.1 Off-site EPA Identification Nunber (RCRA ID No.)
| Off-Site Location Name
-----------------------------
| Street Address
+-----------------------------
I City
County
-+------------------ ------------------------------------------------------ -- ---------------------------------------------------------------------- -- ----------- ------------------------------------------------- ------------------------------------------------------------------------------------------- --
| State
|Zip Code
| Is location under control of reporting
C ] YES
C I NO
|
...................................................................................................................................... .................................................................................................................................................................................... .................................................................... ------------------ ----------------------
A. Total Transfers (pounds/year)
B. Basis of Estimate
C. Type of Waste Treatment/Disposal/
(enter range code or estimate)
(enter code)
Recycling/Energy Recovery (enter code)
............................................................................................. ..................................................................................................................................................... .............................................
1. 1. +
2. 2
1. 2.
3. 3
|4
|3.
4.
|SECTION 6.2 TRANSFERS TO OTHER OFF-SITE LOCATIONS
.......................................... .........................................
16.2.2 Off-site EPA Identification Nunber (RCRA ID No.) | NA
--------------------- -------------------------............................................................................................................................................
| -O--f-f--S--it-e--L--o-c-a-ti-o-n--N-a-m-e-- ----------.............------
| Street Address
.......................................................................................................................................................................................
I City
---------------------
I County
+.....................................................-................................................... +................ ------------------------ ----------------------------------------------- ---------------------------------------- -........................--....................-..................................................................................................... --*
j --S-t-a-t-e------------------ - --....... +|Z..i.p...C..o.d.e-----.............--.|..I.s..l.o.c.a.t.i.o.n...u.n.d..e.r...c.on.t.r.o..l..o..f...r.e.p..o..r.t.in..g..---(--]--Y-E-S-------f-J--N-O--- --<|
A. Total Transfers (pmaids/year) (enter range code or estiamte)
B. Baaia of Eatiamte (enter code)
C. Type of Uaate Treatment/Disposal/ Recycling/Energy Recovery (enter code)
....................................................... ...................................... 4.................................................................. -........................ ............. .................................................................................... ..
1. 1.
2. 2
+
3. 3. +
|4. 4.
1. 2 3 ,4.
If additional pages of Part IIr Section 6.2 are attached, indicate the total nuber of pages in
:his box [ ] and indicate yhich Part II, Sections 6.2 page this is, here. [1 ) (example: 1,2,3,etc.)
DO A 054568 CONFIDENTIAL
EPA Fore 9250-1 (Rev. 12/4/94) - Previous editions are obsolete.
Range Codes: A 1-10 pounds; B 11-499 pounds; C 5W - 999 pounds.
EPA
United States 'nvironmental
rotection Agency
EPA FORM R
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
PAGE 7 OF 9
|TRI FACILITY ID HUMBER
|
-----------------------------------------------
| 7076STHDWCHIGHU
|
............................................................
|Chem., Cat., or Gen.Name |
FLUORINE
(Section 7A. ON-SITE WASTE TREATMENT METHGOS ANO EFFICIENCY
I [X] Not Applicable (NA) - Check here if no on-site treatment is applied to | any waste stream containing the toxic chemical or chemical category.
------------------------------------------ ------------------------------------------------ -------------------------------------------------------- --------------------------------------------
a. General
b. Waste Treatment Method(s) Sequence c. Range of Influent
Waste Stream
[enter 3-character code(s)]
Concentration
(enter code )
d. Treatment Efficiency Estimate
7A.2a 7A.5a
7A.1b
3i *
6i
7A.2b
f---i1
j ^i
i 71 4
1|
3i
6i 4
7A.3b
i 4i 44 j 7j
1j
3i +
6i 4
7A.4b
3i 4
*i 4
7A.5b
3i +
*i .......
i 4j 4 | 7j
1i 4
i 4i 44 i 7i 44
1i 4
i 4i 4
i 7i
i 21 4
i 5j 4 i 8i 44
i 2i 4
i 5i 4
i i 4
i 2i 4
i 5i 4
i *i **
i 2i 4
i 5I 4
i i 4
i 2|
| 5|
i 8I
7A.1c
1 j
|
| 7A.2c
i
j
j
| 7A.3c
|
i 4 i 4
j 7A.4c j
j
j
j 7A.5c i
i
i
7A.1d X
j
7A.2d
|
X
j
7A.3d
j
X
j
7A.4d
j
X
j
7A.5d
j
e. Based on Operating Data?
7A.1e
Yes IJ
No [I
7A.2e
Yes []
No [1
7A.3e
Yes t1
No (1
7A.4e
Yes t]
No C1
7A.5e
If additional pages are attached, indicate the total rsMber of pages in this box t ] and indicate which pege this is, here [1]
EPA Form 9250-1 (Rev. 12/4/94) - Previous editions are obsolete.
DO A 054569 CONFTDFNTTAl
EPA
United States Envi ronmental
rotection Agency
EPA FORM R PART II. CHEMICAL-SPECIFIC
INFORMATION (CONTINUED)
PAGE 8 OF 9
|TR1 FACILITY ID NUMBER
|
70765THDWCHIGHU
|Chem., Cat., or Gen. Name
| FLUORINE
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 Center 3-character code(s)]
1 | NA
i
21 i .....................
31 . ..........
1
^I
|Sect ion 7C. ON-SITE RECYCLING PROCESSES
+......................... .................................. ...................................................... *.................................................................
I DO Not Applicable (NA) - Check here if no on-site recycling is applied to any waste
I stream containing the toxic cheaiical or chemical category.
- - ..........................+----------------------------------------------------- -------------------- ---------
----------------------
Recycling Methods [enter 3-character code(s)]
NA 1 1
.......... 21
1
71 ..........
1
.......... 31
1
*i ..........
i
.......... 41
i
'i ..........
i
+..........
51
10 | .....................
EPA Form 9350-1 (Rev. 12/4/94) - Previous editions are obsolete.
DO A 054570 OONFIDENTTAl
.....................................................................................................................................................................................................................................................................................................................................................
EPA EPA FORM R
United States 'nvironmental
otection j agency
PART II. CHEMICAL-SPECIFIC INFORMATION (CONTINUED)
----------------- ------------------------------------------------------------------------- ------ ----------------------------
PAGE 9 OF 9
----------------------------------------------------------------- -
|T-R--I- -F-A--C--IL-I-T--Y--I-D---N--U-M-B-E--R---- +|
| 70765THDWCHIGHW
|
------------------------------------------------------ ------*
|Chew., Cat., or Gen.Name |
................. .................................................................
| FLUORINE
|
.......................................................-......................
Section 8. SOURCE REDUCTION AND RECYCLING ACTIVITIES
All estimates can be reported using up to two significant figures.
Colum A 1994
(pounds/year)
Col tun B 1995
(pounds/year)
Colum C 1996
(pounds/year)
Colum D 1997
(pounds/year)
8.1 Quantity released *
0
3000
3000
3000
Quantity used for energy 8.2 recovery on-site
0
00
0
Quantity used for energy 8.3 recovery off-site
0
00
0
8.4 Quantity recycled, on-site
0
00
0
8.5 Quantity recycled off-site
0
00
0
> Ouantity treated on-site
0
00
0
8.7 Quantity treated off-site
0
00
0
8.8 Ouantity released to the environment as a result of reaiedial actions,
catastrophic events, or one-time events not associated with production processes (pounds/year)
0
|8.9
+----
+(--Pro+d-u--c-t-i-o-n---R--a-ti-o--o--r--A---c-t-iv.i.t.y..I.n.d.e.x................................
--
..........--..........+..........
- 0001.09
............. ...................
..
....................
8.10
(Did your facility engage in any tourct reduction activities for this chemical during tthe reporting year? If not. nttr "HA" In Section 8.10.1 and answer Section 8.11.
1 Source Reduction Activities 1 | tenter code(s)] |
|8.10.1 |
NA
|8.10.2 |8.10.3
1
i
i*.
Methods to Identify Activity (enter codes)
ib- lcib* ci. |c-
|8.10.4 1
!b- lc>
(8.11| Is additional optional infonaation on source reduction, recycling, or
I YES NO
I | pollution control activities included with this report? (Check one box)
| t ] CXI
--.............-..-.-..-.-.-..-.-..-.-..-.-..-.-.-..-.-..-.-..--...............-..-.-..-.-..............................................-..-.-..-.-..-..--...-..-.-..-.-.-..-.-..-.-..-.-.-..-.-..-..-.-..-.-..-.-..-.-.-...-..--..... ------- ........----- .....------ ----------........................- +........................................................................
' Report releases pursuant to EPRCA Section 329(8) including "any spilling, leaking, puping, pouring, emitting, emptying, discharging, injecting, escaping, leeching, dumping, or disposing into the environment." Do not include any quantity treated
I on-site or off-site.
- --------------------------------- ----------------------------------------------------------------------------------------------------------------------- -- - -- ---------------------------- ---------------------- ----------------- ----------------------------- ---------------- ----------------------------------------------------------------------------------------------------------------------
EPA Form 9250-1 (Rev. 12/4/94) - Previous editions are obsolete.
DO A 054571
CONFTDFNTTAl