Document x5ZKbjjwdapqrXXOjdZ3XpMx6

Form Approved 0MB Nutber: 2070*0092 (IMPORTANT: Type or print; read instructions before conpleting form) Approval Expires: 11/92 PAGE 1 OF 9 ------------------------------------------------------------------------------------------------------------------------------- - ------------------------------------------------ + 1TRI FACILITY ID NUMBER | EPA FORM R TOXIC CHEMICAL RELEASE ............................................. ................................. ... INVENTORY REPORTING FORM | 70765THDWCHIGHW | lited States ----------------------------------------------------------------- -- .ivironmental Protection Section 313 of the Emergency Planning and Community Right-to-Know Act of 1986, |Chem., Cat., or Gen.Name | also known as Title III of the Superfund Amendments and Reauthorization Act ------------------ ------- ------- Agency | CHL0R0METHANE | ---------- -------------- -------------------------------------------------------------------------------- -------------------------- ------------------------------------------------- +-------------- ---------------------------------------- WHERE TO SEND COMPLETED FORMS: 1. 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)" boxes should be checked. ---------+--......................... .................... + |For EPA use only | ......................................+ | +---- ----------------------------+ PART I. FACILITY IDENTIFICATION INFORMATION SECTION 1. REPORTING YEAR |Sect io--n 2... ..TR..AD--E S.E.C.R.E.T...IN.F.O.R.M..A.T-IO--N- 2.1 Are you claiming the toxic chemical identified on page 3 trade secret? [ ] Yes (Answer question 2.2; [X] No (Do not answer 2.2; Attach substantiation forms) Go to Section 3) 1995 | 2.2| If yes in 2.1, is this copy: +-------- +----------------------------------------------------------------------- [ ] Sanitized [ ] Unsanitized SECTION 3. CERTIFICATION (Important: Reed and sign after completing all 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. Facility or Establishment Name THE DOW CHEMICAL C0MPANYL0U1SIANA DIVISION Street Address HIGHWAY 1 SOUTH;P.O. BOX 150 City PLAQUEMINE 4.1 State LA Mailing Addresa (if different from street address) N/A TRI Facility ID Nwmber 70765TH0WCHIGHW |County 1IBERVILLE/W8R PARISH |Zip Code |70765-0150 EPA Form 9250*1 (Rev. 12/4/94) - Previous editions are obsolete. DO A 054452 CONFTDFNTIAL EPA United States Environmental rotection Agency EPA FORM R PART I. FACILITY IDENTIFICATION INFORMATION (CONTINUED) PAGE 2 OF 9 |TRI FACILITY IDNUMBER | --------- --- -------- ---------- | 70765THDWCHIGHW | ................................................................................ ... jChefii., Cat., or Gen. Name | ............ ....................-......................* | CHLOROMETHANE | +--....................................................................... ... SECTION 4. FACILITY IDENTIFICATION (Continued) --+-----------------------------------------------------------------+------------------------------------------------------------------------------------------------------------------------------------------------ 4.2 I This report contains information for:I I (Important: check only one) | a. [X] An entire facility b. [ ] Part of a facility c. t ] Federal Facility -----+------------------------- +--------------------------------- +------------------------- --------------------------------------------------------------------------------------------------------------------------------------------------- 14.3 I Technicall Name | | Contact I DOYLE A. HANEY ---- ....... ......... ........................................... -- |4.4 I Public I Name I | Contact I GERRY 0AIGRE -------- +------------------------ ++--------------------------- I Telephone Nuifcer (include area code) | (504)353-6128 ----------------------------- ------------------ ----------------...----------------------- ...---------------------------------------------------------------------------------------------------------------- I Telephone Number (include area code) | (504)353-1602 ------------------------------ .------------------+---------- +--------------------------- ...------------------------------- +----------------------------------- 4.5 SIC Code (4-digit) 2812 Latitude - 4.6 I and - Longitude Degrees 030 b. 2821 Latitude Minutes 19 4.7 Dun i Bradstreet Nunber(s) (9 digits) c. 2869 Seconds 00 .8 EPA Identification Number(s) (RCRA I.D. No.) (12 characters) 4.9 Facility NPDES Permit Number(s) (9 characters) d. NA Degrees e. Longitude Minutes f. Seconds ! a. | b. i a. j b. j a. i b. 008187080 NA LAD008187080 NA LA0003301 LA0049638 4.10 Underground Injection Well Code (UIC) I.D. Nutber(s) (12 digits) i a. i b. NA SECTION 5. PARENT COMPANY INFORMATION 5.1|Name of Parent Company 1C 3 NA | | THE DOW CHEMICAL COMPANY 5.2|Parent Company's Dun l Bradstreet Nimfcer| |[ } NA | (9 Digits) 001381581 EPA Forts 9250-1 (Rev. 12/4/94) - Previous editions are obsolete. HO A 054450 CONFTDENTTAI EPA United States Environmental rotection .gency EPA FORM R PART II. CHEMICAL-SPECIFIC INFORMATION PAGE 3 OF 9 ----------------------------------------------------------------- |TRI FACILITY 10 NUMBER | ----------------------------------------------------------------- --- | 70765THDUCHIGHW | ------------------------------------------------4 |Chen., Cat., or Gen. Naiae | +----------------------- ----------------------------------- I CHLOROMETHANE I I SECT ION 1. TOXIC CHEMICAL IDENTITY (Important: DO NOT complete this section | if you complete Section 2 below.) ------ -- ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 1.1| CAS Number (Important: Enter only one nunber exactly as it appears on the Section 313 list. 4-------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | 000074-87-3 4-------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------- 1.2| Toxic Chemical or Chemical Category Name (Important: Enter only one name exactly as it appears on the Section 313 list.) 4------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ | CHLOROMETHANE 4------4-------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------- ------- 1.3| Generic Chemical Name (Important: Complete only if Part I, Section 2.1 is checked "yes. 4-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- .... NA 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 mmfcers, letters, spaces, and pirict.) 4------4- 4-------- NA |SECTION 3. ACTIVITIES AND USES OF THE CHEMICAL AT THE FACILITY (Important: Check all that apply.) Manufacture the toxic chemical: 3.1 a. DO Produce b. [ ] Inport If produce or import: c. DO For on-site use/processing d. DO For sale/distribution e. C ) As a byproduct f. DO As an inpurity Process 3.2 the toxic chemical a. DO As a reactant b. t ) As a formulation component c. ( ] As an article coaponent d. [ ] Repackaging Otherwise use 3.3 the toxic chemical: a. C ] As a chemical processing aid b. M As a manufacturing aid Section 4. MAXIMUM AMOUNT OF THE TOXIC CHEMICAL ON-SITE AT ANY TIME DURING THE CALENDAR YEAR 4.1| 06 (Enter two-digit coda from instruction package.) EPA Form 9250-1 (Rev. 12/4/94) - Previous editions are obsolete. c. DO Ancillary or other use i DO A 054454 CONFIDFNTTAL