Document zXZLv08EbN7b97Yr8moG18Km
-orm AoDroveo OMB No.; 2370-0093
.'ntcohanr 7"?e or print: read instructions Before completing form.
Aoorovai Expires:. 11/91
^aoe 1 of 5
EPAA U.S. Environmental Protection Agency
TOXIC CHEMICAL RELEASE INVENTORY REPORTING FORM
Section 313 of the Emergency Planning and Community filght-to-Know Act of 1986.
also Known as Title HI of the Suoerfund Amenomems and Reauthorization Act ____
EPA FORM
R
PART I.
FACILITY IDENTIFICATION INFORMATION
(This soaee for your ootionai use.
Puone aoornnq ouroan 'cr -u
collection ot information ta aatimataa to
varv from 30 to 34 nours oar roioonia.
witn n average ot 32 hour* Dar
resoonsa. including time tor reviewing
instructioni. searching amtting ana
sourcaa. gatnaring ana maintaining the
data naaoaO. ana comoleting ana
reviewing the collection ot information.
Sena comment* regaraing tm* ouroan
eanmate or any otner aaoact ot this
collection at information, inciuoing
suggestions tor reducing tm* ouraan. to
Cruet, ntormaticn Policy Brancn
(PM-2231. US EPA. 401 M St., SW,
Waamngton. O.C. 20460 Attn: TSI
Burcen ana to me Office ot Information
ana Regulatory Attaira. Office cl
Management ana Budget Paoorworx
Raouctton
Protect
(2070-0083).
1.1 Are you claiming the enemies! identity on page 3 trade secret?
1.
[ ] Vea (Answer Question 1.2;
[x ] No (Do not answer 1.2;
attacn suestamiation forms.)
Go to Question i .3.)
1.2 ti "Y#a" in 1.1. is tms cooy:
[ ] Sanitized [ ] Unaaninw,
j 1.3 Raoertmg Year 1 R 89
2. CERTIFICATION (Read and sign after completing all section*.)
I nereov cartity that l have reviewed the attached documents and that, to tna dost ot my knowledge end Belief, the auomitted information is true and comoiota ana tnat tna amotatta and valuaa m this reoort are accurate oaaad on reaacmade aatimataa using aata avanaoie to tna oraoarare ot tms reoort.
Name ana otfieiai title ot ownar/ocorator or senior management official
T. G. Brown, Works Manager^ .PPG Industries. TjtVa Charles. LA
Signature
Data signed
\JTiyL0isnt^
(oh too
3. FACILITY IDENTIFICATION
Facility or Eataonenment Name
WHERE TO SEND COMPLETED FORMS:
Street Aooreaa
3.1 Columbia Southern Road
City
Westlake
County
Calcasieu
1. EPCRA REPORTING CENTER P.O. BOX 23779 WASHINGTON, DC 20026-3779 ATTN: TOXIC CHEMICAL RELEASE INVENTORY
State
Louisiana
TRI Facility Uontlfleatlan Number
70669 PPGND C0LUM
ZlO Code
70669
2. APPROPRIATE STATE OFFICE (Sm instructions in Appendix G)
.[x]3.2 Thia reoort contama information tor (Cttaea oniy ona):
An antire facility
3. [ ] Part of a facility.
' T ecnmcai Contact
3.3 Andy P. Plauche1
3.4
j Public Contact
'William J.
Peard
SIC Code <4 digit)
3.5 ---2312_________ - 2816__________ e. 2869
LatltuM
3.6
Degrees
Minutes
Seconds
JSL
Dun 6l Braaatraat Numoarla)
3.7 4- 00-808-6506
-LX
cPA toemiticaiion Numoarla) (RCPA I.O. No.)
3.a > LAD 00 808 6506_____________
-21.
NPDES Permit Numoaria)
3.9 4. LA 0000761
Receiving Streama or Watar Boolea isntar ona nine oar doxi
4. Calcasieu River
d. NA
Degree*
93
Talaonona Numoar nnciuoa araa
(318) 491-4fi1H
Talecmone Numoar lincluoe araa cooa)
(318) 491-4848
e. Longitude
Minutes
16
f.
Second*
59
XA_
XX.
----- Bavou D'lnrlP
3.10!,c. Bavou Verdine
I e.
unoargrouna iniaetian Wan Cocte (UlC) loantitioation Numoaria)
3.11 a. NA
4. PARENT COMPANY INFORMATION
Name ot Parent Compeny
4.1 PPG Industries, Inc.
= D .
-- cisn.i n-Qfli Bavnan - no not utx nrnviou* vnrainntt
02236
Parent Company a Oun A Braaatraat Numoar
4.2 00-134-4803
.moortant: i-;ve or ortnt: read instructions oetore completing jorm.i
rt p-r*)A ** tlHA
EPA F0RM ^
PART II. OFF-SITE LOCATIONS TO WHICH TOXIC CHEMICALS ARE TRANSFERRED IN WASTES
1. PUBLICLY OWNED TREATMENT WORKS (POTWs)
1.1 POTW nam NA
Street Aaorea*
1.2 POTW nams
Street Aoore**
City
County
City
State
Zip Stato
Paae 2 of 5 (This sdscs tor your optional usa.i
County Zip
2. OTHER OFF-SITE LOCATIONS (DO NOT REPORT LOCATIONS TO WHICH WASTES ARE SENT ONLY FOR RECYCUNQ OR REUSE).
2.1 Off-sita location namo
NA
EPA identification Numoar (RCRA ID. No.)
2.2 Olf-slto location namo
EPA identification Numoar (RCRA ID. no. I
Straat Aoaraaa City
County
Straat Aoaraaa City
County
State
Zip Stata
Zip
I* location unoar control of raporting facility or parant company?
______
[ ]ym
[ 1 No
Is location unoar control ol reporting facility or parent company?
__________
t U [ ] No
2.3 Otf-alto location namo
2.4 Off-sito location namo
EPA nentitication Numoar (RCRA ID. No.)
EPA Identification Numoar (RCRA ID. No.)
Straai Aaorass
Straat Aooress
City
County
City
County
Stata
Zip Stata
Zip
Is location unoar control of raporting facility or parent company?
2.5 Off-sit location namo
[ ] Ya. [ ]
i* location unoar control of raporting facility or parent oompany?
2.6 Otf-sito location namo
[ ] Yea
[ ] no
EPA Identification Numoar |RCRA ID. No.)
EPA identification Numoar (RCRA ID. No.)
Straat Accra**
Straai Aoaraaa
City
County
City
County
State
ll ____________
Zip
w is location unoar control ot reporting facility or parent comoarty?
[ ] Yes
[ ] no
Stat*
Zip
i* location unoar control ot reporting facility or parent comoniy?
t ] Yea
[ ] No
( ] Cheat it aocitionai pagaa of Pan ii are attacnao. how many?
important: type or print: read instructions before completing form.)
CDA ** CrA
REPA F0RM
PART III. CHEMICAL-SPECIFIC INFORMATION
Pago 3 of 5 (This space for your optional use.i
1. CHEMICAL ID ENTITY (Do not comolete this section if you comoiete Section 2.) 1.1 | [Reserved]
CAS NumDer (Enter oniy one numoer exactly at it aopeare on tne 313 list. Enter NA if reporting a cnemicat category.) 1.2
123-91-1 Chemical or Chemical Category Name (Enter only one name exactly at it appeart on tne 313 list. 1 1.3 1.4-Dioxane Generic Chemical Name (Complete only It Part 1, Section i. i is cheesed "Yet. " Generic name mutt be structurally oetcriptive.)
1 .4
MIXTURE COMPONENT IDENTITY (Do not complete this section If you complete Section i.) 2. Generic Chemical Name Provioeo oy 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 ell that apply.)
Manufacture the chemical: 3.1
rt a. L J Produce
if produce or import: f 1 For on-site
c.L J use/processing
f
b. [ ] Import
e.[ ] As a byproduct
f. [
1 For sale/ J distnoutlon ] As an impurity
Process the 3.2 chemical:
r] a* L J As a reactant
d. [ ] Repackaging only
K fv 1 As a formulation b.|X J component
T I As an article C-1 J component
3.3
Otherwise use the chemical*
f 1 As a chemical a l- 1 processing aid
f1 b-l J As a manufacturing aid
T1 c.l J Ancillary or other use
I 4. MAXIMUM AMOUNT OF THE CHEMICAL ON-SITE AT ANY TIME DURING THE CALENt
(enter
tf-
1 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 not use both 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
90
5.2 Stack or point air emissions
5.2a (](][]
400
5.3 DIs harges to receiving
|a 1
streams or water bodies *3*' '--1
(Enter latter code tor stream
ftrno#mboPxarptrol vSioeoctdio.)n 3.10 in
ly. 1 5,3.2 I u 1
5.3.3 0
5.3.la [][][] 5.3.2a [][][] 5.3.3a [][][]
0 0 0
5.4 Underground Injection on-site 5.5 Releases to land on-site
5.5.1 Lanotill
5.5.2 Land treatment/application farming
5.4a [][][}
M M M5.5.1a 5.5.2a [][][]
NA NA NA
5.5.3 Surface impoundment
5.5.3a [][][]
NA
5.5.4 Other disposal
5.5.4a [][][]
0
B. Basie of Estimate
1 C. % From
Stormwater
(enter code) 1 5.1b 0 5,2b 0
5.3.1b 0 5.3.1cNA /. 5.3.2b E 5.3.2cNA % 5.3.3b 0 5.3.3cNA *
5.4b 0 5.5.1b 0 5.5.2b 0
5.5.3b 0 5.5.4b 0
[ ] (Checx if additional information is provided on Part iv-Supotemantai information, i
^ q^99A
cda Form 9350-1 (1-901 Revised - Do not use orevl us versions.
Important: Type or print: read instructions before completing form.)
&EPA
EPA FORM H
PART III. CHEMICAL-SPECIFIC INFORMATION (continued)
Pjfl'o 4 of 5 (This space for yoiu$r/oopptional use. i
6. TRANSFERS OF THE CHEMICAL IN WASTE TO OFF-SITE LOCATIONS
You mav report transfers of less tnan 1.000 pounds by checxing ranges under A.l. (Do not use ooth A.l and A.2)
A. Total Transfers (oounds/yeari
A.l
Reporting Ranges
0 ' -*90 500-008
A.2
Enter Estimate
Ducnarge to POTW (enter location nuirnar
1
.||
6.1.1 from Part U. Section 1.) I ) I
I [][][]
Other otf-stte location
.
. - . (enter location numoer ,
6.2.1 from Pan U. Section 2.)
|
[ J J JJJ
Other ott-site location __.
- . - (enter location numoer
6.2.2 from Part II. Section 2.) 1 I I___
t
1[
1[
1
NA NA
Other otf-aite location (enter location numoer
--------1- 1
.
(][][]6.2.3 from Part ii. Section 2.1 1 * I I____
B. Basis of Estimate
tenter code) 6.1.1b
a. .aa
n6.2.3b
[ ] (Check if additional Information Is provided on Part IV-Supplementai Information,)
C.Type of Treatment/ Disposal
(enter eodel
6.2.1c lML 1 1
6.2.2c 1 m[" | |
1 |m6.2.3c
|j
7. WASTE TREATMENT METHODS AND EFFICIENCY
r 1 Not Applicable (NA) - Check if no on-site treatment is applied to any wastestream containing the chemical or chemical
LJ
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
7.1a
7.1b
7.1c 0
7.Id
7.1e
% 7.1f [ ][X]
7.2a
7.2b
M7.2c
7.2d [ ]
7.2e 99.99% 7.2f [ ] [X]
7.3a
7.3b
7.3e ja
7.3d
7.3____ 99.5 % 7.3f
[ ] [X]
7.4a n 7,4b
7.4d
7.4e
7 4f [ ] [ ]
n7.5a
7.5b
7.6a
7.6b
7.7a
7.7b
n7.5c
7.6c _
a7.7c
7.5d 7.6d 7.7d
7.5e 7 5f [ ] l ] 7,6e *1 7 [ 1 [ 1 7.7e % T7L III!
7.8a 7.9a 7.10a
n
n
7.8b 7.9b 7.10b
7.8c
7.9c a
7.10c
7.8d 7.9d 7.10d
7.8e 7.9e 7.10e
[ ] (Check if additional information Is provided on Pan IV-Supptemema! Information.
% 7.at % 7.9f
[ 1[ ] [ 1t 1
7 '0' l ] ( 1
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
B. Quantity of the Chemical in Wastes Prior to Treatment or Disposal
C. index
D. Reason for Action (enter code)
(enter code)
Current
Prior
l Or percent change
reponing
year
i (Check (+) or (-))
year
(pounds/year| | Q +
(pounds/year)
M
NA
! -
%
EPA Form 9350-1 11-901 Revised - Do not use previous versions.
SL 022363
3
important: Type or orint: read instructions before completing form.)
Page 5 of 5
#EPA
EPA FORM R PART IV. SUPPLEMENTAL INFORMATION
Jse this section if you need additional space for answers to Questions in Part III. Numoer tne lines used sequentially from lines in prior sections (e.g.. 5.3.4. 6.1.2. 7.11)
(This space for 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
A. Total Release (pounds/year)
B. Basis of Estimate
1.000 pounds by checking ranges under A.1.
A.1
A.2 (enter code
(Do not use both A.1 and A.2)
Reporting Ranges 0 ' -409 500-909
Enter Estimate
in box provided)
C.% From Stormwater
5.3 Discharges to
--.
receiving streams or
[][][]waterbodies
5.3------- 1--1 5.3------a
5.3------- bQ 5.3___ e
%
`EwnntePr alentteI rSceocotisonto3r.1s0treinam
[][][]*ne dox provioed.)
c------>------11--
1 1 5.3____a
5.3.__c %
5.3------a [][][]
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 ,QQ0 pounds by checking ranges unaer A.1. (Do not use botn A. 1 and A.2)
A.Total Transfers (pounds/year)
A.i Reporting Ranges 0 1-499 500-999
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 1 , I 1 |
[][][]6.1-____ from Part II. Section 1.) | 1 |. |___ |
Other otf-site location
, .
[][][]ea
o *
------
(enter location numoer from Pan it. Section 2.)
1lo4 l1l.||1
6.2.____ b Q .2._,rMM i
Oth#f otl-ttt* location r^i r--*-
[][][]6.2. ------ *rom PaloncIaI.tioSnecntuiomnc2o.f) 1 1 -_2)|T_| __ 11
6.2. c|m| | |
c o O(ethneterrolottc-aaittieonloncuamtiooenr . --o --
[][][]------ from Part ll. Section 2.) 1 * 1 1 1
6.2.____ b O 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 (enter code)
0. Sequential Treatment? (check if applicable)
E. Treatment Efficiency Estimate
F. Based on Operating Data? Yes
No
1 1 | 17. a
7. --------b
`'[ ]7._____ c
7._--
7._____ e
f[%
7
--
H
1
7. a
7.
1 <'[ 17._____ c
7._--
7._____ e
% 7..
H1
cn7. a
7. _>
-[ 17._____ c
1--
7.
e
][ ]% 7. _<[
7. a
7. _____ b
"t 17._____ c
7._--
7,_____ e
% 7. f f ][ ]
7 a
7. _____ b
-[ ]7. c
7.
7._____ e
% 7..
][ 1
7. a
7. _____ b
_-[ ]7. c
7._
7. e
% 7. ' f H 1
7. a
7. _____ b
--d[ ]7. c
7._
7._____ e
H 1% 7._--'l
7 a
7. _____ b
7._____ c
7._
] 7.
e
% 7.
][ ]
7 a
7. _____ b
-[ 17. c
7.
7. e
% 7,
H1
EPA Form 9350-1 (1-90) Revised - Do not use previous versions.
SL 022364
