Form Approved O M .B . No . 2070-0012 . A proval Expires ]0-31-96 . 

### U.S . ENVIRONMENTAL PROTECTION AGENCY AGENCY USE ONL Y A • Date of receip i 

# PREMANUFACTURE 

# % ;#EPA NOTICE ,s ❑ ~;~"c?Y ;4,, C7 3 

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..r,~ ~~ ,.,~u . . . .~ . . 2,~ r a er in the Premanufacture Notice ~ GENER . INSTRUCTIONS TS • You must provide all information requested in this form to the extent that it is known to or reasonably ascertainable by you . Make reasonable estimates ifyou do not have actual data . • Before you complete this form, you should read the "Instructions Manual for Premanufacture Notification" (the Instructions Manual is available from the Toxic Substances Control Act (TSCA) Information Service by calling 202-554-1404, or faxing 202-554-5603 ) • If a user fee has been remitted for this notice (40 CFR 700 .45), indicate in the boxes above the TS-user fee identification number you have generated . Remember, your user fee ID number must also appear on your corresponding fee remittance, which is sent to EPA, HQ Accounting Operations Branch (PM-226), P .O 360399M, Pittsburgh, PA 15251-6399, Attn . TSCA User fe e Part I- GENERAL INFORMATION TEST DATA AND OTHER DAT A You must provide the currently correct Chemical Abstracts (CA) Name of the new You are required to submit all test data in your possession or control and to provide a chemical substance, even if you claim the identity as confidential . You may authorize description of all other data known to or reasonably ascertainable by you, if these data are another person to submit chemical identity information for you, but your submission wil l not be complete and the review will not begin until EPA receives this information . A related to the health and environmental effects on the manufacture, processing distribution letter in support of your submission should reference your TS user fee identification in commerce, use, or disposal of the new chemical substance . Standard literature citations number . You must submit an original and two copies ofthis notice including all test data . may be submitted for data in the open scientific literature
. Complete test data (written in Ifyou claimed any information as confidential, a single sanitized copy must also be Enelishl, not summaries of data, must be submitted if they do not appear in the open submitted literature . You should clearly identify whether test data is on the substance or on a n analog . Also, the chemical composition of the tested material should be characterized
. Following are examples of test data and other data . Data should be submitted according to Part 11- HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE the requirements of §720 50 of the Premanufacture Notification Rule (40 CFR Part 720)

. If there are several manufacture, processing, or use operations to be described in Part II , sections A and B of this notice, reproduce the sections as needed . Part III - LIST OF ATTACHMENTS Test Data (Check Below any included in this notice ) Attach additional sheets if there is not enough space to answer a question fully . Label • Environmental fate data ❑ Yes Other data ❑ Yes each continuation sheet with the corresponding section heading . In Part lII, list these attachments, any test data or other data and any optional information included in the Health effects data ❑ Yes Risk assessments notice . Environmental effects data ❑ Yes Structure/activity relationships PhysicaVChemtcal Properties* ❑ Yes Test data not in the possession OPTIONAL INFORMATION or control of the submitter You may include any information that you want EPA to consider in evaluating the new * A physical and chemical properties worksheet is located on the last page of this form

. substance . On page I 1 of this form, space has been provided for you to describe d pollution prevention and recycling information you may have regarding the new TYPE OF NOTICE (Check Only One) substance. So-called "binding" boxes are included throughout this form for you to indicate your ❑ PMN (Premanufacture Notice) willingness to be bound to certain statements you make in this section, such as use , production volume, protective equipment . . . This option is intended to reduce delays INTERMEDIATE PMN (submitted in sequence wittAnal product PMN) that routinely accompany the development of consent orders or Significant New Us e Rules . Except in the case of exemption applications (such as T ME A, L VE, LOREX ) where certain information provided in such notification is binding on the submitter when ❑ SNUN (Significant New Use Notice) the Agency approves the exemption application, checking a binding box in this notic e does not by itself prohibit the submitter from later deviating from the information (except ❑ TMEA (Test Marketing Exemption Application) chemical identity) reported in the form_ ❑ LVE (Low Volume Exemption) Ca 40 CFR 723 .50(c~~1) - "y ~3 CONFIDENTIALITY CLAIMS w a ~ ~ You may claim any information in this notice as confidential To assert a claim on the ❑ LOREX (Low Release,Lo~k Exposure Exemption) .4tt0 CFR 723 50(c)(2) form, mark (X) the confidential box next to the information that you claim as @ l confidential To assert a claim in an attachment, circle or bracket the information you ❑ LVE Modification ❑ LOREX Modification claim as confidential If vou claim information in the notices as confidential, you mus t also provide a sanitized version of the notice. (including attachments . For additional ❑ instructions on claiming information as confidential, read the Instructions Manual IS THIS A CONSOLIDA"fED PMN° Yes ® # of chemtcal s

Mark (x) if any mfonnanon in this notice is claimed as confidential (Prenotiee Communtcahon : required, enter # oti page 3 ) EPA FORM 7710-25 (Rev . 5 -9 5 ) Page I Replaces previous editions ofEPA Form 7710-2 5 

## ~7i ~~~Public reporting burden for this collection of information is estimated to average 1 10 hours per response, including time for rev i P- 2 ewing instructions.. searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information . Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Chief, Information Policy Branch, PM-223, U .S . Environmental Protection Agency, 401 M . St., S .W ., Washington, D .C. 20460 ; and to the Office of Management and Budget, Paperwork Reduction Act (2070-0012), Washington, D .C . 20503 . 

### CERTIFICATION I certify that to the best of my knowledge and belief : 1 . The company named in Part I, section A, subsection 1 a of this notice form intends to manufacture or import for a commercial purpose, other than in small quantities solely for research and development, the substance identified in Part I, Section B . 2 . All information provided in this notice is complete and truthful as of the date of submission . 3 . I am submitting with this notice all test data in my possession or control and a description of all other data known to or reasonably ascertainable by me as required by §720 .50 of the Premanufacture Notification Rule . Additional Certification Statements : If you are submitting a PMN, Intermediate PMN, Consolidated PMN, or SNUN, check the following user fee certification statement that applies : ❑ The Company named in Part I, Section A has remitted the fee of $2500 specified in 40 CFR 700 .45(b), or ❑ The Company named in Part I, Section A has remitted the fee of $1000 for an Intermediate PMN (defined @ 40 CFR 700 .43) in accordance with 40 CFR 700 .45(b), or ❑ The Company named in Part I Section A is a small business concern under 40 CFR 700 .43 and has remitted a fee of $100 in accordance with 40 CFR 700 .45(b) . If you are submitting a low volume exemption (LVE) application in accordance with 40 CFR 723 .50(c)(1) or a Low release and low exposure exemption (LoRex) application in accordance with 40 CFR 723 .50(c)(2), check the following certification statements : ❑ The manufacturer submitting this notice intends to manufacture or import the new chemical substance for commercial purposes, other than in small quantities solely for research and development, under the terms of 40 CFR 723 .50 . ❑ The manufacturer is familiar with the terms of this section and will comply with those terms ; and ❑ The new chemical substance for which the notice is submitted meets all applicable exemption conditions

. ❑ If this application is for an LVE in accordance with 40 CFR 723 .50(c)(1), the manufacturer intends to commence manufacture of the exempted substance for commercial purposes within 1 year of the date of the expiration of the 30 day review period. i The accuracy of the statements you make in this notice should reflect your best prediction of the anticipated facts regarding the chemical substanc e described herein . Any knowing and willful misinterpretation is subject to criminal penalty pursuant to 18 USC 1001 . Signature and title of Authorized Official (Original Signature Required) Confidential Date 

### X Signature of agent - (if applicable) Date X EPA FORM 7710-25 (Rev . 5-95) Page 2

### 3 Part I -- GENERAL INFORMATION Sectio n A -- SUBMITTER IDENTIFICATION Confi- Mark (X) the "Confidential" box next to any subsection you claim as confidential 7 dential ] a Person Name of authorized official Position Submittin g Notice (in U S .) X

Compan y Mailing address (number and street) City, State, ZIP Cod e b . Agent (if Name of authorized official Position applicable) X

Company Mailing address ( number and street ) City, State, ZIP Code Telephone Area Code Numbe r c . If you are submitting this notice as part of a joint submission, mark (X) this box . ❑ Joint Submitter (if Name of authorized official Positio n applicable) X

Compan y Mailing address (number and street ) City, State, ZIP Code Telephone Area Code Number 2 . Technical Name of authorized official Positio n Contact (in U .S ) X

Company Mailing address ( number and street) City, State, ZIP Code Telephone Area Code Number 3 . If you have had a prenotice communication ( PC) concerning this notice and EPA assigned a PC Number to the notice, enter the number . Mark (X) --- ~ if none ❑ X 4 . If you previously submitted an exemption application for the chemica l substance covered by this notice, enter the exemption number assigned by Mark (X) ---{ i EPA . If you previously submitted a PMN for this substance enter the ❑ X PMN number assigned by EPA (i .e. withdrawn or incomplete) . --- ► ifnone 5 . If you have submitted a notice of Bona fide intent to manufacture or import for the chemical substance covered by this notice, enter the notice numbe r assigned by EPA 

### 0 Mark (X) --- {r ❑ X ifnone 6 . Type of Notice - Mark (X) I' ❑ Manufacture 2 . 

# El Import 3_ ❑ Both Only Onl v ❑ Binding Option ❑ Binding Option Mark (X) Mark (X) EPA FORM 7710-25 (Rev . 5-95) Page 3

### p . 4 Part I -- GENERAL INFORMATION -- Continue d Section B -- CHEMICAL IDENTITY INFORMATION : You must provide a currently correct Chemical Abstracts (CA) name of the substance based on the ninth Collective Index (9C1) of CA nomenclature rules and convennons
. Mark (X) the "Confidential" box next to any item you claim as confidential Complete either item I (Class I or 2 substances) or 2(Polymers) as appropriate Complete all other items . If another person will submit chemical identity information for you (for either Item I or 2), mark (X) the box at the right . Identify the name, company, and address of that person in a continuation sheet
. ❑ dential I . Class 1 or 2 chemical substances (for definitions of class I and class 2 substances, see the Instructions Manual ) a. Class of substance - Mark (X) I ❑ Class I or 2 ❑ Class 2 X b . Chemical name (Currently correct Chemical Abstracts (CA) Name that is consistent with TSCA Inventory listings for similar substances

. For Class I substances a CA Index Name must be provided . For Class 2 substances either a CA Index Name or CA Preferred Name must X be provided, which ever is appropriate based on CA 9C1 nomenclature rules and conventions)
.

c . Please identify which method you used to develop or obtain the specified chemical identity information reported in this notice : (check one). ❑ Method 1(CAS Inventory Expert Service - a copy of the Identification ❑ Method 2 (Other Source ) report obtained from the CAS Inventory Expert Services must be submitted as an att achment to this notice) d . Molecular formula and CAS Registry Number (if a number already exists for the substance) X CAS# X e . For a class I substance, provide a complete and correct chemical structure diagram . For a class 2 substance -(1) List the immediate precursor substances with their respective CAS Registry Numbers . (2) Describe the nature of the reaction or process . (3) Indicate the range of composition and the typical composition (where appropriate) . (4) Provide a correct representative or partial chemical structure X diaeram . as comnlete as can he known . if one can he reasonably ascertaine d

❑ Mark (X) this box if you attach a continuation sheet . EPA FORM 7710-2 5 (Rev . 5-95) Page -l

### p. 5 Part I -- GENERAL INFORMATION -- Continue d Section B -- CHEMICAL IDENTITY INFORMATION -- Continue d 2 . Polymers (For a definition of polymer, see the Instructions Manual .) Confidential a . Indicate the numbcr-average weight of the lowest molecular weight composition of the polymer you intend to manufacture

. Indicate maximum weight percent of low molecular weight species (not including residual monomers, reactants, or solvents) below 500 an d below 1,000 absolute molecular weight of that composition . X Describe the methods of measurement or the basis for your estimates : GPC ❑ Other ❑ : (Specify)

i) lowest number average molecular weight: ii) maximum weight % below 500 molecular weight : iii) maximum weight % below 1000 molecular weight : ❑ Mark (X) this box if you attach a continuation sheet. b . You must make separate confidentiality claims for monomer or other reactant identity, composition information, and residual information . Mark (X) the "Confidential" box next to any item you claim as confidentia l (1) - Provide the specific chemical name and CAS Registry Number (if a number exists) of each monomer or other reactant used in the manufacture of

the polymer . (2) - Mark (X) this column ifentry in column (1) is confidential . (3) - Indicate the typical weight percent of each monomer or other reactant in the polymer
. (4) - Mark (X) the identity column if you want a monomer or other reactant used at two weight percent or less to be listed as part of the polymer

description on the TSCA Chemical Substance Inventory . (5) - Mark (X) this column if entries in columns (3) and (4) are confidential
. (6) - Indicate the maximum weight percent of each monomer or other reactant that may be present as a residual in the polymer as manufactured for

commercial purposes . (7) - Mark (X) this column if entry in column (6) is confidential .Monomer or other reactant and CAS Registry Number Confi- Typical Identity Confi- Maximum Confidential composition Mark (X) dential residual dential (1) (2) (3) (4) (5) (6) (7 ) 

### X X X X X X X X X X X X X X X X X X 

# X X X ❑ Mark (X) this box if you attach a continuation sheet . c . Please identify which method you used to develop or obtain the specified chemical identity information reported in this notice (check one) . X ❑ Method 1(CAS Inventory Expert Service - a copy of the identification report ❑ Method 2 (other source )

obtained from CAS Inventory Expert Service must be submitted as as attachment to this notice ) d . The currently correct Chemical Abstracts (CA) name for the polymer that is consistent with TSCA Inventory listings for similar polymers

. C . Provide a correct representative or partial chemical structure diagram, as complete as can be known, if one can be reasonably ascertained

.

❑ Mark (X) this box if you attach a continuation shee t EPA FORM 7710-25 (Rev . 5-95) Page 5

### Part I -- GENERAL INFORMATION -- Continued p

Section B--,CHEMICAL IDENTITY INFORMATION -- Continue d 3 . Impurities (a) - Identify each impurity that may be reasonably anticipated to be present in the chemical substance as manufactured for commercial purpose . Provide the

('AS Registry Number if available . If there are unidentified impurities, enter "unidentitied . " (b) - Estimate the Maximum weight % of each impurity . If there are unidentified impurities, estimate their total weight % . Impurity and ('AS Registry Number Maximum Confi- percent dential (a) (b) 

### X X X X X X X ❑ Mark (X) this box if you attach a continuation sheet . 4 . Synonyms - Enter any chemical synonyms for the new chemical identified in subsection I or 2 . Confidential X ❑ Mark (X) this box if you attach a continuation sheet . 5 . Trade identification - List trade names for the new chemical substance identified in subsection I or 2 . X ❑ Mark (X) this box if you attach a continuation sheet . 6. Generic chemical name - If you claim chemical identify as confidential, you must provide a generic name for your substance that reveals the specific chemical identity of the new chemical substance to the maximum extent possible . Refer to the TSCA Chemical Substance Inventory, 1985 Edition, Appendix B for guidance on developing generic names

. Modified amidoamin e

❑ Mark (X) this box if you attach a continuation sheet . 7 . Byproducts - Describe any byproducts resulting from the manufacture, processing, use, or disposal of the new chemical substance . Provide the CAS Registry

Number if available . Byproduct CAS Registry Number Confi- (1) (2) dentia l 

### X X X X ❑ Mark (X) this box if you attach a continuation sheet

. EPA FORM 7710-25 (Rev . 5-95) Page 6

### Part I -- GENERAL INFORMATION - - Continued

Section C-- .PRODUCTION, IMPORT, AND USE INFORMATION : Mark (X) the "Confidential" box next to any item you claim as confidential . EE 1 . Production volume -- Estimate the maximum production volume during the first 12 months of production . Also estimate the maximum production volume for any consecutive 12-month period during the first three years ofproduction . Estimates should be on 100% new chemical substance basis For a Low Volume Exemption application, if you choose to have your notice reviewed at a lower production volume than 10,000 kg/yr, specify the volume and mark (x) in the binding box . If granted, you are bound to this volume

Maximum first 12-month production (kg/yr) Maximum 12-month production (kg/yr) Confi- Binding (100% new chemical substance basis) (100% new chemical substance basis) dential Option Mark (x) X 2 . Use Information -- You must make separate confidentiality claims for the description of the category of use, the percent of production volume devoted to each category, the formulation of the new substance, and other use information . Mark (X) the "Confidential" Box next to any item you claim as confidential
. a . (1) -- Describe each intended category of use of the new chemical substance by function and application
. . (2) -- Mark (X) this column if entry column (1) is confidential business information (CBI)
. (3) -- Indicate your willingness to have the information provided in column (1) binding
. (4) -- Estimate the percent of total production for the first three years devoted to each category of use
. (5) -- Mark (X) this column if entry in column (4) is confidential business information (CBI) . (6) -- Estimate the percent of the new substance as formulated in mixtures, suspensions, emulsions, solutions, or gels as manufactured for commercial purposes at sites under your control associated with each category of use
. (7) -- Mark (X) this column if entry in column (6) is confidential business information (CBI) . (8) -- Indicate % of product volume expected for the listed "use" sectors . Mark more than one box if appropriate . Mark (X) to indicate your willingness to have the use type provided in (8) binding . (9) -- Mark (X) this column if entry(ies) in column (8) is (are) confidential business information (CBI)
. Category of use (I) Binding Produc- % in % of substance expected per us e CBI Option tion % CBI Form- CBI (8) CBI (by function and application i .e . a dispersive dye Mark (x) ulation Site- Con-* Indus- Com- Bindin g

for finishing polyester fibers) (2) (3) (4) (5) (6) (7) limited sumer trial mercial Option (9 ) 

### X X X X X X X X X X X X X X X X X X X X X X X X X X X X * If you have identified a "consumer" use, please provide on a continuation sheet a detailed description of the use(s) of this chemical substance in consumer products

. In addition include estimates of the concentration of the new chemical substance as expected in consumer products and describe the chemical reactions by which this substance loses its identity in the consumer product . ❑ Mark (X) this box if you attach a continuation sheet . b . Generic use If you claim any category of use description in subsection 2a as confidential, enter a generic description of that category . Read the Instructions Manual for examples of generic use descriptions . description 

### Intermediate of various cleaners .

❑ Mark (X) this box if you attach a continuation sheet . 3 . Hazard Information -- Include in the notice a copy of reasonable facsimile of any hazard warning statement, label, material safety data sheet, or other Binding information which will be provided to any person who is reasonably likely to be exposed to this substance regarding protective equipment or practices Option for the safe handing, transport, use, or disposal of the new substance . List in part III hazard information you include . Mark (x) ❑ Mark (X) this box if you attach hazard information . FPA FORM 7710-25 (Rev . 5-95) Page 7

## Part II-- HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE 8

Section A --, INDUSTRIAL SITES CONTROLLED BY THE SUBMITTER Mark (X) the 'Confidential" box next to any item you claim as confidentia l Complete section A for each type of manufacture , processing. or use operation involving the new chemical substance at industrial sites you control . Import ers do not have to complete this section for operations outside the U .S , however, }ou may still have repo rting requirements if there are further industrial processing or use operations after import . You must describe these operations . See instructions manua lI Operation description Contia . Identity -- Enter the identity of the site at which the operation will occur dential

Name X Site address ( number and street) City, County, State, ZIP cod e If the same operation will occur at more than one site, enter the number of sites . Identify th e additional sites on a continuation sheet, and if any of the sites have significantly different X production rates or operations, include all the information requested in this section for thos e sites as attachments . 11 Mark ( X) this box if you attach a continuation sheet . b . Type -- Mark (X) D Manufacturing E] Processing O Use X c . Amount and Duration -- Complete I or 2 as appropriate Maximum kg/batch (100% new Hours/batch Batches/yea r chemical substance) X l . Batch Maximum kg/day (ioo^i new chemical Hours/day Days/year subsl ance) ~ 2 . Continuou s d . Process description Mark ( X) to indicate your willingness to have your process description binding . X (1) Diagram the major unit operation steps and chemical conversions . Include interim storage and tr an sport containers (specify- e .g . 5 gallon pails, 55 gallon drum, rail car, tank truck, etc .) . (2) Provide the identity , the approximate weight ( by kg/day or kg/batch on a 100% new chemical subst an ce basis), and entry point of all starting materials and feedstocks ( including reactan ts, solvents, catalysts, etc .), and of all products, recycle streams, an d wastes . Include cleaning chemicals ( note frequency if not used daily or per batch .) . (3) Identify by number the points of release, including small or intermi ttent releases, to the environment of the new chemical substance .

❑ M ar

k (X) this box if you att ach a continuation sheet EPA FORM 7710-25 ( Rev . 5-95) Page 8

### 9

Part II-- HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE -- Continued Section A--.INDUSTRIAL SITES CONTROLLED BY THE SUBMITTER -- Continued 2 . Occupational Exposure-You must make separate confidentiality claims for the description of worker activity, physical form of the new chemical substance, number of works exposed, and duration of activity . Mark (X) the "C'ontidential" box next to any item you claim as confidential . (1) -- Describe the activities (i .e . bag dumping, tote filling, unloading drums, sampling, cleaning, etc .) in which workers may be exposed to the substance . (2) -- Mark (X) this column if entry in column (I ) is confidential business information (CBI) . (3) --Describe any protective equipment and engincering controls used to protect ~Norkers
. (4) and (6)-- Indicate your willingness to have the information provided in column (3) or (5) binding . (5) -- Indicate the physical fonn(s) of the new chemical substance (e .g ., solid . crystal, granule, powder, or dust) and % new chemical substance (if part of a mixtut'e) at the time of exposure . (7) -- Mark (X) this column if entry in column (5) is confidential business information (CBI) . (8) -- Estimate the maximum number of workers involved in each activity for all sites combined . (9) --Mark (X) this column if entry in column (8) is confidential business information (CBI ) (10) and (I 1) -- Estimate the maximum duration of the activity for any worker in hours per day and days per year
. ( 1 2) -- Mark (X) this column if entries in columns (10) and (I 1) are confidential business information (CBI)
. Physica l Worker activity CBI Protective Equipment/ Binding forms (s) Binding C'B1 # of CBI Maximum Duration CBI (i .e., bag dumping, filling drums) Engineering Controls Option and % new Option Workers Hrs/day Days/y r Mark (x) substance Mark (x) Expose d (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (II) (12 )



### X X X X X X X X X X X X X X X X X X X X ❑ Mark (X) this box if you attach a continuation sheet. 3. Environmental Release and Disposal -- You must make separate confidentiality claims for the release number and the amount of the new chemical substance released and other release and disposal information . Mark (X) the "Confidential" box next to each item you claim as confidential . (1) --Enter the number of each release point identified in the process description, part II, section A, subsection Id(3)
. (2) --Estimate the amount of the new substance released (a) directly to the environment or (b) into control technology (in kg/day or kg/batch)

. (3) --Mark (X) this column if entries in columns (1) and (2) are confidential business information (CBI) . (4) -- Identify the media (stack air, fugitive air (optional-see Instruction Manual), surface water, on-site or off-site land or incineration, PO"I'W, or other (specify)) to which the new substance will be released from that release point . (5) -- a . Describe control technology, if any, and control efficiency that will be used to limit the release of the new substance to the environment . For releases disposed of on land, characterize the disposal method and state whether it is approved for disposal of RCRA hazardous waste . On a continuation sheet, for each site describe any additional disposal methods that will be used and whether the waste is subject to secondary or tertiary on-site treatment . b . Estimate the amount released to the environment after control technology (in kg/day) . (6) -- Mark (X) this column if entries in columns (4) and (5) are confidential business information (CBI)
. (7) -Identify the destination(s) of releases to water . Please supply NPDES (National Pollutant Discharge Elimination System) numbers for direct discharges or NPDES numbers of the POTW (Publicly Owned Treatment Works) . Mark (X) if the POTW name or NPDES # is confidential business information (CBI)
. Release Amount of new substance Media of releas e Number released CBI e .g . stack air Control technology and efficiency (you may wish to optionally attach efficiency data) CBI (1) (2a) 

# T (2b) (3) (4) (5a) Binding (5b) (6) Mark (X ) 

### X X X X X X X X X X (7) Mark (X) the ❑ POTW provide name(s) below : CBI ❑ Navigable ❑ Other provide NPDES # CBI destination (s) of releases X waterway Specif y to water X ❑ Mark (X) this box f you attach a continuation sheet . EPA FORM 7710-25 (Rev . 5-95) Page 9

### Part II-- HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE -- Continued

Section B -- ,INDUSTRIAL SITES CONTROLLED BY OTHER S Complete section B for typical processing or use operations involving the new chemical substance at sites you do not control . Importers do not have to complete this section for operations outside the U .S . ; however, you niust report any processing or use activities after import . See the Instructions Manual . Complete a separate section B for each type of processing, or use operation involving the new chemicnl substance . If the same operation is performed at more than one site describe the typical operation common to these sites . Identify additional sites on a continuation sheet . 1 . Operation Description -- To claim information in this section as confidential, circle or bracket the specific information that you claim as confidential

. (1) -- Diagram the major unit operation steps and chemical cornersions, including interim storage and transport containers (specify - e .g . 5 gallon pails, 55 gallon drums, rail cars, tank trucks, etc) . On the diagram, identify by letter and briefly describe each worker activity . (2) -- Provide the identity, the approximate weight (by kg/day or kg/batch, on an 100°/ new chemical substance basis), and entry point of all feedstocks (including reactants, solvents and catalysts, etc) and all products, recycle streams, and wastes . Include cleaning chemicals (note frequency if not used daily or per batch). (3) -- Identify by number the points of release, including small or intermittent releases, to the environment of the new chemical substance . (4) Please enter the # of sites (remember to identify the locations of these sites on a continuation sheet) : # of sites



## Confidential Business Information Has Been Removed
.

❑ Mark (X) this box if you attach a continuation sheet. 2 . Worker Exposure/Environmental Releas e (1) -- From the diagram above, provide the letter for each worker activity . Complete 2-8 for each worker activity described . (2) -- Estimate the number of workers exposed for all sites combined . (4) -- Estimate the typical duration of exposure per worker in (a) hours per day and (b) days per year
. (6) --Describe physical form of exposure and % new chemical substance (if in mixture), and any protective equipment and engineering controls, if any, used to protect workers . (7) -- Estimate the percent of the new substance as formulated when packaged or used as a final product
. (9) -- From the process diagram above, enter the number of each release point . Complete 9-13 for each release point identified . (10) -- Estimate the amount of the new substance released (a) directly to the environment or (b) into control technology to the environment (in kg/day or kg/batch)

. (12) -- Describe media of release i .e . stack air, fugitive air (optional-see Instructions Manual), surface water, on-site or off-site land or incineration, POTW, or other (specify) and control technology, if any, that will be used to limit the release of the new substance to the environment

. (14) -- Identify byproducts which may result from the operation . (3),(5),(8),( I 1),(13) and (15) -- Mark (X) this column if any of the proceeding entries are confidential business information (CBI) . Protective Equip . / Letter # of Duration En o bineering Controls/ Amount of %in New Media of Release of Workers of Physical Form and % Fomi- Release Substance & Contro l Activity Exposed CBI Exposure CBI new substance ulation CBI Number Released CBI Technology CBI (t) (2 ) (3) (4a) (4b) (5) (6) (7) (8) (9) (toa) (tOb) (I1) ( 1 2) (13 )



### X X X X X X X X X X X X X X X X X X X J X (14) -- Byproducts : (15 ) X ❑ Mark (X) this box if you attach a continuation sheet , EPA FORM 7710-25 (Rev 5-95) Page 10

### P . 11



# OPTIONAL POLLUTION PREVENTION INFORMATIO N To claim information in this section as confidential circle or bracket the speci fic information that you claim as confidential . 

## In this section you may provide information not reported elsewhere in this form regarding your efforts to reduce or minimize potential risks associated with activities surrounding manufacturing, processing, use and disposal of the PMN substance . Please include new information pertinent to pollution prevention, including source reduction, recycling activities and safer processes or products available due to the new chemical substance

. Source reduction includes the reduction in the amount or toxicity of chemical wastes by technological modification, process and procedure modification, product reformulation, raw materials substitution, and/or inventory control . Recycling refers to the reclamation of useful chemical components from wastes that would otherwise be treated or released as air emissions or water discharges, or land disposal . Descriptions of pollution prevention, source reduction and recycling should emphasize potential risk reduction subsequent to compliance with existing regulatory requirements and can be either quantitative or qualitative . The EPA is interested in the information to assess overall net reductions in toxicity or environmental releases and exposures, not the shifting of risks to other environmental media or non-environmental areas (e .g ., occupational or consumer exposure) . In addition, information on the relative cost or performance characteristics of the PMN substance to potential alternatives may be provided . All information provided in this section will be taken into consideration during the review of this substance. See Instructions Manual and Pollution Prevention Guidance manual for guidance and examples. Describe the expected net benefits, such as (1) an overall reduction in risk to human health or the environment ; (2) a reduction in the volume manufactured ; (3) a reduction in the generation of waste materials through recycling, source reduction or other means ; (4) a reduction in potential toxicity or human exposure and/or environmental release ; (5) an increase in product performance, a decrease in the cost of production and/or improved operation efficiency of the new chemical substance in comparison to existing chemica l substances used in similar application ; or (6) the extent to which the new chemical substance may be a substitute for an existing substance that poses a greater overall risk to human health or the environment .

❑ Mark (X) this box if you attach a continuation sheet . EPA FORM 7710-25 (Rev . 5-95) Page I I

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# Part III -- LIST OF ATTACHMENT S Attach continuation sheets for sections of the form and test data and other data (including physical/chemical properties and structure/activity information), and optional information after this page . Clearly identify the attachment and the section of the form to which it relates, if appropriate . Number consecutively the pages of the attachments . In the column below, enter the inclusive page numbers of each attachment . Mark (X) the "Confi dential" box next to any attachment name you claim as confidential . Read the Instructions Manual for guidance on how to claim any information in an attachment as confidential . You must include with the sanitized copy of the notice form a sanitized version of any attachment in which you claim information as confidential .Attachment name Attachment Confipage number(s) dential



### X X X X X X X X X X X X X X X X X X 

### X X X X X X ❑ Mark ( X) this box if you attach a continuation sheet . Enter the attachment name and number . EPA FORM 7710-25 (Rev . 5-95) Page 12

### p . 13 PHYSICAL AND CHEMICAL PROPERTIES WORKSHEE T To assist EPA's review of physical and chemical properties data, please complete the following worksheet for data you provide and include i t in the notice . Identify the property rneasured, the page of the notice on which the property appears, the value of the property, the units in which the property is measured (as necessary), and whether or not the property is claimed as confidential . The physical state of the neat substance should be provided . T hese measured properties should be for the neat (100% pure) chemical substance . Properties that are measured for mixtures or formulations should be so noted (% , PMN substance in _) . You are not required to submit this worksheet ; however, EPA strongly recommends that you do so, as it will simplify review and ensure that confidential information is properly protected . You should submrt this worksheet as a supplement to your submission of test data . This worksheet is not a substitute for submission of test data Property Mark Page Value Measured Confi- (X) if number or dential provided Estimate Mark (X) (a) (b) (c) (M or E) (d ) 

# X Physical state of neat substance ( s) (1) (g) X Vapor pressure 

### @ Temperature 0C Tort X Density/relative density g/c m3 Solubili ty X @ Temperature ° C

Solvent g/ X Solubili ty in water @ Temperature °C g/ X Melting temperature ° X Boiling / sublimation temperature@ torr pressure °C X Spectra X Dissociation constant x Particle size distribution x Octanol / water partition coefficient x Henry's Law constant x Volitalization from water x Volitalization from soil x pH concentration x Flammability Explodability X X Adsorption / coef

ficient x Other - Specify x X
EPA FORM 7710-25 ( Rev . 5-95) Page 13 Replaces previous editions of EPA Fomi 7710-25 .

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r ~ 

# Material Safety Data Sheet Date Prepared : 8/20/03 ` Supersedes Date : 6/03/0 3 

# 1 . PRODUCT AND COMPANY DESCRIPTION

Emergency Phone Numbers : FOR EMERGENCIES INVOLVING A SPILL, LEAK, FIRE, EXPOSURE OR ACCIDENT CONTACT : CHEMTREC (8~-424-~300 within the United States or 703-527-3887 for international collect calls) o ,

1 For Product Information : Chemical Name or Svnonvm : 

# 2 . GOMPOSITIONIINFORMATION ON INGREDIENT S Component CAS Reg OSHA Percentage Number Hazard 

# 3 . HAZARDS IDENTIFICATION A. EMERGENCY OVERVIEW : Physical Appearance and Odor : 

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Warning Statements : WARNING!! EYE IRRITANT . B . POTENTIAL HEALTH EFFECTS : Acute Eye : Irritant . Can cause redness, irritation, tissue destruction, on prolonged contact . Acute Skin : Low acute dermal toxicity . Slightly irritating . May cause redness, irritation . Acute Inhalation : Inhalation not likely . Mists may cause respiratory tract irritation . Acute Ingestion : Harmful if ingested . Can cause nausea, diarrhea, abdominal cramps . Chronic Effects : 

### This product does not contain any ingredient designated by IARC, NTP, ACGIH or OSHA as probable or suspected human carcinogens . 

# 4 . FIRST AID MEASU R ES FIRST AID MEASURES FOR ACCIDENTAL : Eye Exposure : Hold eyelids open and flush with a steady, gentle stream of water for at least 15 minutes . Seek medical attention . Skin Exposure : In case of contact, immediately wash with plenty of soap and water for at least 5 minutes . Seek medical attention . Remove contaminated clothing and shoes . Clean contaminated clothing and shoes before re-use . Inhalation : Inhalation is not an expected route of exposure . If respiratory irritation or distress occurs remove victim to fresh air . Seek medical attention if respiratory irritation or distress continues . Ingestion : If victim is conscious and a!ert, give 1-2 glasses of water to drink . Do not give anything by mouth to an unconscious person . Seek medical attention . Do not leave victim unattended . MEDICAL CONDITIONS POSSIBLY AGGRAVATED BY EXPOSURE : Skin contact may aggravate existing skin disease . NOTES TO PHYSICIAN : All treatments should be based on observed signs and symptoms of distress in the patient
. Consideration should be given to the possibility that overexposure to materials other than this product may have occurred . 

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Treat symptomatically . No specific antidote available . 

# 5 . FIRE FI G HTING MEASURES FIRE HAZARD DATA : Flash Point : Method Used : Closed cu p Flammability Limits (vol/vol%) : Lower : Upper: No Data No Data Extinguishing Media : Recommended (small fires) : dry chemical, carbon dioxide, Recommended (large fire) : alcohol foam, universal foam, water spray, Not recommended : water jet (frothing possible) . 

### Special Fire Fighting Procedures : Firefighters should wear NIOSH/MSHA approved self-contained breathing apparatus and full protective clothing . 

### Unusual Fire and Explosion Hazards : Product will burn under fire conditions . Hazardous Decomposition Materials ( Under Fire Conditions) : oxides of nitroge n oxides of carbo n 

# 6 . A

# CCIDENTAL RE

# LEASE MEASURES Evacuation Procedures and Safety : Wear appropriate protective gear for the situation . See Personal Protection information in Section 8 . 

### Containment of Spill : Follow procedure described below under Cleanup and Disposal of Spill
. Cleanup and Disposal of Spill : Absorb with an inert absorbent . Sweep up and place in an appropriate closed container (see Section 7 : Handling and Storage) . Clean up residual material by washing area with water . Collect washings for disposal . Environmental and Regulatory Repo rt ing : Do not flush to drain . Spills may be reportable to the National Response Center (800-424-8802 ) 

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and to state and/or local agencies . 

# 7 . HANDLING AND STORAGE Minimum/Maximum Storage Temperatures : 4 to 49 C(39 to 120 F ) Handling : Avoid breathing vapors and mists . Avoid direct or prolonged contact with skin and eyes . Storage : Store in tightly closed containers . Store in an area that is dry, well-ventilated, away from ignition sources, away from incompatible materials (see Section 10 . Stability and Reactivity) . 

# 8 . E

# X POSURE CONTROLS/PERSONAL PROTECTION Introductory Remarks : These recommendations provide general guidance for handling this product . Because specific work environments and material handling practices vary, safety procedures should be developed for each intended application . While developing safe handling procedures, do not overlook the need to clean equipment and piping systems for maintenance and repairs . Waste resulting from these procedures should be handled in accordance with Section 13 : Disposal Considerations . Assistance with selection, use and maintenance of worker protection equipment is generally available from equipment manufacturers . Exposure Guidelines : Exposure limits represent regulated or recommended worker breathing zone concentrations measured by validated sampling and analytical methods, meeting the regulatory requirements
. The following limits apply to this material, where, if indicated, S=skin and C=ceiling limit : GLYCERIN 

### Notes TWA STEL

ACGIH 10 mg/cu m OSHA 5 mg/cu m OSHA 10 mg/cu m Engineering Controls : Where engineering controls are indicated by use conditions or a potential for excessive exposure exists, the following traditional exposure control techniques may be used to effectively minimize employee exposures : general area dilution/exhaust ventilation . Respiratory Protection : When respirators are required, select NIOSH/MSHA approved equipment based on actual or potential airborne concentrations and in accordance with the appropriate regulatory standards and/or industrial recommendations . 

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For reasonably foreseeable industrial end uses of this material, respiratory protection should not be necessary . Eye/Face Protection : Eye and face protection requirements will vary dependent upon work environment conditions and material handling practices . Appropriate ANSI Z87 approved equipment should be selected for the particular use intended for this material . Eye contact should be prevented through use of chemical safety glasses with side shields or splash proof goggles . An emergency eye wash must be readily accessible to the work area
. Skin Protection : Skin contact should be minimized through use of gloves and suitable long-sleeved clothing (i .e ., shirts and pants) . Consideration must be given both to durability as well as permeation resistance . Work Practice Controls : Personal hygiene is an important work practice exposure control measure and the following general measures should be taken when working with or handling this material : (1) Do not store, use, and/or consume foods, beverages, tobacco products, or cosmetics in areas where this material is stored . (2) Wash hands and face carefully before eating, drinking, using tobacco, applying cosmetics, or using the toilet . (3) Wash exposed skin promptly to remove accidental splashes or contact with this material . 

# 9 . PHYSICAL AND CHEMICAL PROPERTIE S Physical and Chemical properties here represent typical properties of this product . Contact the business area using the Product Information phone number in Section 1 for its exact specifications . 

### Physical Appearance : Odor : pH : Specific Gravity : _ Water Solubility: Melting Point Range : 

# ~8

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Freezing Point Range : Boiling Point Range : Vapor Pressure : Vapor Density : 

# 10 . STABILITY AND REACTIVITY Chemical Stability : This material is stable under normal handling and storage conditions described in Section 7

. Conditions To Be Avoided : heat open flame spar k Materials/Chemicals To Be Avoided : strong acids 

### strong oxidizing agent s The Following Hazardous Decomposition Products Might Be Expected : Decomposition Type : therma l oxides of nitrogen oxides of carbo n 

### Hazardous Polymerization Will Not Occur. Avoid The Following To Inhibit Hazardous Polymerization : not applicabl e 

# 11 . TOXICOLOGICAL INFORMATION Acute Eye Irritation : The following data are for the specified ingredients . Toxicological Information and Interpretation : eye - eye irritation, rabbit . Moderately irritating . 

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Acute Skin Irritation : The following data is for the specified ingredient . Toxicological Information and Interpretation : skin - skin irritation, rabbit . Slightly irritating . Acute Dermal Toxicity : No test data found for product . Acute Respiratory Irritation : No test data found for product . Acute Inhalation Toxicity : No test data found for product . Acute Oral Toxicity : The following data is for the specified ingredients . Toxicological Information and Interpretation : LD50 - lethal dose 50% of test species, 1870 mg/kg, rat . Chronic Toxicity: This product does not contain any substances that are considered by OSHA, NTP, IARC or ACGIH to be "probable" or "suspected" human carcinogens . 

### No additional test data found for product . 

# 12 . ECOLOGICAL INFORMATION Ecotoxicological Information : No data found for product . Chemical Fate Information : No data found for product . 

# 13. 

# DISPOSAL CONSIDERATIONS Waste Disposal Method : Chemical additions, processing or otherwise altering this material may make the waste management information presented in this MSDS incomplete, inaccurate or otherwise inappropriate . Please be advised that state and local requirements for waste disposal may b e more restrictive or otherwise different from federal laws and regulations . Consult state and local regulations regarding the proper disposal of this material
. Container Handling and Disposal : Any containers or equipment used should be decontaminated immediately after use

. 

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EPA Hazardous Waste - N O 

# 14 . TRANSPORTATION INFORMATIO N Transpo rtation Status : IMPORTANT! Statements below provide additional data on listed DOT classification . The listed Transportation Classification does not address regulatory variations due to changes in package size, mode of shipment or other regulatory descriptors
. US Department of Transportation Shipping Name : NOT REGULATE D 

# 15 . REGULATORY INFORMATION Invento ry Statu s Invento ry Status UNITED STATES (TSCA) Y CANADA (DSL) Y EUROPE (EINECS/ELINCS) Y AUSTRALIA (AICS) Y JAPAN (MITI) N SOUTH KOREA (KECL) N Y = All ingredients are on the inventory . E = All ingredients are on the inventory or exempt from listing
. 

### P= One or more ingredients fa!l under the polymer exemption or are on the no longer polymer list . All other ingredients are on the inventory or exempt from listing
. N = Not determined or one or more ingredients are not on the inventory and are not exempt from listing . FEDERAL REGULATIONS Invento ry Issues : All functional components of this product are listed on the TSCA Inventory

. SARA Title III Hazard Classes : Fire Hazard - NO Reactive Hazard - NO Release of Pressure - NO Acute Health Hazard - YES Chronic Health Hazard - NO

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STATE REGULATIONS : This product does not contain any components that are regulated under California Proposition 65

. 

# 16 . OTHER INFORMAT

# I O N National Fire Protection Association Hazard Ratings--NFPA(R) : 2 Health Hazard Rating--Moderat e 1 Flammability Rating--Slight 0 Instability Rating--Minima l National Paint & Coating Hazardous Materials Identification System--HMIS(R) : 2 Health Hazard Rating--Moderat e 1 Flammability Rating--Slight 0 Reactivity Rating--Minimal Reason for Revisions : Regulatory Review and Update . Key Legend Information : ACGIH - American Conference of Governmental Industrial Hygienists OSHA - Occupational Safety and Health Administratio n TLV - Threshold Limit Valu e PEL - Permissable Exposure Limit TWA - Time Weighted Average STEL - Short Term Exposure Limit NTP - National Toxicology Progra m IARC - International Agency for Research on Cancer ND - Not determine d 

## Disclaimer: The information herein is given in good faith but no warranty, expressed or implied, is made

. ** End of MSDS Document **

### p . 23 CONFIDENTIAL BUSINESS INFORMATION Page 23 has been removed .

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