## Cover Letter

H.B. Fuller Company World Headquarters 1200 Willow Lake Boulevard Box 64683 St. Paul, MN 55164-0683 January 29, 2015 U.S. EPA Office of Pollution Control and Toxics Document Control Office 1200 Pennsylvania Avenue NW Washington, DC 20460 RE: PMN Submission TS-15SR01 Dear Sir or Madam, Enclosed please find documents for PMN submission TS-15SR01. Sincerely, Ann Lovgren Regulatory Scientist II H.B. Fuller Company ann.lovgren@hbfuller.com #651-236-5307 #651-236-5125 FAX

Page 1 SANITIZED SUBMISSION

### 74745268007 15SR150129821323856 15SR01

X X

X X Page 2 SANITIZED SUBMISSION

### X



## X
Page 3 SANITIZED SUBMISSIONAnn Lovgren Regulatory Chemist H.B.Fuller Company P.O. Box 64683 St. Paul MN 55164-0683 ann.lovgren@hbfuller.com

Stephen Rippe Scientist III H.B.Fuller Company P.O. Box 64683 St. Paul MN 55164-0683 stepahn.rippe@hbfuller.com 651-236-5414



## X X X X
Page 4 SANITIZED SUBMISSION

## X

Page 5 SANITIZED SUBMISSIONPage 6 SANITIZED SUBMISSION

## X

XXX XXX XXX



### XXX XXX X XXX 

### X XXX 

### X XXX XXX X XXX 

### X .0001 

### XXX XXX X XXX 

### X .0001 

### XXX XXX X XXX 

### X .0001

Page 7 SANITIZED SUBMISSIONSee Attachment 001 (15SR01 Structure Sanitized.pdf)

15SR01 Structure Sanitized.pdf Page 8 SANITIZED SUBMISSIONP4SB0C1 Part I, Section B, 0. If another person will submit chemical ID info for you box

First Name: Cara Last Name: Crumbliss Position: Regulatory Coordinator Company: Stepan Chemical Company Street Address: 22 West Frontage Road City: Northfield State: IL Zip Code: 60093 Province: Country: United States of America Phone: 847-501-2224 Email: ccrumbliss@stepan.com

Page 9 SANITIZED SUBMISSIONSB 9254-30 and SB7250

METHYLENE DIISOCYANATE POLYMER WITH DIOLS AND TRIOLS

Page 10 SANITIZED SUBMISSION

### 16504 33000



## X

Industrial Adhesive XXX 

### X 100 66.59 0 0 100 0

Page 11 SANITIZED SUBMISSION

## X
6136 12 3 

## 2 X H.B.Fuller Company 2727 Kinney Ave. N.W. Grand Rapids Kent MI 49544-1198

Page 12 SANITIZED SUBMISSIONSee Attachment 003 (15SR01 Manufacturing Diagram Sanitized.pdf)

15SR01 Manufacturing Diagram Sanitized.pdf Page 13 SANITIZED SUBMISSIONH.B.Fuller Company Pilot Facility 3450 Labore Road St. Paul Ramsey MN 55110

Page 14 SANITIZED SUBMISSIONA. Quality Control

Sampling Glasses and or goggles, vinyl or nitrile gloves, protective clothing, vapor mask and ventilation. Product containing 66.59% new polymer 1 .25 3 B. Filling containers Glasses and or goggles, vinyl or nitrile gloves, protective clothing, vapor mask and ventilation. Product containing 66.59% new polymer 1 2 3 B. Filter change during filling process Glasses and or goggles, vinyl or nitrile gloves, protective clothing, vapor mask and ventilation. Product containing 66.59% new polymer 1 1 3 B. Clean reactor Glasses and or goggles, vinyl or nitrile gloves, protective clothing, vapor mask and ventilation. Product containing 66.59% new polymer 1 4 3

Page 15 SANITIZED SUBMISSION#1 Q.C.

Sample .10 kg Other: Landfilled Q.C. Sample is moisture cured to an insoluble solid then landfilled 0 kg #2 Filter Remain s 0.5 kg Other: Landfilled Product on filter bag is moisture cured to an in soluble solid then landfilled 0 kg #2 Cleanup 10 kg Other: Landfilled Solvent used in cleaning the reactor is stored and re-used upon the next batch 0 kg

Page 16 SANITIZED SUBMISSION

### XXX 

## X

See Attachment 004 (15SR01 Customer Use Diagram Sanitized.pdf)

15SR01 Customer Use Diagram Sanitized.pdf Adhesive deck (indicated by A) is filled with product. The adhesive is picked up by the gravure cylinder and applied to the substrate. The film is then smoothed, heated, and pressed to a secondary web. That completed film is heated, pressed and rolled (indicated by B). "A" on the diagram shows the location of a worker for the front end of the press. "B" shows a worker location for the finish end of the press. 1 and 2 on the diagram indicate release locations; 1 is residual material in containers and 2 is the residual material from the adhesive deck.

Page 17 SANITIZED SUBMISSIONP10SB1(a)(4)1 Part II, Section B, 1(a)(4). Operation Site Locations

XXX

Page 18 SANITIZED SUBMISSIONA 1 6 260 Safety glasses, gloves and protective clothing, along with ventilation 62.81 66.59

1 1 kg Product not removed from the container is air dried/moisture cured to a water insoluble solid then landfilled B 1 4 260 Safety glasses, gloves and protective clothing, along with ventilation 62.81 66.59

2 5 kg Material not ultilized in the adhesive deck is removed, exposed to air, moisture cured to a water insoluble solid, then landfilled

Page 19 SANITIZED SUBMISSIONFood packaging reduction relieves our need for glass, steel and paper as well as transportation and manufacturing costs. This new polymer is

very high solids, very low solvent, low usage volume product that will reduce food containment costs. It also has improved bond strength and is food safe within three days.

Page 20 SANITIZED SUBMISSION001 15SR01 Structure Sanitized 15SR01 Structure Sanitized.pdf Pt.I, Sec.B, 2e. 1 002 14SR01 MSDS 15SR01 MSDS.pdf 5 003 15SR01 Manufacturing Diagram Sanitized 15SR01 Manufacturing Diagram Sanitized.pdf Pt.2, Sec.A, 1d. 1 004 15SR01 Customer Use Diagram Sanitized 15SR01 Customer Use Diagram Sanitized.pdf Pt.2, Sec.B, 1a. 1 005 15SR01 GPC Sanitized 15SR01 GPC Sanitized.pdf Worksheet: Spectra 5

Page 21 SANITIZED SUBMISSION

## X Measured 1.07 Measured
Negligble Estimate 

## X 005 Measured

Page 22 SANITIZED SUBMISSION

## ATTACHMENT HEADER SHEET Attachment Number 001 Attachment Name 15SR01 Structure Sanitized 

## Associated PMN Section Number

Pt.I, Sec.B, 2e. Does not contain CBI 

## Report Number 15SR150129821323856

## ATTACHMENT HEADER SHEET Attachment Number 002 Attachment Name 14SR01 MSDS 

## Associated PMN Section Number

N/A Does not contain CBI 

## Report Number 15SR150129821323856

## ATTACHMENT HEADER SHEET Attachment Number 003 Attachment Name 15SR01 Manufacturing Diagram Sanitized 

## Associated PMN Section Number

Pt.2, Sec.A, 1d. Does not contain CBI 

## Report Number 15SR150129821323856

## ATTACHMENT HEADER SHEET Attachment Number 004 Attachment Name 15SR01 Customer Use Diagram Sanitized 

## Associated PMN Section Number

Pt.2, Sec.B, 1a. Does not contain CBI 

## Report Number 15SR150129821323856

## ATTACHMENT HEADER SHEET Attachment Number 005 Attachment Name 15SR01 GPC Sanitized 

## Associated PMN Section Number

Worksheet: Spectra Does not contain CBI 

## Report Number 15SR150129821323856