SANITIZED VERSION 

U.S . ENVIRONMENTAL PROTECTION AGENCY 

:zFPA PREMANUFACTURE 

NOTICE 

I'n the Premanufacture Notice 

I ; 

'ES 

GENERAL INSTRUCTIONS --- Ts-1 .C 117 _II P 

. 

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 if you 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 fee 

Part I -GENERAL INFORMATION 

You must provide the currently correct Chemical Abstracts (CA) Name of the new 

chemical substance, even if you claim the identity as confidential You may authorize 

another person to submit chemical identity information for you, but your submission will 

not be complete and the review will not begin until EPA receives this information A 

letter in support of your submission should reference your TS user fee identification 

number. You must submit an original and two copies of this notice including all test data, 

If you claimed any information as confidential, a single sanitized copy must also be 

submitted . 

Part II-HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE 

If there are several manufacture, processing, or use operations to be described in Part 11, 

sections A and B of this notice, reproduce the sections as needed. 

Part III-LIST OF ATTACHMENTS 

Attach additional sheets if there is not enough space to answer a question fully . Label 

each continuation sheet with the corresponding section heading In Part 111, list these 

attachments, any test data or other data and any optional information included in the 

notice . 

You are required to submit all test data m your possession or control and to provide 

a description of all other data known to or reasonably ascertainable by you, if these 

data are related to the health and environmental effects on the manufacture, 

processing, distribution in commerce, use, or disposal of the new chemical 

substance. Standard literature citations may be submitted for data in the open 

scientific literature . Complete test data (written m English), not summaries of data 

must be submitted if they do not appear in the open literature . You should clearly 

identify whether test data is on the substance or on an analog . Also, the chemical 

composition ofthe tested material should be characterized . Following are 

examples of test data and other data Data should be submitted according to the 

requirements of §720 .50 of the Premanufacture Notification Rule (40 CFR Part 

720). 

Test Data (Check Below any included in this notice) 

Environmental fate data El Yes " Other data El Yes 

" Health effects data 0 Yes Risk assessments 

p. 1 

Form Approved . O.M.B . No. 207 0-0012 . Approval 

Date of receipt 

" Environmental effects data 0 Yes Structure/activity relationships 

OPTIONAL INFORMATION 

You may include any information that you want EPA to consider in evaluating the new 

substance . On page 1 I of this form, space has been provided for you to described 

pollution prevention and recycling information you may have regarding the new 

substance . 

So-called "binding" boxes are included throughout this form for you to indicate your 

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 

that routinely accompany the development of consent orders or Significant New Use 

Rules . Except in the case of exemption applications (such as TMEA, LVE, LOREX) 

where certain information provided in such notification is binding on the submnter when 

the Agency approves the exemption application, checking a binding box in this notice 

does not by itself prohibit the submitter from later deviating from the information (except 

chemical identity) reported in the form . 

CONFIDENTIALITY CLAIMS 

You may claim any information m this notice as confidential . To assert a claim on the 

form, mark (X) the confidential box next to the information that you claim as 

confidential . To assert a claim m an attachment, circle or bracket the information you 

claim as confidential . Ifvou claim information in the notices as confidential, you must 

also provide a sanitized version of the notice . (including attachments l. For additional 

instructions on claiming information as confidential, read the Instructions Manual 

® Mark (x) if any information in this notice is claimed as confidential 

TEST DATA AND OTHER DATA 

Physical/Chemical Properties* ® Yes Test data not in the possession 

or control of the submitter 

* A physical and chemical properties worksheet is located on the last page of this form. 

TYPE OF NOTICE (Check Only One) 

® 

Company Sanitized 

PMN (Premanufacture Notice) 

INTERMEDIATE PMN (submitted m sequence with final product PMN) 

SNUN (Significant New Use Notice) 

TMEA (Test Marketing Exemption Application) 

LVE (Low Volume Exemption) C ii, CFR 723 .50(e)(1) 

LOREX (Low Release/Low Exposure Exemption) (cDt 40 CFR 723 .50(c)(2) 

LVE Modification 

IS THIS A CONSOLIDATED PMN9 ® 

LOR-EX Modification 

Yes 

a of chemicals 2 

(Prenotice Communication # required, enter # on page 3) 

AGENCY USE ONLY 

Expires 10-31-96 . 

EPA FORM 7710-25 (Rev . 5-95) Replaces previous editions of EPA Form 7710-25. ~1~c.O3 
p. 2 

Public reporting burden for this collection of information is estimated to average 110 hours per response, including time for reviewing 

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 1, 

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 : 

F~ The Company named in Part I, Section A has remitted the fee of $2500 specified in 40 CFR 700.45(b), or 

F-1 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 : 

0 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. 

0 The manufacturer is familiar with the terms of this section and will comply with those terms; and 

0 The new chemical substance for which the notice is submitted meets all applicable exemption conditions . 

0 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. 

The accuracy of the statements you make in this notice should reflect your best prediction of the anticipated facts regarding the chemical substance 

described herein. An knowing and willful misinterpretation is subject to criminal p enalty p ursuant to 18 USC 1001 . Confidential 

Signature and title of Authorized Official (Original Signature Required) Date 

Mr. Viktor Vejins, President, Nano-C, Inc . 

Signature of agent -(if applicable) Date 

Mr, John V. Massin ale, Principal, Greenwich Chemical Consulting 

EPA FORM 7710-25 (Rev . 5-95) Page 2 
Part I -- GENERAL INFORMATION 

Section A -- SUBMITTER IDENTI FICATION 

la . Person Name of authorized official Position 

Submitting 

Notice (in U.S .) Mr. Viktor Ve~ins President 

Company 

Nano-C, Inc . 

Mailing address (number and street) 

33 Southwest Park 

City, State, ZIP Code 

Westwood, MA 02090 

b. Agent (if Name of authorized official Position applicable) 

Mr. John V. Massin ale Principal 

Company 

Greenwich Chemical Consultin Inc. 

Mailing address (number and street) - 

777 South Fla ler Drive Suite 800 West Tower 

City, State, ZIP Code Telephone Area Code Number 

West Palm Beach, FL 33401 561 515-6030 

c. If you are submitting this notice as part of a joint submission, mark (X) this box . 

Joint Submitter (if Name of authorized official Position 

applicable) 

Company 

Mailing address (number and street) 

City, State, ZIP Code Telephone Area Code Number 

2. Technical Name of authorized official Position 

Contact (in 

U.S .) Mr. John V. Massin ale Princi pal 

Company 

Greenwich Chemical Consulting, Inc. 

Mailing address (number and street) 

777 South Fla ler Drive, Suite 800, West Tower 

City, State, ZIP Code Telephone Area Code Number 

West Palm Beach, FL 33401 561 515-6030 

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) --i 

if none 

4. If you previously submitted an exemption application for the chemical 

substance covered by this notice, enter the exemption number assigned by 

EPA If ou reviousl submitt d PMN f thi b h 

Mark (X) 

. y p y e a or s su stance enter t e 

PMN if none number assigned by EPA (i .e . withdrawn or incomplete) . 

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 number 

assigned by EPA Mark (X) ---1 

. --i if none 

1 . ~ Manufacture 

6. Type of Notice - Mark (X) 2. ~ Import 

Only Only 3. ® Both 

Binding Option F~ Binding Option 

Mark (X) Mark (X) 

Mark () the "Confidential" box next to an subsection you claim as confidential 

Confidential 

EPA FORM 7710-25 (Rev . 5-95) Page 3 
Part I -- GENERAL INFORMATION -- Continued 

Section B -- CHEMICAL IDENTITY INFORMATION: You must provide a currently correct Chemical Abstracts (CA) name of the substanc,~ b--; ' o!, 

the ninth Collective Index 9CI of CA nomenclature rules and conventions . Mark (X) the "Confidential" box next to any item you claim as confidential 

Complete either item 1 (Class 1 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 1 or 2), mark (X) the box at the right . Con1iIdentify the name, comp any, and address of that person in a continuation sheet. Ej dential I . Class 1 or 2 chemical substances (for definitions of class 1 and class 2 substances, see the Instructions Manual) 

a . Class of substance - Mark (X) 1 ® Class 1 or 2 [:] Class 2 

b . Chemical name (Currently correct Chemical Abstracts (CA) Name that is consistent with TSCA Inventory listings for similar substances . For Class 1 substances a CA Index Name must be provided. For Class 2 substances either a CA Index Name or CA Preferred Name must 

be provided, which ever is appropriate based on CA 9CI nomenclature rules and conventions) . 

3'H-Cyclopropa[8,25][5,6]fullerene-C70-D5h(6)-3'-butanoic acid, 3'-phenyl-, methyl ester 

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 El Method 2 (Other Source) 

report obtained from the CAS Inventory Expert Services must be 

submitted as an attachment to this notice) 

d. Molecular formula and CAS Registry Number (if a number already exists for the substance) 

C82 H14 02 CASa 

609771-63-3 

e . For a class 1 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 

i 

dia¢ram. as comnlete as can be known. if one can be reasonablv ascertained . Isomer #1 (85%) 

o ~! ' ~'y! ' !,Ie 

\ 

- - ; 

i 

] Mark (X) this box if you attach a continuation sheet. 

I 

i I! 

EPA FORM 7710-25 (Rev. 5-95) Page 4 
Part I -- GENERAL INFORMATION -- Continued 

Section B -- CHEMICAL IDENTITY INFORMATION: You must provide a currently correct Chemical Abstracts (CA) name of the substance based on 

the ninth Collective Index 9Cl of CA nomenclature rules and conventions. 

Mark (X) the "Confidential" box next to an y item you claim as confidential 

Complete either item I (Class 1 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 1 or 2), mark (X) the box at the right . ConfiIdenti the name, comp any, and address of that p erson in a continuation sheet . 11 El dential 

1 . Class I or 2 chemical substances (for definitions of class I and class 2 substances, see the Instructions Manual) 

a . Class of substance - Mark (X) 1 ® Class 1 or 2 a Class 2 

b . Chemical name (Currently correct Chemical Abstracts (CA) Name that is consistent with TSCA Inventory listings for similar substances . 

For Class 1 substances a CA Index Name must be provided. For Class 2 substances either a CA Index Name or CA Preferred Name must 

be provided, which ever is appropriate based on CA 9CI nomenclature rules and conventions) . 

3'H-Cyclopropa[7,22][5,6]fullerene-C70-D5h(6)-3'-butanoic acid, 3'-phenyl-, methyl ester 

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 attachment to this notice) 

d . Molecular formula and CAS Registry Number (if a number already exists for the substance) 

C82 H14 02 CASa 

1051371-21-1 

e . For a class 1 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 

diagram, as comnlete as can be known. if one can be reasonablv ascertained . 

Isomer #2 (15%) 

'AC-0 

! 

O 

I 

,-, 

~ Mark (X) this box if you attach a continuation sheet. 

EPA FORM 7710-25 (Rev . 5-95) Page 4 
Part I -- GENERAL INFORMATION -- Continued 

Section B -- CHEMICAL IDENTITY INFORMATION -- Continued 

2 . Polymers (For a definition of polymer, see the Instructions Manual .) Confidentiai 

a . Indicate the number-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 and 

below 1,000 absolute molecular weight of that composition . 

Describe the methods of measurement or the basis for your estimates : GPC 0 Other D: (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 confidential 

(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 if entry 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 I 

(1) (2) (3) (4) (5) (6) (7) 

% % 

% % 

% % I 

% % 

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) . 

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

I 

E] Mark (X) this box if you attach a continutation sheet. 

EPA FORM 7710-25 (Rev . 5-95) Page 5 
Part I -- GENERAL INFORMATION -- Continued 

Section B -- CHEMICAL IDENTITY INFORMATION -- Continued 

3. Impurities 

(a) - Identify each impurity that may be reasonably anticipated to be present in the chemical substance as manufactured for commercial purpose. 

CAS Registry Number if available. If there are unidentified impurities, enter "unidentified." 

(b) - Estimate the maximum weight % of each impurity . If there are unidentified impurities, estimate their total weight %. 

Provide the 

Impurity and CAS Registry Number 

(a) 

Maximum 

percent 

(b) 

Confidential 

% 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 1 or 2. Confidential 

None 

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

5 . Trade identification - List trade names for the new chemical substance identified in subsection 1 or 2. 

nano-c(PCBM-SF) 

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. 

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 

(1) 

CAS Registry Number 

(2) 

Confidential 

X 

X 

X 

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

EPA FORM 7710-25 (Rev . 5-95) Page 6 
p. 8 

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 . 

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 of production . 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 k yr, specify the volume and mark (x) in the binding box. If ranted, 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 (1) CBI Binding Produc- CBI % in CBI % of substance expected per use CBI 

Option tion % Form- (8) 

(by function and application i .e . a dispersive dye Mark (x) ulation Site- Con-* Indus- Com- Binding 

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

(1) Compound that functions to 

° ° 

x x 

electronic devices. - - - °i° - - °i° - - - - - - - 

(2) Compound used to improve the 

mehan'cal properties of lubricants ° n 

x x 

and plastics. - - - °in - - °i° - - - - - - - 

° ° 

° n 

° ° 

* 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 . 

E]Mark (X) this box if you attach a continuation sheet . 

b. Generic If you claim any category of use description in subsection 2a as confidential, enter a generic description of that category . Read the 

use Instructions Manual for examples of generic use descriptions . description 

~ 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 

Mark (x) 

for the safe handing, transport, use, or disposal of the new substance. List in part III hazard information you include. 

® Mark (X) this box if you attach hazard information. 

EPA FORM 7710-25 (Rev . 5-95) Page 7 
Part II-- HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE 

Section A -- INDUSTRIAL SITES CONTROLLED BY THE SUBMITTER Mark (X) the "Confidential" box next to any item you 

claim as confidential 

Complete section A for each type of manufacture, processing, or use operation involving the new chemical substance at industrial sites you 

control . Importers do not have to complete this section for operations outside the U .S . ; however, you may still have reporting requirements if 

there are further industrial processin g or use operations after imp ort . You must describe these operations . See instructions manual 

1 . Operation description Confia. Identi ty -- Enter the identity of the site at which the operation will occur. dential 

Name 

See Attachments #3 and #6. 

Site address (number and street) 

City, County, State, ZIP code 

If the same operation will occur at more than one site, enter the number of sites . Identify the 

additional sites on a continuation sheet, and if any of the sites have significantly different 

production rates or operations, include all the information requested in this section for those 

sites as attachments . 

® Mark (X) this box if you attach a continuation sheet . 

b. Type -- 

Mark (X) ElManufacturing ElProcessing ElUse 

c. Amount and Duration -- Complete 1 or 2 as appropriate 

Maximum kg/batch (100°,L new chemical Hours/batch Batches/year 

substance) 

1 . Batch 

Maximum kg/batch (l00% new chemical Hours/batch Batches/year 

substance) 

2. Continuous 

d. Process description F1 Mark (X) to indicate your willingness to have your process description binding. 

(1) Diagram the major unit operation steps and chemical conversions . Include interim storage and transport 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°/n new chemical substance basis), and entry point of all starting materials and 

feedstocks (including reactants, solvents, catalysts, etc .), and of 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. 

See Attachments #3 and #6. 

® Mark (X) this box if you attach a continuation sheet. 

EPA FORM 7710-25 (Rev . 5-95) Page 8 
p. 10 

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 "Confidential" 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 (1) is confidential business information (CBl) . 

(3) --Describe any protective equipment and engineering controls used to protect workers. 

(4) and (6) -- Indicate your willingness to have the information provided in column (3) or (5) binding. 

(5) --Indicate the physical form(s) of the new chemical substance (e .g ., solid : crystal, granule, powder, or dust) and °/n new chemical substance (if part of a mixture) 

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 (11) -- Estimate the maximum duration of the activity for any worker in hours per day and days per year. 

(12) -- Mark (X) this column if entries in columns (10) and (11) are confidential business information (CBI). 

Worker activity CBI Protective Equipment/ Binding Physical forms(s) Binding CBI # of CBI Maximu 

m 

duration CB1 

(i .e ., bag dumping, filling drums) 

(1) Z) 

Engineering Controls 

(3) 

Option 

Mark (x) 

(4) 

and % new 

substance 

(5) 

option 

Mark (x) 

(6) 7) 

Worker 

S 

Expose 

Hrs/day Days/yr 

d 

(8) 

See Attachments #4 and 

® 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 11, section A. subsection 1 d(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, POTW, 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 RC RA 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 CBI Media of Control technology and efficiency (you may wish to optionally attach efficiency data) 

Number released release 

(1) (2a) (2b) 

(3) 

e s rack air 

(4) (5a) 

Binding 

Mark (x) (5b) (6) 

See Attachments #5 and #8. 

(7) Mark (X) the El POTW provide name(s) below: 

CBI 

El Navigable El Other - Specify provide NPDES # CBI 

destination(s) of waterway 

releases to water. 

® Mark (X) this box if 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 OTHERS 

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 must 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 chemical 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 conversions, 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 

See Attachment #9 . 

® Mark (X) this box if you attach a continuation sheet . 

2. Worker Exposure/Environmental Release 

(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), (11), (13) and (15) -- Mark (X) this column if any of the proceeding entries are confidential business information (CBI) . 

Letter 

of 

Activity 

# of 

Workers 

Exposed 

CBI Duration 

of 

Exposure 

CBl Protective Equip . / 

Engineering Controls/ 

Physical Form and % 

new substance 

% in 

Formulation 

CBI Release 

Number 

Amount of 

New 

Substance 

Released 

CBl Media of Release 

& Control 

Technology 

CBl 

(I) (2) (3) (4a) (4b) (5) (6) (7) (8) (9) (l0a) (106) (Il) (12) (13) 

See Attachment #10. 

(14) --Byproduct 

_ 

s

7 

: (15) 

® Mark (X) this box if you attach a continuation sheet, 

EPA FORM 7710-25 (Rev . 5-95) Page 10 
p. 12 

OPTIONAL POLLUTION PREVENTION INFORMATION 

To claim information in this section as confidential circle or bracket the specific 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 chemical 

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. 

The new chemical substances are expected to offer the following Pollution Prevention benefits: 

(1) The new chemical substances when used as an additive in plastic, rubber, and lubricant 

materials increases the wear and life of the material through the reduction of friction and increase in 

material strength . This results in extended material and product life, as well as reduced energy 

consumption . 

(2) The new chemical substances can be used to produce organic photovoltaic (OPV) materials. 

One important application of fullerene-based OPVs is in the development of next generation solar 

cells, fuel cells, and capacitors that provide greater energy output. Obviously, the increased use of 

these devices results in the reduction of carbon-based fuels for energy. 

0 Mark (X) this box if you attach a continuation sheet. 

EPA FORM 7710-25 (Rev . 5-95) Page 11 
Part III -- LIST OF ATTACHMENTS 

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 "Confidential" 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 

page number(s) 

Confidential 

Material Safety Data Sheet MSDS 

13-16 

Physical and Chemical Properties Worksheet 17 

Attachment #1 - Summary of Information on the New Chemical Substances 18 

Attachment #2 - CA Index Names and CAS Inventory Expert Service Reports 19-25 

Attachment #3 - Manufacturing and Processing Information on the New Chemical Substances 

at Industrial Sites Controlled b the Submitter- Manufacture 

26-27 

Attachment #4 - Worker/Occupational Exposure Information on the New Chemical Substances 

at Industrial Sites Controlled b the Submitter- Manufacture 

28-30 

Attachment #5 - Environmental Release and Disposal Information on the New Chemical 

Substances at Industrial Sites Controlled b the Submitter- Manufacture 

31 -33 

Attachment #6 - Manufacturing and Processing Information on the New Chemical Substances 

at Industrial Sites Controlled b the Submitter- Processin g 

34 

Attachment #7 - Worker/Occupational Exposure Information on the New Chemical Substances 

at Industrial Sites Controlled b the Submitter- Processing 

35 

Attachment #8 - Environmental Release and Disposal Information on the New Chemical 

Substances at Industrial Sites Controlled b the Submitter- Processing 

36 

Attachment #9 - Processing Information on the New Chemical Substances at Industrial Sites 

Controlled b Others - End Use 

37-38 

Attachment #10 - Worker/Occupational Exposure and Environmental Release Information on 

the New Chemical Substances at Industrial Sites Controlled b Others - End Use 

39-41 

Attachment #11 - Particle Size Distribution Data 42-43 

1:1 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. 14 

Nano-C Inc. : C,0 PCBM 

MATERIAL SAFETY DATA SHEET 

C7o PCBM 

Section 1 Product and Manufacturer Information 

Product Name : C7o PCBM Solid Fullerene Chemical Derivative 

Manufacturer: Nano-C, Inc . phone : 1-781-407-9417 ext . 224 

33 Southwest Park fax: 1-781-407-9419 

Westwood, MA 02090, USA e-mail : info~'&nano-c .com 

Date: December 10, 2008 

Section 2 Composition and Information on Ingredients 

Substance names: 

3'H-Cyclopropa[8,25][5,6]fullerene-C70-D5h(6)-3'-butanoic acid, 3'-phenyl-, methyl ester 

3'H-Cyclopropa[7,22][5,6]fullerene-C70-D5h(6)-3'-butanoic acid, 3'-phenyl-, methyl ester 

Product Code: nano-cPCBM-SF 

Components: C7o PCBM (>_ 98 .0%) [C8zH140Z] 

Impurities: < 2 .0% carbonaceous material 

CAS Numbers : 609771-63-3 ; 1051371-21-1 

Section 3 Hazards Identification 

Overview: Irritating to eyes and respiratory system . 

Skin Contact: No known hazards, but slight irritation may occur. 

Ingestion: No known hazards, but may irritate gastrointestinal tract . 

Acute and Chronic Health Effects : High concentrations of dusts may be irritating to eyes, skin, 

membranes and respiratory tract . Toxicological properties have not been fully investigated . 

HMIS Rating : 

Health : 0 

Flammability: 0 

Reactivity: 0 

NFPA Ratin~: 

Health : 0 

Flammability: 0 

Flammability: 0 

0) () 6 0 .11 

mucus 
p. 15 

Nano-C Inc. : C,0 PCBM 

Section 4 First Aid Measures 

Ingestion: If swallowed, wash out mouth with water provided person is conscious . Get medical attention . 

Inhalation: Remove to fresh air. If breathing is difficult, get medical advice . 

Skin Contact : Flush skin with water. Wash skin with soap and copious amounts of water. 

Eye Exposure: Immediately flush eyes with sufficient amounts of water for at least 15 min. 

Section 5 Fire Fighting Measures 

Flash Point: Not applicable. 

Explosion Limits: unknown. 

Extinguishing Media: water, carbon dioxide, dry chemical powder, appropriate foam. 

Protective Equipment: In the case of a fire, wear self contained breathing apparatus and protective 

clothing to prevent contact with skin and eyes . 

Specific Hazards : Emits toxic fumes under fire conditions. 

Section 6 Accidental Release Measures 

General Information : Wear proper PPE as described in Section 8. 

Spill Procedures: Sweep up, place in a bag and hold for waste disposal . Avoid raising dust. Ventilate area 

and was spill site after material pickup is complete. 

Section 7 Handling and Storage 

Handling: Do not breathe dust. Avoid contact with eyes, skin, and clothing . 

Storage: Keep in closed container for storage . 

Section 8 Exposure Controls and Personal Protection 

Personal Protective Equipment: 

Eyes : approved safety glasses or goggles. 

Skin : compatible chemical-resistant gloves and protective clothing. 

Respiratory : Follow OSHA respirator regulations found in 29CFR 1910 .134 or related country specific 

(or EU) standards. 
p. 16 

Nano-C Inc. : C , PCBM 

General Hygiene Measures: Wash thoroughly after handling. 

Engineering Controls : Use adequate ventilation to keep airborne concentrations low . Allow for safety 

shower and eye bath . 

Section 9 Physical and Chemical Properties 

Appearance : black to light brown powder 

Phvsical state : solid 

Molecular weight: 1031 .0 

Melting point: not determined 

Solubility in water: insoluble 

Solubility in organic solvents : toluene, o-dichlorobenzene, o-xylene 

Odor: odorless 

SG/Densitv: N/A 

N/A : Not Available : pH, vapor pressure, vapor density, evaporation rate, viscosity, boiling point, 

freezing/melting point, autoignition temperature, explosion limits, flash point, decomposition 

temperature, solubility. 

Section 10 Stability and Reactivity 

Stabilitv: stable 

Materials to avoid : strong oxidizing agents 

Hazardous polymerization : no 

Hazardous decomposition products : combustion may produce carbon monoxide and carbon dioxide. 

Section 11 Toxicological Information 

Effects: No known toxicological effects . To the best of our knowledge, toxicological properties 

have not been investigated in detail . 

Section 12 Ecological Information 

No data available . 
p. 17 

Nano-C Inc. : C,0 PCBM 

Section 13 Disposal Considerations 

Disposal: Dispose of this material in accordance with local, state, and federal regulations . Section 14 Transport Information 

US Department of Transportation (DOT) : This material is considered to be non-hazardous for transport . 

IATA: Non-hazardous . 

IMDG: Non-hazardous . 

Section 15 Regulatory Information 

US Regulatory Information : 

This substance is not listed on the Toxic Substances Control Act (TSCA) Chemical Substance Inventoa . 

This substance may only be used for experimental purposes under the TSCA R&D Exemption in 

accordance with the regulations at 40 CFR 720.36 . Commercial use is prohibited. 

This product contains no toxic chemicals at or above the de-minimis threshold subject to the reporting 

requirements of Section 313 of Title III of the Superfund Amendments and Reauthorization Act of 1986 

and 40 CFR 372 . 

EU Classification : 

Symbol of Danger: None. 

Indication of Danger: None. 

Risk statements : None . 

Safety statements : None . 

Section 16 Other Information 

Disclaimer : The above information is believed to be accurate and has been prepared based on the best 

information available to us. Nano-C makes no warranty of this product, express or implied, with respect 

to such information, and it assumes no liability resulting from its use. Users should make their own 

investigation to determine the suitability of the information for their particular purpose. In no event shall 

Nano-C, Inc . be held liable for any damage, claims, losses, or damages resulting from handling or contact 

with the above product. 
p. 18 

PHYSICAL AND CHEMICAL PROPERTIES WORKSHEET 

To assist EPA's review of physical and chemical properties data, please complete the following worksheet for data you provide and 

include it in the notice. Identify the property measured, 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. These 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 submit this worksheet as a supplement to your submission of test data. This worksheet 

is not a substitute for submission of test data . 

Property 

(a) 

Mark 

(X) if 

provided 

Page 

number 

(b) 

Value 

(c) 

easured o 

Estimate 

M or E 

Confidenciat 

Mark (X) 

(d) 

Physical state of neat substance X 17 X (s) - (1) - ( g) N/A 

Vapor pressure 

Temperature 25 °C X 17 0 Torr E 

Density/relative density X 17 1 .7- 1 .9 cm3 E 

Solubility 

@ Temperature 25 °C 

Solvent Toluene (and other aromatic solvents) X 17 Soluble E 

Solubili ty in water Temperature 25 °C X 17 Insoluble E 

Melting temperature 

Sublimation point X 17 > 900 °C E 

Spectra 

Dissociation constant 

Particle size distribution X 42 See Attachment #11 . M 

Octanol / water partition coefficient 

Henry's Law constant 

Volitalization from water 

Volitalization from soil 

H concentration 

Flammability 

Ex lodabili 

Adsorption / coefficient 

Other - Specify 

1»0k~017 

ATTACHMENT 

PAGE 13 
p. 19 

TS-C7PCBM 

Attachment #1 

Summary ofInformation on the New Chemical Substances 

z 

0) ¬3k~ 6 1 91 
TS-C7PCBM 

Attachment #2 

Part I 

Section B.1 

PMN p. 4 

CA Index Names and CAS Inventory Expert Service Reports 

o(jv- 019, 
p. 21 

Inventory Expert Service 

A division of the American Chemical Society Phone: 800-631-1884, 614-447-3870 

Fax: 614-447-3747 

E-mail : answers@cas.org 

Web: www.cas.org/productslclienrl 

INVENTORY EXPERT SERVICE REPORT 

IES-ORDER NUMBER : 123229-1 

REGISTRY NUMBER : 609771-63-3 

CA INDEX NAME 

3'H-Cyclopropa[8,25) [5,6)fullerene-C70-D5h(6)-3'-butanoic acid, 

3'-phenyl-, methyl ester 

Please print the above CA Index Name on the appropriate page of your PMN. 

11 

If this box is checked, CAS has made correction(s) marked in red to 

your IES order . Please make the same correction(s) to your PhN before 

submitting it to the EPA. 

C1~6_r~~~:~ 

CAS " 2540 Oleiitangy River Road " FO. Box 3343 " Columbus, Ohio 43210-0334 " USA 
p. 22 

Inventory Expert Service 

A division of the American Chemical Society 

INVENTORY EXPERT SERVICE REPORT 

IES- ORDER NUMBER : 123229-2 

REGISTRY NUMBER : 1051371-21-1 

CA INDEX NAME 

Phone: 800-631-1884,614-447-3870 

Fax: 614-447-3747 

E-mail : answers@cas.org 

Web: www.cas .org/products/cliend 

3'H-Cyclopropa[7,22][5,6]fullerene-C70-D5h(6)-3'-butanoic acid, 

3'-phenyl-, methyl ester 

Please print the above CA Index Name on the appropriate page of your PMIId . 

i_1 If this box is checked, CAS has made correction(s) marked in red to 

your IES order . Please make the same correction(s) to your PNIIQ before 

submitting it to the EPA. , 

¬ ~~~~~'t 

CAS " 2540 Olentangy River Road " PO. Box 3343 " Columbus, Ohio 43210-0334 " USA 
STN Easy: Display Page Page 1 of 3 

Display without Links I Return to-Result's . 

Display from REGISTRY 

L# ANSWER 1 OF 1 REGISTRY COPYRIGHT 2008 ACS on STN 

RN ***609771-63-3*** REGISTRY 

CN 3'H-Cyclopropa[8,25][5,6]fullerene-C70-D5h(6)-3'-butanoic acid, 

3'-phenyl-, methyl ester (CA INDEX NAME) 

OTHER NAMES : 

CN PC71BM ; [70]PCBM 

MF C82 H14 02 

31 REFERENCES IN FILE CA (1907 TO DATE) 

1 REFERENCES TO NON-SPECIFIC DERIVATIVES IN FILE CA 

31 REFERENCES IN FILE CAPLUS (1907 TO DATE) 

SR CA 

PAGE I -A 

Ph 

" 0) 0 k; 612. "" 

http ://stneasy .cas .org/tmp/20080924/671864-2066732729-200/747168130 .html 9/24/2008 
STN Easy: Display Page 

PAGE =-i 

P.AGE a-A 

Search for information related to CAS RN 609771-63-3 in these categories: 

. Biotechnology [$2 .00] 

" C.hemi.c.al Catalogs [$2 .00] 

. 

Restricted to: 

. 

. 

. 

. 

C.hpmistry_Rpferences [$2 .00] 

N4 RESTRICTIONS 

Preparation 

Industrial Manufacture 

Synthetic Preparation 

Formation, Nonpreparative 

Purification 

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STN Easy : Display Page 

Display without Links I Return to Results 

Display from REGISTRY 

L# ANSWER 1 OF 1 REGISTRY COPYRIGHT 2008 ACS on STN 

RN ***1051371-21-1*** REGISTRY 

CN INDEX NAME NOT YET ASSIGNED 

MF C82 H14 02 

SR CAS Client Services 

P.'-Z E I -; 

14-0 

() 0 V, 1~ 021 4 

? 

25 

~ge I of 3 

http ://stneasy.cas .org/tmp/20080924/671864-2066732729-200/419120146 .html 9/24/2008 
STN Easy : Display Page Rage 2 of 3 

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http://stneasy .cas.org/tmp/20080924/671864-2066732729-200/419120146 .htm1 9/24/2008 
p. 27 

TS-C7PCBM 

Attachment #3 

Part II 

Section A.1 

PMN p. 8 

Manufacturirng and Processing Information on the New Chemical Substances at 

Industrial Sites Controlled by the Submitter- Manufacture 

6 
Attachment #3 

TS-C6PCBM Manufacturing and Processing Information on the New Chemical 

Substance at Industrial Sites Controlled by the Submitter - Manufacture 
p. 29 

TS-C7PCBM 

Attachment #4 

Part II 

Section A.2 

PMN p. 9 

Worker/Occupational Exposure Information on the New Chemical Substances at 

Industrial Sites Controlled by the Submitter- Manufacture 
p. 30 

TS-C7PCBM 

Attachment #4 

Worker/ Occupational Exposure Information on the New Chemical Substance at 

Industrial Sites Controlled by the Submitter - Manufacture 

Worker Activity CBI Protective Binding Physical Binding CBI Number CBI Maximum duration CBI 

Equipment/ Option form(s) and Option of 

Engineering Mark % new Mark Workers 

Controls chemical Ex p osed 

substance 

Hrs/day Days/year 

(1) 

2) 3 4 5 6 7 S 9 (10) (11) 12 

X X X X 

X X X X 

X X X X 

X X X X 

X X X X 

X X X X 

0UV!l~ .r'`..9 
p. 31 

TS-C7PCBM 

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 
p. 32 

TS-C7PCBM 

Attachment #5 

Part II 

Section A.3 

PMN p. 9 

Environmental Release and Disposal Information on the New Chemical Substances 

at Industrial Sites Controlled by the Submitter - Manufacture 

01 0 4~ Fy' ;,a ~- 
p. 33 

TS-C7PCBM 

Attachment #5 

Environmental Release and Disposal Information on the New Chemical Substance 

at Industrial Sites Controlled by the Submitter - Manufacture 

Release 

Number 

Amount of New Substance 

Released 

CB1 Media of Release Control Technology and Efficiency CBl 

) (2a) (2b) (3) (4) (5a) 

BindMa ~k (5b) 

x X 

X X 

X X 

X X 

X X 

X X 

X X 

I ji li 

X 
p. 34 

TS-C7PCBM 

X X 

X X 

X X 

(7) Mark (X~ the El PO"1'W provide name(s) below: CBI ~ N-;g,bte .-c~-y t',o,,d, tiPI)es u CBI 

destination(s) of 

releases to water. 

~ Ocher 

0 Mark (X) this box if you attach a continuation sheet . 

E ) 0 Y.V 06 "'1 
p. 35 

TS-C7PCBM 

Attachment #6 

Part II 

Section A.1 

PMN p. 8 

Manufacturing and Processing Information on the New Chemical Substances at 

Industrial Sites Controlled by the Submitter - ProcessiW 
p. 36 

TS-C7PCBM 

Attachment #7 

Part II 

Section A.2 

PMN p. 9 

Worker/Occupational Exposure Information on the New Chemical Substances at 

Industrial Sites ControUed by the Submitter - Processir~ 

1l0 4i ~ :.~`a 
p. 37 

TS-C7PCBM 

Attachment #8 

Part II 

Section A.3 

PMN p. 9 

Environmental Release and Disposal Information on the New Chemical Substances 

at Industrial Sites Controlled by the Submitter - Processir~ 
p. 38 

TS-C7PCBM 

Attachment #9 

Part II 

Section B.1 

PMN p. 10 

Processing Information on the New Chemical Substances at Industrial Sites 

Controlled by Others - End Use 
TS-C7PCBM Attachment #9 

Processing Information on the New Chemical Substances at 

Industrial Sites Controlled by Others - End Use 
p. 40 

TS-C7PCBM 

Attachment #10 

Part 11 

Section B.2 

PMN p. 10 

Worker/Occupational Exposure and Environmental Release Information on the 

New Chemical Substances at Industrial Sites Controlled by Others - End Use 
p. 41 

TS-C6PCBM 

Attachment #10 

Worker/ Occupational Exposure and Environmental Release Information on the 

New Chemical Substances at Industrial Sites Controlled by Others - End Use 

Letter of # of CBI Duration CBI Protective % in CBI Release Amount of CBI Media of CBI 

Activity Workers of Equip./ Form- Number New Substance Release 

Exposed Exposure Engineering ulation Released & Control 

(all sites) (per worker) Controls/ (per site) Technology 

Physical 

Form and % 

h/d d/y new 

substance 

(1) 

(2) (3) (4a) (4b) (5) (6) (7) (8) (9) (l0a) (lOb) (11) (12) (13) 

X X X X X 

X X X X X 

X X X X X 

X X X 

X X X 

X X X 

6y0k:u .~ fir 
p. 42 

TS-C6PCBM 

x x x 

(14) - Byproducts (15) 

x 

oUuo41 
p. 43 

TS-C7PCBM 

Attachment #11 

Other Data 

Particle Size Distribution Data 

`~~7L'li'~~Y%v 
3 R, Q~°~~.~~ .z4~ 
OCT-15-2009 16 :02 From :GRCCI 5615156130 To :12025649490 

Part I - GFNUR,AL INFORMATION -- Continued 

Section C -- PRODUCTION, IMPORT, AND USE INFORMATION: 

Mark X the "Confidential" box next to an itCtn You claim as confidential. 

1 . Production volume - Estimatc the maximum production volume durint? the firsi 12 months of production. Also cstiniate the maxirttltm 

production volume for any consecutive 12-month period durulg, the first three years or production . Estimates should he on 10Q°/n new ollertliold 

substance basis . Nor a Low Vulwne r;xctnptiun upplicalion, if you choose to have your notice reviewed ;u a lower production volume than 

10,t)0l1 k yr, S cify the volume imd mark k) in the binding box. If_ ranted, y_ou tu'e buund to litis volume 

Maximum ~ first 12-month production ftlyr) Maximum 12-tnonth production (kg/yr) conr- Binding 

(100% new chemical substance basis) (100%. new chemical substance basis) dcntial 

MA k xl 

x 

2. Use Information -You must make separate confidentiality elair1151'or the description of (he category of use, the percent of ptnduetion volume 

devoted to each category, the formulation of' thc new subslutttx, turd other use information . Mark (X) the "Confidential" Box next to any item 

you claim a.4 confidential . 

a. (1) -- Uesc.ribe each intended category of use of the now chemical substancc by function and application . . 

(2) -- Mark (X) this column if entry coluntti (1) is aonfiderttial business inforniation (CBI) . 

(3) -- Indicate your willingness to have the information provided in colunut (1) binding. 

(4) -- Estimate the percent nf total rroduelion lbr the first three years devoted to each category of use . 

(5)-- Mark (X) this column if entry in column (4) is confidential business, infnrmutinn jCRr) . 

(6) .- Estimate the percent of the new substance as formulated in mixtures, suspensions, emulsions, solutions, or gels as manufactured for 

commercial purposes at sites wider your contrul ussuciutcd with each catcgory of use . 

(7)-- Mark (X) this column if entry in column (fi) is confidential business information (CBI). 

(8) -- Indicate % of product volume expected lior the listed "use" sectors . Mark more than one box if appropriate . Murk (X) to indicate 

your willingness lo have the use Lypc provided in (8) binding . 

(9) -- Mark (X) this Column ifcntr ies in column (8) is (arc) confidential business information CDI . 

Category of use (1) (`ql trindina Produc- CLi1 % iii C'fil % ursubstunvc expceted pcr use Clll 

Vow tiun °/^ Fnnn- (g) 

(by I'uncht>n and application i .C~ a (wperstvt: dyc t"t'rS !'~1 ulation Site- Con-'r Indus- Corn- Binding 

for finishing Ivester fibers) (2 t 1 (4 (,i 6 (7) limited sumcr trial mercial Option 9 

(1) Compound used in fabrication x x x 

and/or operatmon of electronic ° , ° 

devices that enables or improves - - - ^io - - °ra - - - - - - - 

or other characteristics of the 

device 

- - - % - - ^r^ - - - - - - - 

1 

- 

(2) Compound used to improve the ^ 

x 

^ 

x x 

and Plastics . - - - °i° - - °i° - - - - - - - 

51, % 

L _L 

^ ^ 

' If you havc idcntilicd a -consumer" use. picasc providc on a continuation sheet a detailed description of the use( .~) of this chennical suhstanoo in consumer prcxiucts . 

In addition include cstimatcs of the conccntration of the new chemical substance u, expected in consumer products and dcscritx. the ehomical ieactioas by which this 

substancc loscs its idcntily in the eonsumct product, 

QMcirk (Yj this how if ,yttu attach a continuation shoet. C:) 

b . (icnertc If you claint any category of use description ht subsecliun 2u neon lidcnGal, enter u gencrnc dcsenpaon of that eate , Read the 

use 

Instructions Munual for examples' O~l;enmc uve descriptions 

description t 

--~ 

c ~ - 

v r 

Mark (X) this box .I'you attac1h a txintinuatton shcct, Lj 

3 . Harxrd Inrormation - include in ft nouve a uipy of rmonablv taoslmile of any hazard warning statcntent, label, material safety data sheet, or other aWAMN 

R ° , °` , k `~ ~ information which will be provided to any person who is reasonably likely to be. exposed to this substanec rogarding ptutcetive equipment or practices , 

for the safe handing, trunsport use, or di,posul of thv ncw substanoc . List in part 111 hazard information you include. 

® Mark (X) this box if you attach hazard inforination . 

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

: 7/7 

A_M F NDED - P-09-143/P-09-144 (SANITIZED VERSION) Ann ~u ~o -~ 3~~H~ 

Yage 7 i 

MYSIT I ZFr 
JUN-27-2010 11 :15 From :GRCCI 5615156130 To :12025649490 pPa6e :1~3 

cn F 

GRLLNWICH CHEMICAL CONSiJT.TING, INC. 

3300 PGA LSIDUT..T:vAk1) " Surru 635 

P.%l.nt BT:~(-.1~r C*AKI)h:Nti, FL 33,110 

TI4,LH,I'H()Nf~. .561 .578 8110 

Vnc:stt~alr .1 ; 561 .578.8120 

FACSIMILE TRANSMITTAL SHEET 

!n 

'I() : J h R()M: 

Ms. Zofia Kosina Mr. john V. Massingale 

COMPANY: DATE . 

U.S. FPA/OPPT August 19, 2010 

I4AX NL1Nllir,R "1'1Nlli : 

202.564.9490 10:02:07 AM 

PHC)N L: NUMBER : 

202.564.8733 

COPY TO: 

Mt. T. Lada - Nanci-C 

Ms. M. Marrapesc - K&H 

Mr. V. Vcjina - NancrC 

i t.1 

TOTAL NO OF PAGES TN(;T .Ur)TNG COVER: 3 

RE: 

Request for Suspensions of the Review 

Pctiods on P-09-0142 through P-09-0144 

PMNa Submitted by NanaC 

CONTAINS NO CONFIDENTIAL 

BUSINESS INFORMATION 

Ms. Kosim, 

Accntnpatzying this page is a letucr rcilur5ting suspensions of the PMN revicw periods 

for Nann-C's PMNs under Case Numbers P 09-0142 diroul;h P-09-C)144. 

Tf there are any questions or conv.iients concerning this maLicr, pleasC Contact me at 

(561) 578-8110 

Thank you for your mistance in this matter. 

Siiiccrcly, 

John V. MassinWalc 

. , , 
J e:213 UN-27-2010 11 :15 From :GRCCI 5615156130 To :12025649490 pPae 

En; 

GREENWICH CHEMICAL CONSLJT.TiNG, INC. 

3300 ],(',A -SUITE 635 

PAI .M BRACH c;nRnENS, 1'L 33410 

TH:iA`r1r0Nr 561 .578 .8110 

Fnc_tiintii.t ; 561 .578 .8120 

August 19, 2010 

CONTAINS NO CONFIDENTIAL 

BUSINESS INFORMATION 

Hv F~aCSimi~F 

Ms. Lofia hosim 

Program Manager 

N(-w Chemicals Branch 

Office of i'ollution Prevention and Tox~cs 

U.S . Environmental Protection Agency 

1200 Pennsylvania Avenue, N.W. 

Washington, D.C. 20460 

Re; Request for 30-day Suspensions of the Review Periods on the Premanufacthue 

Notices Submitted by Naiio-C under PMN Case Nutnbcrs: 

" P-09-0142 

" P-0")-0143/P-09-0144 

Dear Ms. hosim: 

In accordance with the regulations set forth at 4(1 ( :FR 72(1 .75(b) and on behalf of its client, 

Nanv C;., Inc. (Nano-C or the Company), Greenwich Chemical Consulting, Inc: . (the Firm) 

sl1h1171ts a request to the U.S . Environmental Protection Agency to suspend the 

Premanufacture Notice (PTvTM teview periods on the Company's PMNs under Case 

Numbers P-09-0142 through P-(19-0144. The Company understands that the review periods 

are currently set to end on Septiariher 4, 2010. Wc request that thcsc review periods be 

Suspended for thirty (30) day,. 
p. 48 

JUN-27-2010 11 :15 From :GRCCI 5615156130 To :12025649490 Pa9e :3/3 

Ms. "l_ . Kosim 

August 19, 2010 

Pagc 2 

CONTAINS NO CONFIDENTIAL 

BUSINESS INFORMATION 

w 

If there ute any questions or comments concerning this matter, please contact me at (5G1) 

578-8110. 'lhlnk you for yout atisistancc in this matter. 

Sincerely, 

John V. Massin~,nale 

Panciral 

cc: 1)r. H. Ntit.rcichcr - Kellcr & Hechman 

Mr. '1' . Lada - Nano-(: 

Mr. V. Vejins - Nano-C