IIIII~IIIIIII 1111111111111111111111111111 	

XL PRO:7ec.1w ,'rH SANITIZED SUBMISSION 

PMN2010P1 PMN Page 1 r- 11- '1 

PREMANUFACTURE 

1111111111111111111111111111111111111111111111111111 11111111111111111111111 

5111000011 DIS 

User Fee 

requested 

U.S. ENVIRONMENTAL PROTECTION AGENCY 

VX10101210174317179 

Submission ...",nnllT 

Known to or ressonably by you, , 

• 	 Before you complete this form, you should read the "Instructions Manual for Premanllfacture 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 7(J(U5), Indicate In the boxes above the TS-user fee identification number you ha"" generated, Remember, yo~r.t,Jser fe~ 10 number 

must also appear on your corresponding fee ramittance, For mailing address information see the Help instructions in the e-PMN tool, ,', 

Part 1- 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 irrforrnation. A leller in support of your submission 

should reference your TS user fee identification number. For all 

Section 5 Notice submisSions (paper or electronic) you must 

submit an original notice including all test date; if you claimed any 

infonnation as confidential, an original sanitized copy must also be 

submitted. 

Part 11- HUMAN EXPOSURE AND ENVIRONMENTAL 

RELEASE 

If there are se\IerBl 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 

For paper submissions, attach additional sheets if there is not 

enough space to answer a question fully. Label each continuation 

sheet with the conresponding section heading, In Part III, list these 

attachments, any test date or other data and any optional 

irrformation included in the notice. 

OPTIONAL INFORMATION 

You may indude any information that you want EPA to consider in 

evaluating the new substance. On page 11 of this form, space has 

been provided for you to describe pollution prevention and 

recycling information you may have regarding the new substance. 

"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. , . The intention is to reduce delays that routinely 

accompany the development of consent orders or SignifICant New 

Use Rules. Checking a "binding" box in a PMN does not by itself 

prohibit the submitter from later deviating from the information 

(except chemical identity) reported in the form; however, in the 

case of exemption applications (such as TMEA, LVE, LOREX) 

certain irrformation provided in such notifications is binding on the 

submitter when the Agency approves the exemption application, 

especially If the production volume "binding" box is chosen in a 

LVE. 

CONFIDENTIALITY CLAIMS 

You may claim any information in this notice as corrfidential. To 

assert a daim on the form, marl< (X) the confidential box next to 

the information that you claim as confidential. To assert a daim in 

an attachment, circle or bracket the irrformation you claim as 

confidential. ' 

EPA FORM 7710-25 (Rev. 6-09) 

TEST DATA AND OTHER DATA 

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

description of all other data known to or reasonably ascertainable by you, if these date 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 citetions may 

be submitted for data in the open scientifIC literature. Complete lest data (written in English), 

not summaries of data, myst be submitted if they do not appear in the open literature You 

should dearly identify whether test date is on the substance or on an 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 the requirements of 

§720.50 of the Premanufacture NotifICation Rule (40 CFR Part 720). 

Test Data (Check Below any included In this notice) 

D Environmental fate data D Other Data 

D Health effects data o Risk Assessments 

D Environmental effects date o Structure/activity relationships 

D 
 Physical/Chemical Properties (A physical and chemical properties worksheet is 
located on the last page of this form.) 

D Test data not in the possession or control of the submitter 

TYPE OF NOnCE (Check Only One) 

o PMN (Premanufacture Notice) 

D SNUN (Significant New Use Notice) 

D TMEA (Test Marl<eting Exemption Application) 


D ~: \ ..
 LVE (Low Volume Exemption}@40 CFR 723.50(c)(1) 

D LOREX (Low Release/Low Exposure Exemption) @ 40 CFR 723,50(c)(2)"' 

D LVE Modification 

D LOREX Modification 

D Mock Subml8810n 

D Mark (X) if pending Letter of Support 

IS THIS A CONSOLIDATED PMN (YIN)? 

# of chemicals or polymers (Prenolice Communication # required, enter # on 

p.3). 

o Mark (X) if any Information in this notice is claimed as confidential. 

Replaces previous editions of EPA Form 7710.25 

Page 2 P·II-OIIO 
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PMN2010P2 PMN Page 2 

The public reporting and record keeping burden for this collection of information is estimated to average 93 hours per response. Send 

comments on the Agency's need for this information, the accuracy of the provided burden estimates, and any suggested methods for 

minimizing respondent burden, including through the use of automated collection techniques to the Director, Collection Strategies 

Division, U.S. Environmental Protection Agency (2822T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMS 

control number in any correspondence. Do not send the completed EPA Form 7710-25 to this address. 

CERTIFICATION -- A printed copy of this signature page, with original signature, must be submitted 

with CD or paper submission. 

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, import or process 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: 

D 

D 

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 $1 000 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 concem 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: 

D 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 tenns of 40 CFR 723.50. 

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

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

D Ifthis 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. Any knowing and willful 

misrepresentation is subject to criminal penalty pursuant to 18 USC 1001. 

Signature and title of 

Authorized Official (Original 

Signature Required) 

Date /2-1/- WIt) 

Confidential 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 


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11111111111111111111111 1111111111111111111 SANITIZED SUBMISSION 


PMN201 PMN Page 3 


tt lfjT'1Iiilr.ul 

SC"'lIU -SiJBMiTIER~ I Mark (xl the "C ' box next to any "~section vou claim as ,;" 

1a. .... ... . Notice (in U.S.) !";urmaential -C.;:O...11 ~ULl' 

Name . f",'hMba.i Official (first) XXX (last) XXX 

Position XXX I 

Company XXX [XJ Mailing Address (number & street) XXX 

City XXX I State I Postal Code XXX 

email XXX 

• b. Aaent (if Applicable) CUlllluell"'" 

Name of Authorized OffiCial (first) XXX (last) XXX 

Position XXX 

Company XXX [XJ Mailing Address (number & street) XXX 

~ City XXX I State I Postal Code 

e-mail XXX (i~~I~d'~'~~ea code) 

Joint SULI' .1.. ~. (if -::; 

,",VIIIIY"""", SOU are submitting this notice as part of a joint submission, mark (X) I [ ] 

Name of Authorized Official (first) (last) 

Position 

Company D 

Mailing Address (number & street) 

City I State I Postal Code 

e-mail Telephone 

(include area code) 

2. Technical <- .~ (in U.S.) ,",VIIIIU"""", 

Name of Authorized Official (first) XXX (last) XXX 

Position XXX 

Company XXX 

Mailing Address (number & street) 00 XXX 

City XXX I State IPostal Code XXX 

e-mail XXX 'i~d~d'~'~~ea code) XXX 

Mark (X) if none cO? ~;; . If you have had a prenotice communication (PC) concerning HIIUernli:l1 I 

3. this notice and EPA assigned a PC Number to the notice, I 

enter the number. 00 D

If you preuiously submitt.,t1 an "' .. .",'f''''' I for the Mark (X) if none '"'VI lilY""".., , chemical substance covered by this notice, enter the 

4. exemption number assigned by EPA. If you previously 

submitted 

""";n",,,'1 by 

a PMN 

EPA (Le. 

for this 

withdrawn 

substance 

or incomDletel 

enter the PMN number [XJ D

If you have submitted a notice of Bona fide intent to Mark (X) if none '"'''I 1I1U"1 "'''' 

5. manufacture or import for the chemical substance covered 

by this notice, enter the notice number assigned by EPA. [XJ D

6. Type of Notice - Mark (Xl 

Manufacture Only [X] Import Only D D 1. 2. I 3. Both 

Binding Option D Binding Option D 

EPA FORM 771Q.-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 


Page 4 

111111111 SANITIZED SUBMISSION 

D 

Class 1 or 2 chemical substances (for definitions of class 1 and class 

2 substances, see the Instructions Manual) 

Class of substance Mali< 

Item 1 or 2), mali< (X) the box at the right. Identify 

Class 1 Class 2 

D 

CBI 

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 Na~e or CA 

xxx 

00 

I CAS Registry Number (if a number already exists for the substance) XXX I i c. Please identify which method you used to develop or obtain the specified chemical idenl' y information reported in this notice: (check one). 

Method 1 (CAS Inventory Expert Service - a copy of the [R] IES Order I Method 2 D I Identification report obtained from the CAS Inventory Expert Number (Other 

Services must be submitted as an attachment to this notice) 160762-1 Source) 

Enter Attachment filename for Part I, Section 8, 1. c. Sanitized Attachment 1 .pdf D 

d. Molecular formula IXXX 00 ! e. For a class 1 substance, provide a complete and correct chemical structure diagram. For a class 2 substance, provide a correct 

representative or partial chemical structure diagram, as complete as can be known, if one can be reasonably ascertained. D

See Attachment 002 (Sanitized Attachment 2.doc) 

Enter Attachment filename for Part I, Section 8, 1. e. ISanitized Attachment 2.doc D 

I 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 


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PMN2010P4A PMN Page 4a 

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). 

_ ... 

e. (1) List the immediate precursor substance names with their respective CAS Registry Numbers. 

xxx 

Confidential 

Enter Attachment filename for Part I, Section B, 1. e. (1) I D e. (2) Describe the nature of the reaction or process. 

xxx 

Enter Attachment filename for Part I, Section B, 1. e. (2) I D e. (3) Indicate the range of composition and the typical composition (where appropriate). 

XXX 

Enter Attachment filename for Part I, Section B, 1. e. (3) I [J I 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 


Page 6 


7 

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PMN Pa e 5 

Part I ~~ GENERAL INFORMATION - Continued 

Section B _. CHEMICAL IDENTITY INFORMATION -- Continued 

2. Pol mers For a definition of 01 mer, see the Instructions Manual. Confidential 

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 wei hi of that com osition. 

Describe the methods of measurement or the basis for your estimates: 

GPC D Other (Specify Below) D 

Specify Other: 

(i) lowest number average molecular 

weight: 

(ii) maximum weight % below 500 molecular 

weight 

(iii) maximum weight % below 1000 molecular 

weight 

Enter Attachment filename for Part I, Section B, 2. a. D 

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 ofthe 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) - Choose "yes' from drop down menu 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. 

-

(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. 

! 

(5) Mark (X) this column if entries in columns (3) and (4) are confidential. 

Monomer or other reactant specific chemical name TYPicarn~clude in Max 

CBI compositi id~~~ity C~I residual CBI (1) (2) '(3) 4 (5 (6) (7) 

. i 

CAS Registry Number (1) I i 

CAS Registry Number (1) I 

CAS Registry Number (1) I 

I 

CAS Registry Number (1) I 

CAS Registry Number (1) I I 

Mark (X) this box if the data continues on the next page. l ] I 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 

Page 7 
SANITIZED SUBMISSION 

PMN Page 5a . c. Please identify which method you used to develop or obtain the specified chemical identity information reported in this notice eBI • (check one). 

Method 1 (CAS Inventory Expert Service I I 
 - a copy of the identification report obtained liES Order Method 2 


from CAS Inventory Expert Service must be D Number 
 (other source) D


submitted as an attachment to this notice) 


Enter Attachment filename for Part I, Section B, 2. c. I 	 D 

d. The currently correct Chemical Abstracts (CA) name for the polymer that is conSistent with TSCA Inventory listings for similar 

polvmers. D 

CAS Registry Number (if a number already exists for the substance) i e. 	 Provide a correct representative or partial chemical structure diagram, as complete as can be known, if one can be reasonably 

ascertained. D 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 


Page 8 
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PMN2010P6 PMN Page 6 

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. Provide the 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 %. i 

CAS Registry Maximum ContiI 	 Impurity (a) 	 • Number Percent % dential (a) (b) I 

XXX 	 XXX XXX X

I 

XXX 	 I XXX XXX X 

J J

XXX XXX X i XXX i

I 

I I i 

I I 

! 

i 

I 

I 

. Mark (Xl this box if the data continues on the next page. D

Enter Attachment filename for Part I, Section B, 3. I i D 

4. Synonyms - Enter any chemical synonyms for the new chemical identified in subsection 1 or 2, 

XXX IX] 

Enter Attachment filename for Part I, Section B, 4. I [ ] 

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

D 

Enter Attachment filename for Part I, Section B, 5. I D 

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, 1965 Edition, Appendix B for guidance on developing generic names. 

tertiary ammonium compound 

i Enter Attachment filename for Part I, Section B, 6. I 	 I 

1 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. 

i 

Byproduct (1) ! CAS Registry Number Conti­ . (2) dential 

XXX XXX X 

! 

I 

Mark (X) this box if the data continues on the next page. D 

! 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 

Page 9 

I() 

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SANITIZED SUBMISSION 1111111111111111111111111111 

PMN2010P7 PMN Pa e 7 

Part I -- GENERAL INFORMATION -- Continued 

Section C·- PRODUC"nON, IMPORT, AND USE INFORMATION: 


The information on this page refers to consolidated chemical number(s): 0 1 l J2 03 04 Os 06 


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 I 

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 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) 

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

I XXX 

Enter Attachment filename for Part I, Section C, 1. I 

Confidential Binding Option 

Mark (X) 

o 

CBI [J 

2. Use Infonnation ­ 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 ofthe 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(Xl this column if entry(ies)'in column (8) is (are)'confidential business information (CBI). 

• Category of use (1) Binding Prod % in % of substance expected per use 

CBI Option Form- CBI (8) CBI 

I 

(by function and application i.e. a dispersive dye for uction CBI 

Mark (X) % ulation Site· COn­ fndustria! Corn- Binding finishing polyester fibers) 

(2) (3) (4) (5) (6) (7) limited sumel"" mercial Optiol" (9) 

XXX X XXX X XXX X XXX XXX XXX XXX X 

I 

I 

I • If you have identified a "consumer" use, please provide on a continuation sheet a detailed description of the users) 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 the data continues on the next page. [X] 

b. Generic use 

description 

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

Read the Instruction Manual for examples of generic use descriptions. 

Inhibitor for oil field applications 

Enter Attachment filename for Part I, Section C, 2. b. I I CBI o , 3. Hazard Information ­ Include in the notice a copy of reasonable facsimile of any hazard warning statement, label, material safety 

data sheet, or other information which will be provided to any person who is reasonably likely to be exposed to this substance 

regarding protective equipment or practices for the safe handing, transport, use, or disposal of the new substance. List in part III 

hazard information you include. 

Binding Option 

Mark (X) 

Mark (X) this box if you attach hazard information. IX] [ ] 

I 

I 

EPA FORM 7710-25 (Rev. 6-(9) Replaces previous editions of EPA Form 7710-25 

Page 10 

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PMN2010P7-1 

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Continuation Sheet 

ml 

Category of Use XXX: XXX 

I Field I Part I, Section C, 2,a. Additional Consumer Use Text 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 

Page 11 

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SANITIZED SUBMISSION 111111111111111111111111111111111 


PMN2010P8 PMN Pa e 8 

Part 11-- HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE 

Section A •• INDUSTRIAL SITES CONTROLLED BY THE SUBMITIER I Mart (Xl the "Confidential" box next to 

any item you claim as confidential 

I 

The infonnation on pages 8 and 8a refer to consolidated chemical number(s): 01 02 ]3 04 05 [ ] 6 I 

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

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 processing or use operations after import. You must describe these operations. See 

instructions manual 

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

Name , 

XXX I ! Site address (number and 

street) XXX [XJ 

City XXX County IXXX 

State ZIP code ,XXX 

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 [R]

operations, include all the information requested in this section for those sites as attachments. ~ 

Mart (X) this box if the data continues on the next page. 0 

b. Type-­ Manufacturing 0 Processing 0 Use 0 [R] Mark (X) 

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

Maximum kglbatch I (100% new chemical Hours/batch Batches/year 

1. Batch substance) [R]

XXX XXX XXX 

Maximum kg/day Hours/day Days/year (100% new chemical substance) 2. Continuous 0

Mart (Xl to indicate your willingness to 

d. Process description 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 kglbatch on a 100% 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. If 

releasing to two media at the same step, assign a second release number for the second medium. 

~ XXX 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 


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11111111111111111111111 SANITIZED SUBMISSION 

PMN2010P8A PMNPage 8a 

Diagram of the major unit operation steps. 

See Attachment 004 (Sanitized Attachment 4.pdf) 

Confidential 

0 

Enter Attachment filename for Part II, Section A, 1. d. Sanitized Attachment 4. df o 

EPA FORM 771Q-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 

Page 13 

11 
Confidential Material 


Removed 


/r? 

I 

SANITIZED SUBMISSION 111111111111111111111111111111111111 

PMN2010P9 	 PMN Page 9 

Part JI-. HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE - Continued 

Section A - INDUSTRIAL SITES CONTROLLED BY THE SUBMITTER •• Continued 

The information on pages 9 and 9a refer to consolidated chemical number(s): I 1 02 03 1 J4 05 TIL 

2. Occupational Exposure -- You must make separate confidentiality claims for the description of worker activity, physical form of the new chemical 

substance, number of workers 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 (CBI). 

(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 formes) of the new chemical substance (e.g., solid: crystal, granule, powder, or dust) and % new chemical substance (if 

part of a mixture) at the time of exposure. 

(7) -­ Mark (X) this column if entries in columns (3) and (5) are 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. 

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

I 

Worker activity 

(I.e., bag dumping, 111IIng 

drums) 

(1) 

CBI 

(2) 

Protective Equipmentl 

Engineering Controls 

(3) 

Binding 

Option 

Mark IX) 

(4) 

Physical 

fonn(lI) 

& 'knew 

lIubstance 

(61 

Binding 

OptIon 

Marlt(X) 

(6) 

cal 

(7) 

#of 

Worlten; 

Exposed 

(8) 

CBI 

(9) 

Maximum Duration 

HrslDay DayIIlYr 

(10) (11) 

cal 

(12) 

I XXX X XXX XXX X XXX X XXX XXX X 

i ! 

XXX X XXX XXX X XXX X XXX XXX Xl 

i 

I 

I 

I 

I 

I I i I 

Mark (X) this box if the data continues on the next page. J 

Enter Attachment filename for Part II, Section A on the bottom of page 9a. l ] 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 

Page 14 

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1111111111111111111111111111111111111111111111111111111 11111 SANITIZED SUBMISSION 

PMN2010P9A PMN P age 9a 

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 1d(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 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 (CSI). 

Release Amount of New Medium of release Control technology and efficiency Iyou may wish to 

Number Substance Released CSI e.g. Stack air optionally attach efficiency data) CSI 

Slndlng 

11) (2a) (2b) (3) (4) (Sa) Mark (5b) (6) 

IXI 

XXX XXX XXX X XXX XXX X 

·1 

I 

! 

I 

Mark (X) this box if the data continues on the next page. D 

(7) Mark (X) the destination(s of releases to water. NPDES# I CBI 

! 

POTW--provide D name(s) D

D Navigable waterwayI - provide name(s) D

D Other-Specify D I 

• 

Enter Attachment filename for Part II, Section A. I D 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 

Page 15 
Confidential Material 


Removed 


{fJ 

111111111111111111111111111111111111111111111111111 SANITIZED SUBMISSION 

PMN2010P8X1 PMN Pa e 8 

Part 11-- HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE 


Section A .- INDUS'rRIAL SITES CONTROLLED BY THE SUBMITTER 


• The infonnation on pages 8 and 8a refer to consolidated chemical number(s): D 1 D 2 

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

4 

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 processing or use operations after import. You must describe these operations. See 

instructions manual 

1. Operation description Confia. Identity ­ Enter the identity of the site at which the operation will occur. dential I

Name XXX 

I 

Site address (number and 

street) XXX [ZJ 

City XXX County IXXX 

State ZIP code XXX 

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 [ZJ

operations, include all the information requested in this section for those sites as attachments. 7 

Mark (X) this box if the data continues on the next page. D 

b. Type- Manufacturing D Processing D Use D [ZJ Mark (X) 

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

Maximum kg/batch 

(100% new chemical Hourslbatch Batcheslyear 

1. Batch substance) [ZJ

XXX XXX XXX 

Maximum kg/day Hours/day I Days/year (100% new chemical substance) 2. Continuous D

Mark (X) to indicate your willingness to 

d. Process description have 

7 

your process description binding. D

(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% 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. If 

releasing to two media at the same step, assign a second release number for the second medium. 

[&] 

XXX 

EPA FORM n10-25 (Rev. 6-09) Replaces previous editions of EPA Form n10-25 

Page 16 

fer 
SANITIZED SUBMISSION 1111111111111111111111 

Prvll'l.!V1 vr-orv:· PMNPage 8a

Confidential 

Diagram of the major unit operation steps. D 

See Attachment 005 (Sanitized Attachment 5.pdf) 

Enter Attachment filename for Part II, Section A, 1. d. Sanitized Attachment 5. f D 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 


Page 17 

Confidential Material 


Removed 

I III1I1I1III11 11111111 SANITIZED SUBMISSION 


PMN2010P9X1 PMN P age 9 


Part 11-- HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE -- Continued 

Section A - INDUSTRIAL SITES CONTROLLED BY THE SUBMITTER -- Continued 

The Information on pages 9 and 9a refer to consolidated chemical number(s): 01 02 03 04 [ 5 [ ] 6 

2. Occupational Exposure -- You must make separate confidentiality claims for the description of worker activity, physical form of the new chemical 

substance, number of workers 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 infonnation (CBI). 

(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 % new chemical substance (if 

part of a mixture) at the time of exposure. 

(7) Mark (X) this column if entries in columns (3) and (5) are 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 infonnation CBI). 

Worker activity Protective Equipment! Binding Physical Binding #of Maximum Duration CBI (I.e., bag dumping, filling CSI OptIon form(s) Option CSI Workers CSI 

drums) Engineering Controls Mark (X) &%new Mark IX) Exposed substance HrslDay DaysNr (12) (1) (2) (3) (41 (6) (6) (7) (8) (9) (10) (11) 

XXX X XXX XXX X XXX X XXX XXX X 

XXX X XXX XXX X XXX X XXX XXX X 

XXX X XXX XXX X XXX X XXX XXX X 

XXX X XXX XXX X XXX X XXX XXX X 

XXX X XXX XXX X XXX X XXX XXX X 

I i I i I 

Mark (X) this box if the data continues on the next page. I 

Enter Attachment filename for Part II. Section A on the bottom of page 9a. [ J 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 


Page 18 

11111111111111 11111111111111111 
 1111 SANITIZED SUBMISSION 

PMN2010P9AX1 PMN P age 9 a 

D 

3. Environmental Release and Dlsposal-- 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 daim as confidential. 

(1) -- Enter the number of each release point identified in the process description, part II, section A, subsection 1d(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 infonnalion (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 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 Medium of release Control technology and efficiency (you may wish to 

Number Substance Released CBI e.g. Stack air optionally attach efficiency data) CBI 

Binding 

(1) (2a) (2b) (3) (4) (Sa) Mark (5b) (6) 

(X.) 

I XXX XXX XXX X XXX XXX X 

I 

XXX XXX XXX X XXX XXX X 

I 

XXX XXX XXX X XXX I XXX X 

I 

I 

I 

• 

I 

I I 

I I 

Mark (X) this box if the data continues on the next page. D I 

(7) Mark (X) the destination(s of releases to water. I NPDES# CBI 

D POTW-provide 

I 

name(s) D

D provide name(s) 

Navigable waterway- D 

D Other-Specify D 

Enter Attachment filename for Part II. Section A. I 


EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 


Page 19 

Confidential Material 


Removed 

Confidential Material 


Removed 

Confidential Material 


Removed 

XXX 

I1111111I1I111I11111111 SANITIZED SUBMISSION 

PMN2010P10 PMN Page 10 

Part 11- HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE - Continued 

Section B -- INDUSTRIAL SITES CONTROLLED BY OTHERS 

The information on pages 10 and 10a refer to consolidated chemical number(s): [J 1 02 03 04 [J 5 0 6 


Complete section 8 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 ofprocessing, or use operation involving the new chemical substance. If the same operation is performed at 


more than one site describe the tvPical operation common to these sites. Identify additional sites on a continuation sheet. 


1(a). Operation Description - To claim information in this section as confidential, bracket (e.g. {}) 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) 	-- Either in the diagram or in the text field 1 (b) below, provide the identity, the approximate weight (by kg/day or kglbatch, 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) 	-- Either in the diagram or in the text field 1 (b) below. identify by number the pOints of release, including small or intermittent releases, to the 

environment oftM new chemical substance. 

(4) --	 Please enter the # of Sites (remember to identify the locations of these sites on a continuation sheet): 

[ Number of Sites I I Confidential [Xl 

See Attachment 006 (Sanitized Attachment 6.pdf) 

1(b). (Optional) This space is for a text description to clarify the diagram above. 	 Confidential 

Enter Attachment filename for Part II. Section B on the bottom o(page 10a. Sanitized Attachment 6.pdf 	 D 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 

Page 20 
xxx 

1111111111111111111111 111111111111111111111111111111111 SANITIZED SUBMISSION 

PMN2010P10-1 

Continuation Sheet 

ID IP10SB1(a)(4)1 I Field I Part II, Section B. 1(a)(4). Operation Site Locations 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 


Page 21 

SANITIZED SUBMISSION 111111111111' 

PMN2010P10A PMN Pa e 10a 

W 0 rk er Exposure IE nVlronmen . tal R I eease 

(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 Instnuctions 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 ofthe 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 Duration of Protective Equlp.lEnglneering Controls/Physical "10 new "loin of Workers CBI CBI CBI 

Activity Exposed Exposure Form substance Formulation 

(1) (2) (3) (48) (4b) (6) (6) (6) (7) (8) 

XXX XXX X XXX XXX X XXX XXX XXX X 

XXX XXX 

~ XXX XXX XXX XXX XXX X 

• 

I I 

H 

Release Amount of New Substance Released CBI Media of Release & Control Technology CBI Number I

(9) (10a) (10b) (11) (12) (13) 

XXX XXX XXX I X XXX X 

i 

I 

Mark (X) this box ifthe data continues on the next page. D 

(14) Byproducts: IXXX (16) CBI 00 

Enter Attachment filename for Part II, Section B. Sanitized Attachment 7.pdf [ ] 

EPA FORM 7710-25 (Rev. 6·09) Replaces previous editions of EPA Form 7710-25 


Page 22 

PMN2010P11 

11II1111111111111111111 SANITIZED SUBMISSION 

PMN Page 11 

OPTIONAL POLLUTION PREVENTION INFORMATION 

To claim Infonnation In the following section as confidential, bracket (e.g. {}) 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, and/or raw materials substitution. 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. Quantitative or qualitative 

descriptions of pollution prevention, source reduction and recycling should emphasize potential risk reduction in addition to compliance with existing 

regulatory requirements. 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 media (e,g., air to water) or nonenvironmental areas (e.g" occupational or consumer exposure). To the 

extent known, infonnation about the technology being replaced will assist EPA in its relative risk detenninatlon. In addition, infonnation on the 

relative cost or perfonnance characteristics of the PMN substance to potential alternatives may be provided. 

Describe the expected net benefits, such as 

(1) an overall reduction In risk to human health or the environment; 

(2) a reduction in the generation of waste materials through recycling, source reduction or other means; 

(3) a reduction in the use of hazardous starting materials, reagents, or feedstodks; 

(4) a reduction in potential toxicity, human exposure and/or environmental release; or 

(5) 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. 

Information provided in this section will be taken into consideration during the review of this substance. See PMN Instructions Manual 

and Pollution Prevention Guidance manual for guidance and examples. 

{XXX} 

Enter Attachment filename for Pollution Prevention Page 11. D 

EPA FORM 7710-25 (Rev. 6-09) Replaces previOUS editions of EPA Form 771()"25 

Page 23 
IIII1IIII ~III 1II1III1 SANITIZED SUBMISSION 

PMN2010P12 PMN Page 12 

Part III -- LIST OF ATTACHMENTS 

Attach continuation sheets for sections of the form, 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 any paper attachments. In the Number of Pages column 

below enter the inclusive page numbers of each attachment for paper submissions or enter the total number of pages for each 

attachment for electronic submissions. Electronic attachments can be identified by filename. 

Mark (X) the "Confidential" box next to any attachment name or filename 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. 

I Number Associated 

CBI I 

i 

# Attachment Name Attachment Filename PMN Section ,of Pages Number 

001 Sanitized Material Sanitized Attachment 1.pdf 1 Pt.I, Sec.B. 1c. i 

002 Sanitized Material ,Sanitized Attachment 2.doc 1 IPt.I. Sec.B, 1e. I 

1 

003 'Sanitized MSDS Sanitized Attachment 3.pdf 110 I 

004 Sanitized Material Sanitized Attachment 4.pdf 1 Pt.2, Sec.A, 1d. i 

005 Sanitized Material Sanitized Attachment 5.pdf 1 Pt.2, Sec.A. 1d. (#2) 

006 Sanitized Material Sanitized Attachment 6.pdf 1 Pt.2, Sec.B. 1a. 

007 Sanitized Material Sanitized Attachment 7.pdf 4 Pt.2, Sec.B, End 

008 Sanitized Material Sanitized Attachment 8.pdf 2 I 

009 Sanitized Material Sanitized Attachment 9.pdf 15 

I i 

i I 

i 

, 

i i 

i 

I I 

Mark: (X) this box if the data continues on the next page. [ ] 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 

Page 24 

~J 
Blank 


Page 

SANITIZED SUBMISSION 1111111111111111111111 111111111111111111111111 


PMN2010P13 PMN Page 13 


PHYSICAL AND CHEMICAL PROPERTIES WORKSHEET 

The information on this page refers to chemical number(s): 01 02 03 04 05 06 

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 value of the property, the units in which the property is measured (as necessary), and whether or not the 

property is claimed as confidential. Give the attachment number (found on page 12) in column (b). 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 wortsheet; however, EPA strongly recommends that 

you do so, as it will simplify the 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 Unrt I Mart X if Attachment Value Measured CBI 

Number or Estimate Mart (X) (a) Provided (b) (c) (M or E) Cd) 

0 (solid) l (liquid) (gas) 

Physical state of neat substance 

XXX 0 0 0 X

Vapor Pressure @ °C 0 Temperature XXX XXX XXX Torr X

Density/relative density 0 XXX XXX g/cm3 X 

Solubility 

@ Temperature °C 0 giL 

Solvent 

Solubility in Water @ 

XXX °C 0 Temperature XXX XXX giL X

Melting Temperature 0 °C 

Boiling / Sublimation Torr 0 °C 

temperature @ 

Spectra 0 

Dissociation constant 0 

Octanol/ water partition coefficient 0 

Henry's Law constant 0 

Volatilization from water 0 

Volatilization from soil 0 

pH@ concentration 0 

Flammability 0 

Explodability 0 

Adsorption / Coefficient 0 

Other ­ Specify 0 

Other ­ Specify 0 

Page 25 ? 
ATTACHMENT HEADER SHEET 


Attachment Number 001 

Attachment Name 


Sanitized Material 


Associated PMN Section Number 


Pt.!, Sec.B, 1c. 


Does not contain CBI 

Report Number 


VX10101210174317179 

Confidential Material 


Removed 

ATTACHMENT HEADER SHEET 


Attachment Number 002 

Attachment Name 


Sanitized Material 


Associated PMN Section Number 


Pt.!. Sec.B. 1e. 


Does not contain CBI 

Report Number 


VX10101210174317179 

Confidential Material Removed 

Confidential Material Removed 

Confidential Material Removed >7 
ATTACHMENT HEADER SHEET 


Attachment Number 003 

Attachment Name 


Sanitized MSDS 


Associated PMN Section Number 


N/A 


Does not contain CBI 

Report Number 

VX10101210174317179 
I

SAFETY DATA SHEET 

PRODUCT 

EMERGENCY TELEPHONE NUMBER(S) 

(800) 424-9300 (24 Hours) CHEMTREC 

11. ICHEMICAL PRODUCT AND COMPANY IDENTIFICATION 


PRODUCT NAME: 

COMPANY IDENTIFICATION: 

EMERGENCY TELEPHONE NUMBER(S) : (800) 424-9300 (24 Hours) CHEMTREC 

NFPA 704M/HMIS RATING 


HEALTH: 3/3* FLAMMABILITY: 313 INSTABILITY: 010 OTHER: 


o=Insignificant 1 = Slight 2 =Moderate 3 =High 4 = Extreme * = Chronic Health Hazard 

1 2. I COMPOSn"ION/INFORMATION ON INGREDIENTS 

Our hazard evaluation has identified the following chemical substance(s) as hazardous. Consult Section 15 for the 

nature of the hazard(s). 

Hazardous Substance(s) CAS NO % (w/w) 

Methanol 67-56-1 30.0 - 60.0 

13. I HAZARDS IDENTIFICATION 

*--EMERGENCY OVERVIEW** 

DANGER 

Highly flammable. Toxic by inhalation, in contact with skin and if swallowed. Contains methanol. Methanol may 

cause central nervous system effects or pennanent vision damage if inhaled, swallowed or absorbed through the skin 

in large amounts. 

Keep away from heat. Keep away from sources of ignition - No smoking. Keep container tightly closed. Do not get in 

eyes, on skin, on clothing. Do not take internally. Avoid breathing vapor. Use with adequate ventilation. If respiratory 

symptoms develop, remove to fresh air, rest, treat symptomatically. In case of contact with eyes, rinse immediately 

with plenty of water and seek medical advice. Use a mild soap if available. Get medical attention. 

1\1\* NOTE: This product contains a substance not found on the TSCA 8(b) Inventory List and can only be used under 

the TSCA 5(h)(3) Research Exemption. Wear chemical resistant apron, chemical splash goggles, impervious gloves 

and boots. Wear a face shield. 

Flammable Liquid; may release vapors that fonn flammable mixtures at or above the flash point. Vapors can travel to 

a source of ignition and flash back. Empty product containers may contain product residue. Do not pressurize, cut, 

heat, weld, or expose containers to flame or other sources of ignition. May evolve oxides of carbon (COx) under fire 

conditions. 

PRIMARY ROUTES OF EXPOSURE: 

Eye, Skin, Inhalation 
i

SAFETY DATA SHEET 

PRODUCT 


EMERGENCY TELEPHONE NUMBER(S) 

(800) 424·9300 (24 Hours) CHEMTREC 

HUMAN HEALTH HAZARDS - ACUTE: 

EYE CONTACT: 


May cause irritation with prolonged contact. 


SKIN CONTACT: 


Toxic in contact with skin. May cause irritation with prolonged contact. Methanol may be absorbed through the skin 


and cause central nervous system effects which may result in permanent visual changes including blindness. 


INGESTION: 


Toxic if swallowed. Not a likely route of exposure. May cause nausea and vomiting. Can cause central nervous 


system depression. The main hazard of methyl alcohol arises from its misuse as a drinking substitute for ethyl alcohol. 


As little as 15 ml of 40% methyl alcohol may cause death. Sublethal doses may cause central nervous system effects 


and may result in permanent visual changes including blindness. 


INHALATION: 


Toxic by inhalation. 


AGGRAVATION OF EXISTING CONDITIONS: 


Skin contact may aggravate an existing dermatitis condition. 


14. I FIRST AID MEASURES 

EYE CONTACT: 


Get medical attention. Immediately flush eye with water for at least 15 minutes while holding eyelids open. 


SKIN CONTACT: 


Immediately flush with plenty of water for at least 15 minutes. Use a mild soap if available. For a large splash, flood 


body under a shower. Get medical attention. Contaminated clothing, shoes, and leather goods must be discarded or 


cleaned before re-use. 


INGESTION: 


Do not induce vomiting: contains petroleum distillates and/or aromatic solvents. Get immediate medical attention. If 


conscious, washout mouth and give water to drink. 


INHALATION: 


Remove to fresh air, treat symptomatically. If symptoms develop, seek medical advice. 


NOTE TO PHYSICIAN: 


Based on the individual reactions of the patient, the physician's judgement should be used to control symptoms and 


clinical condition. 


15. I FIRE FIGHTING MEASURES 

FLASH POINT: 57.0 OF /13.0 °C 

Estimated 

if) 
I
SAFETY DATA SHEET 


PRODUCT 

EMERGENCY TELEPHONE NUMBER(S) 

(800) 424-9300 (24 Hours) CHEMTREC 

EXTINGUISHING MEDIA: 


Foam, Carbon dioxide, Dry powder, Other extinguishing agent suitable for Class B fires, For large fires, use water 


spray or fog, thoroughly drenching the burning material. 


Water mist may be used to cool closed containers. 


UNSUITABLE EXTINGUISHING MEDIA: 


Do not use water unless flooding amounts are available. 


FIRE AND EXPLOSION HAZARD: 


Flammable Liquid; may release vapors that form flammable mixtures at or above the flash point. Vapors can travel to 


a source of ignition and flash back. Empty product containers may contain product residue. Do not pressurize, cut, 


heat, weld, or expose containers to flame or other sources of ignition. May evolve oxides of carbon (COx) under fire 


conditions. 


SPECIAL PROTECTIVE EQUIPMENT FOR FIRE FIGHTING: 


In case of fire, wear a full face positive-pressure self contained breathing apparatus and protective suit. 


16. I ACCIDENTAL RELEASE MEASURES 

PERSONAL PRECAUTIONS: 


Restrict access to area as appropriate until clean-up operations are complete. Use personal protective equipment 


recommended in Section 8 (Exposure Controls/Personal Protection). Stop or reduce any leaks if it is safe to do so. 


Ventilate spill area if possible. Remove sources of ignition. Ensure clean-up is conducted by trained personnel only. 


Do not touch spilled material. Have emergency equipment (for fires, spills, leaks, etc.) readily available. Notify 


appropriate government, occupational health and safety and environmental authorities. 


METHODS FOR CLEANING UP : 


SMALL SPILLS: Soak up spill with absorbent material. Place residues in a suitable, covered, properly labeled 


container. Wash affected area. LARGE SPILLS: Contain liquid using absorbent material, by digging trenches or by 


diking. Reclaim into recovery or salvage drums or tank truck for proper disposal. Clean contaminated surfaces with 


water or aqueous cleaning agents. Contact an approved waste hauler for disposal of contaminated recovered 


material. Dispose of material in compliance with regulations indicated in Section 13 (Disposal Considerations). 


ENVIRONMENTAL PRECAUTIONS: 


Prevent material from entering sewers or waterways., If drains, streams, soil or sewers become contaminated, notify 


local authority. 


I7. IHANDLING AND STORAGE 

HANDLING: 


Do not get in eyes, on skin, on clothing. Do not take internally. Use with adequate ventilation. Do not breathe 


vapors/gases/dust. Keep the containers closed when not in use. Have emergency equipment (for fires, spills, leaks, 


etc.) readily available. Ensure all containers are labeled. Do not use, store, spill or pour near heat, sparks or open 


flame. 


if 

I

SAFETY DATA SHEET 

PRODUCT 

EMERGENCY TELEPHONE NUMBER(S) 

(800) 424-9300 (24 Hours) CHEMTREC 

STORAGE CONDITIONS: 


Store in suitable labeled containers. Store the containers tightly closed. Store away from heat and sources of ignition. 


Have appropriate fire extinguishers available in and near the storage area. Connections must be grounded to avoid 


electrical charges. Store separately from oxidizers. 


SUITABLE CONSTRUCTION MATERIAL: 


Compatibility with Plastic Materials can vary; we therefore recommend that compatibility is tested prior to use. 


I8. IEXPOSURE CONTROLS/PERSONAL PROTECTION 

OCCUPATIONAL EXPOSURE LIMITS: 


Exposure guidelines have not been established for this product. Available exposure limits for the substance(s) are 


shown below. 

Methanol ACGIHfTWA 200 

ACGIHISTEL 250 

ACGIH/Skin' 

OSHAZ1IPEL 200 260 

* Can be absorbed through the skin. 

ENGINEERING MEASURES: 


General ventilation is recommended. The use of local exhaust ventilation is recommended to control emissions near 


the source. Laboratory samples should be handled in a fumehood. Provide mechanical ventilation of confined 


spaces. 


RESPIRATORY PROTECTION: 


Where concentrations in air may exceed the limits given in this section, the use of air supplied breathing apparatus is 


recommended. In event of emergency or planned entry into unknown concentrations a positive pressure. 


full-facepiece SCBA should be used. If respiratory protection is required. institute a complete respiratory protection 


program including selection, fit testing. training, maintenance and inspection. 


HAND PROTECTION: 


When handling this product, the use of chemical gauntlets is recommended. The choice of work glove depends on 


work conditions and what chemicals are handled. Please contact the PPE manufacturer for advice on what type of 


glove material may be suitable. Gloves should be replaced immediately if signs of degradation are observed. 


SKIN PROTECTION: 


Wear chemical resistant apron, chemical splash goggles, impervious gloves and boots. A full slicker suit is 


recommended if gross exposure is possible. 


EYE PROTECTION: 


Wear a face shield with chemical splash goggles. 


HYGIENE RECOMMENDATIONS: 


Use good work and personal hygiene practices to avoid exposure. Eye wash station and safety shower are necessary. 


If clothing is contaminated. remove clothing and thoroughly wash the affected area. Launder contaminated clothing 


before reuse. Always wash thoroughly after handling chemicals. When handling this product never eat. drink or 


smoke. 

I
SAFETY DATA SHEET 


PRODUCT 

EMERGENCY TELEPHONE NUMBER(S) 

(800) 42~9300 (24 Hours) CHEMTREC 

19. IPHYSICAL AND CHEMICAL PROPERTIES 


PHYSICAL STATE Liquid 

APPEARANCE Amber 

ODOR Alcoholic 

SPECIFIC GRAVITY 

DENSITY 

SOLUBILITY IN WATER 

INITIAL BOILING POINT 

VAPOR PRESSURE 

0.85 @ 60.0 OF / 15.5 °C 

7.1 Ib/gal 

Partially miscible 

147.2 of / 64.0 °C 

97.0 mm Hg 

Note: These physical properties are typical values for this product and are subject to change. 

110. ISTABILITY AND REACTIVITY 

STABILITY : 


Stable under normal conditions. 


HAZARDOUS POLYMERIZATION: 


Hazardous polymerization will not occur. 


CONDITIONS TO AVOID: 


Avoid extremes of temperature. Heat and sources of ignition including static discharges. 


MATERIALS TO AVOID: 


Contact with strong oxidizers (e.g. chlorine. peroxides. chromates. nitric acid. perchlorate. concentrated oxygen. 


permanganate) may generate heat. fires, explosions and/or toxic vapors. 


HAZARDOUS DECOMPOSITION PRODUCTS: 


Under fire conditions: Oxides of carbon 


111. ITOXICOLOGICAL INFORMATION 

No toxicity studies have been conducted on this product. 


SENSITIZATION: 


This product is not expected to be a sensitizer. 


CARCINOGENICITY : 


None of the substances in this product are listed as carcinogens by the International Agency for Research on Cancer 


(fARC), the National Toxicology Program (NTP) or the American Conference of Govemmentallndustrial Hygienists 


(ACGIH). 

I

SAFETY DATA SHEET 

PRODUCT 

EMERGENCY TELEPHONE NUMBER(S) 

(800) 424-9300 (24 Hours) CHEMTREC 

112. IECOLOGICAL INFORMATION 


ECOTOXICOLOGICAL EFFECTS: 

No toxicity studies have been conducted on this product. 

MOBILITY : 

The environmental fate was estimated using a level III fugacity model embedded in the EPI (estimation program 

interface) Suite TM, provided by the US EPA. The model assumes a steady state condition between the total input and 

output. The level III model does not require equilibrium between the defined media. The information provided is 

intended to give the user a general estimate of the environmental fate of this product under the defined conditions of 

the models. 

If released into the environment this material is expected to distribute to the air, water and soil/sediment in the 

approximate respective percentages; 

Air Water Soil/Sediment 

5 -10% 10 - 30% 30 - 50% 

The portion in water is expected to float on the surface. 

BIOACCUMULATION POTENTIAL 

This preparation or material is not expected to bioaccumulate. 

If released into the environment, see CERCLAISUPERFUNO in Section 15. 

113. IDISPOSAL CONSIDERATIONS 

If this product becomes a waste, it could meet the criteria of a hazardous waste as defined by the Resource 

Conservation and Recovery Act (RCRA) 40 CFR 261. Before disposal, it should be detennined if the waste meets the 

criteria of a hazardous waste. 

Hazardous Waste: 0001 

Hazardous wastes must be transported by a licensed hazardous waste transporter and disposed of or treated in a 

properly licensed hazardous waste treatment, storage, disposal or recycling facility. Consult local, state, and federal 

regulations for specific requirements. 

114. ITRANSPORT INFORMATION 

The infonnation in this section is for reference only and should not take the place of a shipping paper (bill of lading) 

specific to an order. Please note that the proper Shipping Name / Hazard Class may vary by packaging, properties, 

and mode of transportation. Typical Proper Shipping Names for this product are as follows. 

The presence of an RQ component (Reportable Quantity for U.S. EPA and DOT) in this product causes it to be 

regulated with an additional deScription of RQ for road, or as a class 9 for road and air, ONLY when the net weight in 

the package exceeds the calculated RQ for the product. 
I
SAFETY DATA SHEET 


PRODUCT 

EMERGENCY TELEPHONE NUMBER{S) 

(800) 424-9300 (24 Hours) CHEMTREC 

LAND TRANSPORT: 

Proper Shipping Name : 


Technical Name(s) : 


UN/ID No: 


Hazard Class - Primary : 


Hazard Class - Secondary : 


Packing Group: 


Flash Point: 


Reportable Quantity (per package) : 


RQ Component: 


AIR TRANSPORT (ICAO/IATA): 

METHANOL SOLUTION 

METHANOL 

UN 1123 

3 

6.1 

II 

13.0 °C /57.0 of 

8,3301bs 

METHANOL 

The presence of an RQ component (Reportable Quantity for U.S. EPA and DOT) in this product causes it to be 

regulated with an additional description of RQ for road, or as a class 9 for road and air, ONLY when the net weight in 

the package exceeds the calculated RQ for the product. 

Proper Shipping Name : 


Technical Name(s) : 


UN/ID No: 


Hazard Class - Primary : 


Hazard Class - Secondary : 


Packing Group: 


lATA Cargo Packing Instructions: 


lATA Cargo Aircraft Limit: 


Reportable Quantity (per package) : 


RQ Component: 


MARINE TRANSPORT (IMDGIIMO) : 

Proper Shipping Name: 


Technical Name(s) : 


UN/ID No: 


Hazard Class - Primary : 


Hazard Class - Secondary : 


Packing Group: 


115. IREGULATORY INFORMATION 


METHANOL SOLUTION 

METHANOL 

LIN 1230 

3 

6.1 

II 

310 

220 L (Max net quantity per package) 

8,3301bs 

METHANOL 

METHANOL SOLUTION 


METHANOL 


UN 1230 


3 

6.1 

II 

This section contains additional information that may have relevance to regulatory compliance. The information in this 


section is for reference only. It is not exhaustive, and should not be relied upon to take the place of an individualized 


compliance or hazard assessment. Nalco accepts no liability for the use of this information. 


NATIONAL REGULATIONS, USA: 


OSHA HAZARD COMMUNICATION RULE, 29 CFR 1910.1200: 


Based on our hazard evaluation, the following substance(s) in this product is/are hazardous and the reason(s) is/are 


shown below. 

SAFETY DATA SHEET 

PRODUCT 

EMERGENCY TELEPHONE NUMBER(S) 

(800) 424-9300 (24 Hours) CHEMTREC 

Methanol: Flammable, Target Organ Effect - Eye 


CERCLAISUPERFUND, 40 CFR 302 : 


This product contains the following Reportable Quantity (RQ) Substance. Also listed is the RQ for the product. If a 


reportable quantity of product is released, it requires notification to the NATIONAL RESPONSE CENTER, 


WASHINGTON, D.C. (1-800-424-8802). 


RQ Substance RQ 

Methanol 8,3301bs 

SARA/SUPERFUND AMENDMENTS AND REAUTHORIZATION ACT OF 1986 (TITLE III) - SECTIONS 302,311, 


312, AND 313 : 


SECTION 302 - EXTREMELY HAZARDOUS SUBSTANCES (40 CFR 355) : 


This product does not contain substances listed in Appendix A and B as an Extremely Hazardous Substance. 


SECTIONS 311 AND 312 - MATERIAL SAFETY DATA SHEET REQUIREMENTS (40 CFR 370): 


Our hazard evaluation has found this product to be hazardous. The product should be reported under the following 


indicated EPA hazard categories: 


x Immediate (Acute) Health Hazard 

X Delayed (Chronic) Health Hazard 

X Fire Hazard 

Sudden Release of Pressure Hazard 

Reactive Hazard 

Under SARA 311 and 312, the EPA has established threshold quantities for the reporting of hazardous chemicals. 


The current thresholds are: 500 pounds or the threshold planning quantity (TPQ), whichever is lower, for extremely 


hazardous substances and 10,000 pounds for all other hazardous chemicals. 


SECTION 313 - LIST OF TOXIC CHEMICALS (40 CFR 372): 


This product contains the following substance(s), (with CAS # and % range) which appear(s) on the List of Toxic 


Chemicals 

Hazardous Substance(s) 

Methanol 

CAS NO 

67-56-1 

% (w/w) 

30.0 - 60.0 

TOXIC SUBSTANCES CONTROL ACT (TSCA) : 

This product contains a substance not found on the TSCA 8(b) Inventory List and can only be used under the TSCA 

5(h)(3) Research Exemption. 

FEDERAL WATER POLLUTION CONTROL ACT, CLEAN WATER ACT, 40 CFR 401.15 I formerly Sec. 307,40 CFR 

116.41 formerly Sec. 311 : 


Substances listed under this regulation are not intentionally added or expected to be present in this product. Listed 


components may be present at trace levels. 

I

SAFETY DATA SHEET 

PRODUCT 

EMERGENCY TELEPHONE NUMBER(S) 

(800) 424·9300 (24 Hours) CHEMTREC 

CLEAN AIR ACT, Sec. 112 (Hazardous Air Pollutants, as amended by 40 CFR 63), Sec. 602 (40 CFR 82, Class I and 


II Ozone Depleting Substances) : 


This product contains the following substances listed in the regulation. Additional components may be unintentionally 


present at trace levels. 


Substance{s} Citations 

• Methanol Sec. 112 

CALIFORNIA PROPOSITION 65 : 


Substances listed under California Proposition 65 are not intentionally added or expected to be present in this product. 


MICHIGAN CRITICAL MATERIALS: 


Substances listed under this regulation are not intentionally added or expected to be present in this product. Listed 


components may be present at trace levels. 


STATE RIGHT TO KNOW LAWS: 


The following substances are disclosed for compliance with State Right to Know Laws: 


Methanol 67-56-1 

INTERNATIONAL CHEMICAL CONTROL LAWS: 

116. IOTHER INFORMATION 

This product material safety data sheet provides health and safety information. The product is to be used in 

applications consistent with our product literature. Individuals handling this product should be informed of the 

recommended safety precautions and should have access to this information. For any other uses, exposures should 

be evaluated so that appropriate handling practices and training programs can be established to insure safe workplace 

operations. Please consult your local sales representative for any further information. 

REFERENCES 

Threshold Limit Values for Chemical Substances and Physical Agents and Biological Exposure Indices, American 

Conference of Govemmentallndustrial Hygienists, OH., (AriellnsightTM CD-ROM Version), Ariel Research Corp., 

Bethesda, MD. 

Hazardous Substances Data Bank, National Library of Medicine, Bethesda, Maryland (TOMES CPSTM CD-ROM 

Version). Micromedex, Inc., Englewood, CO. 

IARC Monographs on the Evaluation of the CarcinogeniC Risk of Chemicals to Man, Geneva: World Health 

Organization, International Agency for Research on Cancer. 
I

SAFETY DATA SHEET 

PRODUCT 

EMERGENCY TELEPHONE NUMBER(S) 

(800) 424-9300 (24 Hours) CHEMTREC 

Integrated Risk Information System, U.S. Environmental Protection Agency, Washington, D.C. (TOMES CPSTM 


CD-ROM Version), 


Micromedex, Inc., Englewood, CO. 


Annual Report on Carcinogens, National Toxicology Program, U.S. Department of Health and Human Services, Public 


Health Service. 


Title 29 Code of Federal Regulations, Part 1910, Subpart Z, Toxic and Hazardous Substances, Occupational Safety 


and Health Administration (OSHA), (AriellnsighPM CD-ROM Version), Ariel Research Corp., Bethesda, MD. 


Registry of Toxic Effects of Chemical Substances, National Institute for Occupational Safety and Health, Cincinnati, 


OH. 


(TOMES CPSTM CD-ROM Version), Micromedex, Inc., Englewood, CO. 


AriellnsighFM (An integrated guide to industrial chemicals covered under major regulatory and advisory programs), 


North American Module, Western European Module, Chemical Inventories Module and the Generics Module (Ariel 


InsighPM CD-ROM Version), Ariel Research Corp., Bethesda, MD. 


The Teratogen Information System, University of Washington, Seattle, WA (TOMES CPSTM CD-ROM VerSion), 


Micromedex, Inc., Englewood, CO. 


Prepared By: Product Safety Department 

Date issued: 11/18/2010 

Version Number: 1.0 
ATTACHMENT HEADER SHEET 


Attachment Number 004 

Attachment Name 


Sanitized Material 


Associated PMN Section Number 


Pt.2, Sec.A, 1d. 


Does not contain CBI 

Report Number 

VX10101210174317179 
· . 


Confidential Material 


Removed 

ATTACHMENT HEADER SHEET 


Attachment Number 005 

Attachment Name 


Sanitized Material 


Associated PMN Section Number 


Pt.2, Sec.A, 1d. (#2) 


Does not contain eBI 

Report Number 


VX10101210174317179 

Confidential Material 


Removed 

ATTACHMENT HEADER SHEET 


Attachment Number 006 

Attachment Name 


Sanitized Material 


Associated PMN Section Number 


Pt.2, Sec.B, 1a. 


Does not contain CBI 

Report Number 


VX10101210174317179 

Confidential Material 


Removed 

ATTACHMENT HEADER SHEET 


Attachment Number 007 

Attachment Name 


Sanitized Material 


Associated PMN Section Number 


Pt.2, Sec.B, End 


Does not contain CBI 

Report Number 

VX10101210174317179 
Confidential Material 


Removed 

Confidential Material 


Removed 

Confidential Material 


Removed 

Confidential Material 


Removed 

ATTACHMENT HEADER SHEET 


Attachment Number 008 

Attachment Name 


Sanitized Material 


Associated PMN Section Number 


N/A 


Does not contain eBI 

Report Number 

VX10101210174317179 
Confidential Material 


Removed 


b/ 

Confidential Material 


Removed 

ATIACHMENT HEADER SHEET 


Attachment Number 009 

Attachment Name 


Sanitized Material 


Associated PMN Section Number 

N/A 

Does not contain eBI 

Report Number 

VX10101210174317179 
Confidential Material 


Removed 

Confidential Material 


Removed 

Confidential Material 


Removed 

Confidential Material 


Removed 


b7 

Confidential Material 


Removed 

Confidential Material 


Removed 

Confidential Material 


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10 
Confidential Material 


Removed 


?j 

Confidential Material 


Removed 

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Removed 

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Confidential Material 


Removed 

'II~IIIIIIIIII 1111111111111111111111111 XL P«D"~T WI'TII SANITIZED SUBMISSION 

PMN2010P1 PMN Page 1 P-I ,.. 110 

U.S. ENVIRONMENTAL PROTECTION AGENCY AGENCY USE ONLY 

PREMANUFACTURE Date of 

11111111111111111 ilill 11111 11iiI11111 1111111111 11111 11111 1111111 1111111 1111 Submission rt Number

51.' I 10000004/ S 

VX10101210977172741 

must provide all information requested in to the extent thaI it is known to or reasonably by you estimates actual data. 

• 	 Before you complete this fonm, you should read the 'Instructions Manual lor 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 lee has been remitted for this notice (40 CFR 700.45), indicate in the boxes abOve the TS-user!ae identification number you have generated. Remember, your user fee ID number 

must also appear on your corresponding lee remittance. For mailing address information see the Help Instructions in the e-PMN tool. 

Part 1- GENERAL INFORMATION TEST DATA AND OTHER DATA

You are required to submit all test data in your possession or control and to provide a You must provide the currently correct Chemical Abstracts (CA) description of all other data known to or reasonably ascertainable by you, if these data are Name of the new chemical substance. even if you claim the related to the health and environmental effects on the manufacture. processing. distribution in identity as confidential. You may authorize another person to 

commerce, use, or disposal of the new chemical substance. Standard literature citations may submit chemical identity information for you. but your submission be submitted for data in the open scientific literature. Complete test data (written in English>. will not be complete and the review will not begin until EPA not summaries of data must be submitted if they do not appear in the open literature You receives this information. A letter in support of your submission should dea~y identify whether test data is on the substance or on an analog. Also, the should reference your TS user fee identification number. For all chemical composition of the tested material should be characterized. Following are examples Section 5 Notice submissions (paper or electronic) you must of test data and other date. Data should be submitted according to the requirements of submit an original notice including all test data; if you claimed any §720.50 of the Premanufacture Notification Rule (40 CFR Part 720). information as confidential. an original sanitized copy must also be 

submitted. 

Test Data (Check Below any included in this notice) Part 11- HUMAN EXPOSURE AND ENVIRONMENTAL 

RELEASE 

If there are several manufacture, processing, or use operations to Environmental fate data OtherData 

be described in Part II, sections A and B of this notice, reproduce 

the sections as needed. Health effects date ~ Risk Assessments 

D 	 D 

D 

Part 111- LIST OF ATTACHMENTS D 	 Environmental effects data o Structure/activity relationships For paper submissions, attach additional sheets if there is not 

enough space to answer a question fully. Label each continuation Physical/Chemical Properties (A physical and chemical properties woi1(sheet is 

sheet with the corresponding section heading. In Part III, list these D located on the last page of this form.)

attachments, any test date or other data and any optional 

information included in the notice. D Test data not in the possession or control of the submitter

OPTIONAL INFORMATION TYPE OF NOnCE (Check Only One) You may include any information that you want EPA to consider in 

evaluating the new substance. On page 11 of this form, space has D PMN (Premanufacture Notice) 

been provided for you to describe pOllution prevention and 

D 	 .) 

recycling information you may have regarding the new substance. SNUN (Significant New Use Notice) "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 ~ TMEA (Test Mai1(eting Exemption Application) 

equipment ... The intention is to reduce delays that routinely 

accompany the development of consent orders or Significant New D LYE (Low Volume Exemption) @40 CFR 723.50(c)(1) 

Use Rules. Checking a "binding" box in a PMN does not by itself 

prohibit the submitter from later deviating from the information D LOREX (Low Release/Low Exposure Exemption) @40 CFR 723.56(e)(2) , (except chemical identity) reported in the form; however, in the r~ '. case of exemption applications (such as TMEA, LVE, LOREX) D LYE ModifICation certain information provided in such notifICations is binding on the 

submitter when the Agency approves the exemption application, D LOREX Modification especially if the production volume "binding" box is chosen in a 

LVE. 	 D Mock Submission 

CONFIDENTIALITY CLAIMS 

You may claim any information in this notice as confidential. To Mark (X) if pending Letter of Support 

assert a claim on the form, mai1( (X) the confidential box next to 

the information that you claim as confidential. To assert a claim in 

D 

IS THIS A CONSOLIDATED PMN (Y/N)? 

an attachment, circle or bracket the information you claim as 

confidential. If you claim jnformation in the notices as confidential # of chemicals or polymers (Prenotice Communication # required, enter # on 

you must also proVide a sanitized version of the notice (including p.3). 

attachments). For additional instructions on claiming information 

as confidential, read the Instructions Manual. Mai1( (X) if any information in this notice is claimed as COnfidential. 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 

Page 2 Fl/-i-( 
, 1I1111111 I11111111111111111 	 SANITIZED SUBMISSION 

PMN2010P2 	 PMN Page 2 

The public reporting and recordkeeping burden for this collection of information is estimated to average 93 hours per response, Send 

comments on the Agency's need for this information, the accuracy of the provided burden estimates, and any suggested methods for 

minimizing respondent burden, including through the use of automated collection techniques to the Director, Collection Strategies 

Division, U,S, Environmental Protection Agency (2822T), 1200 Pennsylvania Ave" NW, Washington, D,C, 20460, Include the OMB 

control number in any correspondence, Do not send the completed EPA Form 7710-25 to this address, 

CERTIFICATION -- A printed copy of this signature page, with original signature, must be submitted 

with CD or paper submission, 

I certify that to the best of my knowledge and belief: 

1, The company named in Part I, section A, subsection 1a of this notice form intends to 

manufacture. import or process 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: 

D 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 

D The Company named in Part I Section A is a small business concem 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: 

D 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 

D The new chemical substance for which the notice is submitted meets all applicable exemption conditions, 

D 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. Any knowing and willful 

misrepresentation is subject to criminal penalty pursuant to 18 USC 1001, 

Confidential 

Signature and title of 

AuthOrized Official (Original 

Signature Required) I 

Date 11. .... 0- 20/0 ~ 

EPA FORM 7710-25 (Rev. 6-09) 	 Replaces previous editions of EPA Form 7710-25 

Page 3 4 
SANITIZED SUBMISSION 

PMN2010P3 PMN 3 

~. 

Stll;UUI ~ :soBMiTfER~ MarkiXlthe "( , box next to any <;ubsection vou claim as wnnUtHllIiil 

1a. ... Subllllttina Notice (in U.S.) '-'UII"U"'''',,' 

(first) XXX (last) XXX 


Position 


Name of Authorized Official 

XXX 


Company 
 XXX 

Mailing Address (number &street) XXX 
 ~ 

City 
 I State I Postal Code 


email 


XXX 

XXX 

Agent (if A nnli,.",""hIc\ LOnnUtll'Uiil 

Name of Authorized Official 

b. 

(first) XXX (last) XXX 


Position 
 XXX 


Company 
 XXX 

Mailing Address (number &street) XXX 
 ~ 

City 
 XXX I State I Postal Code XXX 


e-mail 
 XXX (i~d~d~'~~ea code) XXX

CormUtlrJUiil 

If you are submitting this notice as part of a joint submission, malil (X) 

c. Joint ...u .... 'Iif II 

I [ ] 

(first) (last) Name of Authorized Official 


Position 


Company 
 D 

Mailing Address (number &street) 


City 
 I Postal Code 

Telephone 

I State 

e-mail (include area code) 

::.: ConnUtlllUiil 

Name of Authorized Official 

2. Technical lin U.S')

(first) XXX (last) XXX 


Position 
 XXX 


Company 
 XXX 

Mailing Address (number &street) XXX 
 ~ 

City 
 XXX I State I Postal Code XXX 


e-mail 
 XXX XXX 


If you have had a prenotice communication (PC) concerning 


(i~~7~d~'~~ea codel 

Mark (X) if none ,",V'IIIV"''''O' 

this notice and EPA assigned a PC Number to the notice, 


enter the number, 


3. [XJ D 

If you "'"....", '''.''1 submitted an exemption application for the Mark (X) if none Cor fiutlntial

chemical substance covered by this notice, enter the 

4. exemption number assigned by EPA. If you previously 


submitted a PMN for this substance enter the PMN number 
 ~ D 

assianed by EPA /i.e·' lor 1I1(;{)ITIDltlltll. 

Mark - .. If you have submitted a notice of Bona fide intent to (X) if none ,",UII"U"""", 

manufacture or import for the chemical substance covered 


by this notice, enter the notice number assigned by EPA. 


5. ~ D 

6. Type of Notice - Mark(X) 


1. 

Binding 

Manufacture 

Option 

Only [XJ 
 2. 

Binding 

Import Only 

Option 

D 3. Both D D D 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 

Page 4 
'1111111111111111111111 1III11I SANITIZED SUBMISSION 

nfnrm,.lin," for you (for either Item 1 or 2), mark (X) the box at the right. Identify 

i sheet. D

1. Class 1 or 2 chemical substances (for definitions of class 1 and class 

2 substances, see the Instructions Manual) 

a. Class of substance Mark 

Class 1 

D 

Class 2 

D 

CBI 

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 

XXX 

00 

Method 1 (CAS Inventory Expert Service - a copy of the 

Identification report obtained from the CAS Inventory Expert Number Services must be submitted as an attachment to this 160762-1

Enter Attachment filename for Part I, Section B, 1. c. Sanitized Attachment 1.pdf 

d. 

e. D 

See Attachment 002 (Sanitized Attachment 2.doc) 

Enter Attachment filename for Part I, Section B, 1. e. I Sanitized Attachment 2.doc D 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 

Page 5 
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XXX 

XXX 

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PMN2010P4A PMNPage 4a 

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). Confidential 

e. (1) List the immediate precursor substance names with their respective CAS Registry Numbers. [R] 

Enter Attachment filename for Part I, Section B, 1. e. (1) I e. (2) Describe the nature of the reaction or process. tF 

Enter Attachment filename for Part I, Section B, 1. e. (2) I [ ] e. (3) Indicate the range of composition and the typical composition (where appropriate). [R] 

Enter Attachment filename for Part I, Section B, 1. e. (3) I [ ] 

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SANITIZED SUBMISSION 

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Part I -- GENERAL INFORMATION - Continued 

I Section B -- CHEMICAL IDENTITY INFORMATION -- Continued 

2. Polymers {For a definition of ~ol:tmer, see the Instructions ManuaL) Confidential 

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 wei9ht of that com~osition. D 

Describe the methods of measurement or the basis for your estimates: 

IGPC .. :=O-,,-_-,--O_th_e_r_(S_p_e_Cify_B_e_lo_w_) o ISpecify Other: 

(i) lowest number average molecular (ii) maximum weight % below 500 molecular I (iii) maximum weight % below 1000 molecular 

I weight: weight: 	 weight: I 

I J i 

Enter Attachment filename for Part I, Section B, 2. a. 	 [ I 

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 daim 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) 	- Choose ·yes" from drop down menu 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. 
 I 	 (7) - Mark (X) this column if entry in column J!» is confidential, 

I Typical llinciude in I Max Monomer or other reactant specific chemical name CBI icomposition identity CBI residual CBI (1) (2) (3) • (4) (5) (6) (7) -------.­

CAS Registry Number (1) 

I 

CAS Registry Number (1) 

CAS Registry Number (1) 

I 

I 

CAS Registry Number (1) I 

I I 

CAS Registry Number (1) I L i I I 

Mark (X) this box if the data continues on the next page. r ] 

EPA FORM 7710-25 (Rev, 6-09) Replaces previous editions of EPA Form 7710-25 

Page 7 
1111111111111111111111111 I11I SANITIZED SUBMISSION 

PMN2010P5A PMNPage 5a c. Please identify which method you used to develop or obtain the specified chemical identity information reported in this notice eBI (check one). 

Method 1 (CAS Inventory Expert Service 

- a copy of the identification report obtained IES Order Method 2 

Number (other source) 


submitted as an attachment to this notice) 


Enter Attachment filename for Part I. Section B. 2. c. 


from CAS Inventory Expert Service must be D 

[ ] 

d. The currently correct Chemical Abstracts (CA) name for the pOlymer that is consistent with TSCA Inventory listings for similar 

polymers. D 

CAS Registry Number (if a number already exists for the substance) I I e. Provide a correct representative or partial chemical structure diagram. as complete as can be known. if one can be reasonably 

ascertained. 

D 

Enter Attachment filename for Part I. Section B, 2. e. D 

EPA FORM 7710-25 (Rev. 6-09) Replaces previOUS editions of EPA Form 7710-25 

PageS 
'11111111111111 11111111 SANITIZED SUBMISSION 

PMN2010P6 PMNPage 6 

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. Provide the 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 %. 

CAS Registry Maximum Confi- Impurity (a) Number Percent % dential (a) (b) 

XXX XXX XXX X 

XXX XXX XXX X 

XXX XXX XXX X 

! 

I 

I 

I 

Mark (X) this box if the data continues on the next page, D 

Enter Attachment filename for Part I. Section B. 3. I D 

4, Synonyms Enter any chemical synonyms for the new chemical identified in subsection 1 or 2. 

XXX [K] 

Enter Attachment filename for Part I, Section B, 4. I D 

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

D 

Enter Attachment filename for Part I, Section B. 5. I 

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. 

tertiary ammonium compound 

Enter Attachment filename for Part I, Section B, 6. I ! 

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 Confi­

(2) dential 

XXX XXX X 

I 

I 

I 

Mark (X) this box if the data continues on the next page. [ ] 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 

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Part I -- GENERAL INFORMATION -- Continued 

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

The information on this page refers to consolidated chemical number(s): 1 [ ] 2 03 04 Os 06 

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 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 (kglyr) Maximum 12-month production (kglyr) Confidential Binding Option 

(100% new chemical substance basis) (100% new chemical substance basis) Mark (X) 

XXX XXX [Xl 

Enter Attachment filename for Part I, Section C, 1. I I eBI 0 

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 infollTlation. 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 infollTlation (CBI). 

(6) -Estimate the percent of the new substance as follTlulated 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 infollTlation (CBI). 

Category of use (1) Binding Prod "kin % of substance expected per use 

(by function and application I.e. a dispersive dye for CBI Option uction CBI FOIlTl- CBI (8) CBI 

finishing polyester fibers) Mark (X) % ulation Site- Con* Industrial Com- Binding 

(2) (3) (4) (5) (6) (7) limited sumer" mercial OptiOn (9) 

XXX X XXX X XXX X XXX XXX XXX XXX 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 ifthe data continues on the next page. [xl 

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

description Read the Instruction Manual for examples of generic use descriptions. 

Inhibitor for oil field applications 

Enter Attachment filename for Part I, Section C, 2. b. I eBI [ ] 

3. Hazard Information •• Include in the notice a copy of reasonable facsimile of any hazard waming statement, label, material safety 

data sheet, or other infollTlation which will be provided to any person who is reasonably likely to be exposed to this substance Binding Option 

regarding protective equipment or practices for the safe handing, transport, use, or disposal of the new substance. List in part III Mark (X) 

• 

hazard information YOU indude. 

Mark (X) this box if you attach hazard information. [Xl 0 

EPA FORM 7710·25 (Rev. 6-09) Replaces previous editions of EPA FOIlTl 7710-25 


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PMN2010P7-1 

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Continuation Sheet 

ml I Field I Part I, Section C, 2.a. Additional Consumer Use Text 

Category of Use XXX: XXX 


EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 


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Part 11-- HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE . I Mark (X) the "Confidential" box next to Section A -- INDUSTRIAL SITES CONTROLLED BY THE SUBMITTER any item you claim as confidential 

Complete 

The information 

section 

on 

A 

pages 

for each 

8 and 

type 

8a refer 

of manufacture, 

to consolidated 

processing, 

chemical number(s): 

or use operation 

D 

involving 

1 D 

the 

2 

new 

D 

chemical 

3 [J

substance 

4 [J 

at industrial 

5 ~ 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 processing or use operations after import. You must describe these operations. See 

instructions manual 

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

Name XXX 

Site address (number and 

street) XXX ~ City XXX County XXX 

State ZIP code XXX 

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

sites on a continuation sheet, and if any of the sites have significantly different production rates or [R]

operations, include all the information reQuested in this section for those sites as attachments. -t 

Mark (X) this box if the data continues on the next page. D 

b. Type-- Manufacturing Processing Use Mark (X) D D D [R] 

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

Maximum kg/batch 

(100% new chemical Hours/batch Batches/year 

1. Batch substance) [R]

XXX XXX XXX 

Maximum kg/day Hours/day Days/year (100% new chemical substance) 2. Continuous D

Mark (X) to indicate your willingness to 

d. Process description have 

-t 

your process description binding. D

(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% 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. If 

releasin to two media at the same ste ,assi n a second release number for the second medium. 

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Diagram of the major unit operation steps. 

Confidential 

D 

See Attachment 004 (Sanitized Attachment 4.pdf) 

Enter Attachment filename for Part II, Section A, 1. d. Sanitized Attachment 4. f 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 

Page 13 It{­
Confidential Material 


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Ie? 

1I111I111111111111 SANITIZED SUBMISSION 

PMN2010P9 PMN P age 9 

I Part 11·- HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE _. Continued 

Section A .- INDUSTRIAL SITES CONTROLLED BY THE SUBMITTER -- Continued 

The information on pages 9 and 9a refer to consolidated chemical number(s): 01 02 03 04 [ 5 06 

2_ Occupational Exposure -- You must make separate confidentiality claims for the description of worker activity, physical form of the new chemical 

substance, number of workers exposed, and duration of activity. Mark (X) the "Confidential" box next to any item you claim as confidential. 

(1) Oescribe the activities (Le. 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 (CBI). 

(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 formes) of the new chemical substance (e.g., solid: crystal, granule, powder, or dust) and % new chemical substance (if 

part of a mixture) at the time of exposure. 

(7) Mark (X) this column if entries in columns (3) and (5) are 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 ICB!). 

Worker activity Protective Equipment! Binding Physical Binding #of Maximum Duration (I,e., bag dumping. filling CBI Option tonn(s) Option CBI Workers CBI CBI 

drumll) Engineering Controlll Mark (X) &%new Mark (X) Expolled lIubatllnce HrsJDay DayslYr (12) (1) (2) (3) (4) (51 (6) (7) (8) (9) (10) (11) 

XXX X XXX XXX X XXX X XXX XXX X 

XXX X XXX XXX X XXX X XXX XXX X 

Mark (X) this box if the data continues on the next page. l J 

Enter Attachment filename for Part II, Section A on the bottom of page 9a. [ ] 

EPA FORM 7710-25 (Rev_ 6-09) Replaces previous editions of EPA Form 7710-25 


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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 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 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 Medium of release Control technology and efficiency (you may wish to 

Number Substance Released CBI e.g. Stack air optionally attach efficiency data) CBI 

Binding 

(1) (2a) (2b) (3) (4) (Sa) Mark (5b) (6) 

(X) 

XXX XXX XXX X XXX XXX X 

• 

Mark (X) this box if the data continues on the next page. D 

(7) Mark (X) the destination(s of releases to water. NPDES# eBI 

D POTW--provide 

name(s) 

D Navigable waterway-

- provide name(s) D

D Other-Specify D 

Enter Attachment filename for Part II, Section A. I D 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 

Page 15 {f 
Confidential Material 


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SANITIZED SUBMISSION '11111111111111111111111111111111111111111111 

PMN2010P8AX1 PMNPage 8a 

Confidential 

Diagram of the major unit operation steps. D 

See Attachment 005 (Sanitized Attachment 5.pdf) 

Enter Attachment filename for Part II, Section A, 1. d. I Sanitized Attachment 5,pdf [ ] 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 


Page 17 

Confidential Material 


Removed 

Confidential Material 


Removed 


2\ 

1111111111111 SANITIZED SUBMISSION 

PMN2010P9X1 PMN P age 9 

Part 11-- HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE -- Continued 

Section A -·INDUSTRIAL SITES CONTROLLED BY THE SUBMITrER _. Continued 

The infonnation on pages 9 and 9a refer to consolidated chemical number(s): [ ] 1 02 03 04 05 [ ] 6 

2. Occupational Exposure -- You must make separate confidentiality claims for the description of worker activity, physical form of the new chemical 

substance, number of workers 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 (CBI). 

(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 % new chemical substance (if 

part of a mixture) at the time of exposure. 

(7) -­ Mark (X) this column if entries in columns (3) and (5) are 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 (Xl this column if entries in columns (10) and (11) are confidential business information CBI). 

Worker activity Protective Equipment! Binding Physical Binding #of Maximum Duration (i.e., bag dumping, filling CBI Option formes) Option CBI Workers CBI CBI 

drums) Engineering Controls Mark (X) &%new Mark (X) Exposed aubstance HralDay DayalYr (12) (1) (2) (3) (4) 161 (6) (7) (8) (9) (10) (11) 

XXX X XXX XXX X XXX X XXX XXX X 

XXX X XXX XXX X XXX X XXX XXX X 

XXX X XXX XXX X XXX X XXX XXX X 

XXX X XXX XXX X XXX X XXX XXX X 

XXX X XXX XXX X XXX X XXX XXX X 

I 

Mark (X) this box if the data continues on the next page. LJ 

Enter Attachment filename for Part II. Section A on the bottom of page 9a. l ] 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 

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PMN2010P9AX1 PMNPage 9a 

I 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 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 kglbatch). 

(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 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 (CBIl. 

Release Amount of New Medium of release Control technology and efficiency (you may wish to 

Number Substance Released CBI e.g. Stack air optionally attach efficiency data) CBI 

Binding 

(1) (2a) (2b) (3) (4) (58) Mark (5b) (6) 

IXI 

XXX XXX XXX X XXX XXX X 

XXX XXX XXX X XXX XXX X 

XXX XXX XXX X XXX XXX X 

Mark (X) this box if the data continues on the next page. D 

(7) Mark (X) the destination(s of releases to water. NPDES# CBI 

D POTW-provide • 

name(s) D 

D Navigable waterway­

- provide name(s) 

D Other-Specify D 

Enter Attachment filename for Part II, Section A. I D 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 

Page 19 
Confidential Material 


Removed 

Confidential Material 


Removed 

Confidential Material 


Removed 

"11111111111111111111111111111111 1111111111111 SANITIZED SUBMISSION 

PMN2010P10 PMN Page 10 

Part 11-- HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE - Continued 

Section B -- INDUSTRIAL SITES CONTROLLED BY OTHERS 

and 10a refer to consolidated chemical number(s): 01 [ ] 3 Os Os 

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 ofprocessing, 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(a). Operation Description ­ To claim information in this section as confidential, bracket (e.g. {}) 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 

(2) 

(3) 

(4) -­

pails, 55 gallon drums, rail cars, tank trucks, etc), On the diagram, identify by letter and briefly describe each worker activity. 

Either in the diagram or in the text field 1(b) below, provide the identity, the approximate weight (by kg/day or kglbatch, 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). 

Either in the diagram or in the text field 1 (b) below, identify by number the points of release, including small or intermittent releases, to the 

environment of the new chemical substance, 

Please enter the # of sites (remember to identify the locations of these sites on a continuation sheet): 

I Number of Sites I I Confidential 

See Attachment 006 (Sanitized Attachment 6.pdf) 

1(b). (Optional) This space is for a text description to clarify the diagram above. Confidential 

XXX 

Enter Attachment filename for Part II, Section B on the bottom of page 10a, I Sanitized Attachment 6.pdf [ ] • 

EPA FORM 7710-25 (Rev, 6-09) Replaces previous editions of EPA Form 771 ()"25 

Page 20 

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'11111111111111111111111111111111111111111111111111111III SANITIZED SUBMISSION 

PMN2010P10-1 

Continuation Sheet 

ID IP10SB1(a)(4)1 I Field I Part II, Section B, 1(a)(4). Operation Site Locations 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 


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PMN2010P10A PMN P age 10a 

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 kglbatch). 

(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 CBI Protective Equip./Englneering Controls/Physical Form 

% new 

substance 

%In 

Formulation CBI 

(1) (2) (3) (4a) (4b) (5) (6) (6) (7) (8) 

XXX XXX X XXX XXX X XXX XXX XXX X 

XXX XXX X XXX XXX X XXX XXX XXX X 

Release 

Number Amount of New Substance Released CBI Media of Release & Control Technology CBI 

(9) (10a) (10b) (11) (12) (13) 

XXX XXX XXX X XXX X 

Mark (X) this box if the data continues on the next page. D 

(14) Byproducts: IXXX (15) CBI [X] 

Enter Attachment filename for Part II, Section B. Sanitized Attachment 7.pdf D 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 

Page 22 
11111111111111111111111111111111 1111111111111 SANITIZED SUBMISSION 

PMN2010P11 PMN Page 11 

OPTIONAL POLLUTION PREVENTION INFORMATION 

To claim information in the following section as confidential, bracket (e.g. {}) 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, and/or raw materials substitution. 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. Quantitative or qualitative 

descriptions of pollution prevention, source reduction and recycling should emphasize potential risk reduction in addition to compliance with existing 

regulatory requirements. 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 media (e.g., air to water) or nonenvironmental areas (e.g., occupational or consumer exposure). To the 

extent known, information about the technology being replaced will assist EPA in its relative risk determination. In addition, information on the 

relative cost or performance characteristics of the PMN substance to potential alternatives may be provided. 

Describe the expected net benefits, such as 

(1) an overall reduction in risk to human health or the environment; 

(2) a reduction in the generation of waste materials through recycling, source reduction or other means; 

(3) a reduction in the use of hazardous starting materials, reagents, or feedstocks; 

(4) a reduction in potential toxicity, human exposure and/or environmental release; or 

(5) 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. 

Information provided in this section will be taken into consideration during the review of this substance. See PMN Instructions Manual 

and Pollution Prevention Guidance manual for guidance and examples. 

{XXX} 

Enter Attachment filename for Pollution Prevention Page 11. I D 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 

Page 23 
1111111111111111111111 111111111111111111111111 SANITIZED SUBMISSION 


PMN2010P12 PMN Page 12 


Part 111-- LIST OF ATTACHMENTS 

Attach continuation sheets for sections of the form, 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 any paper attachments. In the Number of Pages column 

below, enter the inclusive page numbers of each attachment for paper submissions or enter the total number of pages for each 

attachment for electronic submissions. Electronic attachments can be identified by filename. 

Mark (X) the "Confidential" box next to any attachment name or filename 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. 

Number Associated 

# Attachment Name Attachment Filename of Pages PMN Section CBI 

Number 

001 Sanitized Material Sanitized Attachment 1.pdf 1 Pt.I, Sec.B, 1c. 

002 Sanitized Material Sanitized Attachment 2.doc 1 Pt.I, Sec.B, 1e. 

003 Sanitized MSDS Sanitized Attachment 3.pdf 10 

004 Sanitized Material Sanitized Attachment 4.pdf 1 Pt.2, Sec.A, 1d. 

005 Sanitized Material Sanitized Attachment 5.pdf 1 Pt.2, Sec.A, 1d. (#2) 

006 Sanitized Material Sanitized Attachment 6.pdf 1 Pt.2, Sec.B, 1a. 

007 Sanitized Material Sanitized Attachment 7.pdf 4 Pt.2, Sec.B, End 

008 Sanitized Material Sanitized Attachment 8.pdf 2 

009 Sanitized Material Sanitized Attachment 9.pdf 15 

Mark (X) this box if the data continues on the next page. D 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 


Page 24 
 3) 
Blank 


Page 

1111111111111111111111 111111I SANITIZED SUBMISSION 

PMN2010P13 PMNPage 13 

PHYSICAL AND CHEMICAL PROPERTIES WORKSHEET 


The information on this page refers to chemical number(s): 01 02 03 04 r l5 Os 


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 value of the property, the units in which the property is measured (as necessary), and whether or not the 


property is claimed as confidential. Give the attachment number (found on page 12) in column (b). 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 --.J. You are not required to submit this worksheet; however, EPA strongly recommends that 


you do so, as it will simplify the 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. 


Attachment Measured CBI Value I Property Mark X if 

Unit Number or Estimate Mark (X) (a) Provided (e) (bl {M or E) (d)

(solid) T(liquid) (gas) 


Physical state of neat substance 0 


XXX 
 0 0 0 X

Vapor Pressure @ 

Temperature XXX ·C 0 XXX XXX Torr X

Density/relative density XXX XXX g/cm3 X

i 

Solubility 

@ Temperature ·c 0 gIL

Solvent 

Solubility in Water @ 

XXX ·c 0 XXX XXX giL X Temperature 

Melting Temperature 0 ·c

Boiling / Sublimation Torr 0 ·c temperature @ I 

Spectra 0 

Dissociation constant 0 

Octanol/ water partition coefficient I 

Henry's Law constant 0 

Volatilization from water 0 

Volatilization from soil 0 I 

pH@ concentration 0 

Flammability 0 

Explodability 0 I

Adsorption I Coefficient 0 i 

• Other - Specify 0 i 

Other - Specify 0 I 

Page 25 
ATIACHMENT HEADER SHEET 


Attachment Number 001 

Attachment Name 

Sanitized Material 

Associated PMN Section Number 

Pt.I, Sec.B, 1c. 

Does not contain CBI 

Report Number 

VX10101210977172741 
Confidential Material 


Removed 

ATTACHMENT HEADER SHEET 


Attachment Number 002 

Attachment Name 


Sanitized Material 


Associated PMN Section Number 


Pt.!, Sec.B, 1e. 


Does not contain CBI 

Report Number 


VX10101210977172741 

Confidential Material Removed 

Confidential Material Removed 

Confidential Material Removed 

?7 

ATTACHMENT HEADER SHEET 


Attachment Number 003 

Attachment Name 


Sanitized MSDS 


Associated PMN Section Number 

N/A 

Does not contain CSt 

Report Number 

VX10101210977172741 
I

SAFETY DATA SHEET 

PRODUCT 

EMERGENCY TELEPHONE NUMBER(S) 

(800) 424-9300 (24 Hours) CHEMTREC 

11. ICHEMICAL PRODUCT AND COMPANY IDENTIFICATION 


PRODUCT NAME: 


COMPANY IDENTIFICATION: 


EMERGENCY TELEPHONE NUMBER(S) : (800) 424-9300 (24 Hours) CHEMTREC 

NFPA 704M1HMIS RATING 


HEALTH: 3/3* FLAMMABILITY: 3 I 3 INSTABILITY: 0 I 0 OTHER: 


o=Insignificant 1 =Slight 2 =Moderate 3 =High 4 =Extreme * =Chronic Health Hazard 

12. I COMPOSITION/INFORMATION ON INGREDIENTS 


Our hazard evaluation has identified the following chemical substance( s) as hazardous. Consult Section 15 for the 

nature of the hazard(s}. 

Hazardous Substance(s} CAS NO % (wlw) 

Methanol 67-56-1 30.0 - 60.0 

I 3. I HAZARDS IDEN1"IFICATION 

**EMERGENCY OVERVIEW** 

DANGER 

Highly flammable. Toxic by inhalation, in contact with skin and if swallowed. Contains methanol. Methanol may 

cause central nervous system effects or permanent vision damage if inhaled, swallowed or absorbed through the skin 

in large amounts. 

Keep away from heat. Keep away from sources of ignition - No smoking. Keep container tightly closed. Do not get in 

eyes. on skin, on clothing. Do not take internally. Avoid breathing vapor. Use with adequate ventilation. If respiratory 

symptoms develop, remove to fresh air, rest. treat symptomatically. In case of contact with eyes. rinse immediately 

with plenty of water and seek medical advice. Use a mild soap if available. Get medical attention. 

I\A* NOTE: This product contains a substance not found on the TSCA 8(b) Inventory List and can only be used under 

the TSCA 5(h)(3) Research Exemption. Wear chemical resistant apron, chemical splash goggles, impervious gloves 

and boots. Wear a face shield. 

Flammable Liquid; may release vapors that form flammable mixtures at or above the flash point. Vapors can travel to 

a source of ignition and flash back. Empty product containers may contain product residue. Do not pressurize, cut, 

heat, weld, or expose containers to flame or other sources of ignition. May evolve oxides of carbon (COx) under fire 

conditions. 

PRIMARY ROUTES OF EXPOSURE: 

Eye, Skin, Inhalation 
I

SAFETY DATA SHEET 

PRODUCT 

EMERGENCY TELEPHONE NUMBER(S) 

(800) 424-9300 (24 Hours) CHEMTREC 

HUMAN HEALTH HAZARDS - ACUTE: 

EYE CONTACT: 


May cause irritation with prolonged contact. 


SKIN CONTACT: 


Toxic in contact with skin. May cause irritation with prolonged contact. Methanol may be absorbed through the skin 


and cause central nervous system effects which may result in permanent visual changes including blindness. 


INGESTION: 


Toxic if swallowed. Not a likely route of exposure. May cause nausea and vomiting. Can cause central nervous 


system depression. The main hazard of methyl alcohol arises from its misuse as a drinking substitute for ethyl alcohol. 


As little as 15 ml of 40% methyl alcohol may cause death. Sublethal doses may cause central nervous system effects 


and may result in permanent visual changes including blindness. 


INHALATION: 


Toxic by inhalation. 


AGGRAVATION OF EXISTING CONDITIONS: 


Skin contact may aggravate an existing dermatitis condition. 


14. IFIRST AID MEASURES 

EYE CONTACT: 


Get medical attention. Immediately flush eye with water for at least 15 minutes while holding eyelids open. 


SKIN CONTACT: 


Immediately flush with plenty of water for at least 15 minutes. Use a mild soap if available. For a large splash, flood 


body under a shower. Get medical attention. Contaminated clothing, shoes, and leather goods must be discarded or 


cleaned before re-use. 


INGESTION: 


Do not induce vomiting: contains petroleum distillates and/or aromatic solvents. Get immediate medical attention. If 


conscious, washout mouth and give water to drink. 


INHALATION: 


Remove to fresh air, treat symptomatically. If symptoms develop, seek medical advice. 


NOTE TO PHYSICIAN: 


Based on the individual reactions of the patient, the physician's judgement should be used to control symptoms and 


clinical condition. 


1 5. I FIRE FIGH1'ING MEASURES 

FLASH POINT: 57.0 OF 113.0 °C 

Estimated 
I
SAFETY DATA SHEET 


PRODUCT 

EMERGENCY TELEPHONE NUMBER(S) 

(800) 424-9300 (24 Hours) CHEMTREC 

EXTINGUISHING MEDIA: 


Foam, Carbon dioxide, Dry powder, Other extinguishing agent suitable for Class B fires, For large fires. use water 


spray or fog, thoroughly drenching the burning material. 


Water mist may be used to cool closed containers. 


UNSUITABLE EXTINGUISHING MEDIA: 


Do not use water unless flooding amounts are available. 


FIRE AND EXPLOSION HAZARD: 


Flammable Liquid; may release vapors that form flammable mixtures at or above the flash point. Vapors can travel to 


a source of ignition and flash back. Empty product containers may contain product residue. Do not pressurize, cut, 


heat, weld, or expose containers to flame or other sources of ignition. May evolve oxides of carbon (COx) under fire 


conditions. 


SPECIAL PROTECTIVE EQUIPMENT FOR FIRE FIGHTING: 


In case of fire, wear a full face positive-pressure self contained breathing apparatus and protective suit. 


16. IACCIDENTAL RELEASE MEASURES 

PERSONAL PRECAUTIONS: 

Restrict access to area as appropriate until clean-up operations are complete. Use personal protective equipment 

recommended in Section 8 (Exposure Controls/Personal Protection). Stop or reduce any leaks if it is safe to do so. 

Ventilate spill area if possible. Remove sources of ignition. Ensure clean-up is conducted by trained personnel only. 

Do not touch spilled material. Have emergency equipment (for fires. spills, leaks. etc.) readily available. Notify 

appropriate government, occupational health and safety and environmental authorities. 

METHODS FOR CLEANING UP : 

SMALL SPILLS: Soak up spill with absorbent material. Place residues in a suitable, covered. properly labeled 

container. Wash affected area. LARGE SPILLS: Contain liquid using absorbent material. by digging trenches or by 

diking. Reclaim into recovery or salvage drums or tank truck for proper disposal. Clean contaminated surfaces with 

water or aqueous cleaning agents. Contact an approved waste hauler for disposal of contaminated recovered 

material. Dispose of material in compliance with regulations indicated in Section 13 (Disposal Considerations). 

ENVIRONMENTAL PRECAUTIONS: 

Prevent material from entering sewers or waterways .• If drains, streams, soil or sewers become contaminated, notify 

local authority. 

17. IHANDLING AND STORAGE 

HANDLING: 


Do not get in eyes, on skin. on clothing. Do not take internally. Use with adequate ventilation. Do not breathe 


vapors/gases/dust. Keep the containers closed when not in use. Have emergency equipment (for fires, spills, leaks, 


etc.) readily available. Ensure all containers are labeled. Do not use, store. spill or pour near heat, sparks or open 


flame. 


l/) 

I

SAFETY DATA SHEET 

PRODUCT 

EMERGENCY TELEPHONE NUMBER(S) 

(800) 424-9300 (24 Hours) CHEMTREC 

STORAGE CONDITIONS: 


Store in suitable labeled containers. Store the containers tightly closed. Store away from heat and sources of ignition. 


Have appropriate fire extinguishers available in and near the storage area. Connections must be grounded to avoid 


electrical charges. Store separately from oxidizers. 


SUITABLE CONSTRUCTION MATERIAL: 


Compatibility with Plastic Materials can vary; we therefore recommend that compatibility is tested prior to use. 


I8. IEXPOSURE CONTROLS/PERSONAL PROTECTION 

OCCUPATIONAL EXPOSURE LIMITS: 


Exposure guidelines have not been established for this product. Available exposure limits for the substance(s) are 


shown below. 

Methanol ACGIHfTWA 200 

ACGIH/STEL 250 

ACGIH/Skin· 

OSHAZlIPEL 200 260 

* Can be absorbed through the skin. 

ENGINEERING MEASURES: 


General ventilation is recommended. The use of local exhaust ventilation is recommended to control emissions near 


the source. Laboratory samples should be handled in a fumehood. Provide mechanical ventilation of confined 


spaces. 


RESPIRATORY PROTECTION: 


Where concentrations in air may exceed the limits given in this section, the use of air supplied breathing apparatus is 


recommended. In event of emergency or planned entry into unknown concentrations a positive pressure, 


full-facepiece SCBA should be used. If respiratory protection is required, institute a complete respiratory protection 


program including selection, fit testing, training, maintenance and inspection. 


HAND PROTECTION: 


When handling this product, the use of chemical gauntlets is recommended. The choice of work glove depends on 


work conditions and what chemicals are handled. Please contact the PPE manufacturer for advice on what type of 


glove material may be suitable. Gloves should be replaced immediately if signs of degradation are observed. 


SKIN PROTECTION: 


Wear chemical resistant apron, chemical splash goggles, impervious gloves and boots. A full slicker suit is 


recommended if gross exposure is possible. 


EYE PROTECTION: 


Wear a face shield with chemical splash goggles. 


HYGIENE RECOMMENDATIONS: 


Use good work and personal hygiene practices to avoid exposure. Eye wash station and safety shower are necessary. 


If clothing is contaminated, remove clothing and thoroughly wash the affected area. Launder contaminated clothing 


before reuse. Always wash thoroughly after handling chemicals. When handling this product never eat, drink or 


smoke. 

I

SAFETY DATA SHEET 

PRODUCT 

EMERGENCY TELEPHONE NUMBER(S) 

(800) 424-9300 (24 Hours) CHEMTREC 

19. IPHYSICAL AND CHEMICAL PROPERTIES 


PHYSICAL STATE Liquid 

APPEARANCE Amber 

ODOR Alcoholic 

SPECIFIC GRAVITY 

DENSITY 

SOLUBILITY IN WATER 

INITIAL BOILING POINT 

VAPOR PRESSURE 

0.85 @ 60.0 OF 115.5 °C 

7.1 Ib/gal 

Partially miscible 

147.2 OF 164.0 °C 

97.0 mm Hg 

Note: These physical properties are typical values for this product and are subject to change. 

110. ISTABILITY AND REACTIVITY 

STABILITY : 


Stable under nonnal conditions. 


HAZARDOUS POLYMERIZATION: 


Hazardous polymerization will not occur. 


CONDITIONS TO AVOID: 


Avoid extremes of temperature. Heat and sources of ignition including static discharges. 


MATERIALS TO AVOID: 


Contact with strong oxidizers (e.g. chlorine, peroxides, chromates, nitric acid, perchlorate, concentrated oxygen, 


pennanganate) may generate heat, fires, explosions and/or toxic vapors. 


HAZARDOUS DECOMPOSITION PRODUCTS: 


Under fire conditions: Oxides of carbon 


111. ITOXICOLOGICAL INFORMATION 

No toxicity studies have been conducted on this product. 


SENSITIZATION: 


This product is not expected to be a sensitizer. 


CARCINOGENICITY : 


None of the substances in this product are listed as carcinogens by the International Agency for Research on Cancer 


(IARC), the National Toxicology Program (NTP) or the American Conference of Govemmentallndustrial Hygienists 


(ACGIH). 

I

SAFETY DATA SHEET 

PRODUCT 

EMERGENCY TELEPHONE NUMBER(S) 

(800) 424-9300 (24 Hours) CHEMTREC 

112. IECOLOGICAL INFORMATION 


ECOTOXICOLOGICAL EFFECTS: 

No toxicity studies have been conducted on this product. 

MOBILITY : 

The environmental fate was estimated using a level III fugacity model embedded in the EPI (estimation program 

interface) Suite TM, provided by the US EPA. The model assumes a steady state condition between the total input and 

output. The level III model does not require equilibrium between the defined media. The information provided is 

intended to give the user a general estimate of the environmental fate of this product under the defined conditions of 

the models. 

If released into the environment this material is expected to distribute to the air, water and soil/sediment in the 

approximate respective percentages; 

Air Water Soil/Sediment 

5 -10% 10 - 30% 30 - 50% 

The portion in water is expected to float on the surface. 

BIOACCUMULATION POTENTIAL 

This preparation or material is not expected to bioaccumulate. 

If released into the environment, see CERCLAISUPERFUNO in Section 15. 

113. IDISPOSAL CONSIDERATIONS 

If this product becomes a waste, it could meet the criteria of a hazardous waste as defined by the Resource 

Conservation and Recovery Act (RCRA) 40 CFR 261. Before disposal, it should be determined if the waste meets the 

criteria of a hazardous waste. 

Hazardous Waste: 0001 

Hazardous wastes must be transported by a licensed hazardous waste transporter and disposed of or treated in a 

properly licensed hazardous waste treatment, storage, disposal or recycling facility. Consult local, state, and federal 

regulations for specific requirements. 

114. ITRANSPORT INFORMATION 

The information in this section is for reference only and should not take the place of a shipping paper (bill of lading) 

specific to an order. Please note that the proper Shipping Name / Hazard Class may vary by packaging, properties. 

and mode of transportation. Typical Proper Shipping Names for this product are as follows. 

The presence of an RQ component (Reportable Quantity for U.S. EPA and DOT) in this product causes it to be 

regulated with an additional description of RQ for road, or as a class 9 for road and air, ONLY when the net weight in 

the package exceeds the calculated RQ for the product. 
I

SAFETY DATA SHEET 

PRODUCT 

EMERGENCY TELEPHONE NUMBER(S) 

(800) 424-9300 (24 Hours) CHEMTREC 

LAND TRANSPORT: 

Proper Shipping Name: 


Technical Name{s) : 


UN/ID No: 


Hazard Class - Primary : 


Hazard Class - Secondary : 


Packing Group: 


Flash Point: 


Reportable Quantity (per package) : 


RQ Component: 


AIR TRANSPORT (ICAOIIATA): 

METHANOL SOLUTION 

METHANOL 

UN 1123 

3 

6.1 

II 

13.0 °C /57.0 OF 

8,330lbs 

METHANOL 

The presence of an RQ component (Reportable Quantity for U.S. EPA and DOT) in this product causes it to be 

regulated with an additional description of RQ for road, or as a class 9 for road and air, ONLY when the net weight in 

the package exceeds the calculated RQ for the product. 

Proper Shipping Name : 


Technical Name(s) : 


UN/ID No: 


Hazard Class - Primary : 


Hazard Class - Secondary : 


Packing Group: 


lATA Cargo Packing Instructions: 


lATA Cargo Aircraft Limit: 


Reportable Quantity (per package) : 


RQ Component: 


MARINE TRANSPORT (IMDG/IMO) : 

Proper Shipping Name: 


Technical Name(s) : 


UNIID No: 


Hazard Class - Primary : 


Hazard Class - Secondary : 


Packing Group: 


115. 1REGULATORY INFORMATION 


METHANOL SOLUTION 

METHANOL 

UN 1230 

3 

6.1 

II 

310 

220 L (Max net quantity per package) 

8,330lbs 

METHANOL 

METHANOL SOLUTION 


METHANOL 


UN 1230 


3 

6.1 

II 

This section contains additional information that may have relevance to regulatory compliance. The information in this 


section is for reference only. It is not exhaustive, and should not be relied upon to take the place of an individualized 


compliance or hazard assessment. Nalco accepts no liability for the use of this information. 


NATIONAL REGULATIONS, USA: 


OSHA HAZARD COMMUNICATION RULE, 29 CFR 1910.1200: 


Based on our hazard evaluation, the following substance(s) in this product is/are hazardous and the reason{s) is/are 


shown below. 

I

SAFETY DATA SHEET 

PRODUCT 

EMERGENCY TELEPHONE NUMBER(S) 

(800) 424-9300 (24 Hours) CHEMTREC 

Methanol: Flammable, Target Organ Effect - Eye 


CERCLAISUPERFUND, 40 CFR 302 : 


This product contains the following Reportable Quantity (RQ) Substance. Also listed is the RQ for the product. If a 


reportable quantity of product is released, it requires notification to the NATIONAL RESPONSE CENTER, 


WASHINGTON, D.C. (1-800424-8802). 


RQ Substance BQ. 

Methanol 8,330lbs 

SARA/SUPERFUND AMENDMENTS AND REAUTHORIZATION ACT OF 1986 (TITLE III) - SECTIONS 302,311, 


312, AND 313: 


SECTION 302 - EXTREMELY HAZARDOUS SUBSTANCES (40 CFR 355) : 


This product does not contain substances listed in Appendix A and B as an Extremely Hazardous Substance. 


SECTIONS 311 AND 312 - MATERIAL SAFETY DATA SHEET REQUIREMENTS (40 CFR 370) : 


Our hazard evaluation has found this product to be hazardous. The product should be reported under the following 


indicated EPA hazard categories: 


x Immediate (Acute) Health Hazard 

X Delayed (Chronic) Health Hazard 

X Fire Hazard 

Sudden Release of Pressure Hazard 

Reactive Hazard 

Under SARA 311 and 312, the EPA has established threshold quantities for the reporting of hazardous chemicals. 


The current thresholds are: 500 pounds or the threshold planning quantity (TPQ), whichever is lower, for extremely 


hazardous substances and 10,000 pounds for all other hazardous chemicals. 


SECTION 313 - LIST OF TOXIC CHEMICALS (40 CFR 372): 


This product contains the following substance(s), (with CAS # and % range) which appear(s) on the List of Toxic 


Chemicals 

Hazardous Substance(s) 

Methanol 

CAS NO 

67-56-1 

% (w/w) 

30.0 - 60.0 

TOXIC SUBSTANCES CONTROL ACT (TSCA): 

This product contains a substance not found on the TSCA 8(b) Inventory List and can only be used under the TSCA 


5(h)(3) Research Exemption. 


FEDERAL WATER POLLUTION CONTROL ACT, CLEAN WATER ACT, 40 CFR401.15lformerly Sec. 307,40 CFR 


116.4/ formerly Sec. 311 : 


Substances listed under this regulation are not intentionally added or expected to be present in this product. Listed 


components may be present at trace levels. 


'tt 

I
SAFETY DATA SHEET 


PRODUCT 

EMERGENCY TELEPHONE NUMBER(S) 

(800) 424-9300 (24 Hours) CHEMTREC 

CLEAN AIR ACT, Sec. 112 (Hazardous Air Pollutants, as amended by 40 CFR 63), Sec. 602 (40 CFR 82, Class I and 


II Ozone Depleting Substances) : 


This product contains the following substances listed in the regulation. Additional components may be unintentionally 


present at trace levels. 


Substance(s) Citations 

• Methanol Sec. 112 

CALIFORNIA PROPOSITION 65 : 


Substances listed under California Proposition 65 are not intentionally added or expected to be present in this product. 


MICHIGAN CRITICAL MATERIALS: 


Substances listed under this regulation are not intentionally added or expected to be present in this product. Listed 


components may be present at trace levels. 


STATE RIGHT TO KNOW LAWS: 


The following substances are disclosed for compliance with State Right to Know Laws: 


Methanol 67-56-1 

INTERNATIONAL CHEMICAL CONTROL LAWS: 

116. IOTHER INFORMATION 

This product material safety data sheet provides health and safety information. The product is to be used in 

applications consistent with our product literature. Individuals handling this product should be informed of the 

recommended safety precautions and should have access to this information. For any other uses, exposures should 

be evaluated so that appropriate handling practices and training programs can be established to insure safe workplace 

operations. Please consult your local sales representative for any further information. 

REFERENCES 

Threshold Limit Values for Chemical Substances and Physical Agents and Biological Exposure Indices, American 

Conference of Governmental Industrial Hygienists, OH., (Ariellnsightm CD-ROM Version), Ariel Research Corp., 

Bethesda, MD. 

Hazardous Substances Data Bank, National Library of Medicine, Bethesda, Maryland (TOMES CPsm CD-ROM 

Version), Micromedex, Inc., Englewood, CO. 

IARC Monographs on the Evaluation of the Carcinogenic Risk of Chemicals to Man, Geneva: World Health 

Organization, International Agency for Research on Cancer. 
I

SAFETY DATA SHEET 

PRODUCT 

EMERGENCY TELEPHONE NUMBER(S) 

(800) 424-9300 (24 Hours) CHEMTREC 

Integrated Risk Information System, U.S. Environmental Protection Agency, Washington, D.C. (TOMES CPSTM 


CD-ROM Version), 


Micromedex, Inc., Englewood, CO. 


Annual Report on Carcinogens, National Toxicology Program, U.S. Department of Health and Human Services, Public 


Health Service. 


Title 29 Code of Federal Regulations, Part 1910, Subpart Z, Toxic and Hazardous Substances, Occupational Safety 


and Health Administration (OSHA), (AriellnsighFM CD-ROM Version), Ariel Research Corp., Bethesda, MD. 


Registry of Toxic Effects of Chemical Substances, National Institute for Occupational Safety and Health, Cincinnati, 


OH, 


(TOMES CPSTM CD-ROM Version), Micromedex, Inc., Englewood, CO. 


AriellnsightTM (An integrated guide to industrial chemicals covered under major regulatory and advisory programs), 


North American Module, Western European Module, Chemical Inventories Module and the Generics Module (Ariel 


InsighPM CD-ROM Version), Ariel Research Corp., Bethesda, MD. 


The Teratogen Information System, University of Washington, Seattle, WA (TOMES CPSTM CD-ROM Version), 


Micromedex, Inc., Englewood, CO. 


Prepared By: Product Safety Department 

Date issued: 11/1812010 

Version Number: 1.0 
ATTACHMENT HEADER SHEET 


Attachment Number 004 

Attachment Name 


Sanitized Material 


Associated PMN Section Number 


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