111111111111 1111 1111 111 111 1 1111111 NON-CBI SUBMISSION PMN2009P1 PMN Page 1 U . S. ENVIRONMENTAL PROTECTION AGENCY AGENCY USE ONLY PREMANUFACTURE NOTICE Date of receipt: FO R NEW CHEMICAL SUBSTANCES II sendi n g by Mail : Office of Pollution Prevention and Toxlcs Document Co ntro l Office (7407M) Subm US EPA, 1200 Pennsylvania Ave NW WAS H INGTON , D.C. 20460 mu st extent to or by yo u . · you d o no t h ave d ata . • BefO<e you comp l e t e th i s form . you shou l d rea d the "lnstruC1ions Ma n ua l f o r Prema n ufaC1ure N o til'i ca b on" ( t he In struct ion s M anua l is available from th e Tox i c Substances Contro l Act (TSCA ) I nf orma ti on S ervice by call i ng 202-554 - 1404, o r faxi ng 202 - 554-5603 ). • I f a user tee has been r em itt ed fo r t h is no t ice ( 40 CFR 7 00.45 ) , indicate i n t h e boxes abov e the T S-<Jser fee i d entifica ti on number you h ave ge n eraled . Remember. your u se r lee 1 0 number m u st a l so appear on yo u r cooespond i n g f ee r em itt a n ce . F or ma i li ng address i nform a ti on see th e He l p instru ctio ns i n the e-PMN too l. Part 1- GENERAL IN F O R MAT I ON You must provid e t h e currently correct Chem i ca l Abstracts (CA) Name of the new chem i cal substance , even it you claim the i dent it y as con fi dentia l. You may author iz e another person t o submit chem i cal i dentity information tor you , but your submission will not be comp l ete and the review w ill not beg i n unti l E PA receives this info r mation . A letter i n support of your submission

should reference your TS user fee ident ifi cation number. F or all Section 5 Notice submiss i ons (paper or electronic) you must

subm i t an orig i nal notice inc l ud i ng a ll test data ; if you cla i med any information as confidential , an original sanitized copy must a l so be

submitted . P art II- HUMAN EXPOSURE AN D E NV IRON MENTA L RELEASE If there are severa l manufacture. processing, or use operations to be described in Part II , sections A and B of th i s notice , reproduce the sections as needed. Part Ill- LIST O F ATTACHMENTS

Fo r paper submiss i ons , attach additional sheets if there i s not enough space to answer a question fully . L abe l each continuation

shee t with the correspond i ng section head i ng . I n Part I ll , l i st these attachments , any test data or other da t a and any optiona l informat ion inclu d ed in the notice. OPTIO NA L IN FOR MATION You may include any i nfo r mation t hat you wan t EPA to conside r in evaluating the new substance . On page 11 of th i s form , space has been provided for you to descr i be po ll u ti on p r event io n and recycling information you may have regarding the new substance . "Bind i ng " boxes are i nc l uded t hroughou t this form for you to i nd i cate your willingness to be bound to certa i n statements you make in this section , such as use . production volume . protective

equi p ment . . . The i ntention is t o reduce delays t hat rout in e l y accompany the development of consent orders or Significan t New Use Rules . Checking a "b i nding" box in a P MN does not b y itse l f proh i b i t the submitter f rom later deviating f rom the i nformation (except chemical identity) r eported i n the form ; however , i n the

case of exemption app l ications (such as TMEA , LVE. LOREX) certain i nf orma tio n p r ovided i n such not ifi cations i s bind i ng on the submitte r when the Agency approves the exemption application , especia ll y if the produc t io n volume "b i nding" box i s chosen in a LVE . CONFIDENTIALITY CLAIMS You may cla i m any information in this not i ce as con fi dentia l. To asse rt a c l aim on the form , mark (X) the confidentia l box next to t he information t hat you claim as confidential. To assert a claim in an attachment, ci r cle or bracket the informat i on you claim as**eonfider~tia l.**  I f you claim i nforma ti on jn the notices as confiden ti al you must a l so provide a san i t i zed v e rsion of the no t ice ( i nclud i ng attachments\. For add i t io nal i nstructio n s on claiming i nformation as confidentia l , rea d the Instructions Manual. EPA FORM 7710-25 (Rev . 5-95)

TEST DAT A AND OTHER DAT A You are requ ir ed to submit all test data i n your possession or control and to provide a description of all other data known to or reasonably ascertainable by you . if these da ta are related to the health and environmenta l effects on the manufacture . p rocess i ng , distribu tion in commerce , use . or disposa l of the new chem i ca l substance . Standard literature citat i ons may be subm i tt ed fo r data in the open scientific l i terature . Comp l ete test data (written in English\. not summaries of data must be submitted if they do not appear in the open literature. You should clearly i d e ntify whether test data i s on the substance or on an ana l og. Also, the c hemical composition of the te sted material shou l d be characterized . Follow in g are examp l es of test data and other data . Data should be submitted according to the requirements of §720 . 50 of the Prema nufacture Notificat i on Rule ( 40 CFR Part 720) . D D D D D 0 D D D D D D D D

Test Data (Check Be low any included i n this not i ce) Environmental fate data D OtherDa ta Healt h effects data D Risk Assessments Environmenta l effects data D Structure/activity re lationsh ips Phys i cal/Chemical Prope rt ies (A physica l and chem i ca l properties workshee t is l ocated on the last page of this form . ) Test data not i n the possession or control of the submi tte r TYPE O F NOTICE (Check Only One) PMN (P r e manufacture Not i ce) SNUN (Significant New Use Not i ce) TMEA ( T est Marketing Exemp t ion Application )

LVE (lo w Volume E xemption )@ 40 CFR 723 . 50(c)( 1 ) LO REX (low Release/Low Exposure E xemption) @ 40 CFR 723 . 50(c)(2) LVE Modification LOREX Mod ifi cation Mock Submission Mark (X) if pending Letter of Support IS TH I S A CONSOLIDA T ED PMN (YIN)? # o f chemica l s or polyme r s ( P renot i ce Communication # required . ente r # on p. 3). Mark (X) if any information i n this notice i s cla i med as confident i al. Replaces previous editions of EPA Form 7710-25 . Page2

# llllllllllllllllll NON-CBI SUBMISSION PMN2009P2 

# PMN Page 2 Public reporting burden for this collection of information is esti mated to average 110 hours per response , including time for reviewing instruc tions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information. including suggestions for 

### reducing this burden. to Director. Collection Strategies Division (2822) , U.S. Environmental Protection Agency. 1200 Pennsylvania Ave. , N.W.. Washington, D .C. 20460; and to the Office of Management and Budget. Paperwork Reduction Act (2070-0012) . Washington. D.C. 20503. 

## CERTIFICATION --A printed copy ofthis signature page, with original sig nature, 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 th is 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 th is 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 ofthe Premanufacture Notification Rule. Additional Certification Statements: If you are submitting a PMN, Intermediate PMN, Consolidated PMN, or SNUN, check the following userfee 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 

# D D The Company named in Part I, Section A has remitted the fee of$1000 for an Intermediate PMN (defined@ 40 CFR 700.43} in accordance with 40 CFR 700.45(b) , or The Company named in Part I Section A is a small business concern under 40 CFR 700.43 and has remitted a fee of $100 in accordance with 40 CFR 700.45(b) . 

## If you are submitting a Low Volume Exemption (LVE) application in accordance with 40 CF R 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 of40 CFR 723.50. 

# D The manufacturer is familiar with the terms ofthis 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 ofthe expiration ofthe 30 day review period. 

## T he accuracy ofthe statements you make in this notice should reflect your best prediction ofthe anticipated facts regarding the chemical substance described herein. Any knowing and willfu l misrepresentation is subject to criminal penalty pursuant to 18 USC 1001. Signature and title of Authorized Official (Original Signature Required) Date Confidential 

# D

EPA FORM 7710-25 (Rev. 5-95) Replaces previous editions of EPA Form 7710-25. Page 31111111111111 1 1 1 11111111111 11111111111 NON-CBI SUBMISSION PMN2009P3 PMN Page 3**1::::1~1::::1::#!.1 1**  ll[eJ ,**SecliOIA ~**  Mark (X) the**·~ulluut:lltial"** box next to any s . ubsection you claim as w""u"'"""'' 1a. Persor-**~.** Notice (in U.S.) Cv'"'u"'"""'' Name of Authorized Official (first) (last) Position Company D Mailing Address (number & street) City I State I Postal Code email b. Aaent (if APPlicable) Cu.-ofiut: o iti<" Name of Authorized Official (first) (last) Position Company D Mailing Address (number & street) City I State I Posta l Code e-mail**T,el~p~one** (include area code} c. Joint (if ... •• . !) Confiu c loti .. , If you are submitting this notice as part of a joint submission , mark (X) I [ J Name of Authorized Officia l (first) (last) Position Company D Mailing Address (number & street) City I State I Postal Code

e - mail Telephone (include area code) 2 . T' l;Orna'-L (in U . S.) I,.;OriiiUt:llll'"l Name of Authorized Official (first) (last) Position Company D Mailing Address (number & street) City I State I Postal Code

e - mail**~~~~~ area**  code) If you have had a prenotice communication (PC) concerning Mark (X) if non e**Con~·** ·" · IIIIUt:IIU .. I 3 . this notice and EPA assigned a PC Number to the notice, D D enter the number. If you previously submitted an exemption '" for the M a rk (X) if non e Cv,uu""""'' chemical substance covered by this notice, enter the 4. exemption number assigned by EPA If you previously D D submitted a PMN for this substance enter the PMN number '"'""Y""'u by EPA (i.e . withdrawn or 'I· If you have submitted a notice of Bona fide intent to**Mark(X)if~** \JUIIIIUCIIliCI I 5 . manufacture or import for the chemical substance covered D D by this notice , enter the notice number assigned by EPA 6. Type of Notic e - Mark (X) Manufacture Only D Import Only D D 1 . 2 . 3 . Both Binding Option 0 Binding Option 0 EPA FORM 7710 - 25 (Rev . 5-95) Replaces previous editions of EPA Form 7710-25 . Page4111111111111111111111111111 11111111111 NON-CBI SUBMISSION

(for either Item 1 or 2), mark 

### (X) the box at the right. Identify 

# 0 sheet. 1 . Class 1 or 2 chemical substances (for definitions ofclass 1 and class 2 substances, see the Instructions Manual) a. Class of substance - Mark Class 1 

# D Class 2 

# D CBI 

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

# D substances. For Class 1 substances a CA Index Name must be provided. For Class 2 substances either a CA Index Name orCA Preferred Name must be which ever is



### d. 

### e.

Enter Attachment filename for Part I, Section B, 1. e. EPA FORM 7710-25 (Rev. 5-95) Replaces previous editions of EPA Form 7710-25 . Page 5**11111111111~111111~11~~** 1111111111111 1 11 NON-CBI SUBMISSION PMN2009P4A PMN Page4a For a class 2 substance- (1) List t he 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. Enter Attachment filename for Part I, Section B , 1 . e . (1) I e . (2) Describe the nature of the reaction or process . 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) . Enter Attachment filename for Part I, Section B. 1 . e . (3) I

Confidential D [ J D [ J D D EPA FORM 7710-25 (Rev. 5-95) Replaces previous editions of EPA Form 7710-25 . Page 611111111111111111111111111111111 11111111111 PMN2009P5 

# age PMNP NON-CBI SUBMISSION 

# 5 Part 

# I -- GENERAL INFORMATION - Continued Section B -CHEMICAL IDENTITY INFORMATION - Continued 2. Polymers (For a definition of polymer, see the Instructions Manual.) Confidential a. Indicate the number·average weight of the lowest molecular weight composition of the polymer you intend to manufacture. 

# D Indicate maximum weight percent of low molecularweight species (not Including residual monomers, reactants, or solvents) below 500 and below 1,000 absolute molecular weight ofthat composition. Describe the methods of measurement or the basis for your estimates: 

## GPC 

# D 

# IOther (Specify Below) 

# D 

# I Specify Other:

(i) lowest number average molecular (ii) maximum weight 

### % below 500 molecular (iii) maximum weight 

### % below 1000 molecular weight: weight: weight: Enter Attachment filename for Part I , Section B, 2. a. 

# I 

# 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) ofeach monomer or other reactant used in the manufacture of the polymer. (2) - Mark 

### (X) this column ifentry in column (1) is confidential. (3) - Indicate the typical weight percent of each monomer or other reactant in the polymer. (4) - 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) th is column ifentries in columns (3) and (4) are confidential. (6) - Indicate the maximum weight percent of each monomer or other reactant that may be present as a residual in the polymer as manufactured for commercial purposes. (7) - Mark (X) this column if entry in column (6) is confidential. Monomer or other reactant specific chemical name Typical Include in Max CBI composition identity CBI residual CBI (1) (2) (3) (4) (5) (6) (7)

CAS Registry Number (1)

CAS Registry Number (1)

CAS Registry Number (1)

CAS Registry Number (1)

CAS Registry Number (1) Mark (X) this box ifthe data continues on the next page . 

# D EPA FORM 7710-25 (Rev. 5-95) Replaces previous editions of EPA Form 7710-25. Page 7111111111111 1 1 1 11111 1 11111 1 1111111111111111111111 1 1 1 1 1 1 1 1111 NON-CBI SUBMISSION PMN2009P5A PMN Page Sa c . Please identify which method you used to develop or obtain the specified chemical identity informat ion reported in this notice (check one) . Method 1 (CAS Inventory Expert Service

- a copy of the i dentification report obtained from CAS Inventory Expert Service must be submitted as an attachment to this notice) Enter Attachment filename for Part I, Section B , 2. c. IES Order D Number Method 2 D (other source) d. The currently correct Chemical Abstracts (CA) name for the polymer that is consistent with TSCA In ventory listings for similar polymers . CAS Registry Number (if a number already exists for the substance) e . Provide a correct representative or partial chemical structure diagram , as complete as can be known , if one can be reasonably ascertained. Enter Attachment filename for Part I , Section B. 2 . e. I

CBI D D D D EPA FORM n10-25 (Rev . 5-95) Replaces previous editions of EPA Form 7710-25 . Page 8111111111111111 1 1111111111111111111111111111111111 1 1 111 PMN2009P6 

# age PMNP 

# 6 NON-CBI SUBMISSION 

# 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 

### (b)
- purpose. Provide the CAS Registry Number if available. If there are unidentified impurities. enter "unidentified." Estimate the maximum weight % of each impurity. If there are unidentified impurities. estimate their total weight %. CAS Registry Maximum Conti- Impurity (a) Number Percent% (a) (b) dential

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

# D EnterAttachment 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 . 

# D
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 

# 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, 1985 Edition, Appendix B for guidance on developing generic names.

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

# I 7. Byproducts - Describe any byproducts resulting from the manufacture, processing, use. or disposal ofthe new chemical substance. Provide the CAS Registry Number if available. Byproduct (1) CAS Registry Number Conti- (2) dential

Mark 

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

# D

EPA FORM 7710-25 (Rev. 5-95) Replaces previous editions of EPA Form 7710-25. Page9**11111~11~~1111111 11111** **11111111111111** NON-CBI SUBMISSION PMN2009P7 PMNP age 7 Part I -- GENERAL INFORMATION -- Continued Section C --PRODUCTION, IMPORT, AND USE INFORMATION: The information on th i s page refers to consolidated chemical number(s) : ]1 [ ]2 [ 3 ]4 [ 5 ]6 Mark (X) the "Confidential" box next to any item you claim as confidential. 1 . P roduction volume-- Estimate the maxi m um production volume during the first 12 months of production . Also estimate the max i mum 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 (kg/yr) Maximum 12-month production (kg/yr) Confidential Binding Option (1 00% new chemical substance basis) (1 00% new chemical substance basis) Mark (X) D D Enter Attachment filename fo r Part I, Section c. 1. I CB I [ J 2 . U se Infor m ation -You must make separate confidentiality claims for the description of the category of use. the percent of production volume devoted to each category , the formulation of the new substance. and other use information . Mark (X) the "Confidential" Box next to any item you claim as confidential. a . (1) --Describe each intended category of use of the new chemical substance by function and application. (2) --Mark (X) this column if entry column (1) Is confidential business information (CBI). (3) --Indicate your willingness to have the information provided in column (1) binding. (4) --Estimate the percent of total production for the first three years devoted to each category of use. (5) --Mark (X) this column if entry in column (4) is confidential business information (CB I ). (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 i f appropriate . Mark (X) to indicate your willingness to have the use t ype provided in (8) binding . (9) --Mark -(X) this column if entry(ies) in column (S)is (are) confidential business information (CBI). Category of use (1) Binding Prod %in % of substance expected pe r use (l)y function and application i . e. a dispersive dye for CBI Option uctlon CBI F orm- CBI (8) CBI finishing polyester fibers) Mark (X) % ulation Site · Con· lnd u s bi a l Com· B i ncin g (2) (3) (4) (5) (6) (7) li m it ed $U I'M f'" me r cial Option (9) . • 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 chemica l 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. D b. Generic use If you claim any category of use description in subsection 2a as confidential. enter a generic descript i on of that category . description Read the Instruction Manual for examples of generic use descriptions . Enter Attachment filename for Part I, Section C, 2 . b. I C BI D 3 . H aza r d I n f ormation - Include in the notice a copy of reasonable facsimile of any hazard warning statement , labe l , material safety data sheet, or other information which will be provided to any person who is reasonably likely to be exposed to this substance Bind i ng Option regarding protective equipment or practices for the safe handing. transport , use, or disposal of the new substance . List in part Ill Mark (X)

hazard information you include. Mark (X) this box if you attach hazard information . [ J D EPA FORM 7710-25 (Rev. 5-95) Replaces previous editions of EPA Form 7710-25. Page 101111111111111111111111111111111111111111111111111111111 

### 9 

## PMNP 

# 8 NON-CBI SUBMISSION PMN200 P8 

## age Part 11-- HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE Section A - INDUSTRIAL SITES CONTROLLED BY THE SUBMITTER Mar1< (X) the "Confidential" box next to any item you claim as confidential 

### The information on pages 8 and 

### 8a refer to consolidated chemical number(s): 

# 01 [ ]2 

# l j3 

# 04 Os 

# Os Complete section A for each type of manufacture, processing, or use operation involving the new chemical substance at industrial sites you control. Importers do not have to complete this section for operations outside the U . S.; however, you may still have reporting requirements ifthere are further industrial processing or use operations after import. You must describe these operations. See instructions manual 1. Operation description Contia. Identity - Enter the identity of the site at which the operation will occur. dential Name Site address (number and street) 

# D City County State ZIP code Ifthe same operation will occur at more than one site, enter the number of sites. Identify the additional 

# D sites on a continuation sheet, and if any of the sites have significantly different production rates or operations, include all the information requested in this section for those sites as attachments. 

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

# D b. Type-- Manufacturing 

# D Processing 

# D Use 

# D D Mark 

### (X) Amount and Duration - Complete 1 or 2 as appropriate Conti- c. dential Maximum kg/batch (1 00% new chemical Hours/batch Batches/year 

# D 1. Batch substance) Maximum kg/day Hours/day Days/year (100% new chemical substance) 

# D 2. Continuous Marl< (X) to indicate your willingness to 

# D d . Process description have your process description binding. 

### 7 (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 newchemical substance. If releasing to two media at the same step, assign a second release number for the second medium. 

# D

EPA FORM 7710-25 (Rev. 5-95) Replaces previous editions of EPA Form 7710-25 . Page 11**111111111111 11111** **11111 1111111111111~11111** **11 111**  NON - CBI SUBMISSION PMN2009P8A PMN P age 8 a Confident ia l Diagram of th e major unit operation steps. D Enter Attachment filename for Part II, Section A , 1 . d . I D · E PA FORM 7710-25 (Rev . 5 - 95 ) Replaces previous editions of EPA Form 7710 - 25. Page 121111111111111 1 1 1111 11 11

11111111111111111111 11 1111111 11 1 PMN2009P9 

# MN Page 

# p 

# 9 NON-CBI SUBMISSION 

## Part II- 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 [ j3 

# 04 Os r 

# ls 2. Occupational Exposure -- You must make separate confidentiality c laims for the description ofworker activity, physical form of the new chemical

substance. number ofworkers 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 d rums, 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 yourwillingness to have the information provided in column (3) or (5) binding . (5) - Indicate the physical form(s) ofthe 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 ifentries in columns (3) and (5) are confidential business inf ormation (CBI). (8) -- Estimate the maximum number ofworkers involved in each activity for all sites combined. (9) -- Mark 

### (X) this column if entry in column (8) is confidential business information (CBI). (1 0) 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 

### ifentries in columns (10) and (11) are confidential business information (CBI). Worker activity Protective Equ ipment/ Binding Physical Bi nding #of Maximum Duration (i .e., bag dumping, filli ng CBI Option form(s) Option CB I Workers CBI CBI drums) Engineering Co ntrols Mark(X) &% new Mark(X) Exposed substance H rs/Oay Days/Yr (12) (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (1 1)

Mark (X) this box 

### ifthe data continues on the next page. 

# r 

# 1 EnterAttachment filename for Part II, Section A on the bottom of page 9a. 

# [ J EPA FORM 7710-25 (Rev. 5-95) Replaces previous editions of EPA Form 7710-25. Page 13**11 11** **11 11** **1111 11~1111111111111111111111111111111111111111111**  NON-CBI SUBMISSION PMN2009P9A PMNP age 9 a 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 "Co nfidential " 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 l im it 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 o n -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 confident i a l business in format io n (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 Treatm ent Works). Mark (X) if the POTW na me or NPDES #is confidential

business inf ormation (CBI}. Release Amount of New Medium of release Control technology a n d efficiency (you may wi s h to

Numb e r Substance Released CB I e.g. Stack a i r optionally attach efficiency data) CB I (1) (2a) (2b) (3) (4) Binding (Sa) M ark (Sb) (6) (X) Mark (X) this box if the data continues on the next page. D (7) Mark (X) the des t in at i on ( s of rel e ases to wa t er . N P D E S# CBI D POTW-prov ide D name(s) ·D Navigab l e waterway- D -provide name(s) 0 Other --Spec ify 0 Enter Attachment filename for Part 11. Section A. I D EPA FORM 7710-25 (Rev . 5-95) Replaces previous editions of EPA Form 7710-25. Page 1 4

# 1111111111111111111111111111111~111~11111 NON-CB I SUBM ISSION PMN2oosP1 o 

# PM N Page 10 Part II- HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE -Continued Section B - INDUSTRIAL SITES CONTROLLED BY OTHERS The information on pages 10 and 10a referto consolidated chemical numbefis): 

# 0 1 [ ] 

## 2 [ ] 3 

# 0 4 

# 0 5 [ ] 6 Complete section B for typical processing or use operations involving the new chemical substance at sites you do not control. Importers do not have to complete this section for operations outside the U.S. : however, you must report any processing or use activities after Import. See the Instructions Manual. 

### Complete a 

### separate section B for each type of processing, oruse operation involving the newchemical 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 . 

### 0) the specific information that you claim as confidential. (1) - Diagram the major un i t 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 diag ram . identify by letter and briefly describe each worker activity. (2) - Either in the diag ram or in the text field 1 (b) below. provide the identity. the approximate weig ht (by kg/ day or kg/batch , on an 100% new chem ical substance basis) . and e ntry point of all feedstocks (incl uding reactants, solvents and catalysts, etc ) and all products , recycle streams. and wastes. Include cleaning chem icals (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· envi ronment of the newchemical substance. (4) - Please enter the# of sites (re member to identify the locations of these sites on a continuation sheet) : 

# I Number of Sites 

# I IConfidential 

# 0

1(b). (Optional) Th is space is for a text description to clarify the diag ram above. Confidential 

# D

E nter Attachment filename for Part II , Section Bon the bottom of page 10a. 

# I D

E PA FORM 7710-25 (Rev. 5-95) Replaces previous editions of EPA Form 7710-25. Page 15**111111111111111~1111111111111111111111111111111111** NON-CBI SUBMISSION PMN2009P1 OA PMNP age 10 a 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. (1 0) -- Est i mate the amount of the new substance released (a) directly to the environment or (b) into control technology to the environment (in kg/day or kg/batch). ( 12) -- Describe media of release i.e . stack air, fugitive air (optional-see Instructions Manual), surface water , on-site or off-site l and 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 Duration of Protective Equip./Engineering Controls/Physical %new ,-.in

of Workers CBI CBI CBI Activity Exposed Exposure Form substance Formulation (1) (2) (3) (4a) (4b) (5) (6) (6) (7) (8) Release Amount of New Substance Released CBI Media of Release & Control Technology CBI Number (9) (10a) (10b) (11) (12) (13) Mark (X) this box if the data continues on the next page. D (14) Byproducts : I (15) CBI D Enter Attachment filename for Part II , Section B . D EPA FORM 7710 - 25 (Rev . 5-95) Replaces previous editions of EPA Form 7710 - 25. Page 16

# 11111~11111111~~111 1 111111 1 1



# ~11111~111111111111111111 NON-CBI SUBMISSION. PMN2009P11 

## PMN Page 11 

# OPTIONAL POLLUTION PREVENTION INFORMATION To claim information in the following section as confidential, bracket (e .g . 

### 0) the specific information that you claim as confidential. 

### In this section you may provide information not reported elsewhere in ttlis form regarding your efforts to reduce or minimize potential risks associated with activities surrounding manufacturing , processing, use and disposal ofthe PMN substance. Please include new inf ormation 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 ofchemical 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 envi ronmental releases and exposures , not the shifting of risks to other media (e .g. , ai r 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 . I n addi tion , information on the relative cost or performance characteristics ofthe 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 ofwaste 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 envi ronment. Information provided in this section will 

### be taken into consideration during the review ofthis substance. See PMN Instructions Manual and Pollution Prevention Guidance manual for guidance and examples.

Enter Attachment fi lename for Pollution Prevention Page 11 . 

# I 

# D

EPA FORM 7710-25 (Rev. 5-95) Replaces previous editions of EPA Form 7710-25. Page 171 111111111111111111 1 111111111 11 1 11111111 1 1111111 NON -CB I SUBMISSION PMN2009P12 PMNP age 12 Part Ill -- LIST OF ATTACHMENTS Attach continuation sheets for sections of the form, test data and o t her d ata (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 . I n the Number of Pages column below , enter the inclusive page numbers of each attachment for paper submissions or enter the tota l number of pages for each attachment for electron i c submissions . Electronic attachmen t s can be identified by filename. Mark (X) the "Confidential" box next to any attac h ment name or filename you claim as confidential. Read the I nstructions 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 cla i m information as confidential. Number Associated # Attachment Name Attachment Filename of Pages PM N Section CB I Number 001 PMN attachment blank page.doc 30 Mark (X) this box if the data continues on the next page . l J EPA FORM 7710 - 25 (Rev . 5-95) Replaces previous editions of EPA Form 7710-25 . Page 1 8

# lllllllllllllllllllllllllllllllllllllllllllllll PMN2009P13 

# age PMNP 

# 13 NON-CBI SUBMISSION 

## PHYSICAL AND CHEMICAL PROPERTIES WORKSHEET The informat ion on this page refers to chemic al number(s): 

# 1 ] 1 

# [ J 2 

# 03 [ ]4 

# Ds Ds 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 ofthe neat substance should be provided . These measured properties should be for the neat (1 00% pure) chemical substance. Properties that are measured for mixtures or formulations should be so noted(% PMN substance in_). You are not required to submit this worksheet; howev er, 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 oftest data. This worksheet is not a substitute for submission oftest data . Property Unit 

# l Mark X if Attachment Value Measured CBI Number or Estimate Mark 

### (X) (a) 

### Provided (b) (c) (MorEl (d) 

# D (solid) 

# I (liquid) (gas) Physical state of neat substance 

# D D D Vapor Pressure @ 

# ·c 

# D Torr Temperature Density/relative density 

# D g/cm3 Solubility @ Temperatu re 

# •c 

# D g/L Solvent Solubility in Water @ 

## •c 

# D g/L Temperature Melting Temperature 

# D •c Boiling 

### I Sublimation Torr 

# D ·c temperat ure @ Spectra 

# D Dissociation constant 

# D Octanol/ water partition coefficient 

# D Henry's Law con stant 

# D Volatilization from water 

# D Volatilization from soil 

# D pH@ concentration 

# D Flammability 

# D Explodability 

# D Adsorption 

### I Coefficient 

# D Other - Specify 

# D Other - Specify 

# D

Page 19ATTACHMENT HEADER SHEET Attachment Number 001 Attachment Name PMN attachment Associated PMN Section Number N/A Does not contain CBI Report Number