### r- 

# rom: . .:wprove': O.!-.LB.**~o.** 

### 2070-0C;: Appro",:!.: :::,];D1re; 1U-31-9D 

## LS. ENVIRONME",.AL PROTECfIOr-; AGENCY 

# AGENCY USE ONLY I I

# ~I~-.-c:.-=------~~~~~~~------~ 

# I ' PREMANUFACTlJRE 

# i 

# NOTICE 

# i

\\kll

...**\)I11PI~'II...'d** '-.
...nd 1111
..... h'llllln jEmer the lotal number ofpages 1m the Premanuiacn.tre :--: otice 

## GENERAL r\STRUCTIONS You mus: Dl'ovide all miarm:1tion requ--su:.:l m this form to 

### me e:ru:nt that 

## r. is irnown to or reuanabiY ascertainable h not have**a~tual** data. Before you complete tins form. you should read the "Instru:uons :\bnual foc Prcmanufacwre :--:otifi=_uiar."' fthe Instructions Manual 15 available 

### from 

### to:**Toxi~** Subsun= Control.-'l.e: rrSC'A) 

### InfOl1ll.ttio-c Service by calitnf 102-554-14(";. ocfaxing 202-55..!.-56031 If a use!' fee has been r:1lUned for this nOlt;:.:: loW 

## cm700A5**~** 

## malCate in the bmcs above the -:-S-userfee**idcmiii~tion** number you n.tve generate.:., R=nember. your user fee ID number must also appc::3! on your com::sponding fee rcmium;;:e. 

### which is sen! L:> EPA.. HQ Al:collDllng Operations 

### Branch !P:\1-226 '- PO, 1 

## 1 

# I

-'

# --' vou. 

# I FOR NEW CHEMICAL SUBSTA:,"CES I**DOCC!-'~~~CO~lROLO~CER** 

### OFFICE 0:: POLLllIO:\' PRE\T\1l0:\, 

# CompanySanitized**A~D** TOXIC SL13ST**A.~CES.** 74(]­ U.S, E,P,A 401**~j** STREE:. $\\' WASHI'\GTO:\'. D.C. 20460**360:99~L** Pittsburgh. PA 15::!51-6399
..-\IlL TSCA User fee

You mUSl**pp·.~ae** 

## mt currentl;.- :;;:-:;e::**~nenllcal ~~**  (CA) :i\ame**,::~ ~-e**  De\.l.' chemical substance. eVen if\'ou C:a;::::: the ldentllv !!$ co::.iidenllai Yoc ::::to" aUUlo= another persoc to sub:mn chCmICl- aiC'!tlty tniofmc::: :t"cr.**~·ou..** ou:. yo\:: SUnmuslOO \\-L._ not be cornpi=:! and the reVIew**~~** oc.;:**~** ::,cerves thIS U::·:):'1::Ua!.lo.. .-\ Jener in RUP?2:"":**of~·ou.r submiss!;:~** **y~** 7S user fee**l~:''':':;l~o:::** numoer. Yo.: !:nUS: suomit an 0!1.;:':::l':" and t\\'0**CO~!;:S** ::::":.:::us nO:lCe: m,:;:...::.=; .:.:; l3:**~** Ifyou**clalm!"~ an~'**  information as ::o-:-iia:ntlaL a**s=;':~** sa:u:.iZed copy ::::.tS:**al~** 

### t>e submitted

Ifthere are**~~'~ra.:** rnai1ufacture, c,-o'=SITlil.. or U$;!**c~ons** tc be**d~Ot;:'': ;:,?~**  I:'**se~C':'!:i ~**  neee.ec

Attach adwu onai SDe'l!"ts Ifthere: :...s**n~** :.: ElSWe!' a ques:tJc.:: f.;l1y Label each contJnu.6::lOn**s~t** \l,,1th the c:Jr=oorlOutg In Pr.

# =- Us: these anachments.**c::1~'** tes:. data or ot.h= aa:..a miornaalJlon In:;U.leC 1Il the nooce

OPTIOKA-'- :::',:FOR.\LA.7IOl\ You may incrJde any mformaua: that \'ou want E?A to consider in C"\.·ar.wlfll! the ne'" substance, 0:: page : 1 ofthis fc::::;,. has beer"\1ded for you tc de:s...-ribec pollution pre-.·en!lCl:: and**recyc~** mfmmauOtl yo..:

# =,' baY-I: regardtng !lel\' S'Jbstance So-called "'b:.::6Ilf

- bexes are**~ude::** throtJihou: t!:.ls**~;rm** for you tc !:ldica:: your Vlillmgness:= De bound to cer..a:::**st~1..S** YOt;**~e** 1:1 tills secuor_**~ct** as**~.** production \"Clume. prOtectIVe e.:;-.:lpmem nus CipUon is uu.ended t: red:Jce delay. that routmeh B;;COrnpaIlV the**Qe\'~Jopment** 

### oi com.::::::: o:ders oc**~"".** lise Rules.**Ex~** m !be .::ase of**e~!lon** appJicauc:ns '.su.::b as __\1'.. LORE.X) where ce= mlo=tlOn**pro,~o:cC** In such notifkcoo 15 blodlng on t.X $Utcuttc ",he:: !be Agene\' >;:"ov'" tho exemp::o.."1 a;>i'lic8tJon. c:!:le.:;;:u:tg a bmdtng be); 1:1 th:.s 

### nooce dues not by ;:selfp:;ohibit the S1.l!:--::llt:te: from later d.<\1a.::mg from the**u:::'~rmatlon** (e.-.:ce;>: CherruCalld=tv) reported m til: :'0=**CONFIDE~-::....u.I7Y** CLA
.**.Th.~** You may c;=**""~.** ciormatw:. '" U<JS notice: as co::..:idenual To

# = a d&uIl On the fortn.**ma~** eX) the .:oruide:ntia1**~"n1:xt** to the inf.t:"!"!:latlon that you c:U..:..."'D .as confidenual To assen • claim '" an i\lLaclune!:lt. C1!'c1o 

### a bracket the ll!f<Xtnatioo vou

, claim as cociideDllaL lfvou clt=! informalioo Ul the 1)00= as c:onfjOeoo&l '"ou must 

# J also pro,ide uaruu.z..d versioo ::'the notlce: (mcr.J<!:..-u: anaehmenu) ::=or .adWuonal instructions :om cl.Utnlllg InfOrtm.:lOn as confideRUiL. rea:! !be lnstrualccs M""ua1 You are reo!rir.=C to submit all test data in your possession or coot:ro: .and to provide 

### a d=ipoo;, ofall other datz i.:nown to or reasooabiy ascertallUlbi:**~"Ou.** 

### ifthese data are**rei.J:~ [~the**  health and etJ\irorunental eff= on the 

### =:Il"'
....;;.ur•. 

### procesSlnf. .jtruibUlion in comm=. use. or disoos.al ofthe De" .::Di:1!lical substan;::c. S:mciard literatur.:**~itauoos** may be rubmitu:d for dau m tile open 

### scientifi: m:ratur.:. Complete lest data (wntu:n 

### m E.nSiish). DO(**s=ric~** 

### ofdaU. must be**su.~** if the\, do no: appear in the oper literature, You s.Oould**cleari~** identi1'· l:st data i> OIl the substance or on lUI analo!!. AIK,

## me chemical

### comp~tioc ofthe tested mw:rial should be ch.tra::t:..'"fized.

### Follo~ are c-umple. 

## 10: t:sl data and 

### otir.::' data. Data should be submitu:d a::.::orrlinsz to the requircmcn:.; of S""20,50 of

### the 

### Pn:manufa= :\otification Rnie •ok, 

# ern Part 720)

E.,vuo=a. fate data 

## 0 y"", Healt:: e::-!C"-s .:iala 

## 0 Yes**Emll~'** __ olTects dau 

## 0**y~** Structt:..re Il..,,::v:::y relauonsrup'**PhySl~ ~:~ca!** **Pro~~·** 

### r8J Yes 

## • TYPE 0: 

## :.-::::-:::=. 

# t8J 

# D D D 

# D D D 

# o Yes ;:**af~ca!s (Prcna:;~**  Communicauoc

## =**recr~** enter 

## = page 3) 

## -1­

### ~olic reponing 

### Durden**fo~** 

### tins collecuon 0:'

### mfonnauo:l IS 

### esumated to

### a~ 

### 110 hours 

## per respeIlS;;:, 

### mciudmg tim:! for revlewm; instructions. sear.:hing existmg data sources, gathenng 

# ana mamtaining tiJ:! Qaxa 

### needed.. and completing and reviewing 

# me collection 0:' 

### mformatiOL 

### Senj comments regarding the Durden estllllalc**C~** 

### an\' other**asoe::~** 

### ofthis coliecuon ofinformauon, inclurimg suggestions**fo~** 

### reducing 

### fu!.s Du;Uen, to**CiJ.ic:~** 

### informatior: Polic\'**Bran;:~_ ?'\~-:.::;.**  

### C.S**~,!J\-.;onrnemal** 

### Protection Agen;:\. 401 

# w.. S:., S.W
..**W~tOL** 

### D.C. 

### 20460: ane. to 

### Office**o:-~!anagemen~** 

### an:: Budge:, Faver-wer:: Redueue::. ,.;.;:: 

### .:2070-00::, Washm"crtor:. D.C. 

### 2050:: 

# CERTIFICA.TIOl' I certify that to 

### the best 

### ofmy knowledge and belle: 

## 1. The company named 

## in Pan 

## L section 

## A suOsecnon 

## 1a ofthis notice form intends to 

## manufacture or 

## import for 

## a commer.::ial purpose. other than 

## in small quantities solely fo:- research and development the substance identified 

## in Pan 

## 1. Section 

## B. 2. All mformation prmided 

## in this 

### notice is complete and 

## truthful as ofthe date of submission. 3. 

## I 

## am submitting "ith this nouce allteSl data 

## in m: possession 0:- 

### control 

### and a description of all other 

## data known to 

### or reasonably ascertainable by me 

## as required by**~-:-20.50** 

### ofthe 

### Premanufa::ture Notificauon Rule.


## Additional Certification Statements: 

## Ifyou 

## are submitting 

## a PMN. Imermediate PMK. Consolidated**P~[,\.** 

### or Sl\lJ1\. check the following user 

## fee certification statement 

## thar applies: 

# t8J The Company named 

## in Pan L Section A 

## has remitted the**f~** 

### of S2500 specified in 40 CFR 700A5(bL or 

# D The Company named 

## in Pan L Se--tion A 

## has remitted the fee of S 1000 for an 

### Intermediate PMK (defined 

# :g. 40 CFR 700.43) in 

### accordance "ith 40 CFR 700,45(bi. or 

# D The Company named 

## in Pan I Section A 

## is a small business concern under 40 CFR 700.43 and 

## has remined a fee of S I00 

## in a:cordance "ith40 CFR 70045(b). 

## Ifyou 

## are submitting a low volume exemption (LVI:) application 

## in accordance "ith 40 CFR 723.50(c)(l) or a Lo-w release and 

### lo-w exposure exemption (LoRex) application 

## in accordance "ith 40 CFR 

### 723.50(c)(2). check the follo"ing certification statements: 

# D The manufacturer submitting this notice intends to 

## manufa:::ture or import the new chemical substance for commercial purpose:;. other 

### than in 

## small quantities solely for research 

## and de\'elopment under the terms of40 CFR 723.50. 

# DThe manufacturer 

## is familiar "ith the terms ofthis 

### section 

## and "ill comply "ith those terms: and 

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

# D Ifthis application 

## is for an

## LVE in accordance "ith 40 

## CFR 'i23.50(c)(l). the manufacturer intends to commence 

## manu:fa::rure ofthe exempted substance for commercial 

## purposes "ithin 

## 1year ofthe date ofthe expiration ofthe 30 day miew period.
The aecul'X! ofdw stalemeDU you Imkr III thl. Dotiee should**~Dect ~'OQr**  best predi<Uoa oftlw ."t1cipakd

## rKts reg1IrdiDg tIw ehnnieaJ subslaDa described boftilL .U'· knom. aDd willful misillterpreutlon is SllbjKt to eriminal
...."
...ont to 18 l:SC 1001. CODlldential



# ) -2­ 'or 

# x

# x Person ! POSIUor. 1a. l"ame c{authorized offi=! 

### Suimrininf ,",oo.;:e (in 

### L.S .•



### .:. Ifvoo au submittingthis notice as 

### pan ofa loin! submission. mark 

### (Xl this box. 

### Joim Submine:' (if "arne ofauthorized offi.'Ial i POSlUor. 

### appilcable, 

### Mailing addr<!SS I.

### numbe:- and SU'eet City. 

### Stile. ZIP Code

!'iarne ofauthorized offi.:lal



### !\laiJing address (number and SU'eet , City. 

### Sme. ZIP Code 

## i**Tci~holl~** I I 

### i

_____________________ ..

City. State. ZIP Code


### 1. 

### Tecimical "arne ofauthorized offi.:ial

3

4 Contact (in 

### CS.) Company 

### Mailing address (munber and SU'eet. City. 

### Sta1e, ZIP

a prenotlce ;oommu:rucClon _. contcrrun;; tins nOClce EPA assigned a PC N=bc:r Ie the 

### ""C1(:". enter me number


### 1: you**~io~'** 

### submiuee m el<CnpllOC tl:w: c::bcnneal "",....:d by this DXlce. etIlCr me exc::::lpUOllnumber &SS1i!l"'d ",' EPA 

### 1: >'tlU pn:'\'1ous1y sulx::uUcc! a**P)i.~** ior 1l::s s\lbstance enlC'r me PMS n"",be!' assigned by E:?A (Ie ,,'lIhdra
... -:: or !I1compl=:**~** nz.., a n<Jtl;% Beni 

# = 10 m.muillCtUfe or

### mmcr: iarthe ci>::mJa! substance covcre<! b\' ti:nJI not.:::. 

# = the DOUce**n~** 'IOSSigDel! by E?A •

Type ofl"alice • Mad ().) 1. 

### Manufacture Only 

### Bindi.Dg Option**~Iad** 

# ! Telephone 

# I I Positiot:



# o lm;x>rt Only**~iarl;,** (.\) 

### anODe

Bmding OpUOll Mm,:(X. 

### 3. Company 

### Mailing address !numb<::: and SU'eet) b.**.~<!Dl** (if 

### appilcable',



### , ,.



## -3­

## Part I - GENERAL INFORMATIOl\ - Continued Section 

### B _ CHEMICAL IDTh'TITY Tht"OR\lATIO,",: ',au must proVlae a**c=~** correct Cnem,,:aJ AOsttsCIS rCA Iname oftile SUt>SWlre oas=**O~** t:!>e DII:£...' Col.iectl\." inciex (9CI) ofCA Domcn;::iuure rUles ana convenuoru M.arli. (Xl**th~ "Confidemia'~**  box next to an\" nern vou ciaim as confidential CotnOlete either

### item 1 (Class lor: substances) or :: i1'ol\mers) as approprwe. Complete 

### all other items. 

### IfanotileT person will submit chenucal identity informauoc for you 

### (lor erur:- ltern lor:). 

### marK (X)the box lI!the righ: IdemLiv the 

### snee;**th~** lnsuu.:tioDS Manual) 1. a. Class 

### co:' substance· Marli. (),.') 

# o Class : 0:

## ~ Class: b. Chemical name (CurrCl1iy correct Cilenncal 

### Abstracts (C.-\·, Same 

### that 15 

### COOSlSlem with TSCA Inventor;. hSl.lrl!!S fOT similar substances. For Class 1 substances;ll CA Index Saml! must be provid.eC. For Class 2 substances either a CA Index lIlaml! or CA Preferred Name must 

### be provided. which ever IS 

### approprwt based on CA 9Ci 

### DOII\etlc!atIJre ruies and 

### conYCIIllOllS).

c.**P!~** 

### Jdetnify which 

### m.!thod you 

### Wi<!d to develop or obwn the specifi.a: criem.ical idemny infonruuion reported 

### in this notice: (check one). 

# o Method 1 (CAS Inventory

## E.~ Service. a cop" ofthe Identiflo:alioc 

# n :\iethod 2 (Other Source) report obtained from the CAS Inventory Expert Sen.ices must bo; 

### submitted as an d. Moleadar formula and CAS Registry Sumber (ifa number 

### .ai:ready eXIsts for the substance)

C.-\S=

e. For a 

### class 1 subSlallce, !",ovide a complete and correct cimni,;al suucture dJagram. For a class 2 subsLance • (1 , the immedial:e precursor substances 

### with their**respectiy~** CAS Reglsll'y 

### Sumbers. (2) D.:s.:rioe the narure ofthe reaction or process. (3) Indicate the range ofcomposition andthe typical composition (where appropriale). ,4) Pro,ide a corrtcl represemative orpanial cbemical structure 

### diae:nm:. as comolete as can be known. ifone can 

### be reasonably ascertam.:e 

# ***This page intentionally left blank.

# ***

Mark 

### (Xl tim box 

### ifyou 

### atI.ad! a continuation 

### sbeeL

### --------------------------------------------------------~ 

# -4­

# x Part 1- GE?\'ERAL INFORMATIOl'\ - Continued I 

### 5ection B CHE1,flCAL**IDE~TITY** 

### INFORI\IATID,",

- Continued 

### I: Polymers {For a definition ofpolymer. see the instroctions**M~.** (onfidentl:l: ll. lndi.:are tn.:**number-.av=l/~** weight ofth.: lowest molecuir weight composition ofthc pohm<!7 you Intend to manufactur< lndlcalZ maximum weight percent ofiow molecular welgn: speCtes (not mctudmg n:sidual monomers. re.aaam.;, or solven15)**~Iow** 50u and below 1.000 absolute moie.::uiar weigtu ofthat composlUoc. Describe 1ik: methods ofmeasun:ment or the basis for vour estimates; GPC 

# n (Specify' lowest numb.:r average molecular weigh,: 

### ii' maximum weight 

### % below 500 molecular weight' 

### iii', 

### maximum weight % helow 1000 molecuia:- weight: 

# o Marl; (Xlthis box ifvou anach a continuation sheet. b, You mUS1 make separate confidentiality ciauns for monomer or otherreactant identrty. composlUon informauon. and residual**informatlol"~ M~**  iX I the "Confidential" box next to any item you ci3Jm as confidentia: (1 > Provide the spe.::ific chemical name and CAS Registry l\umb.:r (ifa number elOsts) ofeach monomer or other reactant used in the manutacrure of the polymer. 

### C2:) l\,1ark (XI this column ifemry 

### in column (1) IS coniidentiai, (3i Indicate 1M t),pi;:al weight percent ofeach monomer or other rea..'"tan1 in the pol\me!" (41 Mark (Xlthc identity column ifyou want a monomer or otlxr r<:aCt.an1 used at tw<, weight percent or less to be listed 

### as 

### pan ofthe polym.:r descriptioo ontheTSCA Chemical Substance in\altory, (51 Mark (X)

### tlu.s column ifentries 

### in columns (3 I and (4) are confidentiaL (6) Indicate the m.a.x:inmm weight percent ofeach monomer or otherreactant 

### tba.I may 

### be presem as a residual 

### in the polymer as manuiacrured for commerciai JllII'!lOses. this column ifemT\' in column is confidential. Monomer 01' oliler Nactam and 

### CAS Registry !\umbc:' C{)nfi· dentiai

{S, 

# x x

e. 

### Pro"ili.::11 correctrepresemative or partial cbemical structure diagram, as complete as can 

### be known, on.: cm:t 

### be reasonably ascertained



### Mark 0.)thiJ box if

### you 

### ana.cb a continUllUion sheet. 

# fo Mark



### c, ch.mlica1 identitv 

### reponed in this notice (check one). Method 

### 1 (CAS Inventory 

### Expert Sen;c.e • a 

### copy of

### me identification report 

# '0 '\1ethod 

### 2 (other source) obtained from 

### CA.5 Inventory 

### Expert Senice mUS1 

### be submitted as as attachment tothis notice) d The currently correct the polymer that is consistent Vlitb TSCA Inventor;> listings for similar**pol~mers,** Confi·



## -5­

## X 

# Part I - GENER;\L INFOR1\1ATI01\" - Continued**~on** 

### B CHL."nCAL IDE'I'-TIT\"**INFOR\lATIO~** -**C~** :; impuritie, (al Idelltifv each imDUmy that rnav be reasonablv**antiCt~** to be oresent in 

### IDe chemical subslance as manuiill:rured for commercial purposo. Provide th"

. CAS Reeistrv

### ~~~ if

### avail~bk Iftnere

### ~e unioemiDeri imPunue.5.. <:01.::- "unidemifiee
. (bI Estimale-the ·ma.timum weil!ht 0 0 of each InlDurit\. If

### th~e are uniciemiIicd unpurities. estimaIe their total w61!ht

### ~o imDurtty and 

## c.-\S i<.epstrv Sumi>e:-**~1aXIrnun:** Coniidenlla! 

# '"

fl,,, 

## ! i 

# ! Qo j i**~o** 1 

# i I •• I 

## i 

# I

00 

### I 

# ·0 I 

# I 

# I I !

### ~**~fa!i:** (Xl this box ifyoo anach a ContinwniOD sheet Coniidemia; -,. Synonym>· E= any chemica!**s~nonyms** for**!.h~** new chemical lc...'Illified in SUbsc.:uOll 

### lor: 

## X 

# ..J Mri

### G\.~, this box ifyoo anach a contimwion sheet
< Trade ici.entificatiOD

- List names for !.he new chemical**su.bsun~** 

### 1

## O!:. 

# x
I 

# D

# ~lri o..i this box ifyou anach a continuauon sheet



### 6. Generic you you must a gen:ri.: DaIIle 

### your substance thaI reveals sp.:cific chemical id.mtity ofthe De\\. chemical subslaoce to the muimum extent possible. Refer to the TSCA. Chemical Subsiance**Invem~.** 1985 Edition. 

### _-\ppI:ndix B for guidance on developing generic names. 

## A1ky1amides, Ethoxylated

Mri (XI this box ifyou anach a continuation sheet 

### "**Bypro~** 

### processing. use, or disposal ofthe new cb:mical subsumce. Provide the CAS Registry CAS**~umber** Confidemial



# x x x x

-6­

# Pan I - GENERAL Th"FORl\1ATIOS

- Continued

, Section C - PRODUCTIOl\. IMPORT. AND USE IS'FORM.-\TIOl\: 

## Mark (Xl 

## the -Confidennar box ne:\.1 to arr.' Hem '-OU 

## claun as confidential Production \"Olume

- Estimare 

### the maximum producnon volume OUI1Df me 

## rirr, ::. months ofproriUCUOL Also esumate the ma'illllum producuon voiume for any consecutive :2-month period 

# dunnf the !:irs: three 

### 'ear,. 

## c:' producuon, Estimates should be 

### on 10000 new cherruca substance 

### Oasis, For a 

## Low Volume Exemption applicatio;:. 

## if "ou cn()()$;" to nave 

## '0::: notice reVIewed at a lower production voiume than 

### 10,000 kgiv:, soeciiv the volume and mark IX! tn 

### the bindulg oox, 1:- graniCli. 

### "ou**ar~** 

### oound to tlus 

### volume 

## Maximum first 

## 12-month producrion (kgt)T) 

## !l.1a.'illl1um 

## 12-month production**(k~T)** Ccoli- Bmdtnf Optior. 

## (1**~o** nel\' 

## chemical substance basis) (lOO% ne'\'. 

## chemical substance basis) !>1ark (x 

# x 2, Use Information

- You must make separate confidentiaht;. ciauns**io~** 

### tir.! 

### des..."I1poon o!' the categon ofuse. the percent ofproducuon volume devoted to ea::::n category, the formulation of the new subsumcc, and oth:!!' use mfo:mation, Mark (X)

### the ""Confidential" Box ne:>."1 to any iten:: vou claim 

## as confidentiaL**~,** 

### (I -'

­ D.::s.,-ribe each intended category ofuse ofthe new cnemJcai substance i:>:. 

### function and application" (2-'

­ Mark (X)

### this 

### colunm ifentry colunm (I) is confidential busmess miorrnatioD (eBI), 

### (3:,

­ indicate vour "illingness to 

### have the informanon prO\ided 

## m colunm, : 'bmcimg, (4)

­ 

### Estimate 

### the 

### percent oftotal rroduction lor the first 

### three 

## years devotee to each category of

## use, (5:\

­ Mark (X)

## this colunm if

### entry in column (4) is confidennal busmess information (eBI). 

### (6)

­ Estimate 

### the 

### percent ofthe new subsumce as IOrmulated 

### in mixtures. S1.b-pensions, 

### emulsions, solutions. or gels as 

### manwactured**fo~** 

### commercial purposes at SHes 

### under your contra; assoCIated with each cal.egOl'\' ofuse. (7)

­ 

### lI.iark (X) 

### this 

### colunm ifellrry in colunm (6) 

### is confidential busmess 

### mfa:marioD (eBl) (8)

­ 

### Indicate % 

### ofproduct volume expected for the listed**'~** 

### ..**~tors** 

### M.ri; 

### more than one box if

### appropriate. Mark: (X 110 

### indicate 

## you:- \\ill:ingness to !la"e the use t;.J:>e provided 

## u:: (8) 

### binding. (9\ ­ 

### :!\fm:k ex)

### this 

### column ifen:!"\l'ies', in column (8', is 

### (lITe' confidential t>1!>'1Iless information (eBn.**Cale~Tycfuse(l)** I 

### CBI 'I IlIl1<iln,; : 

### IToduc- : 

### CB: Cole 

### CBi I °oofsubsta!lceexpe.c!edpe-ruse 

### I 

### CB:, 

## , :**~,** 

### : i - (8 

## , : 

### uon < 

### r=· 1 

# , Marl; tX Site- Coo-" 

### Indus· 

## I Com- 

# ! Binding lOY function and application

# i.~. II dispersive dy! 

# i
, 

## i ulatto-r. (3 i I limited SUIIII:!' trial 

# I mercia! 

### ! Option 

# I !9', 

### : for 

### fmishins. 001\'= fiix1:s) (2J 

# I {4) {S'1 

# I (6· 

# "';
; I 

## X 

# I ! , X X ; 

## i X ; ! 

## I I (tv: 

# I**~,** I 1 ! I I 

### , 

## I ! 

## X X ! 

### , 

## X X I 

### i ; 

## I ! 0., : I 

## I ; 

# I '< I I 

## X X i 

## X I 

## i 

## X : 0,- i 

# I i I 

# I 

# I i '< i 

# I X i i I 

### ! 

## X X I 

## X ; 

## ! 

# I 

# ! 

# 001 

# I**~1I** : 

# I 

# I 

# I ! 

# . I I 

# I I 

# I I

., 

### t ! 

# I I 

# 0 0

# I I



# I 1 

# I I

c;,{ ! 

# I ! °0 

### i 

# I I 

# I !

, 

# i 

# I ! 

# = i

# ~o 

# I I 

# (;-. ! 

# I ! 

# I 

# I ! 

# I 

# I I " Ifyou have IIU:Uti:tied a "COIISU.!Dc-' use. pleas<! pro'1de ona cootllllWlon 

### sheet II d.:'Wled**a~on** ofthe us.:(s) of

### this chemical SUOSWlce III wnsumer prod.u<::ts. 

### In addition inclod.: estimates ofthe concentration ofthe ne," chemical

### substan~ as expe.::ted 

### it: .:oosumer produas and describe the chemical reaaions by which Iilis

, substance loses 

### its 

### idemity in the consumer 

### product 

# !

# 0 Mark (X)

### this 

### box if'you IIllach a continuation sheet, 

### b, 

## Generic**If~'ou** 

### claim any category ofuse description in subse.::tioo 2a as confJ<i:ntial. enter a gCllerlC description ofthaI categOf\, R<!ad the 

### use lnsinlctions Manu.aJ for ex.ampies of gCller1": use descriptions, 

### description 

## Surfactant



# D Mark (}"1 this box 

### ifyou IIllacb a continuation sheet. 3. 

### Hazard lafOnaDoa Inctude 

### in the**noti~** a 

### copy ofreasonable facsimile ofany bazllrd warning statemenl label material safet" data shed or other

informatioo 

### \dDdt will 

### be

### prt)\icied to any pa-son 'IlIno is reasooabl:y'likely to be exposedto 

### this substance regarding protective equipment 01' JrACliccs 

# ,-1 forth<! safe 

### baoding.. transport,

## use. 01' 

### disposal ofthe new 

### SlI.bstanc<!. List in part 

### En hazard information you include.



# I 

# D MMk (}..') 

### this box 

### ifyou IIllach hazard information.


## -7­

# Part 

# n- HU1\1AN EXPOSURE Al'."D ENVIRONME-"'TAL RELEASE 

# I Section A - INDUSTRIAL SITES

# CO~'TROLLED BY THE SUBMITI'ER ,MlIrl; (:\") the "Confioemia!" box next to an\' Item VOl: I claIm as confidentia' 

# J Complete section A for each type 

### oimanwacture, processmg" 

### or use openiuon mvolvlllg the new cheIl1lcal substance at mdustrial Sites 

### you .::ontrol. 

## I.mpon:ers do not ha.'e to 

### complete this 

### secuon 

## for operal1ons 

## owsiae tile US: 

### however. vou 

## may still have reponing reqwrements if there are further mdustrial OT 1l..<;';! 

### after You must describe 

### these
. See instructions manual COnIi· ofthe 

### sne at which the w

## iii 

## occu:. dentia: 

# x
Site address 

### il1lllllber and SlJ'ffi.' Crry, County. Stale. ZIP coo.:

(I) the ma,iorunit operation steps and chemical coo\'ersions.**Incluri~** interim storage and transport 

### cm.Wnm**(~.** e,g, 5 gallon pails. 55 gallor; drum. 

### rail 

### car, tank truck.. etc,). 

### Ifthe same operation will occur at more than 

### one SIte, enter

### the numbe: 

# 0: sites. 

### ldentif;. the additional Sites 

### on a continuation shee"
.... and ifany ofthe sites have significantly different productJ.on rates 

## or operations. include aJj 

### the informatIon requested 

### m this 

### section for those sites as anachments, Mark 

### C\ ") this box 

### if you anacb a conunuauon sheet 

### b. Type

### Mark (X)

L Batch
Continuous 

### Ma.ximum i\:gbatch II 00'-. ""'" ci><m>oal**~)** 

# i Batches'yea: 

# I d. Process description**~lark** (X) to indl.;::ate your \\illingness to have 

### yOW' process descripl.ion binding. 

### (2) Pro,idethe identity. the approximale weight (by 

### kg ciay or 

### kgbatch OIl a 

### 100".new chemical**substan~** basis). and entry 

### poim of

### all starting malerials ane feedstocks (including reactants.. soh·enlS. catalysts. etC.·L and ofall 

### pro<iu..'"tS. recycle SlJ'eams.. and Include cleaning chemicals (note**~ency** 

### ifnot 

### used 

### daily orper halcb.). (3) Identify by number 

### the poims ofrelea:;e. induding small Ct': 

### imermitten:**rel~.** to the ;:t]\ironmetn oftbe new chemical substance.



# ) Mark (X) this box 

### ifyou attach a cmninuation sheet. 

## -8­

# Part ll-- HUMA
... l'i 

# LXPOSURE AND EK\'IRONMI"!\iAL RELEASE

- Continued Section A - 

## INDUSTRLU SITES COIl.lROLLED BY THE SlJ""BMITIER

- Continued 2. OccupatioDal Exposure

- You must**ma.k~** s.eparale confidenuabty ci3.lms for\ne descnpuon ('; worker activrt;.. ptlvslcal fonn**ofth~** new chellllwl substance. number 

### 0: works exposed. and dunruon of 3.."U\ilY. Mark 

## ex)**th~** ··Confidenna'- oox ne;..110 any nem VOll clatm as confidentia; (1 

### J

-- Des.:ribe the activllies (I.e. bag dummng. tote fillmg. uruoadmg drums. sampilllg. ciearung.**el~,)** ill which 

### wners may be**e~** ..oosed 10 the suDs1ance (2', _. Mrui 

### 0.)this column ifentr\ in 

### coium:: i 11 IS confidential busmess infC>!1tl:U10Il (eBl. (3)

-- 

### Des.:ribe any prOtectlW equlIllllenl ane mgmeenng comrois used 10 prOle:: WOrKers (4) and It: - indlcate you," wiliing:ness 10**il:!v~** tile iniormallOn provided In !;Qlumn (3 ' or (5 , bmOmf (5) -lndl= the physical ionnl,51 ofthe n"," chemical subSlance (e,£
.. solie: .;-:"\'SUL granuie.**powd~.** or dus11 and**~o** new chemJ.:ai subSlance (i:' oar1 of a mixrure at**tr:~** ttme ofe),:posure (T,-· Mar'>: 0,.1 this column ifemry Ul colum::: (5) is confidential busmess iniormalion (CBI. (8)

-- Esumate the maximum numb-er of workers Ulvolved in each acti\i1y 

### fo.r lI.li slIes comb:tne.:. (9)

-- Mar'>: (X) this colulllIl if

## erm:' in column (8) is confidential business inionnallon ICBt 

### (10) and 

## r: 1,-- Estunate the ma:l:llnum durauoo ofthe activity for any work/!'!" In bours ner cia: and days per 

### yea:. (12) 

# .. Mri (A) 

# . this colWIL."1 ifentries m 

### wiw:nns (10, and 

## n 1 J are confidential busmess information 

### (CBll Wetter activity 

### CB: Protective Equipment BII1du1!l I 

### :::E: Max=:.. I durauon 

### I "-:::: I ;; of 

# --­ li..-.:ior.g 

# I Pm"S
..:al 

# ''''=:5:' ; no 

## i 

# , , , Opttor. 

### ; Hrs,Q.!\**~. an~'r:nev.**  Davs '7 Worker (i.e,. bag dumping. filling drums. Engineering Controls ; Marl;fX· 

# , Me.: .x 

# i subs:..tn::t S 

### , 

# .. (6. i.": ,f9 (Ie Ii; 

# '.-

.. 'T '" 

# i I d (1) '-, 

### (3:, I Expose



### ,
• 

# I (8) 

# ! I 

# I i 

## I I 1 i 

# I 

# i 

# I I 

# I i 

# I 

# , ! ; 

# I 

# I
I 

## , I I 

# I i 

# I I 

# i

. i ! I 

## I 

# I I I I 

# I I I 

# I i

• 

# , i 

# I ! I I 

# ! I ! 

# i rgJ l\.fark (X· this box ifyou mach a cominuarion sheet. 

# I 3.**Em~ntal** Release and Disposal

- "\ ou mllS! make s;;oparate confiaenualJ!, clauns foc tn", release number and the amount ofthe new chenn.:al subs13.l:tce released iUld**o~** release IUId disposal ini=tion**~fark** (X) the 

# .-confic:kn:.:ar· box neXt to 

### each item you clatm 

### as**confidenti~.** (1)

- 

### Em:r the number ofeach release porn: idemified in In", pro.;:ess descnption. part IL se;;:Uon A rubsection id(3), 

### (2)

- 

### Es=ale the amOUIJ! ofthe new subs:znce released (a) dire.:tly to the ennronmen: 

### or {t: I mlo control te.::nnology (in

### kgcia,' 

### or kg'batch), (3)

-- Mrk (:\1this column if.:ntries in coiu:nns (I) and (2) are confidential busmess infon:rwion (CBl). (4) •• Ida:rify the media (stack air. 

### fu giliv: air I,optional·see insIruction Mant:.:LL surface \\"'alC'r. on-site or off-site land or 

### incinc:ration.. roD\'. 

### oc**otb~ (spec~!:'**  to 

### wili;:h the new substance 

### w;ll be reieas.:d from that release point 

### (5)

- a. ::>eseribe control teclmology.**ifan~.** IUId control efficiency that will 

### Ix used to 

### 1iJ:nrt the release ofthe Dt'W substance to 

### the .:nwonmen:. For releases dis:::'OSed ofon land. cbaracterize the disposal method and 

### stale wheth.:r 11 is 

### approved for disposal ofRCRA hazardous waSle. 

### On a collliDuation 

### sheet.. 

### for eaci:: sne Ikscribe any additiooal disposal methods that 

### will be used and whC'lher the \\'aSle is subject to se:ondary ortertiary on-site**treatm~.** 

### b. 

### EstiIll3J..: the lIIIOUIIt released to the .:n"ironmenl 

### after control te.::lmology (in 

### kg day). (6)

-- 

### Mri (Xl this column ifentries in rolumns (4) and (5) are confidential busi.ness information (CBI), (7) Id=ify the Ikstination(s) ofreleases to wliter. Pleas.e supply**~PDES** r.o;atiooal Pollmam 

### Discharge Eliminalion System'i numbers for dire..., discharges 

### or**~'Y.)ES** numbers ofthe ronl," IPubli;lv OwnedTreatm.:nt Works) MlIrl; (X) ifthe POn\' name 

### or !\l'DES:: is confidential business infonnation (CBll Release Kumber Amount ofnew substance CB:**~!edi.** of ContrOlleclmology and effici.:ncy ('lOU 

### may l\;shto**optional~'** mach efficien=y 

### data) I ca: 

# I**~~ ~~**  

## i

(1) ! 

# I (2a) ,- , \

.... 1 .... IUIdl '" 

# BIIldmj; 

# I (4) (5a) MmfX**(~e'l** 

### ! (6, 

# ! (2b) 

# I


# I D POD\' pro\ide

## nam~s) Ixlow; CBI 

# D**~a\igab)e** \\"lUa"I\lIY 

# o Other· Specify provide NPDES ;: 

### CBI



# -

box ifyoc ana.:h a continuation shea. 

## -9­

# Part 

# n- HUMAN EXPOSURE AND ENVIRONME!\iAL RELEASE

- Continued Section B - INDUSTRIAL SITES CONTROLLED BY OTHERS Complete section B ior 

### typical processmg 

### or use operations involving the new chemical substance ar sites vou do not contro:. 

### lmpon= do not have to compiete tlus ",cuon for openuions outside the C.S.: however. yOU nrust report any processing Of I1S<! actiyitles after unport. See the insuuctions Manual. 

### Campier<.1 seoarare "cnon Bfor eacn cype of processing. or use operanon mvolvlng 

### the new chemica; suDslance. 

### Iftile same operation IS performed at more 

### than one stle ci.!scnbe the 

## I !Vuical ooeration commonto these sites. Identify additional sites on a continwruon**shee~** 

# 11. Operation Description

- To ciaim information in this section as confidential mc1e or braci.:et the speciIic mformatlon that yOU claim as**~,nfid~ntta:** 

# (l:,

- Diagram the maJor UDIt operauon stevs and chemical Conversions, mcluding unerun storage and transport comamers (specify

- e,g. 5 gallon paus. 

### 5) gallon drums, rail cars. tank trucks. etc'l. Onthe dJa.gram. identify by letter and briefly describe each worker activity. (2\

- PTO\ide the identity. the approximate weigh! (by kgldaYorkgbarch. on an 100"'0 new chemical substance basis). and**~.** poiD! ofall feedstocks (including reactants. solvents and catalysts. ClC) and all
. 

# I i products.. recycle streams. and wastes. Include cleaning chemicals (note frequency ifDOt used daily or per barch'J. (3'J

- Identify bY number the DOUIlS ofrelease, I mcludmg smaIl or intermittent reieases. to the environment ofthe new chemical substance. (4) Please enter the" of sites (remember to**identif~:** the locations of 

## i these**sn~** on a contmuation sheet);

:: ofsnes 

## 3

he exact nature of operations at our customers' sites is not known, The substance being notified has multiple uses as ated on page 7. The customer will normally blend 

## it with other ingredients as appropriate for the particular application.

# ~

o Mark (XI**thi~** box ifyou attach a COIItinltalion sheet. 2. Worker ExposureIEnvironmental Release (1)

- From the diagram above, pr-o\;de the letter for each worker a.."livity. Complete 

## :-8 for each worker acti,;tv described.. (2)

- Estimale the number ofwOlkers exposed for 

### all sites combined. (4)

- 

### E.stnnare the typical duration ofe)"-posure per worker in (a) hours per day and (b) days per year. (6)

­ Desa-ibe physical form ofex-posure and 'lo new chemical substance (ifin mixture). and any protective equipment and engineering controls.. ifany. used to**~workers,** 

### (7)

- Estimale the percent ofthe new substance as formulated when packa!ed or used as a final product (9)

- From the process diagram above. enter the number of each release poiIIt. Complete 9-13 for each release point idco:tified. (10)

- Estimale the amOUD! ofthe new substance released (a) directly to the emirODIDo:!It or (b) into control technology to the emironmeIIt (in 

### I;.g day or kglbatch:,. (12)

- 

### Describe media ofrelease i.e, stack 

### air. fugitive air (optional-see Insuuctions Manual). surface
....-arer. on-site or off-site land or incineraliOll. POTW. or other (specify) and control technology. ifany, 

### that
....

### ill be used to limit the release ofthe new substance to the en\ironmen1. (14)

- Identify byproducts which**ma~'** resul: from the operation.

(3). (5). (8). (II). (13) and (15;

­ Mark (.\1 this column ifan\' of

### the proceedinl! entries are confidential business information (CB1) Letter .:::e,r." 831 Duration CBI Protective Equip. ·",m CBl Release Amounlof CBI**~~.** ofRelease CB:

of Wolkers of Engineering Controls Form· Kumbc::: !'
..... & Control Ac:· Exposo:l Exposure Physical Form and •.• ul8llon Substance Technology 1\>Uy new substanc.: Releasee (I) (:!:, :3) (4a) (4b) (5) (6) (7) (8:­ (9) (lOa) (lOb) (II) (12) 

### (13


# I 

# 'J>-- Byproducts: (15) 

# D Mark (X)

### this box ifyou ana.ch a continuation sheet, !

,f



## -10­

## I 

# OPTIONAL POLLlJTION PREVENTION INFORMAnON To claim information in

## this section as confidential ctrele or bracket the 

## soecifi::: informanon that vou claun as confidential
. 

# ..lIn this section you may provide information not reponed eisewhere in this form regarding your effons to reduce ;

jrminimize potential risks associated with activities surrounding manufactunng. processing. use and disposal ofthe PMN substance. Please include new information peninent to pollutior: preventioL 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 0:- 

# toxicity ofchemica: wastes by technological modification, process and procedure modification, product reformulation, raw materials substitution. andlor inventory control. Recycling refers to the reclamation ofuseful chemical components from wastes that would otherwise be treated or released as air emissions or warer discharges. orland disposal Descriptions ofpollution ; prevention, source reduction and recycling should emphasize potential risk reduction subsequent to compliance with existing regulatory requirements and can be either quantitative or qualitative. The EPA is interested in the information to assess overall net reductions in toxicity or environmental releases and exposures, not the shifting ofrisks to other environmental media or non-environmental areas (e.g., occupational or consumer exposure). 

# In addition. information on the relative cost or performance characteristics ofthe PMN substance to potential alternatives may be provided. All information provided in this section will be taken into consideration during the review ofthis substance. See Instructions Manual and Pollution Prevention Guidance manual for guidance and exam Its. Describe the e"
.. pected net benefits, such as (1) 

## an O'\'erall reduction inrisk 

## to human health or the emironmem: (2) a reduction in

## the volume manufactured; (3) a reduction in

## the generation of'\\aste maIerials through recyclinf. source redu..""1ion or other means: (4) 

## a reduction in

## potential toxicity or human e:-..-posure andior environmental release: (5) an increase in 

## produc: performance. a decrease in the cost ofproduction and/or improved operation efficiency ofthe nel\" chemical substance m comparisor: to existing chemical substances used in 

## similar applicatioll: or (6) the e:-..1ent to 

## which the nel' chemical substance may be a SlOstirute for an existing substance that poses a greater overall risk 

## to human health orthe emironmeru.



## j 

# • D Mark 

## (X) 

## this box if

## you attach a continuation sheet.
-11­

# Part III -- LIST OF ATTACHMENTS Attach continuation sheets for sections ofthe fonn and test data and other data (including physicaVchemical prop<."I1ies and structure/activity infonnation), and optional infonnation after this page. Clearly identify the attachment and the section ofthe fonn to which it relates, ifappropriate. Number consecutively the pages ofthe attachments. In the column below, enter the inclusive page numbers ofeach attachment. Mark (X) the "Confidential" box next to any attachment name you claim as confidential. Read the Instructions Manual for guidance on how to claim any infonnation in an attachment as confidentiaL You must include 'with the sanitized copy ofthe notice fonn a sanitized version ofany attachment in which you claim infonnation as confidentiaL Attachment name Attachment Confipage number(s) dential 

# 13

- 15 Material Safety Data Sheet (MSDS) 

# 16 X 

# 17

- 18 X 

# 19 X 

# 20 X Physical and Chemical Properties Worksheet 

# 21 Physical and Chemical Properties 

# 22 i 

# 23 X 

# 24 X Label 

# 25 26

- 31 X

I 

# I

i 

## I
i 

## I

i 

## I

i 

# D Mark (X) this box ifyou attach a continuation sheet. Enter the attachment name and number.



## -12­

### MSDS NUMBER: 59-7555 (D) 

### 59-7556 (B) REVISION DATE: 

## 12-10-01 EMERGENCY TELEPHONE NUMBER:



## PRODUCTNAME: 

# AMIDEX 200 CHEjlIIC4L DESCRIPTION: 

## Tall Oil Etho:-.:ylated Ethanolamide SYNONYMS:

CHEMIC4L CAS NUMBER 

## % PRESENT TLVor 

## PEL (current

## ACGIH limit) 

## Ethanolamine 141-43-1 15-17 

## TWA 3 

## ppm

BOlLINGPOLVT: 

## > 200"F SPECIFIC GR4HTl' (H20=1): 

## 0.974 SOLUBILITYIN WATER 

## Dispersible FREEZING POINT: 

## Not Detemtined (% 

### by volllme): 

## n>lPOR4TIONR4TE 

## Not Detenl1ined VAPOR PRESSURE@20°C: 

## < 1 111m 

## (ButylAcetate=

## 1): 

## %/,"OLATILES BY VOLUME: 

## Nil VAPOR DENSITY 

## > 1 APPEAR4NCE & 

## ODOR: 

## Clear Amber Liquid with mild odor

FLASH POINT[Test Metltod(s)j: 

## > 200°F (Setaflash) FIAMJlfABLE LIMITSINAIR, %

## BY VOLUME: 

## Not Established EXTINGUISHINGMEDIA: 

## Water, Dry Chemical, Carbon Dioxide, Foam UNUSU4L FIREAND EXPLOSIONH4ZARDS: 

## NONE SPECIAL FIREFIGHTINGPROCEDURES: As 

## with most chemical fires, it is advised that firemen be supplied with selfcontained breathing devices equipped with full face piece.

:00 in:Oln,at,(}li**nrl.;~::nt~l t~{;1i:\** **:~a~** l)gBO ",:(j('t\fJlIP.J hum**50LlrCe~** GCmslde.rFK1 ;(; be**{It;f:t::of)~.1ahlp.** Clnd is a\,'!'-'.IfAt".1 to tnt'; 0051 ot COO!1''U'OO**{~)fPV!'P.tlO<l's knowl~ge:** **hn'Ne\'~r.** Chi:nlfon**~:(lrr>Ola1;r)!'i** :'11.."lK(-tF; Ot)**v..~m:lnt\o' \\'h::J1~nv:vvr.**  C",prd:F..f.OO orimplied vI**mf)(vh3n:~iji}'** or MIWf'"s !o' tho parti,;ull1r purpr..ro. :.:::;g...l1riing 1m**~.r,:lIracy** Of $\Jr.h oal.r, (y(**th~! rUSlJl~t**  tv no !';t)I}JWI(-6'J from use**:j~~OO:'** Chornton Cor00f8ibn CiSSUfO«li nn**ji.:lSfAn~bll:ty** [rx**::~IX'I** to (QC!ntant or t:J rhl(t1**~"or;s:** 0(1& ::Jil'fy**lJ3n~** lQ any prop-en)' iMld**r~iplenl** flli$ulH£::S a. sud: IISks. P.O. Box 2299, Paso Rol)les. CA 9:344! Telephone 80t) 23!:I 

### 155G Facsimil9 1305**~39** 8551 Customer Service 800**4~3** 11413 wvlW.ct1emron.com 

## -13­

## ACUTE EFFECTS OF OVEREXPOSURE: SW
. .4LLOU'7NG: 

## Ingestion may cause irritation to the membranes ofthe mouth. throat and gastrointestinal tract. Nausea, vomiting, cramps and diarrhea may occur. SKINA.BSORPTION: 

## None currently known. INH4L4TION: 

## No health effects are known to occur from inhalation ofthis product. Inhalation ofmists or sprays may result in non-specific irritation ofthe upper respiratory tract. SKIN CONTACT: 

## Contact with skin could produce mild irritation. EYE CONTACT: 

## Mild to moderate irritation may result. CHRONIC EFFECTS OF OVEREYPOSURE: 

## No chronic effects, either systemic or local are known. OTHER HE,.J.LTH HAZARDS: 

## None currently known.


## EMERGENCY AND FIRST AID PROCEDURES: SWALLOWING: 

## Obtain medical attention. SKIN: 

## Remove contaminated clothing and flush skin with water. Wash with soap and water until material has been removed. Obtain medical attention ifirritation persists. INHAL4TION: 

## Remove to fresh air. Ifsymptoms ofrespiratory discomfort persist, obtain medical attention. EYES: 

## Immediately flush eyes with large quantities ofwater for 15 minutes. Hold eyelids apart to ensure complete flushing. Do not attempt to neutralize with chemical agents. Obtain medical attention. TL V OR PELAND SOURCE: 

## None currently established.


## HAZARDOUS MATERIALS IDENTIFICATION SYSTEM
HEALTH: 

## 2 FLAMl1HBILITY: 

# o REACTIHTY: 

# o PERSONAL PROTECTION EQUIPJIENT: 

## C Goggles. gloves, synthetic apron

·USED AND ASSIGNED BY CHEMRON CORPORHION TO IDENTIFY HAZARDS OF THE MATERIAL. SEE ATTACHED "MATERIAL SAFETY DATA SHEET TERMINOLOGY," PAGE B, FOR SPECIFIC INFORMATION ON EACH INDEX. 

# -14­

## STABILITY: 

## Stable CONDITIONS TO AVOID IF UNSTABLE: 

## None INCOMPATIBILITY WITH OTHER MATERIALS: 

## None currently known HAZARDOUS DECW,1POSITIONPRODUCTS: 

## May produce hazardous fumes or hazardous decomposition products. HAZARDOUS POLYMERIZATION: 

## Will not occur. CONDITIONS TO A VOID: 

## None currently known.

STEPS TO BE TAKENIFi\MTERL4L IS RELE4SED OR SPILLED: 

## Wear suitable protective equipment. Small Spills: 

## Absorb liquid with absorbent material. Large Spills: 

## Stop spill at source. Dike area ofthe spill to prevent spreading. Pump liquids into waste containers. Remaining liquids can be 

## absorbed. W4STE DISPOSAL ,"\;/ETHOD: 

## Incinerate or landfill where permitted under appropriate federal, state and local regulations. Questions concerning disposal should be directed to CHEMRON CORPORAnON.

RESPIRATORYPROTECTION: 

## Self-contained breathing apparatus in high concentrations. Normally not required. VENTIL4TION: 

## General (mechanical) room ventilation is expected to be satisfactory. PROTECTIVE GLOVES: 

## Butyl or neoprene rubber EYEPROTECTION: 

## Monogoggles OTHER PROTECTIJEEQUIPMENT: 

## Synthetic apron. eye wash station

PREC4UTIONS TO BE TAKENINHANDLINGAND STORING: 

## Do not get in eyes, on skin, or on clothing. Wash thoroughly after handling. Soiled clothing should be removed and laundered before reuse. Store below 120°F. Keep container closed.



# -15­

# I PHYSICAL AND CHEMICAL PROPERTIES WORKSHEET To assist EPA's review ofphysical and chemical properties data, please complete the following worksheet for data you provide and include it in the notice. Identify the property measured, the page ofthe notice on which the property appears, the value ofthe property, the units in which the property is measured (as necessary), and whether or not the property is claimed as confidential. The physical state ofthe 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 (% 

### PM)'; substance in _). You are not required to submit this worksheet· however EPA strongly recommends that vou do so as it will simplifv 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.



## I i

i 

## I ! 

### Property Mark Page 

# I Value !,,1easured 0 (X) if 

### number Estimate 

### (a) provided 

### (b) (0) (M orE) 

## Physical state ofneat substance (s) 

## X (1) (g) 

## Vapor pressure @, 

## Temperature °C 

## X M Density/relative density 1.007 g/cm3 Solubility Temperature Solvent gIL 

## X ;Not soluble at 10gIL M Solubility in water @ Temperature 20°C Dispersible at 20°C. gIL 

## Melting temperature °C Boiling/ sublimation temperature@ torr pressure °C 

## X M Dissociation constant Particle size distribution Octanol / water Partition coefficient Henrv's Law constant Volitalization from water Volitalization from soil 

## X 9.9 

## M pH@, concentration 1% in water_ Flammability Explodability Adsorption / coefficient Other

- Specifv 

## X 133

- 148 M Hydroxyl Value Acid Value 

## X 15 max M Confidential Mark (X)

(d)

!



## X

i

i 

# I' -21­

# New Chemical CHJ\tIOOl PhysicaliChemical PropertIes Appearance Amber Liquid Hydroxyl Value 1 "-' -'-' 

# 148 Amine Value 15 max pH, 1

# % dispersion 9.9 

# Density 1.007 glml 

# Water solubility @20°e. DispersibIe at 1 

# %, not soluble

# ~22- 

# 1'1

# ~~ IRRITJ<HHG TO EYES**~NO** SKIN,

- SEE**MIHE~I';~** ,A,En DATA SHEET AHD YOUR**SUPER~I:iOR** mR

INfORM"TIml cmlctRIlII16 THE PROPER Allo SA,( U;;E Of THIS FRDDun,**~EVER ~)SE** **?;:~E';SURE** TO EMPT"r.

..**~IJ[]IO COf.li~Ci**  ;.4ITH EYE.£, SKIN**A~tO** I:LOTHING.

-**H~RI'IF"iJL** :F**'::~hLLDI·1EO.**

-**~.~SH** TtiIH::';i.f6HLJ AFT=::i\ H4NDL!HG.

.. 00 NOT TAKE rUTERtIAL;"Y. 

# SPILLS AND LEAKS

- HE,;R sunABLE PROTECTr',JE**EQUI~MUIT, ~BSDRE<**  LHUIO**~lnl** ABSORBEIIT I1UERIAL, 5TOP ;FILL**~T** SOURCE, OIKE**~RE';** Of THE**~PILC** 

### m PRE'IE!!T SPREADING, PUHP LIQUIO;; REMAINING LIQUIDS 

# IJu,.,.ml] FOR PRODUCT EMERGENCY Spill, leak, 

### Rre, Exposure orAccident 

# CALL CHEMTREC

­ Day or Night 

# 800-424-9300 IN CASE OF FIRE HE!)IA

- WATER fOG, DRY POIIOER D. CARBON DIOXIDE, nRE FI.HTnlG PROCEDlJRES

- REMOVE UNPROTECTED PERSDNNEL, ,ROM H"ZARD AREA, WEAR PROTECTIVE CLDTHING, EMERGEN':' PERSONNEL**5HOU~O** BE EIIUIPPED WITH '" IIIDSH I<PPROVEO 

### sceA WI

### HI ,ULL ,ACE PIECE, COOL EXPOSED CONTAINERS HUH >lATER,

# em.'liIJJ~;I~1:1. IHCII/ERIITE OR LANDfILL WHERE PERI'lITTEo UIIDER IlPPROPRIATE HDERA!., STolTE
..NO LDCIiL RESULATIOHS, SUEST!oNS COIICEItHINo DISPO$"L SHOULD BE DIRECTED TO CHEHROH CDRPORI<TIDN.**'=;;;:;LLO~WG** !'i';;ESUGtI "MY ("'lSE**~RRITATlQN** TO THE**MEf1l!R.HE~** 

## uF' THE MOUTH, THRO"T oNO GAiiTROINTESTINII!. ""USEii, 'JOHITIN6 CRAMPS .No OIARRHEO HAY OCCUR, oSTAIN HEoIC"!. "TTElinDIl. SY,IN I<ITH ;:KIll COULD C.USE IlILU LOCAL IRRITATION, REI1DVE ,:DHTAHIHHTEO CLOTHING iiliQ Fll',H ;f.rtI**~ITH** WATER,**Il~SH** l'lITH SOAP AND WATER UIITIL**HATERI~L** HAS SEEN**P£II~'·jED.** JaTAIIl MEDICAL ATTEIHION IF IRRITATION PERSISTS. nIH.LTIilN

- :lO**HE~L** TN**E~rEcr;** oRE KNOWN TO OCCUlt fRoH INHALATION Df THIS PRODUCT,**:rilHALA'l~tI** Dr HISTS 01'. SPRHVS HAY RESULT IN NONSPECIfIC IRRITATION or THE IJ?HR RE,PIR;HORY TRACT, REI1IlVE TO rRESH IIIR.**~RESH** AIR, Ir SYHPT!JHS or**~ESfIRAToRY** DISC0I1rORT PERSIST, JBTIlIH nEDICAL ATTEIITIOH, Ef,S nDDERATE IRRE,HION Ho" RESULT IMHEDIATELY FLUSH EYES WITH LARGE**~UA~ITITIES** or**~h:.TER** FaR HT**LE~ST** 15 MINUTES, 00 IIOT IITTEMPT TO NEUTRALIZE HUH CHEMICAL .GEHT$, OSTAItl HEDIC.L OTTENTIOH.


# CHEMRON P.O. Box 

### 2299 Paso Robles, California 93447 (805) 239-1550 Seller makes no warranty, expressed 

# d. II11PIIed, this m_ or Ih& use 0/ this product

_ "'"" 1_ on tho label. I!uyor
__ all rfIk 

### or ... and or handling oIlhIII

__ _

... _ or hII1IIIng 

## .!! contrary to label InIIrucIIonoI. 

### 2 

### 204.3 

### 450 450

1.0. NUMBER KGS. LEIS. 

# o

ATTENTION: THIS CONTAlNEfltS tfAZAA. DOUS WHEN EMPTY. SInce emptied conlalner tatalne "",duel
... !due. (vapor o. liquid), 

### an label haZard p.... cauUona mutl be obaerYed.

### ~n::,~~~ lure. or _ on or .-r this 

# .....-.00Il0l_..,.,.. laine, for B"I' PIIl'Il""e unUI commelOlally

.........



## • ID # - 

### 597555 LOT # ­

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