## Cover Letter

October 30, 2012 By Central Data Exchange New Chemicals Program Office of Pollution Prevention and Toxics Confidential Business Information Center [Rm. 6428] EPA East Building Ronald Reagan Complex 1201 Constitution Ave., NW Washington, DC 20004-3302 Re: Consolidated Premanufacture Notice Submission under TSCA Section 5 by {XXX} Dear Sir/Madam: Enclosed you will find a Consolidated Premanufacture Notice (PMN) submitted under Section 5(a)(1) of the Toxic Substances Control Act (TSCA). This Consolidated PMN is being submitted to the U.S. Environmental Protection Agency (EPA or the Agency) by {XXX} for the chemical substances identified below: Substance-1 CA Index Name: {XXX} CAS Registry Number: {XXX} Company Identifier: 1.3' Substance-2 CA Index Name: {XXX} Page 1 SANITIZED SUBMISSION

### CAS Registry Number: {XXX}

Company Identifier: 2.3' Substance-3 CA Index Name: {XXX} CAS Registry Number: {XXX} Company Identifier: 3.3' Substance-4 CA Index Name: {XXX} CAS Registry Number: {XXX} Company Identifier: 1.4' Substance-5 CA Index Name: {XXX} CAS Registry Number: {XXX} Company Identifier: 2.4' Substance-6 CA Index Name: {XXX} CAS Registry Number: {XXX} Company Identifier: 3.4' TS Number: ASLT20 Page 2 SANITIZED SUBMISSION

### This Consolidated PMN submission is made in accordance with the regulations given at 40 CFR 720. We request

that the Agency begin review upon receipt. This notice has been created using the EPA’s new e-PMN software and, as now required under EPA regulations, this notice is being submitted through EPA's Central Data Exchange (CDX). At this time, {XXX} is also remitting a check in the amount $2,500.00 for the PMN user fee in accordance with the requirements at 40 CFR 700.45(b)(2)(i). This check is being sent to EPA’s Washington Finance Center in St. Louis, MO. {XXX} is claiming certain information in the Consolidated PMN as Confidential Business Information (CBI), including the chemical identity and company identity, in accordance with the provisions at 40 CFR 720.80. {XXX} For all questions regarding the submission of this Consolidated PMN, the technical contact is {XXX} Sincerely, {XXX} {XXX} cc: {XXX}

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### Check Number: 80410 ASLT121030719104702 ASLT20

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## X 322982-3 Attachment-HCl Salts-3-SAN-ASLT20.pdf 

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## X See Attachment 003 (Attachment-HCl Salts-3-SAN-ASLT20.pdf)

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XXX Fatty acid amide hydrochloride 

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X Surfactant for use in asphalt emulsions. XXX 

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Page 82 SANITIZED SUBMISSION001 Material Safety Data Sheet Attachment-HCl Salts-1-SAN.pdf 7

002 Summary of Information on the New Chemical Substances Attachment-HCl Salts-2-SAN.pdf 2 003 CAS Inventory Expert Service Reports and Chemical Structures of the New Chemical Attachment-HCl Salts-3-SANASLT20.pdf See continuation page. id: <P12003> 13 004 Manufacturing and Processing Information on the New Chemical Substances at Industrial Sites Attachment-HCl Salts-4-SAN.pdf See continuation page. id: <P12004> 2 005 Worker/Occupational Exposure Information on the New Chemical Substance at Industrial Sites Attachment-HCl Salts-5-SAN.pdf 1 006 Environmental Release and Disposal Information on the New Chemical Substance at Industrial Attachment-HCl Salts-6-SAN.pdf 1 007 Processing Information on the New Chemical Substance at Industrial Sites Controlled by Attachment-HCl Salts-7-SAN.pdf Pt.2, Sec.B, 1a. 2 008 Worker/Occupational Exposure and Environmental Release Information on the New Attachment-HCl Salts-8-SAN.pdf 1

Page 83 SANITIZED SUBMISSIONP12003 List of Attachments, Associated PMN Section No., ID: 003

Pt.I, Sec.B, 1c. | Pt.I, Sec.B, 1e. | Pt.I, Sec.B, 1c. (Chem 2) | Pt.I, Sec.B, 1e. (Chem 2) | Pt.I, Sec.B, 1c. (Chem 3) | Pt.I, Sec.B, 1e. (Chem 3) | Pt.I, Sec.B, 1c. (Chem 4) | Pt.I, Sec.B, 1e. (Chem 4) | Pt.I, Sec.B, 1c. (Chem 5) | Pt.I, Sec.B, 1e. (Chem 5) | Pt.I, Sec.B, 1c. (Chem 6) | Pt.I, Sec.B, 1e. (Chem 6)

Page 84 SANITIZED SUBMISSIONP12004 List of Attachments, Associated PMN Section No., ID: 004

Pt.2, Sec.A, 1d. | Pt.2, Sec.A, 1d. (#2) | Pt.2, Sec.A, 1d. (#3) | Pt.2, Sec.A, 1d. (#4) | Pt.2, Sec.A, 1d. (#5) | Pt.2, Sec.A, 1d. (#6)

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### X X X X X X 

## X Measured ~1.0 Estimate Soluble Estimate 25

1,500 - 2,500 cps (25 °C) Measured Viscosity Page 86 SANITIZED SUBMISSION

## ATTACHMENT HEADER SHEET Attachment Number 001 Attachment Name Material Safety Data Sheet 

## Associated PMN Section Number

N/A Does not contain CBI 

## Report Number ASLT121030719104702

## ATTACHMENT HEADER SHEET Attachment Number 002 Attachment Name Summary of Information on the New Chemical Substances 

## Associated PMN Section Number

N/A Does not contain CBI 

## Report Number ASLT121030719104702

## ATTACHMENT HEADER SHEET Attachment Number 003 Attachment Name CAS Inventory Expert Service Reports and Chemical Structures of the New Chemical Substances 

## Associated PMN Section Number Pt.I, Sec.B, 1c. | Pt.I, Sec.B, 1e. | Pt.I, Sec.B, 1c. (Chem 2) | Pt.I, Sec.B, 1e. (Chem 2) | Pt.I, Sec.B, 1c. (Chem 3) | Pt.I, Sec.B, 1e. (Chem 3) | Pt.I, Sec.B, 1c. (Chem 4) | Pt.I, Sec.B, 1e. (Chem 4) | Pt.I, Sec.B, 1c. (Chem 5) | Pt.I,

Sec.B, 1e. (Chem 5) | Pt.I, Sec.B, 1c. (Chem 6) | Pt.I, Sec.B, 1e. (Chem 6) Does not contain CBI 

## Report Number ASLT121030719104702

## ATTACHMENT HEADER SHEET Attachment Number 004 Attachment Name Manufacturing and Processing Information on the New Chemical Substances at Industrial Sites Controlled by the Submitter 

## Associated PMN Section Number Pt.2, Sec.A, 1d. | Pt.2, Sec.A, 1d. (#2) | Pt.2, Sec.A, 1d. (#3) | Pt.2, Sec.A, 1d. (#4) | Pt.2, Sec.A, 1d. (#5) | Pt.2, Sec.A, 1d. (#6) Does not contain CBI 

## Report Number ASLT121030719104702

## ATTACHMENT HEADER SHEET Attachment Number 005 Attachment Name Worker/Occupational Exposure Information on the New Chemical Substance at Industrial Sites Controlled by the Submitter – Manufacture and Processing 

## Associated PMN Section Number

N/A Does not contain CBI 

## Report Number ASLT121030719104702

## ATTACHMENT HEADER SHEET Attachment Number 006 Attachment Name Environmental Release and Disposal Information on the New Chemical Substance at Industrial Sites Controlled by the Submitter – Manufacture and Processing 

## Associated PMN Section Number

N/A Does not contain CBI 

## Report Number ASLT121030719104702

## ATTACHMENT HEADER SHEET Attachment Number 007 Attachment Name Processing Information on the New Chemical Substance at Industrial Sites Controlled by Others 

## Associated PMN Section Number

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

## Report Number ASLT121030719104702

## ATTACHMENT HEADER SHEET Attachment Number 008 Attachment Name Worker/Occupational Exposure and Environmental Release Information on the New Chemical Substance at Industrial Sites Controlled by Others 

## Associated PMN Section Number

N/A Does not contain CBI 

## Report Number ASLT121030719104702