PMN Page 1 ; Page 1 of 18 

U.S . ENVIRONMENTAL PROTECTION AGENCY 

F Pa 

Premanufacture Notice 

Form 

Dale or receipt 

A im roved. 0.M .B . No. 2070-0012 A 00 roval 

AGENCY USE ONLY 

-

US t.~ _ , . Lf 

PREMANUFACTURE 

NOTICE 

in the `'~`~ 1 dt 

GENERAL INSTRUCTIONS 

Part I-GENERAL INFORMATION 

You must pro1 ide the Currently correct Chemical Abstracts (CA) Name of the new 

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

another person to submit chemical identity infomiation for you. but your submission will 

not be complete and the review will not begin until EPA receives this infonnation . A letter 

in support of yow submission should reference your TS user fee identification number . 

You nmst submit an original and two copies of this notice including all test data . If you 

claitned any information as confidential, a single sanitized copy must also be submitted . 

Part II-HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE 

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

sections .4 and B of this notice, reproduce the sections as needed. 

Pan III-LISTOFATTACHMENTS 

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

continuation sheet with the colresponding section heading. In Part 111, list these 

attachments, any test data or other data and any optional infomiation included in the notice . 

OPTIONAL INFORMATION 

You may include any infonnation that you want EPA to consider in e~aluatbig the new 

substance. On page I I of this loon, space has been provided for you to describe 

pollution pre~ention and recycling infonnation you may have regarding the new substance. So-called "binding" boxes are included throughout this fonn for you to indicate your 

willingness to be bound to certain statements you make in this section, such as use, 

production N olurne, protective equipment . . This option is intended to reduce delays that 

routinely accompany the development of consent orders or Significant New Use Rules . 

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

certain infonnation pro, ided in such notification is binding on the submitter when the 

Agency approves the exemption application, checking a binding box in this notice does not 

by itself prohibit the subn»tter from later deviating from the infonnation (except chemical 

identity) reported in the fonn. 

CONFIDENTIALITY CLAIMS 

You may claun any infonnation in this notice as confidential. To assert a claim on the 

loon . Mark (X) the confidential box next to the infonnation that you claim as confidential . 

To assert a claim in an attachment, circle or bracket the infomiation you claim as 

confidential . If Vou claim information in the notices as confidential vou must also provide 

a sanitized version of the notice. (includine attachments). For additional instructions on 

claiming information as confidential, read the Instructions Manual . 

19 

Test Data (Check Below any included in this notice) 

" Environmental fate data ~ Yes " Other data 

1 :1 

Yes 

" Health effects data ~ Yes Risk assessments 

" Environmental effects data O Yes relation 

" Physical'Chemical Properties` n Yes 

You must pro~ ide all infonnation requested in this f'omi to the extent that it is known to or reasonably ascertainable by you. Make reasonable estimates if you do not have actual data . 

Before you complete this fonn, you should read the "Instructions Manual for Premanufacture Notification" (the Instructions Manual is available from the Toxic Substances Control Act (TSCA) Infomtation Service by calling 202-554-1404, or faxing 202-554-5603) . 

6 0- 99M, Pittsburgh, PA 15251-6399, Attn . TSCA User fee. 

I f a user fee has been remitted for this notice (40 CFR 700.45), indicate in the boxes abo~ c the TS-user fee identification number you have generated. Remember, 

your user fee ID number must also appear on your corresponding fee remittance, which is sent to EPA, Washi» it~cial Management Center (3303), P .O . 3 3 

Mark (x) ifany infomtation in this notice is claimed as confidential. 

u EPA u r 

y ~ " ~a1~~ ~ v ~ 1 s y Li rr V 1 

Structure/activity 

Test data not in [he~7ossession 

or control of the su~iidtter 1:1 

A Physical and chemical properties worksheet is located on die last page of this fomj . - 

TYPE OF NOTICE (Check Only One) 

PMN (Premanufacture Notice) 

INTERMEDIATE PMN (submitted in sequence with final productTMN) 

SNUN (Significant New Use Notice) 

Th-cEA (Test Marketing Exemption Application) 

LVE (Low Volume Exemption) L 40 CFR 723 .50(c)(1) 

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

LVE Modification 

E 

© 

P. 1 

Ex res 10-31 96 

LOREX Modification 

IS THIS A CONSOLIDATED PMN7 ~ Yes 

# of chenticals or polymers 1 

(Prenotice Communication # required, enter # on p age 3) 

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

procide a description of all other data known to or reasonably ascertainable by 

you, if these data are related to the health and environmental effects on the 

manufacture . processing, distribution in commerce, use, or disposal of the new 

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

open scientific literature . Complete test data (written in English), not summaries 

of data, must be submitted if they do not appear in the open literature . 'You should 

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

chemical composition of the tested material should be characterized. Following 

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

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

Part 720) . 

P"ZINL' S AUL3dwOo 

, 

A 

TEST u .ATA 

Z 

.AND OTHER DATA 

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

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

instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of 

information . Send comments regarding the burden estimate or any other aspect of this collection of inforlnation, 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 of this signature page, with original signature, must be submitted 

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

1 . The company named in Part 1, section A, Subsection 1 a of this notice form intends to manufacture or import for a 

commercial purpose, other than in small quantities solely for research and development, the substance identified in Part 1, 

Section B . 

2. All information provided in this notice is complete and truthful as of the date of submission . 

3. I am submitting with this notice all test data in my possession or control and a description of all other data known to or 

reasonably ascertainable by me as required by §720.50 of the Premanufacture Notification Rule. 

Additional Certification Statements: 

If you are Submitting a PMN, Intermediate PMN, Consolidated PMN, or SNUN, check the following user fee certification 

statement that applies : 

0 The Company named in Part I, Section A has remitted the fee of $2500 specified in 40 CFR 700 .45(b), or 

0 The Company named in Part I, Section A has remitted the fee of $1000 for an Intermediate PMN (defined @ 40 CFR 

700.43) in accordance with 40 CFR 700.45(b), or 

~ The Company named in Part I Section A is a small business concern under 40 CFR 700.43 and has remitted a fee of $100 

in accordance with 40 CFR 700.45(b) . 

If you are submitting a low volume exemption (LVE) application in accordance with 40 CFR 723.50(c)(1) or a Low release 

and low exposure exemption (LoRex) application in accordance with 40 CFR 723.50(c)(2), check the following certification 

statements : 

0 The manufacturer submitting this notice intends to manufacture or import the new chemical substance for commercial 

purposes, other than in small quantities solely for research and development, under the terms of 40 CFR 723 .50 . 

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

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

0 If this application is for an LVE in accordance with 40 CFR 723.50(c)(1), the manufacturer intends to commence 

manufacture of the exempted substance for commercial purposes within 1 year of the date of the expiration of the 30 day 

review period . 

The accuracv of the statements you make in this notice should reflect your best prediction of the anticipated facts regarding the chemical substance described herein . An knowing and willful misinterp retation is subject to criminal p enalt y pursuant to 18 USC 1001 . Confidential Signature and title of Authorized Official (Original Signature Required) Date 

Signature ofagent if applicable) Date 

PMN Page 2 ; Page 2 of 18 

EPA FORM 7710-25 (Rev . 5-95) Page 2 
p. 3 

PMN Page 3 ; Page 3 of 18 

Part 1 -- GENERAL INFORMATION 

Section A -- SUBMITTER IDENTIFICATION 

la . Person Name ofauthorizedofficial Position 

Submitting 

Notice (in U.S .) 

Company 

Mailine address (number and street) 

City, State Postal Code 

b. Agent (if Name ofauthorized official Position 

applicable) 

Company 

Mailing address (number and street) 

City, State Postal Code Telephone (include area code) 

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

Joint Submitter (if Name of authorized official Position 

applicable) 

Company 

Mailing address (number and street) City, State 

Province, Country Postal Code Telephone (include country or area code) 

2. Technical Name of authorized official Position 

Contact (in 

u.5 .) x 

Company 

Mailing address (number and street) 

City, State Postal Code Telephone (include area code) 

3 . If you have had a prenotice conununication (PC) concerning this notice and 

EPA assigned a PC Number to the notice, enter the number. Mark (X) -- 

i f none 

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

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

EPA . If you previously submitted a PMN for this substance enter the PMN 

Mark (X) -"" 

b i d b EPA i i - 

if none num er ass gne y ( .e . w thdrawn or incomplete) . ~ 

5 . If you have submitted a notice of Bona fide intent to manufacture or import r 

for the chemical substance covered by this notice, enter the notice number 

assigned by EPA . -~ 

I Mark (X) 

d'` 

if non e 

Type of Notice - Mark (X) 

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

Manufacture 

Only 

Binding Option 

Mark (X) 

j 2. 

I 

I 

I 

Import 

Only 

Binding Option 

Mark (X) 

I 

i 3 . 

I 

I 

Both 

Confidential 

EPA FORM 7710-25 (Rev . 5-95) Page 3 
PMN Page 4 ; Page 4 of 18 

Section B - CHEMICAL IDENTITY INFORMATION: 

-- vuuuucu 

You must provide a currently correct Chemical Abstracts (CA) name of the substance based on the ninth 

Collective Index (9C1) of CA nomenclature rules and conventions. 

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

Complete either item 1 (Class 1 or 2 substances) or 2 (Polymers) as appropriate . Complete all other items. 

If another person will submit chemical identity information for you (for either Item I or 2), mark (X) the box at the right. ~ Confi- Identify the name, company, and address of that person in a continuation sheet. dential 

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

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

b. Chemical name (Currently correct Chemical Abstracts (CA) Name that is consistent with TSCA Inventory listings for similar substances . For Class 1 substances a CA Index Name must be provided . For Class 2 substances either a CA Index Name or CA Preferred Name must be provided, which eve r i s appropr i ate b ased on CA 9CI nomenclature rules and conventions). 

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

Method I (CAS Inventory Expert Service - a copy of the Identification 

FX 

Method 2 (Other Source) 

report obtained front the CAS Inventory Expert Services must be 

submitted as an attachment to this notice) 

d. Molecular totmula CBI CAS Registry Number 

'i1 a number already 

exists for the substance) 

e. For a class I substance, provide a complete and correct chemical structure diagram. For a class 2 substance, provide a correct representative or partial chemical structure diagram, as complete as can be known, ifone can be reasonably ascertained . Please see the E-PMN Instruction Manual for discussion of " native format" diagram software which can be helpful in reviewing your substance. Fx] 

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

Part I -- GENERAL INFORMATION d - 

EPA FORM 7710-25 (Rev . 5-95) Page 4 
p. 5 

PMN Page 6 ; Page 8 of 18 

Part I -- GENERAL INFORMATION -- Continued 

Section B -- CHEMICAL IDENTITY INFORMATION - Continued 

3. Impurities 

(a) - Identify each impurity that maybe reasonably anticipated to be present in the chemical substance as manufactured for commercial purpose. Provide the CAS Registry Number if available. If there are unidentified impurities, enter "unidentified ." 

(b) - Estimate the maximum wei ht % of each im puri ty . If there are unidentified im purities, estimate their total wei ht %o. 

Impurity and CAS Registry Number Maximum Conti- 

(a) 

percent 

(b) 

dential 

% 

^ 

% 

% 

x 

o 

o,o 

o,0 

0 o,0 

0 

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

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

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

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

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

6. Generic chemical name - If you claim chemical identify as confidential, you must provide a generic name for your substance that reveals 

the specific chemical identity of the new chemical substance to the maximum extent possible . Refer to the 

TSCA Chemical Substance Inventory, 1985 Edition, Appendix B for guidance on developing generic names. 

linear alkyl epoxide 

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

7. Byproducts - Describe any byproducts resulting from the manufacture, processing, use, or disposal of the new chemical substance. Provide the CAS Registry 

Number ifavailable . 

Byproduct CAS Registry Number Confi- 

(1) (2) dential 

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

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

PMN Page 7 ; Page 9 of 18 

Part I -- GENERAL INFORMATION -- Continued 

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

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

1 . Production volume -- Estimate the maximum production volume during the first 12 months of production . Also estimate the maximum 

production volume for any consecutive 12-month period during the first three years of production . Estimates should be on 100% new chemical 

substance basis . For a Low Volume Exemption application, if you choose to have your notice reviewed at a lower production volume than 

10,000 k yr, specify the volume and mark (x) in the bindino box. If ranted, y ou are bound to this volume 

Maximum first 12-month production (kg/yr) Maximum 12-month production (kg/yr) Conti- Binding 

(100% new chemical substance basis) (100% new chemical substance basis) dential M~ k 

option 

2. Use Information --You must make separate confidentiality claims for the description of the category of use, the percent of production volume devoted to each 

category, the formulation of the new substance, and other use information. Mark (X) the "Confidential" Box next to any item you claim as confidential . 

a. (I ) --Describe each intended category of use of the new chemical substance by function and application . (2) --Mark (X) this column if entry column (I ) is onfidentlal business information (CBI). (3) --Indicate your willingness to have the information provided in column (I ) binding. (4) --Estimate the percent of total roduction for the first three years devoted to each category of use. (5) --Mark (X) this column if entry in column (4) is confidential business information (CBI). (6) -- Estimate the percent of the new substance as formulated in mixtures, suspensions, emulsions, solutions, or gels as manufactured for commercial purposes at sites under 

,,our 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 roduct volume expected for the listed "use" sectors. Mark more than one box if appropriate . Mark (X) to indicate your willingness to have the use type provided in (8) indina. (9) --Mark (X) this column if entrv(ies in column (8) is (are) confidential business information (CBI) 

Category of use (1) (by function and application i .e . a 

dispersive dye for finishing polyester fibers) 

CBI Bmdmg 

~pt~~" 

Production 

CBI o ill 

Formu 

CBI % of substance expected per use (8) CBI 

% lanon 

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

Consumer 

Industnal Con,- 

mercial 

Binding 

O t,on 

(t~) 

I ~ I 

Fx] 11 % 9 

% 

, [I nc 

11 11 

°,n 

11 

°,° 

°,o °,o 

[] I[] 

°,n °,n 

F1 11 11 

11 111 

°,n °,u 

11 - 11 °,° °,° 

* If you have identified a "consumer" use, please provide on a continuation sheet a detailed description of the use(s) of this chemical substance in consumer products . In addition include estimates of the concentration of the new chemical substance as expected m consumer products and describe the chemical reactions by which this substance loses its identity in the consumer product. 

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

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

S i+,- -- 1 i 

v),, 

t ~c r;` t 4~2 N-0"4d l G- -C d'tiY 

T

R,r$CYctCGwk i ~t G trE cIt' 2W_+ 

, t ( ~ 1 r i4 J2, WI-1 

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

3. Hazard Information -- Include in the notice a copy of reasonable facsimile of any hazard warning statement, label, material safety data sheet, or other information which will be provided to any person who is reasonably likely to be exposed to this substance regarding protective equipment or practices for 

Binding 

oNUOn 

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

Marl, h) 

Mark (X) this box ifyou attach hazard information . 

EPA FORM 7710-25 (Rev . 5-95) Page 7 
p. 7 

PMN Page 8 ; Page 10 of 18 

Part II-- HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE 

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

claim as confidential 

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

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

there are further industrial processing or use operations after imp ort . You must describe these o perations . See instructions manual 

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

Name 

Site address (number and street) 

City, County , State, ZIP code 

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

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

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

sites as attachments. 

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

b. Type -- 

Mark (X) El Manufacturing a Processing a Use 

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

Maximum kg/batch (ioo^r new chemical 

substance) 

Hours/batch Batches/year 

1 . Batch 

Maximum kg/day (I W1. new chemical 

substence) 

Hours/day Days/year 

2 . Co n ti nuous 

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

(1) Diagram the major unit operation steps and chemical conversions. Include interim storage and transport containers (specify- e.g. 5 gallon pails, 55 gallon 

drum, rail car, tank truck, etc .) . 

(2) Provide the identity , the approximate weight (by kg/day or kg/batch on a 100% new chemical substance basis), and entry point of all starting materials and 

feedstocks (including reactants, solvents, catalysts, etc.), and of all products, recycle streams, and wastes. Include cleaning chemicals (note frequency if not 

used daily or per batch .). 

(3) Identify by number the points of release, including small or intermittent releases, to the environment of the new chemical substance. If releasing to two media 

at the same step, assign a second release number for the second medium. 

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

EPA FORM 7710-25 (Rev . 5-95) Page 8 
PMN Page 9 ; Page 12 of 18 

Part II-- HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE - Continued 

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

2. Occupational Exposure --You must make separate confidentiality claims for the description of worker activity, physical form of the new chemical substance, number of works exposed, and duration of activity. Mark (X) the "Confidential" box next to any item you claim as confidential. (1) --Describe the activities (i .e. bag dumping, tote tilling, unloading drums, sampling, cleaning, etc.) in which workers may be exposed to the substance. (2) --Mark (X) this column if entry in column (I) is confidential business information (CBI). 

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

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

(5) --Indicate the physical form(s) of the new chemical suhstance (e .g ., solid : crystal, granule, powder, or dust) and % new chemical substance (ifpart ofa mixture) at the time of exposure . 

(7) --Mark (X) this column if entry in column (5) is confidential business information (CBI). 

(8) --Estimate the maximum number of workers involved in each activity for all sites combined . 

(9) --Mark (X) this column if entry in column (8) is confidential business information (CBI). 

(10) and (1 1) --Estimate the maximum duration of the activity for any worker in hours per day and days per year . (12) -- Mark (X) this column if entries in columns (10) and ( 11) are confidential business information (CBI). 

Worker activity 

i b 

CBI Protective Equipment/ Binding Physical 

forms(s) 

Binding CBI # of CBI Maximum duration CBI 

I ( .e ., ag dumping, tilling drums) 

(I) (2) 

Engineering Controls 

(3) 

Option 

Mark (x 

(4) 

and % new 

) substance 

(5) 

Option 

Mark (x) 

(6) (7) 

Workers 

Exposed 

(8) (9) 

Hrs/day 

(lo) 

Days/yr 

(II) (12) 

Sampling (A) Respirator,Safety 

~Glasses,Protective 

Clothing 

liquid 

1 8 5 

Transfer to storage 

tank (B) 

Respirator, Safety 

Glasses, Protective 

Clothing 

Liquid 

1 2 5 

Cleaning reactor(C) Respirator, Safety 

Glasses, Protective 

Clothing 

Liquid 

1 2 5 

E D D . 

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

EPA FORM 7710-25 (Rev . 5-95) Page 9 
PMN Page 9a ; Page 13 of 18 

3. Environmental Release and Disposal --You must make separate confidentiality claims for the release number and the amount of the new chemical substance released and other release and disposal information. Mark (X) the "Confidential" box next to each item you claim as confidential . (1) --Enter the number ofeach release point identified in the process description, part It section A, subsection l d(3) . (2) -- Estimate the amount of the new substance released (a) directly to the environment or (b) into control technology (in kg/day or kg/batch). (3) --Mark (X) this column if entries in columns (1) and (2) are confidential business information (CBI). (4) -- Identify the media (stack air, fugitive air (optional-see Instruction Manual), surface water, on-site or off-site land or incineration, POTW, or other (specify)) to which the new substance will be released from that release p oint . 

(5) --a. Describe control technology, if any, and control efficiency that will be used to limit the release ofthe 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. Chi a continuation sheet, for each site describe any additional disposal methods that will be used and whether the waste is subject to secondary or tertiary on-site treatment. b. Estimate the amount released to the environment after control technology (in kg/day). 

(6) --Mark (X) this column ifentries in columns (4) and (5) are confidential business information (CBI). (7) -- Identify the destination(s) of releases to water. Please supply NPDES (National Pollutant Discharge Elimination System) numbers for direct discharges or NPDES numbers ofthe POTW (Publicl y Owned Treatment Works) . Mark (X) ifthe POTW name or NPDES # is confidential business information (CBI). 

Release Amount ofnew CBI Medium of Control technology and efficiency (you may wish to optionally attach Number substance released release efficiency data) 

(1) (2a) (26) < r ,~:~~G .~u (3) Bi n di ng 

(4) 

(5a) Mark (5b) ( 

9 

! \ ~ V 

E l F1 

11 El . 

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

POTW--provide 

name(s) x 

0 Navigable waterway-- 

provide name(s) 

Othet'--Specify 

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

EPA FORM 7710-25 (Rev. 5-95) Page 9a 
P. 10 

PMN Page 11 ;Page 16 of 18 

Optional Pollution Prevention Information (Continued) Describe the expected net benefits, such as (1) an overall reduction in risk to 

human health or the environment; (2) a reduction in the volume manufactured ; (3) a reduction in the generation of waste materials 

through recycling, source reduction or other means; (4) a reduction in potential toxicity or human exposure and/or environmental 

release; (5) an increase in product performance, a decrease in the cost of production and/or improved operation efficiency of the new 

chemical substance in comparison to existing chemical substances used in similar application; or (6) the extent to which the new 

chemical substance may be a substitute for an existing substance that poses a greater overall risk to human health or the environment. 

CBI 

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

© 

EPA FORM 7710-25 (Rev. 5-95) Page 11 
p. 11 

PMN Page 12 ; Page 17 of 18 

Part III -- LIST OF ATTACHMENTS 

Attach continuation sheets for sections of the form and test data and other data (including physical/chemical properties and 

structure/activity information), and optional information after this page. Clearly identify the attachment and the section of the form to which it relates, if appropriate . Number consecutively the pages of any paper attachments . In the column below, enter the inclusive page numbers of each attachment. Electronic attachments can be identified by filename . 

Mark (X) the "Confidential" box next to any attachment name you claim as confidential . Read the Instructions Manual for guidance on 

how to claim any information in an attachment as confidential . You must include with the sanitized copy of the notice form a sanitized 

version of an attachment in which you claim information as confidential . 

# Attachment name Attachment Filename Attachment 

a e number(s) 

Contidential 

~3- 

. 

. - 

( t 

t~njc: z5 s ~A.S _ a 

o 

0 

_ o 

0 - E:1 _ 0 0 

0 El - 0 - 1:1 

0 

0 El - 0 - E] 

0 0 - EL 

Mark (X) this box if you attach a continuation sheet. Enter the attachment name and number . 

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

PMN Page 13 ; Page 18 of 18 

PHYSICAL AND CHEMICAL PROPERTIES WORKSHEET 

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

include it in the notice . Identify the property measured, the page of the notice on which the property appears, the value of the property, 

the units in which the property is measured (as necessary), and whether or not the property is claimed as confidential . If the attachments 

are electronic, give the attachment number (found on page 12) at (b). The physical state of the neat substance should be provided. 

These measured properties should be for the neat (100% pure) chemical substance . Properties that are measured for mixtures or 

formulations should be so noted (% PMN substance in -). You are not required to submit this worksheet; however, EPA strongly 

recommends that you do so, as it will simplify review and ensure that confidential information is properly protected. You should submit 

this worksheet as a supp lement to our submission of test data . This worksheet is not a substitute for submission of test data. 

Property Mark (X 

'f 

Page 

number 

Value Measured o 

Estimate 

Confide"ual 

(a) provide d 

(b) (c) M or E 

Mark (X) 

(d) 

Physical state of neat substance 10 D s ® 1 ® 

Vapor pressure 

Temperature °C 0 Torr 

Density/relative density ® cm3 

Solubility 

@ Temperature °C 1-1 

Solvent 

Solubility in water Temperature ° C F-1 1 9/1- 0 

El o Meltin g temperature c 

Boilin g / sublimation tem erature torr pressure 1Z °C 

Spectra :J 1z, 

Dissociation constant 

Particle size distribution 

Octanol / water partition coefficient 

Henry ' s Law constant F-1 0 

Volatilization from water El P 

Volatilization from soil EJ Q 

H concentration 

Flammability El ® 

Ex lodabili 

Adsorp tion / coefficient 

Other-Specify 1 4Ym'ta to l-x 

Other - Specify ~ 0 

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