## PMNPage 1 ; Page 1 of 18 U.S. ENVIRONMENTAL PROTECTION AGENCY 

# FPa

Premanufacture Notice Form Dale or receipt im

A roved. 0

.M .B. No . 2070-0012 00

A roval 

# AGENCY USE ONLY

- USt.~ _ , . Lf 

# PREMANUFACTURE NOTICE

in the 

# `'~`~ 1dt GENERAL INSTRUCTIONS

Part I-GENERAL INFORMATION You must pro1 ide the Currently correct Chemical Abstracts (CA) Name ofthe new chemical substance, even ifyou claimthe identity as confidential . You may authorize another person to submit chemical identity infomiation foryou. but your submission will not be complete and the reviewwill not begin until EPA receives this infonnation. A letter in support of yowsubmission should reference your TS user fee identification number . You nmst submit an original and two copies ofthis 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 anyoptional infomiation included in the notice. OPTIONAL INFORMATION You may include any infonnation that you want EPAto 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 ofconsent 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 fromthe infonnation (except chemical identity) reported in the fonn. CONFIDENTIALITY CLAIMS You may claun any infonnation in this notice as confidential . To assert a claimon the loon. Mark (X) the confidential box next to the infonnation that you claimas confidential . To assert a claim in an attachment, circle or bracket the infomiation you claimas confidential . IfVou 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 Belowany 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 ifyou do not have actual data. Before you complete this fonn, you should read the "Instructions Manual for Premanufacture Notification" (the Instructions Manual is available fromthe Toxic Substances Control Act (TSCA) Infomtation Service by calling 202-554-1404, or faxing 202-554-5603) . 60- 99M, Pittsburgh, PA 15251-6399, Attn. TSCA User fee. Ifa 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 ofthis fomj . - TYPE OF NOTICE (Check Only One)

PMN (Premanufacture Notice) INTERMEDIATE PMN (submitted in sequence with final productTMN) SNUN (Significant NewUse Notice) Th-cEA (Test Marketing Exemption Application) LVE (Low

Volume Exemption) L 40 CFR 723 .50(c)(1) LOREX (LowRelease/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 # ofchenticals or polymers 1 (Prenotice Communication # required, enter # on page 3) You are required to submit all test data in your possession or control and to procide a description ofall 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 Z TEST u .ATA .AND OTHER DATA

EPA FORM

7710-25 (Rev. 5-95) Replaces previous editions of EPA Form7710-25.

## 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 ofinforlnation, including suggestions for reducing this burden, to Director, Collection Strategies Division (2822), U.S . Environmental Protection Agency, 1200Pennsylvania 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 ofthis notice formintends 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 ofthe date of submission. 3. I amsubmitting with this notice all test data in my possession or control and a description ofall 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) . Ifyou are submitting a lowvolume exemption (LVE) application in accordance with 40 CFR 723.50(c)(1) or a Lowrelease and lowexposure 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 newchemical substance for which the notice is submitted meets all applicable exemption conditions. 0 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 ofthe date ofthe expiration of the 30 day reviewperiod . 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 misinterpretation is subject to criminal penalt y pursuant to 18 USC 1001 . Confidential Signature and title ofAuthorized 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 IDENTI FICATION 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 ofauthorized official Position applicable) Company

Mailing address (number and street) City, State 

### Province, Country Postal Code Telephone (include country or area code) 2. Technical Name ofauthorized official Position Contact (in 

## u.5.) x

Company Mailing address (numberand street) City, State Postal Code Telephone (include area code) 3. Ifyou have had a prenotice conununication (PC) concerning this notice and EPA assigned a PC Number to the notice, enter the number. Mark (X) -- i fnone 4 . Ifyou previously submitted an exemption application for the chenucal substance covered by this notice, enter the exemption number assigned by EPA. Ifyou previously submitted a PMNfor this substance enter the PMN Mark (X) -" " b i d b EPA i i - if none numer 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 none 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

EPAFORM

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 ofthe substance based on the ninth Collective Index (9C1) of CA nomenclature rules and conventions. Mark (X) the "Confidential" box next to an itemy ou claim as confidential Complete either item1 (Class 1 or 2substances) or 2 (Polymers) as appropriate. Complete all other items. Ifanother 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 ofthat person in a continuation sheet. dential 1 . Class I or 2chemical substances (for definitions of class I and class 2substances 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 2substances either a CA Index Name or CA Preferred Name must be provided, which eve i i b

r s appropr ate ased on CA 9CI nomenclature rules and conventions) .

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

Method I (CAS Inventory Expert Service - a copy ofthe 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 'i1a number already exists for the substance) e . For a class I substance, provide a complete and correct chemical structure diagram . For a class 2substance, 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

" 

# Fx] discussion of native format" diagram software which can be helpful in reviewing your substance .

Mark (X) this box ifyou attach a continuation sheet. 

## Part I -- GENERAL INFORMATION d-

EPAFORM

7710-25 (Rev. 5-95) Page 4

## p. 5 PMNPage 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 ifavailable . If there are unidentified impurities, enter "unidentified." (b) - Estimate the maximum wei ht %

ofeach 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 ifyou 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 - Ifyou claim chemical identify as confidential, you must provide a generic name for your substance that reveals the specific chemical identity ofthe 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 fromthe manufacture, processing, use, or disposal ofthe new chemical substance

. Provide the CASRegistry Number ifavailable. Byproduct CASRegistry Number Confi- (1) (2) dential

Mark (X) this box ifyou 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,ANDUSE INFORMATION: Mark X) the "Confidential" box next to an itemyou claimas confidential . 1 . Production volume -- Estimate the maximumproduction 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 ofproduction. Estimates should be on 100%newchemical substance basis. For a Low Volume Exemption application, ifyou choose to have your notice reviewed at a lower production volume than 10,000 k yr, sp

ecif y the volume and mark (x) in the bindino box. If ranted, you 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 ofthe category ofuse, 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 itemyou claimas confidential . a. (I ) --Describe each intended category of use ofthe new chemical substance by function and application. (2) --Mark (X) this column if entry column (I ) is onfidentlal business information (CBI) . (3) --Indicateyour willingness to have the information provided in column (I ) binding. (4) --Estimate the percent oftotal roduction for the first three years devoted to each category ofuse. (5) --Mark (X) this column ifentry in column (4) is confidential business information (CBI) . (6) -- Estimate the percent ofthe 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 ifentry 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 ifentrv(ies in column (8) is (are) confidential business information (CBI) Category ofuse (1) (by function and application i .e. a dispersive dye for finishing polyester fibers) CBI Bmdmg ~pt~~" Production CBI oill

Formu CBI % ofsubstance expected per use

(8) CBI % lanon (2) (3) (4) (5) (6) (7) sitelimned Consumer Industnal Con,-

mercial Binding

O t,on (t~)

I ~ I 

# F 

# x]11 %

# 9 % 

# , [I

# nc 1111 °,n 

# 11 °,°

°,o °,o 

# []I[] °,n °,n 

# F1 1111 11111 °,n °,u

# 11 -11 

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* Ifyou have identified a "consumer" use, please provide on a continuation sheet a detailed description ofthe use(s) ofthis chemical substance in consumer products. In addition include estimates ofthe concentration ofthe 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 Ifyou claim any category ofuse description in subsection 2a as confidential, enter a generic description ofthat category. Read the Instruction description Manual for examples of generic use descriptions . Si+,- -- 1 i v),, t ~c r;` t 4~2 N-0"4d l G- -C d'tiY T R,r$CYctCGwk i~t GtrE cIt' 2W_+

, t ( ~ 1 r i4 J2, WI -1 Mark (X) this box ifyou attach a continuation sheet. 3. Hazard Information -- Include in the notice a copy of reasonable facsimile ofany 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. EPAFORM

7710-25 (Rev. 5-95) Page 7

## p. 7 PMN Page 8 ; Page 10 of 18 

# Part II-- HUMANEXPOSURE ANDENVIRONMENTAL RELEASE Section A-- INDUSTRIAL SITES CONTROLLED BY THE SUBMITTER Mark (X) the "Confidential" box next to any itemyou 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 im port . You must describe these operations. See instructions manual 1 . Operation description Confia. Identi ty -- Enter the identi ty ofthe site at which the operation will occur . dential Name Site address (number and street) Ci ty, County, State, ZIPcode 

### Ifthe same operation will occur at more than one site, enter the number ofsites. Identify the additional sites on a continuation sheet, and ifany ofthe 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 ifyou attach a continuation sheet. 

### b . Type -- Mark (X) El Manufacturing a Processing a Use c. Amount and Duration -- Com plete 1 or 2 as appropriate Maximumkg/batch (ioo^r new chemical substance) Hours/batch Batches/year 1 . Batch 

### Maximum kg/day (IW1

. new chemical substence) Hours/day Days/year 2 Co ti . n nuous d. Process description u Mark (X) to indicate your willingness to have your process description binding . ® (1) Diagramthe major unit operation steps and chemical conversions. Include interimstorage and transport containers (specify- e.g. 5gallon 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 ofall 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 numberthe points ofrelease, including small or intermittent releases, to the environment ofthe new chemical substance. If releasing to two media 

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

Mark (X) this box ifyou attach a continuation sheet . EPAFORM

7710-25 (Rev. 5-95) Page 8

## PMN Page 9 ; Page 12 of 18 Part II-- HUMAN EXPOSURE A ND ENVIRONMENTAL RELEASE -Continued Section A-- INDUSTRIAL SITES CONTR OLLEDBY THE SUBMITTER-- Continued 2. Occupational Exposure --You must make separate confidentiality claims for the description ofworker activity, physical formofthe new chemical substance, number of works exposed, and duration ofactivity. Mark (X) the "Confidential" box next to any itemyou 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 ifentry 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 ofthe activity for anyworker in hours per dayand days per year . (12) -- Mark (X) this column ifentries 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 itemyou claimas 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 ofthe new substance released (a) directly to the environment or (b) into control technology (in kg/day or kg/batch) . (3) --Mark (X) this column ifentries 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 fromthat release oint p . (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 aftercontrol 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 NPDESnumbers ofthe POTW (Publicl y Owned Treatment Works)

. Mark (X) ifthe POTW name or NPDES# is confidential business information (CBI) . Release Amount ofnew CBI Mediumof Control technology and efficiency (you may wish to optionally attach Number substance released release efficiency data) (1) (2a) (26) < r ,~:~~G .~u Bi di n ng (3) (4 ) (5a) Mark (5b) (

9

! \ ~ V 

# El 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 ifyou 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 thegeneration 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 ofthe 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 ifyou attach a continuation sheet. ©

EPAFORM

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 ofthe formand 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 formto which it relates, ifappropriate. Number consecutively the pages of any paper attachments. In the column below, enter the inclusive page numbers ofeach attachment. Electronic attachments can be identified by filename. Mark (X) the "Confidential" box next to any attachment name you claimas confidential . Read the Instructions Manual for guidance on howto claimany information in an attachment as confidential . You must include with the sanitized copy of the notice forma sanitized version of an attachment in which you claiminformation as confidential . # Attachment name Attachment Filename Attachment a e number(s) Contidential ~3-

.

. - ( t 

## t~njc : z5s ~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 . Enterthe attachment name and number . EPA FORM

7710-25 (Rev. 5-95) Page 12

## p. 12 PMN Page 13 ; Page 18 of 18 PHYSICAL ANDCHEMICAL PROPERTIES WORKSHEET To assist EPA's reviewofphysical 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, thevalue ofthe property, the units in which the property is measured (as necessary), and whether or not the property is claimed as confidential . Ifthe 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 (%PMNsubstance in -) . You are not required to submit this worksheet; however, EPAstrongly recommends that you do so, as it will simplify reviewand ensure that confidential information is properly protected. Youshould submit this worksheet as a supplement to our submission of test data. This worksheet is not a substitute for submission oftest 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 0 Tem perature °C Torr ® Densi ty/relative densi ty cm3 Solubility @ Temperature °C 1-1 Solvent ° F-1 0 Solubility in water Tem p erature C 

# 1 9/1- El o Melting tem

perature c 1Z Boiling / sublimation tem erature torr pressure °C 

## Spectra :J 1z, Dissociation constant Particle size distribution Octanol /water p

artition coefficient ' F-1 0 s Law constant Hen ry 

# El P Volatilization fromwater 

# EJ Q Volatilization fromsoil H concentration El ® Flammabili ty Ex lodabili Adso rption / coefficient

4Ym'ta l-x Other-Sp

eci fy 1 to Other - Specify ~ 0 a Mark (X) this box ifyou attach a continuation sheet. Enter the attachment name and number . 

## ATTACHMENT PAGE 'fi~