Farm Appimed. O.M .H . N© 2070-0012. Approval Erpiret3 10-31-96 . 

` ` .~r C DA 

US. ENVIRONMENTAL PROTECTION AGENCY 

V' 

. 

nter the total numberF cf

\

paRes 

in the PremanufacturelVr,tice 

7C~ r~Y~; 

; ZOiJU4 

PREMANUFACTURE 

NOTICE 

~atr~ : 

I S ERA 

AGENCY USE Q,~' _ ~,k of ~ t r''ti'~~?i-' 

r - -.. 

QS FEB -8 AM 6: 0 3 

~3t~ ~--.+J W L1J I Plqit'da A&1~tio>s~oue"d in qd;ibrnt to the extent that it is lmcwn to or raisarubly axertainable hy you tvfal~ neasoruble e;timates if yctz dc 

'Mdtite "4rstr~iv¢ts SuSsm% ~'!lf~Fr.e+Fa11~~1~: .6n Manual ft Premanuflctue Pdotir7cation" (the Instructions Manual is available ftcm tie Toxic Setvice by caAuta 202554-1404, or faxing a? 2-SS4S643) . If 

your 

a user 

u ~.r 

f~ehas 

fteII? 

been rt=rnitted for this notice (40 C_FR700 .45),in3icate in the boxes abo>,e tie TS-user fbe identifIcation rnunberyou have cectzratE*3 . Renrernber, 

360IM4,Pittsbtsgh, 

roamber 

PA 

must 

15?-51-62,99, 

also appear on ys;urcculesportiir~3fFe remittanme, whicii is sent to EPA, Washington Financial Management Centes ("330;), P O. Attn . T&jA Userfbe. 

Part I-GENERAL IA7FJRMATIC+hr 

You nnr.t pxoviicl. th curreru2y caaect Clautacal Pet~i-.ts(CA) Dlam of tle rew clerniral sutst+rc ; ~er:n if you dlaat tlr i'~- nnty as crsdirlnaal . You rray 3lulurEs aro*lcr per_-on +a suhrrut chmtwal nisarty ir&uzrancai fnr yml but yaursAvois-sirm will rcttuaong,letzardtheravii.vwillrothaginLUmlEPr,rscaivosdusinfr,utauorc Al:n;er an support of your subrrussin nshould t?fer3u:. -y-, ia TS per fem i3t35t5c~,n ru.mi6er. Yrnz naat suhrcat an a¢girai ard two ca~~ ~' tlris rmi~x inai>~y., all t~t chr, If ycou claared ~y infamatvnl as crmrnGdntial, a nrgls --ntized n:lpy rraast also b_ sulanittsd 

pan II -HUMA,N EXPOSUR,E Abm RELEASE 

If r}r~ ara >~aeral naruafa:nus, prcc :,dr~ s ~: opaatir~rn nr br d~ulr~d in ir.rt II, 

_:aatl,rs A and H of this roAce, r prodet tle ,actio rs as reerid 

F3rt III -LIST OF AMA.CaiMEIM 

Attichad6aonalskmtsif$ur.-isrnatxnxyghsp;ce to arsweraquastiunfully . Labelgsh 

ccm+uu~u,sl~et with tie cosespr,rdirg sacticmh3atfirg . InPart III, list thesa atmcl¢reras, any ttist r.~a or otF~ daa3 ard 2nv aoti~al ird~-a+ ;- ;,..1 ",.i..i : . 

CP'TI!DN,',L. INFORMATION 

You rray u,chxla arry irdarrrarim that you war¢ E1ik fnccmsideY' "ilte . .. suhscmca On page I 1 of tlris knny space l~ 1,_-enprovuid fnr jcnx ro Fo1limcai prevermtaa an"d racyclixw ir&uraucm you nay lave ngav6ng 

Srcall!cl ° hardrie' boxes an imlbrkd tlzcuglout rl"as fionn farytm eyt ir~ _ nllat~s ~ be botard m ~rtainstat~nts yw nal~ in t2us secCiaa; sulh as p¢dtacnon mcnlune, protective tqtuprnera . . . Tlris option is atendsd tarsda wunnelyacconpany tle development of wtsm,t ovlersr,r SigruficaraNuw 1 Emepr, in tl>ta. axzenptir4t (s"t4h as TMEA, LV E LO " case of applicators 

csctaui iribnr aron prTrid_d in sahrotifi;atiun is 6ir~ on dxe stilma 

AS'=n`y approves the, exerrqmon aFphcatiotl ckeclaxg ahindir~q box in -

by a=e1f gslalait +he suhn¢ttsr fmrn lar_r d-wia+s4 frcm the irSouradcm( 

riauty) mpa-tad in +he Sozrn 

t_-01"IFIDENTIALITY CLA.Ir",SS 

EPA FORlvi 7'710-25 (Rev . 5-95) 

GENERAL INSTRUCTIONS "'7,~'~ " ^' 

You may clam any irdcmtatian in this mtioa as amifideraial To xsert a clii fisr4 rrrslc (? +lY c 5d_mtial n atfomiaac that ycu dairna~ -- 

) cm box em To tle m _ ID a-sert a claim inan attadnr~er¢, circle or br-,~lret the ird'ourati~nyou c1,~t aa cardid~,i31 . If- o u chim atfnmrmian in tl e nr,ricas r,s ccrdi ia moal youm a sanvi:.ej vsuon of tle runr.e 'rrelx±rattaclsrerasl. For adHtioral i 

damart~ u>fiatati~nas cot3idntial, nadtl~ Ir~mLtnrsbfarral . 

Madc (x) if arry irsfoaraticm in tlis noacc i; r.lairr~d ~ cord>~ 

TEST DATA AND i~1"I-1FFC DATA 

P. 1 

You are s+quired to submit a11 t&t data in your por.session or control ard to plmvicie a d=riptionof all ctker dat3lmo~~n to or g.asortibly ascertainable trV 

you, if these data am related tp the health andenvlrqnlYlE2ltd.l efDT' .t'a on the 

rnanuLlcture, processing, dr:tribution in comrrnerce, use, ordispcsal of the new 

clpanical sutstance . StandaIIi literatum citations may be submitt&l for data in the 

open scientif1c literature . Comolele test data (writtm in alish) not stunrranes 

c-f`_d3tx .rnl LCtIh=^nhmittvlifthavrl6nntappear inthPn_pp_nl-it?ratfilm . YoushoUld clearly uientlt)-wletler test data is on the substance or on an analog. ALm, the cheiucal compcsitionof the tesbd matn.rial should be chaAct-erimt . Following 

are examples oftest data and other data . Data sho,ild be subredtteti accardirLgto tie requilementr of y5?2A,50 of the Plemsnufar.hue Notification RuL=(40 CFR Part 7?1)) . 

TescDati (C1"no1LH+ebwmyiroltadedintlusrartice) . 

Yes 
p. 2 

Publid 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 information, including suggestions for 

, reducing this burden, to Chief, Infonnation Policy Branch, PM-223, U.S . Environmental Protection Agency, 401 M. St ., S.W,, Washington, D.C . 

20460; and to the Office of Management and Budget, Paperwork Reduction Act (2070-0012), Washington, D.C. 20503. 

CERTIFICATION 

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 devei9pnVlt; 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: 

® The Company named in Part I, Section A has remitted the fee of $2500 specified in 40 CFR 700.45(b), or 

F1 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 

F1 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 comllKletcial 

purposes, other than in small quantities solely for research and development, under the terms of 40 CFR 723.50a ,: 

~ 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 matufacturer intends to commence 

manufacture of the exempted substance for commercial purposes within 1 year of*e 4#e of the expiration of the.3-la.y 

review period. 

" 

The accuracy of the statements you make in this notice should reflect your best prediction of the apticipated facts regardi jii a substance 

described herein . An knowin g and willful misinter pretation is subject to criminal penalty ursaaet to 18 USC 1001 . 

Signature and title of Authorized Official (Original Signature Required) Date 

Signature of agent -(if applicable) , Date " 

, . 

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

Section A -- SUBMITTER IDENTIFICATION 

Part I -- GENERAL INFORMATION 

ConfiMark () the "Confidential" box next to any subsection you claim as confidential denual 

I a Person Name of authorized official Position 

Subnutting 

Notice (in U S.) 

Company 

Mailing address (number and street) 

City, State, ZIP Code 

b. Agent (it Name of authorized official Position 

applicable) 

Company 

Mailing address (number and street) 

City, State, ZIP Code Telephone Area Code Number 

~ . II you are submitting this notice as part of a joint submission, mark (X) this box. 

loi nt Subnutter (if Name ofauthortzed official Position 

applicable) 

Company 

Mailing address (number and street) 

City, State, ZIP Code Telephone Area Code Number 

2 . Technical Name of authorized official Position 

Contact (in 

U .S .) 

Company 

Mailing address (number and street) 

City, State, ZIP Code Telephone Area Code Number 

3 11 'you have had a prenotice communication (PC) concerning this notice 

and EPA assigned a PC Number to the notice, enter the number. Mark (X) --1 

if none 

l If ' you previously submitted an exemption application for the chemical 

,ubstance covered by this notice, enter the exemption number assigned by Mark (X) 

LPA If you previously submitted a PMN for this substance enter the ifnone PMN number assigned by EPA (i.e. withdrawn or incomplete) . -~ 

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

for the chemical substance covered by this notice, enter the notice number Mark (X) "' 

assigned by EPA . if none 

Manufacture 2. O Import 

G. Type of Notice - Mark (X) Only Only 3. X Both 

Submitter To Complete 0 Binding Option Q Binding Option 

Mark (X) Mark (X) 

f .PA FORM 7710-25 (Rev . 5-95) Page 3 
p. 4 

Part I -- GENERAL INFORMATION -- Continued 

Section B -- CHEMICAL IDENTITY INFORMATION: You must provide a currently correct Chemical Abstracts (CA) name of the substance based on 

the ninth Collective Index (9CI) 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. ConfiIdentify the name, company, and address of that person in a continuation sheet. E] dential 

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

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

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

For Class I substances a CA Index Name must be provided. For Class 2 substances either a CA Index Name or CA Preferred Name must X 

be provided, which ever is appropriate based 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 1 (CAS Inventory Expert Service - a copy of the Identification a Method 2 (Other Source) 

report obtained from the CAS Inventory Expert Services must be 

submitted as an attachment to this notice) 

d . Molecular formula and CAS Registry Number (if a number already exists for the substance) 

X 

CAS# 

X 

e . For a class 1 substance, provide a complete and correct chemical structure diagram. For a class 2 substance - (1) List the immediate 

precursor substances with their respective CAS Registry Numbers. (2) Describe the nature of the reaction or process. (3) Indicate the X 

range of composition and the typical composition (where appropriate) . (4) Pr 

I 

I 

X Mark (x) if any information in this notice is claimed as confidential .' 

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

Section B - CHEMICAL IDENTITY INFORMATION- Continued 

~ ion o po ymer, see the instructions Manual .) Confidential a. Indicate the number-average weight of the lowest molecular weight composition of the polymer you intend to manufacture. Indicate maximum weight percent of low molecular weight species (not including residual monomers, reactants, or solvents) below 500 and below 1,000 absolute molecular weight ofthat composition. 

Describe the methods of measurement or the basis for your estimates: GPC X Other O: (Specify) 

i) lowest number average molecular eight: 

ii) maximum weight % below 500 molecular weight: 

iii) maximum weight % below 1000 molecular weight : 

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

b. You must make separate confidentiality claims for monomer or other reactant identity, composition information, and residual information. Mark (X) the "Confidential" box next to any item you claim as confidential 

(1) - Provide the specific chemical name and CAS Registry Number (if a number exists) of each monomer or other reactant used in the manufacture of the polymer. 

(2) - Mark (X) this column if entry in column (1) is confidential. 

(3) - Indicate the typical weight percent of each monomer or other reactant in the polymer. (4) - Mark (X) the identity column if you want a monomer or other reactant used at two weight percent or less to be listed as part of the polymer description on the TSCA Chemical Substance Inventory. 

(5) - Mark (X) this column if entries in columns (3) and (4) are confidential . 

(6) - Indicate the maximum weight percent of each monomer or other reactant that may be present as a residual in the polymer as manufactured for commercial purposes . 

7 - Mark (X this column if en in column (6) is confidential . 

Monomer or other reactant and CAS Registry Number 

I 

Confidential 

2 

Typical 

composition 

(3 

Identity 

Mark (X) 

4) 

Confidential 

(5 

Maximum 

residual 

(6 

Confidential 

(7 

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

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

a Method 2 (other source) 

obtained from CAS Inventory Expert Service must be submitted as 

as attachment to this notice 

d. The currently correct Chemical Abstracts (CA) name for the polymer that is consistent with TSCA Inventory listings for similar polymers. 

e. Provide a correct representative or partial chemical structure diagram, as complete as can be known, if one can be reasonably ascertained. 

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

2. Polymers (For ad efm't' f 1 

Part I -- GENERAL INFORMATION -- Continued 

Page 5 

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

Part I -- GENERAL INFORMATION -- Continued 

Section B -- CHEMICAL IDENTITY INFORMATION - Continued 

3 Impurities 

(a) - Identify each impurity that may be reasonably anticipated to be present in the chemical substance as manufactured for commercial purpose. 

CAS Registry Number if available. If there are unidentified impurities, enter "unidentified." 

(b) - Estimate the maximum weight % of each impurity. If there are unidentified impurities, estimate their total wei ht %. 

Provide the 

Impurity and CAS Registry Number 

(a) 

Maximum 

percent 

(b) 

Confi- I 

dential 

X 

X 

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

4 Synonyms - Enter any chemical synonyms for the new chemical identified in subsection 1 or 2. Confidential 

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

X 

5 . Trade identification - List trade names for the new chemical substance identified in subsection 1 or 2 . 

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

X 

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. 

TRISPHENOL 

Mark (X) th is 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 if available. 

Byproduct 

(1) 

CAS Registry Number 

(2) 

Confidential 

X 

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

Page 6 

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

Part I -- GENERAL INFORMATION -- Continued 

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

Mark (X) the "Confidential" box next to any 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 100n/o 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 / , specify the volume and mark (x) in the binding box. If granted, you are bound to this volume 

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

(100% new chemical substance basis) (100% new chemical substance basis) dential Option 

Mark (x) 

X 

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 . (1) -- Describe each intended category of use of the new chemical substance by function and a pp lication . . (2) -- Mark (X) this column if entry column (1) is confidential business information (CBI). 

(3) -- Indicate your willingness to have the information provided in column (1) binding. 

(4) -- Estimate the percent of total production for the first three years devoted to each category of use . 

(5) -- Mark (X) this column if entry in column (4) is confidential business information (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 your control associated with each category of use . (7) -- Mark (X) this column if entry in column (6) is confidential business information (CBI). 

(8) -- Indicate % of product volume expected for the listed "use" sectors. Mark more than one box if appropriate . Mark (X) to indicate 

your willingness to have the use type provided in (8) binding. 

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

Category of use (1) CBI Binding 

Option 

Production % 

CBI % in 

FormCBI n/o of substance expected per use 

(8) 

CBI 

(by function and application i .e . a dispersive dye 

for finishing polyester fibers) (2) 

Mark )(=) 

(4) (5) 

ulation 

(6) (7) 

Sitelimited Con-* 

sumer 

Industrial Commercial Binding 

Option (9) 

X 

_ 

X 

* 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 in consumer products and describe the chemical reactions by which this substance loses its identity in the consumer product. 

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

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

use Instructions Manual for examples of generic use descriptions . 

description 

HARDENER FOR EPOXY RESIN 

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

Binding 

Option 

Mark (x) 

® Mark (X) this box if you attach hazard information. MSDS attached 

Page 7 

EPA FORM 7710-25 (Rev . 5-95) 
p. 8 

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 processin g or use operations after import . You must describe these operations . See instructions manual 

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

Nane 

X 

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) ®Manufacturing 0Processing E]Use X 

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

Maximum kg/batch (tooi new chemical Hours/batch Batches/year 

Submitter substance) X 

1 . Batch 

to 

complete Maximum kg/batch (1ooi new chemicai Hours/batch Batches/year 

substance) 

2. Continuous 

d. Process description a 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, including small or intermittent releases, to the environment of the new chemical substance. 

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

Page 8 

EPA FORM 7710-25 (Rev . 5-95) 
p. 9 

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 filling, unloading drums, sampling, cleaning, etc .) in which workers may be exposed to the substance. (2) --Mark (X) this column if entry in column (1) is confidential business information (CBI) . (3) --Describe any protective equipment and engineering controls used to protect workers . 

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

(5) --Indicate the physical form(s) of the new chemical substance (e.g., solid: crystal, granule, powder, or dust) and % new chemical substance (ifpart of a 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 (11) -- 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 CBI Protective Equipment/ Binding Physical fomi .s(s) Binding CBI # of CBI Maximu duration CBI 

i m ( .e ., bag dumping, filling drums) Engineering Controls Option and % new option Worker Hrs/day Days/yr Mark (x) substance Mark (x) 

(1) (2) (3) (4) (5) (6) (7) Expose (9) (10) (11) (12) 

d 

(8) 

X X X X 

X X X 

X X X 

X X X 

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

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 of each release point identified in the process description, part 11, section A, subsection 1 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 point. 

(5) -- a. Describe control technology, if any, and control efficiency that will be used to limit the release of the new substance to the environment. For releases disposed of on land, characterize the disposal method and state whether it is approved for disposal of RCRA hazardous waste. On a continuation sheet , for each site describe any additional disposal methods that will be used and whether the waste is subject to secondary or tertiary on-site treatment. b. Estimate the amount released to the environment after control technology (in kg/day). 

(6) --Mark (X) this column if entries in columns (4) and (5) are 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 of the POTW (Publicly Owned Treatment Works) . Mark X if the POTW name or NPDES # is confidential business information (CBI). Release Amount of new substance CBI Media of Control technology and efficiency (you may wish to optionally attach efficiency data) CBI Number released release 

(1) (2a) (2b) e .g. (4j air M dx 

a ) (3 (Sa 5b 6 

X X 

X X 

X X 

(7) Mark (X) the 

El POTW provide name(s) below: B ~ Navigable a Other -Specify provide NPDES # 

I 

destination(s) of waterway 

releases to water. 

10 -

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

Page 9 
p. 10 

'' Part II-- HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE - Continued 

Section B - INDUSTRIAL SITES CONTROLLED BY OTHERS _ 

Complete section B for typical processing or use operations involving the new chemical substance at sites you do not control . Importers do not have to complete this 

section for operations outside the U.S . ; however, you must report any processing or use activities after import. See the Instructions Manual. Complete a separate 

section B for each type ofprocessing, or use operation involving the new chemical substance. If the same operation is performed at more than one site describe the 

typical operation common to these sites. Identi fy additional sites on a continuation sheet. 

1 . Operation Description --To claim information in this section as confidential, circle or bracket the specific information that you claim as confidential . 

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

drums, rail cars, tank trucks, etc). On the diagram, identify by letter and briefly describe each worker activity . (2) -- Provide the identity, the approximate 

weight (by kg/day or kg/batch, on an 100% new chemical substance basis), and entry point of all feedstocks (including reactants, solvents and catalysts, etc) 

' and 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. (4) Please enter the # of sites (remember to identify the 

locations of these sites on a continuation sheet) : 

# of sites 

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

2. Worker Exposure/Environmental Release 

(1) -- From the diagram above, provide the letter for each worker activity. Complete 2-8 for each worker activity described. No information available 

(2) -- Estimate the number of workers exposed for all sites combined . ' 

(4) -- Estimate the typical duration of exposure per worker in (a) hours per day and (b) days per year. 

(6) -- Describe physical form of exposure and % new chemical substance (if in mixture), and any protective equipment and engineering controls, if any, used to 

protect workers. 

(7) -- Estimate the percent of the new substance as formulated when packaged or used as a final product. 

(9) -- From the process diagram above, enter the number of each release point. Complete 9-13 for each release point identified. 

(10) --Estimate the amount of the new substance released (a) directly to the environment or (b) into control technology to the environment (in kg/day or kg/batch). 

(12) --Describe media of release i .e . stack air, fugitive air (optional-see Instructions Manual), surface water, on-site or off-site land or incineration, POTW, or other 

(specify) and control technology, if any, that will be used to limit the release of the new substance to the environment. 

(14) -- Identify byproducts which may result from the operation. 

(3 ) , (5 ) , (8), (11 ), (13 and 15 -- Mark (X this column if an of the proceeding _ entries are confidential business information (CBI). 

Letter # of CBI Duration CBI Protective Equip . / % in CBI Release Amount of CBI Media of Release CBI 

of Workers of Engineering Controls/ Form- Number New & Control 

Act- Exposed Exposure Physical Form and % ulation Substance 

Released 

Technology 

ivity 

new substance 

(1) (2) (3) 4a) 4b (5) 6) (7) (8) (9) (l 0a) (lOb) (11) (12) (13) 

X X X X X 

X X X X X 

14)-- Byproducts : (15) 

None 

EMark (X) this box if you attach a continuation sheet 

Page 10 
p. 11 

OPTIONAL POLLUTION PREVENTION INFORMATION 

To claim information in this section as confidential circle or bracket the specific information that you claim as confidential. 

In this section you may provide information not reported elsewhere in this form regarding your efforts to reduce 

or minimize potential risks associated with activities surrounding manufacturing, processing, use and disposal 

of the PMN substance. Please include new information pertinent to pollution prevention, including source 

reduction, recycling activities and safer processes or products available due to the new chemical substance. 

Source reduction includes the reduction in the amount or toxicity of chemical wastes by technological 

modification, process and procedure modification, product reformulation, raw materials substitution, and/or 

inventory control. Recycling refers to the reclamation of useful chemical components from wastes that would 

otherwise be treated or released as air emissions or water discharges, or land disposal. Descriptions of pollution 

, prevention, source reduction and recycling should emphasize potential risk reduction subsequent to compliance 

I with existing regulatory requirements and can be either quantitative or qualitative. The EPA is interested in the , 

I information to assess overall net reductions in toxicity or environmental releases and exposures, not the shifting 

! of risks to other environmental media or non-environmental areas (e .g ., occupational or consumer exposure). In 

I addition, information on the relative cost or performance characteristics of the PMN substance to potential 

I alternatives may be provided. 

' All information provided in this section will be taken into consideration during the review of this 

~ substance. See Instructions Manual and Pollution Prevention Guidance manual for guidance and 

~ examples. 

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. 

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

Page 11 
p. 12 

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 the attachments . In the column below, enter the inclusive page 

numbers of each 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 information in an attachment as confidential . You must include with the sanitized copy of the notice form a sanitized 

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

Attachment name Attachment 

page number(s) 

Confidential 

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

F_ i 

1 i 

i I i 

X 

X 

X 

X 

Page 12 
p. 13 

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 . The physical 

state of the neat substance should be provided . These measured properties should be for the neat (100°/n pure) chemical substance. Properties that are measured for mixtures or formulations should be so noted (°/n 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 supplement to your submission of test data. This worksheet 

is not a substitute for submission of test data. 

Property Mark Page Value Measured o Confi- 

(x) if number Estimate denual 

Mark (x) 

(a) provided (b) (c) (d) (M or E) 

Physical state of neat substance Solid -(s) -(1) - (g) X 

Vapor pressure 

Temperature °C N/A Torr 

Density/relative density X 

cm3 

Solubility 

@ Temperature °C 

Solvent L 

Solubility in water @ Temperature °C 

X 

Melting temperature 

X 

Boiling / sublimation temperature@ torr pressure N/A 

Spectra Infrared X 

Dissociation constant N/A 

Particle size distribution N/A 

Octanol / water partition coefficient X 

Henry's Law constant N/A 

Volitalization from water N/A 

Volitalization from soil N/A 

pH N/A 

N/A 

Flammability 

Explodability N/A 

Adsorption / coefficient N/A 

X 

Other - Specify X 

Submitter To Complete 
p. 14 

s 

MATERIAL SAFETY DATA SHEET 

1 CHEMICAL PRODUCT & COMPANY IDENTIFICATION 

HAZARD RATINGS HMIS NFPA 

Health 2' 1 

Flammability 1 1 

Reactivity 0 0 

PPE E 

Trade Name 

NAERG # 

TSCA Status 

Chemical Name / Class 

CAS Number 

Synonyrn(s) : 

WNMIS Classifications 

Product Else 

Trade Secret 

SANTIZIED DOCUMENT FOR EPA SUBMITTAL 

171 

TSCA experimental 

PHENOLIC RESIN 

N/A 

PHENOLIC RESIN 

D2B 

Chemical intermediate 

This information is not considered to represent confidential business information to SII / SCL 

2 COMPOSITION / INFORMATION ON INGREDIENTS 

3 HAZARDS IDENTIFICATION 

Hazard Statements 

ANSI signal word for this material is : WARNING 

Per SARA 312 regulations this material represents the following health hazard(s) : acute 

Per SARA 312 regulations this material is classified as a mixture . 

Overview 

chronic 

Each person who could potentially be exposed to this material, via any route of entry, while performing their 

assignments, routine and non-routine ; from piping ; and/or during an emergency situation, should review this MSDS in 

order to better understand the hazards associated with the material . To work safely with this material : keep away from 

heat and ignition sources avoid contact with eyes, skin, or clothing avoid breathing material's vapors, dust, or fumes 

keep container closed use with adequate ventilation -- do not enter any confined spaces without first verifying air 

quality wash thoroughly after handling 

Health Cautions 

may cause eye irritation may cause skin irritation may affect mucous membranes may cause gastrointestinal 

disturbances may affect the respiratory system 

4 FIRST AID MEASURES 

Skin 

Immediately take off all contaminated clothing . For skin contact, flush with large amounts of water. If any adverse effects 

persist, get medical attention . The signs and symptoms that may result from an emergency or an unexpected acute 

overexposure include : irritation 

Eyes 

For eye contact, rinse immediately with plenty of water. Seek medical advice. The signs and symptoms that may result 

from an emergency or an unexpected acute overexposure include : irritation 

Inhatation 

Move person to non-contaminated air. If not breathing, give artificial respiration, preferably mouth-to-mouth . If 

breathing is difficult, give oxygen . Seek medical attention . The signs and symptoms that may result from an emergency 

or an unexpected acute overexposure include : irritation -- respiratory tract 

Trade Name SANTIZIED DOCUMENT FOR EPA SUBMITTAL 

Short # NIAP = Not Applicable NIA = Not Available Printed On 101201200~ 1/4 

Page 14 
p. 15 

Ingestion 

If the material is swallowed, get immediate medical attention or advice . Never give anything by mouth to a victim who is unconscious or is having convulsions. If patient has a good gag reflex, you can consider giving several ounces of water for dilution . The signs and symptoms that may result from an emergency or an unexpected acute overexposure include: nausea ; vomiting ; diarrhea ; gastritis 

Cardiovascular 

The signs and symptoms that may result from an emergency or an unexpected acute overexposure include : arrhythmia 

Central Nervous System 

Monitor for shock; anticipate seizures and treat accordingly. The signs and symptoms that may result from an 

emergency or an unexpected acute overexposure include : headache ; CNS depression; coma; convulsions 

Notes to Physician 

Provide general supportive measures and treat symptomatically. Please utilize additional appropriate resources in your area such as a regional Poison Control Center. Additionally, you may find web sites such as the National Library of Medicine TOXNET @ http ://toxnet .nlm .nih .gov useful . A specific antidote is not known. Some of the symptoms presented may become life threatening if the exposure is a result of an emergency or an unexpected acute 

overexposure . Additionally, some workers with certain pre-existing medical conditions such as: asthma, allergies, or impaired pulmonary and/or liver functions, or who may be particularly susceptible to this material, may be affected by exposure to this material . 

5 FIRE FIGHTING MEASURES 

Hazardous Combustion Products 

Irritating and toxic gases or fumes may be released during a fire . 

Sensitivity to Static Discharge 

Material can accumulate static charges from material handling management. Bond and ground as appropriate . For additional recommendations, consult National Fire Protection Association [NFPA] bulletin entitled "Static Electricity" . 

Extinguishing Media 

Dry chemical, foam, carbon dioxide, water fog . 

Fire Fighting Equipment / Instructions 

Exclude air; treat like a gasoline or oil fire . Wear full protective clothing, including helmet, self-contained positive pressure or pressure demand breathing apparatus, protective clothing and face mask. 

General Fire Hazards 

High concentration of airborne dust may form explosive mixture with air. 

Flash Point >200°F [>93°C] Tag Closed Cup 

Substance Name % LEL % UEL 

SANTIZIED DOCUMENT FOR EPA SUBMITTAL NA NA 

6 ACCIDENTAL RELEASE, SPILL, LEAK PROCEDURES 

Clean-Up Procedures 

Ventilate the contaminated area. Eliminate ignition sources including sources of electrical, static or frictional sparks. Sweep up, or gather, material and place in appropriate container(s) applicable for ultimate transportation or disposal . Thoroughly clean the release area with a suitable agent and collect any cleaning, rinsing media(s) for proper reclamation or disposal . Wear appropriate personal protective equipment during cleanup activities . 

Environmental Precautions 

Stop the flow of material, if this is without risk. Eliminate sources of ignition . Ventilate the contaminated area . Contain the spill and prevent the material from obtaining access to any confined spaces, public sewers, or waterways . 

Personal Precautions 

Follow facility/company's emergency plans . 

Special Procedures 

Wear appropriate protective equipment and clothing during clean-up . Determine appropriate course of action for the collected material . Regulations vary. Consult local authorities before disposal . 

Trade Name SANTIZIED DOCUMENT FOR EPA SUBMITTAL 

Short # N/AP =Not Applicable N/A= Not Available Printed On 10/20/200~ 2 / 4 

Page 15 
p. 16 

7 HANDLING & STORAGE 

Handling Procedures 

Guard 

followed 

against dust accumulation of this material . As with all chemicals, good industrial hygiene practices should be 

could 

when handling this material . When the container(s) is empty it may retain product residue including vapors which accumulate . Therefore, do not cut, drill, grind, or weld empty containers . Additionally, do not conduct such activity(ies) near full, partially full, or empty product containers without appropriate workplace safety authorization(s) or permit(s) . 

Storage Procedures 

Protect container from physical abuse. Keep the container tightly closed . Store in a cool, dry, well-ventilated storage area. Keep separate from incompatibles . Bond and ground containers when transferring material . Empty product containers may contain product residue . Do not reuse empty containers . 

8 EXPOSURE CONTROLS / PERSONAL PROTECTION 

Exposure Controls 

Ventilation 

generated 

should be sufficient to effectively remove, and prevent buildup of, any vapors, dusts, or fumes that may be during handling or thermal processing. 

Eye Protection 

Wear 

exists . 

safety 

Select 

glasses with side shields ; chemical goggles (if splashing is possible) . Wear a face shield if a splash hazard 

Europe's 

& use eye protection per a competent health & safety professional using : OSHA (29 CFR 1910.133] or (EN 166] . 

Skin Protection 

Use appropriate hand protection . Wear impervious gloves for prolonged contact . 

Respiratory Protection 

Personal Protective Equipment: General 

Utilize good industrial hygiene practices . 

Exposure Limit Values 

All PPE use is to be determined by a qualified person . 

9 PHYSICAL & CHEMICAL PROPERTIES 

10 STABILITY & REACTIVITY 

Conditions to Avoid 

Avoid ignition sources where dust is produced . 

Hazardous Decomposition Products 

Upon decomposition this product emits carbon monoxide, carbon dioxide, and/or low molecular weight hydrocarbons . Phenolic vapors may be released upon decomposition . 

Hazardous Polymerization 

Will not occur under normal conditions . 

Chemical Stability 

Stable under normal conditions . 

Incompatibilities 

This material may react with : strong oxidizing agents; strong alkalies 

11 TOXICOLOGICAL INFORMATION 

Overview 

While OSHA 29 CFR 1910.1200 emphasizes the use of industrial -- human -- data for workplace hazard evaluations, relatively few materials have such data available as toxicological information is primarily obtained from tests conducted on, or with, animals used as surrogates for humans. Therefore, the effects and symptoms represented, and/or summarized, may not reflect actual workplace exposures . All materials used in a given work area should be evaluated by a competent person who can then advise involved workers of health effects, or symptoms, if any, they may experience from their assigned tasks . 

Trade Name SANTIZIED DOCUMENT FOR EPA SUBMITTAL 

Short # N/AP = Not Applicable N/A = Not Available Printed On 10/20/200~ 

Maintain material's vapors, fumes, or particulate levels below any levels of concern including, for solids, considering the material as a particulate not otherwise classified [nuisance dust] @ 10 mg/m3. Select & use respirators per a competent health & safety professional using : OSHA (29 CFR 1910.134) ; ANSI (Z88.2-1992) ; or Europe's (EN 149). 

3l 4 

Page 16 
p. 17 

12 ECOLOGICAL INFORMATION 

Environmental Fates 

Information for this material, as described in the MSDS' Section II, is not available. However, limited ingredient data may be available. If such information is desired, please contact appropriate people using the phone numbers provided in the 

MSDS' Section I . 

13 DISPOSAL CONSIDERATIONS 

Disposal Instructions 

All wastes must be handled in accordance with local, state and federal regulations . 

14 TRANSPORT INFORMATION 

Comments 

NOTE: The data in this section are provided as a guide for the overall classification of the product. However, 

transportation classifications may be subject to change as, for example, with changes in package size . Consult shipper 

requirements under IMO, ICAO (IATA), TDG and 49 CFR to assure regulatory compliance . 

SURFACE TRANSPORTATION (HIGHWAY/RAIL) 

DRUM(s)/BAG(s) 

Shipping Name Resin, coal tar or petroleum, not DOT hazardous 

INTERMEDIATE BULK 

CONTAINER 

Shipping Name Resin, coal tar or petroleum, not DOT hazardous 

PAIL(s)ICAN(s) 

Shipping Name Resin, coal tar or petroleum, not DOT hazardous 

IMDG CODE (WATER) 

DRUM(s)/BAG(s) 

Shipping Name Resin, coal tar or petroleum, non-dangerous 

PAIL(s)/CAN(s) 

Shipping Name Resin, coal tar or petroleum, non-dangerous 

ICAOIIATA (AIR) 

DRUM(s)/BAG(s) 

Shipping Name Resin, coal tar or petroleum, not restricted 

PAI L(s)/ CAN(s) 

Shipping Name Resin, coal tar or petroleum, not restricted 

15 REGULATORY INFORMATION 

16 OTHER INFORMATION 

Trade Name SANTIZIED DOCUMENT FOR EPA SUBMITTAL 

Short # NIAP = Not Applicable NIA = Not Available Printed On 10120/200~ 4/ 4 

Page T7 
p. 18 

00 

rp 

a. 
p. 19 

A division of the American Chemical Society 

October 4, 2004 

Phone:800-631-1884, 614-447-3870 

Fax: 614-447-3747 

E-mail : answers@cas .org 

Internet: http ://www.cas .org/Support/clienthtml 

The processing results for your order are included on the following page . 

This page includes the CA index name that has been assigned to your substance, 

and the results of a confidential search of the CAS Registry File for your 

substance . 

To ensure efficient processing of your substance, it is important that you 

include this page with your PMN report form when reporting your substance to 

the EPA . 

An invoice will be issued to cover the cost of the processing of your order . 

Thank you for the opportunity to provide this service . If you have any 

questions please do not hesitate to contact me at 614-447-3600, ext . 2308 

between the hours of 8 :00 a.m . and 4 :00 p .m . weekdays . 

\,,Enclosure(s) : Inventory Expert Service Report 

t 'nnifer Mooke 

Inventory Expert Service 

2540 Olentangy River Road " PO. Box 3343 " Columbus, Ohio 43210-0334 
A division of the American Chemical Society Phone:800-631-1884, 614-447-3870 

Fax: 614-447-3747 

E-mail : answers@cas .org 

Internet: http ://www.cas .org/Support/client.html 

INVENTORY EXPERT SERVICE REPORT 

Please print the above CA Index Name on the appropriate page of your PMN. 

If this box is checked, CAS has made correction(s) marked in red to 

your IES order . Please make the same correction(s) to your PMV before 

submitting it to the EPA . 

2540 Olentanpy River Road FO. Box 3343 Columbus Ohio 43210-0334 

, Page 20 
EPI SUMMARY (V3 .101) 

p. 21 

Page 21