### Cover Letter

December 17, 2012
By Central Data Exchange
New Chemicals Program Office of Pollution Prevention and Toxics Confidential Business Information Center [Rm. 6428] EPA East Building Ronald Reagan Complex 1201 Constitution Ave., NW Washington, DC 20004-3302
Re: Intermediate Premanufacture Notice Submission under TSCA Section 5 by {XXX}

Dear Sir/Madam: Enclosed you will find an Intermediate Premanufacture Notice (PMN) submitted under Section 5(a)(1) of the Toxic Substances Control Act. This PMN is being submitted to the U.S. Environmental Protection Agency (EPA or the Agency) by {XXX}. This Intermediate PMN is being submitted in conjunction with a Final Product PMN. This Intermediate PMN is being submitted for the chemical substance identified below: CA Index Name: {XXX} CAS Registry Number: {XXX} Trade Name: {XXX} TS-CKHI01 Note: This is an Intermediate PMN that is being submitted in conjunction with a Final Product PMN under {XXX}.

Page 1 SANITIZED SUBMISSIONThis Intermediate PMN submission is made in accordance with the regulations given at 40 CFR 720. We request

that the Agency begin review upon receipt. This PMN has been created using the EPA’s new e-PMN software and, as now required under EPA regulations, this notice is being submitted through EPA's Central Data Exchange (CDX). {XXX} has also electronically remitted the Intermediate PMN user fee of $1,000.00 Intermediate PMN user fee in accordance with the requirements at 40 CFR 700.45(b)(2)(ii). The User Fee Payment Identity Number information is given below. Pay.gov Tracking ID No. 2586ROI9 Agency Tracking ID No.: 74363822666 Finally, {XXX} is claiming certain information in the PMN, including the specific chemical identity and company identity, as Confidential Business Information (CBI) in accordance with the provisions at 40 CFR 720.80. For all questions regarding the submission of this Intermediate PMN, the technical contact is {XXX} Sincerely, {XXX} {XXX}

cc: {XXX}

Page 2 SANITIZED SUBMISSIONPay.gov ID: 2586ROI9; Agency ID: 74363822666 CKHI121218293946878 CKHI01

X
X

X

X
Page 3 SANITIZED SUBMISSIONX



### X

Page 4 SANITIZED SUBMISSIONXXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX

XXX XXX XXX XXX XXX XXX XXX XXX XXX 

### X

X

X

X X X X XXX
XXX

XXX

Page 5 SANITIZED SUBMISSIONPage 6 SANITIZED SUBMISSIONPage 7 SANITIZED SUBMISSION

### X

XXX XXX XXX Attachment-9-CKHI01-SAN.pdf

XXX

XXX X XXX X XXX X

XXX

XXX X XXX X XXX X

Page 8 SANITIZED SUBMISSION

### X 321185 Attachment-3-CKHI01-SAN.pdf 

### X XXX

XXX See Attachment 003 (Attachment-3-CKHI01-SAN.pdf)

Attachment-3-CKHI01-SAN.pdf Page 9 SANITIZED SUBMISSIONXXX

XXX

Fluorinated oxirane polymer 

### X

X XXX XXX XXX X

XXX XXX X

Page 10 SANITIZED SUBMISSIONXXX XXX 

### X

X Intermediate for use in the manufacture of a polymer. XXX X XXX X XXX XXX XXX XXX X

Page 11 SANITIZED SUBMISSION

### X

XXX XXX XXX 

### X X

See Attachment #4. XXX XXX XXX XXX XXX 

### X

Page 12 SANITIZED SUBMISSIONSee Attachment 004 (Attachment-4-CKHI01-SAN.pdf)

Attachment-4-CKHI01-SAN.pdf
Page 13 SANITIZED SUBMISSIONXXX XXX XXX XXX XXX XXX X X X X

XXX XXX XXX XXX XXX XXX X X X X

XXX XXX XXX XXX XXX XXX X X X X

Page 14 SANITIZED SUBMISSIONXXX XXX XXX XXX XXX X X
XXX XXX XXX XXX XXX X X

Page 15 SANITIZED SUBMISSION

### X

See Attachment 007 (Attachment-7-CKHI01-SAN.pdf)

Attachment-7-CKHI01-SAN.pdf Page 16 SANITIZED SUBMISSIONP10SB1(a)(4)1 Part II, Section B, 1(a)(4). Operation Site Locations

XXX

Page 17 SANITIZED SUBMISSIONXXX 

### X

Page 18 SANITIZED SUBMISSIONThere is no pollution prevention information available at this time.

Page 19 SANITIZED SUBMISSION001 Material Safety Data Sheet Attachment-1-CKHI01-SAN.pdf 6

002 Summary of Information on the New Chemical Substance Attachment-2-CKHI01-SAN.pdf 1 003 CAS Inventory Expert Service Report and Chemical Structure of the New Chemical Attachment-3-CKHI01-SAN.pdf Pt.I, Sec.B, 2c. | Pt.I, Sec.B, 2e. 3 004 Manufacturing and Processing Information on the New Chemical Substance at Industrial Sites Attachment-4-CKHI01-SAN.pdf Pt.2, Sec.A, 1d. 2 005 Worker/Occupational Exposure Information on the New Chemical Substance at Industrial Sites Attachment-5-CKHI01-SAN.pdf 1 006 Environmental Release and Disposal Information on the New Chemical Substance at Industrial Attachment-6-CKHI01-SAN.pdf 1 007 Processing Information on the New Chemical Substance at Industrial Sites Controlled by Attachment-7-CKHI01-SAN.pdf Pt.2, Sec.B, 1a. 1 008 Worker/Occupational Exposure and Environmental Release Information on the New Attachment-8-CKHI01-SAN.pdf 1 009 Physical and Chemical Properties Data on the New Chemical Substance - Molecular Weight Attachment-9-CKHI01-SAN.pdf Pt.I, Sec.B, 2a. 2 010 Health Effects Data on the New Chemical Substance - Acute Oral Toxicity Test in Rats Attachment-10-CKHI01-SAN.pdf 25 011 Health Effects Data on the New Chemical Substance - Skin Irritation Test in Rabbits Attachment-11-CKHI01-SAN.pdf 28 012 Health Effects Data on the New Chemical Attachment-12-CKHI01-SAN.pdf 23 013 Health Effects Data on the New Chemical Substance - Bacterial Reverse Mutation Assay Attachment-13-CKHI01-SAN.pdf 31

Page 20 SANITIZED SUBMISSION

### X Measured

Page 21 SANITIZED SUBMISSION

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

### Associated PMN Section Number

N/A Does not contain CBI 

### Report Number CKHI121218293946878

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

### Associated PMN Section Number

N/A Does not contain CBI 

### Report Number CKHI121218293946878

### ATTACHMENT HEADER SHEET
Attachment Number 003 Attachment Name CAS Inventory Expert Service Report and Chemical Structure of the New Chemical Substance



### Associated PMN Section Number Pt.I, Sec.B, 2c. | Pt.I, Sec.B, 2e. Does not contain CBI 

### Report Number CKHI121218293946878

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

### Associated PMN Section Number

Pt.2, Sec.A, 1d. Does not contain CBI 

### Report Number CKHI121218293946878

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

### Associated PMN Section Number

N/A Does not contain CBI 

### Report Number CKHI121218293946878

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

### Associated PMN Section Number

N/A Does not contain CBI 

### Report Number CKHI121218293946878

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

### Associated PMN Section Number

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

### Report Number CKHI121218293946878

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

### Associated PMN Section Number

N/A Does not contain CBI 

### Report Number CKHI121218293946878

### ATTACHMENT HEADER SHEET
Attachment Number 009 Attachment Name Physical and Chemical Properties Data on the New Chemical Substance - Molecular Weight Data 

### Associated PMN Section Number

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

### Report Number CKHI121218293946878

### ATTACHMENT HEADER SHEET
Attachment Number 010 Attachment Name Health Effects Data on the New Chemical Substance - Acute Oral Toxicity Test in Rats



### Associated PMN Section Number

N/A Does not contain CBI 

### Report Number CKHI121218293946878

### ATTACHMENT HEADER SHEET
Attachment Number 011 Attachment Name Health Effects Data on the New Chemical Substance - Skin Irritation Test in Rabbits



### Associated PMN Section Number

N/A Does not contain CBI 

### Report Number CKHI121218293946878

### ATTACHMENT HEADER SHEET
Attachment Number 012 Attachment Name Health Effects Data on the New Chemical Substance - Eye Irritation Test in Rabbits



### Associated PMN Section Number

N/A Does not contain CBI 

### Report Number CKHI121218293946878

### ATTACHMENT HEADER SHEET
Attachment Number 013 Attachment Name Health Effects Data on the New Chemical Substance - Bacterial Reverse Mutation Assay (Ames Test) 

### Associated PMN Section Number

N/A Does not contain CBI 

### Report Number CKHI121218293946878