## Attachment C: PVC MACT Working Group Comments on Draft S114 Request for Process Wastewater Sampling Analysis and Information General Info



## October XX, 2012 CAA Section 114 **(DRAFT 10-03-2012) Polyvinyl Chloride and Copolymers (PVC) Production General Wastewater Information** 

**Instructions**

Please complete this worksheet for your PVC production facility.

1) Complete the following information for your company and facility:

Company Name:

Facility Name:

Facility Address:

Facility City: State: Zip Code:

Facility Primary Contact Name: Telephone Number:

Facility PVC Resin Production Capacity: pounds/year

Total PVC Resin Production for 2011: pounds

2) Which of the following effluent guidelines Point Source Categories apply to this facility?

40 CFR Part 414, Organic Chemicals, Plastics, and Synthetic Fibers Subparts:

40 CFR Part 415, Inorganic Chemicals Manufacturing Subparts:

Other: Specify Other:

3) Does the facility discharge process wastewater from operations in the PVC Production Source Category (either intermittently or continuously) directly to a receiving stream via a NPDES permit? (If "No" then skip to question 5)

4) Please provide your permit number, the expiration date, and an indication of whether the facility is currently in the process or renewing or modifying its permit.

NPDES Permit Number

Expiration Date:

Currently Renewing or Modifying:

5) Does the facility discharge process wastewater from operations in the PVC Production Source Category to a publically or privately owned treatment works (POTW or PrOTW) or other facility? (If "No" then skip to question 7)

POTW. Provide POTW NPDES Permit number:

PrOTW. Provide PrOTW NPDES Permit number:

Other facility. Provide facility name and NPDES Permit number:

6) Provide the POTW, PrOTW, or facility name, address, primary contact, and phone number (if applicable).

POTW/PrOTW Name:

POTW/PrOTW Address:

POTW/PrOTW City: State: Zip Code:

Primary Contact Name: Telephone Number:

7) Does the facility discharge process wastewater from operations in the PVC Production Source Category to destinations other than NPDES-permitted outfalls, POTW, PrOTW, or facility already described in Questions 4 and 6?

Centralized Waste Treater (CWT) Deep-well injection Contract haul Evaporative pond Recycle/reuse Other (specify):



## EPA-HQ-OAR-2002-0037-DRAFT-0526 10/28/2013 1 of 1Attachment C: PVC MACT Working Group Comments on Draft S114 Request for Process Wastewater Sampling Analysis and Information Stream Info

**October XX, 2012 CAA Section 114 (DRAFT 10-03-2012)**  **PVC Production Process Wastewater Stream Information**

**Instructions**

1. For each process wastewater stream related to PVC production at this facility, complete a row in Table 1 below. Refer to Table 2 when completing columns 10 and 11 of Table 1. 2. Allprocess wastewater streams should be listed, including those exiting a piece of process equipment and not entering a process wastewater treatment system, streams entering a process wastewater treatment system, and streams exiting a process wastewater treatment system. 2Revised. Process wastewater streams should be listed, including those exiting a piece of process equipment and not entering a process wastewater treatment system, and streams exiting a process wastewater treatment system. 3. For streams exiting a process wastewater treatment system, put the process equipment ID for the process wastewater treatment system in column 8 of Table 1 and complete columns 9, 10, and 11. 4. In Table 3 below, please provide the source, name, and average flow rate of any additional streams that enter a PVC process wastewater treatment unit including any non-PVC production streams. 5. Complete Table 4 for each process wastewater treatment system. 5 Revised. Complete Table 4 for each other process wastewater treatment system.

**Table 1. PVC Process Wastewater Flows and Destination Table**

**1 3**  **4 5**  **6 7**  **8 10** 

**Originating Process**  **Equipment ID Destination**  **Code**

**Min Max**  **Average**

**Table 2. PVC Process Wastewater Destination Codes Table**

**Code**
Sent to in-process wastewater treatment unit (i.e., pollution prevention or pretreatment technologies such as filtration or steam stripping) IP Provide name of the treatment unit Revised Sent to PVC Process wastewater treatment unit (i.e., pollution prevention or pretreatment technologies such as filtration or steam stripping) IP Provide name of the treatment unit

Wastewater treatment system WWT Provide name of the wastewater treatment system Discharge without treatment by pipeline, sewer, or other conveyance to surface water SW Provide name of outfall **2 11**  **12 9** 

**Originating Process Equipment Description 13**  **14**

**Is this stream exposed to the atmosphere at any point**  **between the originating equipment and the**  **destination? Stream ID** 

**Process Wastewater Destination Details to Provide in Column 10 of Table 1**  **Destination Description Flow Rate (gallons per day)**  **Associated Destination Information Operating**  **Days Per Year** 

**(Refer to Table 2 below) Process Unit**  **ID Name of Process Wastewater Stream**  **Type of Process Wastewater Treatment System (if**  **applicable) Process Wastewater**  **Treatment System ID (if applicable)** 

EPA-HQ-OAR-2002-0037-DRAFT-0526 10/28/2013 1 of 2Attachment C: PVC MACT Working Group Comments on Draft S114 Request for Process Wastewater Sampling Analysis and Information Stream Info

Discharge to POTW, no treatment POTW RAW Provide name of POTW Discharge to PrOTW, no treatment PrOTW RAW Provide name of PrOTW Zero discharge or alternative disposal method ZEROALT Describe method Recycle to process RECYC Describe where in the process the stream is recycled Reused in cooling tower COOLW Deep-well injection DW ELL Evaporation EVAP Contract haul CHAUL Other OTHER Describe

**Table 3. Non-PVC Production Process Wastewater Streams Entering a PVC Process Treatment System** Revised **Table 3. Non-PVC Production Process Wastewater Streams Entering a PVC Process WASTEWATER Treatment System**

**1 3**  **4 Stream**  **Source (e.g., HON, MON,**  **EDC/VCM, etc.)**  **Average Flow Rate (gallons**  **per minute) Process** 

**Wastewater Treatment**  **System ID 2** 

**Name of Process Wastewater Stream**

EPA-HQ-OAR-2002-0037-DRAFT-0526 10/28/2013 2 of 2

### Attachment C: PVC MACT Working Group Comments on Draft S114 Request for Process Wastewater Sampling Analysis and Information Sampling Data



### October XX, 2012 CAA Section 114 **(DRAFT 10-03-2012) PVC Production Process Wastewater Sampling and Analysis Data** 

**Instructions**

1. Complete the table below for each process wastewater steam that was sampled and analyzed. Complete one worksheet for each single stream (make copies of this worksheet if necessary). 2. Enter the process equipment ID or process wastewater treatment system ID from which the stream exits. The stream ID must match the stream ID listed in Table 1 of the "Stream Info" worksheet. 3. Complete columns 1 through 30. Enter the sample date, resin production rate, resin type, stream flow rate, stream temperature, sample type, analysis date, lab report ID, and lab sample ID. Enter the concentration results for each day of sampling. 4. For non-detects, indicate with an "x" in the "Non-Detect?" column and provide the method detection limit, in ppmw, in the "Concentration (ppmw)" column. 5. Enter any notes or additional information relevant to the sampling or analysis. 6. Enter any other HAP expected to be present (that are not listed in Table 10 to Subpart HHHHHHH of Part 63) in the table below. Do not include vinyl chloride (CAS No. 75014).

**Company** 0 **Facility** 0 **Process Equipment ID**

**Stream ID**

**CAS No. HAP**  **Analysis Method Concentration**  **(ppmw) Non-Detect?**  **Note(s) Concentration**  **(ppmw) Non-Detect?**  **Note(s) Concentration**  **(ppmw) Non-Detect?**  **Note(s)**

107211 Ethylene glycol SW-846-8015C 67561 Methanol SW-846-8015C 75070 Acetaldehyde SW-846-8315A 50000 Formaldehyde SW-846-8315A 51285 2,4-dinitrophenol SW-846-8270D 98862 Acetophenone SW-846-8270D 117817 Bis(2-ethylhexyl) phthalate (DEHP) SW-846-8270D 123319 Hydroquinone SW-846-8270D 108952 Phenol SW-846-8270D 79345 1,1,2,2-tetrachloroethane SW-846-8260B 106990 1,3-butadiene SW-846-8260B 540841 2,2,4-trimethylpentane SW-846-8260B 71432 Benzene SW-846-8260B 108907 Chlorobenzene SW-846-8260B 67663 Chloroform SW-846-8260B 126998 Chloroprene SW-846-8260B 98828 Cumene SW-846-8260B 75003 Ethyl chloride (Chloroethane) SW-846-8260B 100414 Ethylbenzene SW-846-8260B 107062 Ethylene dichloride (1,2-Dichloroethane) SW-846-8260B 75343 Ethylidene dichloride (1,1-Dichloroethane) SW-846-8260B 74873 Methyl chloride (Chloromethane) SW-846-8260B 75092 Methylene chloride SW-846-8260B 110543 n-Hexane SW-846-8260B 108883 Toluene SW-846-8260B 71556 Methyl chloroform (1,1,1-Trichloroethane) SW-846-8260B 79005 1,1,2-Trichloroethane SW-846-8260B 108054 Vinyl acetate SW-846-8260B 593602 Vinyl bromide SW-846-8260B 75354 Vinylidene chloride (1,1-Dichloroethylene) SW-846-8260B 1330207 Xylenes (isomers and mixtures) SW-846-8260B **1 2**  **3**

**Lab Sample ID --> Lab Report ID -->**  **Analysis Date --> Sample Type -->**  **Stream Temperature (deg C) --> Stream Flow Rate (gpm) -->**  **Resin Type (suspension, dispersion, bulk, etc.) -->**

**Resin Production Rate (lbs/day) -->**

**Sample Date -->**



### EPA-HQ-OAR-2002-0037-DRAFT-0526 10/28/2013 1 of 10

### Attachment C: PVC MACT Working Group Comments on Draft S114 Request for Process Wastewater Sampling Analysis and Information Sampling Data



### October XX, 2012 CAA Section 114 **(DRAFT 10-03-2012) PVC Production Process Wastewater Sampling and Analysis Data** 

**Instructions**

1. Complete the table below for each process wastewater steam that was sampled and analyzed. Complete one worksheet for each single stream (make copies of this worksheet if necessary). 2. Enter the process equipment ID or process wastewater treatment system ID from which the stream exits. The stream ID must match the stream ID listed in Table 1 of the "Stream Info" worksheet. 3. Complete columns 1 through 30. Enter the sample date, resin production rate, resin type, stream flow rate, stream temperature, sample type, analysis date, lab report ID, and lab sample ID. Enter the concentration results for each day of sampling. 4. For non-detects, indicate with an "x" in the "Non-Detect?" column and provide the method detection limit, in ppmw, in the "Concentration (ppmw)" column. 5. Enter any notes or additional information relevant to the sampling or analysis. 6. Enter any other HAP expected to be present (that are not listed in Table 10 to Subpart HHHHHHH of Part 63) in the table below. Do not include vinyl chloride (CAS No. 75014).

**Company** 0 **Facility** 0 **Process Equipment ID**

**Stream ID**

**CAS No. HAP**  **Analysis Method**

107211 Ethylene glycol SW-846-8015C 67561 Methanol SW-846-8015C 75070 Acetaldehyde SW-846-8315A 50000 Formaldehyde SW-846-8315A 51285 2,4-dinitrophenol SW-846-8270D 98862 Acetophenone SW-846-8270D 117817 Bis(2-ethylhexyl) phthalate (DEHP) SW-846-8270D 123319 Hydroquinone SW-846-8270D 108952 Phenol SW-846-8270D 79345 1,1,2,2-tetrachloroethane SW-846-8260B 106990 1,3-butadiene SW-846-8260B 540841 2,2,4-trimethylpentane SW-846-8260B 71432 Benzene SW-846-8260B 108907 Chlorobenzene SW-846-8260B 67663 Chloroform SW-846-8260B 126998 Chloroprene SW-846-8260B 98828 Cumene SW-846-8260B 75003 Ethyl chloride (Chloroethane) SW-846-8260B 100414 Ethylbenzene SW-846-8260B 107062 Ethylene dichloride (1,2-Dichloroethane) SW-846-8260B 75343 Ethylidene dichloride (1,1-Dichloroethane) SW-846-8260B 74873 Methyl chloride (Chloromethane) SW-846-8260B 75092 Methylene chloride SW-846-8260B 110543 n-Hexane SW-846-8260B 108883 Toluene SW-846-8260B 71556 Methyl chloroform (1,1,1-Trichloroethane) SW-846-8260B 79005 1,1,2-Trichloroethane SW-846-8260B 108054 Vinyl acetate SW-846-8260B 593602 Vinyl bromide SW-846-8260B 75354 Vinylidene chloride (1,1-Dichloroethylene) SW-846-8260B 1330207 Xylenes (isomers and mixtures) SW-846-8260B **Lab Sample ID --> Lab Report ID -->**  **Analysis Date --> Sample Type -->**  **Stream Temperature (deg C) --> Stream Flow Rate (gpm) -->**  **Resin Type (suspension, dispersion, bulk, etc.) -->**

**Resin Production Rate (lbs/day) -->**

**Sample Date -->**

**Concentration**

**(ppmw) Non-Detect?**  **Note(s) Concentration**  **(ppmw) Non-Detect?**  **Note(s) Concentration**  **(ppmw) Non-Detect?**  **Note(s) Concentration**  **(ppmw) 6**  **4 5** 



### EPA-HQ-OAR-2002-0037-DRAFT-0526 10/28/2013 2 of 10

### Attachment C: PVC MACT Working Group Comments on Draft S114 Request for Process Wastewater Sampling Analysis and Information Sampling Data



### October XX, 2012 CAA Section 114 **(DRAFT 10-03-2012) PVC Production Process Wastewater Sampling and Analysis Data** 

**Instructions**

1. Complete the table below for each process wastewater steam that was sampled and analyzed. Complete one worksheet for each single stream (make copies of this worksheet if necessary). 2. Enter the process equipment ID or process wastewater treatment system ID from which the stream exits. The stream ID must match the stream ID listed in Table 1 of the "Stream Info" worksheet. 3. Complete columns 1 through 30. Enter the sample date, resin production rate, resin type, stream flow rate, stream temperature, sample type, analysis date, lab report ID, and lab sample ID. Enter the concentration results for each day of sampling. 4. For non-detects, indicate with an "x" in the "Non-Detect?" column and provide the method detection limit, in ppmw, in the "Concentration (ppmw)" column. 5. Enter any notes or additional information relevant to the sampling or analysis. 6. Enter any other HAP expected to be present (that are not listed in Table 10 to Subpart HHHHHHH of Part 63) in the table below. Do not include vinyl chloride (CAS No. 75014).

**Company** 0 **Facility** 0 **Process Equipment ID**

**Stream ID**

**CAS No. HAP**  **Analysis Method**

107211 Ethylene glycol SW-846-8015C 67561 Methanol SW-846-8015C 75070 Acetaldehyde SW-846-8315A 50000 Formaldehyde SW-846-8315A 51285 2,4-dinitrophenol SW-846-8270D 98862 Acetophenone SW-846-8270D 117817 Bis(2-ethylhexyl) phthalate (DEHP) SW-846-8270D 123319 Hydroquinone SW-846-8270D 108952 Phenol SW-846-8270D 79345 1,1,2,2-tetrachloroethane SW-846-8260B 106990 1,3-butadiene SW-846-8260B 540841 2,2,4-trimethylpentane SW-846-8260B 71432 Benzene SW-846-8260B 108907 Chlorobenzene SW-846-8260B 67663 Chloroform SW-846-8260B 126998 Chloroprene SW-846-8260B 98828 Cumene SW-846-8260B 75003 Ethyl chloride (Chloroethane) SW-846-8260B 100414 Ethylbenzene SW-846-8260B 107062 Ethylene dichloride (1,2-Dichloroethane) SW-846-8260B 75343 Ethylidene dichloride (1,1-Dichloroethane) SW-846-8260B 74873 Methyl chloride (Chloromethane) SW-846-8260B 75092 Methylene chloride SW-846-8260B 110543 n-Hexane SW-846-8260B 108883 Toluene SW-846-8260B 71556 Methyl chloroform (1,1,1-Trichloroethane) SW-846-8260B 79005 1,1,2-Trichloroethane SW-846-8260B 108054 Vinyl acetate SW-846-8260B 593602 Vinyl bromide SW-846-8260B 75354 Vinylidene chloride (1,1-Dichloroethylene) SW-846-8260B 1330207 Xylenes (isomers and mixtures) SW-846-8260B **Lab Sample ID --> Lab Report ID -->**  **Analysis Date --> Sample Type -->**  **Stream Temperature (deg C) --> Stream Flow Rate (gpm) -->**  **Resin Type (suspension, dispersion, bulk, etc.) -->**

**Resin Production Rate (lbs/day) -->**

**Sample Date -->**

**Non-Detect? Note(s)**  **Concentration (ppmw)**  **Non-Detect? Note(s)**  **Concentration (ppmw)**  **Non-Detect? Note(s)**  **Concentration (ppmw)**  **Non-Detect? 7**  **8 9** 



### EPA-HQ-OAR-2002-0037-DRAFT-0526 10/28/2013 3 of 10

### Attachment C: PVC MACT Working Group Comments on Draft S114 Request for Process Wastewater Sampling Analysis and Information Sampling Data



### October XX, 2012 CAA Section 114 **(DRAFT 10-03-2012) PVC Production Process Wastewater Sampling and Analysis Data** 

**Instructions**

1. Complete the table below for each process wastewater steam that was sampled and analyzed. Complete one worksheet for each single stream (make copies of this worksheet if necessary). 2. Enter the process equipment ID or process wastewater treatment system ID from which the stream exits. The stream ID must match the stream ID listed in Table 1 of the "Stream Info" worksheet. 3. Complete columns 1 through 30. Enter the sample date, resin production rate, resin type, stream flow rate, stream temperature, sample type, analysis date, lab report ID, and lab sample ID. Enter the concentration results for each day of sampling. 4. For non-detects, indicate with an "x" in the "Non-Detect?" column and provide the method detection limit, in ppmw, in the "Concentration (ppmw)" column. 5. Enter any notes or additional information relevant to the sampling or analysis. 6. Enter any other HAP expected to be present (that are not listed in Table 10 to Subpart HHHHHHH of Part 63) in the table below. Do not include vinyl chloride (CAS No. 75014).

**Company** 0 **Facility** 0 **Process Equipment ID**

**Stream ID**

**CAS No. HAP**  **Analysis Method**

107211 Ethylene glycol SW -846-8015C 67561 Methanol SW -846-8015C 75070 Acetaldehyde SW -846-8315A 50000 Formaldehyde SW -846-8315A 51285 2,4-dinitrophenol SW -846-8270D 98862 Acetophenone SW -846-8270D 117817 Bis(2-ethylhexyl) phthalate (DEHP) SW -846-8270D 123319 Hydroquinone SW -846-8270D 108952 Phenol SW -846-8270D 79345 1,1,2,2-tetrachloroethane SW -846-8260B 106990 1,3-butadiene SW -846-8260B 540841 2,2,4-trimethylpentane SW -846-8260B 71432 Benzene SW -846-8260B 108907 Chlorobenzene SW -846-8260B 67663 Chloroform SW -846-8260B 126998 Chloroprene SW -846-8260B 98828 Cumene SW -846-8260B 75003 Ethyl chloride (Chloroethane) SW -846-8260B 100414 Ethylbenzene SW -846-8260B 107062 Ethylene dichloride (1,2-Dichloroethane) SW -846-8260B 75343 Ethylidene dichloride (1,1-Dichloroethane) SW -846-8260B 74873 Methyl chloride (Chloromethane) SW -846-8260B 75092 Methylene chloride SW -846-8260B 110543 n-Hexane SW -846-8260B 108883 Toluene SW -846-8260B 71556 Methyl chloroform (1,1,1-Trichloroethane) SW -846-8260B 79005 1,1,2-Trichloroethane SW -846-8260B 108054 Vinyl acetate SW -846-8260B 593602 Vinyl bromide SW -846-8260B 75354 Vinylidene chloride (1,1-Dichloroethylene) SW -846-8260B 1330207 Xylenes (isomers and mixtures) SW -846-8260B **Lab Sample ID --> Lab Report ID -->**  **Analysis Date --> Sample Type -->**  **Stream Temperature (deg C) --> Stream Flow Rate (gpm) -->**  **Resin Type (suspension, dispersion, bulk, etc.) -->**

**Resin Production Rate (lbs/day) -->**

**Sample Date -->**

**Note(s) Concentration**  **(ppmw) Non-Detect?**  **Note(s) Concentration**  **(ppmw) Non-Detect?**  **Note(s) Concentration**  **(ppmw) Non-Detect?**  **12 10**  **11**



### EPA-HQ-OAR-2002-0037-DRAFT-0526 10/28/2013 4 of 10

### Attachment C: PVC MACT Working Group Comments on Draft S114 Request for Process Wastewater Sampling Analysis and Information Sampling Data



### October XX, 2012 CAA Section 114 **(DRAFT 10-03-2012) PVC Production Process Wastewater Sampling and Analysis Data** 

**Instructions**

1. Complete the table below for each process wastewater steam that was sampled and analyzed. Complete one worksheet for each single stream (make copies of this worksheet if necessary). 2. Enter the process equipment ID or process wastewater treatment system ID from which the stream exits. The stream ID must match the stream ID listed in Table 1 of the "Stream Info" worksheet. 3. Complete columns 1 through 30. Enter the sample date, resin production rate, resin type, stream flow rate, stream temperature, sample type, analysis date, lab report ID, and lab sample ID. Enter the concentration results for each day of sampling. 4. For non-detects, indicate with an "x" in the "Non-Detect?" column and provide the method detection limit, in ppmw, in the "Concentration (ppmw)" column. 5. Enter any notes or additional information relevant to the sampling or analysis. 6. Enter any other HAP expected to be present (that are not listed in Table 10 to Subpart HHHHHHH of Part 63) in the table below. Do not include vinyl chloride (CAS No. 75014).

**Company** 0 **Facility** 0 **Process Equipment ID**

**Stream ID**

**CAS No. HAP**  **Analysis Method**

107211 Ethylene glycol SW -846-8015C 67561 Methanol SW -846-8015C 75070 Acetaldehyde SW -846-8315A 50000 Formaldehyde SW -846-8315A 51285 2,4-dinitrophenol SW -846-8270D 98862 Acetophenone SW -846-8270D 117817 Bis(2-ethylhexyl) phthalate (DEHP) SW -846-8270D 123319 Hydroquinone SW -846-8270D 108952 Phenol SW -846-8270D 79345 1,1,2,2-tetrachloroethane SW -846-8260B 106990 1,3-butadiene SW -846-8260B 540841 2,2,4-trimethylpentane SW -846-8260B 71432 Benzene SW -846-8260B 108907 Chlorobenzene SW -846-8260B 67663 Chloroform SW -846-8260B 126998 Chloroprene SW -846-8260B 98828 Cumene SW -846-8260B 75003 Ethyl chloride (Chloroethane) SW -846-8260B 100414 Ethylbenzene SW -846-8260B 107062 Ethylene dichloride (1,2-Dichloroethane) SW -846-8260B 75343 Ethylidene dichloride (1,1-Dichloroethane) SW -846-8260B 74873 Methyl chloride (Chloromethane) SW -846-8260B 75092 Methylene chloride SW -846-8260B 110543 n-Hexane SW -846-8260B 108883 Toluene SW -846-8260B 71556 Methyl chloroform (1,1,1-Trichloroethane) SW -846-8260B 79005 1,1,2-Trichloroethane SW -846-8260B 108054 Vinyl acetate SW -846-8260B 593602 Vinyl bromide SW -846-8260B 75354 Vinylidene chloride (1,1-Dichloroethylene) SW -846-8260B 1330207 Xylenes (isomers and mixtures) SW -846-8260B **Lab Sample ID --> Lab Report ID -->**  **Analysis Date --> Sample Type -->**  **Stream Temperature (deg C) --> Stream Flow Rate (gpm) -->**  **Resin Type (suspension, dispersion, bulk, etc.) -->**

**Resin Production Rate (lbs/day) -->**

**Sample Date -->**

**Note(s) Concentration**  **(ppmw) Non-Detect?**  **Note(s) Concentration**  **(ppmw) Non-Detect?**  **Note(s) Concentration**  **(ppmw) Non-Detect?**  **13 14**  **15**



### EPA-HQ-OAR-2002-0037-DRAFT-0526 10/28/2013 5 of 10

### Attachment C: PVC MACT Working Group Comments on Draft S114 Request for Process Wastewater Sampling Analysis and Information Sampling Data



### October XX, 2012 CAA Section 114 **(DRAFT 10-03-2012) PVC Production Process Wastewater Sampling and Analysis Data** 

**Instructions**

1. Complete the table below for each process wastewater steam that was sampled and analyzed. Complete one worksheet for each single stream (make copies of this worksheet if necessary). 2. Enter the process equipment ID or process wastewater treatment system ID from which the stream exits. The stream ID must match the stream ID listed in Table 1 of the "Stream Info" worksheet. 3. Complete columns 1 through 30. Enter the sample date, resin production rate, resin type, stream flow rate, stream temperature, sample type, analysis date, lab report ID, and lab sample ID. Enter the concentration results for each day of sampling. 4. For non-detects, indicate with an "x" in the "Non-Detect?" column and provide the method detection limit, in ppmw, in the "Concentration (ppmw)" column. 5. Enter any notes or additional information relevant to the sampling or analysis. 6. Enter any other HAP expected to be present (that are not listed in Table 10 to Subpart HHHHHHH of Part 63) in the table below. Do not include vinyl chloride (CAS No. 75014).

**Company** 0 **Facility** 0 **Process Equipment ID**

**Stream ID**

**CAS No. HAP**  **Analysis Method**

107211 Ethylene glycol SW -846-8015C 67561 Methanol SW -846-8015C 75070 Acetaldehyde SW -846-8315A 50000 Formaldehyde SW -846-8315A 51285 2,4-dinitrophenol SW -846-8270D 98862 Acetophenone SW -846-8270D 117817 Bis(2-ethylhexyl) phthalate (DEHP) SW -846-8270D 123319 Hydroquinone SW -846-8270D 108952 Phenol SW -846-8270D 79345 1,1,2,2-tetrachloroethane SW -846-8260B 106990 1,3-butadiene SW -846-8260B 540841 2,2,4-trimethylpentane SW -846-8260B 71432 Benzene SW -846-8260B 108907 Chlorobenzene SW -846-8260B 67663 Chloroform SW -846-8260B 126998 Chloroprene SW -846-8260B 98828 Cumene SW -846-8260B 75003 Ethyl chloride (Chloroethane) SW -846-8260B 100414 Ethylbenzene SW -846-8260B 107062 Ethylene dichloride (1,2-Dichloroethane) SW -846-8260B 75343 Ethylidene dichloride (1,1-Dichloroethane) SW -846-8260B 74873 Methyl chloride (Chloromethane) SW -846-8260B 75092 Methylene chloride SW -846-8260B 110543 n-Hexane SW -846-8260B 108883 Toluene SW -846-8260B 71556 Methyl chloroform (1,1,1-Trichloroethane) SW -846-8260B 79005 1,1,2-Trichloroethane SW -846-8260B 108054 Vinyl acetate SW -846-8260B 593602 Vinyl bromide SW -846-8260B 75354 Vinylidene chloride (1,1-Dichloroethylene) SW -846-8260B 1330207 Xylenes (isomers and mixtures) SW -846-8260B **Lab Sample ID --> Lab Report ID -->**  **Analysis Date --> Sample Type -->**  **Stream Temperature (deg C) --> Stream Flow Rate (gpm) -->**  **Resin Type (suspension, dispersion, bulk, etc.) -->**

**Resin Production Rate (lbs/day) -->**

**Sample Date -->**

**Note(s) Concentration**  **(ppmw) Non-Detect?**  **Note(s) Concentration**  **(ppmw) Non-Detect?**  **Note(s) Concentration**  **(ppmw) Non-Detect?**  **16 17**  **18**



### EPA-HQ-OAR-2002-0037-DRAFT-0526 10/28/2013 6 of 10

### Attachment C: PVC MACT Working Group Comments on Draft S114 Request for Process Wastewater Sampling Analysis and Information Sampling Data



### October XX, 2012 CAA Section 114 **(DRAFT 10-03-2012) PVC Production Process Wastewater Sampling and Analysis Data** 

**Instructions**

1. Complete the table below for each process wastewater steam that was sampled and analyzed. Complete one worksheet for each single stream (make copies of this worksheet if necessary). 2. Enter the process equipment ID or process wastewater treatment system ID from which the stream exits. The stream ID must match the stream ID listed in Table 1 of the "Stream Info" worksheet. 3. Complete columns 1 through 30. Enter the sample date, resin production rate, resin type, stream flow rate, stream temperature, sample type, analysis date, lab report ID, and lab sample ID. Enter the concentration results for each day of sampling. 4. For non-detects, indicate with an "x" in the "Non-Detect?" column and provide the method detection limit, in ppmw, in the "Concentration (ppmw)" column. 5. Enter any notes or additional information relevant to the sampling or analysis. 6. Enter any other HAP expected to be present (that are not listed in Table 10 to Subpart HHHHHHH of Part 63) in the table below. Do not include vinyl chloride (CAS No. 75014).

**Company** 0 **Facility** 0 **Process Equipment ID**

**Stream ID**

**CAS No. HAP**  **Analysis Method**

107211 Ethylene glycol SW -846-8015C 67561 Methanol SW -846-8015C 75070 Acetaldehyde SW -846-8315A 50000 Formaldehyde SW -846-8315A 51285 2,4-dinitrophenol SW -846-8270D 98862 Acetophenone SW -846-8270D 117817 Bis(2-ethylhexyl) phthalate (DEHP) SW -846-8270D 123319 Hydroquinone SW -846-8270D 108952 Phenol SW -846-8270D 79345 1,1,2,2-tetrachloroethane SW -846-8260B 106990 1,3-butadiene SW -846-8260B 540841 2,2,4-trimethylpentane SW -846-8260B 71432 Benzene SW -846-8260B 108907 Chlorobenzene SW -846-8260B 67663 Chloroform SW -846-8260B 126998 Chloroprene SW -846-8260B 98828 Cumene SW -846-8260B 75003 Ethyl chloride (Chloroethane) SW -846-8260B 100414 Ethylbenzene SW -846-8260B 107062 Ethylene dichloride (1,2-Dichloroethane) SW -846-8260B 75343 Ethylidene dichloride (1,1-Dichloroethane) SW -846-8260B 74873 Methyl chloride (Chloromethane) SW -846-8260B 75092 Methylene chloride SW -846-8260B 110543 n-Hexane SW -846-8260B 108883 Toluene SW -846-8260B 71556 Methyl chloroform (1,1,1-Trichloroethane) SW -846-8260B 79005 1,1,2-Trichloroethane SW -846-8260B 108054 Vinyl acetate SW -846-8260B 593602 Vinyl bromide SW -846-8260B 75354 Vinylidene chloride (1,1-Dichloroethylene) SW -846-8260B 1330207 Xylenes (isomers and mixtures) SW -846-8260B **Lab Sample ID --> Lab Report ID -->**  **Analysis Date --> Sample Type -->**  **Stream Temperature (deg C) --> Stream Flow Rate (gpm) -->**  **Resin Type (suspension, dispersion, bulk, etc.) -->**

**Resin Production Rate (lbs/day) -->**

**Sample Date -->**

**Note(s) Concentration**  **(ppmw) Non-Detect?**  **Note(s) Concentration**  **(ppmw) Non-Detect?**  **Note(s) Concentration**  **(ppmw) Non-Detect?**  **19 20**  **21**



### EPA-HQ-OAR-2002-0037-DRAFT-0526 10/28/2013 7 of 10

### Attachment C: PVC MACT Working Group Comments on Draft S114 Request for Process Wastewater Sampling Analysis and Information Sampling Data



### October XX, 2012 CAA Section 114 **(DRAFT 10-03-2012) PVC Production Process Wastewater Sampling and Analysis Data** 

**Instructions**

1. Complete the table below for each process wastewater steam that was sampled and analyzed. Complete one worksheet for each single stream (make copies of this worksheet if necessary). 2. Enter the process equipment ID or process wastewater treatment system ID from which the stream exits. The stream ID must match the stream ID listed in Table 1 of the "Stream Info" worksheet. 3. Complete columns 1 through 30. Enter the sample date, resin production rate, resin type, stream flow rate, stream temperature, sample type, analysis date, lab report ID, and lab sample ID. Enter the concentration results for each day of sampling. 4. For non-detects, indicate with an "x" in the "Non-Detect?" column and provide the method detection limit, in ppmw, in the "Concentration (ppmw)" column. 5. Enter any notes or additional information relevant to the sampling or analysis. 6. Enter any other HAP expected to be present (that are not listed in Table 10 to Subpart HHHHHHH of Part 63) in the table below. Do not include vinyl chloride (CAS No. 75014).

**Company** 0 **Facility** 0 **Process Equipment ID**

**Stream ID**

**CAS No. HAP**  **Analysis Method**

107211 Ethylene glycol SW -846-8015C 67561 Methanol SW -846-8015C 75070 Acetaldehyde SW -846-8315A 50000 Formaldehyde SW -846-8315A 51285 2,4-dinitrophenol SW -846-8270D 98862 Acetophenone SW -846-8270D 117817 Bis(2-ethylhexyl) phthalate (DEHP) SW -846-8270D 123319 Hydroquinone SW -846-8270D 108952 Phenol SW -846-8270D 79345 1,1,2,2-tetrachloroethane SW -846-8260B 106990 1,3-butadiene SW -846-8260B 540841 2,2,4-trimethylpentane SW -846-8260B 71432 Benzene SW -846-8260B 108907 Chlorobenzene SW -846-8260B 67663 Chloroform SW -846-8260B 126998 Chloroprene SW -846-8260B 98828 Cumene SW -846-8260B 75003 Ethyl chloride (Chloroethane) SW -846-8260B 100414 Ethylbenzene SW -846-8260B 107062 Ethylene dichloride (1,2-Dichloroethane) SW -846-8260B 75343 Ethylidene dichloride (1,1-Dichloroethane) SW -846-8260B 74873 Methyl chloride (Chloromethane) SW -846-8260B 75092 Methylene chloride SW -846-8260B 110543 n-Hexane SW -846-8260B 108883 Toluene SW -846-8260B 71556 Methyl chloroform (1,1,1-Trichloroethane) SW -846-8260B 79005 1,1,2-Trichloroethane SW -846-8260B 108054 Vinyl acetate SW -846-8260B 593602 Vinyl bromide SW -846-8260B 75354 Vinylidene chloride (1,1-Dichloroethylene) SW -846-8260B 1330207 Xylenes (isomers and mixtures) SW -846-8260B **Lab Sample ID --> Lab Report ID -->**  **Analysis Date --> Sample Type -->**  **Stream Temperature (deg C) --> Stream Flow Rate (gpm) -->**  **Resin Type (suspension, dispersion, bulk, etc.) -->**

**Resin Production Rate (lbs/day) -->**

**Sample Date -->**

**Note(s) Concentration**  **(ppmw) Non-Detect?**  **Note(s) Concentration**  **(ppmw) Non-Detect?**  **Note(s) Concentration**  **(ppmw) Non-Detect?**  **22 23**  **24**



### EPA-HQ-OAR-2002-0037-DRAFT-0526 10/28/2013 8 of 10

### Attachment C: PVC MACT Working Group Comments on Draft S114 Request for Process Wastewater Sampling Analysis and Information Sampling Data



### October XX, 2012 CAA Section 114 **(DRAFT 10-03-2012) PVC Production Process Wastewater Sampling and Analysis Data** 

**Instructions**

1. Complete the table below for each process wastewater steam that was sampled and analyzed. Complete one worksheet for each single stream (make copies of this worksheet if necessary). 2. Enter the process equipment ID or process wastewater treatment system ID from which the stream exits. The stream ID must match the stream ID listed in Table 1 of the "Stream Info" worksheet. 3. Complete columns 1 through 30. Enter the sample date, resin production rate, resin type, stream flow rate, stream temperature, sample type, analysis date, lab report ID, and lab sample ID. Enter the concentration results for each day of sampling. 4. For non-detects, indicate with an "x" in the "Non-Detect?" column and provide the method detection limit, in ppmw, in the "Concentration (ppmw)" column. 5. Enter any notes or additional information relevant to the sampling or analysis. 6. Enter any other HAP expected to be present (that are not listed in Table 10 to Subpart HHHHHHH of Part 63) in the table below. Do not include vinyl chloride (CAS No. 75014).

**Company** 0 **Facility** 0 **Process Equipment ID**

**Stream ID**

**CAS No. HAP**  **Analysis Method**

107211 Ethylene glycol SW -846-8015C 67561 Methanol SW -846-8015C 75070 Acetaldehyde SW -846-8315A 50000 Formaldehyde SW -846-8315A 51285 2,4-dinitrophenol SW -846-8270D 98862 Acetophenone SW -846-8270D 117817 Bis(2-ethylhexyl) phthalate (DEHP) SW -846-8270D 123319 Hydroquinone SW -846-8270D 108952 Phenol SW -846-8270D 79345 1,1,2,2-tetrachloroethane SW -846-8260B 106990 1,3-butadiene SW -846-8260B 540841 2,2,4-trimethylpentane SW -846-8260B 71432 Benzene SW -846-8260B 108907 Chlorobenzene SW -846-8260B 67663 Chloroform SW -846-8260B 126998 Chloroprene SW -846-8260B 98828 Cumene SW -846-8260B 75003 Ethyl chloride (Chloroethane) SW -846-8260B 100414 Ethylbenzene SW -846-8260B 107062 Ethylene dichloride (1,2-Dichloroethane) SW -846-8260B 75343 Ethylidene dichloride (1,1-Dichloroethane) SW -846-8260B 74873 Methyl chloride (Chloromethane) SW -846-8260B 75092 Methylene chloride SW -846-8260B 110543 n-Hexane SW -846-8260B 108883 Toluene SW -846-8260B 71556 Methyl chloroform (1,1,1-Trichloroethane) SW -846-8260B 79005 1,1,2-Trichloroethane SW -846-8260B 108054 Vinyl acetate SW -846-8260B 593602 Vinyl bromide SW -846-8260B 75354 Vinylidene chloride (1,1-Dichloroethylene) SW -846-8260B 1330207 Xylenes (isomers and mixtures) SW -846-8260B **Lab Sample ID --> Lab Report ID -->**  **Analysis Date --> Sample Type -->**  **Stream Temperature (deg C) --> Stream Flow Rate (gpm) -->**  **Resin Type (suspension, dispersion, bulk, etc.) -->**

**Resin Production Rate (lbs/day) -->**

**Sample Date -->**

**Note(s) Concentration**  **(ppmw) Non-Detect?**  **Note(s) Concentration**  **(ppmw) Non-Detect?**  **Note(s) Concentration**  **(ppmw) Non-Detect?**  **27 25**  **26**



### EPA-HQ-OAR-2002-0037-DRAFT-0526 10/28/2013 9 of 10

### Attachment C: PVC MACT Working Group Comments on Draft S114 Request for Process Wastewater Sampling Analysis and Information Sampling Data



### October XX, 2012 CAA Section 114 **(DRAFT 10-03-2012) PVC Production Process Wastewater Sampling and Analysis Data** 

**Instructions**

1. Complete the table below for each process wastewater steam that was sampled and analyzed. Complete one worksheet for each single stream (make copies of this worksheet if necessary). 2. Enter the process equipment ID or process wastewater treatment system ID from which the stream exits. The stream ID must match the stream ID listed in Table 1 of the "Stream Info" worksheet. 3. Complete columns 1 through 30. Enter the sample date, resin production rate, resin type, stream flow rate, stream temperature, sample type, analysis date, lab report ID, and lab sample ID. Enter the concentration results for each day of sampling. 4. For non-detects, indicate with an "x" in the "Non-Detect?" column and provide the method detection limit, in ppmw, in the "Concentration (ppmw)" column. 5. Enter any notes or additional information relevant to the sampling or analysis. 6. Enter any other HAP expected to be present (that are not listed in Table 10 to Subpart HHHHHHH of Part 63) in the table below. Do not include vinyl chloride (CAS No. 75014).

**Company** 0 **Facility** 0 **Process Equipment ID**

**Stream ID**

**CAS No. HAP**  **Analysis Method**

107211 Ethylene glycol SW-846-8015C 67561 Methanol SW-846-8015C 75070 Acetaldehyde SW-846-8315A 50000 Formaldehyde SW-846-8315A 51285 2,4-dinitrophenol SW-846-8270D 98862 Acetophenone SW-846-8270D 117817 Bis(2-ethylhexyl) phthalate (DEHP) SW-846-8270D 123319 Hydroquinone SW-846-8270D 108952 Phenol SW-846-8270D 79345 1,1,2,2-tetrachloroethane SW-846-8260B 106990 1,3-butadiene SW-846-8260B 540841 2,2,4-trimethylpentane SW-846-8260B 71432 Benzene SW-846-8260B 108907 Chlorobenzene SW-846-8260B 67663 Chloroform SW-846-8260B 126998 Chloroprene SW-846-8260B 98828 Cumene SW-846-8260B 75003 Ethyl chloride (Chloroethane) SW-846-8260B 100414 Ethylbenzene SW-846-8260B 107062 Ethylene dichloride (1,2-Dichloroethane) SW-846-8260B 75343 Ethylidene dichloride (1,1-Dichloroethane) SW-846-8260B 74873 Methyl chloride (Chloromethane) SW-846-8260B 75092 Methylene chloride SW-846-8260B 110543 n-Hexane SW-846-8260B 108883 Toluene SW-846-8260B 71556 Methyl chloroform (1,1,1-Trichloroethane) SW-846-8260B 79005 1,1,2-Trichloroethane SW-846-8260B 108054 Vinyl acetate SW-846-8260B 593602 Vinyl bromide SW-846-8260B 75354 Vinylidene chloride (1,1-Dichloroethylene) SW-846-8260B 1330207 Xylenes (isomers and mixtures) SW-846-8260B **Lab Sample ID --> Lab Report ID -->**  **Analysis Date --> Sample Type -->**  **Stream Temperature (deg C) --> Stream Flow Rate (gpm) -->**  **Resin Type (suspension, dispersion, bulk, etc.) -->**

**Resin Production Rate (lbs/day) -->**

**Sample Date -->**

**Note(s) Concentration**  **(ppmw) Non-Detect?**  **Note(s) Concentration**  **(ppmw) Non-Detect?**  **Note(s) 29**  **30 28** 



### EPA-HQ-OAR-2002-0037-DRAFT-0526 10/28/2013 10 of 10