## Cover Letter

H.B.Fuller Company World Headquarters 1200 Willow Lake Boulevard Box 64683 St. Paul, MN 55164-0683 November 29th 2011 U.S. EPA Office of Pollution Prevention and Toxics Document Control Office 1200 Pennsylvania Avenue NW Washington, DC 20460 Re: PMN Submission TS-11CG01 Dear Sir or Madam, Enclosed please find documents for PMN submission TS-11CG01, and in support of the PMN documentation, a Korean study named Koptri-1134. Best Regards, Ann Lovgren Regulatory Chemist Global Regulatory Outreach H.B. Fuller Company

Page 1 SANITIZED SUBMISSION

### Agency ID 74259151569; Pay.gov ID 25531EMG 3577111129378352213 11CG01

X X

X

X Page 2 SANITIZED SUBMISSION

### X

Page 3 SANITIZED SUBMISSIONAnn Lovgren Regulatory Chemist H.B.Fuller Company P.O. Box 64683 St. Paul MN 55164-0683 ann.lovgren@hbfuller.com

Christine Griese Senior Chemist H.B.Fuller P.O. Box 64683 St. Paul MN 55164-0683 christine.griese@hbfuller.com 651-236-3324



## X X X X

Page 4 SANITIZED SUBMISSIONPage 5 SANITIZED SUBMISSIONPage 6 SANITIZED SUBMISSION

## X

XXX XXX XXX



### XXX
XXX 

### X XXX 

### X .0001


### XXX
XXX 

### X XXX 

### X .0001


### XXX
XXX 

### X XXX 

### X XXX 

### X
XXX XXX 

### X XXX 

### X XXX 

### X XXX XXX 

### X XXX 

### X XXX 

### X

Page 7 SANITIZED SUBMISSION

## X 189223 11CG01IESMethodSanitized.pdf 

## X XXX

XXX See Attachment 002 (11CG01SanitizedStructure.pdf)

11CG01SanitizedStructure.pdf Page 8 SANITIZED SUBMISSIONUR3577B

Castor oil, polymer with hydrogenated vegetable oil, 1,1' -methylenebis [isocyanatobenzene] and isocynate

Page 9 SANITIZED SUBMISSION

### 7870 63000



## X

Industrial Adhesive XXX 

### X 100 69.22 0 0 100 0

Page 10 SANITIZED SUBMISSION

## X

3000 7 67 

## 2

XXX 

## X X H.B. Fuller Company 2727 Kinney Avenue N.W. Grand Rapids Kent MI 49544-1198

Page 11 SANITIZED SUBMISSIONSee Attachment 006 (11CG01ManufacturingProcessSanitized.pdf)

11CG01ManufacturingProcessSanitized.pdf Page 12 SANITIZED SUBMISSIONH.B. Fuller Pilot Facility 3450 Labore Road Vadnais Heights Ramsey MN 55110

Page 13 SANITIZED SUBMISSIONQuality Control Sample

Procurement Glasses and or gogles, vinyl or nitrile gloves, protestive cloting, vapor mask, ventilation Product containing 69.22% new polymer 1 .25 67 Filling Containers Glasses and or gogles, vinyl or nitrile gloves, protestive cloting, vapor mask, ventilation Product containing 69.22% new polymer 1 2 67 Change filter during filling process Glasses and or gogles, vinyl or nitrile gloves, protestive cloting, vapor mask, ventilation Product containing 69.22% new polymer 1 1 67 Cleaning Reactor Glasses and or gogles, vinyl or nitrile gloves, protestive cloting, vapor mask, ventilation Product containing 69.22% new polymer 1 8 9

Page 14 SANITIZED SUBMISSIONA.

Quality Control 0.5 kg Off-site Incineration Incineration 0 kg B. Filter Disposa l 0.5 kg Off-site Incineration Incineration 0 kg

Page 15 SANITIZED SUBMISSION

## X

See Attachment 003 (11CG01CustomerOperationSanitized.pdf)

11CG01CustomerOperationSanitized.pdf Exposures and Releases: A. Exposure activity - Changing product drums 1. Potential Release - The drum liner residual should be less than 2.3 kg of product, translating to 0.8 kg of the new chemical. The product on the liner will cure upon air exposure to a water insoluble solid and can be sent to a landfill. The empty drum can then be re-used/recycled. B. Exposure Activity - Cleaning the application equipment 2. Potential Release - Cleaning is 2-4 times per annum and involves moving mineral oil through the equipment removing .5 kg of product, which translates to 0.2 kg of the new chemical. Residual product is then exposed to air and cures to a water insoluble solid and is landfilled.

Page 16 SANITIZED SUBMISSIONP10SB1(a)(4)1 Part II, Section B, 1(a)(4). Operation Site Locations

XXX

Page 17 SANITIZED SUBMISSIONA 1 .5 260 Safety glasses, gloves and protective clothing 34.61 69.22

1 0.8 kg The drum liner is removed and the residual is moisture cured to a water insoluble solid which is then landfilled. The drum is recycled/reused. B 1 1 4 Safety glasses, gloves, protective clothing 34.61 69.22

2 0.2 kg Residual product from cleaning the equipment is exposed to air, moisture cured to a solid and landfilled.

Page 18 SANITIZED SUBMISSIONPage 19 SANITIZED SUBMISSION001 11CG01 IES Method Sanitized 11CG01IESMethodSanitized.pdf Pt.I, Sec.B, 2c. 1 002 11CG01 Structure Sanitized 11CG01SanitizedStructure.pdf Pt.I, Sec.B, 2e. 1 003 11CG01 Customer Operation 11CG01CustomerOperationSanit ized.pdf Pt.2, Sec.B, 1a. 1 004 11CG01GPCDataSanitized 11CG01GPCDataSanitized.pdf Worksheet: Spectra 7 005 11CG01Koptri-1134Sanitized 11CG01Koptri-1134Sanitized.pdf 38 006 11CG01 Manufacturing Process Sanitized 11CG01ManufacturingProcessS anitized.pdf Pt.2, Sec.A, 1d. 1

Page 20 SANITIZED SUBMISSION

## X Measured 1.102 Measured

Negligble Estimate 

## X 004 Measured

Page 21 SANITIZED SUBMISSION

## ATTACHMENT HEADER SHEET Attachment Number 001 Attachment Name 11CG01 IES Method Sanitized 

## Associated PMN Section Number

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

## Report Number 3577111129378352213

## ATTACHMENT HEADER SHEET Attachment Number 002 Attachment Name 11CG01 Structure Sanitized 

## Associated PMN Section Number

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

## Report Number 3577111129378352213

## ATTACHMENT HEADER SHEET Attachment Number 003 Attachment Name 11CG01 Customer Operation 

## Associated PMN Section Number

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

## Report Number 3577111129378352213

## ATTACHMENT HEADER SHEET Attachment Number 004 Attachment Name 11CG01GPCDataSanitized 

## Associated PMN Section Number

Worksheet: Spectra Does not contain CBI 

## Report Number 3577111129378352213

## ATTACHMENT HEADER SHEET Attachment Number 005 Attachment Name 11CG01Koptri-1134Sanitized 

## Associated PMN Section Number

N/A Does not contain CBI 

## Report Number 3577111129378352213

## ATTACHMENT HEADER SHEET Attachment Number 006 Attachment Name 11CG01 Manufacturing Process Sanitized 

## Associated PMN Section Number

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

## Report Number 3577111129378352213