## Cover Letter

May 10, 2010 To: U.S. EPA Office of Pollution Prevention & Toxics New Chemicals Program (7405M) 1200 Pennsylvania Avenue, NW Washington, DC 20460 Subject: PMN – New Chemical Substance Dear Sir/Madam: As required under section 5 of TSCA we are attaching an e-PMN {XXX} for a new chemical substance for review by EPA. We are also submitting some additional information as was recommended during our pre notice meeting (5481) on October 28, 2009. A check of $2500 has been sent to EPA to cover the PMN fee (check #0804279) We appreciate the opportunity to working with you on this PMN and if you have any questions or need any additional information during the review process, please do not hesitate to contact me at 267-328-8762. Sincerely, {XXX}

Page 1 SANITIZED SUBMISSION

### 0804279 PMNX100526105858995 TYC001

X X

X

X Page 2 SANITIZED SUBMISSION

### X

Page 3 SANITIZED SUBMISSIONXXX XXX XXX XXX XXX XXX XXX XXX

XXX XXX XXX XXX XXX XXX XXX XXX XXX 

## X

X

X

X XXX


## X X

Page 4 SANITIZED SUBMISSION

## X

XXX 

## X

XXX 

## X 146787 CAS-IES report - sanitized.pdf XXX 

## X See Attachment 006 (Structure drawing - sanitized.pdf)

Structure drawing - sanitized.pdf Page 5 SANITIZED SUBMISSIONPage 6 SANITIZED SUBMISSIONPage 7 SANITIZED SUBMISSIONPage 8 SANITIZED SUBMISSIONNone

XXX

Perfluorinated amphoteric surfactant 

## X Diethylene glycol butyl ether 112-34-5 20 Ethanol 64-17-5 5

Sodium Chloride 7647-14-5

Page 9 SANITIZED SUBMISSIONXXX XXX 

## X

X Surfactant additive for dispersive use in fire fighting foams and vappor suppressing foams. XXX 

### X XXX 

### X XXX 

### X 0 0 0 100

XXX 

### X XXX 

### X XXX 

### X 0 0 0 100

Page 10 SANITIZED SUBMISSION

## X

XXX XXX XXX 

## X 1

XXX 

## X XXX XXX XXX XXX XXX 

## X

Page 11 SANITIZED SUBMISSIONSee Attachment 001 (Sanitized Version of Foam Process Operation.pdf)

Sanitized Version of Foam Process Operation.pdf Page 12 SANITIZED SUBMISSIONCharge 49% solution to

blend tank. See continuation page. id: <P9SA2(3)C1R1> 49% liquid 2 .25 50 Packaging out finished product. Safety glass and gloves. Potential spills are contained and sent off site for incineration. 5% Liquid Solution 1 6 50

Page 13 SANITIZED SUBMISSIONP9SA2(3)C1R1 Part II, Section A, 2.(3) Prot. Equipment, etc., Row 1

Safety glasses and gloves. Wash water from cleaning out drums is charged to the batch. Potential spilled material is collected and sent off site for incineration.

Page 14 SANITIZED SUBMISSION

## X XXX XXX 

## X

1 10 Kg Off-site Incineration Material is pumped to holding tank and then picked up for off site incineration. 0.1 Kg 2 0.5 Kg POTW

Page 15 SANITIZED SUBMISSION

## X

See Attachment 002 (Sanitized Combined SZ-203 Process Operation.pdf)

Sanitized Combined SZ-203 Process Operation.pdf XXX 

## X

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

XXX

Page 17 SANITIZED SUBMISSIONsodium chloride

Packagi ng 2 1 25 See continuation page. id: <P10ASB2(6)C1R1> 49 49

1 0 10 Kg/year Material sent off site for incineration.

Page 18 SANITIZED SUBMISSIONP10ASB2(6)C1R1 Part II, Section B, 2.(6) Protective Equip./Eng. Controls, etc., Row 1

Safety glasses and gloves. Sprilled material will be sent off site for incineration. 49% solution.

Page 19 SANITIZED SUBMISSIONThe initial fire test results for formulas containing SZ-203 demonstrate a significant imporvement over two commercially available fluorochemicals

used in fire fighting foams. SZ-203 was tested based on a 1:1 substitution and at a 25% reduction in fluorine; both of these formulas performed as well as, or better than the existing formulas. SZ-203 will allow TFS&BP to align our fire fighting foam products with the EPA's PFOA Stewardship Program.

Page 20 SANITIZED SUBMISSION001 Process Operation Sanitized Version of Foam Process Operation.pdf Pt.2, Sec.A, 1d. 1 002 Surfactant Process Operation Sanitized Combined SZ-203 Process Operation.pdf Pt.2, Sec.B, 1a. 3 003 Sanitized MSDS for Perfluorinated Amphoteric Surfactant Sanitized MSDS for Perfluorinated Amphoteric 6 004 Sanitized Market Value Sanitized Market Value 100% Activel.pdf 1 005 CAS-IES naming report - sanitized CAS-IES report - sanitized.pdf Pt.I, Sec.B, 1c. 1 006 Chemical structure drawing - sanitized Structure drawing - sanitized.pdf Pt.I, Sec.B, 1e. 1 007 NMR Spactra - sanitized NMR Spectra - sanitized.pdf 3 008 IR Spectra IR Spectra-sanitized.pdf 1 009 Analysis Report analysis report - sanitized.doc 13 010 Preliminary TGA-MS analytical report - Sanitized preliminary TGA-MS report - sanitized.pdf 19 011 copy of issued check - sanitized copy of issued check - sanitized.pdf 2

Page 21 SANITIZED SUBMISSION

## X Estimate
1.19 Measured

XXX XXX 

## X

7-8 Measured 50%

XXX XXX 

## X XXX

Page 22 SANITIZED SUBMISSION

## ATTACHMENT HEADER SHEET Attachment Number 001 Attachment Name Process Operation 

## Associated PMN Section Number

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

## Report Number PMNX100526105858995

## ATTACHMENT HEADER SHEET Attachment Number 002 Attachment Name Surfactant Process Operation 

## Associated PMN Section Number

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

## Report Number PMNX100526105858995

## ATTACHMENT HEADER SHEET Attachment Number 003 Attachment Name Sanitized MSDS for Perfluorinated Amphoteric Surfactant 

## Associated PMN Section Number

N/A Does not contain CBI 

## Report Number PMNX100526105858995

## ATTACHMENT HEADER SHEET Attachment Number 004 Attachment Name Sanitized Market Value 

## Associated PMN Section Number

N/A Does not contain CBI 

## Report Number PMNX100526105858995

## ATTACHMENT HEADER SHEET Attachment Number 005 Attachment Name CAS-IES naming report - sanitized 

## Associated PMN Section Number

Pt.I, Sec.B, 1c. Does not contain CBI 

## Report Number PMNX100526105858995

## ATTACHMENT HEADER SHEET Attachment Number 006 Attachment Name Chemical structure drawing - sanitized 

## Associated PMN Section Number

Pt.I, Sec.B, 1e. Does not contain CBI 

## Report Number PMNX100526105858995

## ATTACHMENT HEADER SHEET Attachment Number 007 Attachment Name NMR Spactra - sanitized 

## Associated PMN Section Number

N/A Does not contain CBI 

## Report Number PMNX100526105858995

## ATTACHMENT HEADER SHEET Attachment Number 008 Attachment Name IR Spectra 

## Associated PMN Section Number

N/A Does not contain CBI 

## Report Number PMNX100526105858995

## ATTACHMENT HEADER SHEET Attachment Number 009 Attachment Name Analysis Report 

## Associated PMN Section Number

N/A Does not contain CBI 

## Report Number PMNX100526105858995

## ATTACHMENT HEADER SHEET Attachment Number 010 Attachment Name Preliminary TGA-MS analytical report - Sanitized 

## Associated PMN Section Number

N/A Does not contain CBI 

## Report Number PMNX100526105858995

## ATTACHMENT HEADER SHEET Attachment Number 011 Attachment Name copy of issued check - sanitized 

## Associated PMN Section Number

N/A Does not contain CBI 

## Report Number PMNX100526105858995