SANITIZED 


ft 	 PREMANUFACTURE , NOTICE r

~EPA i.

FOR NEW CHEMICAL SUBSTANCES 

\\ hC!l DOCUMENT CONTROL OFFICER 


"'lllpkl,,1 OFFICE OF POLLUTION PREVENTION 


-...\..Ihlllll" AND TOXIC SUBSTANCES, 7407 
 Company Sanitized [(l! 11 t\l U.S. E.PA 401 M STREET, SW 

WASHINGTON, D.C. 20460 

Enter the total number ofpages 

in the Prernanufacrure Notice 

FonnA 

U.S. ENVIRONMENTAL PROTECTION AGENCY 

Dale of receipt 

INSTRUCTIONS 

• 	 You must provide all information requested in this form to the extent that it is known to or reasonably ascertainable by you. Make reasonable estimates ifyou do 

not have actual data. 

• 	 Before you complete this form, you should read the "Instructions Manual for Premanufacture Notification" (the Instructions Manual is available from the Toxic 

Substances Control Act (TSCA) Information Service by calling 202-554-1404, or faxing 202-554-5603). 

• 	 Ifa user fee has been remitted for this notice (40 CFR 700.45), indicate in the boxes above the TS-user fee identification number you have generated. Remember, 

your user fee ID number must also appear on your corresponding fee remittance, which is sent to EPA, HQ Accounting Operations Branch (PM-226), P.O. 

360399M, Pittsburgh, PA 15251-6399, Attn. TSCA User fee. 

Part I - GENERAL lNFORMA TION 

You must provide the currently correct Chemical Abstracts (CA) Name of the new 

chemical substance, even ifyou claim the identity as confidential, You may authorize 

another person to submit chemical identity infonnation for you, but your submission will 

not he complete and the review will not begin until EPA receives this infonnation. A letter 

in support of your submission should reference your TS user fee identification numher. 

You must submit an original and two copies of this notice including all test data, If you 

claimed any infonnation as confidential, a single sanitized copy must also be submitted, 

Part II - HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE 

If there are several manufacture, processing, or use operations to be descnbed in Part II, 

sections A and B of this notice. reproduce the sections as needed, 

Part III-LIST OF ATTACHMENTS 

Attach additional sheets ifthere is not enough space to answer a question fully, Label each 

continuation sheet with the corresponding section heading. In Part Ill. list these 

attacbment~, any test data or other data and any optional infonnation included in the notice. 

OPTIONAL INFORMATION 

You may include any infonnation that you want EPA to consider in evaluating the new 

substance, On page II of this fonn. space has been provided for you to described 

pollution prevention and recycling infonnation you may have regarding the new substance, 

So-called "binding" boxes are included throughout this fonn for you to indicate your 

willingness to be bound to certain statements you make in this section, such as use, 

production volume, protective equipment, ,. This option is intended to reduce delays that 

routinely accompany the development of consent orders or Significant New Use Rules, 

E){cept in the case of exemption applications (such as TMEA, LVE, LOREX) where 

certain infonnation provided in such notification is binding on the submitter wben the 

Agency approves the exemption application. checking a binding box in this notice ~ 

by itself prohibit the submitter from later deviating from the infonnation (except chemical 

identity) reported in the fonn. 

CONFIDENTIALITY CLAIMS 

You may claim any information in this notice as confidentiaL To assert a claim on the 

form, mark (X) the confidential box next to the ;nfonnation that you claim as confidentiaL 

To assert a claim in an attacbment, circle or bracket the infonnation you claim as 

confidentiaL Ifyw claim information in the notices as confidential yw must also provide 

a sanitized version ofthe notice <including attachments), For additional instructions on 

claiming information as confidential, read the Instructions Manual. 

X Mark (x) if any information in this notice is claimed as confidentiaL 

TEST DATA AND OTHER DATA 

You are required to submit all test data in your possession or control and to provide a 

description of all other data known to or reasonably ascertainable by you, if these data are 

related to the health and environmental effects on the manufacture, processing, 

distribution in commerce, use, or disposal ofthe new chemical substance, Standard 

literature citations may be submitted for data in the open scientific literature. Complete 

test data (written in English) not summaries ofdata must be submitted if they do not 

apPear in the open literature, You should clearly identitY whether test data is on the 

substance or on an analog. Also, the chemical composition ofthe tested material should 

be characterized, Following are examples of test data and other data, Data should be 

submitted according to the requirements of §720,50 ofthe Premanufacture Notification 

Rule (40 CFR Part 720), 

Test Data (Check Below any included in this notice) 

Environmental fate data DYes • Other data 0 Yes 

Health effects data DYes Risk assessments 

Environmental effects data DYes Structure/activity relationships 

Physical/Chemical Properties' 181 Yes Test data not in the possession 

or control ofthe submitter 

A physical and chemical properties worksheet is located on the last page of this fonn, 


'lYPE OF NOTICE (Check Only One) 


X PMN (Premanufacrure Notice) 


o 

o 

o 

o 

o 

o 

INTERMEDIATE PMN (submitted in sequence with final product PMN) 

SNUN (Significant New Use Notice) 

,.. ) c- " C. TMEA (Test Marketing Exemption Application) r,~ j 

r-~) 

LVE (Low Volume Exemption) @ 40 CFR 723.5O(c){U: 

LOREX (Low Release/Low Exposure Exemption) @"Iffi CFR 723,50(c)(2) 

--'-.) 

LVE Modification o LOREX.Mcdification

,.. " 

IS THIS A CONSOLIDATED PMN? o Yes f\,) 

# of chemicals '.' 

Prenotice Communication # re uired, enter # on a 3 
Public 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 ofthis collection of information, including suggestions for 

reducing this burden, to Chief, Information 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), Washin}.tton, D.C. 20503. 

CERTIFICATION 

I certify that to the best ofmy knowledge and belief: 

1. 	 The company named in Part I, section A, subsection 1 a ofthis notice form intends to manufacture or import for a 

commercial purpose, other than in small quantities solely for research and development, the substance identified in Part I, 

Section B. 

2. 	 All information provided in this notice is complete and truthful as ofthe 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 

o The Company named in Part I, Section A has remitted the fee of$1 000 for an Intermediate PMN (defined @ 40 CFR 


700.43) in accordance with 40 CFR 700.45(b), or 


o 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 (LVEl 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: 

o The manufacturer submitting this notice intends to manufacture or import the new chemical substance for commercial 


purposes, other than in small quantities solely for research and development, under the terms of40 CFR 723.50. 


o 	The manufacturer is familiar with the terms of this section and will comply with those terms; and 

o 	The new chemical substance for which the notice is submitted meets all applicable exemption conditions. 

o If this application is for an LVE in accordance with 40 CFR 723.50(c)(l), the manufacturer intends to commence 

manufacture of the exempted substance for commercial purposes within I year of the date of the expiration of the 30 day 

review period. 

The accuracy of the statements you make in this notice should reflect your best prediction of tile anticipated facls regarding the chemical substance 

described herein. Anv knowine: and willful misinterpretation is subiect to criminal oenaltv Dursuant to 18 USC 1001. Confidential 

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

Signature of agent - (if applicable) Date 

1. 

x 
la. Person 

Submitting 

Notice (in U.S.) 

b. Agent (if 

applicable) 

Name of authorized ial 

Company 

Mailing address (number and street) 

City, State, ZIP Code Telephone 

c. If you are submitting this notice as part of a joint submission, mark (X) . box. ______________________• 

Joint Submitter (if 

applicable) 

Name of authorized official 

2. Technical 

Contact (in 

U.S.) 

Company 

Mailing 

City, State, ZIP Code 

3. Ifyou have had a prenotice communication (PC) concerning this notice and 

EPA assigned a PC Number to the notice, enter th=e.::num=be=r.____-+~ 

4. Ifyou previously submitted an application for chemical 

substance covered by this notice. enter the exemption number assigned by 

EPA. Ifyou previously submitted a PMN for this subsllmce enter the PMN 

number EPA (i.e. withdrawn or • 

5. 

6. 

for the chemical substance covered by this notice, enter the notice number 

assigned by EPA. .. 

I. 

Type of Notice - Mark (X) 

Manufacture 

Only 

o Binding Option 

Position 

Telephone 

Mark (X) ~ 

if none 

Mark (X) ~ 

if none 

Mark (X) ~ 

if none 

: 2. Import I 

Only : 3. X Both 

0 Binding Option 

EPA FORM 7710-25 (Rev. 5-95) 3 Replaces previous editions of EPA Form 7710-25 
x 

I. 

If another person will submit chemical identity information for you (for either Item I or 2), mark (X) the box at the right. 

Class 1 or 2 chemical sut)sta:nc(~ 

a. Class of substance - Mark (X) or 

the Instructions Manual) 

Class 2 

.. 

substance based on 

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 

be provided, which ever is appropriate based on CA 9CI nomenclature rules and conventions). 

reported in this notice: (check 


one). 


X Method I (CAS Inventory Expert Service - a copy of the Identification D Method 2 (Other Source) 


report obtained from the CAS Inventory Expert Services must be 

c. 	 Please Identify which 

d. 

Complex mixture 

CAS#NoCAS# 

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

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

range of composition and the typical composition (where appropriate). (4) Provide a correct representative or partial chemical structure (H!;Ul"r2nl ~4'! 1"""",,,lFtp "'~ r~t1 h". 1-n"111" ;f nnpo "~n h .... rP".:I~nn'!)h1" ",,,,.pf't~lnAA 

See attachment page 14 and 15 

EPA FORM 7710-25 (Rev. 5-95) 4 Replaces previous editions of EPA Form 7710-25 
Part I -- ( ;I<;N I<;H A.I IDII<I JKM AlION -- C'nnnnJlI'd 

Section B­ ~A.LIDEN'II. INFORMATION2. Polymers (For a definition of polymer, see the Instructions Manual.) Confidential 

a. Indicate the number-average weight ofthe lowest molecular weight composition of the polymer you intend to manufacture. 

Indicate maximum weight percent oflow molecular weight species (not including residual monomers, reactants, or solvents) below 500 and 

below I ,000 absolute molecular weight of that composition. 

Describe the methods of measurement or the basis for your estimates: GPCD Other D: (Specify) 

i) lowest number average molecular weight: 

ii) maximum weight % below 500 molecular weight: 

iii) maximum weight % below 1000 molecular weight: 

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

b. You must make separate ..t:. . c1ai~ for monomer or other reactant identity, composition information, and residual information. Mark (X) the 

"Confidential" box next to any item you claim as confidential 

(I) - 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 (I) 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 entry in column (6) is confidential. 

Monomer or other reactant and CAS Registry Number Confi- Typical _I~e~ti~_ Confi- Maximum Confidential composition (4)(XJ dential residual dential 

(I) (2) (3) m (§) (71 

% % 

% % 

% % 

% % 

% % 

% % 

% % 

[ J Mark (X) this box ifyou attach a : sheet. 

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

D Method I (CAS Inventory Expert Service - a copy of the identification report D 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 P""""''''''' 

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

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

5 
Part I -- GE~F,RA.T lN~OKMA"lUN -- ('olltinued 

Section B ­ :H~;MICAI U~l~ II INJ<UKMATION ­ r .. 3, Impurities 

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

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

(b) - Estimate the mHimlllTl weight % of each impurity, If there are unidentified estimate their total weight %, 

Impurity and CAS Registry Number Maximum Confipercent dential 

(a) (b) 

X 

X 

% 

% 

% 

% 

% 

[ ] Mark (X) this box if you altach a I sheet. 

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

X 

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

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

Ancam ine 2624 

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

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. 

Mannich base 

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

7, Byproducts ­ Describe byprrvillrt~ resulting from the manufacture, processing, use, or disposal of the new chemical substance. Provide the CAS Registry 

Number if ~v~ihhl" 

D. CAS Regis!TY Number Confi­ -J. (\) (2) dential 

X 

[ ] Mark (X) this box if you altach a continuation sheet. 

EPA FORM 7710-25 (Rev. 5-95) 6 Replaces previous editions of EPA Fonn 77 10-25 
SEP-26-2002 16:59 APe! 610 706 7029 P.03 

Part 1- GENERAL INFORMATION - Continued SfLNII)"Z..~[) CO}>! 

Section C - PRODUCTION. IMPORT. AND USE INFORMATION: 

Mark (X) the "Confidential" box next to any item you claim as confidential. 

1. Production volume ­ Estimate: me maximum production volume during the first 12 montha ofproduction. Also estimate the; maximum 

production volume for any consecutive 12-month period during the first three years of production. Estimates should be on 100% new chemical 

substance basis. For a Low Volume ElItmption application, if you choose to have your norice reviewed at a lower production volume than 

10.000 k2lvr. S1)ocifv the:: volume and mark (x) in the bindil1f box. If ImUIted. you are bound 10 this volume 

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

(100% new chemical substance basis) 000% new chemical substance basis) dential Option 

Mark (x) 

X 

1­ Use IDformation - You must malc:e sep4rale confidentiality claims for thc 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 10 any item 

you claim as confidential. 

a. (1)­ Describe: each intended calegol)' of use of the new chemical substanoe by function and application .. 

(2) -­ Mark (X) this column if entry column (I) is confidential business information (CBI). 

(3) -­ Indicate your willingness 10 have the information provided in column (I) binding. 

(4) -- ESlimate the percent of 1014\ production for the firsl three years devoted to each category of use. 

(5) - Mark (X) this column if entry in column (4) is confidential business information (CBI). 

(6) -. Estimale the percent of the new substance as fonnulatcd in mixtures, suspensions, emulsions, solutions, or gels as manufactured for 

commercial purposes at sites under your control associated with each C8legOTy of u~ 

(7) ­ Mark (X) this column if entry in column (6) is confidential businds information (CSI). 

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

(9) -­

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

Mark (X) this column ifenn Y(ies) in column (8) is (are) confidential business information JeBl). 

C8tegOl'y ofuse ( 1 ) CBI 8CIdini: Produc- CDI %in CBI % ofsubstance expechld per use CBI ()pilot! tion% fonn­ (8) 

(by function and application i.e. a dispersive dye MWIr.(~ ulation Site- Con-" Indus- Com- Binding Cor finishi~ DOIvC$ler fib";) (2) Il) (4) (S) (61 (7) limited sumer trial mercial Optioll (9) 

Curative for Epoxy resin (to 100% 20 'Yo 100% 

improve chemical resistance 

I;' e;., 

9;' 0;. 

0;' % 

";. 0;' 

% ./. 

0/. % 

.. Ifyou have identified a "consllJIl«" lISe, please provide on a continuation sheet Il detailed dc8cription of the use(s) ofthis chemical substance in oonsumer products. 

In addition include estimateS of'the concClltnition of the new chemical substanGC IS expected in consumer products and dcecribe the chemical reactions by which 

this su~tance 10tiC!l ill; identity in the oonsumer prodUCL 

o Mark (X) this box ifyou attach a continuation sheet. 

b. Generic (fyou claim any calegory oruse description in $ub9cction 2& as oonfidential, entu a generic description ofthat category. Read the use Instructions Manual for examples of generic usc dc:scriptiOl\3. 

description 

Use categOries not claimed contidmtial 

o Mule (X) this box ifyou aaacb a continuation sheet. 

3. ~.zard ~Dfor~tI.~ Includ~ in the lIO(ioe a copy of.reasonable fa~simile of any hazard warning statement, libel, material safety data sbeet, or other BiDdias 

mfonnatlOn w~ WIll be provlllcd to any penon who IS reasonably likely to be ellposcd 10 this substance regarding protective equipment or practices Opciea 

for the safe haMIIlg, ttanspott. use, or disposal of the new substance. List in part III hazIud information you include. .....kl·) 

XMaJk (X) this box If you attach hazard information. 

EPA FORM 7710-25 (Rev. 5-95) Replaces preyious editions of EPA Fonn 7710-25 

TOTAL P.03 
x 

Part 11-- HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE 

Section A Mark (X) the "Confidential" box next to any item you -- INDUSTRIAL SITES CONTROLLED BY THE SUBMITTER 

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 

s manual 

Confisite at which the will occur. dential 

there are further industrial use 

I. 

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 ofthe sites have significantly different 

produetion rates or operations, include all the information requested in this section for those 

Use 

I Batches/year I 

Maximum kglbatch (100% new chemical I Hourslbatch 	 I Batches/year 

substance) 	I I 

I 

2, Continuous 

d, Process description Mark (X) to indicate your willingness to have your process description binding. 

(I) 	 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 kglbatch on a 100% new chemical substance basis), and entry point ofall 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 release, including small or intermittent releases, to the enviromnent of the new chemical substance. 

See attached pages 16 and 17 

XMark 

EPA FORM 7710-25 (Rev. 5-95) 	 8 previous editions ofEPA Form 77\0-25 

I. Batch 

x 

x 
Part 11-- 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 ofworker activity, physical form ofthe new chemical substance, 

number of works exposed, and duration of activity. Mark (X) the "Confidential" box next to any item you claim as confidential. 

(I) -- 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 (I) is confidential business information (CBI). 

(3) -- Describe any protective equipment and engineering controls used to protect workers. 

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

(5) --Indicate the physical formes) ofthe new chemical substance (e.g., solid: crystal, granule, powder, or dust) and % new chemical substance (if part ofa 

mixture) at the time ofexposure. 

(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 (II) -- Estimate the maximum duration ofthe activity for any worker in hours per day and days per year. 

(12) -- Mark (X) this column if entries in columns (10) and (\ I) are confidential business information (CBI). 

Worker activity eBI Protective Equipment! Binding Physical funns(s) Binding eBI #of eBl Maximum duration eBI 

(i.e., bag dumping, filling drums) Engineering Controls Oplion and % new Option Workers Hrs/day Days/yT Mark (xl substance Mark (x) Expose 

(I) (2) (3) (4) (5) (6) (7) d (9) (10) (11) (12) 

(8) 

Changing and disposing of Filters X X X X 

I 

Cleaning reactor/equipment X X X X 

Drumming off X X X 

Sampling X X X X 

ac Lab Work X X X X 

[ ] 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 ofthe new chemical substance 

released and other release and disposal information. Mark (X) the "Confidential" box next to each item you claim as confidential. 

(I) -- Enter the number of each release point identified in the process description, part II, section A, subsection I d(3). 

(2) -- Estimate the amount ofthe new substance released (a) directly to the environment or (b) into control technology (in kg/day or kglbatch). 

(3) -- Mark (X) this column if entries in columns (I) 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 ofthe new substance to the environment. For releases 

disposed ofon 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 inrormation (CBI). 

(7) Identify the destination(s) ofreleases to water. Please supply NPDES (National Pollutant Discharge Elimination System) numbers for direct discharges or 

NPDES numbers ofthe POTW (PublicI Owned Treatment Works). Mark (X) ifthe POTW name or NPDES # is confidential business information (CBI). 

Release Amount ofnew substance CBI Media of Control technology and efficiency (you may wish to optionally attach efficiency data) CBI 

Number released release 

(I) (2a) (2b) e.g. stack air I Binding 

(3) (4) (5a) I Mark (Xl (5b) (6) 

1 X I 

I X I 

I 

2 X I X I 

I 

I 

3 X I X I 

I 

I 

4 X I X I 

I 

I 

5 X I X I 

I 

I 

(7) Mark (X) the XPOTW provide name(s) below: ~ D Navigable D Other Specify provide NPDES # CBI 

r-b destination( s) of Los Angeles County Sanitation District X waterway 

releases to water. 

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

9 

Part 11- 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. Ifthe same operation is performed at more than one site describe the 

typical operation cornmon to these sites. Identify 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 

(I) -- 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 kgiday or kglbatch, 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 ifnot used daily or per batch). (3) -- Identify by number the points ofrelease, 

including small or intermittent releases, to the environment ofthe new chemical substance. (4) Please enter the # ofsites (remember to identify the locations of 

these sites on a continuation sheet): 

bast} 

# of sites 

See attached page 19. 

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

2. Worker ExposurelEnvironmental Release 

(I) -- From the diagram above, provide the letter for each worker activity. Complete 2-8 for each worker activity described. 

(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 kgidayor kglbatch). 

(\2) -- 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), II), (13) and (15) -- Mark (X) this column if any ofthe proceeding entries are confidential business information (CBI). 

Letter 

of 

Activity 

# of 

Workers 

Exposed 

CBI Duration 

of 

Exposure 

CBI Protective Equip. I 

Engineering Controlsl 

Physical Form and % 

new substance 

%in 

Fonnulation 

CBI Release 

Number 

Amount of 

New 

Substance 

Released 

CBI Media ofRelease 

& Control 

Technology 

CBI 

(I) (2) 

X 

(3) 

I 

I 

I 

I 

(4a) I (4b) 

X 

(5) (6) (7) 

X 

(8) (9) 

I 

I 

I 

I 

(lOa) I (lOb) (I J) (12) (J3) 

X I 

I 

I 

X X I 

I 

I 

X 

X I 

I 

I 

I 

X X I 

I 

I 

I 

X 

X I 

I 

I 

I 

X X I 

I 

I 

I 

X 

14) -- Byproducts: 

None 

(15) 

[ ] Mark (X) this box if you attach a continuation sheet, 

lU 
OPTIONAL POLLUTION PREVENTION INFORMATION 

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

ill this section you may provide information not reported elsewhere in this fonn 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 infonnation 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 refonnulation, 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 ofpollution prevention, source reduction and recycling should 

emphasize potential risk reduction subsequent to compliance with existing regulatory requirements and can be either 

quantitative or qualitative. The EPA is interested in the infonnation to assess overall net reductions in toxicity or 

environmental releases and exposures, not the shifting ofrisks to other environmental media or non-environmental areas 

(e.g., occupational or consumer exposure). ill addition, infonnation on the relative cost or perfonnance characteristics of 

the PMN substance to potential 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 2uidance 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 ofwaste 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. 

Ancamine 2624, is a new product, specifically designed to improve the chemical resistance of the 

cured system. High chemical resistance coatings are required to protect the concrete in many civil 

engineering structures, such as, water treatment plants, secondary containment structures, 

chemical plants, food factories, abattoirs and hospitals. The product can be used to replace other 

curing agents based on aromatic amines and thereby making the system safer to handle. This 

product, which is a Mannich base, does not contain any free phenol. Very often Mannich bases will 

have some residual phenol and phenol is a toxic substance. The product has a strong ammonia 

type smell, which comes from the free DETA remaining in the product. The manufacture of the 

Ancamine 2624 is carried out in such a way that the dimethylamine byproduct formed during the 

reaction can be captured in water and reused in the manufacture of the raw material Ancarnine 

K54. 

See attached MSDS on pages 22-28. 

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

11 
Part III -- LIST OF AITACHMENTS 

Attach continuation sheets for sections ofthe 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 ofthe 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) 

Chemical Identity Information (Part I, Section B) 14-15 

Confidential 

X 

Operation Description (Part II, Section A-1d) 16 X 

Possible point of release in air, land and water (Part II, Section A-1d) 17 X 

Information regarding plants we control (Part II, Section A-2) 18 X 

Operation at plants we do not control (Part II, Section B-1) 19 X 

Infrared Spectrum (Ancamine 2624) 20 X 

Material Safety Data Sheet (Ancamine 2624) 21-28 X 

Chemical name assignment by Inventory Expert Service 29 X 

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

EPA FORM 7710-25 (Rev. 5-95) Replaces previous editions of EPA Form 7710-25 

12 
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% pure) chemical 

substance. Properties that are measured for mixtures or formulations should be so noted (% PMN substance in _l. 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 oftest data. 

This worksheet is not a substitute for submission of test data. 

I Property IpEj!d Page Value 

number 

(a) (b) (c) 

Physical state of neat substance (s) X_en. (g) 

Vapor pressure 

@ Temperature OF 

Density/relative density 

@ Temperature OF g/cm3 

Solubility 

@ Temperature °C 

Solvent gIL 

Solubility in water @ Temperature 25°C Fullv soluble 

Melting temperature °C 

Boiling I sublimation temperature@ torr pressure °C 

Spectra See oa!!:e 20 

Dissociation constant 

Particle size distribution 

Octanoll water partition coefficient 

Henry's Law constant 

V olitalization from water 

Volitalization from soil 

pH @ concentration Aq. Soln. 

Flammability Flash Point °C 

Explodability 

Adsorption I coefficient 

Other - SpecifY 

lMeasured 0 Confi· 

Estimate dential 

Mark (X) 

(M or E) (d) 

M 

M X 

M X 

M 

M X 

M X 

M X 

M X 

ATTACHMENT 

PAGE 13 
Section B CONFIDENTIAL 

1.d. 

14 
CONFIDENTIAL 


15 

CONFIDENTIAL 


Part II Section A 

1d. Process description 

16 
CONFIDENTIAL 

17 

CONFIDENTIAL 

Part II - Human Exposure and Environmental Release 

Section A - Industrial Site controlled by the submitter. 

18 

CONFIDENTIAL 


Part II - Human Exposure and Environmental Release 

Section B - Industrial sites controlled by others 

19 

Infrared Spectrum CONFIDENTIAL 

20 
MATERIAL SAFETY DATA SHEET 

SECTION 1 - MATERIAL IDENTIFICATION 

PRODUCT NAME ANCAMINE* 2624 CURING AGENT 

*ANCAMINE is a registered trademark of Air Products 

and Chemicals. Inc. 

MSDS REVISION NUMBER 1 

MANUFACTURER Air Products and Chemicals. Inc. 

7201 Hamilton Blvd., 

Allentown. PA 18195-1501 

www.airproducts.comimsds 

TELEPHONE NUMBER 800-345-3148 

EMERGENCY TELEPHONE NUMBER(S) 

800-523-9374 (Continental U.S.) 

610-481-7711 (Outside Continental U.S.) 

REVISION DATE JULY 2002 

****************************************************************************** 

EMERGENCY OVERVIEW 

****************************************************************************** 

HMISHEALTH 3 FLAMMABILITY 1 REACTIVITY 1 

PHYSICAL FORM Liquid 

COLOR Amber 

HAZARDS Corrosive to eyes. Corrosive to respiratory system. 

Corrosive to skin. Severe eye irritant. Severe 

respiratory tract irritant. Severe skin irritant. 

EXTINGUISHING MEDIA Ignition will give rise to a Class B fire. In case of 

large fire use: alcohol foam, water spray. In case of 

small fire use: carbon dioxide (C02), dry chemical, 

dry sand or limestone. 

****************************************************************************** 

C.A.S. CHEMICAL NAME Mixture 

SYNONYMS None 

CHEMICAL FAMILY Mannich Base 

EMPIRICAL FORMULA Mixture 

INTENDED USE Experimental Sample; aU components are not on 

the EPA TSCA Inventory 

REVISION NOTES Updated European Information. EEC RISK PHRASES 

Updated fire and explosion data. FLASH POINT 

(closed cup) Updated Reactivity Information. 

Updated Waste Disposal Information. Updated 

21 
handling and storage information. 

SECTION 2 ~ INGREDIENTS 

Num% CAS Number and Chemical Name 

1. <90.00 Mannich Base 

2. <20.00 111~40~O Diethylenetriamine 

The remaining components are trade secret. 

OSHA (ACGIH) EXPOSURE LIMITS 

TWA STEL CEILING 

ppm mglm3 ppm mglm3 ppm mglm3 

1. OSHA N/E 

ACGIH NIE 

NIE 

NIE 

NIE 

NIE 

NIE 

NIE 

N/E 

NIE 

N/E 

N/E 

2. OSHA NIE 

ACGIH N/E 

NIE 

NIE 

NIE 

NIE 

NIE 

NIE 

NIE 

NIE 

NIE 

NIE 

NIE "" Not Established. 

SECTION 3 ~ HEALTH HAZARDS 

ROUTES OF EXPOSURE 

Eye Contact 

Skin Contact 

Ingestion 

Inhalation 

EXPOSURE STANDARDS 

See Section 2 for exposure standards on ingredients. Maintain air 

contaminant concentrations in the workplace at the lowest feasible levels. 

HEALTH HAZARDS 

Corrosive to eyes. 

Corrosive to respiratory system. 

Corrosive to skin. 

Severe eye irritant. 

Severe respiratory tract irritant. 

Severe skin irritant. 

TARGET ORGANS 

Eye 

Skin 

Respiratory system 

SIGNS AND SYMPTOMS OF EXPOSURE (Acute effects) 

Product vapor in low concentrations can cause lacrimation, conjunctivitis 

and corneal edema when absorbed into the tissue of the eye from the 

atmosphere. Corneal edema may give rise to a perception of "blue haze" 

or "fog" around lights. The effect is transient and has no known 

residual effect. Burns of the eye may cause blindness. Contact of 

undiluted product with the eyes or skin quickly causes severe irritation 

and pain and may cause burns, necrosis and permanent injury. 

Inhalation of vapors may severely damage contacted tissue and produce 

22 
scarring. Inhalation of aerosols and mists may severely damage contacted 

tissue and produce scarring. 

SIGNS AND SYMPTOMS OF EXPOSURE (possible Longer Term Effects) 

Repeated and/or prolonged exposures may result in: adverse respiratory 

effects (such as cough, tightness of chest or shortness of breath), 

adverse eye effects (such as conjunctivitis or corneal damage), adverse 

skin effects (such as rash, irritation or corrosion). 

Effects from inhalation of vapors may be delayed. Repeated and/or 

prolonged exposure to low concentrations of vapor may cause: sore throat 

which are transient. 

MEDICAL CONDITIONS GENERALLY AGGRAVATED BY EXPOSURE 

Asthma 

Chronic respiratory disease (e.g. Bronchitis, Emphysema) 

Eye disease 

Skin disorders and Allergies 

CARCINOGENS UNDER OSHA, ACGIH, NTP, IARC, OTHER 

This product contains no carcinogens in concentrations of 0.1 percent or 

greater. 

SECTION 4 - FIRST AID 

EYE CONTACT 

Hold eyelids apart and immediately flush eyes with plenty of water for at 

least 15 minutes. Seek medical advice. 

SKIN CONTACT 

Remove contaminated clothing and shoes. Remove product and immediately 

flush affected area with water for at least 15 minutes. Destroy 

contaminated leather apparel. Cover the affected area with a sterile 

dressing or clean sheeting and transport for medical care. Do not apply 

greases or ointments. Control shock, if present. Launder contaminated 

clothing prior to reuse. 

INHALATION 

Move patient to fresh air. Ifbreathing has stopped or is labored give 

assisted respiration (e.g. mouth-to-mouth). Supplemental oxygen may be 

indicated. Seek medical advice. Prevent aspiration of vomit. Turn 

victim's head to the side. 

INGESTION 

In the event of ingestion, administer 3-4 glasses of milk or water. Do 

not induce vomiting. Seek medical advice. 

SECTION 5 - FIRE AND EXPLOSION DATA 

FLASH POINT (closed cup) 103.20 C (218.0 F) 

UPPER EXPLOSION LIMIT (UEL) not done 

LOWER EXPLOSION LIMIT (LEL) Not done 

EXTINGUISHING MEDIA 

Ignition will give rise to a Class B fire. In case of large fire use: 

water spray, alcohol foam. In case ofsmall fire use: carbon dioxide 

(C02), dry chemical, dry sand or limestone. 

23 
SPECIAL FIRE FIGHTING PROCEDURES 

A face shield should be worn. Firefighters should wear butyl rubber 

boots, gloves, aud body suit and a self-contained breathing apparatus. 

Retain expended liquids from fire fighting for later disposal. 

UNUSUAL FIRE AND EXPLOSION HAZARDS 

May generate toxic or irritating combustion products. 


Contact of liquid with skin must be prevented. 


Sudden reaction and fire may result if product is mixed with an 


oxidizing agent. 


May generate carbon monoxide gas. May generate toxic nitrogen oxide 


gases. May generate ammonia gas. 


Personnel in vicinity and downwind should be evacuated. 

SECTION 6 - ACCIDENTAL RELEASE MEASURES 

CONTAINMENT TECHNIQUES (Removal of ignition sources, diking etc) 

Stop the leak, if possible. Ventilate the space involved. Reduce vapor 

spreading with a water spray. Shut off or remove all ignition sources. 

Construct a dike to prevent spreading (includes molten liquids until they 

freeze). 

CLEAN-UP PROCEDURES 

Ifrecovery is not feasible, admix with dry soil, sand or non-reactive 

absorbent and place in an appropriate chemical waste container. Transfer 

to containers by suction, preparatory for later disposal. Place in metal 

containers for recovery or disposal. Flush area with water spray. Cleanup personnel must be equipped with self contained breathing apparatus and 

butyl rubber protective clothing. For large spills, recover spilled 

material with a vacuum truck. 

OTHER EMERGENCY ADVICE 

Open enclosed spaces to outside atmosphere. Wear protective clothing, 

boots, gloves, and eye protection. 

SECTION 7 - HANDLING Al~D STORAGE 

STORAGE 

Keep away from: acids, oxidizers. Keep in cool, dry, ventilated storage 

and in closed containers. Store under inert atmosphere. Store under a 

nitrogen atmosphere. Do not store in reactive metal containers. Product 

may partially freeze with extended exposure to cold temperatures. Product 

should be stored at temperatures above 40 F. 

HANDLING 

Avoid contact with skin or eyes. Avoid breathing of vapors. Handle in 

well ventilated work space. Handle under inert gas atmosphere in dry 

equipment. When handling, do not eat, drink, or smoke. Avoid using in any 

spray application without strict conformance to aU applicable electrical 

codes and the OSHA limit for maximum allowable airborne concentrations. 

OTHER PRECAUTIONS 

Emergency showers and eye wash stations should be readily accessible. 

Adhere to work practice rules established by government regulations (e.g. 

OSHA). 

24 
SECTION 8 - PERSONAL PROTECTION I EXPOSURE CONTROLS 

EYE PROTECTION 

Full face shield with goggles underneath. 

HAND PROTECTION 

Impermeable gloves. The breakthrough time of the selected glove(s) must 

be greater than the intended use period. 

RESPIRATORY PROTECTION 

Not required under normal conditions in a well-ventilated workplace. 

Under the following conditions a respirator may be required: when product 

vapor concentration exceeds the limits listed in section 2, dnring repair 

and cleaning of equipment, during transfer or discharge of the product, 

sampling, spray applications. Types of respirators that may be used 

include the following: Chemical Cartridge Respirator with face piece to 

protect against the organic vapor, Supplied air respirator with fuJ] face 

piece (NIOSH Approved), Self-contained breathing apparatus in pressure 

demand mode. In emergency conditions use a self-contained breathing 

apparatus in pressure demand mode. 

PROTECTIVE CLOTHING 

Impervious clothing. Slicker Suit. Rubber boots. Full rubber suit (rain 

gear). Butyl or latex protective clothing. 

ENGINEERING CONTROLS 

Maintain air concentrations in work spaces in accord with standards 

outlined in Sections 2 and 3. 

WORK AND HYGIENIC PRACTICES 

Provide readily accessible eye wash stations and safety showers. Wash at 

the end of each workshift and before eating, smoking or using the toilet. 

Promptly remove clothing that becomes contaminated. Discard contaminated 

leather articles. 

SECTION 9 - TYPICAL PHYSICAL AND CHEMICAL PROPERTIES 

PHYSICAL FORM Liquid 

COLOR Amber 

pH Alkaline 

VAPOR PRESSURE (mm Hg at 21C (70F» 17.1 

VAPOR DENSITY (Air = 1) No Data 

BOILING POINT 120.00 C (248.00 F) 

MELTING POINT No Data 

SPECIFIC GRAVITY (Water = 1) 1.064 

MOLECULAR WEIGHT Mixture 

SECTION 10 - STABILITY AND REACTIVITY 

CHEMICAL STABILITY 

Material is stable under a nitrogen blanket. 

CONDITIONS TO AVOID (if unstable) 

Moisture. Exposure to light and air. 

25 

INCOMPATmILITY (Materials to Avoid) 

Mineral acids (i.e. snlfuric, phosphoric, etc.). Organic acids (i.e. 

acetic acid, citric acid etc.). Oxidizing Agents (i.e. perchlorates, 

nitrates etc.). Sodium or Calcium Hypochlorite. Product slowly corrodes 

copper, aluminum, zinc and galvanized surfaces. Reaction with peroxides 

may result in violent decomposition of peroxide possibly creating an 

explosion. A reaction accompanied by large heat release occurs when the 

product is mixed with acids. Heat generated may be sufficient to cause 

vigorous boiling creating a hazard due to splashing or splattering of hot 

material. 

HAZARDOUS DECOMPOSITION PRODUCTS (from burning, heating, or reaction with 

other materials). 

Nitrogen oxide can react with water vapors to form corrosive nitric acid 

(TL V=2 ppm). Carbon Monoxide in a fire. Carbon Dioxide in a fire. Ammonia 

when heated. Nitrogen Oxides in a fire. Irritating and toxic fnmes at 

elevated temperatures. Nitric acid in a fire. The oxides of nitrogen 

gases (except nitrous oxide) emitted on decomposition are highly toxic. 

HAZARDOUS POLYMERIZATION 

Will not occur 

CONDITIONS TO AVOID (if polymerization may occur) 

Not applicable 

SECTION 11 - TOXICOLOGICAL PROPERTIES 

ACUTE ORAL TOXICITY (LD50, RAT) 

No Data 

ACUTE DERMAL TOXICITY (LD50, RABBIT) 

No Data 

ACUTE INHALATION TOXICITY (LC50, RAT) 

No Data 

OTHER ACUTE EFFECTS 

No Data 

IRRITATION EFFECTS DATA 

Irritation data based on estimates. 

CHRONIC/SUBCHRONIC DATA 

No delayed, subchronic or chronic test data are known. 

SECTION 12 - ECOLOGICAL INFORMATION 

SECTION 13 - DISPOSAL CONSIDERATIONS 

WASTE DISPOSAL 

Comply with all Federal, State and Local Regulations. 

SECTION 14 - TRANSPORT INFORMATION 

26 

DOT NON-BULK SHIPPING NAME Amines,liquid, corrosive, n.o.s. 

(Ethylenediamine) 1/ 8 /1UN2735 II PG II /I 

NAERG Guide No: 15311 Keep From Freezing 

DOT BULK SHIPPING NAME Refer to Bill of Lading. 

IMO SHIPPING DATA Refer to Bill of Lading. 

ICAOIIATA SHIPPING DATA Amines, liquid, corrosive, n.o.s. 

(Diethylenetriamine) II 8/1UN2735 II II II 

Shipment per 49 CFR 171.1111 NAERG Guide 

No: 153 /I Keep From Freezing 

SECTION 15 - REGULATORY INFORMATION 

US FEDERAL REGULATIONS 

TOXIC SUBSTANCES CONTROL ACT (TSCA)-

AIl components are not included in the EPA Toxic Substances Control Act 

Inventory. 

TOXIC SUBSTANCE CONTROL ACT (TSCA) 12(b) COMPONENT(S) 

OSHA Hazard Communication Standard (29CFRI910.1200) hazard class{es) 

Corrosive. 

EPA SARA Title ill Section 312 (40CFR370) hazard class 

Immediate Health Hazard. 

None 

EPA SARA Title III Section 313 (40CFR372) toxic chemicals above "de minimis" 

level are 

STATE REGULATIONS 

PROPOSITION 65 SUBSTANCES (component(s) known to the State of California to 

cause cancer and/or reproductive toxicity and subject to warning and 

discharge requirements under the "Safe Drinking Water and Toxic Enforcement 

Act of 1986") 

None 

NEW JERSEY TRADE SECRET REGISTRY NUMBER(S) 

SECTION 16 -INTERNATIONAL REGULATIONS 

CANADA 

DSL 

Not on Inventory. 

WHMIS HAZARD CLASSIFICATION 


Class E Corrosive 


Diethylenetriamine 


WHMIS SYMBOLS 


Test tube/hand 


EUROPEAN ECONOMIC COMMUNITY (EEC) 

EINECSIELINCS MASTER INVENTORY 

27 
Not determined 

EECSYMBOL 

HARMFUL (Xn) 

EEC RISK (R) PHRASES 

May cause sensitization by inhalation and skin contact (R42/43). 

Irritating to eyes and skin (R36/38). 

EEC SAFETY PHRASES 

Do not breathe vapors (S23V). In case of contact with eyes, rinse 

immediately with plenty of water and seek medical advice (S26). 

Wear suitable protective clothing and gloves (S36/37). 

EEC SPECIAL PHRASES 

Keep liquid above freezing. 

AUSTRALIA 

AlCS 

Not on Inventory. 

JAPANMITI 

Not on Inventory. 

PHILIPPINES PICCS 

Not on Inventory. 

KOREAECL 

Not on Inventory. 

CHINASEPA 

Not on Inventory. 

PRODUCT CODE 

END OF DOCUMENT 

28 

Assignment of Chemical Name by Inventory Expert Service CONFIDENTIAL 

29