## Company 

# Sanitized 06 JUL 

# t**~** 

# M1 II: 04

# ~rk-{j/r:) July 10, 2006 CONFIDENTIAL AS MARKED [ ] 

## Overnight Mail Document Control Officer Office ofToxic Substances, TS-793 Document Processing Center U.S. Environmental Protection Agency EPA East Building 1201 Constitution Avenue W c.J"l 

## Washington, DC 20004-3302 Dear Sir/Madam: Enclosed is one Premanufacture Notices (PMNs) for your review. The PMN is provided in two (2) forms: 1. Three originals with confidential portions so marked, and 2. A sanitized version for the public files. This is a re-submittal of a PMN that was previously submitted. A letter of support is being submitted separately by [ ] to provide [ 

## ] The PMN fee of$2,500.00 was sent to the HQ Accounting Operations Board for these PMN identifiedby the number [ ]. Ifyouneed any more information, please contact me. Sincerely,

## SANITIZED O.M.B. No. 2070-0012. A roved. 

# u.s. ENVIRONMENTALPROTECTION AGENCY 

# ft PREMANUFACTURE NOTICE

# ~EPA 06 JUL 

# 8 AM II : 0It I

# ~ I in the Premanufacture Notice 

### GENERAL INSTRUCTIONS You must provide all information requested in this form to the extent that it is known to or reasonably ascertainable by you.**~ake** 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 sentto EPA, HQ Accounting Operations Branch**(P~·226),** P.O. 360399M, Pittsburgh, PA 15251-6399, Attn. TSCA User fee. Part !-GENERAL !NFORMATION You must provide the currently correct Chemical Abstracts (CA) Name ofthe new chemical substance, even ifyou claim the identity as confidential. You may authorize another person to submit chemical identity information for you, but your submission will not be complete and the review will not begin until EPA receives this information. A letter in support ofyour submission should reference your TS user ree identincation number. You must submit an original and two copies ofthis notice including all test data. Ifyou claimed any information as contidential, a single sanitized copy must also be submitted. Part !I -HUMAN EXPOSURE AND ENV!RONMENTAL RELEASE Iftiler. are several manufacture, processing, or use operations to be described in Part II, sections Aand B ofthis notice, reproduce the sections as needed. Part I!l- LIST OF ATTACHMENTS Attach additional sheets Ifthere is not enough space to answer aquestion flllly. Label each continuation sheet with the corresponding section heading. In Part III, list these altachments, 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 I I ofthis form, space has been provided for you to described pollution prevention and recycling information YOIl may have regarding the ncw substance. So·called "binding"boxes are included throughout this fonn for you to indicate your willinl,'11ess 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 ofconsent orders or Significant New Use Rules. Except in the case ofexemption applications (such as TMEA, LVE, LOREX) where certain information provided in such notitication IS binding on the submitter when the Agency approves the exemption application, checking a binding box in this notice does not by itselfprohibit the submitter from later deviatmg from the information (except chemical identity) reported in the form. CONFIDENTIALITY CLAIMS You may claim any information in this notice as confidential. To assert aclaim on the form, mark (X) the confidential box next to the infonnation that you claim as confidential. To assert aclaim in an attachment, circle orbracket the information you claim as confidential. lfya\! claim information ill the notices as contidential you must ruso provide 

### asanitized version ortile notice. (including attachments). For additional instructions on claiming information as contidential, read the Instructions Manual. TEST DATA AND OTHER DATA You are required to submit all test data in your possession or control and to provide a description ofall other data known to or reasonably ascertainable by you, ifthese 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 sybmitted ifthey do not appear in the open literature. You should clearly identity whethertest data is on the substance or on an analog. Also, the chemical composition ofthe tested material should be characterized. Following are examples oftest data and otherdata. Data should be submitted according to the requirements of§72050 ofthe Premanufacture Notification Rule (40 CFR Part 720)
Test Data (Check Below any included in this notice) Environmental fate data 

### 0 Yes Other data 

### 0 Yos Health effects data 

### 0 Yes Risk assessments Environmental effects data 

### 0 Yes Structure/activity relationships Physical/Chemical Properties'**~** Yes Test data not in the possession or control ofthe submitter



# D Aphysical and chemical properties worksheet is located on the last page ofthis form TYPE OF NOTICE (Check Only One) PMN (Premanufacture Notice) INTERMEDIATE PMN (submitted in sequence with linal product PMN) 

# D SNUN (Sih'11ificant New Use Notice) TMEA (Test Marketing Exemption Application) 

# D LVE (Low Volume Exemption) @40 CFR 723.50(c)(I) 

# D LOREX (Low Release/Low Exposure Exemption) @40 CFR 723.50(e)(2) LVE Modification LOREX Modification 

# D IS THIS ACONSOLIDATED PMN? Yes 

# D # ofchemicals (Prenotice Communication # required, enter # on page 3) Mark (x) ifany information in this notice is claimed as confidential. EPA FORM 7710-25 (Rev. 5-95) Replaces previous editions ofEPA Form 7710-25. 

# 29703'5

### Public reponir.-g burden for this collection ofinformation 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 ofinformation, 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 ofManagement and Budget, Paperwork ReductIOn Act (2070-0012), Washington, D.C. 20503. 

## CERTIFICATION I certify that to the best ofmy knowledge and belief: I. The company named in Part I, section A, subsection laofthis notice fonn 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 infonnation provided in this notice is complete and truthful as ofthe date ofsubmission. 3. I am submitting with this notice all test data in my possession or control and a description ofall other data known to or reasonably ascertainable by me as required by §720.50 ofthe Premanufacture Notification Rule. Additional Certification Statements: Ifyou are submitting a PMN, Intennediate PMN, Consolidated PMN, or SNUN, check the following user fee certification statementthat applies: 

# 16I 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$IOOO for an Intennediate 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 under40 CFR 700.43 and has remitted a fee of$100 in accordance with 40 CFR700.45(b). Ifyou are submitting a low volume exemption (LVE) application in accordance with 40 CFR 723.50(c)(l) ora 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 submittingthis 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 tenns of40 CFR723.50. 

# oThe manufacturer is familiar with the tenns ofthis section and will comply with those tenns; and 

# oThe new chemical substance for which the notice is submitted meets all applicable exemption conditions. 

# o Ifthis application is for an LVE in accordance with 40 CFR723.50(c)(I), the manufacturer intends to commence manufacture ofthe exempted substance for commercial purposes within 1year ofthe date ofthe expiration ofthe 30 day review period. Theaccuracy ofthestatements you makein this notice should renectyour best prediction ofthe anticipated facts regarding the chemical substance described herein. AD:!,knowintr and willful misinterpretation is subiectto criminal penaltypursuantto 18 USC 1001. Confidential Signature and title ofAuthorized Official (Original Signature Required) Date 

# x Si/:.>nature ofagent - (ifapplicable) Date

:PA FORM 7710-25 (Rev. 5-95) 

# 1

Page 2 

# ISubmitting Notice (in U.S.)

b. Agent (if applicable) Company

Name

Mailing street) Telephone

c. Ifyou are submitting this notice 

### as part mark (X) this box.

___________________**~** Joint Submitter (if applicable) ame ofauthonzed

2.

3.
4.
5.

6. Contact (in U.S.) Mailing

Company and street)

Code
you a prenotice and EPA assigned a PC Number to the notice, enter the number.

you application substance covered by this notice, enterthe exemption number assigned by EPA. lfyou previously submitted a PMN for this substance enter the PMN number assigned by EPA (i.e. withdrawn or incomplete).

I Type ofNotice
- Mark (X) Manufacture Only 

# ..



# o Binding Option Mark PositIon



# o Import Only Mark (X) ifnone Mark (X) ifnone Mark (X) ifnone Binding Option Mark 

# ..
II



# .. 

# o Both
Page 3 EPA FORM 7710-25 (Rev. 5-95)

### Part I-- GENERAL INFORMATION -- Continued Section B
-- CHEMICAL IDENTITY INFORMATION; You must provide acurrenlly correct Chemical Abstracts (CAl name ofthe substance based on the ninth Collective Index (9CI) ofCA nomenclature rules and conventions, Mark (X) the "Confidential" box next to any item you claim as confidential Complete either item I (Class I or2 substances) or 2(Polymers) as appropriate. Complete all other items. Ifanother person will submit chemical identity information for you (for either Item I or 2), mark (X) the box at the right. ContiIdentify the name, company, and address ofthat person in acontinuation sheet. 

## 0 dential l. Class I or 2chemical substances (for definitions ofclass I and class 2substances, see the Instructions Manual) 

# • X a. Class ofsubstance
- Mark (X) I 

# D Class 

### 1 or 2 

# D Class 2 b. Chemical name (Currently correct Chemical Abstracts (CA) Name that is consistent with TSCA Inventory listings for similar substances. For Class 

### I substances aCA Index Name must be provided. For Class 

### 2substances either aCA Indcx Name or CA Preferred Name must 

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

c. Please' 

## [8l
d. (ifanumber already exists for the substance)



### c. aclass I prov and correct chemical structure .ate precursor substances with their respective CAS Registry Numbers. (2) Describe the nature ofthe reaction or process. (3) Indicate the range ofcomposition and the typical composition (where appropriate). (4) Provide acorrect representative or partial chemical structure diaeram.**a~** comnlete**a~** can he known. ifone can he reasonahlv**a~certained.**



# D Mark (X) this box ifyou attach acontinuation sheet. 

# x x X

EPA FORM 7710·25 (Rev. 5-95) Page 4a. Indicate the number-average weightofthe lowest molecular weight composition ofthe polymer you intend to manufacture. Indicate maximum weight percent ofIow molecular weight species (not including residual monomers, reactants, or solvents) below 500 and below 1,000 absolute molecular weight ofthat composition. Describe the methods ofmeasurement or the basis for your estimates: 

## apc

# 0 Other 

# 0: (Specify) i) lowest number average molecular weight: ii) maximum weight % below 500 molecular weight: iii) maximum weight %below 1000 molecular weight: attach 

### acontinuation shect. must make separate ality monomer or othcr rcactant . "Confidential" box next to any item you claim as confidential Confidential



# x

(J) Provide the specifiC chemical name and CAS Registry Number (ifanumber exists) ofeach monomer or other reactant used in the manufacture of the polymer. (2) Mark 

### O() this column ifentry in column (I) is confidential. (3) Indicate the typical weight percent ofeach monomer or otherreactant in the polymer. (4) Mark eX) the identity column ifyou want amonomer or other reactant used at two weight percent or less to be listed as part ofthe polymer description on the TSCA Chemical Substance Inventory. (5) Mark (X) this column ifentries in columns (3) and (4) are confidential. (6) Indicate thc maximum wcight percentofeach monomer or other reactant that may be present as 

### aresidual in the polymer as manufactured for commercial purposes. Mark



# x

obtained from CAS Inventory Expcrt Service must be submitted as polymer that is consistent . TSCA Inventory listings polymers.

c. acorrect**re~lresem.all've** or partial chemical structure diagram, as complete as can known, jfone can be reasonably ascertained.

attach acontinutation sheet. EPA FORM 7710-25 (Rev. 5-95) Page 

### 5

## Part I -- GENERAL 

## INFORMA TION -- Continued Section B - 

### CHEMICAL IDENTITY INFORMATION
- Continued 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 ifavailable. Ifthere are unidentified impurities, enter "unidentified." (b) 

# ­ Estimate the maximum weight % ofeach impurity. Ifthere are unidentified impurities, estimate their total weight %. Impurity and CAS Registry Number Maximum 

### I Confipercent I dential (a) (b) 

# I I 

# X 

# I 

# i I %! 

### I % 

# J % 

# i
I %,

in 

### s I or

### 2.

the new chemical substance

you you must . . reveals the specific chemical idenllty ofthe new chemical substance to the maxImum extentpOSSIble**Refe~** to the TSCA Chemical Substance Inventory, 1985 Edition, Appendix B for guidance on developmg genenc names. 

### Surface modified magnesium hydroxide

process

EPA FORM 7710-25 (Rev. 5-95) Page 6 

# x

o Mark (X) this box ifyou attach acontinuation sheet.

CAS NumberI 

## PartI
-- GENERAL INFORMATION
-- Continued I 

### Section C
-- PRODUCTION, IMPORT, AND USE INFORMATION: Mark (X) the "Confidential" box next to any item you claim as confidential. 1. Production volume Estimate the maximum production volume during the first 12 months ofproduction. Also estimate the maximum production volume for any consecutive 12-month period during the first three years ofproduction. Estimates should be on 100% new chemical substance basis. For a Low Volume Exemption application, ifyou choose to have your notice reviewed at a lower production volume than 10,000 kg/yr, specify the volume and mark (x) in the binding box. Ifgranted, you are bound to this volume 

### Maximum first 12-month production (kglyr) Maximum 12-month production (kglyr) Confi- Binding 

### (100% new chemical substance basis) (100% new chemical substance basis) dential Option Mark (x) 

## X 

# l 2. Use Information
­ You must make separate confidentiality claims for the description ofthe category ofuse, the percent ofproduction volume devoted to each category, the formulation of the new substance, and other use information. Mark (X) the "Confidential" Box next to any item you claim as confidential. a. (I) -­ 

### Describe each intended category ofuse ofthe new chemical substance by function and application.. (2)
-­ Mark (X) this column ifentry column (I) is confidential business information (CBI). (3)
-­ 

### Indicate your willingness to have the information provided in column (I) binding. (4)
-­ Estimate the percent oftotal production for the first three years devoted to each category ofusc. (5)
-­ 

### Mark (X) this column ifentry in column (4) is confidential business information (CBI). (6) -. 

### Estimate the percent ofthe new substance as formulated in mixtures, suspensions, emulsions, solutions, or gels as manufactured for commercial purposes at sites under your control associated with each category ofuse. (7)
-­ 

### Mark (X) this column ifentry in column (6) is confidential business information (CST). (8)
-­ 

### Indicate 

### % ofproduct volume expected for the listed "use" sectors. Mark more than one box ifappropriate. Mark (X) to indicate your willingness to have the use type provided in (8) binding. (9)
-­ 

### Mark (X) this column ifentry(ies) in column (8) is (are) confidential business information (CSI). Category ofuse (1) CBII Binding 

### Produc- CBI % 

### in ,CBI % 

### ofsubstance expected perusc 

### I CBI Option 

### tion % 

### Form­ (8) 

### (by function and application i.e. adispersive dye ! Mark (x) 

### ulation Site· , Con-" Indus- Com· 

# IBinding for finishing polvester fibers) (2) (3) (4) (5) (6) I (7) 

### Limited ; sumer trial mercial Option (9) 

### X 

## X X X I
% % °In ' % % % ! % % ! % % % % 

### " lfyou have identified a"consumer" usc, please provide on acontinuation sheet adetailed description ofthe users) ofthis chemical**subst~ce** 

### in**co~sumer** 

### pro.ducts..

In addition include estimates ofthe concentration ofthe new chemical substance as expected in consumer products and descnbe the chemIcal reactions by whIch thIS substance loses its identity in the consumerproduct. OMark (X) 

### this box ifyou attach acontinuation sheet. b. Generic Ifyou claim any categoryofuse description in subsection 2a as confidential, enter ageneric description ofthat category. Read the use Instructions Manual for examples ofgeneric use descriptions. description 

### Destructive Use


# D Mark (X) 

### this box ifyou attach acontinuation sheet. 3. Hazard Information
- Include in the notice acopy ofreasonable facsimile ofany hazard warning statement, label, material safety datasheet, orother Binding Option 

### information which will 

### be providedto any person who is reasonably likely to be exposedto this substanceregarding protective equipment or practices Mark (x) 

### for the safe handing, transport, usc, ordisposal ofthe new substance. List in part III hazard information you include. 

# D Mark (X) this box ifyou attach hazard information I



# - . HA 

### fORM 7710-25 (Rev. )-9)) 

### Page 7

## 3/3**CUUO'U~L'lC** lC:CC**r~ ~IUemdrle** **~OrpOrallOn ll"J~~'/U40**  

## SANITIZED 

## PartI
-­ GENERAL INFORMATION
-­ Continued**Se~tion** 

### C
-- PRODUCTION, IMPORT,**Aj~D** 

### USE ll'fFORMATlON: 

## Mark

## eX) the "Confidential" 

## boxnext to 

## any item you claim a!l 

### confidential. L 

### l'roductioll volume
-- Estimate the maximum production volume during the first 12 months ofproduction. Also estimate the maximum production volume fO!' any c(lJlsecutive 12-monlh period duling the til'stthree ye<'lrS ofprodllction. Estimates should he on 100% 

### new chemic.al substallce**ha..~is.** 

### For uLow Volum.: Exemption application, i(you choose to hllve your nolice reviewed at a lower pl'oduction volume thun lO,O()O 

### kg/yr, specify the vr)lumc and 

### mark 

### ex) in the binding box. Ifgranted, you arc bound to this volull1e Maximum first 

### 12-monthproduction 

### (kglyr) Maximum 12-month production 

### (kglyr) Conti· Binding 

### (100% new chemical substance

### basis) (100% new

### chemical substance

### basis) dCll!ial OJ.lti()11 Mark (x) 

## X 2. 

### Usc: Inform:ltion·- You must makE separate contidenrio.lity claims for the description oflhccategory ofuse, the percent ofpl'oduction volume devoted to caeh category, the formulation of the new subslance, and otherusc information. Mark (X) 

### the "Confidential" Box neXllo any item you claim as confidential.. 

### a. (\)

# -­ Dc!;cribe each intended C<l.tegary oruse oCthe ne,;' chemical subshmcc by function and application.. (2)
-- 

### Mnrk (X)

### this column ifeniry column (1) 

### is 

### confidcntial**bu~ine~~** 

### information 

### (cnI). (3)
­ 

### Indicateyour**wil1inglle.~s** 

### to have the information provided in column (I) 

### binding. (4)
-­**E~imate**

### tile percent oftotnl production for the tirstthree ycHrS devoted (0 

### each category ofusc. (S)
-- 

### Mllrk (X) 

### Ihi3 column ifentry in column (4) is confidential**bu.~inc,!;s** 

### information (em). 

### (6)
­**E~timate**

### the percent ofthe new ruhstance**3.~** 

### fonnulatNl in mixrures, suspensions, emulsions, solutions, or gels all 

### manufac·tllrc::d for commercia.l purposes at 

### sites underyour c<lntrol nssocioted with**~Ich** 

### cll[l;gory ofnse. 

### (7)- MArk (X) 

### this column ifentry in COhlnlO (6) is confidential business information (CBI). (11)
- Indicate %

### ofproduet volume expected for the listed. "use" sectOrs. !'vfuJ'k more thnn olle box ifnpproprinte. Mark (X) 

### lO indic.'ll:e your willingness LO have the**II~e** 

### type provided in (8) binding. (9) -­ 

### Mark (X)

### this column ifentty(ics) in column (&) 

### is (a.rc) ccmtidential business information (CBI). ClIlcgory ohlc(1) C'BI**llin~inl;** ProduCo eEl**~~** in 

### CRT %

### ofSUb5tlUlCI:

### expeclcd per**u~c** CEf OPtiOIl 

### lion % 

### Fonn­ (8) (by 

### r.,mctioll dJld <Ippliciltioll i.e. d**dj'per~i** 

### ...edye MI\J1( (xl 

### IJIOlioll Sile-**Con·~** 

### IndlJs· Com· Binding for finishing polyester fibers) (2) (:I) (4) (5) (6) (J) 

### Limited smner tl'ia! merciaI °Etioll (9) 

### Compatibilizer for Flame Retardant 

### X X X for Plastics**r~...].** ,,'**o,~** (,,-'c 

### ., 

# -

- .......1 _. %**~I,.**

.... :i ' I



### -**~/"** % 

## . 

# . '-' , 

# .,­

-­ ..•**-.~** "" % 0;', J -", -."'



## - .:: ;'. ,1 % OJ..**~.:'-** % % 

# =:**~** 

### (ryou hRYC 

### identilied 11**"~nsumer"**

### use,**ple~$e**

### provide on a.**CllI1\inu~lion** 

### sheet adetailed description ofthe**u~e(l)** 

### oflhis**chcmic~1** 

### substMcc in consumcrproducts. In addiliLln include**e.\timQle~** 

### ofillecollcelllration oflhe new chemicallubstanco as expected ill consumcrproducts lind 

### describethe**chcmic~1** 

### rcnctiol1s bywhich lhis**sub~tance**

### loses its identily in the eonsuluerpJodlJcr. 

# DMark (X)

### ll1is box ifyolJ attach

### ~ continuation shceT. 

### b. Generic Ifyou claim allY 

### C3tCg01Y**ot·u~o** 

### description in**SlIb~cction2n** lIS 

### c<lnfidcntial. cnlcr 11**S~'11cric d~scripLion**  

### oClhuL**Cl1l~g()ry.** 

### Rend Ole use Insu'IIctioM Manu...1

### lor examples ofgenericusc descriptions. dcscription


# D**M~rk** (X) lhis box ifYrJU RltHCh II 

### c<lntinulllion sheet. 3. 

### H:1z:1rd Information .. Include in the notice ncopy**ofrelL~on~hlc r~csimile**  "C

### uny h!l:l.ord wurning slatemenl,**I~bel.** 

### material s.-uelY data**~hcet,** 

### orotllel" llin:'iing



### informlilion which**\~i"** 

### beprnvided 10 My**pe~iln** 

### whl'l is**re!i.~onably** 

### likely to be exposed to lhis sllbstanceregarding pro\er.live c'luipmcnt or prnC!TcC5 r>VI\r,n Cor

### Lhe**~~re hJlldin~,**  

### l1:u1sport, IJIC. or disposal ofthe new znbsllIncc. List ill part 1\I 

### hazilrd infonnation you include.**M,,~ (~)**  

## [ZJ Mark (X) lhis box ifYOIl artRch 

### hnz.,rd infonnlltion.



### - EPA 

### FORM 7710-25 (Re,'.5-05) Page 7 

# \ZEU 111111111111111111111111111111111111111111111111111111111111111111111111111 

# COMPAN'f SAN\l 500 7 0 0 0 0 3 1 8 I S 

# AfflOlD 

# P -oh 

# h{ d­

## p you lete section A for each type ofmanufacture, processing, or use operation new 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 there are further industrial oruse after You must describe these s. See instructions manual 1. the site at which the "n••**r~'·;An** will

City, code the same operation wIll occur at more than one site, enter number ofsites. Identify the additional sites on a continuation sheet, and ifany ofthe sites have significantly different production rates oroperations, include all the information requested in this section for those attachments.

kglbatch (100% new chemical I substance) 1

## ----------------~~~ 

## ,
Use 

# X

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

# X (I) Diagram the m<uor unit operation steps and chemical conversions. Include interim storage and transport containers (specify- e.g. 5gallon 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 ofall 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, tothe environment ofthe new chemical substance.

attach acontinuation sheet. EPA FORM 7710·25 (Rev.5-95) Page 8

# Part II HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE C d -­ 

## ontinue 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 ofworks exposed, and duratIon ofactivIty. Mark (X) the "Confidential" box next to any item you claim as confidential. (I)
--Descri,be 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 Ifentry In column (I) is confidential business information (CBl). (3)
-- Describe any protective equipment and engineering controls used to protectworkers. (4) and (6)
-­ Indicate**~our** willingncss to have the information provided in column (3) or (5) binding. (5)
-- IndIcate the physIcal formes) oftlle new chemical substance (e.g., solid: crystal, granulc, powder, or dust) and % new chemical substance (ifpart ofamixture) at the time ofexposure. (7)
-- Mark (X) this column ifentry in column (5) 

### is confidential business information (CBI). (8)
--Estimate the maximum numberofworkers involved in each activity for all sites combined. (9)
-- Mark (X) this column ifentry in column (8) is confidential business information (CBI). 

# I (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 ifentries in columns (10) and (II) are confidential business information (CBI). Worker activity eBI Protective Equipment! Binding Physical fonns(s) Binding CBI # of 

# I cm Maximum duration eBr (i.e., bag dumping, filling drums) Engineering Controls Option Mark and % new Option Workers Hrslday Dayslyr (x) substance Mark (x) Exposed i (I) (2) (3) (4) (5) (6) (7)**(~** 1 (9) (10) (11) (12) 

## X X 1 

## X X L I 

# I 

# !
, I I 

# I 1 [ ] Mark (X) this box ifyou attach acontinuation 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) -­Enterthe number ofeach release point identified in the process description, part II, section A, subsection Id(3). (2)
--Estimate the amount ofthe new substance released (a) directly to the environmentor (b) into control technology (in kg/day or kglbatch). (3)
- Mark (X) this column ifentries in columns (I) and (2) are confidential business information (CBl). (4)
-- Identify the media (stack air, fugitive air (optional-see Instruction Manual), surface water, on-site or off-site land or incineration, POTW, orother(specify» to which the new substance will be released from that release point. (5)
-- a. Describe control technology, ifany, and control efficiency that will be used to limitthe release ofthe new substance to the environment. Forreleases disposed ofon land, characterize the disposal method and state whether it is approved for disposal ofRCRA hazardous waste. On acontinuation 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. Estimatethe amountreleased to the environment after control technology (in kg/day). (6) ..Mark (X) this column ifentries in columns (4) and (5) are confidential business information (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 (Publicly Owned TreatmentWorks). Mark (X) 

### ifthe POTW name orNPDES # is confidential business information (CBI). Release Amount ofnew substance CBI 

# I Media of Control technology and efficiency (you may wish to optionally attach efficiency data) CBI Number released release

(I) (2a) 

# I (2b) e.;. stm:k!lir I Binding 

# i (3) 

# I (4) (Sa) I Mark (X) (5b) (6) I 

# i XI I 

## X I I I I I I I I I I I 1 I I I I I 

# 1 I (7) Mark (X) the 

# o POTW provide name(s) below:

### ~' 

# 0 Navigable 

# D Other· Specify I provide NPDES # CBI I destination(s) of waterway releases to water. 

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

# I
EPA FORM 7710-25 (Rev. 5-95) Page 9

## Part 11-- HUMAN EXPOSUREAND ENVIRONMENTALRELEASE
- Continued 

# I Section B
-- INDUSTRIAL SITES CONTROLLED BY OTHERS

Complete section Bfor 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 aseparate sectionB jareach type ojprocessing, oruse operation involvingthe new chemicalsubstance. Ifthe same operation is performed at more than one site describe the typical operation common to these sites. ldentify additional sites on acontinuation sheet. 

### 1. Operation Description
-- To claim information in this section as confidential, circle or bracketthe 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. 5gallon 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 kg/day orkglbatch, on an 100%new chemical substance basis), and entry point ofall feedstocks (including reactants, solvents and catalysts, etc) and all products, recycle streams, and wastes. Include cleaning chemicals (note frequency ifnotused daily or per batch). (3) --Identify by number the points ofrelease, including small or intermittentreleases, to the environment ofthe new chemical substance. (4) Please enter the #ofsites (rememberto identify the locations of these sites on acontinuation sheet): 

### [ 

## ] # ofsites

r--­ 

# -

'---­

# ~ o Mark (X) this box ifyou attach a continuation sheet. 2, Worker ExposureJEnvironmental Release . . . . (\)__ From the diagram above, provide the letter for each worker actiVIty. Complete 2-8 for each worker actiVIty descnbed. (2)
-- Estimate the number ofworkers exposed for all sites combined. (4) __Estimate the typical duration ofexposure per worker in (a) hours per day and (b) days per ycar... ., . (6) __Describe physical form ofexposure and %new chemical substance (ifin mixture), and any protective eqUipment and engmeerlng controls, Ifany, used to protect workers. (7) ..Estimate the percent ofthe new substance as formulated when packaged orused as afinal product. .., (9) __From the process diagram above, enter the number ofeach release point. Complete 9-13 for each release pomt Identified. . . (10) ..Estimate the amount ofthe new substance released (a) directly to the environment or (b) into control technology to the**envlron~cnt** (10 kg/day or kglbatch). (12)
-­ Describe mediaofrelease i.e. stack air, fugitive air (optional-see Instructions Manual), surface water,

### on-stt~ or off-site land or mcmeratlOn, POTW, or other (specify) and control technology, ifany, that will be used to limitthe release ofthe new substance to the envIronment. (14)
-­ Identify byproducts which may result from the operation. .. ....

(3), (5), (8), (11),(13) and (15)
-- Mark (X) this column ifany ofthe proceedmg enmes are confidential busmess mformatlon (CBI). Letter # of eBI Duration eEl Protective Equip.! %in eBI Release Amount of 

# ICEI Media ofRelease eBI

of Workers of Engineering Controls! Form- Number New & Control A Ed'
- d

### % ulation Substance Technolob'Y

. ct· xpose Exposure PhYSical Form an 0 Released . IVlty new substance i • I (5) (6) (7) (8) (9) (lOa) I (lOb) (II) • (12) (13) (I) (2) (3) (4a) (4b) 

## X 

## , X X i 

## , X X I I I 

### I I I I I 

# I I 

### I i I I i I I 

## l I I 

# I I i I 

# I I I I I I I i I 

# I I I I i I I I ( 14)
-- Byproducts: (15)



# o Mark (X) this box ifyou attach acontinuation sheet, EPA FORM 7710-25 (Rev. 5-95) Page 10

# OPTIONAL POLLUTION PREVENTION INFORMATION To claim il1fonnation in this section as confidential circle orbracket the specific infonnation that you claim as confidential. 

## In this sectionyou may provide information not reported elsewhere in this form regarding your efforts to reduce orminimize potential risks associated with activities surrounding manufacturing, processing, use and disposal ofthe PMN substance. Please include new informationpertinentto pollution prevention, including source reduction, recycling activities and saferprocesses orproducts available due to the newchemical substance. Source reduction includes the reduction in the amount ortoxicity ofchemical wastes bytechnological modification, process and procedure modification, productreformulation, rawmaterials substitution, and/or inventory control. Recycling refers to the reclamation ofuseful chemical components from wastes that would otherwise be treated orreleased as air emissions orwater discharges, or land disposal. Descriptions ofpollution prevention, source reduction and recycling should emphasize potential risk reduction subsequent to compliance with existingregulatory requirements and canbe eitherquantitative or qualitative. The EPA is interested inthe information to assess overall net reductions in toxicity orenvironmental releases and exposures, not the shifting ofrisks to other environmental media ornon-environmental areas (e.g., occupational orconsumerexposure). In addition, information on the relative cost orperformance characteristics ofthe PMN substanceto potential alternatives may beprovided. 

## All information provided in this section will be taken into consideration during the review ofthis substance. See Instructions Manual and Pollution Prevention Guidance manual for guidance and examples. Describethe expected net benefits, such as (1) an overall reduction in riskto human health orthe environment; (2) a reduction in the volume manufactured; (3) a reduction in the generation ofwaste materials through recycling, source reduction or othermeans; (4) a reduction in potential toxicity orhuman exposure and/or environmental release; (5) an increase in product perfonnance, a decrease in the cost ofproduction and/or improved operation efficiency ofthe new chemical substance in comparison to existing chemical substances used in similar application; or (6) the extentto which the new chemical substance may be a substitute for an existing substance thatposes a greater overall risk to human health orthe environment.



## NA



# D Mark (X) this box ifyou attach a continuation sheet. EPA FORM 7710-25 (Rev. 5-95) Page 11

# PartIII -- LIST OF ATTACHMENTS Attach continuation sheets for sections ofthe form and test data and otherdata (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, ifappropriate. Number consecutively the pages ofthe attachments. In the column below, enter the inclusive page numbers ofeach 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 ofthe notice form a sanitized version ofany attachment in which you claim information 

### as confidential. Attachmentname Attachment Contipage number(s) dential 

### X
I 

### X X X 

## I 

# i l 

# I I i 

# I I i 

### I

I [ ] Mark (X) 

### this box ifyou attach acontinuation sheet. Enter the attachmentname and number. EPA FORM 

### 7710-25 (Rev. 

### 5-95) Page 12 

### I 

# II

I 

# I 

# I

I PHYSICAL AND CHEMICAL PROPERTIES WORKSHEET To assist EPA's review ofphysical 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 ofthe notice on which the property appears, the value ofthe property, the units in which the property is measured (as necessary), and whether or not the property is claimed as confidential. The phYSical state ofthe neat substance should be provided. These measured properties should be for the neat (100% pure) chemical substance. Properties that are measured for mixtures or fonnulations should be so noted (% PMN substance in You are not required to submitthis worksheet; however, EPA strongly recommends that you do so, as it wiB simplify review and ensure that confidential infonnation is properly protected. You should submit this worksheet as asupplement to your submission oftest data. This worksheet is not asubstitute for submission oftest data. Property 

## I Mark I (X) if (a) provided 

### Physical state ofneat substance Vapor pressure 

### @Temperature 

## °C Density/relative density Solubility 

### @ Temperature 

## °C

Solvent 

# I Solubility in water 

### @Temp_erature 

## °C 

# ; I Melting temperature Boiling/ sublimation temperature(a), torr pressure Spectra Dissociation constant Particle size distribution Octanol / water partition coefficient Henry's Law constant Volatilization from water Volatilization from soil pH@ concentration Flammability Exp!odability Adsorption 

### I coefficient Other
- Specify 

# I Page Value number

(b) (c) 

### is) (\) 

### (g) Torr glee

giL

I 

## °C 

# I °C


# I I

I



### : 

# I 

# I IMeasured 0 ConfiEstimate dentin! Mark {Xl ! (MorEl (d) 

### X

X 

# I

X

I



# i

I 

### X 

# I I
ATTACHMENT PAGE 13EPA FORM 7710-25 (Rev. 5-95) Page 14EPA FORM 7710-25 (Rev. 5-95) Page 1506/0]/2006 

### 10.31 FAX 614**4~7** 

### 3747 

### CAS CS @003/003 

# InventoryExpert

# Service A diVisIon oftheAmeliom ChM'lical SOciety 

### F'fIoM:. 800-631**~1S84,.** 614447.03810 

### Fax: 614-447-37-if7 

### E-rnall:**~@=.crg** Interneehttp://www.=.otgl'SupporrJdient.hlml

!NV'S!I!'I'ORY EXPER'l' SERVIC:E: 

### REPORT

rES-ORDER lx'UMBER: 

# ( 

# J

CA r..-;mEX NN-IE 

# \ 

# J

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# o :If 

### thia box i;, 

### chucked, CAB 

### ha.!1 :made cO%rG<::titnl(B) lILIttked in red 

### to your lES 

### o:rde=. P:iealie,lIll!ke 

### .t11e Iil.UIU3 con::octiOi:l{S) to your PMN'**~tQ;re** 

### sul::at:.l.tf:bg 

### it to 

## the lWA.

p.Oo Box ll-4J


### ATTACHMENT PAGE 16