### Check Id# 662561 PMN_130124624287433 VD1202

X X

X Page 1 SANITIZED SUBMISSION

### X

Page 2 SANITIZED SUBMISSIONVictor Dino Director, EHS Sika Corporation 201 Polito Avenue Lyndhurst NJ 07071 dino.victor@us.sika.com

Victor Dino Director, EHS Sika Corporation 201 Polito Avenue Lyndhurst NJ 07071 dino.victor@us.sika.com 201-508-6761 

## X X

X X Page 3 SANITIZED SUBMISSION

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XXX 

## X XXX 

## X 150133 CAS_Registry_Sanitized.pdf 

### C28 H52 N4 O2 See Attachment 001 (HardenerMI_Characterization_Sanitized.pdf)

HardenerMI_Characterization_Sanitized.pdf Page 4 SANITIZED SUBMISSIONPage 5 SANITIZED SUBMISSIONPage 6 SANITIZED SUBMISSIONPage 7 SANITIZED SUBMISSIONAldimine

XXX Amine Adduct 

## X

Page 8 SANITIZED SUBMISSION

### XXX XXX 

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Roof membrane hardener XXX 

### X 100 10 0 0 100 0

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## X XXX XXX XXX 

## X 1 Sika Corporation 1682 Marion Wiliamsport Road Marion Marion OH 43302

Page 10 SANITIZED SUBMISSIONSee Attachment 004 (Batch_Details_for_Hardener_MI_Sanitized.xlsx)

Batch_Details_for_Hardener_MI_Sanitized.xlsx Page 11 SANITIZED SUBMISSIONXXX Gloves, long sleeve shirt, local ventilation Liquid, 10% 1 4 200 

### X XXX Gloves, long sleeve shirt Liquid, 10% 1 8 200 

### X XXX Gloves, long sleeve shirt Liquid, 10% 2 8 200 

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Page 12 SANITIZED SUBMISSION1 0.006 kg Industrial Landfill Fugitive Air Industrial landfill 0 2 0.0045 kg Fuels blending Fugitive Air Fuels blending 0 3 0.019 kg Fuels blending Fugitive Air Fuels blending 0

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### 175

Material is supplied in 5 gallon buckets to the customer. The buckets are brought to the roof. Once on the roof, the buckets of product are opened (release/exposure point# 1). The product is applied to the roof using multiple rollers (release/exposure point# 2). PPE required are gloves and long sleeve shirts. Once the application is complete, the rollers and buckes are removed from the job site and disposed of in an industrial landfill.
Page 14 SANITIZED SUBMISSIONP10SB1(a)(4)1 Part II, Section B, 1(a)(4). Operation Site Locations

Various

Page 15 SANITIZED SUBMISSIONA 10 8 250 Gloves, Long sleeve shirt 100 10

1 0 0.07 kg per 5 gallon bucket Industrial landfill B 10 8 250 Gloves, Long sleeve shirt 100 10

2 0 0.22 kg per roller Industrial landfill

Page 16 SANITIZED SUBMISSIONPage 17 SANITIZED SUBMISSION001 Chemical charaterization - sanitized HardenerMI_Characterization_S anitized.pdf Pt.I, Sec.B, 1e. 9 002 CAS Registry Sanitized CAS_Registry_Sanitized.pdf Pt.I, Sec.B, 1c. 1 003 MI Simplified PFD-Sanitized MI_Simplified_PFD_Sanitized.pd f 1 004 Batch details for Hardener MI-Sanitized Batch_Details_for_Hardener_MI_ Sanitized.xlsx Pt.2, Sec.A, 1d. 1

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## ATTACHMENT HEADER SHEET Attachment Number 001 Attachment Name Chemical charaterization - sanitized 

## Associated PMN Section Number

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

## Report Number PMN_130124624287433

## ATTACHMENT HEADER SHEET Attachment Number 002 Attachment Name CAS Registry Sanitized 

## Associated PMN Section Number

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

## Report Number PMN_130124624287433

## ATTACHMENT HEADER SHEET Attachment Number 003 Attachment Name MI Simplified PFD-Sanitized 

## Associated PMN Section Number

N/A Does not contain CBI 

## Report Number PMN_130124624287433

## ATTACHMENT HEADER SHEET Attachment Number 004 Attachment Name Batch details for Hardener MI-Sanitized 

## Associated PMN Section Number

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

## Report Number PMN_130124624287433