U.S. ENVIRONMENTAL PROTECTION AGENCY 

PREMANUFACTURE 

t~~~-~ePA ~l~!ll~~~- - I 

\\hen 

l'Oillpkkd 

'l'IHI thi' 

form to 

llllllllllllllllllllllllllllllllll\1111111111111111111111111111111111111111 

5 1 1 0 0 0 0 0 0 5 8 I S 

L.._. -·- .... ----------

Enter the total number of pages 

in the Premanufacture Notice 

I ,, • •. '!: f ? 

· Co~pany Sanitized 

GENERAL 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 if you do 

not have actual date. 

• 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). 

• If a 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-266), 

P.O. 360399M, Pittsburgh, PA 15251-6399, Attn. TSCA User Fee. 

Part I - GENERAL INFORMATION 

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 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 of your submission should 

reference your TS user fee identification number. You must submit an original 

and two copies of this notice including all test data. If you claimed any 

information as confidential, a single sanitized copy must also be submitted. 

Part II - HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE 

Ifthere are several manufacture, processing, or use operations to be described in 

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

Part III- LIST OF ATTACHMENTS 

Attach additional sheets if there is not enough space to answer a question fully. 

Label each continuation sheet with the corresponding section heading. In Part 

III, list these attachments, any test data or other data and any optional 

information included in the notice. 

OPTIONAL INFORMATION 

You may include any information that you want EPA to consider in evaluating 

the new substance. On page 11 of this form, space has been provided for you to 

describe pollution prevention and recycling information you may have regarding 

the new substance. 

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

your willingness to be bound to certain statements you make in this notice, 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. Except in the case of exemption applications (such as 

TMEA, L VE, LOREX) where certain information provided in such notification is 

binding on the submitter when the Agency approves the exemption application, 

checking a binding box in this notice does not by itself prohibit the submitter 

from later deviating from the information (except chemical identity) reported in 

the form. 

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 information that you claim 

as confidential. To assert a claim in an attachment, circle or bracket the 

information you claim as confidential. If you claim information in the notice as 

confidential. you must also provide a sanitized version of the notice. (including 

attachments). For additional instructions on claiming information as 

confidential, read the Instructions Manual. 

if any information in this notice is claimed as confidential. 

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

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 of the manufacture, processing, distribution 

in commerce, use, or disposal of the new chemical substance. Standard 

literature citations may be submitted for data in the open scientific 

literature. Complete test data (written in English). not summaries of data. 

must be submitted if they do not appear in the open literature. You should 

clearly identifY whether test data is on the substance or on an analog. Also, 

the chemical composition of the tested material should be characterized. 

Following are examples oftest data and other data. Data should be 

submitted according to the requirements of§ 720.50 of the Premanufacture 

Notification Rule (40 CFR Part 720). 

Test Data (Check Below any included in this notice) 

• Environmental fate data 0 Yes • Other data DYes 

• Health effects data 0 Yes Risk assessments 

• Environmental effects data 0 Yes Structure/activity relationships 

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

or control of the submitter 

• A physical and chemical properties worksheet is located on the last page 

of this form. 

TYPE OF NOTICE (Check only one) 

0 PMN (Premanufacture Notice) 

181 INTERMEDIATE PMN (Submitted in sequence with final product 

PMN) 

0 SNUN (Significant New Use Notice) 

0 TMEA (Test Marketing Exemption Application) 

0 LVE (Low Volume Exemption) @40 CFR 723.50 (c)(!) 

0 LOREX (Low Release/Low Exposure Exemption)@ 723.50(c)(2) 

0 L VE Modification 0 LOREX Modifications 

ISTHISACONSOLIDATEDPMN? DYes 

# of chemicals __ ---

(Prenotice Communication# required, enter# on page 3) 

Replaces previous edition of EPA Form 7710-25 
Public reporting burden for this collection of information is estimated to average II 0 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 of this 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), Washington, D. C. 20503. 

CERTIFICATION 

I certify that to the best of my knowledge and belief: 

1. The company named in Part I, section A, subsection I a of this 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: Paid with credit card- on Pay.gov (see cover letter for tracking numbers) 

0 The Company named in Part I, Section A has remitted the fee of $2500 specified in 40 CFR 700.45 (b), or 

[8J The Company named in Part I, Section A has remitted the fee of$1000 for an Intermediate PMN (defined@ 40 CFR 700.43) in 

accordance with 40 CFR 700.45 (b), or 

0 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 (LVE) 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: 

0 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 

of 40 CFR 723.50. 

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

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

0 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 1 year of the date of the expiration of the 

30 day review period. 

The accuracy ofthe statements you make in this notice should reflect your best prediction of the anticipated facts regarding the chemical 

substance described herein. Any knowing and willful misrepresentation is subject to criminal penalty pursuant to 18 USC I 00 I. 

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

November 11, 2009 

Signature of agent- (if applicable) Date 

EPA Form 7710-25 (Rev. 5-95) Page 2 

Confidential 

X 
Part I - GENERAL INFORMATION 

I~ Section A- SUBMITTER IDENTIFICATION Confidential 

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

Name of authorized official Position X Ia. Person 

Submitting [ 1 Chemical Regulatory ConSJitant 

Notice Company 

(in U.S.) [ 1 

Mailing Address (number and street) 

[ 1 

City, State, Zip Code 

[ 1 

b. Agent (if Name of authorized official Position 

applicable) 

Company 

Mailing Address (number and street) 

City, State, Zip Code I Area Code I Number 

Telephone I I 

1 _l_ 

c. Ifyou are submitting this notice as part of a joint submission, mark (X) this box. D 

Joint Name of authorized official Position 

submitter 

(if applicable) 

Company 

Mailing Address (number and street) 

City, State, Zip Code I Area Code I Number 

Telephone I I 

2. Technical Name Position X contact 

(in U.S.) [ Chemical Regulatory ConSJitant l 

Company 

Mailing 

[ 

Address (number and street) 

1 

-

[ 1 

City, State, Zip Code I Area Code I Number 

[ ] Telephone I 

I [ ] ~ [ ] 

3. If you have had a prenotice communication (PC) concerning this notice 

~ X and EPA assigned a PC Number to the notice, enter the number. Mark(X) 

if none 

4. If you previously submitted an exemption application for the chemical 

~ X substance covered by this notice, enter the exemption number assigned Mark (X) 

by EPA. If you previously submitted a PMN for this substance enter the if none 

PMN number assigned by EPA (i.e. withdrawn or incomplete). 

5. If you have submitted a notice of Bona fide intent to manufacture or 

~ X import for the chemical substance covered by this notice, enter the Mark(X) 

notice number assigned by EPA. if none 

6. Type ofNotice-(X) 1. ~ Manufacture I 2. D Import I I I 

Only I Only I 3. D Both 

D Binding Opion I D Binding Opion I 

I I 

Mark (x) I Mark(x) I 

Form EPA 7710-25 (Rev. 5-95) Page3 
Part I- GENERAL INFORMATION- Continued 

~ Section B- CHEMICAL IDENTITY INFORMATION: You must provide a currently correct Chemical Abstracts (CA) name of the substance 

based on the ninth Collective Index (9CI) of CA nomenclature rules and conventions. 

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

Complete either item 1 (Class 1 or 2 substances) or 2 (Polymers) as appropriate. Complete all other items. 

If another person will submit chemical identity information for you (for either item 1 or 2), mark (X) the box at the right. 

Identify the name, company, and address of that person in a continuation sheet. 

1. Class 1 or 2 chemical substances (for definitions of class 1 and class 2 substances, see the Instructions Manual) 

a. Class of substance- Mark (x) 1 r:gj Class I or 2 0 Class2 

D 

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

For Class 1 substances a CA Index Name must be provided. For Class 2 substances either a CA Index Name or CA Preferred Name must 

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

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

(check one). 

r:gj Method 1 (CAS Inventory Expert Service- a copy of the Identification 0 Method 2 (Other Source) 

report obtained from the CAS Inventory Expert Service must be 

submitted as an attachment to this notice) 

d. Molecular formula and CAS Registry Number (if a number already exists for the substance) 

CAS# 

[ 

Confidential 

X 

X 

X 

X 

e. For a class 1 substance, provide a complete and correct chemical structure diagram. For a class 2 substance- (1) List the immediate 

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

of composition and the typical composition (where appropriate). ( 4) Provide a correct representative or partial chemical structure diagram, 

as complete as can be known, if one can be reasonably ascertained. 

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

Form EPA 7710-25 (Rev. 5-95) Page4 
Part I - GENERAL INFORMATION- Continued 

I~ Section B- CHEMICAL IDENTITY INFORMATION- Continued 

2. Polymers (For a definition of polymer, see the Instructions Manual.) Confidential 

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

Indicate maximum weight percent of low molecular weight species (not including residual monomers, reactants, or solvents) below 

500 and below 1,000 absolute molecular weight of that composition. 

Describe the methods of measurement or the basis for your estimates: GPC 0 Other 0 :Specify) 

i) lowest number average molecular weight: 

ii) maximum weight %below 500 molecular weight: 

iii) maximum weight% below 1000 molecular weight: 

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

b. You must make separate confidentiality claims for monomer or other reactant identity, composition information, and residual information. 

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

(1) - 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 ( 1) 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 Conti- Typical Identify Conti- Maximum Contidential composition Mark (X) dential residual dential 

(I) (2) (3) (4) (5) (6) (7) 

% % 

% % 

% % 

% % 

% % 

% % 

% % 

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

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

0 Method 1 (CAS Inventory Expert Service- a copy of the Identification report 0 Method 2 (other source) 

obtained from the CAS Inventory Expert Service must be submitted as 

an attachment to this notice) 

d. The currently correct Chemical Abstracts (CA) name for the polymer that is consistent with TSCA Inventory listings for similar polymers. 

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

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

Form EPA 7710-25 (Rev. 5-95) Page 5 
Part I - GENERAL INFORMATION- 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 purposes 

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

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

Maximum ContiImpurity and CAS Registry Number Percent dential 

(a) (b) 

Please see MSDS page 23 for composition of [ ] and also PMN page 14 for further % 

description. 

% 

% 

% 

% 

% 

% 

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

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

[ ] X 

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

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

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

6. Generic chemical name- If you claim chemical identity as confidential, you must provide a generic chemical 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. 

Partially fluorinated alcohol substituted glycol 

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

7. Byproducts- Describe any byproducts resulting from the manufacture, processing use, or disposal of the new chemical substance. Provide the CAS 

Registry Number if available. 

Byproduct CAS Registry Number Conti-

(I) (2) dential 

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

Form EPA 7710-25 (Rev. 5-95) Page6 
Part I- GENERAL INFORMATION- Continued 

• 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 of production. 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 Exemption application, if you 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. If granted, you are bound to this volume. 

Maximum first 12-month production (kg/yr) Maximum 12-month production (kg/yr) Conti- Binding 

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

Mark (x) 

[ ] [ ] X 

2. Use Information - You must make separate confidentiality claims for the 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 to any item you 

claim as confidential. 

a ( 1) -Describe each intended category of use of the new chemical substance by function and application. 

(2) -Mark (X) this column if entry in column ( 1) is confidential business information (CBI). 

(3)-Indicate your willingness to have the information provided in column ( 1) binding. 

(4)- Estimate the percent of total production for the first three years devoted to each category of use. 

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

(6)- Estimate the percent of the 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 of use. 

(7)- Mark (X) this column if entry in column (6) is confidential business information (CBI). 

(8)-Indicate %of product volume expected for the listed "use" sectors. Mark more than one box if appropriate. Mark 

(X) to indicate your willingness to have the use type provided in (8) binding. 

(9)- Mark(X) this column if entry(ies) in column (8) is (are) confidential business information (CBI). 

Category of use (1) CBI Binding Produc- CBI %in CBI % of substance expected per use CBI 

(by function and application i.e. a dispersive dye for Ootion tion% Form- (8) 

finishing polyester fibers) Mark (x) ulation Site- Con- Indus- Com- Binding 

(2) (3) (4) (5) (6) (7) limited sumer trial mercia! Option (9) 

[ ] X [ ] X [ ] X [ ] X 

% % 

% % 

% % 

% % 

% % 

% % 

*If you have identified a "consumer" use, please provide on a continuation sheet a detailed description of the use(s) of this chemical 

substance in consumer products. In addition, include estimates of the concentration of the new chemical substance as expected in 

consumer products and describe the chemical reactions by which this substance loses its identity in the consumer product. 

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

b. Generic If you claim any category of use description in subsection 2a as confidential, enter a generic description of that 

use category. Read the Instructions Manual for examples of generic use descriptions. 

description 

Intermediate 

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

3. Hazard Information- Include in the notice a copy of reasonable facsimile of any hazard warning statement, label, material safety data sheet, Binding 

or other information which will be provided to any person who is reasonably likely to be exposed to this substance regarding protective Option 

equipment or practices for the safe handling, transport, use, or disposal of the new substance. List in Part III hazard information you include. Mark (x) 

IZ! Mark (X) this box if you attach hazard information. Continued on Pages 24-30 

Form EPA 7710-25 (Rev. 5-95) Page7 
Part II- HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE 

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

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 there are 

further industrial processing or use operations after import. You must describe these operations. See instructions manual. 

1. Operation description Contia. Identity - Enter the identity of the site at which the operation will occur. dential 

Name 

X 

[ ] 

Site address (number and street) 

[ ] 

City, County, State, ZIP Code 

[ ] 

If the same operation will occur at more than one site, enter the number of sites. Identify the ' #of sites 

I additional sites on a continuation sheet, and if any of the sites have significantly different ' 

production rates or operations, include all the information requested in the section for those I 

' sites as attachments. I 

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

b. Type- X 

Mark (x) IZJ Manufacturing D Processing Duse 

c. Amount and Duration - Complete 1 or 2 as appropriate 

Maximum kg/batch (100% new chemical ~ Hours/batch ~ Batches/year X substance) ! I 

' 1. Batch r 1 I ( j I [ l 

Maximum kg/day (I 00% new chemical ! Hours/day I Days/year ' substance) I I 

2. Continuous ; ' 

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

(1) 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 kg/batch on a 100% new chemical substance basis), and entry point of all starting 

materials and feedstocks (including reactants, solvents, and 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 environment of the new chemical substance. 

[gj Mark (X) this box if you attach a continuation sheet. Continued on Page 14. 

Form EPA 7710-25 (Rev. 5-95) Page 8 
Part II - 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 of worker activity, physical form of the new chemical substance, number of workers exposed, 

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

( 1) -Describe the activities (e.g. 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 (1) is confidential business information (CBI). 

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

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

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

a mixture) at the time of exposure. 

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

(12)- Mark (X) this column if entries in columns (10) and (11) are confidential business information (CBI). 

Worker activity CBI Protective Equipment/ Binding Physical form(s) Binding CBI #of CBI Maximum duration CBI 

(e.g. bag dumping, filling Engineering Controls Option ( e.g.solid:powder) Option Workers Hrs/day Days/yr 

drums) Mark (x) and%new Mark (x) Exposed 

substance 

(l) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) 

[ l X [ [ l X [ l X [ l [ l X 

l 

[ l X [ [ l X [ l X [ l [ l X 

l 

IZ! Mark (X) this box if you attach a continuation sheet. Continued on Page 16. 

3. Environmental Release and Disposal - You must make separate confidentiality claims for the release number and the amount of the new chemical substance released and other release 

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

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

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

(3)- Mark (X) this column if entries in column (1) and (2) are confidential business information (CBI). 

( 4)- Identify the media of release i.e. stack air, fugitive air (optional-see Instruction Manual), surface water, on-site or off-site land or incineration, POTW, or other (please 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 of the new substance to the environment. 

For releases disposed of on land, characterize the disposal method and state whether it is approved for disposal ofRCRA 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 information (CBI). 

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

POTW (Publicly Owned Treatment Works). Mark (X) if the POTW name or NPDES #is confidential business information (CBI). 

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

Number released Release 

(l) (2a) (2b) e.g. stack air • Binding 

(3) (4) (Sa) ! Mark(x) (5b) (6) 

[ l [ l X [ [ l ~ [ l X 

l I 

[ l [ l X [ l [ l I [ l X 

' I 

[ l [ l X [ [ l ' [ l X I 

l ' 

[ l [ l X [ [ l ' [ l X 

l I 

' 

( 7) Mark (X) the IZ! POTW provide name(s) below: ~ 0Navigable IZ! Other-Specify provide NPDES # CBI 

destination( s) of 

r Waterway [ ] releases to water. X [ ] X 

l 

*No data available on efficiency of 

removal of PMN substance so no 

reduction assumed. 

[ ] 

IZ! Mark (X) this box if you attach a continuation sheet. Continued on Page 17. 

Form EPA 7710-25 (Rev. 5-95) Page9 
Part II - HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE- Continued 

~ection 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 of processing, or use operation involving the new chemical substance. If the same operation is performed 

at more than one site, describe the typical operation common 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 kg/day or kg/batch, on an 100% new chemical substance basis), and entry point of all feedstocks (including reactants, 

solvents and catalysts, etc) and of all products, recycle streams, and wastes. Include clearing 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 environment of the new chemical substance. 

(4) Please enter the# of sites (remember to identifY the locations of these sites on a continuation sheet): 

#of sites 

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

2. Worker Exposure/Environmental Release. 

( 1)- 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 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 kg/day or kg/batch). 

(12)- 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 of the proceeding entries are confidential business information (CBI). 

Letter #of CBI Duration CBI Protective Equip./ %in CBI Release Amount of CBI Media of Release CBI 

of Workers of Engineering Controls/ Form- Number New & Control 

Act- Exposed Exposure Physical form and% ulation Substance Technology 

ivity new substance Released 

(I) (2) (3) (4a) (4b) (5) (6) (7) (8) (9) (lOa) (lOb) (11) (12) (13) 

(14)- By products (15) 

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

Form EPA 7710-25 (Rev. 5-95) Page 10 
OPTIONAL POLLUTION PREVENTION INFORMATION 

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

In this section you may provide information not reported elsewhere in this form 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 

information 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 reformulation, 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. Description of pollution 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 

this information to assess overall net reduction in toxicity or environmental releases and 

exposures, not the shifting of risks to other environmental media or non-environmental areas 

(e.g., occupational or consumer exposure). In addition, information on the relative cost or 

performance 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 the revised Instructions Manual that includes a Pollution Prevention 

manual for guidance 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 of waste 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 applications; 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. 

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

Form EPA 7710-25 (Rev. 5-95) Page 11 
Part III- LIST OF ATTACHMENTS 

Attach continuation sheets for sections of the 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 of the 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 Confipage number(s) dential 

Part 2, Section A, 1 d, Manufacturing Process Description of PMN Substance 14 X 

Part 2, Section A, 1d, Block Diagram of Manufacturing Process ofPMN Substance 15 X 

Part 2, Section A, 2, Occupational Exposure of Manufacturing Process ofPMN Substance 16 X 

Part 2, Section A, 3, Environmental release and Disposal of Manufacturing Process ofPMN Substance 17 X 

GC and GC/MS Analysis of [ ] 18-21 X 

Impurity Profile of [ ] 22 X 

Material Safety Data Sheet (MSDS) 23-29 X 

CAS Inventory Expert Service letter for PMN Substance 30 X 

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

Form EPA 7710-25 (Rev. 5-95) Page 12 
PHYSICAL AND CHEMICAL PROPERTIES WORKSHEET 

To assist EPA's review of physical and chemical properties data, please complete the following wor!Gheet for data you provide 

and include it in the notioe. IdentifY the property measured, the page of the notioe 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_). 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 sul:mit this worksheet as a supplement to your submission of test 

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

Property Mark (X) Page Value Measured Confiif number or dential 

(a) provided (b) (c) Estimate Mark (X) 

(MorE) (d) 

Physical state of neat substance I l M X 

Vapor pressure 

@ Temperature oc Torr 

Density/Relative density g/cm3 

Solubility 

@ Temperature "C 

Solvent giL 

Solubility in water @ Temperature oc "C 

Melting Temperature oc 

Boiling/sublimation temperature @ torr pressure 

Spectra 

Dissociation constant 

Particle size distribution 

Octanollwater partition coefficient 

Henry's Law constant 

Volitalization from water 

Volitalization from soil 

pH @ concentration 

Flammabilitv 

Explodabilitv 

Adsorption/coefficient 

Other - Specify 

EPA Form 7710-25 (Rev. 5-95) Page 13 
Continuation Page For Part II- Section A-ld- Description of Manufacturing Process from page 8 

] are isolated during a [ 

]. The [ ] will take place in [ ]. The [ ] will be 

heated [ ], which will be [ 

] . During the [ ] will be [ 

]. A [ ] will be taken to 

determine the [ ]. When the appropriate [ ] has been achieved, the 

[ ] is complete. 

The [ 

] will be packed out into drums. Approximately [ 

]. The [ ] would then be rinsed [ ]. The 

] can then be either disposed of [ 

] . The material in [ ] would be analyzed for [ 

] . The drums used to transfer and store the [ 

]. 

For clarification, 

Form EPA 7710-25 (Rev. 5-95) Page 14 
Continuation Page For Part II- Section A-Id- Diagram of Manufacturing Process from page 8 

Form EPA 7710-25 (Rev. 5-95) Page 15 
Continuation page of Part II - Section A - 2 Occupational Exposure of Manufacturing Process from page 9 

2. Occupational Exposure- You must make separate confidentiality claims for the description of worker activity, physical form of the new chemical 

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

(I)- Describe the activities (e.g. bag dumping, tote filling, unloaiing drums, sampling, cleaning, etc.) in which workers may be exposed to the 

substance. 

(2)- Mark (X) this column if entry in column (1) is confidential business information (CBI). 

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

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

(6)- Indicate the physical form(s) of the new chemical substance (e.g. solid: crystal, granule, powder, or dust)and% new chemical substance (if part of 

a mixture) at the time of exposure. 

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

(12)- Mark (X) this column if entries in columns (10) and (11) are confidential business information (CBI). 

Worker activity CBI Protective Equipment/ Binding Physical form(s) Binding CBI #of CBI Maximum duration CBI 

(e.g. bag dumping, filling Engineering Controls Option (e.g.solid:powder) Option Workers Hrs/day Days/yr 

drums) Mark (x) and %new Mark (x) Exposed 

substance 

(!) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) 

[ l X [ [ l X [ l X [ l [ l X 

l 

[ X [ [ l X [ l X [ l [ l X 

l 

l 

[ l X [ [ l X [ l X [ l [ l X 

l 

[ l X [ [ l X [ l X [ l [ l X 

l 

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

Form EPA 7710-25 (Rev. 5-95) Page 16 
Continuation page ofPart II- Section A- 3 Environmental Release and Disposal of Manufacturing Process 

from page 9 

3. Environmental Release and Disposal - You must make separate confidentiality claims for the release number and the amount of the new chemical 

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

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

(2)- Estimate the amount of the new suhltance released (a) directly to the environment or (b) into control technology (in kg/day or kg/batch). 

(3)- Mark (X) this column if entries in column (I) and (2) are confidential business information (CBI). 

( 4) - Identify the media of release i.e. stack air, fugitive air (optional-see Instruction Manual), surface water, on-site or off-site land or incineration, POTW, 

or other (please specify) to which the new suhltance 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 of the new substance to the environment. 

For releases disposed of on 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 information (CBI). 

(7)- Identify the destination(s) of releases to water. Please supply NPDES (National Pollutant Discharge Elimination System) numbers for direct 

discharges or NPDES numbers of the POTW (Publicly Owned Treatment Works). Mark (X) if the POTW name or NPDES # is confidential business 

information (CBI). 

Release Amount of new 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 1 Binding 

(3) (4) (5a) ' Mark(x) (5b) (6) 

[ l [ l X [ l [ l ' I [ l X 

' 

(7) Mark (X) [8] POTW provide name(s) below: CBI D Navigable [8] Other-Specify provide NPDES # CBI 

the f--

destination(s) of [ X Waterway [ l [ ] X 

releases to 1 

water. *No data available on efficiency of 

removal of PMN substance so no 

reduction assumed. 

[ l 

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

Form EPA 7710-25 (Rev. 5-95) Page 17 
Page 18 
Page 19 
Page 20 
Page 21 
Page 22 
The MSDS format adheres to the standards and regulatory requirements of the United States and may not meet regulatory 

requirements in other countries. 

Material Safety Data Sheet 

[ 

Revised 05-Nov-2009 

CHEMICAL PRODUCT/COMPANY IDENTIFICATION 

Company Identification 

MANUFACTURER/DISTRIBUTOR 

[ 

PHONE NUMBERS 

[ 

COMPOSITION/INFORMATION ON INGREDIENTS 

# Components 

Material 

Unknown 

HAZARDS IDENTIFICATION 

Potential Health Effects 

Skin contact may cause skin irritation with discomfort or rash. 

CAS Number 

Eye contact may cause eye irritation with discomfort, tearing, or blurring of vision. 

I 

I 

I 

I I 

8.5 

Page 1 

Based on animal experiments on a similar product, gross overexposure may cause abnormal liver or kidney function as 

detected by laboratory tests. 

Based on related products, inhalation of spray or mist may cause nasal, throat, or lung irritation. Inhalation of large 

amounts of respirable particles may be toxic to the lungs. Symptoms may be modest initially, followed in hours by 

severe shortness of breath requiring prompt medical attention. 

Page 23 
[ 1 Page 2 

Material Safety Data Sheet 

(HAZARDS IDENTIFICATION - Continued) 

Carcinogenicity Information 

The following components are listed by IARC, NTP, OSHA or ACGIH as carcinogens. 

Material IARC NTP OSHA ACGIH 

[ 2B X A3 

FIRST AID MEASURES 

First Aid 

INHALATION 

If inhaled, immediately remove to fresh air. If not breathing, give artificial respiration. If breathing is difficult, give 

oxygen. Call a physician. 

SKIN CONTACT 

Flush skin with water after contact. Wash contaminated clothing before reuse. 

EYE CONTACT 

In case of contact, immediately flush eyes with plenty of water for at least 15 minutes. Call a physician. 

INGESTION 

If swallowed, do not induce vomiting. Immediately give 2 glasses of water. Never give anything by mouth to an 

unconscious person. 

Call a physician. 

Notes to Physicians 

Activated charcoal mixture may be administered. To prepare activated charcoal mixture, suspend 50 grams activated 

charcoal in 400 mL water and mix thoroughly. Administer 5 mL/kg, or 350 mL for an average adult. 

Page 24 
I 1 

Material Safety Data Sheet 

FIRE FIGHTING MEASURES 

Flammable Properties 

Flash Point : Does not ignite 

Method : Pensky-Martens Closed Cup - PMCC. 

Page 3 

Noncombustible. Hazardous decomposition products including carbon dioxide, carbon monoxide, hydrogen fluoride, 

toxic gases or particles may be formed during combustion. These products may cause severe eye, nose, throat, and 

lung irritation or toxic effects. 

Extinguishing Media 

Use media appropriate for surrounding material. 

Fire Fighting Instructions 

Evacuate personnel to a safe area. Wear self-contained breathing apparatus. 

A void breathing decomposition products. 

ACCIDENTAL RELEASE MEASURES 

Safeguards (Personnel) 

NOTE: Review FIRE FIGHTING MEASURES and HANDLING (PERSONNEL) sections before proceeding with 

clean-up. Use appropriate PERSONAL PROTECTIVE EQIDPMENT during clean-up. 

Evacuate personnel, thoroughly ventilate area, use self-contained breathing apparatus. 

Ventilate spill area. 

Initial Containment 

Dike spill. 

Spill Clean Up 

Soak up with sawdust, sand, oil dry or other absorbent material. 

HANDLING AND STORAGE 

Handling (Personnel) 

Avoid contact with eyes, skin or clothing. Wash thoroughly after handling. Do not store or consume food, drink, or 

tobacco in areas where they may become contaminated with this material. Avoid circumstances that produce 

respirable particles unless suitable ventilation and respirator are used. 

Page 25 
I I Page 4 

Material Safety Data Sheet 

(HANDLING AND STORAGE -Continued) 

Handling (Physical Aspects) 

Close container after each use. 

Storage 

Keep container tightly closed. 

Keep away from open flames and heated surfaces above 200 degrees C (392 deg F). 

EXPOSURE CONTROLS/PERSONAL PROTECTION 

Engineering Controls 

Keep container tightly closed. Use only with adequate ventilation. Do not aerosolize. Keep away from open flames 

and heated surfaces above 200 degC (392 degF). 

Personal Protective Equipment 

EYE/FACE PROTECTION 

Wear safety glasses. Where splash potential exists, wear chemical splash goggles. 

RESPIRATORS 

Wear NIOSH approved respiratory protection, as appropriate. 

PROTECTIVE CLOTHING 

Where there is potential for skin contact have available and wear as appropriate impervious gloves, apron, pants and 

jacket. 

Exposure Guidelines 

Applicable Exposure Limits 

I I 

PEL(OSHA) 

TLV(ACGIH) 

[ 

Exposure Guideline Comments 

: 100 ppm, 360 mglm3, 8 Hr. TWA, Skin 

: 20 ppm, 8 Hr. TWA, Skin, A3 

: 25 ppm, 8 & 12 Hr. TWA, Skin 

I· 

Page 26 
I I 

Material Safety Data Sheet 

(Applicable Exposure Limits - Continued) 

PHYSICAL AND CHEMICAL PROPERTIES 

Physical Data 

Boiling Point 

Freezing Point 

Vapor Pressure 

Solubility in Water 

Odor 

Form 

Color 

Density 

: ( 

( 

: Liquid at room temperature 

: 0.2 torr @ 25 C (77 F) 

:Negligible 

:None 

:Liquid 

: Colorless to Pale Yellow 

:I I 

STABILITY AND REACTIVITY 

Chemical Stability 

Stable at normal temperatures and storage conditions. 

Incompatibility with Other Materials 

None reasonably foreseeable. 

Decomposition 

Page 5 

Decomposes with heat. Hazardous decomposition products including carbon dioxide, carbon monoxide, hydrogen 

fluoride, toxic gases or particles may be formed during combustion. These products may cause severe eye, nose, 

throat, and lung irritation or toxic effects. 

Polymerization 

Polymerization will not occur. 

Page 27 
I I Page 6 

Material Safety Data Sheet 

TOXICOLOGICAL INFORMATION 

Animal Data 

( I was evaluated for acute, genetic, subchronic, 

reproductive, developmental, and aquatic toxicity. [ I was slightly toxic by the oral and dermal routes with an 

oral LD50 of 1750 mg/kg and a dermal LD50 of greater than 5000 mglkg in rats. [ I did not produce a dermal 

sensitization response in mice. By the inhalation route, [ I was slightly toxic with a 4-hour LC50 in rats greater 

than 5.2 mg/L and less than 9.9 mg/L. [ I was not mutagenic in the bacterial reverse mutation test or in the 

mouse lymphoma assay and was not clastogenic in a chromosome aberration assay in human lymphocytes. In subchronic, 

one-generation reproductive, and developmental toxicity studies, [ I was administered to rats by oral gavage. 

Liver effects were observed in the subchronic study at 25 mglkg/day and higher. In the developmental and reproductive 

studies, toxicity was only observed in the offspring at doses that were also maternally toxic. Therefore, this material is not 

considered to be a selective reproductive or developmental toxicant. These data indicate 25 mglkg/day is the NOAEL for 

[ I in the developmental and reproductive studies; the NOEL in the subchronic study is 5 mglkg/day. 

Ecotox 

The 96-hour LC50 in fathead minnows was 4.8 mg!L, 48-hour EC50 in Daphnia magna was 7.8 mg/L 

The 72-hour EC50 in the green algae, Pseudokirchneriella subcapitata, was 4.5 mg!L. 

DISPOSAL CONSIDERATIONS 

Waste Disposal 

Treatment, storage, transportation, and disposal must be in accordance with applicable Federal, State/Provincial, and 

Local regulations. 

TRANSPORTATION INFORMATION 

Shipping Information 

Not Regulated as a hazardous material by DOT, IMO, or lATA. 

REGULATORY INFORMATION 

U.S. Federal Regulations 

TSCA Inventory Status :Not Listed. 

One or more components are not listed on EPA's Toxic Substances Control Act (TSCA) Chemical Inventory. 

TITLE III HAZARD CLASSIFICATIONS SECTIONS 311,312 

Acute :Yes 

Chronic :No 

Fire :No 

Reactivity :No 

Pressure :No 

Page 28 
OTHER INFORMATION 

NFPA, NPCA-HMIS 

NPCA-HMIS Rating 

Health : 2 

Flammability : 0 

Reactivity : 0 

I I 

Material Safety Data Sheet 

Personal Protection rating to be supplied by user depending on use conditions. 

Page 7 

The data in this Material Safety Data Sheet relates only to the specific material designated herein and does not relate to 

use in combination with any other material or in any process. 

Responsible for MSDS : MSDS Coordinator 

> 

Address 

Telephone 

:I 

: I 

:I 

This information is based upon technical information believed to be reliable. It is subject to revision as additional 

knowledge and experience is gained. 

EndofMSDS 

Page 29 
Inventory Expert Service 

A division of the American Chemical Society Phone: 800-631-1884, 614-447-3870 

Fax:614-447-3747 

E-mail: answers@cas.org 

Web: www.cas.org/products/client/ 

INVENTORY EXPERT SERVICE REPORT 

IES-ORDER NUMBER: 

CA INDEX NAME 

Please print the above CA Index Name on the appropriate page of your PMN. 

D 

CAS 

If this box is checked, CAS has made correction(&) marked in red to 

your IES order. Please make the same correction(s) to your PMN before 

submitting it to the EPA. 

2540 Olentangy River Road P.O. Box 3343 

Page 30 Columbus, Ohio 43210-0334 USA