r 
 I 

o 

\\'l1t'n 

..:ompll'tt'd 


"elld t hi­


tprm to 


U. S. ENVI.RONMENT AL PROTECTION AGENCY 

ft EA~A PREMANUFACTURE r\ NOTICE 

AGENCY USE ONL~ 

Dale of recei pt 

FOR NEW CHEMICAL SUBSTANCES 

DOCUMENT CONTROL OFFICER 

OFFICE OF POLLUTION PREVENTION 

AND TOXIC SUBSTANCES, 7407 

U.S. E.P.A. 401 M STREET, SW 

WASHINGTON D.C. 20460 

Com 

oany Sanitizecl 

Enter the total number of pages 

in the Premanufacture Notice 

-0012. Approval Ex~ 10-31 96. 

'You mil'" providr:.all information teqll...ted In this form to tbe eKtent that it il known 10 or I'UIlQn..t>ly ascertainable by you. Make reasonable estiaut... lf you 

not have adu.:al data. 

•Before you completr: thia fOml, you should read the "ln5In1ctiona M.mual for Premanufiduft Notification" (the lnIIlnldlonl Manual is available from the Toxic 

Substances Control Ad (TSCA) information Service by calling 202-S54-Uoc. or faxing 202-554-5Ql3) • 

•If a user fee h .... been remitted for Ihis notice (40 ax ?OO.45), Indlc.ate In the bO~e5 .bove Ihe T5-user fee Identification numberyoll hOl...., generated. 

Remember, your UKr fee ID number must abo appeuon YOllf corresponding fee remlHance, which is sent to: EPA, HQ Acrounllng Operations Branch <PM· 

P.O. 360399M. Pittsburgh, P A 15251-6399, Alln. TSCA UserFee. 

Pari 1- GENERAlINFORMATION 

You mUll! provide the cun-enUy correct Chemical Abslrads (CA) Name of the 

new chemlcal.ub.t.......,." .,v ... , 11 )'I)u cbim !he Id~lIty _ confldenlial. \(Oll may 

Olulhorlze another peno. to submit chemiallde.UIy Information for you, bill 

your submlSlilon will JlOl be complete <md thr: review wUlnot begin uatU EPA 

~ves thill IIlformatlon. A lett.er la ...pport of your submINion should 

renren.,., your TS IUIeI" fee identification nllmber. You mUllallbmlt &II odglnal 

and two copiell of thla notice including all lett dala. If you cWmed oy 

informallon as confidentia1, a single sanitized copy must be 8ubmllted. 

Pari n - HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE 

If there;ore several manufacture, processing, or use operations 10 be desoibed In 

Pari IL sedlollJl A and Bof Ihla nolice, reproduce thelledlo... as needed. 

Pari ill- UST OF ATIAOiMENTS 

Atu.cb additlon.al sheel.fllf the~ I. not enough SplICe 10 lUUIwer. question fully. 

l.abel.,.ch continuation sheet with the corresponding sedloll head mg. In Pari 

III, list the.e lII1.ad\melllB, any t..Il d.... or other data ad oyoptional 

Informallo. included in Ihe notice. 

OPTIONAL INFORMATION 

You may IIlclllde any inform.1ll.lon th. you wDl EPA 10 coulder I. WalUill;Rg 

the new .ub"uuu:.,. 0.. page 11 of thl. fo ..... , .pa"" II .... been provided for YOIl to 

deoaibe pollution prevention iIDd ncyding infolDlation )'I)u may have regarding 

lhe new substance. 

So-called "bInding" bo".,. are Included throughout thla form for YOII to indlcale 

your willingness 10 be bound 10 certain ilatemenls you make in this notice, I ..ch 

iI5 use, production volume, protedlve equlpmeal ..• Thl. option Ia Intended to 

red ace ddaya Ihal routinely aaDmpany Ihe development of ronsent orden or 

Slgllificant New Use Kul.... Exapt In the cue of exemption appllatio.... lJuch as TMEA, LVI, LOREX) whe"" cutaln Info_aUo. provided In .ach nollficallon I. 

binding oath...ubmltter wh.... the Agency approves the exemption &ppllcallon, 

checking a blading bo~ In thl. nolla by Itself prohibit !he .ubmiller 

fro ... laIerdeviilllnll from Ihe Inform_ioll (_.,.,pt dlemkalldenUty) reported In 

Ihe form. 

CONFIDENTIALITY CLAIMS 

You may cLaim any information In thi. notja, u confidential. To _rt a claim 

on the fo.........uk 00 Ihe CDII6de1ltW boll _t 10 th., Inform"lIloR that you cbim 

as c:unfidentlal. To _elt a claim in an att.ad\menl, drde or bracket Ih" 

information YOIl daim IS confidential. U You claim infpnn.tjon III the poiice is 

collfidtllHa! you mu.t;Uap provide iI &jUIiIlzed veDtoo pf the noUce, UocJudjoll 

iHachmcntsl. For addltlonaIlnstrudlooa on claImlllg informillion as 

confldeatial, read the Inlltrudlona Manual. 

Mark (X) If <my information in this notier i& dilimed as mnfldenllal. 

TEST DATA AND OTHER DATA 

You are required 10 submit all t..Il data In your ~Io" or control 

and to pro'Vlde. deocriptio. of all o!herd_known 10 or ft,MOnably 

il&Cerl.unable by yoa, Ifth_data &.n! reIaIed 10 the he.:alth and 

envimlUllentai effeds of the manufacture, plOal!llling, dlalriblllioR 

In annmen:e, ....., or disposal of Ihe new chemicalsubslance. Standard 

Iiteratllre dlatlons may be allbmllted for du In lhe open JdentUic 

Iilerature. Complrle test data (wrltteg In EqUshl not aummad!!li of data. 

mllSl be submitted Ifthey do nol iIlJ!CariD the QJ!Cl! IIlcrJiure. Yoa should 

dearly Identify whether IeIIl data Is on Ihe .ubstance or on an an.:alog. Also, 

the chemlaJ com position of the leslr:d malerial ohould be charademed. 

follOwing &.n! ex......ples of tat data;and other data. D.I.Jlhould be 

submitted aerording 10 Ihe reqlliremenls of §72o.SO of Ihe Premanufacture 

NoUtlcali.,.. Rule (40 CfR Pm '20). 

Test Dati (Check Below any included in thls notice) 

• Environmental filledata ~ Yes • Olherdatl D Yes 

• He.:alth effects data 

• Environmental effect. data 

g] Yes 

-::fS:J Yes 

RiIIk _menta 

Sirudu""..alvity rclationshi 

Test data not III the poMeMi 

or control of the ...bmiller 

•A phyalal <md chemlal properll... worbheet 1.loalr:d on thr: 1..1page 

oflhb form. 

), 

" 

TYPE OF NOTICE (Ched< O .. ly O..e) 

o PMN (Premanuf..aure Noli.,.) J 

o INTERMEOIATE PMN (5ubmitted In sequence with fin.al P~d PMN) 	 ~ 

(­ o SNUN (Significant New Use Notl",,) ~ 

o ~~ .,.,..,A IT"'" Marketing Exemption Appllcallon) 

-I:'" 

­ ::1~~r.'.l o LVE (Low Volume Ex_plio,,). 4D O'R 723.50 (clU) __ _ 

-0 4"-~ o LOREX (Low Xele.oseJLow E"po • ....., ""emption)" '23.~) s.:: 

o 0 	 C'") 

LYE Modlllca.l1on LOREX Modification -::­

- IS nus A CONSOLIDATED PMN7 D Yes 

I of chemlaols 


(Prenotke Commllnlc.>tio .. f requlr"d, "nwr' oa pag" 3) 


EPA FORM 7710-25 (Rev.5-95) Replaces previOUS editions of EPA Ponn 7710-25 
Pub'l'k reporting burden for this collection of information is estimated to average 110 hours per response, including time for reviewing instruction!, 

searching existing data SOUICe!I, 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 thls collection of information, including suggestions for reducing this burden, 

to ClIief, Illformation Policy Branch, PM-223, U.S. Environmental Protection Agency, 401 M. St, S.W." Washington, D.C 20460; and to the Office ( 

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 1, section A, subsection la 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 of the 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 §720.5O 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: 


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


D The Company named in Part I, Section A has remitted the fee of 51000 for an Intermediate PMN (defined @ 40 CFR 700.4: 
) in 

accordance with 40 CFR 700,45(b), or 

I8:J 	 The Company named in Part I, Section A is a small business concern under 40 CFR 700.43 and has remitted 


a fee of$l00 in accordance with 40 CFR 700.45 (b). 


If you are submitting a low volume exemption (LVEl application in accordance with 40 CFR 723.50 (cl (I) or a Low 


release and low exposure exemption (LoREX) application in accordance with 40 CFR 723.50 (c) (2), check the following 


certification statements: 


D 	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. 

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

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

D Ifthis application is for an LVE in accordance with 40 CFR 723.50 (c)(I), 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 of the 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 misinterpretation is subject to criminal penalty pursuant to 18 USC 1001. 
 Confidenti ~ 

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

Signature of agent. (if applicable) Date 

FORM EPA 7710-25 (Rev. 5-95) Page 2 
la. Person 

Submitting 

Notice 

(in U.s.) 

b. Agent (if 

applicable) 

Part I - GENERAL INFORMATION 

street) 

Oty, State, ZIP Code 

Name of authorized official 

Company 

Mailing address (number and street) 

Oty, State, ZIP Code 

Telephone 

c. If you arc submitting this notice as part of a joint submission, mark (X) this box. -----------------JiIoJoint Name of authorized official 

Submitter 

(if applicable) 

2. Technical 

Contact 

(in U.S.) 

Mailing address (number and street) 

City, State, ZIP Code 

Name 

Company 

Mailing addr_ (number and street) 

City. State, ZIP Code 

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

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

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

substance covered by this notice, enter the exemption number assigned 

by EPA. If you previously submitted a PMN for this substance enter the 

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

-->..... If you have submitted 8 notice of Bona fide intent 10 manufacture or 

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

notice number assigned by EPA. >­

Type of Notice - Mark (X) 

FORM EPA 77l()"25 (Rev. 5-95) 

r:::::t Manufacture 

1. lL::::L oruy 

D Binding Option 

Mark (x) 

Page 3 

Position 

Telephone I 

I 

2. D 

D 

Import 

Only 

Mark (X) 

if none 

Mark (X) 

if none 

Mark (X) 

if none 

BindingOption 

Mark (x) 

-->~ ~ 

3. D Both 
Part I -- GENERAL INFORMATION - Continued 

You mua! provie" " ' nTCl\tly correct Chemical Abstracts {eA} name of Section B - CHEMICAL IDENTITY INFORMATION: based on the nWlr. ( 

Mark (X) "Confidential" box next to any item you clair:l 3' :onfidential. 

·UOOive Index (90) of CA nomenclature rules and CO~lvelltio·ns.1 

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

If another person will submit chemical identity information for you (for either ·,:;m 1 or 2),rnark (X) the box at the right. D 

the name, and address of that in a continuation she<.: )100 

1. Clus1 or 2 chemical substances (for definitions of class 1 and class 2 substances, sec In, Instructions Manual) 

a. Gass of substance - Mark O() 1 D Oass 1 or 2 ~ o,,~,' :I 

b. OIernical name (Currently correct OIernicaJ Abstracts (CA) Name that is consist,,!) t \, 1h TSCA Inventory listings for similar substances. 

For Oass 1 substances a CA Index Name must be provided, For Qass 2 substances c, : her a CA Index Name or CA Preferred Name 

be provided, whichever is appropriate based on CA 90 nomenclature rules and con'" 'fillons.). 

c. Please identify which method you used to develop or obtain the specified chemica: inLl2ntity information reported in this notice: 

(check one). 

Method 1 (CAS Inventory Expert Service - a copy of the ldentificath Ti DMethod 2 (Other Source) 

report obtained from the CAS Inventory Expert Service Il;ust be 

submitted as an attachment to this notice) 

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

e. 	For a cial81substance, provide a complete and correct chemical structure diagram F,)r a class 2 substlUlCe - (1) list the immediate 

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

range of composition and the typical composition (where appropriate). (<I) Provide 3 correct repre5(!l1tative or partial chemical 

structure diagram, as complete as can be known, if one can be reasonably ascertained, 

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

FORM EPA 7710-25 (Rev. 5-95) Page <I 
Part I -- GENERAL INFORMATION -- Continued 

~ Section B -- CHEMICAL IDENTITY INFORMATION - Continued 

2. Polymers (For a definition of polymer, see the insttuctions Man ual.) ~::i ~l a. Indicate the number-average weight of the lowest molecular wcight 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 basu for your estimates: Gl'C 0 OtherD :(Specify) 

j) lowesl number average molecular weight: 

ii) maximum weight % below 500 molecuLlr weight: 

iii) maximum weight % below 1000 molecu1ar weight:

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

b. You must make separa te confidentiality claims for monomer or other reactant identity, com posi lion information, and residual information. 

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

(1) - Provide the specific chemical name and CAS Registry Number (if a number erists) of each monomer or other reactant used in the 

manufacture of the polymer. 

(2) Mark DC) this column if entry in column (1) is ronfidential. 

(3) - Indicate the typical weight percent of each monomer or other reactant in the polymer. 

(4) - Mark 00 the identity column ifyou want a monomer or other reactant used at two weight percent or less to be luted as part of the 

polymer description on the TSCA Chemical Subsbnce Inventory. 

(5) - Mark (X) this oolumn if enbies in columns (3) and (4) are confidential. 

(6) - Indicate the maximum weight per~nt of each monomer or other reactant that IDay be present as a residual in the polymer as 

manufactured Cor commercial purposes. 

(1) Mark (X) this column if entry in column (6) is confidential. 

Monomer or other reactant and CAS RegiStry Number ConCi- Typical Identity Confi- Maximum 

dential composition Mark (X) dential residual ~:I ~l (1) (2) (3) (4) (5) (6) (? 

0/. 0/0 

% 'Yo 

% 

% 

% % i 

% % 

% "'­

% % 

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

c. Please identify which method you used to develop or obtain the specified chemicalidentily information reported in this notice. (check one). D 	 Method 1 (CAS Inventory Expert Service - a copy of the identification report D Method 2 (other source) 


obtained from CAS Inventory Expert Service must be submitted as 
 an attachment to this notice} 


d. The currently correct <lIemical Abstracts (CA) name tor the polymer that is consistent with TSCA Inventory tistings for similar polymers. 

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

D MarkOO this box if you attach a continuation sheet. 

FORM EPA 711(}'25 (Rev, 5-95) PageS 
· Part I - GENERAL INFORMATION -- Continued 

~ Section B - CHEMICAL IDENTITY INFORMATION - Continued 

3. Impurities 

(,.) ­ Identify .,...". hnp.ulty lh. _y be reASOnably anlldpated l<> be present In the chemlal nbotill\u as manufactured for romrnerrial pllI"pOlleS. 

Provide the CAS Registry Number if ..vallable. If there are unidentified i1npuriUes, en"'r·unld.... tifled.· 

(h) -Estimate the mulmum weight of each Impurity. Ifthere are unidentified Impurlti..., mimale thelr toliil weight 'i(.. 

Impurity and CAS Registry Number Maximum 

(a) percent ~~ ~~l (b) 

% 

% 

% 

% 

0/0 

% 

% 

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

4. Synonyms - Enter any chemical synonyms for the new chemical substance identified in subsection 1 or 2. i:;r~~ 

D Marle 00 this box if you attach a continuation sheet. 

5. Trade identification - List trade names for the new chemical substance identified in subsection 1 0[" 2. 

D Mark 00 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 00 developing 

generic names. 

fleNo/.. J /tA-c,1-uo ;;I'"'tJckc../·151 w,,( "ft.,..'1-"?~.-/ rVI(J1"'/vW(. 

D Mark 00 this box if you attach a continuation sheet. , 

7. Byproducts ­ 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 

(1) (2) d~~ ~i

I 

i 

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

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

. Part I - GENERAL INFORMATION - Continued 

~ Section C - PRODUCTION, IMPORT, AND USE INFORMA nON: 

MaIk 00 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 t eon 

100% new chemical substance basis. For a Low Volume Exemption application, if you choose to have your notice reviewed at a lower produc ion 

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) Confi- Blndl" 

dential Optlo~ 

(100% new chemicaJ substance basis) (100% new chemical substance basis) Mm.() 

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 (l) is confidential business information (CBI). 

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

(4) ­ Estimate the percen t of total production for the first thr~ years devoted to each category of use. (5) - MaIk (X) this column if entry in column (4) is confidential business information (edI). 

(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 usc. 

(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 tl:ian one box if appropriate. Mark 

00 to indicate your willingness to have the use type provided In (8) binding. 

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

Category of use (1) ern IIlnd~g Produc­ eSI %in CBI % of substance expected per use P31 

Coy function and application i.e. a dispersive dye for Option lion % Form­ (8)

MMk(x) ulalion fi.t1ishing polyester fibers) ~ite- Lon· Indus- Com- Binding (2) (3) (4) (5) (6) (l) limited sumer trial mercial Option (9) 

% % 

0/0 % 

% % 

% % 

% % 

% % 

% % 

<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 conoontration 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 MaIk (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 )n.truction. Manual for examples of generic use descriptions. 

description 

I 

D MaIle (X) lliis 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, BlncUt>g 

or other information which will be provided to any person who is reasonably likely to be exposed to this substance regarding protective optlqll lDequipment or practices for the safe handling, transport, use, or disposal of the new substance. Ust in part III hazard information you include. Mukl(x) 

Mark (X) this box if vou attach hazard information. I 

FORM EPA 771()"25 (Rev. 5-95) Page 7 

! 

I 

I 
Part II - HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE 

Section A - INDUSTRIAL SITES CO:-ITROLLED BY THE SUB:MITTER 

Complete St'cnon A for each type of manufachJ!"!!, processing, or use operation involving the new chemical substance at industrial sites you 


Importers do not have to complete this section lor operations outside the U.S. ; however, you may still have reporting requirements if there are 


further industrial processing or use operation- "fter import. You must describe these operations. See instructions manual. 

of the site al \"him the will occur. 

Name 

(number and street) 

City, CoUllty, State, ZIP Code 

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


additional sites on a continuation sheet, and if ;:my of the sites have significantly different 


production rates or operations, include all the laformation requested in this section for those 


attach a contbuation sheet. 

b. 	Type 


Mark (X) o Mar.ufacturing o Processing o Use 


Mark (X) this box if 

Hours/batch Batches/year 

1. Batch 

Maximum kg/day (100'!!. _chanlc.al Hotml/day Days/year ...bolAn«) 

2. Continuous 

d. Process desaiption Mark (X) to ind kate your willingness to have your process description binding. 

(1) 	Diagram the major unit operation steps and chemical oonversions. Include interim storage and transport oontainers (spccify-e.g. 5 gallon 

gallon drum, rall car, tank truclc, etc.). 

(2) 	Provide the identity, the approximate weir.ht (by kg/day or kg/batch on an 100% new chemical substance basis), and entry point of all 

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 (lr per batch.). 

(3) Identify by number the points of release, illduding small or inlermittant releases, to the environment of the new chemical substance. 

D Mark (X) this box if you attach a continuati,)n sheet. 

FORM EPA m0-25 (Rev. 5-95) 	 PageS 
I 

I . Part II -- HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE - Continued 

• Section A ­ INDUSTRIAL SITES CONTROLLED BY THE SUBMlTIER - 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. Marle (X) the "Confidential" box next to any item you claim as confidential, 

(1) ­ ~oibe the activities (e.g. bag dumping. tole filling. unloading drums, sampling. cleaning. etc.) in which workers may be exposed to the 

substance. 

(2) ­ Mark OQ this column if entry in column (1) is confidential business information (CHI). 

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

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

(5) ­ Indicate the physical formes) of the new chemical substance (e.g. solid: crystal, granule, powder, or dust) and % new chemiall substance (if par of 

a mixture) at the time of exposure. 

(7) - Mark (X) this column if entry in column (5) i~ confidential business Information (CBI). 

(8) ­ Estimate the maximum number of workers involved in each activity for all sites combined. i 

(9) ­ Mark (X) this column if entry in column (8) is confidential bUSiness information (eBl). I (10) and (11) - Estimate the maximum duration of the activity for any worker in hours per day iUld days per year. 

(12) ­ Mark (X) this column if entries in columns (10) and (J 1) arc confidential business information (CBI). 

Worker activity CBI Protedlve Equlpmeltll ~indJl\g YhyslulIOrm(ti) IBlnding CBI Ii of CBl Maximum duration :BI 

(e.g. bag dumping, filling drums) Ensineerillg Control. pptJon (e.g.solid:powder) ppllon Workers ~ark (x) and % new ~"'k (x) Exposed Hr.l/day Days/yr 

m (2) (3) (4) lIUb8tt~ce (f..1 r7\ (8) (9) nO) (1) 12) 

I 

I 

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

3. Environmental Releale and Dispoaal- You must make separate confidentiality claims for the release number and the amount of the new cl\emi Fa! 

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 p:>int identified in the process description, part II, section A, subsection Id(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 columns (1) and (2) are confidential business Information (CBl). 

(4) - Identify the media of release Le. stack air, fugitive air (optional-see Instruction Manual), surface water, on-site or off-site land or incineratio~, 

P01W, or other (please specify) to which the new substance will be relea5Cd from that rclease point. : 

(5) - a. Describe control technology, if any, ,and control efficiency that will be used to limit tl1e release of the new substance 10 the environment. i 

For releases disp<:l5ed of on land, characterize the disposal method and state whether it is approved for disposal of RCRA hazardous waste. i 

On a continuation sheet. for each site describe any additional disposal methods that will be used and whether the waste is subject to ' 

~dMy 0' I""",,y _~ _...... " ..... .., =~I ,,,,-, 1o ...~vUO"mm. ofta oontrol "","ology (tn kg/"'y). ~ 

(6) - Mark (X) this column if entries in columns (4) and (5) are confidential business information (CBl). 

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

dischargers or NPDES numbers of the P01W (Publicly Owned Treatment Works). Maxk (X) ifthe P01W name or NPDES <II is confidential 

business information (CBI). 

Release AmOWil ofnew substance CBl IMediaO! Control technology and efficiency (you may wish to optionally altach efficiency data) fBI Number relea ;eel release 

(]) (2a) (2b) .~ ot.clcalr : B""Un! 

(3) (4) (5a) I 

Mark (x) (5b) ~6) I 

I 

I 

I 

I I

I 

I 

I 

1 

I 

I 

I 

(7) Mark (X) the o P01W provide name(s) below: CBI o Navigable D Other SpeoIy provide NPDES 11 BI 

destination(s) of i.­ waterway 

releases 10 water. 

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

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

Part II - HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE -- Continued 

~ Section 8 ­ INDUSTRIAL SITES CONTROLLED BY OTHERS 

Complete section B for typical processing or use operations involving the new chemical substanre at sites you do not controllrnporters do not hav, to 

complete this section for operations outside the U.S.; however, you must report any processing or use activities aiter import. Sec the Instructions 

Manual. Cumpll:tl: Ii stpllnik section Bfar each type of processing, or use operation inoo/'Ding the new chemical substsl7'lt:e. If the same operation is perforn 

at more than one site describe the typical operation common to these sites. Identify additional sites on a continuation sheet. 

ed 

1. Operiltion Description· To claim information in this section as confidential. circle or bracket the specific information that you claim as amfidenlial 

(1) ­ Diagram the major unit operation steps and chemical conversions, including interim storage and transport containers (specify- e.g. 5 gallon p jus,

55gallon 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 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. 

'I 

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

0·~Y r ,~~M~f II ohlles 

JVI:.r",(trt jfoP03 (D 

8-45£ 

~,~.ct"'L..\ - J 

I { J ~'I 

l8k"'7~7 ~ h'-?/JI.)f.0 A{nJr 

SfAflvl1/ 

I"" 

a,z ~..Ih~ ,.co,z. 

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

~/"'/ #;//'t-f--lierJ5, 

2. Worker ExposurelEnvironmental 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 US;xi 

10 protect workers. 

(7) ­ Estimate the percent of the new subsbmce 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 controltcclmology to the environment 

(in kg/day or kg/batch). 

(12) - Describe media of release Le. stack air, fugitive air (optional-see Instructions Manual), surface water, on-site or oif-site land or incineration, 

POTW', or other (specify) and control technology, 1f 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), (11), (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 CBl Media of Release BI 

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

Act- Exposed Exposure Physical Form and % ulalion Substance Technology 

ivity new substance Released 

I I 

(1) (2) (3) (4a) I (4b) (5) (6) (7) (8) (9) (IOa) I nOb) 111 (12) 13) 

I I 

I , 

J./K IV/< All< I 

I NI< JVt( ;1)1< NK 11/1(' All< 1lI!L.

I I 

I I 

I I j I 

I I i 

I 

I :

I I i 

i 

I I i 

i 

I I I 

(14) - Byproducts: AIJ< IdI S) 

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

FORM EPA 7710-25 (Rev. '>-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, induding 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 othen-vise be treated or released as air emissions or water 

discharges, or land disposal. Descriptions 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 reductions 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 P:M:N" 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 andjor 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. 

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

(Rev.5-9S) Page 11 
· 

Part III -- LIST OF ATTACHMENTS 

I 

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. Oearly identify the attachment and the section of the form to I

which it relates, if appropriate. Number consecutively the pages of the attachments. In the colunut 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 I 

Attachment name Attachment COl'fipage number(s) de~ ltial 

Material Safety Data Sheet (MSDS) I.':J/</. /S 

;./4/s /-£"",4/20 ~r/4 q /~ 

C'~_{('AI Ah.rr./#t7- M;"r ,-/d-t..J 5ul.srh?re 17 I 

/ 

/?ok- eh~ 7::.,.,/ A~. r (ApT.zr: S;t!IibI1.J A .ttz) /15 

O.;P17tJAJ,oiL 

~ , ~ .) ):?//vhMI ':zVP"'h/u.l-Z:::~"""'.L~UJlf/ (~__ /1 19 

(/ ;.i' 

;::::;~.sIMt:.. .; flL""I("4L.. 8oL7t!"A"h,.L7 ,#/2d ;:;'''''1''-_...1 .. / hfo. Llrr 070 

/£L"4 c-/L~J /,/...-/-;IJ 

, dl 

c; VIA'0'1DJ(J;t.f4 / C;;::'../s /'JA..+..L dot I 

I 

I

L 

I 

i 

I 

; 

I 

I 

I 

I 

I 

o Mark (X) this box if you attach a rontinuation sheet. Enter the attachment name and number, 

FORM EPA 7710-25 (Rev. 5-95) Page 12 ! 

I 
.. /.> 

'F~==============================~ 

ALVAR, INC. 


Art Lersch and Sons Varnish and Chemical, Co. 

112 STATE RT. 89 t Washburn, IL 61570 E: Phone 309-248-7523 E. Fax 309-248-7526 

MATERIAL SAFETY DATA SHEET 


1, PRODUCT INFORMATION 

DATE: JANUARY 3, 2003 	 24-HOUR EMERGENCY ASSISTANCE 

Alvar Incorporated 309-248-7523 

TRADE NAME: VISCOLITE 

CHEMICALNAME: Hydroxy Modified Resin HMIS Hazard Rating 

Least 0 Health 1 

Chemical Family: Alkylated Phenol Slight 1 Flammability 1 

Moderate 2 Reactivity 0 

CAS No,: High 3 

Extreme 4 

Personal Protection: B 

2. HAZARDOUS INGREDIENTS 


Principle Hazardous Components (Chemical and Common Names) 

This product is not hazardous as defined in CFR 1910.1200, and under the provisions of Title III, Sections 311/312 of the 

Superfund Amendments and Reauthorization Act. 

3. PHYSICAL DATA 


Softening Point, R&B (Degree F/C) NA Percent Volatile (by weight) Approx. 1.5 

Spedfic Gl'avity 1.03 @ 25 oc: Evaporation Rate NDA 

Boiling Point (eF/OC) NDA 

Solubility in Water Negligible Vapor Pressure (oom Hg.) NDA 

Appearance and Odor: Clear Liquidl Slight Phenolic Odor Vapor Density (Air = 1) NDA 

NA = Not Applicable 

NDA = No Dat.a Available 

NE = None Established 
YISCOLITE Januarry 3, 2003

PAGE2 

4. FIRE AND EXPLOSION HAZARD DATA 

Flash Point 320eF (COC) flammable Limits Lei: NDA Vel: NDA 

Extinguishing Media: Water spray, Dry chemical, C02, Foam Autoignition Temperature: NDA 

Special Fire Fighting Pl-ocedures: Do not enter confined fire space without proper protective equipment, including a NIOS11 

approved SCBA. Use water spray to cool fire-exposed surfaces and to protect perscnnel. 

Unusual Fire and Explosion Hazards: None 

5. HEALTH HAZARD DATA 


Threshold Limit Value NE, Recommend mineral oil mist 5 mg/m ifused under misting conditions. 

Signs and Symptoms of Exposure: 

1. Acute Overexposure: 	 Not Likely to cause any significant acute toxicological effects. 

2. Chronic Overexposure: 	 No chronic effects knO\VIL 

Medical Conditions Generally Aggravated by Exposure: May cause skin, eye, and mucous membrane ilTitalion. 


Primary Routes of Entry: Skill, eyes: inhalation of oil mist iftht product is aerosoL 


Eye Irritation: May cause in·itation. 


Skin Irritation: May cause irritation. 


Chemical Listed as Carcinogen or Potential Cal-cinogen 


National Toxicology Program: Yes_ No IARC Monographs: Yes ___ No OSHA: Yes No ~ 

OSHA Permissible Exposure Limit: NE, Reconm1end mineral oil mist 5 mg/m3 ifused under misting conditions. 


ACGIH Threshold Limit Value: NE, Recommend mineral oil mist 5 mg/m3; 10 mg/m3 ceiling if used under misting conditions. 


Other Exposure Lilit Used: NDA 


Emergency and Fil-St Aid Pmcedures: 


1. Inhalation: 	 Remove victoI1l to fresh air and provide oxygen if breathing is difficult. 

2. 	 Eyes: Flush eyes with copious quantities of water while holding eyelids open. If in-itation persists. 

consult a physician. 

3. Skin: 	 Wash skin with soap and water. Use emollient skin creams. lfin-itation persists, consult a 

physician. 

4_ Ingestion: Do not induce vomiting. Get medical attention. 

6. REACTIVITY DATA 


Stability: Unstable Stable Hazal-dous Polymerization: May Occur __ Will Not Occur 

Conditions to Avoid: Open flames, high temperatures, electric arc. 

Incompatibility (Materials to Avoid) Oxidizers Hazardous Decomposition products CO, C02 
VISCOLITE January 3,2003 

7. SPILL OR LEAK PROCEDURES 


Steps to be taken in case materials are released or spilled: Vapors can spread and result in flash fire. Eliminate sources of ignition 

Recover and reclaim large quantities. Collect small amounts with suitable absorbent and place in sealable containers. Keep oul of 

sewers and oth:r public water systems. 

Waste Disposal: Reclaim or dispose of in accordance wit]1 local, state and federal regulations 

8. SPECIAL PROTECTION INFORMATION 


Respiratory Protection: 


Ventilation: 


Protective Gloves: 


Eye Protection: 


Other Equipment: 


NIOSH approved organic vapor resirator with mist prefilter if used under misting cond itions. 


Provide explosion proof ventilation as required to conlml vapor levels. 


Rubber, neoprene to minimize skin contact 


Safety glasses and face shield to prevent direct eye contact ifsplashing is a problem. 


Wear other protective eguipment as required to minimize skin contacL 


9. SPECIAL PRECAUTIONS 


Precautions t(J be taken in Handling: Eliminate ignition sources, use explosion proof equipment Conveying and processing 

equipment shoJld be spark-proof, electrically bonded, and grounded. 

Other Precautions: Wash with soap and water before eating, drinking, smoking or using toilet facilities. Launder contaminated 

clothing before reuse. 

10. OTHER REGIII IATORY INFORM AIION 


All componems of this mixture are 011 the TSCA inventory. 

This mixture contains components which are n01 011 the DSL. 

This material is nol regulated under SARA Title III, Sections 302 or 3 J3. 
I 

- PHYSICAL AND CHEMICAL PROPERTIES WORKSHEET 

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

and include it in the notire. Identify the property measured, the page of the notice on which the properly 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 propcrtil~ should be for the neat (10Cl% 

pure) chemical substanre. Properties that are measured for mixtures or formulations should be so noted ('Yo PMN substance in _ l.Yau 

are not required to submit this worksheet; however, EPA strongly recommends that you do 50, as It will simplify review and ensure 

that o:mfidential information is properly protected, You should submit this worksheet as a supplement to your submission of test 

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

Property Page Value M"...,m! Confi 

Mark (X) if or dentia 

provided number £,otirnlle 

(a) (b) (c) Mark (~) (MorE) (d) 

Physical state of neat substanre (~) __ 0> __{J.U 

Vapor pressure "C @ Temperature Torr 

! 

Density/relative density g/c:m3 i 

Solubility "C @Temperature 

Solvent st/L 

Solubility in water @Temperature °C °C 

Melting temperature "C 

! 

Boiling/sublimation temperature @ torr pressure 

i 

Spectra ! 

i 

! 

Dissociation constant 

Particle size distribution 

O:::tanol/ water partition coefficient 

Henry's Law constant i 

Volitalization from water 

Volita1ization from soil 1 

pH @ concentration 

Flammability 

Explodability I 

I 

Adsorption/coefficient 

Other - Specify 

, 

A 
-----

Inven'tory E~pert S~rvic$, 

A division of the American Chemical Society' 

INVEN'1'ORY EXPI;:RT $i::?VICE REPOR'l' 

lES-ORDER NUMBER: 69959 

REGIS'1'RY NUMBER: Not Reglstered 

<f-P CA. INDEX NAME -jI­

~h.nol' reactlon products wl.th mHhyls'"yrone end P-VinYltLuen? 

Please print the abOV8 CA IndaK Name on ~riate page of your PMN. 

"". / If this box is eb.cked, CAS )u.s ~d. eorradion(,} ""ek.d in red to 

~ your IEiS order. fl.t;Iase :make t:he same correction(s) to your FldN before 

submitting it to the EPA. 

Columbus, Ohio .(7210-0331 
HMIS HAZARD RATING 


LEAST 0 HEALTH 1 


SLIGHT 1 FLAMMABILITY 1 


MODERATE 2 REACTIVITY 0 


HIGH 3 


EXTREME 4 


Personal Protection: B 

PAGE 17 


/€J 

ALVAR, INC. 


Art Lersch and Sons Va'rnish and Chemical, Co. 

112 STATE, RT. 89~ Washburn, IL 61570 ~ Phone 309-248-7523 ~ Fax 309-248-7526 

PROTECTIVE EQITEIPMENT 

(PART II, SECTION A, NUl\ffiER2) 

1) NIOSHIMSHA AIR-PURIFYING RESPIRATOR WITH ORGANIC 

VAPOR CARTRIDGES. (29CFR 1910.134) 

2) CHEMICAL AND IMPERVIOUS RESISTANT GLOVES. (pOLYVINYL 

ALCOHOL GLOVES) (29CFR 1910.32 OR 29CFR 1910.138) 

3) EYE PROTECTION (29 CFR 1910.133) OR FACE SHIELD. 

4) ADEQUATE VENTILATION THROUGHOUT THE PROCESS. 

5) AN EYE WASH STATION (29CFR 1910.151) SHOULD BE WITHIN THE 

IMMEDIATE WORK AREA FOR EMERGENCY USE. 

6) A FACILITY FOR QUICK DRENCHING OF THE BODY SHOULD BE 

PROVIDED. (29CFR 1910.151) 

7) NO CONTACT LENSES. 

8) WASH HANDS BEFORE EATING, DRINKING OR SMOKING. 

9) CLOTHING OR BODY SUIT REQUIRED. (29CFR 1910.132) 

PAGEl' 

11 

ALVAR, INC. 


Art Lersch and Sons Varnish and Chemical, Co. 

112 STATE, RT. 89~ Washburn, IL 61570 ~ Phone 309~248-7523 ~ Fax 309-248-7526 

OPTIONAL POLLUTION PREVENTION INFORMATION 

1) PROCESS MODIFICATION 


'A. THE PROCESS IS FULLY AUTOMATED TO MINIMIZE 


WORKER EXPOSURE. 


B. 	THE PROCESS IS A CLOSED SYSTEM TO REDUCE 

EXPOSURE, EMISSIONS OR SPILLS. 

2) 	 OPERATING PRACTICES 

A. 	OVERFLOW ALARMS TO REDUCE OVERFLOWS. 

B. 	BULK TRANSPORTATION TO REDUCE HANDLING AND 

WASTE. 

C. USE OF RECYCLED MATERIALS IN THE ORIGINAL PROCESS 

WmCH INCLUDES RETURNING RECOVERED SOLIDS FROM 

THE FILTRATION PROCESS AND SAMPLE EXCESS TO THE 

REACTOR. 

D. 	INSTALLED A VAPOR RECOVERY SYSTEM (CON DENS OR) TO 

CAPTURE AND RETURN VAPOROUS EMISSIONS. 

3) 	 ENERGY SAVINGS 

A. 	THE PROCESS IN THE PRODUCTION OF THE PMN 

SUBSTANCE (VISCOLITE) IS ENTIRELY EXOTHERMIC AND 

NO EXTERNAL ENERGY IS REQUIRED. 

B. 	 ENERGY CONSERVATION IS MAXIMIZED. 

PAGE .Itf 

- 10 
! . 

ALVAR, INC. 


Art Lersch and Sons Varnish and Chemical, Co. 

112 STATE, RT. 89~ Washburn, IL 61570 ~ Phone 309-248-7523 ~ Fax 309-248-7526 

PHYSICAL AND CHEMICAL PROPERTIES AND ENVIRONMENTAL FATE DATA 

1. 	 APPEARANCE AND ODOR: CLEAR LIQUID/SLIGHT 

PHENOLIC ODOR 

2. DENSITY: 8.6G/CM3 

3. 	SPECIFIC GRAVITY @259C: 1.03 

4. 	 SOLUBILITY IN WATER: NEGLIGmLE 

5. 	SOFTENING POINT, R&B (9F/9C): NOT APPLICABLE 

6. 	 BOILING POINT: >2009C 

7. 	VAPOR PRESSURE @ 209C: <0.75 mmHg 

8. DISSOCIATION CONSTANT: NOT APPLICABLE 

9. 	FLASH POINT: >1409C (PENSKY-MARTENS CLOSED CUP) 

10. VISCOSITY,BROOKFIELD, cps @ 259C: 1000 + 200 

11. CHEMICAL ANALYSIS: GAS CHROMATOGRAPH AND 

INFRARED PERFORMED. 

12. CHEMICAL OXIDATION: NONE 

13. FREEZING POINT: <09C 

14. IODINE NUMBER (ASTM D-1959): 40-75 

15. HYDROXYL NUMBER (ASTM E-222): 60-90 

16. PERCENT VOLATILE (ASTM D-3536): <3.0 

17.MOLECULAR WEIGHT, NO A VG., GPC (ASTM D-3536): 250 

PAGE. OlO 

1/ 

ALVAR, INC. 


Art Lersch and Sons Varnish and Chemical, Co. 

112 STATE, RT. 89~ Washburn, IL 61570 ~ Phone 309-248-7523 ~ Fax 309-248-7526 

HEALTH EFFECTS DATA 


1. 	 THE VISCOLITE IS NOT HAZARDOUS AS DEFINED IN CFR 1910.1200, 

AND UNDER THE PROVISIONS OF TITLE III, SECTIONS 311/312 OF 

THE SUPERFUND AMENDMENTS AND REAUTHORIZATION ACT. 

2. 	 THRESHOLD LIMIT VALUE: NONE ESTABLISHED, RECOMMEND 

MINERAL SPIRIT MIST S mglm3 IF USED UNDER MISTING 

CONDITIONS. 

3. 	 ACUTE OVEREXPOSURE: NOT LIKELY TO CAUSE ANY 

SIGNIFICANT ACUTE TOXICOLOGICAL EFFECTS. 

CHRONIC OVEREXPOSURE: NO CHRONIC EFFECTS KNOWN. 

4. 	 MEDICAL CONDITIONS GENERALLY AGGRAVATED BY 

EXPOSURE: MAY CAUSE SKIN, EYE, AND MUCOUS MEMBRANE 

IRRITATION. 

5. 	 PRIMARY ROUTES OF ENTRY: SKIN, EYES: INHALATION OF OIL 

MIST IF THE PRODUCT IS AEROSOL. 

6. 	 RYE IRRITATION: MAY CAUSE IRRITATION. 

7. 	 SKIN IRRITATION: MAY CAUSE IRRITATION. 

8. 	 CARCINOGENS LISTED AS CARCINOGEN OR POTENTIAL 

CARCINOGEN: 

A. 	NATIONAL TOXICOLOGY PROGRAM - NO 

B. 	 IARC MONOGRAPHS - NO 

C. 	OSHA-NO 

9. 	 OSHA PERMISSIBLE EXPOSURE LIMIT: NONE, RECOMMEND 

MINERAL OIL MIST Smg/m3 IF USED UNDER MISTING CONDITIONS. 

10. 	ACCIH THRESHOLD LIMIT VALUE: NONE 

11. 	STABILITY: STABLE POLYMER 

12. HAZARDOUS POLYMERIZATION: WILL NOT OCCUR 

13. 	INCOMPATIBILITY: OXIDIZERS 

14. HAZARDOUS DECOMPOSITION PRODUCTS: CO, C02 

PAGE.oM 

".' 
ALVAR, INC. 


Art Lersch and Sons Va'rnish and Chemical, Co. 


112 STATE, RT. 89'; Washburn, IL 61570'; Phone 309-248-7523'; Fax 309-248-7526 

ENVIRONMENTAL EFFECTS DATA 

1. KEEP OUT OF SEWERS AND OTHER PUBLIC WATER SYSTEMS. 

2. NO DATA AVAILABLE ON OTHER INFORMATION. 

1.3