### n 1 FormA pproved. O

.M .B. No. 2070-0012. A

pproval Expires 10-31-96. 

### U .S. ENVIRONMENTAL PROTECTION AGENC Y AGENCY USE ONLY Date of receipt I 

# PREMANUFACTiJRF ~ , ~~e-~ac,~e~,1 \ / I IIIIIIIIIIIIIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII I II IIIII II IIII 

# , t, r , ..

5 1 1 0 0 0 0 0 2 2 2 I S 1" :

. t U .S. E .P.A . 401 M

STREET, SW 

# COmpany Sanitized WASHINGTON, D.C. 20460 nter the total number ofpages 25 f4

# 2 L PAcase number

E 

# P-1 ~~222 in the Premanufacture Notice 

### GENERAL INSTRUCTIONS TS 

# -u u uuu u " You must provide all information requested in this formto the extent that it is known to or reasonably ascertainable by you. Make reasonable estimates ifyou do not have actual data. " Before you complete this form, you should read the "Instructions Manual for Prem anufacture Notification" (the Instructions Manual is available fromthe Toxic Substances Control Act (TSCA) Information Service by calling 202-554-1404, or faxing 202-554-5603) . " Ifa user fee has been remitted for this notice (40CFR700 .45), indicate in the boxes above the TS-user fee identification numberyou have generated . Remember, your user fee ID number must also appear on your corresponding fee remittance, which is sent to EPA, HQAccounting Operations Branch (PM-226), P.O. 360399M, Pittsburgh, PA 15251-6399, Arm . TSCA User fee. Part I-GENERAL INFORMATION TEST DATA ANDOTHER DATA You must provide the currently correct Chemical Abstracts (CA) Name ofthe new You are required to submit all test data in your possession or control and to provide chemical substance, even ifyou claimthe identity as confidential . You may authorize a description ofall other data known to or reasonably ascertainable by you, ifthese another person to submit chemical identity information for you, but your submission will data are related to the health and environmental effects on the manufacture, not be complete and the review will not begin until EPAreceives this information . A processing, distribution in commerce, use, or disposal ofthe new chemical letter in support ofyour submission should reference your TS user fee identification substance. Standard literature citations may be submitted for data in the open number . You must submit an original and two copies of this notice including all test data. Complete test data (written in English) not summaries ofdata, scientific literature Ifyou claimed any information as confidential, a single sanitized copy must also be , . must be submitted if they do not appear in the open literature. You should clearly submitted . 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 Part II-HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE examples oftest data and other data. Data should be submitted according to the requirements of §720.50ofthe Premanufacture Notification Rule (40 CFRPart Ifthere are several manufacture, processing, or use operations to be described in Part II, 720) . sections Aand B of this notice, reproduce the sections as needed. _ Part III-LIST OF ATTACHMENTS Test Data (Check Below any included in this notice) Attach additional sheets if there is not enough space to answer a question fully. Label " Environmental fate data El Yes " Other data 0 Yes 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 " Health effects data ~ Yes Risk assessments notice. " Environmental effects data ~ Yes Structure/activity relationships " Physical/Chemical Properties' ® Yes Test data not in the possession OPTIONAL INFORMATION or control of the submitter You may include any informationthat you want EPA to consider in evaluating the new " A physical and chemical properties worksheet is located on the last page of this form . substance. On page 11 of this form, space has been provided for you to described pollution prevention and recycling information you may have regarding the new TYPE OF NOTICE (Check Only One) substance." " ® PMN (Premanufacture Notice)

boxes are included throughout this formfor you to indicate your So-called binding willingness to be bound to certain statements you make in this section, such as use, production volume, protective equipment . . . This option is intended to reduce delays ~ INTERMEDIATE PMN (submitted in sequence with final product PMN) that routinely accompany the development of consent orders or Significant New Use Rules. Except in the case of exemption applications (such as TMEA, LVE, LOREX) ~ SNUN (Significant New Use Notice) where certain information provided in such notification is binding on the submitterwhen the Agency approves the exemption application, checking a binding box in this notice does not by itself prohibit the submitter fromlater deviating fromthe information (except ~ TMEA (Test Marketing Exemption Application) chemical identity) reported in the form . LVE (Low Volume Exemption) @ 40 CFR 723.50(c)(1) CONFIDENTIALITY CLAIMS LOREX (LowRelease/LowExposure Exemption) @ 40 CFR 723.50(c)(2) You may claimany information in this notice as confidential . To assert a claimon the form, mark (X) the confidential box next to the information that you claimas ~ ~ confidential . To assert a claim in an attachment, circle or bracket the information you LVE Modification LOREX Modification claim as confidential . Ifyou claim information in the notices as confidential, you must also provide a sanitized version of the notice, (including attachments) . For additional IS THIS A CONSOLIDATED PMN? F-1 Yes instructions on claiming information as confidential, read the Instructions Manual . ® Mk if i f ti i thi i i l i f i l d d # of chemicals (Prenotice Communication # required enter # on page 3) ar (x) n orma on n s not me as con i ent .

any ce s c a a , EPA FORM

7710-25 (Rev. 5-95) Replaces previous editions of EPA Form7710-25. 

# MR-3!2 44 93

### Public reporting burden for this collection ofinformation is estimated to average 110hours per response, including time for reviewing

instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of ,information. Send comments regarding the burden estimate or any other aspect ofthis collection of information, including suggestions for 

### reducing this burden, to Chief, Information Policy Branch, PM-223, U .S. Environmental Protection Agency, 401 M . St ., S.W ., Washington, D

.C. 20460 ; and to the Office of Management and Budget, Paperwork Reduction Act (2070-0012), 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 1a of this notice formintends 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 ofthe Premanufacture Notification Rule . Additional Certification Statements: If youare submitting a PMN, Intermediate PMN, Consolidated PMN, or SNUN, check the following user fee certification statement that applies: ®The Company named in Part I, Section A has remitted the fee of $2500specified in 40 CFR 700 .45(b), or 0 The Company named in Part 1, Section A has remitted the fee of $1000for an Intermediate PMN(defined @ 40 CFR 700 .43) in accordance with 40 CFR700 .45(b), or The Company named in Part I Section Ais a small business concern under 40 CFR 700 .43 and has remitted a fee of $100 in accordance with 40 CFR 700.45(b) . Ifyou are submitting a low volume exemption (LVE) application in accordance with 40 CFR723.50(c)(1) or a Low release and low exposure exemption (LoRex) application in accordance with 40 CFR723.50(c)(2), check the following certification statements: 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 . 0The manufacturer is familiar with the terms ofthis section and will comply with those terms; and r-1 The new

chemical substance for which the notice is submitted meets all applicable exemption conditions. 0Ifthis application is for an LVE in accordance with 40 CFR 723.50(c)(1), the manufacturer intends to commence manufacture ofthe exempted substance for commercial purposes within 1 year of the date ofthe expiration of the 30 day reviewperiod. 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. An knowin g and willful misinterpretation is subject to criminal penal ty pursuant to 18 USC 1001 . Confidential Signature and title ofAuthorized Official (Original Signature Required) Date Signature of agent -(if applicable) Date 

### .2

EPA FORM

7710-25 (Rev. 5-95) Page 2a

### p. 3 Part I -- GENERAL INFORMATION Section A-- SUBMITTER IDENTI FICATION la. Person Name ofauthorized official Position Submitting Notice (in U.S.) Company

Mailing address (number and street) City, State, ZIP Code b. Agent (if Name ofauthorized official Position applicable) Company

Mailing address (number and street) City, State, ZIP Code Telephone Area Code Number c. Ifyou are submitting this notice as part of ajoint submission, mark (X) this box. Joint Submitter (if Name ofauthorized official Position applicable) Company

Mailing address (number and street) City, State, ZIP Code Telephone Area Code Number 2. Technical Name ofauthorized official Position Contact (in U.S.) X

Company Mailing address (number and street) City, State, ZIP Code Telephone Area Code Number 3 . Ifyou have had a prenotice communication (PC) concerning this notice and EPA assigned a PC Number to the notice, enter the number. Mark (X) --i if none 4. Ifyou previously submitted an exemption application for the chemical substance covered by this notice, enter the exemption number assigned by EPA If i l b i d f Mark (X) El X . you prev ous y su m tte a PMN or this substance enter the if none PMN number assigned by EPA (i .e. withdrawn or incomplete)- ---0 5. If you have submitted a notice of Bona fide intent to manufacture or import for the chemical substance covered by this notice, enter the notice number assi n d b EPA Mark (X) -i El X g e y . -~ if none 6 . I . ® Manufacture Type of Notice - Mark (X) 2. ~ Import Only Only 3. ~ Both Binding Option 1 ~ Binding Option Mark (X) Mark (X) Mark () the Confidential box next to any subsection you claimas confidential Confidential

EPAFORM

7710-25 (Rev. 5-95) Page 3a

### p. 4 Part I -- GENERAL INFORMATION-- Continued Section B-- CHEMICAL IDENTITY INFORMATION : You must provide a currently correct Chemical Abstracts (CA) name ofthe substance based on the ninth Collective Index 9CI of CA nomenclature rules and conventions. Mark (X) the "Confidential" box next to any itemyou claimas confidential Complete either item 1 (Class 1 or 2 substances) or 2 (Polymers) as appropriate. Complete all other items. Ifanother person will submit chemical identity information for you (for either Item1 or 2), mark (X) the box at the right. Con& Identi the name, com

pany, and address ofthat person in a continuation sheet . El dential I . Class I or 2chemical substances (for definitions ofclass I and class 2 substances, see the Instructions Manual) a. Class ofsubstance - Mark (X) I [] Class 1 or 2 0 Class 2 X b . Chemical name (Currently correct Chemical Abstracts (CA) Name that is consistent with TSCA Inventory listings for similar substances. For Class I substances a CA Index Name must be provided. For Class 2 substances either a CA Index Name or CA Preferred Name must X be provided, which ever 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) . ® Method 1 (CAS Inventory Expert Service - a copy of the Identification ~ Method 2 (Other Source) Sci-Finder report obtained fromthe CAS Inventory Expert Services must be submitted as an attachment to this notice) d. Molecular formula and CAS Registry Number (if a number already exists for the substance) 

### X CAS# 

### X e . For a class I 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 X range ofcomposition and the typical composition (where appropriate) . (4) Provide a correct representative or partial chemical structure diagram, as complete as can be known, ifone can be reasonably ascertained. f .

®Mark (X) this box ifyou attach a continuation sheet . EPA FORM

7710-25 (Rev. 5-95) Page 4a

### p. 5 Part I -- GENERAL INFORMATION- Continued Section B-- CHEMICAL IDENTITY INFORMATION -- Continued 2 . Polymers (For a definition of polymer, see the Instructions Manual .) Confidential a. Indicate the number-average weight ofthe lowest molecular weight composition of the polymer you intend to manufacture. Indicate maximum

weight percent of low

molecular weight species (not including residual monomers, reactants, or solvents) below 500and below1,000 absolute molecular weight ofthat composition. Describe the methods ofmeasurement or the basis for your estimates: GPC 0 Other Q : (Specify) i) lowest number average molecular weight : ii) maximumweight % below 500 molecular weight : iii) maximumweight % below1000 molecular weight : 0 Mark (X) this box ifyou 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 itemyou claimas confidential (1) - Provide the specific chemical name and CAS Registry Number (if a number exists) ofeach monomer or other reactant used in the manufacture of

the polymer . (2) - Mark (X) this column ifentry in column (1) is confidential . (3) - Indicate the typical weight percent ofeach monomer or other reactant in the polymer . (4) - Mark (X) the identity column ifyou want a monomer or other reactant used at two weight percent or less to be listed as part ofthe polymer

description on the TSCAChemical Substance Inventory. (5) - Mark (X) this column ifentries 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 ifentry in column (6) is confidential . Monomer or other reactant and CAS Registry Number Confi- Typical Identity Confi- Maximum Confidential composition Mark (X) dential residual dential (1) (2) (3) (4) (5) (6) (7

% %

Mark (X) this box ifyou 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) .

Method 1 (CAS Inventory Expert Service - a copy ofthe identification report El Method 2 (other source) obtained fromCAS Inventory Expert Service must be submitted as as attachment to this notice) d. The currently correct Chemical Abstracts (CA) name for the polymer that is consistent with TSCA Inventory listings for similar polymers. e. Provide a correct representative or partial chemical structure diagram, as complete as can be known, ifone can be reasonably ascertained.

~ Mark (X) this box ifyou attach a continuation sheet. EPA FORM

7710-25 (Rev. 5-95) Page 5a

### p. 6 

## Part I -- GENERAL INFORMATION-- Continued Section B-- CHEMICAL IDENTITY INFORMATION -- Continued 3'. Impuiities (a) - Identify each impurity that maybe reasonably anticipated to be present in the chemical substance as manufactured for commercial purpose.

CAS Registry Number ifavailable. Ifthere are unidentified impurities, enter "unidentified ." (b) - Estimate the maximumwei ght % of each im

purity. Ifthere are unidentified im purities, estimate their total wei ght % . Provide the Impurity and CAS Registry Number

(a) Maximum percent (b) Confidential % X % X % X % X %

% % Mark (X) this box ifyou attach a continuation sheet . 4. Synonyms - Enter any chemical synonyms for the newchemical identified in subsection 1 or 2. Confidential Mark (X) this box ifyou attach a continuation sheet . 

### X

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

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

### X

6 . Generic chemical name - Ifyou claimchemical identify as confidential, you must provide a generic name for your substance that reveals the specific chemical identity ofthe new chemical substance to the maximumextent possible. Refer to the TSCA Chemical Substance Inventory, 1985 Edition, Appendix B for guidance on developing generic names. Alkyltin halide

Mark (X) this box if you attach a continuation sheet . 7. Byproducts - Describe any byproducts resulting fromthe manufacture, processing, use, or disposal of the new chemical substance. Provide the CAS Registry Number ifavailable. Byproduct (1 CAS Registry Number (2) Confidential 

### X X X

__ r9 Mark (X) this box if you attach a continuation sheet . EPAFORM

7710-25 (Rev. 5-95) Page 6a

## Part I -- GENERAL INFORMATION-- Continued Section C-- PRODUCTION, IMPORT, AND USE INFORMATION : Mark (X) the "Confidential" box next to any itemyou claimas confidential . 1 . Pro auction volume -- Estimate the maximumproduction 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 ofproduction. Estimates should be on 100% new chemical substance basis. For a Low Volume Exemption application, ifyou choose to have your notice reviewed at a lower production volume than 10,000 k /yr, specify the volume and mark (x) in the binding box. If ranted, you are bound to this volume 

### Maximum

first 12-month production (kg/yr) Maximum12-month production (kg/yr) Confi- 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 ofthe 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 ofuse ofthe newchemical substance by function and application. . (2) -- Mark (X) this column if entry column (1) is confidential business information (CBI) . (3) -- Indicate your willingness to have the information provided in column (1) binding. (4) -- Estimate the percent oftotal 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 ofthe new substance as formulated in mixtures, suspensions, emulsions, solutions, or gels as manufactured for commercial purposes at sites under your control associated with each category of use. (7) -- Mark (X) this column ifentry in column (6) is confidential business information (CBI) . (8) -- Indicate %

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

### (9) -- Mark (X) this column ifentry(ies) in column (8) is (are) confidential business information (CBI) . Category of use (1) CBI Binding Produc- CBI %in CBI % of substance expected per use CBI option tion % Form- (8) (by function and application i .e. a dispersive dye Mark (x) ulation Site- Con-* Indus- Com- Binding for finishing pol yester fibers) (2) (3) (4) (5) (6) (7) limited sumer trial mercial O ption (9) % X °/u X

0 0 0 0 0 0 0 0 0 0 0 0 * Ifyou have identified a "consumer" use, please provide on a continuation sheet a detailed description ofthe use(s) ofthis chemical substance in consumer products. In addition include estimates ofthe 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 . E]Mark (X) this box if you attach a continuation sheet . b. Generic Ifyou claimany category ofuse description in subsection 2a as confidential, enter a generic description of that category. Read the use Instructions Manual for examples ofgeneric use descriptions. description 

### Alkylating agent

~ Mark (X) this box ifyou attach a continuation sheet . 3 . Hazard Information -- Include in the notice a copy of reasonable facsimile ofany hazard warning statement, label, material safety data sheet, or other Binding information which will be provided to any person who is reasonably likely to be exposed to this substance regarding protective equipment or practices Option for the safe handing, transport, use, or disposal ofthe new substance. List in part Ill hazard information you include. Mark (x) ® Mark (X) this box if you attach hazard information. 

### .7

EPA FORM

7710-25 (Rev. 5-95) Page 7a

### p. 8 

## Part II-- HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE SectioqA -- INDUSTRIAL SITES CONTROLLED BY THE SUBMITTER Mark (X) the "Confidential" box next to any itemyou claimas confidential 

### Complete section Afor 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 p rocessingor use o

perations after im

p ort. You must describe these o perations. See instructions manual 1 . Operation description Confia. Identity -- Enter the identity of the site at which the operation will occur . dential

Name Site address (number and street) 

# i City, County, State, ZIP code E If the same operation will occur at more than one site, enter the number ofsites. Identify the 

# X 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 this section for those sites as attachments. ®Mark (X) this box ifyou attach a continuation sheet. 

### b. Type -- Mark (X) E]Manufacturing aProcessing QUse c. Amount and Duration -- Com plete 1 or 2 as appropriate Maximum

kg/batch (1ooi new chemical Hours/batch Batches/year 

# X substance) l . Batch Maximum kg/batch (iooi new chemical Hours/batch Batches/year 

# X substance) 2. Continuous d. Process description F~ Mark (X) to indicate your willingness to have your process description binding. (1) Diagram

the major unit operation steps and chemical conversions. Include interimstorage 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%newchemical substance basis), and entry point of all starting materials and feedstocks (including reactants, solvents, catalysts, etc.), and ofall products, recycle streams, and wastes. Include cleaning chemicals (note frequency if not used daily or per batch.) . (3) Identify by number the points ofrelease, including small or intermittent releases, to the environment of the new chemical substance. 

# CONFIDENTIAL INFORMATION

REMOVED

E]Mark (X) this box ifyou attach a continuation sheet. EPA FORM

7710-25 (Rev. 5-95) Page 8a

### p. 9



## 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 ofworker activity, physical formofthe new chemical substance, ' numher Ufworks exposed, and duration ofactivity. Mark (X) the "Confidential" box next to any itemyou claimas confidential . (1) --Describe the activities (i .e. bag dumping, tote filling, unloading drums, sampling, cleaning, etc.) in which workers may be exposed to the substance. (2) --Mark (X) this column ifentry 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) ofthe new chemical substance (e.g., solid: crystal, granule, powder, or dust) and % newchemical substance (ifpart ofa mixture) atthe time ofexposure. (7) --Mark (X) this column ifentry 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 ifentry in column (8) is confidential business information (CBI) . (10) and (11) -- Estimate the maximumduration ofthe activity for any worker in hours per day and days per year . (12) -- Mark (X) this column ifentries in columns (10) and (11) are confidential business information (CBI) .

Worker activity CBI Protective Equipment/ Binding Physical forms(s) Binding CBI # of CBI Maximum duration CBI (i .e., bag dumping, filling drums) Engineering Controls Option and % new Option Workers Hrs/day Days/yr Mark (x) substance Mark (x) Exposed (1) (2) (3) (4) (5) (6) (7) (8) (9) (ID) (II) (l2)



### X X X X X X X X

~ Mark (X) this box ifyou attach a continuation sheet. 3. Environmental Release and Disposal -- You must make separate confidentiality claims for the release number and the amount ofthe newchemical substance released and other release and disposal information. Mark (X) the "Confidential" box next to each itemyou claimas confidential . (1) --Enter the number ofeach release point identified in the process description, part II, section A, subsection l d(3) . (2) --Estimate the amount ofthe new substance released (a) directly to the environment or (b) into control technology (in kg/day or kg/batch) . (3) --Mark (X) this column ifentries in columns (1) and (2) are confidential business information (CBI) . (4) -- Identify the media (stack air, fugitive air (optional-see Instruction Manual), surface water, on-site or off-site land or incineration, POTW, or other (specify)) to which the new

substance will be released fromthat release point . (5) -- a. Describe control technology, ifany, and control efficiency that will be used to limit the release ofthe new substance to the environment. For releases disposed ofon land, characterize the disposal method and state whether it is approved for disposal of RCRA hazardous waste. On a continuation sheet, for each site describe any additional disposal methods that will be used and whether the waste is subject to secondary or tertiary on-site treatment . b. Estimate the amount released to the environment after control technology (in kg/day) . (6) --Mark (X) this column if entries in columns (4) and (5) are confidential business information (CBI) . (7) -- Identify the destination(s) ofreleases to water . Please supply NPDES (National Pollutant Discharge Elimination System) numbers for direct discharges or NPDES numbers ofthe POTW (Publicl Owned Treatment Works) . Mark (X) ifthe POTW name or NPDES # is confidential business information (CBI) . Release Amount ofnewsubstance CBI Media of Control technology and efficiency (you may wish to optionally attach efficiency data) CBI Number released release (1) (2a) (2b) ~.g. 4)au Binding (3) ( (56) (6) 

### X

(7) Mark (X) the El POTW provide name(s) below

: CBI ~ Navigable ~ Other -Specify provide NPDES # CBI destination(s) of waterway releases to water. 11 Mark (X) this box ifyou attach a continuation sheet.

EPA FORM

7710-25 (Rev. 5-95) Page 9a

### p. 10



## Part II-- HUMANEXPOSURE ANDENVIRONMENTAL RELEASE -- Continued Section B-- INDUSTRIAL SITES CONTROLLED BY OTHERS Complete section Bfor typical processing or use operations involving the new chemical substance at sites you do not control . Importers do not have to complete this section for operations outside the U.S. ; however, you must report any processing or use activities after import . See the Instructions Manual . Complete a separate section B

for each type ofprocessing, or use operation involving the new chemicalsuhstance. If the same operation is performed at more than one site describe the typical op eration common to these sites. Identi fy additional sites on a continuation sheet . 1 . Operation Description -- To claiminformation in this section as confidential, circle or bracket the specific information that you claimas confidential . (1) -- Diagram

the major unit operation steps and chemical conversions, including interimstorage 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 all products, recycle streams, and wastes. Include cleaning chemicals (note frequency if not used daily or per batch) . (3) -- Identify by number the points ofrelease, including small or intermittent releases, to the environment ofthe newchemical substance. (4) Please enter the # ofsites (remember to identify the locations of these sites on a continuation sheet) : # ofsites

~ Mark (X) this box ifyou attach a continuation sheet. 2. Worker Exposure/Environmental Release (1) --From

the diagramabove, 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 ofexposure per worker in (a) hours per day and (b) days per year . (6) -- Describe physical formofexposure and %new chemical substance (ifin mixture), and any protective equipment and engineering controls, if any, used to protect workers. (7) --Estimate the percent of the new substance as formulated when packaged or used as a final product. (9) --Fromthe process diagramabove, enter the number of each release point . Complete 9-13 for each release point identified. (10) -- Estimate the amount ofthe 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 ofrelease 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, ifany, that will be used to limit the release of the newsubstance to the environment . (14) -- Identify byproducts which may result fromthe operation. (3), (5), (8), (11), (13) and (15) -- Mark (X) this column if an ofthe proceeding entries are confidential business information (CBI) . Letter # of CBI Duration CBI Protective Equip. / % in CBI Release Amount of CBI Media of Release CB1 of Workers of Engineering Controls/ Form- Number New &Control Act- Exposed Exposure Physical Form and % ulation Substance Technology ivity new substance Released (1) (2) (3) (4a) (46) (5) (6) (7) (8) (9) (l0a) (lOb) (11) (12) (13)

(14) -- Byproducts : (15) DMark (X) this box if you attach a continuation sheet, EPAFORM

7710-25 (Rev. 5-95) Page 10a

# OPTIONAL POLLUTION PREVENTION INFORMATION

To claiminformation in this section as confidential circle or bracket the specific information that youclaimas confidential . 

## In this section you may provide information not reported elsewhere in this formregarding your efforts to reduce or minimize potential risks associated with activities surrounding manufacturing, processing, use and disposal of the PMNsubstance. 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 . 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 EPAis interested in the 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 PMNsubstance to potential alternatives may be provided. All information provided in this section will be taken into consideration during the reviewof this substance

. See Instructions Manual and Pollution Prevention Guidance manual for guidance and exam ples. Describe the expected net benefits, such as (1) an overall reduction in risk to human health or the environment; (2) a reduction in the volume manufactured; (3) a reduction in the generation ofwaste materials through recycling, source reduction or other means; (4) a reduction in potential toxicity or human exposure and/or environmental release; (5) an increase in product performance, a decrease in the cost of production and/or improved operation efficiency of the new chemical substance in comparison to existing chemical substances used in similar application; or (6) the extent to whichthe new chemical substance may be a substitute for an existing substance that poses a eater overall risk to human health or the environment.



# CONFIDENTIAL INFORMATION

REMOVED

0 Mark (X) this box if youattach a continuation sheet . n 11

EPAFORM

7710-25 (Rev. 5-95) Page 11a

### p. 12 

# Part III -- LIST OF ATTACHMENTS Attach continuation sheets for sections ofthe formand test data and other data (including physical/chemical properties and structure/activity information), and optional information after this page. Clearly identify the attachment and the section ofthe form to which it relates, if appropriate. Number consecutively the pages ofthe attachments. In the column below, enter the inclusive page numbers of each attachment. Mark (X) the "Confidential" box next to any attachment name you claimas confidential . Read the Instructions Manual for guidance on how to claimany information in an attachment as confidential . You must include with the sanitized copy ofthe notice forma sanitized version ofany attachment in which you claiminformation as confidential . Attachment name Attachment a e number(s) Confidential 

### 14 X 15 X Part I, Section C.3 - Material Safety Data Sheet 16-20 21-22 X 23-24 X 25 X

a Mark (X) this box ifyou attach a continuation sheet . Enter the attachment name and number . EPA FORM

7710-25 (Rev. 5-95) Page 12a

### PHYSICAL ANDCHEMICAL PROPERTIES WORKSHEET

To assist EPA's review

of physical and chemical properties data, please complete the following worksheet for data you provide and include it in the notice. Identify the property measured, the page ofthe notice on which the property appears, the value ofthe property, the units in which the property is measured (as necessary), and whether or not the property is claimed as confidential . The physical state 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 reviewand ensure that confidential 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 (a) Mark (x) if provided Page

number (b) Value c) 

### M easured o Estimate M or E consdential Mark (X) I 

### Physical state ofneat substance X MsDs (s) X -0) _( g) M Vapor pressure Tem p erature °C X Torr E X ' ' Densi /relative density M MSDS 1 .86 cm3 M Solubility @ Temperature °C Solvent g/L Solubility in water Tem p erature °C X E X Melting temperature X tvtSDS < 0 °C M Boiling/ sublimation temperature torr pressure X °C E X S pectra Dissociation constant Particle size distribution Octanol /water p

artition coefficient X E X Henry's Law

constant °C Volatilization fromwater Volatilization fromsoil H concentration Flammability X MSDS > 110 °C M Ex lodability Adsorption / coefficient X E X Other - S

pecify 

### .13

ATTACHMENT PAGE 13

### p. 14 

## Part II-- HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE Section A-- INDUSTRIAL SITES CONTROLLED BY THE SUBMITTER Mark (X) the "Confidential" box next to any itemyou claimas 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 p rocessing or use o

perations after im

p ort. You must describe these op erations. See instructions manual 1 . Operation description Confia. Identity -- Enter the identity ofthe site at which the operation will occur . dential

Name 

# X I Site address (number and street)



### 0 City, County, State, ZIP code Ifthe same operation will occur at more than one site, enter the number of sites. Identify the 

# X X additional sites on a continuation sheet, and ifany ofthe sites have significantly different 

### production rates or operations, include all the information requested in this section for those sites as attachments.

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

### b. Type -- Mark (X) El Manufacturing E]Processing E]Use c. Amount and Duration -- Com plete 1 or 2 as appropriate Maximum

kg/batch (loor new

chemical Hours/batch Batches/year 

# X substance) 1 . Batch Maximumkg/batch (iooi new chemical Hours/batch Batches/year 

# X substance) 2. Continuous d. Process description F-1 Mark (X) to indicate your willingness to have your process description binding. (1) Diagram

the major unit operation steps and chemical conversions. Include interimstorage 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%newchemical substance basis), and entry point ofall starting materials and feedstocks (including reactants, solvents, catalysts, etc.), and ofall products, recycle streams, and wastes. Include cleaning chemicals (note frequency if not used daily or per batch.) . (3) Identify by number the points ofrelease, including small or intermittent releases, to the environment ofthe new chemical substance. 

# CONFIDENTIAL INFORMATION

REMOVED

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

EPAFORM

7710-25 (Rev. 5-95) Page 8b Iq

# Premanufacture Notice Continuation Sheet Continued-From

: Continuation Title:



# CONFIDENTIAL INFORMATION REMOVED p. 15Confidential X



## Page 15 of 25

# Premanufacture Notice Continuation Sheet Continued-From

: Part 1, Section C3 Continuation Title: Material Safety Data Sheet



# MATERIAL SAFETY DATA SHEET Version: 1 . Date: 1217~ 2009 

# 0

1 . PRODUCT ANDCOMPANY IDENTIFICATION 

## Experimental 20881-19 Product Information

: Experimental 20881-19 Company Identification : Milliken Chemical P.O . Box 1926 Spartanburg, SC, 29303 USA 1-864-472-9041 msds@milliken.com Emergency Telephone Number : Chemtrec: 1-800-424-9300 (Chemtrec- US) 1-703-527-3887 (International)

2 HAZARDS IDENTIFICATION Emergency Overview HFRP Rating

Health 3 Flammability 2 Reactivity 2 Personal protection D ?A 'Wwnc+~en

# M ILLIKENW

Eye Causes eye irritation. Inhalation May cause irritation to the respiratory system . Skin May be harmful if absorbed through skin. Ingestion May be harmful if swallowed Remarks For research and development purposes only.

Material : 1286 1 of 5 

## Page 16 of 25

# Premanufacture Notice Continuation Sheet Continued-From

: Part 1, Section C3 Continuation Title: Material Safety Data Sheet



# MATERIAL SAFETY DATA SHEET Version: 1 . Date: 1217i2009 

# 0

3 . COMPOSITION! INFORMATIONON INGREDIENTS Product name CAS Number Amount Proprietary Product Proprietary 100.0%

4. FIRST AIDMEASURES 2" cm ive~e -

Eye Flush thoroughly with water. If irritation occurs, get medical assistance. Inhalation Move the exposed person to fresh air at once. Get medical attention it symptoms persist. Skin Wash the skin immediately with soap and water. Get medical attention it irritation develops or persists . Ingestion If swallowed, rinse mouth with water (only if the person is conscious) . Do not induce vomiting. Get medical attention if symptoms occur.

5 . FIRE-FIGHTING MEASURES Flarnrnable Properties Flash Point > 110 'C Fire Fighting Media Extinguish with alcohol-resistant foam, carbon dioxide or dry powder . Fire Fighting Instructions Firefighters must use standard protective equipment including flame retardant coat, helmet with face shield, gloves, rubber boots, and in enclosed spaces, SCBA. Unusual Fire 8 Explosion Decomposition may produce fumes, smoke. oxides of carbon and Hazards hydrocarbons.

6 . ACCIDENTAL RELEASE MEASURES Safety AtJYlce Wear appropriate personal protective equipment . ELIMINATE all ignition sources (no smoking, flares . sparks or flames in immediate area) . Material : 1286 2 of 5 

## Page 17 of 25

# Premanufacture Notice Continuation Sheet Continued-From

: Part 1, Section C3 Continuation Title: Material Safety Data Sheet



# MATERIAL SAFETY DATA SHEET Version: 1 . Date: 12 .-'17!2009 

# 0

o

# n~rwW a .o.ot, . .a Spill Cleanup Methods Prevent runoff fromentering drains, sewers, or streams. Dam and absorb spillages with sand, earth or other non-combustible material . Ensure that . waste and contaminated materials are collected and removed fromthe work area as soon as possible in a suitably labeled container . All waste materials should be packaged, labeled and transported in accordance with all national, staterprovincial, and local requirements .

7 . HANDLING ANDSTORAGE Handling Wash promptly with soap and water if skin becomes contaminated. Provide adequate ventilation if fumes or vapors are generated. Avoid inhalation of vapors and spray mist and contact with skin and eyes. Eliminate all sources of ignition. Keep away fromheat. sparks and open flame. Handling / Physical Hazards Do not store near heat sources or expose to high temperatures . Storage Precautions Store away fromheat and light . Store in a cool, dry place with adequate ventilation

. Keep away fromincompatible materials, open flames, and high temperatures.

8 . EXPOSURE CONTROLS I PERSONAL PROTECTION Engineering Controls Provide adequate ventilation. Observe Occupational Exposure Limits and minimize the risk of inhalation of vapors. Eye protection Where contact with this material is likely, chemical goggles are recommended . Skin and Body Protection Wash promptly with soap and water if skin becomes contaminated. Wear protective gloves to minimize skin contamination. When prolonged or frequently repeated contact could occur, use protective clothing impervious to this material . Personal protection Always observe good personal hygiene measures . such as washing after handling the material and before eating, drinking, and'or smoking. Routinely wash work clothing and protective equipment to remove contaminants. Respiratory Protection If engineering controls do not maintain airborne concentrations below recommended exposure limits (where applicable) or to an acceptable level (in countries where exposure limits have not been established), an approved respirator must be worn.

Material : 1286 3 of 5 

## Page 18 of 25

# Premanufacture Notice Continuation Sheet Continued~From

: Part I, Section C3 Continuation Title: Material Safety Data Sheet



# MATERIAL SAFETY DATA SHEET Version: 1 . Date: 1217'2009 

# 0

9 . PHYSICAL ANDCHEMICAL PROPERTIES Appearance Liquid Flash Point > 110 'G Density 1 .86gcm3 Melting/ Freezing Point < 0 "C

10 . STABILITY ANDREACTIVITY Conditions to Avoid Keep away fromheat, sparks and open flame. Hazardous Polymerization Polymerization may occur at elevated temperatures Hazardous decomposition Decomposition may produce fumes, smoke, oxides of carbon and products hydrocarbons.

11 . TOXICOLOGICAL INFORMATION No data available.

12 ECOLOGICAL INFORMATION No data available. 13 . DISPOSAL CONSIDERATIONS ?A cm c,wcawwa~a

Disposal Recommendations Dispose of waste at an appropriate treatment and disposal facility in accordance with applicable laws and regulations, and product characteristics at time of disposal .

Material : 1286 4of 5 

## Page 19 of 25

# Premanufacture Notice Continuation Sheet Continued-From

: Part I, Section C3 Continuation Title: Material Safety Data Sheet



# MATERIAL SAFETY DATA SHEET Version: 1 . Date: 12'17 2009 

# 0

14 . TRANSPORT INFORMATION rrrwCM .NO , . -

Transport classifications mayvary by container volume and may be influenced by regional or country variations in regulations. 15 . REGULATORY INFORMATION Regulatory Lists Searched Component Additional information is available by request . 16 . OTHERINFORMATION The information contained in this Material Safety Data Sheet is furnished without warranty. expressed or implied, except that it is accurate to the best knowledge of Milliken Chemical .

Material : 1286 5of 5 

## Page 20 of 25

# Premanufacture Notice Continuation Sheet Continued From

: Continuation Title: ECOSAR Model



# CONFIDENTIAL INFORMATION

REMOVED p. 21 Confidential X



## Page 21 of 25

# Premanufacture Notice Continuation Sheet Continued From

: Continuation Title

: ECOSAR Model



# CONFIDENTIAL INFORMATION

REMOVED p. 22Confidential X



## Page 22 of 25

### p. 23 

# Premanufacture Notice Continuation Sheet Continued-From

: Continuation Title: EpiWin Model Confidential X



# CONFIDENTIAL INFORMATION

REMOVED

Page 23 of 25

### p. 24 

# Premanufacture Notice Continuation Sheet Continu6dFrom

: Continuation Title: EpiWin Model Confidential X



# CONFIDENTIAL INFORMATION

REMOVED

Page 24 of 25

# Premanufacture Notice Continuation Sheet Continued From

: Continuation Title: PBT Profiler 

### p. 25Confidential X



## Page 25 of 25