TS'N2M6A2 	 ***SANITIZED VERSION*** 

Fonn A roved. O.M.B. No. 2070-0012. A 

u.s. ENVIRONMENTAL PROTECTION AGENCY AGENCY USE ONLY Date of receipt 

ft PREMANUFACTURE 


~EPA NOTICE


8:S Company Sanitized 

111111111111111111111111111111:: Ibi 111\: ill:l! ,1::11::1: tIJI· :II, ~, I () 1, () t) (J (1 t) I 

I:tHU:::t un:; lU141 llUlllUl;;1 UI }Ja~t;~ 

in the Premanufacture Notice 

INSTRUCTIONS 

You must provide all infomlation requested in this tarm to the extent that it is known to or reasonably ascertainable by you. Make reasonable estimates if you do 


not have actual data. 


Before you complete this form, you should read the "Instructions Manual for Premanufacture Notification" (the Instructions Manual is available from the Toxic 


Substances Control Act (TSCA) Information Service by calling 202-554-1404, or faxing 202-554-5603). 


If a user fee has been remitted for this notice (40 CFR 700.45), indicate in the boxes above the TS-user fee identification number you have generated. Remember, 


your user fee ID number must also appear on your corresponding fee remittance, which is sent to EPA, HQ Accounting Operations Branch (PM-226), P.O. 


360399M, Pittsburgh, PA 15251-6399, Attn. TSCA User fee. 

Part 1-GENERAL INFORMATION 

You must provide the currently correct Chemical Abstracts (CA) Name of the new 

chemical substance, even if you claim the identity as confidential. You may authorize 

another person to submit chemical identity information for you, but your submission will 

not be complete and the review will not begin until EPA receives this information. A 

letter in support of your submission should reference your TS user fee identification 

number. You must submit an original and two copies of this notice including all test data. 

If you claimed any information as confidential, a single sanitized copy must also be 

submitted. 

Part 11- HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE 

If there are several manufacture, processing, or use operations to be descnbed in Part II, 

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

Part lll- LIST OF ATTACHMENTS 

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

each continuation sheet with the corresponding section heading. In Part lll, list these 

attachments, any test data or other data and any optional infom13tion included in the 

notice. 

OPTIONAL INFORM A TION 

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

substance. On page II of this form, space has been provided for you to described 

pollution prevention and recycling information you may have regarding the new 

substance. 

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

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 

that routinely accompany the development of consent orders or Significant New Use 

Rules. Except in the case of exemption applications (such as TMEA, L VE, LOREX) 

where certain information provided in such notification is binding on the submitter when 

the Agency approves the exemption application, checking a binding box in this notice 

does not by itself prohibit the submitter from later deviating from the information (except 

chemical identity) reported in the form. 

CONFIDENTIALITY CLAIMS 

You may claim any information in this notice as confidential. To assert a claim on the 

fonn, mark (X) the confidential box next to the information that you claim as 

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

claim as confidential. If you claim information in the notices as confidential you must 

also provide a sanitized version of the notice (including attachments). For additional 

instructions on claiming information as confidential, read the Instructions Manual. 

D Mark (x) if any information in this notice is claimed as confidential. 

TEST DATA AND OTHER DATA 

You are required to submit all test data in your possession or control and to provide 

a description of all other data known to or reasonably ascertainable by you, if these 

data are related to the health and environmental effects on the manufacture, 

processing, distribution in commerce, use, or disposal of the new chemical 

substance. Standard literature citations may be submitted for data in the open 

scientific literature. Complete test data (written in English), not summaries ofdata, 

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

identify whether test data is on the substance or on an analog. Also, the chemical 

composition of the tested material should be characterized. Following are 

examples of test data and other data. Data should be submitted according to the 

requirements of §n0.50 ofthe Premanufacture Notification Rule (40 CFR Part 

nO). 

Test Data (Check Below any included in this notice) 

Environmental fate data DYes 	 Other data 0 Yes 

Health effects data DYes 	 Risk assessments 

Environmental effects data DYes 	 Structure/activity relationships 

PhysicaVChemical Properties' 181 Yes 	 Test data not in the possession 

or control of the submitter 

A physical and chemical properties worksheet is located on the last page of this form. 

TYPE OF NOTICE (Check Only One) 

D PMN (Premanufacture Notice) 	 ~ 

= <-.0.> 

[8J INTERMEDIATE PMN (submitted in sequence with final Rduct ~~ 

D SNUN (Significant New Use Notice) 

--I 

01 

0['Tl 

-U () 

-'lr"l 

D TMEA (Test Marketing Exemption Application) )::I, 

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

D 	 en 

LOREX (Low Release/Low Exposure Exemption) @ 40 Cf'lb723.50(c)(2) 

LVE Modification LOREX Modification 

IS THIS A CONSOLIDATED PMN? Yes 

D 	 D 

D 

# of chemicals 

(Pre notice Communication # re 

EPA FORM 7710-25 (Rev. 5-95) Replaces previous editions of EPA Form 7710-25. 
TS-N2M6A2 ***SANITIZED VERSION*** 	 Page 2 

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

instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of 

information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for 

reducing this burden, to Chief, Information Policy Branch, PM-223, U.S. Environmental Protection Agency, 40 I 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 ofmy knowledge and belief: 

1. 	 The company named in Part I, section A, subsection I a of this notice form intends to manufacture or import for a 

commercial purpose, other than in small quantities solely for research and development, the substance identified in Part I, 

Section B. 

2. 	 All information provided in this notice is complete and truthful as 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 §720.50 ofthe Premanufacture Notification Rule. 


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$1000 for an Intermediate PMN (defined @ 40 CFR 


700.43) in accordance with 40 CFR 700.45(b), or 


o The Company named in Part I Section A is a small business concern under 40 CFR 700,43 and has remitted a fee of$100 

in accordance with 40 CFR 700,45(b). 

If you are submitting a low volume exemption (LVE) application in accordance with 40 CFR 723.50(c)(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 	If this application is for an LVE in accordance with 40 CFR 723.50(c)(l), the manufacturer intends to commence 

manufacture ofthe exempted substance for commercial purposes within 1 year ofthe date of the expiration of the 30 day 

review period. 

Date 	

Confidential 

Signature ofagent • (if applicable) Dare 

EPA FORM 7710·25 (Rev. 5-95) z 
TS-N2M6A2 ***SANITIZED VERSION*** Page 3 

Submitting 

Notice (in U.S.) 

la. Person 

J. Michael Clumpner 

1 Parker 

Director 

Confidential 

Company 

Nova Molecular T 

Mailing address (number street) 

Suite 725 

Inc. 

b, Agent (if -N~am~e~~fuc;~:;t;ffi,i,;j:":"'----------

applicable) 

Company 

Mailing (number and street) 

City, State, ZIP Code Telephone 

c. If you are submittIi'~n;;ig"tthiiii'SsilOiliCe:aspa;tora-jci;~;;br~SiOi:;:n1arikO()thlsbbO:OXK..-_:.~:':,:,:,:,:,:,:.:.:.:.~:.:.:.:.:.:.:.:.:.:.:.:.:.~:.:.:.:.:.:.:.:.:.:.:.~:;.;r=r 

Joint Submitter (if 

applicable) 

Name of authorized official 

Mailing address (number street) 

City, State, ZIP Code 

2. Technical 

Contact (in 

U.S.) 

Name of authorized official 

Bobby Rundberg 

Company 

Nova Molecular Technologies, Inc. 

Mailing street) 

102 Area Boulevard 

City, State, ZIP Code 

Pasadena,TX 77507 

i 3. Ifyou 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 for the 

6. 

substance covered by this notice. enter the exemption number assigned by 

EP A. If you previously submitted a PMN for this substance enter the 

for the chemical substance covered by this notice. enter the notice number 

assigned by EPA. _ 

I. 

Type of Notice - Mark (X) 

D 

Manufacture 

Only 

Binding Option 

Mark 

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

2. 

3 

Position 

Telephone 

Position 

Development Chemist 

Telephone 

D 

Import 

Only 

Mark (X) 

ifnone 

Mark (X) 

if none 

Mark (X) 

if none 

Binding Option 

Mark 

3. D Both 

PMN number assigned by EPA (Le. withdrawn or incomplete). 
TS·N2M6A2 ***SANITIZED VERSION*** Page 4 

Sedion 8­

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

the of that in a sheet. • 

based on 

I. of class I and class 2 substances, see the Instructions Manual) 

a. Class of substance - Mark (X) I ~ Class I or 2 Class 2 

b. name 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 

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

Ethanol. 2,2'-[(3-[(2-ethylhexyl )oxy]pentyl] imino ]bisc. Please 

~ 

you 

Method I (CAS Inventory Expert Service a copy of the Identification 

report obtained from the CAS Inventory Expert Services must be 

submitted as an attachment to this 

CAS Registry Number 

CAS# 

284477-82-3 

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

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

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

diai!l1lm. as comolete as can be known. if one can be reasonablv ascertained. 

CH3(CH2h?H-CH2-0-9HCH2CH2 

6 6
 2HS 2Hs 

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

EPA FORM 7710·25 (Rev. 5-95) 
TS-N2M6A1 ***SANITIZED VERSION*** Page 5 

Confidential 

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

c. 

Indicate maximum weight percent of low molecular weight species (not including residual monomers, reactants, or solvents) below 500 and 

below 1,000 absolute molecular weight of that composition. 

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

i) lowest number average molecular weight: 

ii) maximum weight % below 500 molecular weight: 

iii) maximum weight % below 1000 molecular weight: 

attach a continuation sheet. 

You must make separate conftdentiality claims monomer or other reactant and . Mark 

"Confidential" box next to any item you claim as conftdential 

the 

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

(2) -

(3) 

(4) -

(5) -

(6) -

the polymer. 

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

Indicate the typical weight percent of each monomer or other reactant in the polymer. 

Mark (X) the identity column if you want a monomer or other reactant used at two weight percent or less to be listed as part of the polymer 

description on the TSCA Chemical Substance Inventory. 

Mark (X) this column if entries in columns (3) and (4) are confidential. 

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. 

Mark this column if is confidential. 

Number 

% % 

% % 

% % 

% % 

% % 

Method I (CAS Inventory Expert Service - a copy of the identification report 

obtained from CAS Inventory Expert Service must be submitted as 

as attachment to this 

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

e. structure diagram, as complete as can be known, one can be reasonably ascertained. 

Mark (X) this box if attach a continutation sheet. 
Number if available. 

TS-N2M6A2 ***SANITIZED VERSION*** Page 6 

Part I -- GENERAL INFORMATION -­

Impurities 

(a) - Identify each impurity that may be reasonably anticipated to be present in the chemical substance as manufactured for commercial purpose. Provide the 

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

Estimate the maximum . % of each If there are unidentified . estimate their total %. 

dential 

N,n-Bis(2-hydroxyethyl)-2-ethylhexyloxy-3-ethyl 

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

5. Trade· - List trade names new chemical substance in subsection 1 or 2. 

Nova Bis-Hydroxyethyloctyloxypentyl Amine 

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

Genetic chemical name ­

attach a continuation sheet. 


Describe any byproducts resulting from the manufacture, processing, use, or disposal 


NONE ANTICIPATED 

EPA FORM 7710-25 (Rev. 5-95) 
TS-N2M6A2 ***SANITIZED VERSION*** Page ; 

Revised 04 01 2004 P-03-0861 

Impurities 

(a) 

CAS Registry Number ifavailable, If there are unidentitied impurities, enter "unidentitied," 

Estimate the maximum % of each Ifthere are unidentitied ' estimate their total 

Enter any chemical synonyms for the new chemical identified in subsection I or 2, 

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

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

Nova Bis-Hydroxyethyloctyloxypentyl Amine 

D Mark (X) this box ifyoll attach a continuation sheet 

6, 

u attach a continuation sheet. 

Describe any byproducts resulting from the manufacture, processing, use, or disposal 

Number ifavailable, 

NONE ANTICIPATED 

percent dential 

CAS Registry 

Confidential 

IMI~ 'I~ ~I WI~MJIIIIIJII I,\qI1II1 

I0 Mock (Xl <hi' ,,, ifY,"':"~ SANmZED !WA~ D - t 10 J 

EPA FORM 7710-25 (Rev, 5-(5) 

Identify each impurity that may be reasonably anticipated to be present in the chemical substance as manutactured for commercial purpose, Provide the 

%, 

Maximum Confi­
I • 

TS-N2M6A2 ***SANITIZED VERSION*** Page 7 

Part I -- GENERAL INFORMATION -- Continued I 

Section C -- PRODUCTION, IMPORT, AND USE INFORMATION: 

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

1. Production volume - Estimate the maximum production volume during the first 12 months of production. Also estimate the maximum 

production volume for any consecutive 12-month period during the first three years of production. Estimates should be on 100% new chemical 

substance basis. For a Low Volume Exemption application, if you choose to have your notice reviewed at a lower production volume than 

10,000 kg/yr, specify the volume and mark (x) in the binding box. If granted, you are bound to this volume 

Maximum first 12-month production (kglyr) 

(100% new chemical substance basis) 

Maximum I2-month production (kglyr) 

(100% new chemical substance basis) 

Confidential 

Binding 

Option 

Mark (xl 

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 column (I) is confidential business information (CBl). 

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

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

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

(6) -­ Estimate the percent of the new substance as formulated in mixtures, suspensions, emulsions, solutions, or gels as manufactured for 

commercial purposes at sites under your control associated with each category of use. 

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

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

your willin gne ss t0 have th e use typ e po r vided in ( 8 ) bindin g . I 

! 

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

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

Option tion% Fonn­ 18) 

(by function and application i.e. a dispersive dye Mark (x) ulation Site- Con-* Indus- Com- Binding 

for tlnishing polyester fibers) (2) (3) (4) (5) (6) (7) limited sumer trial mercial Option (9) 

Conversion to the 2/6-5 Amine 

Emulsifier for industrial textile .fi 

Industrial dye additive I 

I 

i 

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

In addition include estimates of the concentration of the new chemical substance as expected in consumer products and describe the chemical reactions by which this 

substance loses its identity in the consumer product. 

DMark (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 category. Read the 

use Instructions Manual for examples of generic use descriptions. 

description 

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

3. Hazard Information - Include in the notice a copy of reasonable facsimile of any hazard warning statement, label, material safety data sheet, 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 of the new substance. List in part III hazard infonnation you include. Mllrk(x) 

Mark (X) this box if you attach hazard infonnation. MSDS includes Hazard Information 

EPA FORM 7710-25 (Rev. 5-95) 7 
TS-N2M6A2 ***SANITIZED VERSION*** 	 Page 8 

Part 11-- HUMAN EXPOSURE AND ENVIRO 

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

claim as confidential 


Complete section A for each type ofmanufacture, processing, or use operation involving the new substance at industrial sites you 


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


there are further industrial or use after You must describe these . See instructions manual 


\. Confiof the site at which the cm"r~t1t1n will occur. dential 

address (number and street) 

City, County, State, ZIP code 

If the same operation will occur at more one enter sites. Identify the 


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. 


Use 

Batches/year 

Maximum kglbatch (100% new chemical Batches/year 

substaru:e) 

2. Continuous 

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

(I) 	 Diagram the major unit operation steps and chemical conversions. Include interim storage and transport containers (speeify- e.g. 5 gallon pails, 55 gallon 

drum, rail car, tank truck, etc.). 

(2) 	 Provide the identity, the approximate weight (by kg/day or kglbatch on a 100% new chemical substance basis), and entry point of all starting materials and 

feedstocks (including reactants, solvents, catalysts, etc.), and of all products, recycle streams, and wastes. Include cleaning chemicals (note frequency ifnot 

used daily or per batch.). 

(3) 	 Identify by number the points of. including small or intermittent releases, to the environment of the new chemical substance. 

attach a continuation sheet. 

I. Batch 

EPA FORM 7710-25 (Rev. 5-95) 
TS-N2M6A2 · 
 ***SANITIZED VERSION*** Page 9 

Part 11-- HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE -- Continued 

Section A -- INDUSTRIAL SITES CONTROLLED BY THE SUBMITTER -- Continued 

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

number of works exposed, and duration of activity. Mark (X) the "Confidential" box next to any item you claim as 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 if entry in column (1) is confidential business information (CBI). 

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

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

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

at the time ofexposure. 

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

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

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

(l0) and (11) Estimate the maximum duration ofthe activity for any worker in hours per day and days per year. 

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

Worker activity CBr Protective Equipment! Binding Physical fonns(s) Binding CBI #of CBI Maximum duration CBr 

(Le., bag dumping, filling drums) Engineering Controls Option Mark and % new Option Workers HrsIday Dayslyr 

(xl substance Mark (x) Exposed I (12) (I) (2) (3) (4) (5) (6) (7) (8) (9) (10) (II) 

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

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

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

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

(3) -- Mark (X) this column if entries in columns (I) 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 from that release point. 

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

disposed of on land, characterize the disposal method and state whether it is approved for disposal of RCRA hazardous waste. On a continuation sheet, for 

each site describe any additional disposal methods that will be used and whether the waste is subject to secondary or tertiary on-site treatment. b. Estimate 

the amount released to the environment after control technology (in k g/day). 

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

I 

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

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

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

Number I released release 

(I) (2a) (2b) e,g. stack air Binding 

(3) (4) (5a) Mark (X) (5b) (6) i 

I 

I 

(7) Mark (X) the D POTW provide name(s) below: CBI U Navigable D Other - Specify provide NPDES # CBI 

destination(s) of 

releases to water. waterway 

'-­

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

EPA FORM 77\0-25 (Rev. 5-95) 
TS-N2M6A2 ***SANITIZED VERSION*** Page 10 

Revised 04/01/2004 P-03-0861 

Part I -- GENERAL INFORMATION -- Continued 

Section C -- PRODUCTION, IMPORT, AND USE INFORMATION: 

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

l. Production volume -- Estimate the maximum production volume during the first 12 months of production. Also estimate the maximum 

production volume for any consecutive 12-month period during the first three years of production. Estimates should be on 100% new chemical 

substance basis. For a Low Volume Exemption application, if you choose to have your notice reviewed at a lower production volume than 

10,000 kg/yr, specify the volume and mark (x) in the binding box. If granted, you are bound to this volume 

Maximum first 12-month production (kg/yr) 

( I 00% new chemical substance basis) 

Maximum 12-month production (kglyr) 

(100% new chemical substance basis) 

Contidential Binding 

Option 

Mark (x) 

I 

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

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

(3 ) Indicate your willingness to have the informatIOn prOVided In column (I) binding. 

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

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

(6) -­ Estimate the percent of the new substance as formulated in mixtures, suspensions, emulsions, solutions, or gels as manufactured for 

commercial purposes at sites under your control associated with each category of use. 

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

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

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

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

Category of use (I) 

(by function and application i.c. a dispersive dye 

for IInishing polyester libel'S) 

CBI 

(2) 

Binding 

Option 

Mark (x) 

(3) 

Production tyo 

(4) 

CBI 

(5) 

Oft) in 

Formulation 

(6) 

CBI 

(7) 

% of substance expected per use 

(8) 

CBI 

(9) 

Sitelimited Con-· 

sumer 

Industrial Commercial Binding 

Option 

Conversion to poly(oxy-1 ,2-ethanediyl), a,a'­

[[[3-[(2-ethylhexyl)oxyliminoldi-2,1­

ethanediyllbis[w-hydroxyCAS# 284490-20-6 

• If you have identilled a "consumer" use, please provide on a continuation sheet a detailed description of the use(s) of this chemical substance in consumer products. 

In addition include estimates of the concentration of the new chemical substance as expected in consumer products and describe the chemical reactions by which this 

substance loses its identity in the consumer product. 

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

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

use Instructions Manual for examples of generic use descriptions. 

description 

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

i 3. Hazard Information -­ Include in the notice a copy of reasonable facsimile of any hazard waming statement, label, material safety data sheet, or other 

. information which will be provided to any person who is reasonably likely to be exposed to this substance regarding protective equipment or practices 

for the safe handing, transport, use, or disposal of the new substance. List in part III hazard information you include. 

Mark (X) this box if you attach hazard information. MSDS includes Hazard Information 

Binding 

Option 

Mark (x) 

i 

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

I 
Page 10 TS-N2M6A2 ***SANITIZED VERSION*** P-03-0861 Revised 04/01/2004 

Part U-- HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE - Continued 

Section B -- INDUSTRIAL SITES CONTROLLED BY OTHERS 

Complete section B for typical processing or use operations involving the new chemical substance at sites you do not control. Importers do not have to complete this 

s~ction for operatiolls outside the U.S.; how~ver. you must report any processing or usc activities after import. See the Instructions Manual. Complete a separate 

sectioll B for each type ofprocessing. or use operation involving the new chemical substance. If the same operation is performed at more than one site describe the 

typical operation common to these sites. Identify additional sites on a continuation sheet. 

1. Operation Description -- To claim information in this section as confidential, circle or bracket the specific information that you claim as confidential. 

(I) -- Diagram the major unit operation steps and chemical conversions, including interim storage and transport containers (specify - e.g. 5 gallon pails, 55 gallon 

drums, rail cars, tank trucks, etc). On the diagram, identify by leiter 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 ifnot used daily or per batch). (3) -- Identify by number the points 

of release, including small or intermittent releases, to the environment of the new chemical substance. (4) Please enter the # of sites (remember to identify the 

locations of these sites on a continuation sheet): 

# of sites 

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

2. Worker Exposure/Environmental Release 

(I) .- From the diagram above, provide thl:: 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) -- Descrihe physical form of exposure and % new chemical substance (if in 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) -- From the process diagram above, enter the number of each release point. Complete 9-13 for each release point identified. 

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

(12) -­ Describe media of release i.e. stack air, fugitive air (optional-see Instructions Manual), surface water, on-site or off-site land or incineration, POTW, or other 

(specify) and control technology , if any that'" iii he U sed to Ii III it the release of the n ew su bst a c net 0 the envi ro nm en. t

(14) -- Identifybyproducts which may result from the operation. 

(3), (5), (iI), (I I), (13) and (15) .• Mark (X) tillS colUllln If any or the 2roceeding entnes are conl1dential business information (eBl). I 

Letter # of CBI , Duration , CBI Protective Equip. I %in CBI , Release 1 Amoulll of ICBI' Media of Release CBI' 

of Workers or Engineering Controls/ Foml· Number : New & Control 

Act· Exposed Exposure Physical Form and % ulation Substance i Technology i 

ivity new substance Released I 

(\) (2) (3) (4a) (4b) (5) (6) (7) (8) (9) (lOa) (lOb) (J 1) (12) (13) 

I I I I 

I 

I i 

I 

I 

I I I 

I 

I i I 

! 

I I I 

14) -- Byproducts: (15) 

D Mark (X) this box if you attach a continuation sheet, 
10 . . 

TS-N2M6A2 ***SANITIZED VERSION*** Page 

Part 11-- HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE ­ Continued 

Section B -- INDUSTRIAL SITES CONTROLLED BY OTHERS 

Complete section B for typical processing or use operations involving the new chemical substance at sites you do not control. Importers do not have to complete this 

section for operations outside the U.S.; however, you must report any processing or use activities after import, See the Instructions Manual. Complete a separate 

section B for each type ofprocessing. or use operation involving the new chemical substance. If the same operation is performed at more than one site describe the 

typical operation common to these sites, Identify additional sites on a continuation sheet. 

1. Operation Description .- To claim information in this section as confidential, circle or bracket the specific information that you claim as confidentiaL 

(I) .- Diagram the major unit operation steps and chemical conversions, including interim storage and transport containers (specify - e,g. 5 gallon pails, 55 gallon 

drums, rail cars, tank trucks, etc), On the diagram, identify by letter and briefly describe each worker activity, (2)·- Provide the identity, the approximate 

weight (by kg/day or kglbateh, on an 100% new chemical substance basis), and entry point of all feedstocks (including reactants, solvents and catalysts, etc) 

and all products, recycle strcams, and wastes. Include cleaning chemicals (note frequency ifnot used daily or per batch), (3) -- Identify by number the points 

of release, including small or intermittent releases, to the environment of the new chemical substance. (4) Please enter the # of sites (remember to identify the 

locations of these sites on a continuation sheet): 

1 

# ofsites 

See Attachment 11 a for Process Infonnation. 

[CONFIDENTIAL] 

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

! 

2. Worker Exposure/Environmental Release 

(I) ­ 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, 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) .- From the process diagram above, enter the number of each release point. Complete 9-13 for each release point identified. 

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

(12) _. Describe media of release i.e. stack air, fugitive air (optional-see Instructions Manual), surface water, on-site or off-site land or incineration, POTW, or other 

(specify) and control technology, if any, that will be used to limit the release of the new substance to the environment. 

(14) --Identify byproducts which may result from thc operation. 

(3), (5), (8 ,(II), 13) and (15) -- Mark (X) this column if any of the proceeding entries are confidential business information (CBl). 

Lett~l # of 

CBT Duration CBT Protective Equip. / I %in CBT Release AmoWltof CBT1

Media of Release CBI 

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

Act- Exposed Exposure Physical Form and % ulation Substance . Technology 

ivity: new substance Released 

(1) (2) (3) (4a) (4b) (5) (6) (7) (8) (9) (lOa) (lOb) (11) (12) (13) i 

i 

14) -- Byproducts: (15) 

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

/() 
TS-N2M6A2 ***SANITIZED VERSION*** Page 11 


Revised 04/01/2004 P-03-0861 


OPTIONAL POLLUTION PREVENTION INFORMATION 

To claim information in this section as confidential circle or bracket the s ecific information that ou claim as contidential. 

In this section you may provide infonnation not reported elsewhere in this fonn 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 infonnation 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 refonnulation, raw materials substitution, and/or inventory control. Recycling refers to the reclamation ofuseful 

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 EPA is interested in the infonnation 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, infonnation on the relative cost or performance characteristics of the PMN substance to 

potential alternatives may be provided. 

All information provided in this section will be taken into consideration during the review of this substance. See 

. Instructions Manual and Pollution Prevention Guidance manual for uidance and exam les. 

Describe the expected net benefits, such as (1) an overall reduction in risk to human health or the environment; (2) a reduction in the 

volume manufactured; (3) a reduction in the generation of waste materials through recycling, source reduction or other means; (4) a 

reduction in potential toxicity or human exposure and/or environmental release; (5) an increase in product performance, a decrease in 

the cost of production and/or improved operation efficiency ofthe new chemical substance in comparison to existing chemical 

substances used in similar application; 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. 

A new method of cleaning and added data reduce the amount of the starting amine and the PMN subject amine 

ethoxylate that contact the environment. 

Release number 1 is the amine (CAS # 174615-16-8) that is the subject of PMN P-03-0862. After transferring 

he amine from the shipping container there is 1 Kg of amine left in the flexible hose piping. The hose piping is 

then washed with 200 gallons (200 Kg) of isopropanol (CAS # 67-63-0) which will leave 0.00125 Kg ofthe 

amine in the hose piping. This is then flushed/cleaned with water which is added to the daily 18,000 gallons of 

water that is sent to the Milton, WI POTW. At this point the amine concentration in the water is 0.150 ppm or 

150 ppb. The POTW bio-treatment then will reduce this concentration by 24% to a level of 114 ppb. The POTW 

will further dilute this 22 times when it is added to their total of 400,000 gallons per day oftreated waste. This 

gives a level of 5 ppb of the amine in the POTW effluent. 

The 200 gallons of isopropanol is reused and finally disposed of as a waste material. 

Release number 2 is the PMN amine ethoxylate, dioxanes and ethylene glycols. It is sent out as a waste material. 

I 

i 

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

EPA FORM 7710-25 (Rev. 5-95) 
TS-N2M6A2 ***SANITIZED VERSION*** Page 11 

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 ofthe PMN 

substance. Please include new information pertinent to pollution prevention, including source reduction, recycling 

activities and safer processes or products available due to the new chemical substance. Source reduction includes the 

reduction in the amount or toxicity of chemical wastes by technological modification, process and procedure modification, 

product reformulation, raw materials substitution, and/or inventory control. Recycling refers to the reclamation of useful 

chemical components from wastes that would otherwise be treated or released as air emissions or water discharges, or 

land disposal. Descriptions ofpollution 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 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 PMN substance to 

potential alternatives may be provided. 

All information provided in this section will be taken into consideration during the review of this substance. See 

Instructions Manual and Pollution Prevention Guidance 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 ofproduction and/or improved operation efficiency ofthe new chemical substance in comparison to existing chemical 

substances used in similar application; 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. 

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

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

I 

. TS-N2M6A2 ***SANITIZED VERSION*** Page 

Part III -- LIST OF ATTACHMENTS 

Attach continuation sheets for sections of the form and test data and other data (including physical/chemical properties and 

structure/activity information), and optional information after this page. Clearly identify the attachment and the section of the form to 

which it relates, if appropriate. Number consecutively the pages of the attachments. In the column below, enter the inclusive page 

numbers of each attachment. 

Mark (X) the "Confidential" box next to any attachment name you claim as confidentiaL Read the Instructions Manual for guidance on 

how to claim any information in an attachment as confidential. You must include with the sanitized copy of the notice form a sanitized 

version ofany attachment in which you claim information as confidential. 

Attachment name 

Material Safety Data Sheet (MSDS) 

. CAS IES Report 

Physical & Chemical Properties 

Attachment Confi· !

page number(s) dential I 

I 14 - 18 I 

19 - 22 

13 

I 

I 

: 

I 

i 

i 

i 

I 

L 

i 

D Mark eX) this box if you attach a continuation sheet. Enter the attachment name and number. 

EPA FORM 7710·25 (Rev. 5-95) 

I~ 
TS-N2M6A2 ***SANlTIZED VERSION*** Page 13 


PHYSICAL AND CHEMICAL PROPERTIES WORKSHEET 

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

include it in the notice. Identify the property measured, the page ofthe notice on which the property appears, the value of the property, 

the units in which the property is measured (as necessary), and whether or not the property is claimed as confidential. The physical 

state of the neat substance should be provided. These measured properties should be for the neat (100% pure) chemical substance. 

Properties that are measured for mixtures or formulations should be so noted (% PMN substance in.-J. You are not required to 

submit this worksheet; however, EPA strongly recommends that you do so, as it will simplify review and ensure that confidential 

information is properly protected. You should submit this worksheet as a supplement to your submission of test data. This worksheet 

is not a substitute for submission of test data. 

Property Mark Page Value Measured or Conti· 

(X) if number Estimate dential 

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

(M or E) (d) 

Physical state of neat substance (s) 100 %(1) (g) M 

Vapor pressure 5.27 X 10.8 Torr E 

@)Temperature 37°C 

Density/relative density 0.90 gjcm3 E 

Solubility 

@ Temperature °C 

Solvent I gil 

Solubility in water @) Temperature 25°C 20 giL E 

Melting temperature -60°C E 

Boiling I sublimation temperature@ 760 torr pressure 439.8°C E 

Spectra 

Dissociation constant 

Particle size distribution 

Octanoll water partition coefficient 

Henry's Law constant 

Volitalization from water 

Volitalization from soil 

pH~ concentration 20g.!L I 9 E 

Flammability 

Explodability 

I 

Adsorption I coefficient 

Other- Specify; Heat ofVaporization I 450.1 KJ/kg E 

Other - Specify 

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

/3 EPA FORM 7710·25 (Rev. 5·95) 
Page 14 . 

TS-N2M6A2 

MATERIAL SAFETY DATA SHEET 

Nova Molecular Technologies, Inc. 


1 Parker Place, Suite 725 
 MOl.ECULAR 

TECHNOl.OCIES, INC. Janesville, WI 53545 

For Customer Service call: Fax: 608-754-6878 


FOR EMERGENCY spill, leak, fire, exposure, or accident call 281-474-5550 (24 hours). 


Nova Bis-Hydroxyethyloctyloxypentyl Amine 


Section 1 - Product and Company Identification 

Product Name: 

Nova Bis-Hydroxyethyloctyloxypentyl Amine 

Use of Substance/Preparation: 

Intermediate to produce an agricultural adjuvant 

Manufacturer: 

Nova Molecular Technologies, Inc., 1 Parker Place, Suite 725, Janesville, WI 53545 

Ph: 800-445-6682 or 608-754-6682 

Emergency Telephone Number: 

Nova Molecular Technologies, Inc.: 281-474-5550 

Chemical Name: 

Ethanol,2,2,'-[[3-[(2-ethylhexyl)oxy]pentyl]imino]bis 

Molecular Formula: 

C17H37N03 

Product Appearance: 

Clear Amber liquid @ 25°C 

Section 2 - Composition/Information on Ingredients 

WHMIS Component Percent EINECS# CAS # OSHAHaz 

Ethanol,2,2,'-{{3-[(2-ethylhexyl)oxy]pentyl]imino]bis 80 -99% 284477-82-3 

Unknown ethoxylated heavies 1-20% 

Section 3 - Hazards Identification 

Hazard Overview: 

Danger! Causes eye burns. Corrosive by ingestion. Causes skin irritation. May cause respiratory tract 

irritation. 

NATURE OF HAZARD: 

Ocular Effects: 

Corrosive. Will cause eye burns and permanent tissue damage. 

Dermal Effects: 

Slightly irritating to skin. May cause sensitization, an allergic reaction which becomes evident on reexposure to this material. 

Ingestion Effects: 

Corrosive to mouth. esophagus, and stomach. 

Inhalation Effects: 

Irritating to eyes and respiratory tract in high concentrations. 

Revision 000 Page 1 of 5 Effective Date: June 6, 2003 


Nova Product MSDS - OOPA Printed: 9/24/03 

Page 15 

TS-N2MBA2 

Nova Bis-Hydroxyethyloctyloxypentyl Amine 

Material Safety Data Sheet 

Page 2 

Chronic Effects: 

None known. 

Aggravation of Existing Conditions: 

None known. 

Section 4 - First Aid Measures 

FIRST AID 

Eye Contact: 

Immediately flush under running water for at least 15 minutes while holding eyelids open. Seek medical 

attention. 

Skin Contact: 

Wash skin with soap and water. Continue flushing with plenty of water. Remove contaminated clothing 

and launder before re-use. 

Ingestion: 

Do NOT induce vomiting. Get prompt medical attention. 

Inhalation: 

Breathe fresh air. Give artificial respiration if required. Give oxygen if breathing is difficult. 

Emergency Telephone Number: 


Nova Molecular Technologies, Inc.: 281-474-5550 


Section 5 - Fire Fighting Measures 

General Hazard: 

Low hazard. 

Extinguishing media: 

Use water, alcohol foam or dry chemical. 

Special Fire Fighting Procedures: 

Wear NIOSH approved self-contained breathing apparatus and protective clothing to prevent contact with 

skin and eyes. 

Unusual Fire and Explosion Hazards: 

None known. 

Hazardous Combustion Products: 

Thermal decomposition may produce carbon monoxide, carbon dioxide, and nitrous oxide. 

Section 6 - Accidental Release Measures 

Personal Precautions: 

Restrict access to area as appropriate until clean up operations are complete. Only trained personnel 

should conduct clean up. Wear self-contained breathing apparatus, rubber boots and heavy rubber 

gloves. Eliminate sources of ignition. Stop or reduce leaks if safe to do so. 

LAND OR WATER SPILL 

Cover with dry lime or soda ash. Clean up may be accomplished by flushing with water if appropriate or 

by removal of contaminated soils. Place in appropriate containers and hold for waste disposal. Wash 

spill site and ventilate area after pickup is complete. Dispose of spent material in accordance with all 

applicable local, state, or federal requirements. 

Environmental Precautions: 

Prevent liquid from entering sewers or watercourses. 

Revision 000 Page 2 of 5 Effective Date: June 6, 2003 


Nova Product MSDS - BHEOOPA Printed: 9/24/03 


IS 

Page 16 

TS-N2M6A2 

Nova Bis-Hydroxyethyloctyloxypentyl Amine 

Material Safety Data Sheet 

Page 3 

Section 7 - Handling and Storage 

Handling: 


Thoroughly review Section 8, Exposure Controls/Personal Protection, prior to handling this product. Do 


not get in eyes, on skin, or on clothing. Do not take internally. Do not breathe vapors, gases, or dust. 


Keep containers closed when not in use. Have emergency equipment for fires, spills, leaks, etc. readily 


available. Provide mechanical ventilation of combined spaces. 


Storage: 


Keep away from heat, sparks, and flame. Keep away from sources of ignition. Keep container closed 


when not in use. Store in a tightly closed container. Store in a cool, dry, well-ventilated area away from 


incompatible substances. 


Section 8 - Exposure Controls/Personal Protection 

OCCUPATIONAL EXPOSURE LIMITS 

ACGIH: NIOSH: OSHA - Final PELs OSHA Vacated PELs: 

None listed None listed None listed None listed 

Engineering Measures: 

The use of local exhaust ventilation is required to control emissions near the source. Provide mechanical 


ventilation of confined spaces. 


Eye Protection: 


Wear appropriate protective eyeglasses or chemical safety goggles as described by OSHA's eye and 


face protection regulations in 29CFR1910.133 or European Standard EN166. 


Hand Protection: 


Wear chemical resistant gloves. Replace gloves regularly. 


Skin Protection: 


Wear chemical resistant gloves, chemical suit, rubber boots, and full-face shield to prevent skin exposure. 


Respiratory Protection: 


When necessary, a NIOSH/MSHA approved respirator or a European Standard EN 149 approved 


respirator is recommended. Institute a complete respiratory protection program including selection, fit 


testing, training, maintenance, and inspection. 


Hygiene Recommendations: 


Eye wash station and safety-shower are necessary. Wash thoroughly with soap and water after handling 


product. Launder contaminated clothing before reuse. Do not smoke, eat or drink in general area of 


product. 


Section 9 - Physical and Chemical Properties 

Appearance and Physical State: 


Clear Liquid 


Heat of Vaporization: 


450.1 KJ/Kg (est) 


Vapor Pressure @ 37°C: 


5.27 x 10-a torr (est) 


Density/Relative Density: 


0.90 g/cm3 (est) 


Solubility in Water @ 25°C: 


20 giL (est) 


Odor: 


Strong amine odor 


Specific Gravity @ 20°C: 


Not available 


Melting Point: 


-60°C (est) 


Boiling Point @ 760 torr: 


439.8°C 


pH@20g/L: 


9 (est) 


Revision 000 Page 3 of 5 Effective Date: June 6. 2003 

Nova Product MSDS - BHEOOPA Printed: 9/24/03

If, 
Page 17 

TS-N2M6A2 

Nova Bis-Hydroxyethyloctyloxypentyl Amine 

Material Safety Data Sheet 

Page 4 

Section 10 - Stability and Reactivity 

Stability: 

Stable. 

Conditions to Avoid: 

Incompatible products. 

Hazardous Polymerization: 

Will not occur. 

Incompatibility: 

Strong oxidizing agents. 

Hazardous Decomposition Products: 

Thermal decomposition may produce carbon monoxide, carbon dioxide, and nitrous oxide. 

Section 11 - Toxicological Information 

Data not available. 

Section 12 - Ecotoxicologicallnformation 

Data not available. 

Section 13 - Disposal Considerations 

Waste disposal information: 

Small quantities may be treated in aerobic wastewater treatment systems. Larger quantities may be land 

filled after solidification in permitted systems. This combustible material may be burned in a chemical 

incinerator equipped with an afterburner and scrubber. Observe all federal, state, and local 

environmental regulations. 

Section 14 - Transportation Information 

The information in this section is for reference only and should not take the place of a bill of lading specific 

to an order. 

LAND TRANSPORT (DOMESTIC) 


DOT REGULATED: 


YES 


PROPER SHIPPING NAME (49 CFR172.101): 


Corrosive liquid, basic, organic. n.o.s. (1-Pentanamine. 3-((2-ethylhexyl)oxy]-) 


D01"IIMO Label: 


Corrosive 


HMIS Ratings: 


H =2 F:: 1 R :: 0 PE:: H 


UN Number: 


UN 3267 


Packing Group: 


II 


Hazard Class: 


8 

Revision 000 Page 4 of 5 Effective Date: June 6, 2003 


Nova Product MSDS - BHEOOPA Printed: 9/24/03


/7 
Page 18 

TS-N2MBA2 

Nova Bis-Hydroxyethyloctyloxypentyl Amine 

Material Safety Data Sheet 

Page 5 

Section 15 - Regulatory Information 

UNITED STATES FEDERAL REGULATIONS: 

TSCA: 

TSCA Inventory NO 

Health &Safety Reporting List NO 

Chemical Test Rule NO 

SNUR under TSCA NO 

SARA: 

SARA, Section 302, RO: NONE 

SARA Section 302, TPO: NONE 

SARA Section 313 NO 

Acute YES 

Chronic Health NO 

Fire NO 

Sudden Release of Pressure NO 

Reactive NO 

CLEAN AIR ACT: 

Hazardous Air Pollutant: NO 

Class 1 Ozone Depletor: NO 

Class 2 Ozone Depletor: NO 

CLEAN WATER ACT: 

Hazardous Substance: NO 

Priority Pollutant: NO 

Toxic Pollutant: NO 

OSHA 

Highly Hazardous NO 

State Right to Know 

Not listed on the Right to Know Lists for CA, PA, MN, MA, FL, or NJ. 

CA Significant Risk Level: NO 

Section 16 - Other Information 

NOVA BIS-HYDROXYETHYLOCTYLOXYPENTYL AMINE IS NOT REGISTERED WITH THE TSCA. 

ONLY TRAINED PROFESSIONALS CAN HANDLE IT. 

Nova Bis-Hydroxyethyloctyloxypentyl Amine MSDS Original Creation Date: September 5, 2003 

Current Revision Number: (N/A) Effective Date: 

The information above is believed to be accurate and represents the best information currently available to us. 

However, we make no warranty of merchantability or any other warranty, express or implied, with respect to such 

information, and we assume no liability resulting from its use. Users should make their own investigations to 

determine the suitability of the information for their particular purposes. In no way shall the company be liable for any 

claims, losses, or damages of any third party or for lost profits or any special, indirect, inCidental, consequential or 

exemplary damages, howsoever arising, even if the company has been advised of the possibility of such damages. 

For additional product information, contact customer service at 800-445-6682 or 608·754-6682. 

Nova Molecular Technologies requires that all users ofNova Bis-Hydroxyethyloctyloxypentyl Amine inform their employees ofthe information on this 

Material Safety Data Sheet. Employees must be notified of the potential health risks. Additionally, copies of this information should be readily 

available to employees, the local emergency officials, and fire departments. In most states, these procedures are required. 

Revision 000 Page 5 of 5 Effective Date: June 6, 2003 


Nova Product MSDS - BHEOOPA Printed: 9124/03
 18 

TS-N2M6A2 .. Page 19 ern Inventory Expert Service 


A division of me American Chemical Society Phone 8QO.631.1884. 614-447·3600 ("'2308) 

Fax::6l4-447-3747 

E-mail: answws@cas.orz 

INVENTORY EXPERT SERVICE REPORT 

IES-ORDER NUMBER: 54884-3 

REGISTRY NUMBER: 284477-82-3 

CA INDEX NAME 

Ethanol, 2,2'-{[3-[(2-ethylhexyl)oxy]pentyl]imino]bis­

, , 

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

If this box i. checked. CAS baa u4e correction(.) markee! in ree! to 

your US orc!er. Plea.e-.ke the .... correction(.) to your PMN before 

auhmitting it to the BPA. 
TS-N2M6A2 Page 20 

Part I - GENERAL INFORMATION;... Continued 

00 box next to 

Complete tither l!:all(Cl..l.2 _bttucH' or 2 (Polymtnl u appropriate. Complete aU other tleD1l. 

If another penon will submit c:bemk:alldeatity information for you (for either item 1 or 2), mark (X) the 'box at the ~l 0 ~~ ~ 

1. CIa..1 or 2 dumlc:allUb .....ce. defln1ticat of claIIl and cl..2 subltancel, !lei! the wtnactioa. Mal'Iual) 

•. au. of substance - Mark 00 1 [!] Cusl or 2 D au. 2 

b. OIemlcal nl!M (CunenUy ccrrect OIeml.cal Abstnds (CA) NI!M that I.t OJNilteat with 1SCA Inventory II.tdnpfor similar subitanCItIL 

Par 0-1 a CA Index Name mUll be provided. Par a... 2 IUbmnc:s either a CA Index Name or CA Preferred Nune 

be provided,. whichever Is appropriate bued on CA 9Cl nomenclature rules and conwnliona.). 

Co Ple.e Ideatify which method you. UIecl to dne10p or obtain the spedfted chemical indeatity Infarmaliclrt reporteclln this notice: 

(check one).o Method 1 (CAS Inventory Expert Service • a copy of the IdaltUkalion· OMethod 2 (Other Source) 

report obtained from the CAS lnveatory Expert ServIce must be 

IUhmltted u aft attachment to this 

d. Mo1ecular formula II\d CAS RegIstry Number (If a number already exists for the substance) 

CASt 

20 
TS-N2M6A2 . . Page 21 

Part 1.- GENERAL INFORMATION ­ Continued i/ 'i jtl '3' ~ Section 11-CHEMICAL m£NTlTY INFORMATION - Continued 

2. Polymers (for • d.e8n1tlOl\ of polyzner, Me the Inatmctiou Mutual) 

a. Indicate the number..venge weight of the lowest molecular weight compositlOl\ 01 the polymer you Intend to manufacture. ~ Indicate maximu.m weight percent 01 low molecular weight specks (not Indud1ng reddual monomen, reactants, or JOlvents) below 

SOO and below 1,1XXl ablolute molecular weight of that composition. 

Dacrlbe the method. 01 meuanmmt or Ibe 'bit..for yOW' eatirNtea: GI'C 0 OtherD :(Spec:ily) 

I) 1__ nlll%lbcr ........ l3'decul.u' wtipt: 

WIIIIXImIlln weIPt " below 500 moIIKuLv wcSaht 

un IJ\&ldauutl weight " below 1000 molecular weight o Mark {X) this box if you attach a conttnuation sheet. 

b. YOIl mU!lt make tepan. coa8dentillllty dai.mI for II'IOI\OCnel' or other reactant identity, compoeiliOl\ inIonnation. and residual information. 

Mark (X) the "ConfldmW-box nm to myiteD\ youdabn. oon8dentlal. 

(1) - Provide the sped6.c cheaIk:Il name and CAS RegI.sIry Number (if a number exists) 01 tach mOl\omer or other reactant used In the 

manufaclun of the pol;::. Q) - Mark ()C) this cdumn _try in column (1) II CDI\IidenIlal. 

(3) - Indlcal4l the typical wwJsht percent 01-=1\ _ or other ractant In the polymer. 

(4) - Mark 00 the lelentU), CDlwa.n II JOIII WaDI a moa __ ell' oIIa_ ..adant aMd at two weicht penent ell' leu 10 be Uated II put of the 

po1ymar detalptlaa _ Ibe TSCA Chemk:al Subttaace IDnnlDly. 

(5) - Mark 00 thIa cdUll\ft II_ate. in eolWMI 0> Il\d (4) ar. oon8dential. 

(6) - IDdlc:alle the _1.."111. weight paaent 01 eKh moaOlMl' ell' other ractant that may be preent as. redd..wln the polymer &I 

manufactur.t for commerda1 purpoaes. 

(7) - Mark 00 thII column II_try in eolWl\ft (6) Is confidentiaL . 

Monomer or other NacDnt and CAS Registry Number CoDfi· Typlcal Jdentity COIIfl- Maximum 

dllltial 1M"", Mark 00 cillltlal n.eId..w I~ (1) _(2) ''(3) (4) ~ (6) f. 

" '110 

'110 '110 

'110 

'110 

'110 '110 

'110 '110 

" «­

'110 '110 

i 0 Mark 00 this box If you attach a mndnuatlon Iheet. 

Co PI_identify wb.k:h lIIethocl JU'l UIed to deveiop ell' obtain the lpecL8ecl ch4l.ll'tlcallclentlty infCll'mation reportecl in thII nOlb. (check 0l\8). o Method 1 (CAS Inventory=5erYb- • copy of the ldaltiScadOl\ report 0 MeIbocI2 (other~) obtained frOlft Inwntory Expert Servlce must be aubm1ttecl as . 

an .ttaclunmt to thllnotlcet 

cl. The currenUy correct C\emical Abstncts (CA) NJne for the polymer that Is consistent with 1SCA InventCll'y llsIinp for IbnUar polymers. 

e. Provide a correct repreMl'ltative ell' pu1ia1 c.hetn1cal structu

o Mark(X) thiI box IfJU'l attach a CIlIldnualiaa IIMet. 

re dlasrun, as complete &I can be known, If on. can be reuolUlbly uaertalned. 

2! 

FORM EPA 7'/1o.ZS OWY.5-95) hp5 
• T~-NQM6A2 Page 22 

ran 1 - lit.Nt..KA1.LNl'UKMAT1UN -l.:ontinued S L/ y;j -I)

- ~ Section B - CHEMICAL mENTITY INFORMATION - Contlnuecl 1.......... . Cal ­ w..w,.cIa.......,........,... __IJIIIdId.....",....a1a...dI..sc.I......_._~form• ...aaJ,.,.... ..........CAI..-..,N.....If......... u........w.u.............................• 

OJ) -'Elli<etM...............tA 01 Mdl",...,. Udlet_u14taIiRecI ................tWrw..l-4..... 

Impurity and CAS Regbtry Number Maximum 

(a) ~"t r!1 ~ 

". 

~ 

" 

~ 

~ 

~ 

o Mark 00 thisbox if you attach a amtlnuatlon theet. . . 

.. Synonym. - Enter any cbemlca1.ynonyma lex the new chemical rubstance I.denl1f:led in rublec:tion 1 or 2­ :. N,~ - Bis (2 - hydroxyethyl) - 2 - ethylhexyloxy - ~ - ethylpropyl amine 

_0. Mark 00 thia box ifyou an..c:h a amtlnualloo Iheet. 

5. Trade IdmtiftClltioa - Llat IndeMm.for the new chemlcalsubetanc:e idenl:l.fted In su'beec:t1oa 1 or 2. 

Nova Bis - Hydroxyethyloctyloxypentyl Amine , , 

o Mark 00 this box if you atblch. amtlnuation sheet. 

6. 	Ctnerlc chemical name - if you claim dlemlca1ldentity as COI\fldentlal. you mut provide • aenerlc chemical name for your rubstance 

that reveals the IpIdflc chemlcalldenl:lty of the new chemI.c:al subetance to the maximum extent pOiIIlble. 

ReIer to the TSCA ChemIct1 Substance Inventory, 1985 EdItion, Appendix B for guidance on developing 

pneric names. 

o Mark 00 this box If you attach • amtinualion theet. 

7. B)'Procblcts .... anY;.. 1< resulting from the manufacture, prOteStIng, UIIt, or dlspaN1 of tlurnew dlemical rubstance. Provide the C ~ .. Jt.. 

,. IflIV.u.ble • 

Byproduct CAS RegIstry Number

0) (2) 4'! t.

0 Mark 00 this_II J'O\Ialtada a a:mtInuallaft Iheet. ZZ 

FORM EPA 7710.25 (RIiV.5-95) 	 Pap 6