p. 1

PUBLIC NOTICE COPY

r^ r`~'• _ .- ~°" ('' r,~ September 30, 200 5

OPPT Document Control Officer

Mail Stop 7407

USEPA

401 M Street, SW

Washington, DC 20460

RE: PMN TS-SIL0502 •rs

Dear Sir or Madam :

In accordance with the provisions of 40 CFR § 700 .45, respectively

submits a Premanufacture Notice for a material identified as "TS-SIL0502", with a

generic description of "amino alkoxy polydimethylsiloxane, hydroxy terminated" .

As has included herein information that we consider to be Confidential

Business Information, we have included the appropriate Public Notice copy . The check

for the Premanufacture Notice fee has been sent under separate cover to the required

office.

If you have any questions or require further information, please call me at

Very truly yours ,

Product Stewardship Manage r

Attachments : Premanufacture Notice "TS-SIL0502

1 . Original plus 2 copies ~.,

2 . Public Notice Copy

F--,

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c,28cl 4 5
Form Approved . O .M.B. No. 2070-0012 . A rova?E ires 10-31-96 .

U.S. ENVIRONMENTAL PROTECTION AGENCY AGENCY USE ONLY

Date of receipt

j:

pQ

PRMANUFACTURE

IVY. NOTICE

ES C5

' e• r~

COmAanY Sanitized

.

IFIIT .{ , u 60 0 ,,~ ~

Enter the total number of pages . -y~ -- -~ se er

in the Premanufacture Notice

GENERAL INSTRUCTIONS TS _

S'15-1

L 11 0 5 2

• You must provide all information requested in this form to the extent that it is known to or reasonably asce rtainable 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 Notifi cation" ( 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 identi fi cation 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 I- GENERAL INFORMATION TEST DATA AND OTHER DAT A

You must provide the currently correct Chemical Abstracts (CA) Name of the new You are required to submit all test data in your possession or control and to provide

chemical substance, even if you claim the identity as confidential. You may authorize a description of all other data known to or reasonably asce rtainable by you, if these

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 EPA receives this information

. A processing, distribution in commerce, use, or disposal of the new chemical letter in suppo rt of your 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 .

If you claimed any information as confidential, a single sanitized copy must also be scientific literature . Complete test data (written in English), not summaries of data

submitted . 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

Part II - HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE examples oftest data and other data . Data should be submi tted according to the

requirements of §720.50 of the Premanufacture Noti fication Rule (40 CFR Part

If there are several manufacture, processing, or use operations to be desc ri bed in Part II, 720).

sections A and 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 ❑ Yes • Other data ❑ Yes

each continuation sheet with the corresponding section heading . In Part III, list thes e

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 Prope rt ies' ® Yes Test data not in the possession

OPTIONAL INFORMATION or control of the submitter

You may include any information that you want EPA to consider in evaluating the new " A physical and chemical prope rt ies worksheet is located on the last page of this form .

substance . On page 1 l of this form, space has been provided for you to described f-!~

pollution prevention and recycling information you may have regarding the new TYPE OF NOTICE (Check Only One)

substance .

C

So-called "binding" boxes are included throughout this form for you to indicate your PMN (Premanufacture Notice )

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 (submi tted in sequence with fidaT product PMN)

that routinely accompany the development of consent orders or Significant New Us e

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

where certain information provided in such notification is binding on the submitt er when ❑ SNUN (Significant New Use Notice)

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

does not by itself prohibit the submitter from later deviating from the information (except ❑ TMEA ( Test Marketing Exemption Application)

chemical identity) repo rted in the form.

D

❑ LVE ( Low Volume Exemption) (il 40 CFR 723 .50(c)(1) t`J

CONFIDENTIALITY CLAIMS

❑ @ 40 CFR 723 .50(c)(2) You may claim any information in this notice as confidential . To assert a claim on theLOREX (Low Release/Low Exposure Exemption )

form, mark ( X) the con fi dential box next to the information that you claim a s

confidential . To asse rt a claim in an attachment, circle or bracket the information you ❑ LVE Modification ❑ LOREX Modification

claim as confi dential . If you 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? ❑ Yes instructions on claiming information as confidential, read the Instructions Manual .

® # ofchemicals

Mark (x) if any information in this notice is claimed as con fi dential .

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

EPA FORM 7710-25 (Rev . 5-95) ~ Replacesprevious editions of EPA Form 7710-25 .
Public reporting burden for this collection of information is estimated to average 110 hours per response, including time for reviewiRg 3

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

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

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

20460 ; and to the Office of Management and Budget, Paperwork Reduction Act (2070-0012), Washington, D .C. 20503 .

CERTIFICATION

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

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

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

Section B.

2 . All information provided in this notice is complete and truthful as of the date of submission .

3 . I am submitting with this notice all test data in my possession or control and a description of all other data known to or

reasonably ascertainable by me as required by §720 .50 of the Premanufacture Notification Rule .

Additional Certification Statements:

If you are submitting a PMN, Intermediate PMN, Consolidated PMN, or SNUN, check the following user fee certification

statement that applies :

® The Company named in Part I, Section A has remitted the fee of $2500 specified in 40 CFR 700 .45(b), or

❑ 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), o r

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

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

If you are submitting a low volume exemption (LVE) application in accordance with 40 CFR 723 .50(c)(1) or a Low release

and low exposure exemption (LoRex) application in accordance with 40 CFR 723 .50(c)(2), check the following certification

statements:

❑ 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.

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

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

❑ If this application is for an LVE in accordance with 40 CFR 723 .50(c)(1), the manufacturer intends to commence

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

review period.

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

described herein . Any knowing and willful misinterpretation is subject to criminal penalty pursuant to 18 USC 1001 . Con fi dential

Signature and title of Autho ri zed Official (O riginal Signature Required) Date

X

Signature of agent - (ifapplicable) Date

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

7,
p. 4

Part I -- GENERAL INFORMATION

Section A --SUBMITTER IDENTIFICATION ConfiM ark the "Confidential" box next to any subsection you claim as confidential dential

I a . Person Name of authorized official Position

Submi

Notice

tt

(in U

ing X

.S.)

Company

Mailing address (number and street)

City, State, ZIP Cod e

b . Agent ( if Name of authorized official Position

applicable)

Company

Mailing address (number and street)

City, State, ZIP Code Telephone Area Code Number

c . If you are submitting this notice as part of a joint submission, m ark (X) this box. ❑

Joint Submi tter ( if Name of authorized official Positio n

applicable)

Company

Mailing address (number and street)

City, State, ZIP Code Telephone Area Code Number

2 Technical Name of authorized official Positio n

Contact (i n

U .S) X

Compan y

Mailing address (number and street)

City, State, ZIP Code Telephone Area Code Number

3 . If you have had a prenotice communicat i on (PC) concerning this notic e

and EPA assigned a PC Number to the not i ce, enter the number . Mark(X) - ❑

if non e x

4 If you previously submi tted an exemption application for the chemica l

substance covered by this notice, enter the exemption number ass igned by Mark(X) - ❑ X EPA . If you previously submi tted a PMN for this substance enter the if non

e 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 Mark (X) - ❑ X assi gned by EPA P.

if none

1 . ❑ Manufacture 2 . ® Import 6 . Type of Notice - Mark (X)

Only Only 3. ❑ Both

❑ Binding Option ❑ Binding Option

Mark (X) Mark (X)

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

21
p. 5

Part I -- GENERAL INFORMATION -- Continued

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

the ninth Collective Index 9CI of CA nomenclature rules and conventions.

Mark (X) th e "Confidential" box next to any item you claim as confidential

Complete ei th er item 1(Class 1 or 2 substan ces) or 2 (Polymers) as appropriate . Complete all other items.

If another person will submit chemical identity information for you (for either Item l or 2), mark ( X) the box at the right. ConfiIdentify the name, company, an d address of that person in a continuation sheet. ❑ dential

I . Class I or 2 chemical substances ( for definitions of cl ass I an d class 2 substances, see the Instructions M anual)

a

b

. Class of subst

. Chemical name

an ce

(

- Mark (X) I [:] Class I or 2 E Class 2 X

Currently correct Chemical Abstracts ( CA) Name th at is consistent with TSCA Inventory listings for similar subst an ces.

For Cl ass I substan ces a CA Index Name must be provided . For Cl ass 2 substances either a CA Index Name or CA Preferred Name must X

be provided, which ever is appropriate b as ed on CA 9Cl nomenclature rules and conventions) .

c . Pleas e identify which method you used to develop or obtain the specifi ed chemical identity information repo rted in th is notice: ( check one) .

® Method 1 (CAS Inventory Expe rt Service - a copy of the Identifi cation Method 2 (Other Source )

report obtained from th e CAS Inventory Expe rt Se rv ices must be

submi tt ed as an attachment to this notice )

d . Molecul ar formula and CAS Registry Number ( if a number already exists for the subst an ce)

X

CAS#

X

e . For a cl ass I substance, provide a complete and correct chemical structure diagram . For a cl ass 2 subst ance - (1) List the immediate

precursor substan ces with th eir respective CAS Registry Numbers . (2) Describe the nature of the reaction or process . (3) Indicate the X

range of composition an d th e typical composition (where appropriate) . ( 4) Provide a correct representative or partial chemical structure

diaaram . as comnlete as can be known . if one can be reasonab N asce rt ained .

❑ Mark ( X) th is box if you attach a continuation sheet.

EPA FORM 7710-25 (Rev . 5-95) Pa
p. 6

Part I -- GENERAL INFORMATION -- Continue d

Section B -- CHEMICAL IDENTITY INFORMATION -- Continue d

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

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

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

below 1,000 absolute molecular weight ofthat composition .

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

i) lowest number average molecular weight :

ii) maximum weight 4io below 500 molecular weight:

iii) maximum weight % below 1000 molecular weight :

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

b . You must make separate confi dentiality claims for monomer or other reactant identity, composition information, and residual information . Mark (X) the

"Confidential" box next to any item you claim as con fi dential

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

the polymer .

(2) - Mark (X) this column if entry in column (1) is confi dential .

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

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

description on the TSCA Chemical Substance Invento ry .

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

(6) - Indicate the maximum weight percent of each monomer or other reactant that may be present as a residual in the polymer as manufactured for

commercial purposes .

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

Monomer or other reactant and CAS Registry Number Confi- Typical Identity Confi- Maximum Confidential composition Mark (X) dential residual dential

(1) (2) (3) (4) (5) (6) (7 )

X % X % X

X % X % X

X % X % X

% %

% %

% %

❑ Mark (

% %

X) this box if you attach a continuation sheet.

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

❑ Method 1(CAS Inventory Expert Se rv ice - a copy of the identi fi cation report ❑ Method 2 (othersource) ~(

obtained from CAS 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 . X

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

X

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

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

r-
p. 7

Part I -- GENERAL INFORMATION -- Continued

Section B-- CHEMICAL IDENTITY INFORMATION - Continued

3 . Impurities

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

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

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

Impurity and CAS RegistryNumber Maximum Confi-

(a) (b)

percent dential

% X

❑ Mark (X) this box if you a tt ach a continuation sheet.

4 . Synonyms - Enter any chemical synonyms for the new chemical identi fi ed in subsection 1 or 2 . Confidential

X

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

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

X

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

6 . Generic chemical name - If you claim chemical identify as confidential, you must provide a gene ri c name for your substance that reveals

the specific chemical identity of the new chemical substance to the maximum extent possible . Refer to the

TSCA Chemical Substance Inventory , 1985 Edition, Appendix B for guidance on developing generic names .

Amino alkoxy polydimethylsiloxane, hydroxy terminated

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

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

Byproduct CAS Registry Number Confi-

(1) (2) dential

X

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

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

~

7
p. 8

Part I -- GENERAL INFORMATION -- Continued

Section C -- PRODUCTION, IMPORT, AND USE INFORMATION : Mark (X) the "Confidential" box next to any item you claim as confidential.

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

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

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

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

Maximum first 12-month production (kg/yr) Maximum 12-month production (kg/yr) 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 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 (1) is confidential business information (CBI) .

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

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

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

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

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

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

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

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

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

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

Option tion % Form- (8)

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

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

X X X X

0 0

X

0 0

o n

o a

0 0

0 0

0 0

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

.

In addition include estimates of the 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 .

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

b

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

use Instructions Manual for examples of generic use descriptions.

description Textile additive

❑ 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 information you include . Mark (r)

® Mark (X) this box if you attach hazard information .

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

.<
p. 9

Part II-- HUMAN EXPOSURE AND ENVIRONMENTAL RELEAS E

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

claim as confidential

Complete section A for each type of m anufacture, processing, or use operation involving the new chemical substance at industrial sites you

control . Impo rters do not have to complete this section for operations outside the U .S. ; however, you may still have repo rting requirements if

there are fu rther industrial processing or use operations after import. You must describe these operations. 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) x

City, County, State, ZIP cod e

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

additional sites on a continuation sheet, and if any of the sites have signi fi cantly different

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

sites as attachments.

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

(1) TypeMark (X)

E]Manufacturing E]Processing Ouse

c . Amount and Duration - Complete 1 or 2 as appropriat e

Maximum kg/batch 0 ooi new chemical Hours/batch Batches/year

substance)

1 . Batch 6

Maximum kg/batch ( iooi new chemical Hours/batch Batches/year

substance )

2 . Continuou s

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

(1) Diagram the major unit operation steps and chemical conversions . Include interim storage and tran spo rt containers (specify- e .g . 5 gallon pails, 55 gallon

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

(2) Provide the identi ty , the approximate weight (by kg/day or kg/batch on a 100% new chemical subst ance basis), and entry point of all starting materials and

feedstocks ( including reactan ts, solvents, catalysts, etc .), and of all products, recycle streams, an d wastes. Include cleaning chemicals ( note frequency if not

used daily or per batch .).

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

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

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

rj
P. 10

Part II-HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE - Continued

Section A - INDUSTRIAL SITES CONTROLLED BY THE SUBMITTER - Continue d

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 .

(I) --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 form(s) of the new chemical substance (e .g ., solid- crystal, granule, powder, or dust) and % new chemical substance (if part of a mixture)

at the time of exposure .

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

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

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

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

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

Worker activity CBI Protective Equipment/ Binding Physical forms(s) Binding CBI # of CBI Maximu duration CBI

m

(i .e ., bag dumping, filling drums) Engineering Controls Option and % new Option Worker Hrs/day Days/y r

Mark (x) substance Mark (x)

(1) (2) (3) (4) (5) (6) (7) Expose (9) (10) (11) (12)

d

(8)

X

~ Mar k (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 I d(3) .

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

.

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

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

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

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

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

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

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

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

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

Number released release

(1) (2a) (2b) cg stackair ffin&rg

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

F

(7) Mar k (X) the F1 POTW provide name(s) below : CBI

LJ Navigable Other - Specify provide NPDES # CBI

destination(s) of waterway

releases to water .

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

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

;,~

).-,
P. 11

Part II-HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE - Continue d

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 b ri efly descri be 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 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 Releas e

( 1) -- From the diagram above, provide the letter for each worker activity . Complete 2-8 for each worker activity described .

(2) -- Estimate the number of workers exposed for all sites combined .

(4) -- Estimate the typical duration of exposure per worker in (a) hours per day and (b) days per year .

(6) -- Describe physical form of exposure and % new chemical substance ( if in mixture), and any protective equipment and enginee ri ng 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 kg/batch).

(12) -- Describe media of release i .e . stack air, fugitive air (optional-see Instructions Manual), surface water, on-site or off-site land or incineration, POTW, or other (specify) and control technology, if any, that will be used to limit the release of the new substance to the environment .

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

(3), (5), ( 8), (11), (13) and (15) -- Mark ( X) this column if any of the proceeding entries are confidential business information (CBI) .

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

of Workers of Engineering Controls/ Form- Number New & Contro l

Act- Exposed Exposure Physical Form and % ulation Substance Technology

ivity Released new substanc e

(1) (2 ) (3) (4a) (4b) (5) (6) (7 ) (8) (9) ( l0a) (lOb) ( 11) (12) (13 )

X

(14) -- Byproducts

: (15)

X

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

EPA FORM 7710-25 (Rev . 5-95) Pag5l

.+<

if
p. 12

OPTIONAL POLLUTION PREVENTION INFORMATIO N

To claim information in this section as confidential circle or bracket the speci fi c information that you claim as confidential .

In this section you may provide information not reported elsewhere in this form regarding your efforts to reduce

or minimize potential risks associated with activities surrounding manufacturing, processing, use and disposal

of the PMN substance. Please include new information pertinent to pollution prevention, including source

reduction, recycling activities and safer processes or products available due to the new chemical substance .

Source reduction includes the reduction in the amount or toxicity of chemical wastes by technological

modification, process and procedure modification, product reformulation, raw materials substitution, and/or

inventory control. Recycling refers to the reclamation of useful chemical components from wastes that would

otherwise be treated or released as air emissions or water discharges, or land disposal . 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

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

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

.

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

EPA FORM 7710-25 (Rev . 5-95) Pag!x

I
p. 13

Part III -- LIST OF ATTACHMENT S

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

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

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

numbers of each attachment.

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

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

version of any attachment in which you claim information as con fidential .

Attachment name Attachment Confipage number(s) dential

14-20 X

Material Safety Data Sheet (MSDS)

CAS Inventory Expert Service Order # ] 21 X

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

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

Z
PHYSICAL AND CHEMICAL PROPERTIES WORKSHEET p. 14

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

include it in the notice . Identify the property measured, the page of the 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 _) . 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 Cons-

(X) if number or Estimate dential

(a) provided Mark (X)

(b) (e) (M or E ~dl

Physical state of neat substance (

s

) (1

) W X

Vapor pressur e

@ Temperature °C Ton

Density/relative density g/cm3

Solubility

@ Temperature °C

Solvent /U

Solubility in water Temperature °C

Melting temperature

-

Boiling / sublimation tem erature ressure

Spectra

Dissociation constant

Particle size distribution

Octanol / water partition coefficient

Henry's Law constant

Volitalization from water

Volitalization from soi l

pH@ concentration

Flammability

Explodability

Adsorption / coefficient

Other - Specify : X X

EEIEH

~ PAGE

ATTACHMENT
p. 15

SAFETY DATA SHEET

Page : 1 / 7

Date : *** Version: *** Cancels and replaces version :

1 Product and company identification .

PRODUCT NAME

Use

SUPPLIER

Name

Address

Telephone number

Telefax number

MANUFACTURING SITE

Factor y

Address

Telephone number

Telefax number

2 Composition / information on ingredients

» SUBSTANCE

Common chemical name

CAS numbe r

3 Hazards identification

MOST IMPORTANT HAZARDS

Adverse human health effects

No specific risk when handled in accordance with good

occupational hygiene and safety practice .

Further data . Given the product's physical and chemicals prope rties,

hazardous effects are possible :

on inhalation of aerosols.

Physical and chemical hazard s

- Fire or explosion

Explosive vapour/air mixtures may be formed above 100°C .

Specific hazards . "Development product: not yet fully tested. "

~

P
p. 16

SAFETY DATA SHEET

Page : 2/7

Date : **' Version: *** Cancels and replaces version:

4 First-aid measures

Inhalation . Move the person away from the contaminated area . Make the

affected person rest.

Skin contact . Remove all contaminated clothing and footwear . Wash with soap

and water . In case of inflammation ( redness, irritation, . . .) obtain

medical attention.

Eye contact . Rinse with running water whilst keeping the eyes wide open . (at

least 15 minutes) If irritation persists, consult a doctor.

Ingestion . NEVER attempt to induce vomiting . Rinse mouth out with water .

If necessary seek medical advice .

5 Fire - fighting measures

Extinguishing medi a

Suitable . Foam.

Powders .

Carbon dioxide (C02).

Not suitable . Strong water jet.

Specific hazards bustible liquid.

g corstior~

a fse and ighly fl able s aa released t ( explosio n

hazard).

Hazardous dust is released .

Specific fire fighting methods . Cool down the containers/equipment exposed to heat with a

water spray.

Protection of fire-fighters . Self-contained breathing apparatus .

6 Accidental release measures

Personal precautions

Personal protective equipment :

- safety glasses .

Stop the leak . Turn leaking containers leak-side up to prevent the

escape of liquid.

Environmental precautions . For a large spillage, contain the spillage by bunding .

Do NOT discharge into drains or rivers .

Methods for cleaning up

- Recove ry . Collect up the product and place it in a spare container:

- suitably labelled .

- with a closing device .

Keep the recovered product for subsequent disposal .

,~i
p. 17

SAFETY DATA SHEET

Page : 3/7

Date : *** Version: *** Cancels and replaces version:

Neutralization . Absorb non-recoverable liquid with :

- d ry sand or dry ine rt absorbent.

Cleaning/Decontamination . Decontaminate and wash the floor with an appropriate

self-emulsifying solvent .

Then wash with plenty of water.

Disposal . Dispose of contaminated material at an authorized site .

7 Handling and storage

HANDLING

Technical measures . Does not require any specific or particular measures .

Measures . Avoid forming aerosols. Work in a well-ventilated area .

Safe handling advice . Handle and use in accordance with good occupational hygiene

and safety practice .

Comply with instructions for use (refer to technical sheet) .

STORAGE

Technical measures . Take all necessa ry measures to avoid accidental discharge of

products into drains and waterways due to the rupture of

containers or transfer systems.

Storage conditions

- Recommended le un e norm storag ondit s.

Incompatible products : ef r to t~detail t of ir~ompa~ble materials (section 10

ability/ eactivit

Packaging . - Steel drum varnished with an epoxyphenolic resin .

- Plastic drums.

Packaging materials

Recommended . Coated steels.

Plastic materials .

Not suitable . Uncoated metals .

8 Exposure controls / personal protectio n

Engineering measures . Ensure good ventilation of the work station .

Personal protective equipment

Respiratory protection . When using a spray-gun, wear :

Respirato ry protective device with a pa rticle filter .

Hand protection . Prolonged and/or repeated handling :

Protective gloves made of rubber .

Eye protection . Safety spectacles.

Collective emergency . Eye fountain .

equipment

~ ,'
p. 18

SAFETY DATA SHEET

Page : 4/7

Date : *** Version: *** Cancels and replaces version:

9 Physical and chemical properties

APPEARANCE

Physical state . Liquid.

Form . viscous.

Colour

Odour

pH . No information available . (Research sample)

Specific temperature s

Flammability characteristic s

Flash point . No information available . (Research sample)

Auto-ignition temperature . Not determined.

Oxidizing properties . Non oxidizing material according to EC criteria .

Specific gravity

Solubility

in water . Very slightly soluble.

in organic solvents . Very slightly soluble in:

acetone

alcohol (ethanol)

Q ble (irll prop~ ions) vh

: t ers .

hatic ydrocar s .

- aromatic hydrocarbons (toluene, xylene) .

- chlorinated solvents .

Dynamic viscosity

10 Stability and reactivity

Stability . Stable at ambient temperature and under normal conditions of

use .

Hazardous reactions

Conditions to avoid . No dangerous reactions known under normal conditions of use .

Materials to avoid . No dangerous reaction known with common products.

Reacts with:

- strong oxidizing agents .

Hazardous decomposition products . On combustion or on thermal decomposition (pyrolysis) releases:

(Carbon oxides (CO + C02)).

(Nitrogen oxides).

(Formaldehyde) .

(Silica).

~7
P. 19

SAFETY DATA SHEET

Page : 5/7

Date : *** Version: *** Cancels and replaces version:

11 Toxicological information

Acute toxicity

No information available

Acute symptoms . No information available .

Local effects . No information available .

Sensitisation . No information available .

12 Ecological informatio n

NOTE . Warning : research sample

MOBILITY

Precipitation . Slightly soluble product, readily forms deposits .

Expected behaviour of the product . Ultimate destination of the product : SOIL and SEDIMENT .

BIODEGRADABILITY

- Ultimate aerobic biodegradability . Not biodegradable .

BIOACCUMULATION

Bioconcentration factor. No ioac~ulab~

ECOTOXICITY f t

Effects on the aquatic environment . No information available .

Effects on soil organisms. . No information available .

13 Disposal consideration s

RESIDUES FROM PRODUCT

Prohibition . Discharging waste into rivers and drains is forbidden .

Destruction/Disposal . Dispose of in accordance with relevant local regulations.

Dilute with a flammable solvent and incinerate at a licensed

installation.

CONTAMINATED PACKAGIN G

Decontamination/cleaning . Rinse with an appropriate solvent.

Recover the solvent used for rinsing and incinerate at a licensed

site .

Allow it to drain thoroughly .

Destruction/Disposal . Entrust the thoroughly decontaminated packaging to a licensed

waste-contractor .

NOTE . The user's attention is drawn to the possible existence of loca l

regulations regarding disposal.
p. 20

SAFETY DATA SHEET

Page : 6/7

Date : *** Version: *** Cancels and replaces version:

14 Transport information

INTERNATIONAL REGULATIONS

Lan d

- Rail/road (RID/ADR) . NOT restricted .

Sea (IMO/IMDG) . NOT restricted .

Air (ICAO-IATA) . NOT restricted .

NOTE . The above regulatory prescriptions are those valid on the date of

publication of this sheet .

Given the possible evolution of transport regulations for

hazardous materials, it would be advisable to check their validity

with your sales office .

15 Regulatory information

LABELLING

EC regulations . Mandato ry labelling (prescribed) of hazardous substances: NOT

APPLICABLE

- Additional phrases arch sample

NOTE . h regul tory i matio give above only indicates the

ciPal gulati spe fically(pplicable to the product

described in the Safety Data Sheet . The user's attention is

drawn to the possible existence of additional provisions which

complete these regulations . Refer to all applicable national,

international and local regulations or provisions .

16 Other information

Use s

- Prohibited uses Test product only to be used for analysis and evaluation.

WARNING:

Do not use this product in the form of a spray .

Registration numbers These polymers are not concerned by the EINECS invento ry .
p. 21

SAFETY DATA SHEET

Page : 7/7

Date : *** Version: *** Cancels and replaces version:

This safety data sheet should be used in conjunction with technical sheets. It does not replace them. The information

given is based on our knowledge of this product, at the time of publication . It is given in good faith. The attention of

the user is drawn to the possible risks incurred by using the product for any other purpose other than that for which it

was intended. This does not in any way excuse the user from knowing and applying all the regulations governing his

activity . It is the sole responsibility of the user to take all precautions required in handling the product . The aim of

the mandatory regulations mentioned is to help the user to fulfil his obligations regarding the use of hazardous

products. This information is not exhaustive . This does not exonerate the user from ensuring that legal obligations,

other than those mentioned, relating to the use and storage of the product, do not exist .This is solely his

responsibility .

D r a f t
p. 22

• Inventory Expert Service

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

Fax: 614-447-3747

E-mail : answers@cas .org

Internet: http://www.cas.org/Support/client.html

INVENTORY EXPERT SERVICE REPORT

IES-ORDER NUMBER :

REGISTRY NUMBER :

CA INDEX NAME

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

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

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

submitting it to the EPA .

2540 Olentangy River Road • P.O. Box 3343 • Columbus, Ohio 43210-0334