## Cover Letter

January 4, 2013 By Central Data Exchange New Chemicals Program Office of Pollution Prevention and Toxics Confidential Business Information Center [Rm. 6428] EPA East Building Ronald Reagan Complex 1201 Constitution Ave., NW Washington, DC 20004-3302 Re: Consolidated Premanufacture Notice Submission under TSCA Section 5 by {XXX} Dear Sir/Madam: Enclosed you will find a Consolidated Premanufacture Notice (PMN) submitted under Section 5(a)(1) of the Toxic Substances Control Act (TSCA). This Consolidated PMN is being submitted to the U.S. Environmental Protection Agency (EPA or the Agency) by {XXX} for the chemical substances identified below: Substance-1 CA Index Name: {XXX} CAS Registry Number: {XXX} Company Identifier: 4.2' Substance-2 CA Index Name: {XXX} Page 1 SANITIZED SUBMISSION

### CAS Registry Number: {XXX}

Company Identifier: 4.4' Substance-3 CA Index Name: {XXX} CAS Registry Number: {XXX} Company Identifier: 5.2' Substance-4 CA Index Name: {XXX} CAS Registry Number: {XXX} Company Identifier: 5.4' TS Number: ASLT40 This Consolidated PMN submission is made in accordance with the regulations given at 40 CFR 720. We request that the Agency begin review upon receipt. This notice has been created using the EPA’s new e-PMN software and, as now required under EPA regulations, this notice is being submitted through EPA's Central Data Exchange (CDX). At this time, {XXX} is also remitting a check in the amount $2,500.00 for the PMN user fee in accordance with the requirements at 40 CFR 700.45(b)(2)(i). This check is being sent to EPA’s Washington Finance Center in St. Louis, MO. {XXX} is claiming certain information in the Consolidated PMN as Confidential Business Information (CBI), including the chemical identity and company identity, in accordance with the provisions at 40 CFR 720.80. {XXX} For all questions regarding the submission of this Consolidated PMN, the technical contact is {XXX} Page 2 SANITIZED SUBMISSION

### Sincerely,

{XXX} {XXX} cc: {XXX}

Page 3 SANITIZED SUBMISSION

### Check Number: 81307 ASLT130108381518276 ASLT40

X X

X 4 X Page 4 SANITIZED SUBMISSION

### X



## X Page 5 SANITIZED SUBMISSIONXXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX

XXX XXX XXX XXX XXX XXX XXX XXX XXX 

## X X

X X X X X XXX XXX XXX Page 6 SANITIZED SUBMISSIONPage 7 SANITIZED SUBMISSIONPage 8 SANITIZED SUBMISSION

## X

XXX XXX XXX



### XXX XXX X XXX 

### X XXX 

### X XXX XXX X XXX 

### X XXX 

### X

Page 9 SANITIZED SUBMISSION

## X 328844-2 Attachment-HCl Salts-3-ASLT40-SAN.pdf 

## X XXX
XXX See Attachment 003 (Attachment-HCl Salts-3-ASLT40-SAN.pdf)

Attachment-HCl Salts-3-ASLT40-SAN.pdf Page 10 SANITIZED SUBMISSIONXXX

XXX Fatty acid amide hydrochloride 

## X X XXX XXX XXX 

### X XXX XXX XXX 

### X

XXX XXX 

### X
Page 11 SANITIZED SUBMISSION

## X

XXX 

## X
XXX 

## X 328844-4 Attachment-HCl Salts-3-ASLT40-SAN.pdf 

### XXX 

## X See Attachment 003 (Attachment-HCl Salts-3-ASLT40-SAN.pdf)

Attachment-HCl Salts-3-ASLT40-SAN.pdf Page 12 SANITIZED SUBMISSIONPage 13 SANITIZED SUBMISSIONPage 14 SANITIZED SUBMISSIONPage 15 SANITIZED SUBMISSIONXXX

XXX Fatty acid amide hydrochloride 

## X X XXX XXX XXX 

### X XXX XXX XXX 

### X XXX XXX XXX 

### X

XXX XXX 

### X
Page 16 SANITIZED SUBMISSIONPage 17 SANITIZED SUBMISSIONPage 18 SANITIZED SUBMISSION

## X

XXX XXX XXX



### XXX XXX X XXX 

### X XXX 

### X XXX XXX X XXX 

### X XXX 

### X

Page 19 SANITIZED SUBMISSION

## X 328844-7 Attachment-HCl Salts-3-ASLT40-SAN.pdf 

## X XXX
XXX See Attachment 003 (Attachment-HCl Salts-3-ASLT40-SAN.pdf)

Attachment-HCl Salts-3-ASLT40-SAN.pdf Page 20 SANITIZED SUBMISSIONXXX

XXX Fatty acid amide hydrochloride 

## X X XXX XXX XXX 

### X XXX XXX XXX 

### X

XXX XXX 

### X
Page 21 SANITIZED SUBMISSION

## X

XXX 

## X
XXX 

## X 328844-9 Attachment-HCl Salts-3-ASLT40-SAN.pdf 

### XXX 

## X See Attachment 003 (Attachment-HCl Salts-3-ASLT40-SAN.pdf)

Attachment-HCl Salts-3-ASLT40-SAN.pdf Page 22 SANITIZED SUBMISSIONXXX

XXX

XXX 

## X

X

X

Page 23 SANITIZED SUBMISSIONPage 24 SANITIZED SUBMISSIONPage 25 SANITIZED SUBMISSIONXXX

XXX Fatty acid amide hydrochloride 

## X X XXX XXX XXX 

### X XXX XXX XXX 

### X XXX XXX XXX 

### X

XXX XXX 

### X
Page 26 SANITIZED SUBMISSION

### X XXX XXX 

## X

X Surfactant for use in asphalt emulsions. XXX 

### X XXX 

### X XXX XXX XXX XXX 

### X

Page 27 SANITIZED SUBMISSION

### X XXX XXX 

## X

X Surfactant for use in asphalt emulsions. XXX 

### X XXX 

### X XXX XXX XXX XXX 

### X

Page 28 SANITIZED SUBMISSION

### X XXX XXX 

## X

X Surfactant for use in asphalt emulsions. XXX 

### X XXX 

### X XXX XXX XXX XXX 

### X

Page 29 SANITIZED SUBMISSION

### X XXX XXX 

## X

X Surfactant for use in asphalt emulsions. XXX 

### X XXX 

### X XXX XXX XXX XXX 

### X

Page 30 SANITIZED SUBMISSION

### X



## X XXX XXX XXX 

## X X

See Attachment #4. 

## X XXX XXX XXX XXX XXX 

## X

Page 31 SANITIZED SUBMISSIONSee Attachment 004 (Attachment-HCl Salts-4-SAN.pdf)

Attachment-HCl Salts-4-SAN.pdf Page 32 SANITIZED SUBMISSIONXXX XXX XXX XXX XXX 

## X XXX XXX XXX XXX XXX 

## X XXX XXX XXX XXX XXX 

## X XXX XXX XXX XXX XXX 

## X XXX XXX XXX XXX XXX 

## X XXX XXX XXX XXX XXX 

## X XXX XXX XXX XXX XXX 

## X Page 33 SANITIZED SUBMISSIONXXX XXX XXX XXX XXX 

## X XXX XXX XXX XXX XXX 

## X XXX XXX XXX XXX XXX 

## X

Page 34 SANITIZED SUBMISSION

### X

XXX XXX XXX XXX XXX XXX 

### X X X X XXX XXX XXX XXX XXX XXX 

### X X X X

Page 35 SANITIZED SUBMISSIONXXX XXX XXX XXX XXX 

### X X XXX XXX XXX XXX XXX 

### X X

Page 36 SANITIZED SUBMISSION

### X



## X XXX XXX XXX 

## X X

See Attachment #4. 

## X XXX XXX XXX XXX XXX 

## X

Page 37 SANITIZED SUBMISSIONSee Attachment 004 (Attachment-HCl Salts-4-SAN.pdf)

Attachment-HCl Salts-4-SAN.pdf Page 38 SANITIZED SUBMISSIONXXX XXX XXX XXX XXX 

## X XXX XXX XXX XXX XXX 

## X XXX XXX XXX XXX XXX 

## X XXX XXX XXX XXX XXX 

## X XXX XXX XXX XXX XXX 

## X XXX XXX XXX XXX XXX 

## X XXX XXX XXX XXX XXX 

## X Page 39 SANITIZED SUBMISSIONXXX XXX XXX XXX XXX 

## X XXX XXX XXX XXX XXX 

## X XXX XXX XXX XXX XXX 

## X

Page 40 SANITIZED SUBMISSION

### X

XXX XXX XXX XXX XXX XXX 

### X X X X XXX XXX XXX XXX XXX XXX 

### X X X X

Page 41 SANITIZED SUBMISSIONXXX XXX XXX XXX XXX 

### X X XXX XXX XXX XXX XXX 

### X X

Page 42 SANITIZED SUBMISSION

### X



## X XXX XXX XXX 

## X X

See Attachment #4. 

## X XXX XXX XXX XXX XXX 

## X

Page 43 SANITIZED SUBMISSIONSee Attachment 004 (Attachment-HCl Salts-4-SAN.pdf)

Attachment-HCl Salts-4-SAN.pdf Page 44 SANITIZED SUBMISSIONXXX XXX XXX XXX XXX 

## X XXX XXX XXX XXX XXX 

## X XXX XXX XXX XXX XXX 

## X XXX XXX XXX XXX XXX 

## X XXX XXX XXX XXX XXX 

## X XXX XXX XXX XXX XXX 

## X XXX XXX XXX XXX XXX 

## X Page 45 SANITIZED SUBMISSIONXXX XXX XXX XXX XXX 

## X XXX XXX XXX XXX XXX 

## X XXX XXX XXX XXX XXX 

## X

Page 46 SANITIZED SUBMISSION

### X

XXX XXX XXX XXX XXX XXX 

### X X X X XXX XXX XXX XXX XXX XXX 

### X X X X

Page 47 SANITIZED SUBMISSIONXXX XXX XXX XXX XXX 

### X X XXX XXX XXX XXX XXX 

### X X

Page 48 SANITIZED SUBMISSION

### X



## X XXX XXX XXX 

## X X

See Attachment #4. 

## X XXX XXX XXX XXX XXX 

## X

Page 49 SANITIZED SUBMISSIONSee Attachment 004 (Attachment-HCl Salts-4-SAN.pdf)

Attachment-HCl Salts-4-SAN.pdf Page 50 SANITIZED SUBMISSIONXXX XXX XXX XXX XXX 

## X XXX XXX XXX XXX XXX 

## X XXX XXX XXX XXX XXX 

## X XXX XXX XXX XXX XXX 

## X XXX XXX XXX XXX XXX 

## X XXX XXX XXX XXX XXX 

## X XXX XXX XXX XXX XXX 

## X Page 51 SANITIZED SUBMISSIONXXX XXX XXX XXX XXX 

## X XXX XXX XXX XXX XXX 

## X XXX XXX XXX XXX XXX 

## X

Page 52 SANITIZED SUBMISSION

### X

XXX XXX XXX XXX XXX XXX 

### X X X X XXX XXX XXX XXX XXX XXX 

### X X X X

Page 53 SANITIZED SUBMISSIONXXX XXX XXX XXX XXX 

### X X XXX XXX XXX XXX XXX 

### X X

Page 54 SANITIZED SUBMISSION

### X X X X 

## X

See Attachment 007 (Attachment-HCl Salts-7-SAN.pdf)

Attachment-HCl Salts-7-SAN.pdf Page 55 SANITIZED SUBMISSIONP10SB1(a)(4)1 Part II, Section B, 1(a)(4). Operation Site Locations

XXX

Page 56 SANITIZED SUBMISSIONXXX 

## X

XXX XXX XXX XXX XXX XXX XXX

XXX XXX XXX XXX



### X X X

X X XXX XXX XXX XXX XXX XXX XXX

XXX XXX XXX XXX



### X X X

X X XXX XXX XXX XXX XXX XXX XXX



### X X X

Page 57 SANITIZED SUBMISSION{XXX}

Attachment-HCl Salts-9-SAN.pdf Page 58 SANITIZED SUBMISSION001 Material Safety Data Sheet Attachment-HCl Salts-1-SAN.pdf 7

002 Summary of Information on the New Chemical Substances Attachment-HCl Salts-2-SAN.pdf 2 003 CAS Inventory Expert Service Reports and Chemical Structures of the New Chemical Attachment-HCl Salts-3-ASLT40- SAN.pdf See continuation page. id: <P12003> 9 004 Manufacturing and Processing Information on the New Chemical Substances at Industrial Sites Attachment-HCl Salts-4-SAN.pdf See continuation page. id: <P12004> 2 005 Worker/Occupational Exposure Information on the New Chemical Substance at Industrial Sites Attachment-HCl Salts-5-SAN.pdf 1 006 Environmental Release and Disposal Information on the New Chemical Substance at Industrial Attachment-HCl Salts-6-SAN.pdf 1 007 Processing Information on the New Chemical Substance at Industrial Sites Controlled by Attachment-HCl Salts-7-SAN.pdf Pt.2, Sec.B, 1a. 2 008 Worker/Occupational Exposure and Environmental Release Information on the New Attachment-HCl Salts-8-SAN.pdf 1 009 Additional Information on the Absence of Tank Truck Cleaning Operations at Road Construction Attachment-HCl Salts-9-SAN.pdf Pollution Prevention 5

Page 59 SANITIZED SUBMISSIONP12003 List of Attachments, Associated PMN Section No., ID: 003

Pt.I, Sec.B, 2c. | Pt.I, Sec.B, 2e. | Pt.I, Sec.B, 1c. (Chem 2) | Pt.I, Sec.B, 1e. (Chem 2) | Pt.I, Sec.B, 2c. (Chem 3) | Pt.I, Sec.B, 2e. (Chem 3) | Pt.I, Sec.B, 1c. (Chem 4) | Pt.I, Sec.B, 1e. (Chem 4)

Page 60 SANITIZED SUBMISSIONP12004 List of Attachments, Associated PMN Section No., ID: 004

Pt.2, Sec.A, 1d. | Pt.2, Sec.A, 1d. (#2) | Pt.2, Sec.A, 1d. (#3) | Pt.2, Sec.A, 1d. (#4)

Page 61 SANITIZED SUBMISSION

### X X X X


## X Measured ~1.0 Estimate Soluble Estimate 25

1,500 - 2,500 cps (25 °C) Measured Viscosity Page 62 SANITIZED SUBMISSION

## ATTACHMENT HEADER SHEET Attachment Number 001 Attachment Name Material Safety Data Sheet 

## Associated PMN Section Number

N/A Does not contain CBI 

## Report Number ASLT130108381518276

## ATTACHMENT HEADER SHEET Attachment Number 002 Attachment Name Summary of Information on the New Chemical Substances 

## Associated PMN Section Number

N/A Does not contain CBI 

## Report Number ASLT130108381518276

## ATTACHMENT HEADER SHEET Attachment Number 003 Attachment Name CAS Inventory Expert Service Reports and Chemical Structures of the New Chemical Substances 

## Associated PMN Section Number Pt.I, Sec.B, 2c. | Pt.I, Sec.B, 2e. | Pt.I, Sec.B, 1c. (Chem 2) | Pt.I, Sec.B, 1e. (Chem 2) | Pt.I, Sec.B, 2c. (Chem 3) |

Pt.I, Sec.B, 2e. (Chem 3) | Pt.I, Sec.B, 1c. (Chem 4) | Pt.I, Sec.B, 1e. (Chem 4) Does not contain CBI 

## Report Number ASLT130108381518276

## ATTACHMENT HEADER SHEET Attachment Number 004 Attachment Name Manufacturing and Processing Information on the New Chemical Substances at Industrial Sites Controlled by the Submitter 

## Associated PMN Section Number Pt.2, Sec.A, 1d. | Pt.2, Sec.A, 1d. (#2) | Pt.2, Sec.A, 1d. (#3) | Pt.2, Sec.A, 1d. (#4) Does not contain CBI 

## Report Number ASLT130108381518276

## ATTACHMENT HEADER SHEET Attachment Number 005 Attachment Name Worker/Occupational Exposure Information on the New Chemical Substance at Industrial Sites Controlled by the Submitter – Manufacture and Processing 

## Associated PMN Section Number

N/A Does not contain CBI 

## Report Number ASLT130108381518276

## ATTACHMENT HEADER SHEET Attachment Number 006 Attachment Name Environmental Release and Disposal Information on the New Chemical Substance at Industrial Sites Controlled by the Submitter – Manufacture and Processing 

## Associated PMN Section Number

N/A Does not contain CBI 

## Report Number ASLT130108381518276

## ATTACHMENT HEADER SHEET Attachment Number 007 Attachment Name Processing Information on the New Chemical Substance at Industrial Sites Controlled by Others 

## Associated PMN Section Number

Pt.2, Sec.B, 1a. Does not contain CBI 

## Report Number ASLT130108381518276

## ATTACHMENT HEADER SHEET Attachment Number 008 Attachment Name Worker/Occupational Exposure and Environmental Release Information on the New Chemical Substance at Industrial Sites Controlled by Others 

## Associated PMN Section Number

N/A Does not contain CBI 

## Report Number ASLT130108381518276

## ATTACHMENT HEADER SHEET Attachment Number 009 Attachment Name Additional Information on the Absence of Tank Truck Cleaning Operations at Road Construction Sites 

## Associated PMN Section Number

Pollution Prevention Does not contain CBI 

## Report Number ASLT130108381518276