### U.S. ENVIRONMENTAL PROTECTION AGENCY 

## SANITIZED 

# ft

# ~EPA PREMANUFACTURE NOTICE Form A roved. O.M.B. No. 2070-0012. Approval Ex ires 10-31-96. 

## AGENCY USE ONLY Date ofreceipt



### 'CES 

# Company Sanitized 

# IU Li I 

# iii 

# I d j'

in the ?remanufacture Notice "0 

### GENERAL INSTRUCTIONS Youmust provide all information requested in this form to the extentthat it is known to orreasonably ascertainable byyou. Make reasonable estimates ifyou do not have actual data. Before you complete this form, you should read the "Instructions Manual for ?remanufacture Notification" (the Instructions Manual is available from the Toxic Substances Control Act (TSCA) Information Serviceby calling 202-554-1404, or faxing 202-554-5603). Ifa user fee has been remitted for this notice (40 CFR 700.45), indicate in the boxes above the TS-user fee identification numberyouhave generated. Remember, your user fee ID number must also appear on your corresponding fee remittance, which is sentto EPA, HQ Accounting Operations Branch (PM-226), P.O. 360399M, Pittsburgh, PA 15251-6399, Attn. TSCA User fee.

Part I- GENERAL INFORMATION You mustprovide the currently correct Chemical Abstracts (CA) Name ofthe new chemical substance, even ifyou claimthe identity as confidential. You may authorize anotherperson to submitchemical identity information for you, butyour submission will not be complete and the review will notbegin until EPAreceives this information. A letter in supportofyour submission should reference your TS user fee identification number. You must submit an original and two copies ofthis notice including all test data. Ifyouclaimed any information as confidential, a single sanitized copy must also be submitted.
Part II- HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE Ifthere are several manufacture, processing, or use operations to be described in Part II, sections A and B ofthis notice, reproduce the sections as needed. Part IlJ- LIST OF ATTACHMENTS Attach additional sheets ifthere is notenough space to answer a question fully. Label each continuation sheet with the corresponding section heading. In Part IIJ, list these attachments, any test data orother data and any optional information included in the notice.

OPTIONAL INFORMATION You may include any information thatyou want EPA to consider in evaluating the new substance. Onpage II ofthis form, space has been provided for you to described pollutionprevention and recycling information you may have regarding the new substance. So-called "binding" boxes are included throughout this form for you to indicate your willingness to bebound to certain statements you make in this section, such as use, production volume, protective equipment
... This option is intended to reduce delays !hatroutinely accompany the development ofconsent orders or Significant New Use Rules. Except in the case ofexemption applications (such as TMEA, LVE, 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 notby itselfprohibit the submitter from later deviating from the information (except chemical identity) reported in the form.
CONFIDENTIALITY CLAIMS You may claimany information in this notice as confidential. To assert a claim on the form, mark (X) the confidential box next to !he information that you claim as confidential. To assert a claimin an attachment, circle orbracket the information you claim as confidential. Ifyou claim information in !he notices as confidential. you must also provide a sanitized version ofthe notice. (including attachments). Foradditional instructions on claiming information as confidential, read the Instructions Manual.
Mark (x) ifany information in this notice is claimed as confidential.

EPA FORM 7710-25 (Rev. 5-95) TEST DATA AND OTHER DATA You are required to submit all testdata in yourpossession or control and to provide a description ofall other dataknown to or reasonably ascertainable by you, ifthese data are related to the health and environmental effects on the manufacture, processing, distribution incommerce, use, ordisposal ofthe new chemical substance. Standard literature citations maybe submitted for data in the open scientific literature. Complete test data (written in English), not summaries ofdata. must be submitted ifthey do not appear in the open literature. You should clearly identifY whethertest data is on the substance or on an analog. Also, the chemical composition ofthe tested material shouldbe characterized. Following are examples oftest data and other data. Data should be submitted according to the requirements of§720.50 ofthe ?remanufacture Notification Rule (40 CFR Part 720).

Test Data (Check Below any included in this notice) Environmental fate data 

### D Health effects data 

### D Environmental effects data 

### D Physical/Chemical Properties* 

### D Yes Yes Yes Yes Other data 

### D Yes Risk assessments Structure/activityrelationships Test data not in the possession orcontrol ofthe submitter A physical and chemicalproperties worksheet is located on the lastpage ofthis form. TYPE OF NOTICE (Check Only One) 

# C8J 

# D D D D PMN (Premanufacture Notice)
INTERMEDIATE PMN (submitted in sequence with final product PMN) SNUN (SignificantNew Use Notice)
TMEA (TestMarketing Exemption Application)**-~-** .: LVE (Low Volume Exemption)@ 40 CFR 723.50(c)(l) 

# D LOREX (Low Release/Low Exposure Exemption)@40 CFR 723.50(c)(2) 

# D LVE Modification IS THIS A CONSOLIDATED PMN? # ofchemicals 

# D D LOREX Modification
Yes (Prenotice Communication# required, enter# on page 3)
Replaces previous editions ofEPA Form 7710-25.

### Public'reporting burden for this collection ofinformation is estimated to average II0 hours perresponse, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect ofthis collection ofinformation, 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 ofManagement and Budget, Paperwork Reduction Act (2070-0012), Washington, D.C. 20503. 

## CERTIFICATION I certifythat to the best ofmy knowledge and belief: 1. The company named inPartI, section A, subsection 1 

### a ofthis notice form intends to manufacture orimport for a commercialpurpose, other than in small quantities solely for research and development, the substance identified in PartI, SectionB. 2. All informationprovided in this notice is complete and truthful as ofthe date ofsubmission. 3. I am submitting with this notice all test data in mypossession orcontrol and a description ofall other data known to or reasonably ascertainable byme as required by §720.50 ofthe Premanufacture Notification Rule.


### Additional Certification Statements: Ifyou are submitting a PMN, Intermediate PMN, Consolidated PMN, or SNUN, check the following 

### user fee certification statement that applies: 

# [8J The Companynamed in Part I, SectionA has remitted the fee of$2500 specified in40 CFR700.45(b), or 

# 0 The Company named in Part I, SectionA has remitted the fee of$1000 for an Intermediate PMN (defined @ 40 CFR 700.43) in accordance with40 CFR700.45(b), or 

# 0 The Company named in PartI SectionA is a small business concernunder 40 CFR 700.43 and has remitted a fee of$100 in accordance with40 CFR700.45(b). Ifyou are submitting a 

### low volume exemption (LVE) application in accordance with 40 CFR723.50(c)(

### 1) or a 

### Low release and low exposure exemption (LoRex) application in accordance with40 CFR 723.50(c)(2), checkthe following certification statements: 

# 0 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 of40 CFR 723.50. 

# 0 The manufacturer is familiar with the terms ofthis section and will comply with those terms; and 

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

# 0 Ifthis application is for an LVE in accordance with40 CFR 723.50(c)(1), the manufacturer intends to commence manufacture ofthe exempted substance for commercialpurposes within 1year ofthe date ofthe expiration ofthe 30 day reviewperiod.

Confidential

EPA FORM 7710-25 (Rev. 5-95) Page 23.

4.

5.

6. 

### Atlanta, GA 30339 Ifyou have had a prenotice communication (PC) concerning this and EPA assigned a PC Number to the notice, enter the number.

Ifyou previously submitted an exemption application for the chemical substance covered by this notice, enter the exemption number assigned by EPA. Ifyou previously submitted a PMN for this substance enter the PMN number assigned by EPA (i.e. withdrawn or incomplleci'Ctc'r.).---+ Ifyou have submitted a notice for the chemical substance covered by this notice, enterthe notice assigned by EPA. I.

Type ofNotice- Mark (X) 

# D Manufacture Only Binding Option Mark
EPA FORM 7710-25 (Rev. 5-95) 2. 

# D

Page 3 Import Only Mark (X) ifnone
Mark (X) ifnone Mark (X) ifnone
Binding Option Mark (X) 

### 247-7403 

# D D D

3. 

# D BothI. name ofthe substance based on conventions.

a. Ifanother person will submit chemical identity information for you (for either Item I or 2), mark (X) the box at the right. the and address ofthat in a continuation sheet. substances (for definitions ofclass I and class 2 substances, see the Instructions Manual) Class ofsubstance

- Mark (X) I 

# D Class I or 2 

# 1:8] Class 2 '-'ll'Ollll.'-a' name (Currently correct Chemical Abstracts (CA) Name that is consistent with TSCA Inventory listings for similar substances. For Class I substances a CA Index Name must be provided. For Class 2 substances either a CA Index Name orCA Preferred Name must be provided, which ever is appropriate based on CA 9CI nomenclature rules and conventions).

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

# 1:8] Method I (CAS Inventory Expert Service- a copy ofthe Identification 

# D Method 2 (Other Source) report obtained from the CAS Inventory Expert Services must be submitted as an attachment to this d. Molecular formula and CAS Registry Number (ifa number already exists for the substance)

CAS#

e. For a class I substance, provide a complete and correct chemical structure diagram. For a class 2 substance- (I) List the precursor substances with their respective CAS Registry Numbers. (2) Describe the nature ofthe reaction or process. (3) Indicate the range ofcomposition and the typical composition (where appropriate). ( 4) Provide a correct representative or partial chemical structure diagram. as comolete as can be known. ifone can be reasonablv ascertained.

attach a continuation sheet. 

## X

X


## X
X

EPA FORM 77!0-25 (Rev. 5-95) Page 4Confidential a. Indicate the number-average weight ofthe lowest molecular weight composition ofthe polymer you intend to manufacture. Indicate maximum weightpercent oflow molecular weight species (not including residual monomers, reactants, or solvents) below 500 and below I,000 absolute molecular weight ofthatcomposition. Describe the methods ofmeasurement orthe 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:

You must make separate claims for monomer or other reactant identity, composition information, and residual information. Mark (X) the "Confidential"box next to any item you claim as confidential (I) Provide the specific chemical name and CAS Registry Number (ifa number exists) ofeach monomer orotherreactant used in the manufacture of the polymer. (2) Mark (X) this column ifentry in column (1) is confidential. (3) Indicate the typical weight percent ofeach monomer or other reactant in the polymer. (4) Mark (X) the identity column ifyou want a monomer or other reactant used at two weight percent or less to be listed as part ofthe polymer description on the TSCA Chemical Substance Inventory. (5) Mark (X) this column ifentries in columns (3) and (4) are confidential. (6) Indicate the maximum weight percent ofeach monomer or other reactant that may be present as aresidual in the polymer as manufactured for commercial purposes. Mark this column if is confidential. Confi- Typical Confi-

% % % % % % % % % % % % % %

or obtain the specified chemical identity information reported in this notice (check one). Method 1 (CAS Inventory Expert Service - a copy ofthe identification report 

# 0 Method 2 (other source) obtained from CAS Inventory Expert Service mustbe submitted as as attachment to this d. The currently correct Chemical Abstracts (CA) name for the polymer that is TSCA Inventory listings for similar polymers.

e. a correct representative orpartial chemical structure diagram, as complete as can be known, ifone can be reasonably ascertained.

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

# D Ma;k (X) this boxifyou attach a continutation sheet. 

## Part I-- GENERAl IN.I'lHl.MATION --Continued Section B -- f'HFMif'AI UEl'l lNI<'URMATION- Continued 3. Impurities (a) - Identify each impurity that maybe reasonably anticipated to be present in the chemical substance as manufactured for commercialpurpose. Provide the CAS RegistryNumber ifavailable. Ifthere are unidentified impurities, enter "unidentified." (b) - Estimate the maximum weight% ofeach impurity. Ifthere are unidentified ""f'u'iuto>, estimate their total weight%. Impurity and CAS RegistryNumber Maximum Contipercent dential (a) (b) % 

### X

%
%
%
%
%
% 

# [ J Mark (X) this box ifyou attach a w11tinuation sheet. 4. Synonyms- Enter any chemical synonyms for the new chemical identified in subsection I or 2. Contidential 

# D 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. 

### VERTEX 60SR 

# D Mark (X) thisbox ifyou attach a continuation sheet. 6. Generic chemical name - Ifyou claim chemical identify as wuuu-...Jtial, you mustprovide a generic name for your substancethatreveals the specific chemical identity ofthe new chemical substance to the maximumextent possible. Refer to the TSCA Chemical Substance Inventory, 1985 Edition, Appendix 8 for guidance on developing generic names. 

## Magnesium Hydroxide surface treated



# D Mark (X) this box ifyou attach a continuation sheet. 7. Byproducts

- Describe anybyproductsresulting from the manufacture, processing, use, or disposal ofthe new chemical substance. Provide the CAS Registry Numberifavailable.**~.rp(()u'"'** CAS**Regis~** Number Conti- (2) dential 

# X



# [ J Mark (X) this box ifyou attach a continuation sheet. EPA FORM 7710-25 (Rev. 5-95) Replaces previous editions ofEPA Form 7710-25.

# PartI-- GENERAL INFORMATION-- Continued Section C --PRODUCTION, IMPORT, AND USE INFORMATION: Mark (X) the "Confidential" box next to any itemyou claim as confidential. 

### 1. Production volume-- Estimate the maximum production volume during the first 12 months ofproduction. Also estimate the maximum production volume for any consecutive 12-monthperiod during the first three years ofproduction. Estimates should be on 100% new chemical substance basis. For a Low Volume Exemption application, ifyou choose to have your notice reviewed at a lowerproduction volume than 10,000 kg/yr, specifythe volume and mark (x) in the bindingbox. Ifgranted, you are bound to this volume Maximum first 12-monthproduction (kg/yr) Maximum 12-monthproduction (kg/yr) Conti- Binding ( 100% new chemical substance basis) ( 100% new chemical substance basis) dential Option Mark (x) 

### X 2. Use Information

-- Youmust make separate confidentiality claims for the description ofthe category ofuse, the percent ofproduction volume devoted to each category, the formulation of the new substance, and otheruse information. Mark 

### (X) the "Confidential" Boxnext to anyitem you claim as confidential. a. 

### (I)

-- Describe each intended category ofuse ofthe new chemical substance by function and application
.. (2)

-- Mark 

### (X) this column ifentrycolumn (1) is confidential business information (CBI). 

### (3)

-- Indicate your willingness to have the information provided in column (I) binding. (4)

-- Estimate the percent oftotal production for the first three years devoted to each category ofuse. 

### (5)

-- Mark 

### (X) this column ifentry in column (4) is confidential business information (CBI). (6)

-- Estimate the percent ofthe new substance as formulated in mixtures, suspensions, emulsions, solutions, orgels as manufactured for commercial purposes at sites under your control associated with each category ofuse. 

### (7)

-- Mark 

### (X) this column ifentry in column (6) is confidential business information (CBI). (8)

-- Indicate % ofproduct volume expected for the listed "use" sectors. Markmore than one box ifappropriate. Mark 

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

### (9)

-- Mark 

### (X) this column ifentrv(ies) in column (8) is (are) confidential business information (CBI). Category ofuse (I) 

### CBI Binding 

### Produc- CBI %in CBI % ofsubstance 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) (3) (4) (5) (6) (7) 

### limited sumer trial mercia! Option (9) 

### Flame Retardant % 

### X % 

### X X

% % % % % % % % % % % % 

## * Ifyou have identified a "consumer" use, please provide on a continuation sheet a detailed description ofthe use(s) ofthis chemical substance in consumerproducts.

In addition include estimates ofthe concentration ofthe new chemical substance as expected in consumer products and describe the chemical reactions by which this substance loses its identity in the consumer product. 0Mark (X)

### this box ifyou attach acontinuation sheet. b. Generic Ifyou claim any category ofuse description in 

### subsection 2a as confidential, enter a generic description ofthat category. Read the use Instructions Manual for examples ofgeneric use descriptions. description



# D Mark (X)

### this box ifyou attach a continuation sheet. 3. Hazard Information

-- Include in the notice a copy ofreasonable facsimile ofany hazard warning statement, label, material safety data sheet, or other Binding



### information which will be provided to any person who is reasonably likely to be exposed to this substance regarding protective equipment orpractices Option 

### for the safe handing, transport, use, or disposal ofthe new substance. List in part III hazard information you include. Mark (x) 

# D Mark (X)

### this box ifyou attach hazard information. EPA FORM 7710-25 

### (Rev. 5-95) 

### Page 7

## Part 11-- HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE Section A-- 

### INDUSTRIAL SITES CONTROLLED BY THE SUBMITTER Mark (X) the "Confidential" box nextto any item you claim as confidential Complete section 

### A for each type ofmanufacture, processing, or use operation involving the new chemical substance at industrial sites you control. Importers do not have to complete this section for operations outside the U.S.; however, you may still have reporting requirements if there are further industrial · oruse · after · You must describe these · See instructions manual dential

Site address (number and street) City, County, State, ZIP code
Ifthe same operation will occur at more than one site, enter the number ofsites. IdentifY the additional sites on a continuation sheet, and ifany ofthe sites have significantly different production rates or operations, include all the information requested in this section for those sites as attachments. Mark (X) this box ifyou attach a continuation sheet. b. Type-- 

### Mark (X)

I. Batch Maximum kg/batch (1 OO% new chemical Hours/batch substance) 2. Continuous d. Process description Mark (X) to indicate your willingness to have your process description binding. 

# X

X Use

Batches/year 

# X X (!) Diagram the major unit operation steps and chemical conversions. Include interim storage and transport containers (specifY- e.g. 5 gallon pails, 55 gallon drum, rail car, tank truck, etc.). (2) Provide the identity, the approximate weight (by kg/day or kg/batch on a 100% new chemical substance basis), and entry point ofall starting materials and feedstocks (including reactants, solvents, catalysts, etc.), and ofall products, recycle streams, and wastes. Include cleaning chemicals (note frequency ifnot used daily or per batch.). (3) Identity by number the points ofrelease, including small or intermittent releases, to the environment ofthe new chemical substance.

Mark (X) this box ifyou attach a continuation sheet. EPA FORM 7710-25 (Rev. 5-95) Page 8

# 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 ofworker activity, physical form ofthe new chemical substance, number ofworks exposed, and duration ofactivity. 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 ifentry in column (1) is confidential business information (CBI). (3) --Describe any protective equipment and engineering controls used to protect workers. (4) and (6) --Indicate your willingness to have the information provided in column (3) or (5) binding. (5) ·-Indicate the physical form(s) ofthe new chemical substance (e.g., solid: crystal, granule, powder, or dust) and%new chemical substance (ifpart ofa mixture) at the time ofexposure. (7) --Mark (X) this column ifentry in column (5) is confidential business information (CBI). (8) --Estimatethe maximum number ofworkers involved in each activity for all sites combined. (9) --Mark (X) this column ifentry in column (8) is confidential business information (CBI). (10) and (11) --Estimate the 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 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/yr Mark(x) substance Mark(x) s (1) (2) (3) (4) (5) (6) (7) Expose (9) (10) (II) (12) d (8) 

### X Safety Glasses, X X X Gloves X Safety Glasses, X X X Gloves X Safety Glasses, X X X Gloves 

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

### 3. Environmental Release and Disposal-- You must make separate confidentiality claims for the release number and the amount ofthe new chemical substance released and other release and disposal information. Mark (X) the "Confidential" box nextto each item you claim as confidential. (l) ·-Enterthe number ofeach release point identified in the process description, part II, section A, subsection Id(3). (2) --Estimatethe amount ofthe new substance released (a) directly to the environment or (b) into control technology (in kg/day or kg/batch). (3) --Mark (X) this column ifentries in columns (I) and (2) are confidential business information (CBI). (4) --Identifythe 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, ifany, and control efficiency that will be used to limit the release ofthe new substance to the environment. For releases disposed ofon land, characterize the disposal method and state whether it is approved for disposal ofRCRA 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 ifentries in columns (4) and (5) are confidential business information (CBI). (7) --Identify the destination(s) ofreleases to water. Please supplyNPDES (National Pollutant Discharge Elimination System) numbers for direct discharges or NPDES numbers ofthe POTW (Publici Owned Treatment Works). Mark (X) ifthe POTW name orNPDES # is confidential business information (CBI). Release Amount ofnew substance CBI Media of Control technology and efficiency (you may wish to optionally attach efficiency data) CBI Number released release

(1) (2a) (2b) e.g. stack air Binding (3) (4) (Sa) Mark(X) (Sb) (6) 

## 1 X X 

## 2 X X 

## 3 X X 

## 4 X X 

## 5 X X 

## 6 X X 

## 7 X X (7) Mark (X) the 

# D POTW provide name(s) below: 

## c 

# D Navigable 

# D Other

- Specify provide NPDES # CBI

### ~ destination(s) of waterway releases to water. 

### NO RELEASE TO WATER 

# D Mark (X) this box ifyou attach a continuation sheet. EPA FORM 7710-25 (Rev. 5-95) Page 9

## Part 11-- HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE -- Continued Section B -- INDUSTRIAL SITES CONTROLLED BY OTHERS Complete section B for typical processing oruse operations involving the newchemical substance at sites you do notcontrol. Importers do nothave to complete this section for operations outside the U.S.; however, you must report any processing oruse activities after import. See the Instructions Manual. Complete a separate section B for each type of processing, or use operation involving the newchemicalsubstance. Ifthe same operation is performed atmore than one site describe the typical operation commonto these sites. Identify additional sites on a continuation sheet. 

### 1. Operation Description --To claim information in this section asconfidential, circle orbracketthe specific information thatyou claim as confidential. (1) --Diagramthe 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 kg/batch, on an 100%new chemical substance basis), and entrypoint ofall feedstocks (including reactants, solvents and catalysts, etc) and all products, recycle streams, and wastes. Include cleaning chemicals (note frequency ifnot used daily orper batch). (3) --Identifybynumber the points ofrelease, including small or intermittent releases, to the environment ofthe new chemical substance. ( 4) Please enter the #ofsites (remember to identifythe locations of these sites on a continuation sheet): 

### 1 #ofsites



# D Mark (X) this boxifyou attach a continuation sheet. 2. 

### Worker Exposure/Environmental Release (I) --From the diagramabove, provide the letter for each worker activity. Complete 2-8 for each worker activity described. (2) --Estimatethe number ofworkers exposed for all sites combined. (4) --Estimatethe typical duration ofexposure per worker in (a) hours per day and (b) days peryear. (6) --Describe physical form ofexposure and %newchemical substance (ifin mixture), and any protective equipment and engineering controls, ifany, used to protect workers. (7) --Estimate the percent ofthe new substance as formulated when packaged or used as a final product. (9) --From the process diagram above, enter the number ofeach release point. Complete 9-13 for each release pointidentified. ( 1

0)

-- Estimate the amount ofthe new substance released (a) directly to the environment or (b) into control technologyto the environment (in kg/dayorkg/batch). (12) --Describe media ofrelease i.e. stack air, fugitive air (optional-see Instructions Manual), surface water, on-site or off-site land or incineration, POTW, or other (specify) and control technology, ifany, that will be used to limit the release ofthe new substance to the environment. (14) --Identifybyproducts which mayresult from the operation.

(3), (5), (8), (11), (13) and (15) --Mark (X) this column ifany ofthe proceeding entries are confidential business information (CBI). Letter #of CBI Duration CBI Protective Equip. I o/o in CBI Release Amount of CBI Media ofRelease CBI

of Workers of Engineering Controls/ Form- Number New & Control Act- Exposed Exposure Physical Form and % ulation Substance Technology ivity new substance Released (I) (2) (3) (4a) (4b) (5) (6) (7) (8) (9) (lOa) (lOb) (11) (12) (13)

(14)

-- Byproducts: (15)



# D Mark (X) this box ifyou attach a continuation sheet,
EPA FORM 7710-25 (Rev. 5-95) Page 10

# OPTIONAL POLLUTION PREVENTION INFORMATION To claiminformation inthis section as confidential circle orbracketthe specific information that you claim as confidential. 

## In this section you mayprovide information not reported elsewhere in this form regarding your efforts to reduce orminimize potential risks associated with activities surrounding manufacturing, processing, use and disposal ofthe PMN substance. Please include new information pertinent to pollutionprevention, including source reduction, recycling activities and saferprocesses orproducts available due to the new chemical substance. Source reduction includes the reduction in the amount ortoxicity ofchemical wastes bytechnological modification, process andprocedure modification, product reformulation, raw materials substitution, and/or inventory control. Recycling refers to the reclamation ofuseful chemical components from wastes that would otherwisebe treated orreleased as air emissions orwater discharges, orland disposal. Descriptions ofpollution prevention, source reduction and recycling should emphasizepotential risk reduction subsequent to compliance with existing regulatory requirements and canbe either quantitative orqualitative. The EPA is interested in the information to assess overall net reductions in toxicity or environmental releases and exposures, not the shifting ofrisks to other environmental media ornon-environmental areas (e.g., occupational orconsumer exposure). In 

## addition, information on the relative cost orperformance characteristics ofthe PMN substance to potential alternatives maybeprovided. All information provided in this section will be taken into consideration during the review ofthis substance. 

## See Instructions Manual and Pollution Prevention Guidance manual for guidance and examples. Describe the expected netbenefits, such as (1) an overall reduction in risk to humanhealth orthe environment; (2) a reduction inthe volume manufactured; (3) areduction in the generation ofwaste materials throughrecycling, source reduction or other means; (4) a reduction inpotential toxicity or human exposure and/or environmental release; (5) an increase inproductperformance, a decrease in the cost ofproduction and/or improved operation efficiency ofthe new chemical substance in comparisonto existing chemical substances used in similar application; or (6) the extent to which the new chemical substance maybe a substitute for an existing substance that poses a greater overallrisk to human health orthe environment.

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

# D Mark 

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

# Part 

# III-- LIST OF ATTACHMENTS Attach continuation sheets for sections ofthe form and test data and other data (including physical/chemical properties and structure/activityinformation), and optional information after this page. Clearly identify the attachment and the section ofthe form to which it relates, ifappropriate. Number consecutively the pages ofthe attachments. In the column below, enter the inclusive page numbers ofeach 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 ofthe notice form a sanitized version ofany attachment in which you claiminformation as confidential. Attachmentname Attachment Confipage number(s) dential 

### Material Safety Data Sheet 13-16 Physical Properties 17-18 Manufacturing Process 19-20 X 

### CAS IES Report 21 X 

### Chemical Identity Information 22-24 X 

### Risk Assessment 25-26 X



# D Mark (X) 

### this box ifyou attach a continuation sheet. Enter the attachment name and number. EPA FORM 7710-25 (Rev. 5-95) 

### Page 12

# MATERIAL SAFETY DATA SHEET

A FAMILY OF 

## SOLUTIONS 

# VERTEX 60SR REVISION NUMBER: 0.1 REVISION DATE: 16/Sep/2008 

# 1. IDENTIFICATION OF THE SUBSTANCE 

# I PREPARATION AND COMPANY 

# I UNDERTAKING PRODUCT NAME: MANUFACTURER: VERTEX 60SR J.M. Huber Corporation 1000 Parkwood Circle Suite 1000 Atlanta, GA 30339 Tel: 678-247-7300 EMERGENCY TELEPHONE: CHEMTREC: 800424-9300 or 703-527-3887 International INTERNET: www.hubermaterials.com. 

# 2. HAZARDS IDENTIFICATION EMERGENCY OVERVIEW: This is a non-combustible, odorless white powder. POTENTIAL HEALTH EFFECTS: EYE CONTACT: Dust may cause mechanical irritation to eyes. SKIN CONTACT: Dries skin and mucous membranes. INHALATION: Inhalation ofdust may cause respiratory tract irritation. CARCINOGENICITY: This product is not listed as a carcinogen bythe IARC, NTP or OSHA. 

# 3. COMPOSITION /INFORMATION ON INGREDIENTS %W/W

100 

# 4. FIRST AID MEASURES
EYE CONTACT: Hold eyelids apart and flush eyes with a steady, gentle stream ofwater for several minutes. SKIN CONTACT: Wash skin with soap and water. INHALATION: Remove person to fresh air. GENERAL ADVICE: In case ofdoubtorwhen symptoms persist, seek medical attention.

VERTEX 60SR 

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# 5. FIRE-FIGHTING MEASURES EXTINGUISHING MEDIA: Non-combustible. All extinguishing media can be used. Use suitable media appropriate for the surrounding fire. UNSAFE EXTINGUISHING MEDIA None. SPECIAL EXPOSURE HAZARDS: None. SPECIAL PROTECTNE EQUIPMENT: Firefighters shouldwear protective clothing and use equipmentthat is suitable for the materials involved in the surrounding fire. 

# 6. ACCIDENTAL RELEASE MEASURES PERSONAL PRECAUTIONS: Avoid dustformation. In case ofexposure to high levels ofairborne dust, wear a personal respirator in compliance with national legislation. ENVIRONMENTAL PRECAUTIONS: This product does not present any particular risk tothe environment. Referto applicable national, state and local regulations priorto washing in drain. CLEAN UP METHODS: Collect mechanically and or

### by ftushing with water. Avoid 

### dry sweeping. Use water spraying or ventilated vacuum system to preventdustformation. 

# 7. HANDLING AND STORAGE HANDLING: Avoid dustformation. Provide appropriate exhaustventilation 

## in places where dust is formed. In case of insufficientventilation, wear suitable respiratory equipment. STORAGE: Store in a dry area. Keep containers closed and protect from physical damage. 

# 8. EXPOSURE CONTROLS I PERSONAL PROTECTION EXPOSURE LIMIT VALUES: COMPONENT{S) OSHA-TWA ACGIH TLV-TWA Magnesium Hydroxide. 10 mg/m3 

### 10 mg/m3 

### Respirable dust. 5 mg/m3 

### 3 mg/m3 

### Total dust. 15 mg/m3 

### 10 mg/m3 

### ENGINEERING CONTROLS: Use mechanical ventilation (dilution and local exhaust) to control exposure. EYE PROTECTION: Safety glasseswith side shields. SKIN AND BODY PROTECTION: Use suitable protective clothing, gloves and footwear, selected with regard for use conditions and exposure potential. HAND PROTECTION: Impervious gloves chemical resistant. RESPIRATORY PROTECTION: In case ofexposure to high levels ofairborne 

## dust, weara respirator in compliance with national legislation. HYGIENE MEASURES: Handle in 

### accordance with good industrial hygiene and safety practice. 

# 9. PHYSICAL CHEMICAL PROPERTIES

VERTEX 60SR 

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### APPEARANCE: White powder ODOR: Odourless. pH: 8.4-10.2, 5%water suspension FLASH POINT: Non-combustible. DENSITY: 2.4 g/cm3, 20° C DECOMPOSITION TEMPERATURE: 200° C WATER SOLUBILITY: 11.7 mg/1 , 25° C


# 10. STABILITY AND REACTIVITY STABILITY: Stable under ambienttemperature (21

### oc) and pressure (760 mm Hg). CONDITIONS TO AVOID: None MATERIALS TO AVOID: Strong Acids HAZARDOUS DECOMPOSITION PRODUCTS: None 

# 11. TOXICOLOGICAL INFORMATION ACUTE TOXICITY: No information available. EYE IRRITATION: Dust may cause mechanical irritation to eyes. SKIN IRRITATION: May 

### dry skin and mucous membranes. SENSITIZATION: Does notcause sensitization. CHRONIC TOXICITY: No evidence ofmutagenic, reproductive or carcinogenic effects. 

# 12. ECOLOGICAL INFORMATION ECOTOXICITY: No information available. 

# 13. DISPOSAL CONSIDERATIONS DISPOSAL: Dispose in accordance with local, state and national regulations.

DOT: Not Regulated

NFPA: HMIS: 

# 14. TRANSPORT INFORMATION
15. REGULATORY INFORMATION HEALTH: 1 HEALTH: 1. FLAMMABILITY: 0 FLAMMABILITY: 0. REACTIVITY: 0 PHYSICAL HAZARD: 0. US TSCA: This product is not listed on the US TSCA Inventory and is to 

## be used for Research and Development purposes under supervision ofa technically qualified person. SARA 311/312 HAZARD: None SARA 313 SUBSTANCES: None CERCLA RQ: None VERTEX 60SR

### CLEAN AIR ACT: The components ofthis product are not regulated underany ofthe foUowing sections ofthe Clean Air Act: Section 111 Volatile Organic Compounds, Section 112 Hazardous

## PtM Polutants, 

## Section 112 Statutory Air Pollutants, Section 112 High-Risk Pollutants, Section 112(r) Accidental Release Prevention Substances or Section 602 Ozone Depleting Substance. 

## As a powder prodlct, 

### itwould be regulated under Section 109 Criteria Pollutants particulates. PROPOSITION 65: This product contains no chemicals at levels known to 

## the State ofCalifornia to cause cancer or reproductive hazards. CONEG: We certifythat heavy metals defined as lead, mercury, cadmium and hexavalentchromium are not intentionally introduced to this product and 

### with respectto lead, mercury, cadmium and hexavalent chromium, the incidental level of these four metals is less than 100 ppm. 

# 16. OTHER INFORMATION The information contained in this Safety Data Sheetto the best ofJ.M. Huber's knowledge and belief as ofthe date indicated is believed to be accurate and reliable. However, no representation, warranty or guarantee is implied or expressed regarding the accuracy, reliability orcompleteness ofthis information or

## the use ofthe product. Nothing contained herein should be construed as a recommendation to use this product in conflict 

### with National or local regulations or existing patents covering any material or

## its use.

END OF MATERIAL SAFETY DATA SHEET

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# ~\1.-

# PHYSICAL AND CHEMICALPROPERTIES
PROPERTY VALUE MEASURED CONFI ORESTIMATE DENTIAL Physical state of Solid Observed neat substance Vaporpressure <0.1 mm Hg Usual for @20C minerals Density 2.36 g/cm3 

# Measured Solubility in Slightly Soluble Measured Water@ 20 C Flammability Flashpoint 

# > Measured 100

# ciI0IG)lj:=OfE:::s-()10080604020ParticleSizeDistributionforVertex60(measuredbySaturnDigiSizer®LLSinstrument)00.010.1110100Diameter(microns)August15,2008•I

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