United States Environmental Protection Agency

Washington, DC 20460

Section 4 Submission

This is an original submission: This is an amendment:

✔

CERTIFICATION

I hereby certify to the best of my knowledge and belief that (1) all information entered on this form is

complete and accurate; and (2) any confidentiality claims are true and correct as to that information

for which they have been asserted. Any knowing and willful misinterpretation is subject to criminal

penalty pursuant to 18 USC 1001.

Signature: Official Title:

Director Safety, Health and Environment

Contact Person:

Shawn P. Wiram

Email Address:

swiram@brenntag.com

Date Signed:

05/29/2015

PART 1 Contact Information

Submission

Information

Submission Type:

TestRules

Form Alias:

TestRules-20140811-10:43:46 EDT

Federal Register Notice:

76 FR 1067

Date Submitted:

05/29/2015

Submitter

Information

Company Name:

Brenntag North America, Inc.

Address:

5083 Pottsville Pike

Reading, PA, 19605

United States

Contact Person:

Shawn P. Wiram

Phone Number:

3174547226

Email Address:

swiram@brenntag.com

Technical Contact

Information

CBI

Yes: 	No: 

✔

Company Name:

Brenntag North America, Inc.

Address:

3111 North Post Road

Indianapolis, IN, 46226

United States

Contact Person:

Mr Shawn P. Wiram

Phone Number:

3174547226

Email Address:

swiram@brenntag.com

PART 2 Letter Of Intent
SEC4 Submission Page 2

Chemical

Identification

CASRN:

110-44-1

CBI

Yes: 	No: 

✔

Chemical Name:

2,4-Hexadienoic Acid, (2E, 4E)-

Chemical Test Name:

C6

Sponsoring Firms CBI

Yes: 	No: 

✔

Company Name:

Brenntag North America, Inc.

Address:

5083 Pottsville Pike

Reading, PA, 19605

United States

Phone Number:

3174547226

Additional

Information

Document Type:

Amendment to the Study Plan

File Name:

Brenntag- Intent to Test Letter &

Study Plan {06.25.14}.pdf

Attachment Date:

08/11/2014

Document Type:

Amendment to the Study Plan

File Name:

Brenntag- Revised Study Plan

{03.03.15}.pdf

Attachment Date:

03/03/2015

Document Type:

Amendment to the Study Plan

File Name:

Brenntag- Revised Study Plan

{03.05.15}.pdf

Attachment Date:

03/06/2015

Chemicals

PART 3 Chemical - 110-44-1 : Study Plan

Attached

Document(s)

File Name:

Brenntag- Revised Study Plan

{03.03.15}.pdf

Attachment Date:

03/03/2015

CBI

Yes: 	No: 

✔

Sanitized Document Upload:

N/A

Effects: Endpoints:
SEC4 Submission Page 3

File Name:

Brenntag- Ascorbic Acid Final Report

Signed {05.29.15}.pdf

Attachment Date:

05/29/2015

CBI

Yes: 	No: 

✔

Sanitized Document Upload:

N/A

Effects:

Ecotoxicity

Endpoints:

Biological effects monitoring

PART 4 Chemical - 110-44-1 - Test Results

Attached

Document(s)

File Name:

Brenntag- Ascorbic Acid Final Report

{05.29.15}.pdf

Attachment Date:

05/29/2015

CBI

Yes: 	No: 

✔

Sanitized Document Upload:

N/A

Effects:

Ecotoxicity

Endpoints:

Biological effects monitoring

Paperwork Reduction Act: The Government Paperwork Elimination Act (GPEA) (44 U.S.C. 3501) provides that, when practicable, Federal organizations use electronic forms, electronic filings, and

electronic signatures to conduct official business with the public. EPA's Cross-Media Electronic Reporting Regulation (CROMERR) (40 CFR part 3), published in the Federal Register on October 13,

2005 (70 FR 59848) (FRL-7977-1)(Ref. 2), provides that any requirement in title 40 of the Code of Federal Regulations (CFR) to submit a report directly to EPA can be satisfied with an electronic

submission that meets certain conditions once the Agency published a notice in the Federal Register announcing that EPA is prepared to receive certain documents in electronic form. For more

information about CROMERR, go to http://www.epa.gov/cromerr/.