### Cover Letter

December 6, 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: {XXX} Substance-2 Page 1 SANITIZED SUBMISSIONCA Index Name: {XXX}

CAS Registry Number: {XXX} Company Identifier: {XXX} Substance-3 CA Index Name: {XXX} CAS Registry Number: {XXX} Company Identifier: {XXX} Substance-4 CA Index Name: {XXX} CAS Registry Number: {XXX} Company Identifier: {XXX} TS Number: AMID20 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. For all questions regarding the submission of this Consolidated PMN, the technical contact is {XXX} Page 2 SANITIZED SUBMISSIONSincerely,

{XXX} {XXX} cc: {XXX}

Page 3 SANITIZED SUBMISSIONCheck Number: 85489 CPMN131216855761753 AMID20

X X

X 4 X Page 4 SANITIZED SUBMISSIONX



### 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 XXX XXX XXX 

### X X

X X X X X XXX XXX XXX Page 6 SANITIZED SUBMISSION

### X

XXX 

### X
XXX 

### X 348082-1 Attachment-3-AMID20-SAN.pdf XXX 

### X See Attachment 003 (Attachment-3-AMID20-SAN.pdf)

Attachment-3-AMID20-SAN.pdf Page 7 SANITIZED SUBMISSIONXXX

XXX

XXX 

### X

X

X

Page 8 SANITIZED SUBMISSIONPage 9 SANITIZED SUBMISSIONPage 10 SANITIZED SUBMISSIONXXX

XXX Fatty acid amide 

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

XXX XXX X
Page 11 SANITIZED SUBMISSIONPage 12 SANITIZED SUBMISSIONPage 13 SANITIZED SUBMISSION

### X

XXX XXX XXX

XXX XXX X XXX X XXX X XXX XXX X XXX X XXX X

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### X 348082-2 Attachment-3-AMID20-SAN.pdf 

### X XXX
XXX See Attachment 003 (Attachment-3-AMID20-SAN.pdf)

Attachment-3-AMID20-SAN.pdf Page 15 SANITIZED SUBMISSIONXXX

XXX Fatty acid amide 

### X X

XXX XXX X
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### X

XXX 

### X
XXX 

### X 348082-4 Attachment-3-AMID20-SAN.pdf XXX 

### X See Attachment 003 (Attachment-3-AMID20-SAN.pdf)

Attachment-3-AMID20-SAN.pdf Page 17 SANITIZED SUBMISSIONXXX

XXX

XXX 

### X

X

X

Page 18 SANITIZED SUBMISSIONPage 19 SANITIZED SUBMISSIONPage 20 SANITIZED SUBMISSIONXXX

XXX Fatty acid amide 

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

XXX XXX X
Page 21 SANITIZED SUBMISSION

### X

XXX 

### X
XXX 

### X 348082-5 Attachment-3-AMID20-SAN.pdf XXX 

### X See Attachment 003 (Attachment-3-AMID20-SAN.pdf)

Attachment-3-AMID20-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 

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

XXX XXX X
Page 26 SANITIZED SUBMISSIONX XXX XXX 

### X

X Chemical intermediate. XXX X XXX X XXX XXX XXX XXX X Additive for flotation products. XXX X XXX X XXX XXX XXX XXX X Adhesion promoter for use in asphalt applications. XXX X XXX X XXX XXX XXX XXX X

Page 27 SANITIZED SUBMISSIONX XXX XXX 

### X

X Chemical intermediate. XXX X XXX X XXX XXX XXX XXX X Additive for flotation products. XXX X XXX X XXX XXX XXX XXX X Adhesion promoter for use in asphalt applications. XXX X XXX X XXX XXX XXX XXX X

Page 28 SANITIZED SUBMISSIONX XXX XXX 

### X

X Chemical intermediate. XXX X XXX X XXX XXX XXX XXX X Additive for flotation products. XXX X XXX X XXX XXX XXX XXX X Adhesion promoter for use in asphalt applications. XXX X XXX X XXX XXX XXX XXX X

Page 29 SANITIZED SUBMISSIONX XXX XXX 

### X

X Chemical intermediate. XXX X XXX X XXX XXX XXX XXX X Additive for flotation products. XXX X XXX X XXX XXX XXX XXX X Adhesion promoter for use in asphalt applications. XXX X XXX X XXX XXX XXX XXX X

Page 30 SANITIZED SUBMISSIONX X X X



### X XXX XXX XXX 

### X XXX X

See Attachment #4. XXX XXX XXX XXX XXX 

### X

Page 31 SANITIZED SUBMISSIONSee Attachment 004 (Attachment-4-AMID10-20-40-SAN.pdf)

Attachment-4-AMID10-20-40-SAN.pdf Page 32 SANITIZED SUBMISSIONX X X X

XXX XXX XXX XXX XXX XXX X X X X XXX XXX XXX XXX XXX XXX X X X X

Page 33 SANITIZED SUBMISSIONXXX XXX XXX XXX XXX XXX X X

Page 34 SANITIZED SUBMISSIONX X X X
XXX 

### X See Attachment 007 (Attachment-7-AMID10-20-40-SAN.pdf)

Attachment-7-AMID10-20-40-SAN.pdf XXX 

### X

Page 35 SANITIZED SUBMISSIONP10SB1(a)(4)1 Part II, Section B, 1(a)(4). Operation Site Locations

XXX

Page 36 SANITIZED SUBMISSIONXXX 

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XXX XXX XXX XXX XXX XXX XXX

XXX XXX XXX XXX

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X X XXX XXX XXX XXX XXX XXX XXX

XXX XXX XXX XXX

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X X XXX XXX XXX XXX XXX XXX XXX

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Page 37 SANITIZED SUBMISSIONSee Attachments #9 and #10 for Pollution Prevention information.

Attachment-10-AMID10-20-40-SAN.pdf Page 38 SANITIZED SUBMISSION001 Material Safety Data Sheet Attachment-1-AMID10-20-40- SAN.pdf 9 002 Summary of Information on the New Chemical Substances Attachment-2-AMID10-20-40- SAN.pdf 1 003 CAS Inventory Expert Service Reports and Chemical Structures of the New Chemical Attachment-3-AMID20-SAN.pdf See continuation page. id: <P12003> 9 004 Manufacturing and Processing Information on the New Chemical Substances at Industrial Sites Attachment-4-AMID10-20-40- SAN.pdf Pt.2, Sec.A, 1d. 2 005 Worker/Occupational Exposure Information on the New Chemical Substances at Industrial Sites Attachment-5-AMID10-20-40- SAN.pdf 1 006 Environmental Release and Disposal Information on the New Chemical Substances at Industrial Attachment-6-AMID10-20-40- SAN.pdf 1 007 Processing Information on the New Chemical Substances at Industrial Sites Controlled by Attachment-7-AMID10-20-40- SAN.pdf Pt.2, Sec.B, 1a. 3 008 Worker/Occupational Exposure and Environmental Release Information on the New Attachment-8-AMID10-20-40- SAN.pdf 1 009 Additional Information on the Absence of Tank Truck Cleaning Operations Attachment-9-AMID10-20-40- SAN.pdf 1 010 Additional Information on the Absence of Water Releases during Manufacture, Processing, and Attachment-10-AMID10-20-40- SAN.pdf Pollution Prevention 2

Page 39 SANITIZED SUBMISSIONP12003 List of Attachments, Associated PMN Section No., ID: 003

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

Page 40 SANITIZED SUBMISSIONX X X X


### X Measured 1.0 Estimate Insoluble Estimate 25

Page 41 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 CPMN131216855761753

### 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 CPMN131216855761753

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

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

### Report Number CPMN131216855761753

### 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. Does not contain CBI 

### Report Number CPMN131216855761753

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

### Associated PMN Section Number

N/A Does not contain CBI 

### Report Number CPMN131216855761753

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

### Associated PMN Section Number

N/A Does not contain CBI 

### Report Number CPMN131216855761753

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

### Associated PMN Section Number

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

### Report Number CPMN131216855761753

### 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 CPMN131216855761753

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



### Associated PMN Section Number

N/A Does not contain CBI 

### Report Number CPMN131216855761753

### ATTACHMENT HEADER SHEET Attachment Number 010 Attachment Name Additional Information on the Absence of Water Releases during Manufacture, Processing, and End Use 

### Associated PMN Section Number

Pollution Prevention Does not contain CBI 

### Report Number CPMN131216855761753