Company Sanitized 

11111111111111111 SANITIZED SUBMISSION 

PMN2010P1 PMN Page 1 

1111111111111111111 

" 

u.s. ENVIRONMENTAL PROTECTION AGFNr.V 

E F 111\111 lill~III ~III ~I~ ~III tll~ tlill ~llllII~ l~~ IIIII~ II~ IIIIII 

MCK1100430540339927 

250N3FNV MK10CO 

• You must provide all information requested in this form to the extent that it is knO'Nfl to or reasonably ascertamable by you, Make reasonable estimates if you do not have actual data, 

• Before you complete this form. you should read the "InstructJons Manual for Premanufacture Notification" (the Instructions Manual is available from the Toxic Substances Control Act 

(TSCA) Information Serv,ee by calling 202-554-1404, or laXing 202-554-5603). 

• If a user fee has been remitted for this notice (40 eFR 700.45), indicate in the boxes above the TS~use( fee identification number you have generated" Remember, your user fee 10 number 

must also appear on your corresponding fee remittance For mailing address information see the Help instructions in the e-PMN tool 

Part 1- GENERAL INFORMATION 

You must provide the currently correct Chemical Abstracts (CA) 

Name of the new chemical substance, even if you claim the 

ident~y as confidential. You may authorize another person to 

submit chemical identity information for you, but your submission 

will not be complete and the review will not begin until EPA 

receives this information, A letter in support of your submission 

should reference your TS user fee identifICation number. For all 

Section S Notice submissions (paper or electronic) you must 

subm~ an original notice including all test data; if you claimed any 

information as confidential. an original santtized copy must also be 

submitted, 

Part 11- HUMAN EXPOSURE AND ENVIRONMENTAL 

RELEASE 

If there are several manufacture, processing, or use operations to 

be described in Part II, sections A and B of this notice, reproduce 

the sections as needed. 

Part 111- LIST OF ATTACHMENTS 

For paper submisSions, attach addHional sheets if there is not 

enough space to answer a question fully. Label each continuation 

sheet with the corresponding section heading. In Part III, list these 

attachments, any test data or other data and any optional 

information included in the notice. 

OPTIONAL INFORMATION 

You may include any information that you want EPA to consider in 

evaluating the new substance, On page 11 of this form, space has 

been provided for you to describe pollution prevention and 

recycling information you may have regarding the new substance. 

-Binding" boxes are induded throughout this form for you to 

indicate your willingness to be bound to certain statements you 

make in this section, such as use, production volume, protective 

equipment, , , The intention is to reduce delays that routinely 

accompany the development of consent orders or Significant New 

Use Rules. Checking a "binding" box in a PMN does not by itself 

prohibit the submitter from later deviating from the information 

(except chemical identity) reported in the form; however, in the 

case of exemption applications (such as TMEA, LVE, LOREX) 

certain information provided in such notifICations is binding on the 

submitter when the Agency approves the exemption application, 

especially if the production volume "binding" box is chosen in a 

LVE, 

CONFIDENTIALITY CLAIMS 

You may claim any information in this notice as confidential. To 

assert a claim on the form, mark (X) the confidential box next to 

the information that you claim as confidential. To assert a claim in 

an attachment, circle or bracket the information you claim as 

confidentiaL If yOu claim in!O!mation in the noticeS as confidential 

voy myst also provide a sanitized versiOll of the notice 'including 

attachments\. For additional instructions on claiming information 

as confidential, read the Instructions Manual. 

TEST DATA AND OTHER DATA 

You are required to submit all test data in your possession or control and to provide a 

description of all other data known to or reasonably ascertainable by you, if these data are 

related to the heaKh and environmental effects on the manufacture, processing, distribution in 

commerce, use, or disposal of the new chemical substance, Standard literature c~ations may 

be submitted for data in the open scientific literature, Complete test data (written in English), 

not summaries of data must be submitted if they do not appear in the open lijerature, 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 examples 

of test data and other data. Data should be submitted according to the requirements of 

§720,SO of the Premanufacture Notification Rule (40 CFR Part 720), 

Test Data {Check Below any included In this notice, 

o Environmental fate data W Other Data 

Health effects data Risk Assessments 

Environmental effects data o Structure/activity relatiOllships 

PhYSicallChemical Properties (A physical and chemical properties worksheet is [i] located on the last page of this form.) 

o Test data not in the possession or control of the submitter 

TYPE OF NOTICE (Check Only One) 

PMN (Premanufacture Notice) 

o SNUN (Sign~icant New Use Notice) 

o TMEA (Test Marketing Exemption Application) 

o LVE (Low Volume Exemption)@40CFR 723.50(c)(1) 

LOREX (Low ReleaselLow Exposure Exemption) @ 40 CFR 723.S0(c)(2) 

o LVE Modiflcation 

o LOREX ModiflCBtion 

o Mock Submission 

Mark (X) if pending Letter of Support 

IS THIS A CONSOLIDATED PMN (YIN)? 

# of chemicals or polymers (Prenotice Communication # required, enter # on 

p,3). 

Mark (X) if any information in this notice is claimed as confidential. 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Fonn 7710-25 

P.IN87 
111111111111111111 SANITIZED SUBMISSION

PMN2010P2 	 PMN Page 2 

The public reporting and recordkeeping burden for this collection of information is estimated to average 93 hours per response. Send 

comments on the Agency's need for this information, the accuracy of the provided burden estimates, and any suggested methods for 

minimizing respondent burden, including through the use of automated collection techniques to the Director, Collection Strategies 

Division, U.S. Environmental Protection Agency (2822T), 1200 Pennsylvania Ave .. NW, Washington, D.C. 20460. Include the OMS 

control number in any correspondence. Do not send the completed EPA Form 7710-25 to this address. 

CERTIFICATION _. A printed copy of this signature page, with original signature, must be submitted 

with CD or paper submission. 

1certify that to the best of my knowledge and belief: 

1. The company named in Part I, section A, subsection 1a of this notice form intends to 

manufacture, import or process 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, Consolidaled PMN, or SNUN, check the following user fee 

certification statement that applies: 

~ The Company named in Part I. Sect. on 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 51000 for an Intermediate PMN (defined @ 40 CFR 700.43) in 

accordance with 40 CFR 700,45(b). or 

The Company named In Part I Section A IS a small bUSiness concern under 40 CFR 70043 and has remitted a fee of S100 In 

accordanc.; With 40 CFR 70G45,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 :n accordance With 40 CFR 72350(c)(2). check 

the following certification statements: 

r------------------------........--...... 

Tne manufacturer submitting tnis notice Intends 10 manufacture or IfflpUIL ihe ;Iew LlIt:'HnlL-d1 SubStance fOf CO fTHTIt; f Cia, purpOSeS. D 	 other than in small quantities SOlely for research and development. under the terms of 40 CFR 723.50, 

LJ 	 Tne manufacturer IS familiar with the terms of thiS secl.on ana Will comply With those terms: ana 

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

If this application is for a.1 LVE in accordance with 40 CFR 723.50(c)(1). the manufacturer intends to commence manufacture of D 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 substance described herein. Any knowing and willful 
 Confidential 

misrepresentation is subject to criminal penalty pursuant to 18 USC 1001. 

Signature and title of 


Authorized Official (Original 
 I Date 

Signature Required) , ) D

I , • 

• 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 


Page 2 

~ 

III~ IIIIIIIIIIIII~ 11I1II1 SANITIZED SUBMISSION 

S~l.;lIur ~ 

MarklXlthe "c' .box next to any ~ubseCtionvou claim as 

1a ~,. Notice Un U.S.) Corlll".,"U", 

Name of Authorized Official I(first) XXX (i8st)xxx 

Position XXX 

Company XXX [Z] Mailing Address (number & street) XXX 

City XXX I State I Postal Code XXX 

email XXX 

b. Aaent(lf 4 .,,~-, ,..:\ r. 

Name of Authorized Official (first) (last) 

Position 

Company 

Mailing Address (number &street) 

City I State I Postal Code 

e-mail (i~d~d'~':::ea codel 

C Joint 'lit 

i If you are submitting this notice as part of a joint submission. mark (X) I [ ] 

Name of Authorized Official (first) (last) 

Position 

Company D 

Mailing Address (number &street) 

City I State I Postal Code 

e-mail Telephone 

(inciude area code) 

12 Technical r... :;,...·;,...-~n U.S.} COiliioenlla, 

Name of Authorized Official (first) XXX (last) XXX I 

i Position XXX i i 

Company XXX [Z] Mailing Address (number &street) XXX 

City XXX I State IPostal Code XXX 

~. 

e-mail XXX I~~~~~'~~ea code) XXX 

If you have had a prenotice communication (PC) conceming XXX Mark (X) if none '"'''''''''''''U<1, 3. this notice and EPA assigned a PC Number to the notice, D enter the number. [Xl , 

If you previously submitted an '''''' "!'ltV. for the xxx Mark (X) if none '"'"""".,,,,,.,, ! chemical substance covered by this notice, enter the 

4. exemption number assigned by EPA I If you previously D [Z] i 

submitted a PMN for this substance enter the PMN number 

assianed by EPA (i.e. lor I i 

If you have submitted a notice of Bona fide intent to XXX Mark (X) if none c", "'''''''U<1, 5. manufacture or import for the chemical substance covered 

by this notice, enter the notice number assigned by EPA. 0 00

6. Type of Notice - Mark (X) 

Manufacture Only [Xl Import Only B D 

T 

1. 2. 3. Both 

I Binding Option 0 Binding Option 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 


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Method 1 (CAS Inventory Expert service· a copy of the 

Identification report obtained from the CAS Inventory Expert 

Enter Attachment filename for Part I, section B, 1. c. 

d. 

e. 

SANITIZED SUBMISSION 

(for either Item 1 or 2), mark (X) the box at the right. Identify D 

sheet. 

Class 1 Class 2 CBI 

D 

SIII.",I>In"" provide a correct D 


Enter Attachment filename for Part I, Section B, 1. e. 

EPA FORM 7710·25 (Rev. 6·09) Replaces previous editions of EPA Form 7710·25 


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PMN2010P4A PMNPage 4a 

For a dass 2 substance - (1) List the immediate precursor substances with their respective CAS Registry Numbers. (2) Describe 

the nature of the reaction or process. (3) Indicate the range of composition and the typical composition (where appropriate). Confidential 

e. (1) List the immediate precursor substance names with their respective CAS Registry Numbers. 

XXX 

[X] 

Enter Attachment filename for Part I, Section B, 1. e. (1) I D e. (2) Describe the nature of the reaction or process. 

XXX 

00 

Enter Attachment filename for Part I, Section B, 1. e. (2) I [ ] e. (3) Indicate the range of composition and the typical composition (where appropriate). 

XXX 

00 

Enter Attachment filename for Part I, Section B, 1. e. (3) I D 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 

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Part I _. GENERAL INFORMATION - Continued 

Section B - CHEMICAL IDENTITY INFORMATION -- Continued 

2. Polymers (For a definition 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. 

below 

Indicate 

500 

maximum 

and below 

weight 

1,000 

percent 

absolute 

of low 

molecular 

molecular 

weight 

weight 

of that 

species 

composition. 

(not including residual monomers, reactants, or solvents) D

Describe the methods of measurement or the basis for your estimates: 

GPC D I Other (Specify Below) D I 

Specify Other: 

(i) lowest number average molecular (ii) maximum weight % below 500 molecular (iii) maximum weight % below 1000 molecular 

weight: weight: weight: 

Enter Attachment filename for Part I, Section B, 2. a. I D 

b. You must make separate confidentiality 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 

(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 confidential. 

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

(4) - Choose "yes" from drop down menu if you want a monomer or other reactant used at two weight percent or less to be listed as part of 

the polymer description on the TSCA Chemical Substance Inventory. 

(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 specific chemical name Ico~~~:onll~~lude in 

Max 

CBI identity CBt residual CBI (1 ) (2) (3) (4) (5) (6) (7) 

CAS Registry Number (1) I 

CAS Registry Number (1) I 

CAS Registry Number (1) I 

CAS Registry Number (1) I 

CAS Registry Number (1) I 

Mark (X) this box if the data continues on the next page. D 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 


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PMN2010P5A PMN Page Sa c. Please identify which method you used to develop or obtain the specified chemical identity information reported in this notice 

(check one). eBI 

I Method 1 (CAS Inventory Expert Service 

- a copy of the identification report obtained 

from CAS Inventory Expert Service must be o 

submitted as an attachment to this notice) 

IES Order 

Number (other source) 

Method 2 o 

Enter Attachment filename for Part I, Section B, 2. c. o 

d. The currently correct Chemical Abstracts (CA) name for the polymer that is consistent with TSCA Inventory listings for similar 

polymers. o 

i 

CAS Registry Number (if a number already exists for the substance) 

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

ascertained. 

0 

Enter Attachment filename for Part I, Section B, 2. e. I o 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 

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PMN2010P6 PMNPage 6 

Part I ~- GENERAL INFORMATION ~- Continued I 

Section B·· CHEMICAL IDENTITY INFORMATION·· Continued I 

3. Impurities 

I 

(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 unidentified impurities, enter "unidentified." 

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

CAS Registry Maximum Confi- Impurity (a) Number Percent % dential Ca) (b) 

: XXX XXX XXX X 

XXX XXX XXX X 

i XXX XXX XXX X 

XXX XXX XXX X 

. XXX XXX XXX X 

XXX XXX XXX X 

Mark. (X) this box ifthe data continues on the next page. [Xl 

! Enter Attachment filename for Part I, Section B, 3. I D 

14. Synonyms - Enter any chemical synonyms for the new chemical identified in subsection 1 or 2. 

XXX [KJ 

i 

Enter Attachment filename for Part I, Section B, 4. I [ ] 

5. Trade identification - list trade names for the new chemical substance identified in subsection 1 or 2. 

: XXX [Xl 

I 

Enter Attachment filename for Part I, Section e, 5. I D 

6. Generic chemical name - If you claim chemical identify as confidential, you must provide a generic 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. 

Carbon black derived from the pyrolYSis of rubber tire shreds. 

Enter Attachment filename for Part I, Section e, 6. I 

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 (1) CAS Registry Number 

(2) 

Confidential 

! XXX XXX X 

Mark. (X) this box if the data continues on the next page. D 

EPA FORM 771()..25 (Rev. 6-09) Replaces previous editions of EPA Form 771 ()..25 

Page 8 
1111 

PMN2010P6-1 

SANITIZED SUBMISSION 

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 unidentified impurities. enter ·unidentified: 

(b) - Estimate the maximum weight % of each impurity. If there are unidentified im ate their total weight %. ! 

CAS Registry Maximum Confi- Impurity (a) Number Percent % dential (a) (b) 

XXX XXX XXX X 

XXX XXX XXX X

XXX XXX XXX X

XXX XXX XXX X

XXX XXX XXX X

XXX XXX XXX X

Mark (X) this box if the data continues on the next page. [&] 

Enter Attachment filename for Part I, Section B. 3, I D

4, Synonyms Enter any chemical synonyms for the new chemical identified in subsection 1 or 2, 

D 

Enter Attachment filename for Part I, Section B. 4, I D 

5, Trade identification - List trade names for the new chemical substance identified in subsection 1 or 2, 

D 


Enter Attachment filename for Part I, Section B. 5, I D 

6, Generic chemical name If you claim chemical identify as confidential, you must provide a generic 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, 

Enter Attachment filename for Part I, Section B, 6, I 

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 (1) CAS Registry Number 

(2) 

Confidential 

Mark (X) this box if the data continues on the next page, D 

EPA FORM 7710-25 (Rev, 6-09) Replaces previous editions of EPA Form 7710-25 

Page 9 
PMN2010P6-2 

IIII SANITIZED SUBMISSION 

PMN Page 6 (2) 

Part I -- GENERAL INFORMATION -- Continued 

Section B _. CHEMICAL IDENTITY INFORMATION •• Continued 

3. Impurities 

(a) IdenffyI each I 
 'mpurity 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 unidentified impurities, enter "unidentified." 


(Il) - Estimate the maximum weight % of each impurity. If there are unidentified impurities. estimate their total weight %. 


CAS Registry 
 Maximum Confi- Impurity (a) Number Percent % dential (a) (b) 

: XXX XXX XXX X 

i 

Mark (X) this box if the data continues on the next page. 	 D 

Enter Attachment filename for Part I, Section B, 3. I D 

4. Synonyms - Enter any chemical synonyms for the new chemical identified in subsection 1 or 2. 

D 

Enter Attachment filename for Part I, Section B. 4. 	 I [ ]

I 5. Trade identification - List trade names for the new chemical substance identified in subsection 1 or 2. 

D 

Enter Attachment filename for Part I, Section B, 5. I 	 D 

6. 	 Generic chemical name - If you daim chemical identify as confidential. you must provide a generic 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. 

Enter Attachment filename for Part I, Section B, 6. I 

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 (1) CAS Registry Number Confi­

(2) dential 

! 

I 

i 

I 

i 

Mark (X) this box if the data continues on the next page. D 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 

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11111111111111 

Part I -- GENERAL INFORMATION -- Continued 

Section C -- PRODUCTION,IMPORT, AND USE INFORMATION: 

The information on this page refers to consolidated chemical number(s): 01 02 03 04 Os 06 

Mar1< (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) 

(100% new chemical substance basis) 

Maximum 12-month production (kg/yr) 

(100% new chemical substance basis) Confidential Binding Option Mark (X) 

I XXX XXX [Xl 0 

Enter Attachment filename for Part I, Section C, 1. I CBI [ ] 

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 fonnulation of the new substance, and other use infonnation. 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 infonnation (CBI). 

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

Category of use (1) ! CBI 

Binding Prod %in % of substance expected per use 

Option CBI CBI (8) (by function and application Le. a dispersive dye for uction Fonnfinishing polyester fibers) Mark (X) % ulation Site- Con- Industria! Com- Binding 

(2) (3) (4) (5) (6) (7) limited $ume~ mercial Option 

XXX X XXX X XXX X XXX XXX XXX XXX 

XXX X XXX X XXX X XXX XXX XXX XXX 

XXX X XXX X XXX X XXX XXX XXX XXX 

• 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 

CBI 

(9) 

X 

X 

X 

consumer products. In addition inclUde estimates of the concentration of the new chemical substanee 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 the data continues on the next page. [Xl 

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

description Read the Instruction Manual for examples of generic use descriptions. 

Carbon black for general industrial use. 

l J 

(3) --Indicate your willingness to have the infonnation 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 infonnation (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. 

Enter Attachment filename for Part I, Section C, 2. b. I 	 I CBI 

3. Hazard Information -­ Include in the notice a copy of reasonable faCSimile of any hazard warning statement, label, material safety 

data sheet, or other infonnation which will be provided to any person who is reasonably likely to be exposed to this substance 

regarding protective equipment or practices for the safe handing, transport, use, or disposal of the new substance. List in part III 

hazard infonnation you include. 

Binding Option 

Mark (X) 

Mark (X) this box if you attach hazard information. 0 [ ] 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Fonn 7710·25 

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PMN2010P7-1 

11111111111111111 SANITIZED SUBMISSION 

Continuation Sheet 

101 I Field 1Part I, Section C, 2.a. Additional Consumer Use Text 

Category of Use XXX: XXX 

Category of Use XXX: XXX 

Category of Use XXX: XXX 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 


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PMN2010P8 PMNPage 8 

Part 11-- HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE 

Section A -- INDUSTRIAL SITES CONTROLLED BY THE SUBMITTER IMark (X) the "Confidential" box next to 

any item you daim as confidential 

The information on pages 8 and 8a refer to consolidated chemical number(s): [ ] 1 [h 03 [ J4 [ ] 5 [ ] 6 

Complete section A for each type of manufacture, 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 processing or use operations after import. You must describe these operations. See 

instructions manual 

1. Operation description Conlia. Identity ­ Enter the identity of the site at which the operation will occur. dential 

Name XXX 

Site address (number and 

street) XXX ~ City XXX County XXX 

State ZIP code XXX 

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

on a continuation sheet, and if any of the sites have significantly different production rates or [R]

operations, include aU the information requested in this section for those sites as attachments. ~ 

Mark (X) this box if the data continues on the next page. 0 

b. Type 

Mark (X) Manufacturing Processing [R] Use 0

c. Amount and Duration - Complete 1 or 2 as approptiate Confidential 

Maximum kg/batch 

(100% new chemical Hours/batch Batches/year 

1. Batch substance) 0

Maximum kg/day Hours/day Days/year 

2. Continuous (100% new chemical substance) [R] XXX XXX XXX 

Mark (X) to indicate your willingness to 

0 I 

d. Process description have your process description binding. 

~ 

(1 ) Diagram the major unit operation steps and chemical conversions. Indude 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 kglbatch on a 100% new chemical substance basis), and entry point of all starting 

materials and feedstocks (including reactants, solvents, catalysts, etc.), and of 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. If 

releasinQ to two media at the same stec, assian a second release number for the second medium. 

llil 

XXX 

I 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710·25 


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PMN2010P8A PMNP age 8 a

Confidential 

Diagram of the major unit operation steps. D 

Enter Attachment filename for Part II, Section A, 1. d. I D 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 

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SANITIZED SUBMISSION 1II11I11 

PMN2010P9 PMN Pa e 9 

Part 11- HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE •• Continued 

ctlon A •• INDUSTRIAL SITES CONTROLLED BY THE SUBMITTER •• Continued 

e Information on pages 9 and 9a refer to consolidated chemical number(s): Os 6 

2. Occupational Exposure ­ You must make separate confidentiality claims for the description ofworker activity, physical form of the new chemical 

substance, number of workers exposed, and duration of activity. 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 if entry in column (1) is confidential business information (CBI). 

(3) - Describe any protective equipment and engineering controls used to protect workers. 

('I) 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 entries in columns (3) and (5) are 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) are confidential business information (CBIl. 

Worker activity Protective Equipment! Binding Physical Binding #of 

(I.e., bag dumping, filling CBI Option formes) Option CBI Workers CBI 

Maximum Duration CBI 

drums) Engineering Controls Mark (X) &%n_ Mark (X) Exposed substance HrslDay OaysJYr (12). (1) (2) (3) (4) (6) (6) (7) (8) (9) (10) (11) 

XXX X XXX XXX X XXX X XXX XXX X 

XXX X XXX XXX X XXX X XXX XXX X 

XXX X XXX XXX X XXX X XXX XXX X 

Mark (X) this box ifthe data continues on the next page. I I 

Enter Attachment filename for Part II. Section A on the bottom of page 9a. 0 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 


Page 15 

SANITIZED SUBMISSION 

PMN2010P9A PMN Paae 9a 

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 1 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 

(5) -

other (specify» to which the new substance will be released from that release point. 

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 Medium of release Control technology and efficiency (you may wish to 

Number Substance Released CBI e.g. Stack air optionally attach efficiency data) CBI 

Binding 

(1' (2a, (2b, (3' (4, ISa, Mark (5b, (6) 

IXI 

XXX XXX XXX X XXX XXX X 

XXX XXX XXX X XXX XXX X 

XXX XXX XXX X XXX XXX X 

XXX XXX XXX X XXX XXX X 

Mark (X) this box if the data continues on the next page. D 

(7) Mark (X) the destination(s of releases to water. NPDES# eBI 

[X] POTW-provide xxx xxx 

name(s) '00

D Navigable waterway­

- provide name(s) 

D Other--Specify 

Enter Attachment filename for Part II, Section A. I D 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Farm 7710-25 

Page 16 
IIIIII~ 1111111111111111 SANITIZED SUBMISSION 

PMN2010P10 PMN Page 10 

Part 11-- HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE - Continued 


Section B .- INDUSTRIAL SITES CONTROLLED BY OTHERS 


• The information on pages 10 and 10a refer to consolidated chemical number(s): D 1 D 2 [J 3 [J 4 D 5 D 6 

Complete sedion 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 sedion for operations outside the U.S.; however, you must report any processing or use adivities after import. See the Instructions Manual. 

Complete a separate section 8 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 ty(lical operation common to these sites. Identify additional sites on a continuation sheet. 


1(a). Operation Description -- To claim information in this sedion as confidential, bracket (e.g. mthe specific information that you claim as 


confidential. 


(1) 	 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 briefly describe each worker activity. 

(2) 	- Either in the diagram or in the text field 1(b) below, provide the identity, the approximate weight (by kg/day or kglbatch, on an 100% new 

chemical substance basis), and entry point of all feedstocks (including readants, solvents and catalysts, etc) and all produds, recycle 

streams, and wastes. Include cleaning chemicals (note frequency if not used daily or per batch). 

(3) 	-- Either in the diagram or in the text field 1 (b) below, 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): 

I Number of Sites I I Confidential [Xl 

1(b). (Optional) This space is for a text description to clarify the diagram above. Confidential u 

Enter Attachment filename for Part II. Sedion B on the bottom of page 10a. I D 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 

Page 17 
SANITIZED SUBMISSION 1111111111 
 IIII 


PMN201 OP1 OA PMNPage 10a 

2. Worker Exposure/Environmental Release 

(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 engineering 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 kglbatch). 

(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 Duration of Protective EquipJEngineering Controls/Physical "knew %In of Workers CBI CBI CBI 

Activity Exposed Exposure Fonn substance Fonnulation 

(1) (2) (3) (48) (4b) (5) (6) (6) (7) (8) 

Release Amount of New Substance Released CBI Media of Release & Control Technology CBI Number 

(9) (10.) (10b) (11) (12) (13) 

Mark (X) this box if the data continues on the next page. [ ] 

(14) Byproducls: I (15) CBI D 

Enter Attachment filename for Part II, Section B. D 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 


Page 18 

1111111111111 I1111I11111111111 SANITIZED SUBMISSION 

PMN2010P11 PMN Pa e 11 

~.~____O_P_T_I_ONAL POLLUTION PREVENTION INFORMA~T_I-,-O_N____-1 

To claim information in the following section as confidential, bracket (e.g. {}) the specific 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, andlor raw materials substitution. 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. Quantitative or qualitative 

descriptions of pollution prevention, source reduction and recycling should emphasize potential risk reduction in addition to compliance with existing 

regulatory requirements. 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 media (e.g., air to water) or nonenvironmental areas (e.g., occupational or consumer exposure). To the 

extent known, information about the technology being replaced will assist EPA in its relative risk determination. In addition, information on the 

relative cost or performance characteristics of the PMN substance to potential altematives may be provided. 

--------------------------~ 

Describe the expected net benefits, such as 

(1) an overall reduction in risk to human health or the environment; 

(2) a reduction in the generation of waste materials through recycling, source reduction or other means: 

(3) a reduction in the use of hazardous starting materials, reagents, or feedstocks: 

(4) a reduction in potential toxicity, human exposure and/or environmental release; or 

(5) 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. 

Information provided in this section will be taken into consideration during the review of this substance. See PMN Instructions Manual 

and Pollution Prevention Guidance manual for guidance and examples. 

See Attachment 007 Pollution Prevention Information. 

Enter Attachment filename for Pollution Prevention Page 11. o 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 

Page 19 
111111111111111111111 SANITIZED SUBMISSION 

PMN2010P12 PMN Page 12 

Part III -- LIST OF ATTACHMENTS • 

. Attach continuation sheets for sections of the form, test data and other data (including physical/chemical properties 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 any paper attachments. In the Number of Pages column 

below, enter the inclusive page numbers of each attachment for paper submissions or enter the total number of pages for each 

attachment for electronic submissions. Electronic attachments can be identified by filename. 

Mark (X) the "Confidential" box next to any attachment name or filename 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 confidential, 

Number Associated 

# Attachment Name Attachment Filename of Pages PMN Section 

Number 

001 CA Index Name for Carbon Black Product 1 Pt,I, Sec,B, 1c. 

002 Chemical Structure Diagram for Carbon Black 

Product 

1 Pt.I, Sec.B, 1e. 

003 Chemical Composition of Carbon Black and Ash 

Impurities 

1 Pt.I, Sec.B, 1e(3). 

I~~~=~d:0SitiOn of Non-Condensable 

as Mixture 

2 

005 Process Flow Diagram 11 Pt.2, Sec.A, 1d. 

006 Standard Air Contaminant Discharge Permit ­ Emission Factors 

1 Pt.2, Sec.A, End 

007 Pollution Prevention Information 6 Pollution Prevention 

008 Health and Environmental Effects 9 

I 

Mark (X) this box if the data continues on the next page. [ ] 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 

Page 20 
11111111111111 IIIIIIIIIIIIIIIIII~ 1111111111111 
 SANITIZED SUBMISSION 

PMN2010P13 PMN Page 13 


PHYSICAL AND CHEMICAL PROPERTIES WORKSHEET 

The infonnation on this page refers to chemical number(s): 2 0 3 04 05 06 

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

notice. Identify the property measured, 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. Give the attachment number (found on page 12) in column (b). 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 the review and ensure that confidential information is property 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 Unit I Mark X if Attachment Value Measured CSI 

Number or Estimate Mark (X) (a) Provided (b) (e) (M or E) (d) 

0 (solid) I (liquid) (gas) 

Physical state of neat substance 0 0 0 

Vapor Pressure @ ·C 0 Torr Temperature 

Density/relative density 0 gJcm3 

Solubility 

@ Temperature ·c 0 gJL 

Solvent 

Solubility in Water @ ·c 0 gIL Temperature 

Melting Temperature 0 ·c 

Boiling I Sublimation Torr 0 ·c temperature @ 

Spectra 0 

Dissociation constant 0 

Octanoll water partition coefficient 0 I 

i Henry's Law constant 0 I 

! Volatilization from water 0 

Volatilization from soil 0 I 

pH@ concentration 0 

Flammability 0 

Explodability 0 I 

Adsorption I Coefficient 0 

Other ­ Specify D 

Other ­ Specify D 

Page 21 

ATTACHMENT HEADER SHEET 


Attachment Number 001 

Attachment Name 


CA Index Name for Carbon Black Product 


Associated PMN Section Number 


Pt.!, Sec.B, 1c. 


Does not contain CBI 

Report Number 


MCK1100430540339927 

Attachment 001 

TS-MK10CO 

Inventory Expert Service 

A division of the American Chemical Society Phone: 800-631-1884, 614-+47-3870 

Fax: 614-+47-3747 

E-mail: answers@cas.org 

Web: www.cas.orglproductslclientl 

INVENTORY EXPERT SERVICE REPORT 

IES-ORDER NUMBER: 

REGISTRY NUMBER: 

CA INDEX NAME 

Definition 

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

o 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 PMN before 

submitting it to the EPA. 

CAS 2540 Olentangy River Road P.O. Box 3343 Columbus. Ohio 43210-03)4 USA 


Page 1 of 1 

ATTACHMENT HEADER SHEET 

Attachment Number 002 

Attachment Name 


Chemical Structure Diagram for Carbon Black Product 


Associated PMN Section Number 


Pt.I, Sec.B, 1e. 


Does not contain CBI 

Report Number 


MCK1100430540339927 

Attachment 002 TS-MK10CO 

Chemical Structure Diagram for Carbon Black Product 

Page 1 of 1 

ATTACHMENT HEADER SHEET 


Attachment Number 003 

Attachment Name 


Chemical Composition of Carbon Black and Ash Impurities 


Associated PMN Section Number 


Pt.I, Sec.B. 1e(3). 


Does not contain CBI 

Report Number 


MCK1100430540339927 

Attachment 003 TS-MK10CO 

Page 1 of 1 

ATTACHMENT HEADER SHEET 


Attachment Number 004 

Attachment Name 


Chemical Composition of Non-Condensable Hydrocarbon Gas Mixture 


Associated PMN Section Number 


N/A 


Does not contain CBI 

Report Number 


MCKI100430540339927 

Attachment 004 TS-MK10CO 

DEFINITION FOR NON-CONDESABLE HYDROCARBON GAS 

Page 1 of 2 

Attachment 004 TS-MK10CO

Page 2 of2 
ATIACHMENT HEADER SHEET 


Attachment Number 005 

Attachment Name 


Process Flow Diagram 


Associated PMN Section Number 


Pt.2, Sec.A, 1 d. 


Does not contain CBI 

Report Number 


MCK1100430540339927 

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ATTACHMENT HEADER SHEET 


Attachment Number 006 

Attachment Name 


Standard Air Contaminant Discharge Permit - Emission Factors 


Associated PMN Section Number 


Pt.2. Sec.A. End 


Does not contain CBI 

Report Number 


MCK1100430540339927 

Attachment 006 TS-MK10CO 

Standard Air Contaminant Discharge Permit - Emission Factors a 

Page 1 of 1 

ATTACHMENT HEADER SHEET 


Attachment Number 007 

Attachment Name 


Pollution Prevention Information 


Associated PMN Section Number 


Pollution Prevention 


Does not contain CBI 

Report Number 


MCKI 1 00430540339927 

Attachment 007 TS-MK10CO 

POLLUTION PREVENTION INFORMATION 


Page 1 of6 
Attachment 007 TS-MK10CO 

Page 2 of6 
Attachment 007 TS-MK10CO 

Page 3 of6 
Attachment 007 TS-MK10CO 

Page 4 of 6 

Attachment 007 TS-MK10CO 

Page 5 of 6 

Attachment 007 TS-MK10CO 

BIBLIOGRAPHY 


Page 6 of6 
ATIACHMENT HEADER SHEET 


Attachment Number 008 

Attachment Name 


Health and Environmental Effects 


Associated PMN Section Number 

N/A 

Does not contain CBI 

Report Number 


MCKI 1 00430540339927 

Attachment 008 TS-MK10CO 

HEALTH AND ENVIRONMENTAL EFFECTS 


Page 1 of9 
Attachment 008 TS-MK10CO 

Page 2 of 9 

Attachment 008 TS-MK10CO 

Page 3 of 9 

Attachment 008 TS-MK10CO 

REFERENCES 

Page 4 of 9 

Attachment 008 TS-MK10CO 

Page 5 of9 
Attachment 008 

Page 6 of9 
Attachment 008 TS-MK10CO 

Page 7 of 9 

Attachment 008 TS-MK10CO 

Page 8 of9 
Attachment 008 TS-MK10CO 

Page 9 of 9