A 

SANITIZED VERSION 

U.S . ENVIRONMENTAL PROTECTION AGENCY 

I:-,F P e PREMANUFACTURE 

NOTICE 

CES 

111, 11 

[Enter the total number of pages . 3y 

in the Premanufacture Notice 

p. 1 

Form Approved . O.M.B . No. 2070-0012 . Approval Expires 10-31-96 . 

Date of receipt 

AGENCY USE ONLY 

1 .~ . 

Company Sanitized 

GENERAL INSTRUCTIONS TS _ N C I C 6 0 

. 

You must provide all information requested in this form to the extent that it is known to or reasonably ascertainable by you. Make reasonable estimates if you do 

not have actual data. 

Before you complete this form, you should read the "Instructions Manual for Premanufacture Notification" (the Instructions Manual is available from the Toxic 

Substances Control Act (TSCA) Information Service by calling 202-554-1404, or faxing 202-554-5603) . 

If a user fee has been remitted for this notice (40 CFR 700.45), indicate in the boxes above the TS-user fee identification number you have generated. Remember, 

your user fee ID number must also appear on your corresponding fee remittance, which is sent to EPA, HQ Accounting Operations Branch (PM-226), P.O . 

360399M, Pittsburgh, PA 15251-6399, Ann TSCA User fee. 

Part I-GENERAL INFORMATION 

You must provide the currently correct Chemical Abstracts (CA) Name of the new 

chemical substance, even if you claim the identity 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. You must submit an original and two copies of this notice including all test data . 

If you claimed any information as confidential, a single sanitized copy must also be 

submitted . 

Part II-HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE 

If there are several manufacture, processing, or use operations to be described in Part It, 

sections A and B of this notice, reproduce the sections as needed. 

Part III-LIST OF ATTACHMENTS 

Attach additional sheets if there is not enough space to answer a question fully . Label 

each continuation sheet with the corresponding section heading . In Part 111, 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 described 

pollution prevention 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 be bound to certain statements you make in this section, such as use, 

production volume, protective equipment . . This option is intended to reduce delays 

that routinely accompany the development of consent orders or Significant New Use 

Rules . Except in the case of exemption 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 not by itself prohibit the submitter from later deviating from the information (except 

chemical identity) reported in the form. 

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 vou claim information in the notices as confidential, you must 

also provide a sanitized version of the notice . (including attachments) . For additional 

instructions on claiming information as confidential, read the Instructions Manual . 

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

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 health and environmental effects on the manufacture, 

processing, distribution in commerce, use, or disposal of the new chemical 

substance. Standard literature citations may be submitted for data in the open 

scientific literature . Complete test data (written in English), not summaries of data, 

must be submitted ifthev do not appear in the open literature . 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 .50 of the Premanufacture Notification Rule (40 CFR Part 

720). 

Test Data (Check Below any included in this notice) 

" Environmental fate data El Yes " Other data [I Yes 

" Health effects data 0 Yes Risk assessments 

" Environmental effects data ~ Yes Structure/activity relationships 

" Physical/Chemical Properties* ® Yes Test data not in the possession 

or control of the submitter 

* A physical and chemical properties worksheet is located on the last page of this form . 

TYPE OF NOTICE (Check Only One) 

® PMN (Premanufacture Notice) 

INTERMEDIATE PMN (submitted in sequence with final product PMN) 

SNUN (Significant New Use Notice) 

TMEA (Test Marketing Exemption Application) 

LVE (Low Volume Exemption) @ 40 CFR 723 .50(c)(1) 

LOREX (Low Release/Low Exposure Exemption) @ 40 CFR 723 .50(c)(2) 

LVE Modification 

IS THIS A CONSOLIDATED PMN? 

LOREX Modification 

Yes 

# of chemicals 

(Prenotice Communication # required, enter # on page 3) 

EPA FORM 7710-25 (Rev . 5-95) Re lace previous editions of EPA Form 7710-25. ~ .~~s ~os 
p. 2 

Public reporting burden for this collection of information is estimated to average 110 hours per response, 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 of this collection of information, 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 of Management and Budget, Paperwork Reduction Act (2070-0012), Washington, D.C . 20503 . 

CERTIFICATION 

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

1 . The company named in Part l, section A, subsection 1 a of this notice form intends to manufacture or import 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, Consolidated PMN, or SNUN, check the following user fee certification 

statement that applies: 

0 The Company named in Part 1, Section A has remitted the fee of $2500 specified in 40 CFR 700.45(b), or 

F~ The Company named in Part I, Section A has remitted the fee of $1000 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 700.43 and has remitted a fee of $100 

in accordance with 40 CFR 700.45(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 in accordance with 40 CFR 723 .50(c)(2), check the following certification 

statements : 

F] 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 of 40 CFR 723 .50 . 

0 The manufacturer is familiar with the terms of this 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 If this application is for an LVE in accordance with 40 CFR 723 .50(c)(1), the manufacturer intends to commence 

manufacture of 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 . An knowing and willful misinter p retation is subject to criminal penalty pursuant to 18 USC 1001 . Confidential 

Signature and title of Authorized Official (Original Signature Required) Date 

Mr. Viktor Vejins, President, Nano-C, Inc . 

Signature of agent - (if applicable) Date 

Mr, John V. Massin ale, Principal, Greenwich Chemical Consulting 

EPA FORM 7710-25 (Rev . 5-95) Page 2 
Part I -- GENERAL INFORMATION 

Section A -- SUBMITTER IDENTIFICATION 

la. Person Name of authorized official Position 

Submitting 

Notice (in U.S .) Mr. Viktor Veiins President 

Company 

Nano-C, Inc. 

Mailing address (number and street) 

33 Southwest Park 

City, State, ZIP Code 

Westwood, MA 02090 

b. Agent (if Name of authorized official Position 

applicable) 

Mr. John V. Massin ale Princi pal 

Company 

Greenwich Chemical Consulting, Inc. 

Mailing address (number and street) 

777 South Fla ler Drive, Suite 800, West Tower 

City, State, ZIP Code Telephone Area Code Number 

West Palm Beach, FL 33401 561 515-6030 

c . If you are submitting this notice as part of a joint submission, mark (X) this box. 

Join t Submitter (if Name of authorized official Position applicable) 

Company 

Mailing address (number and street) 

City, State, ZIP Code Telephone Area Code Number 

2. Technical Name of authorized official Position 

Contact (in 

U.S .) Mr. John V. Massin ale Principal 

Company 

Greenwich Chemical Consulting, Inc . 

Mailing address (number and street) 

777 South Fla ler Drive, Suite 800, West T ower 

City, State, ZIP Code Telephone Area Code Number 

West Palm Beach, FL 33401 561 515-6030 

3 . If you have had a prenotice communication (PC) concerning this notice 

and EPA assigned a PC Number to the notice, enter the number . Mark (X) -- 

if none 

4 . If you previously submitted an exemption application for the chemical 

substance covered by this notice, enter the exemption number assigned by 

EPA If ou revio l b itt d PMN f hi b . y p us y su m e a or t s su stance enter the 

Mark (X) -1 El if none X 

PMN number assigned by EPA (i .e . withdrawn or incomplete) . 

5 . If you have submitted a notice of Bona fide intent to manufacture or import 

for the chemical substance covered by this notice, enter the notice number 

assigned by EPA. --i 

Mark (X) -i E-1 if none 

X 

6 . Type of Notice - Mark (X) 1 . Manufacture 2. Import 

Only Only 3 . ® Both 

Binding Option O Binding Option 

Mark (X) Mark (X) 

Mark Q the "Confidential" box next to any subsection you claim as confidential 

Confidential 

EPA FORM 7710-25 (Rev . 5-95) Page 3 
Part I -- GENERAL INFORMATION -- Continued 

Section B -- CHEMICAL IDENTITY INFORMATION: You must provide a currently correct Chemical Abstracts (CA) name of the substance based on 

the ninth Collective Index 9CI of CA nomenclature rules and conventions . Mark (X) the "Confidential" box next to an item you claim as confidential 

Complete either item 1 (Class I or 2 substances) or 2 (Polymers) as appropriate . Complete all other items . 

If another person will submit chemical identity information for you (for either Item I or 2), mark (X) the box at the right . Confr- Identify the name, company, and address of that p erson in a continuation sheet . 0 dential 1 . Class I or 2 chemical substances (for definitions of class I and class 2 substances, see the Instructions Manual) 

a. Class of substance - Mark (X) I ® Class 1 or 2 [:] Class 2 

b . Chemical 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 or CA Preferred Name must be provided, which ever is appropriate based on CA 9CI nomenclature rules and conventions) . [5,6]Fullerene-C60-1h 

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

® Method I (CAS Inventory Expert Service - a copy of the Identification ~ Method 2 (Other Source) 

report obtained from the CAS Inventory Expert Services must be 

submitted as an attachment to this notice) 

d. Molecular formula and CAS Registry Number (if a number already exists for the substance) 

C60 CAS# 

99685-96-8 

e . For a class I substance, provide a complete and correct chemical structure diagram . For a class 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) . (4) Provide a correct representative or partial chemical structure diaeram, as complete as can be known, if one can be reasonablv ascertained . 

r-_ 

. 

t 

® Mark (X) this box if you attach a continuation sheet . 

EPA FORM 7710-25 (Rev . 5-95) Page 4 
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 . 

Indicate maximum weight percent of low molecular weight species (not including residual monomers, reactants, or solvents) below 500 and below 1,000 absolute molecular weight of that composition . 

Describe the methods of measurement or the basis for your estimates: GPC ~ Other Ej (Specify) 

i) lowest number average molecular weight : 

ii) maximum weight % below 500 molecular weight : 

iii) maximum weight % below 1000 molecular weight: 

0 Mark (X) this box if you attach a continuation sheet . 

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) - Mark (X) the identity column 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 ent ry in column (6) is confidential . 

Monomer or other reactant and CAS Registry Number Confi- Typical Identity Confi- Maximum Confidential composition Mark (X) dential residual dential 

(1) (2) (3) (4) (5) (6) (7) 

% % 

0 Mark (X) this box if you attach a continuation sheet . 

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

Method I (CAS Inventory Expert Service - a copy of the identification report E] Method 2 (other source) 

obtained from CAS Inventory Expert Service must be submitted as 

as attachment to this notice) 

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

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

~ Mark (X) this box if you attach a continutation sheet . 

EPA FORM 7710-25 (Rev. 5-95) Page 5 
Part I -- GENERAL INFORMATION -- Continued 

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 . 

CAS Registry Number if available . If there are unidentified impurities, enter "unidentified ." 

(b) - Estimate the maximum weight % of each imp urity . If there are unidentified imp urities, estimate their total wei ght %. 

Provide the 

Impurity and CAS Registry Number 

(a) 

Maximum 

percent 

(b) 

Confidential 

% X 

% X 

% X 

% X 

% 

% 

% 

Mark (X) this box if you attach a continuation sheet . 

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

Carbon (C60) fullerene; Buckminsterfullerene C60 

Mark (X) this box if you attach a continuation sheet. 

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

nano-c(BF) 

Mark (X) this box if you attach a continuation sheet. 

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. 

Mark (X) this box if you attach a continuation sheet . 

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 

X 

X 

X 

Mark (X) this box if you attach a continuation sheet. 

EPA FORM 7710-25 (Rev . 5-95) Page 6 
p. 7 

Part I -- GENERAL INFORMATION -- Continued 

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

Mark (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 k /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) Maximum 12-month production (kg/yr) Confi- Binding 

(100% new chemical substance basis) (100% new chemical substance basis) dential Option 

Mark (x) 

X 

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 formulation of the new substance, and other use information . 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 information (CBI). 

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

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

Category of use (1) CBI Binding Produc- CBI % in CBI % of substance expected per use CBI 

Option 

tlon % Form- 

(by function and application i .e . a dispersive dye Mark ~xl ulation Site- Con-* Indus- Com- Binding 

for finishing polyester fibers) (2) (3) (4) (5) (6) ('7) limited sumer trial mercial Option (9) 

(1) Compound for use in organic 

electronic devices. 

0 

x 

0 

x x 

(2) Compound used to improve the 

mechanical nronertaes of rubbers. 

0 

x 

0 

x x 

_ 

plastics, and lubricants. - - - % - - °ia - - - - - - - 

(3) Compound for use as an 

addotave to increase the conductivity 0 

x 

0 

x x 

of materials . - - - % - - % 

o a 

o 0 

* 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 consumer products. 

In addition include estimates of the concentration of the new chemical substance as expected in consumer products and describe the chemical reactions by which this 

substance loses its identity in the consumer product. 

E]Mark (X) this box if you attach a continuation sheet. 

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

use Instructions Manual for examples of generic use descriptions . 

description 

E] Mark (X) this box if you attach a continuation sheet. 

Hazard Information -- Include in the notice a copy of reasonable facsimile of any hazard warning statement, label, material safety data sheet, or other 3 Binding . 

information which will be provided to any Person who is reasonably likely to be exposed to this substance regarding protective equipment or practices Option Mark (x) 

transport use or disposal of the new substance. List in part III hazard information you include. for the safe handing , , , 

® Mark (X) this box if you attach hazard information . 

EPA FORM 7710-25 (Rev . 5-95) Page 7 
art II-- HUMAN EXPOSURE AND LNVIRONMENTAL RELEASE 

Section A -- INDUSTRIAL SITES CONTROLLED BY THE SUBMITTER Mark (X) the "Confidential" box next to any item you 

claim as confidential Complete section A for each type of manufacture, processing, or use operation involving the new chemical substance at industrial sites y o u 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 

Conf- a. Identi ty -- Enter the identity of the site at which the operation will occur . dential Name 

See Attachments #3 and #6. 

Site address (number and street) 

City, County, State, ZIP code 

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

additional sites on a continuation sheet, and if any of the 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 if you attach a continuation sheet. 

b. Type -- 

Mark (X) E]Manufacturing OProcessing OUse 

c. Amount and Duration -- Complete I or 2 as appro priate 

Maximum kg/batch (100% new chemical Hours/batch Batches/year 

substance) 

1 . Batch 

Maximum kg/batch (ioo% new chemical Hours/batch Batches/year 

substance) 

2 . Continuous 

d . Process description 0 Mark (X) to indicate your willingness to have your process description binding. 

(1) 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 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 . See Attachments #3 and #6. 

® Mark (X) this box if you attach a continuation sheet. 

P 

EPA FORM 7710-25 (Rev . 5-95) Page 8 
p. 9 

art -- HUMAN EXPOSURE A1NI~ ~;iN VII~ONMENTAL RELEASE -- Continued Section A -- INDUSTRIAL SITES CONTROLLED BY THE SUBMITTER -- Continued 2. Occupational Exposure -- You must make separate confidentiality claims for the description of worker activity physical form of the new chemical substan , number of ce, works 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 . (4) 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 entry in column (5) is 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 (I1) are confidential business information (CBI) . 

Worker activity CBI Protective Equipment/ Binding Pbysical forms(s) Binding CBI # of CBI Maximu duration CBI 

(i .e ., bag dumping, filling drums) Engineering Controls option and % new Option Worker Hrs/day Days/yr Mark (x) substance M ar k (x) 

( 1 ) (Z) ( 3 ) (4) (5) ( 6 ) (7 ) Expose (9) (i0) (II) (12) 

d 

(8) 

See Attachments #4 and 

® Mark (X) this box if you attach a continuation sheet . 

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 l 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 kgfbatch) . (3) --Mark (X) this column if entries in columns (1) and (2) are confidential business information (CBI). (4) --Identify 

which 

the media (stack air, fugitive air (optional-see Instruction Manual), surface water, on-site or off-site land or incineration, POTW, or other (specify)) to the new substance will be released from that release point. (5) --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 wheth er th e waste i s 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 substance CBI Media of Control technology and efficiency (you may wish to optionally attach efficiency data) CBt Number released release 

(1) (2a) (26) eg sack air Bindin g 

(3) (4) (Sa) Mark() (56) (6) See Attachments #5 and #8 . 

(7) Mark (X) the ~ POTW provide name(s) below: 

destination(s) of 

CBI 

0 Navigable ~ Other - Specify provide NPDES # CBI 

waterway 

releases to water. 

® Mark (X) this box if you attach a continuation sheet. 

P II 

EPA FORM 7710-25 (Rev . 5-95) Page 9 
Part II-- HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE -- Continued Section B -- INDUSTRIAL SITES CONTROLLED BY OTHERS 

Complete section 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 section for operations outside the U.S . ; however, you must report any processing or use activities after im p ort . S ee th e I nstruct i ons Manual . Complete a separate section B for each type of processing, or use operation involving the new chemical substance. If the same operation is performed at more than one site describe the typ ical operation common to these sites . Identify additional sites on a continuation sheet . 

1 . Operation Description -- To claim information in this section as confidential, circle or bracket the specific information that you claim as confidential . (1) -- Diagram the major unit operation steps and chemical conversions , includin g interim sto rage an d t ransport 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 entry point of all feedstocks (including reactants, solvents and catalysts , etc) and 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 . (4) Please enter the # of sites (remember to identify the locations of these sites on a continuation sheet) : 

T of sites 

See Attachment #9. 

® Mark (X) this box if you attach a continuation sheet. 

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 kg/batch) . (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 an of the proceedin g entries are confidential business information (CBI) . 

Letter # of CBI Duration CBI Protective Equip . / % in CBI Releage Amount of CBI Media of Release CBI of Workers o f Engineering F Controls/ orm- Number New & Control Act- Exposed Exposure Physical Form and % ulation Substance Technology i v i ty 

new substance Released 

(1) (2) (3) (4a) (4b) (5) (6) (7) (8) (9) (l0a) (lOb) (11) (12) (13) 

See Attachment #10. 

14) -- Byproducts : (15) 

® Mark (X) this box if you attach a continuation sheet, 

EPA FORM 7710-25 (Rev . 5-95) Page 10 
p. 11 

OPTIONAL POLLUTION PREVENTION INFORMATION To claim information in this section as confidential circle or bracket 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, raw materials substitution , and/or inventory control. 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. Descriptions of pollution prevention, source reduction and recycling should emphasize potential risk reduction subsequent to compliance with existing regulatory requirements and can be either quantitative or qualitative. 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 environmental media or non-environmental areas (e .g ., occupational or consumer exposure) . In addition, information on the relative cost or performance characteristics of the PMN substance to potential 

alternatives may be provided. 

All information provided in this section will be taken into consideration during the review of this 

substance. See Instructions Manual and Pollution Prevention Guidance manual for guidance and 

examples. 

Describe the expected net benefits, such as (1) an overall reduction in risk to human health or the environment; (2) a reduction in the volume manufactured ; (3) a reduction in the generation of waste materials through recycling, source reduction or other means; (4) a reduction in potential toxicity or human exposure and/or environmental release; (5) an increase in product performance, a decrease in the cost of production and/or improved operation efficiency of the new chemical substa nce i n compar i son to existing chemical substances used in similar application; or (6) 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. 

The new chemical substance is expected to offer the following Pollution Prevention benefits: 

(1) The new chemical substance when used as an additive in plastic, rubber, and lubricant materials increases the wear and life of the material through the reduction of friction and increase in material strength . This results in extended material and product life, as well as reduced energy consumption . 

(2) The new chemical substance can be used to produce organic photovoltaic (OPV) materials . One important application of fullerene-based OPVs is in the development of next generation solar cells , fuel cells, and capacitors that provide greater energy output. Obviously, the increased use of these devices results in the reduction of carbon-based fuels for energy. 

(3) The new chemical substance may also be used to enhance the conductivity of battery anodes and cathodes. Its improves the performance of lithium-ion batteries which in turn reduces the amount of energy needed to power devices (e.g ., electric cars, computer batteries, etc.) operating 

on these batteries . 

0 Mark (X) this box if you attach a continuation sheet. 

EPA FORM 7710-25 (Rev . 5-95) Page 11 
Part III -- LIST OF ATTACHMENTS 

Attach continuation sheets for sections of the form and 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 the attachments . In the column below, enter the inclusive page 

numbers of each 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 of the notice form a sanitized 

version of any attachment in which you claim information as confidential . 

Attachment name Attachment 

age number(s) 

Confidential 

Material Safety Data Sheet MSDS 

13-16 

Physical and Chemical Properties Worksheet 17 

Attachment #1 - Summary of Information on the New Chemical Substance 18 

Attachment #2 - CA Index Name and CAS Inventory Expert Service Report 19-22 

Attachment #3 - Manufacturing and Processing Information on the New Chemical Substance at 

Industrial Sites Controlled b the Submitter- Manufacture 

23-24 

Attachment #4 - Worker/Occupational Exposure Information on the New Chemical Substance at 

Industrial Sites Controlled b the Submitter - Manufacture 

25-27 

Attachment #5 - Environmental Release and Disposal Information on the New Chemical 

Substance at Industrial Sites Controlled b the Submitter - Manufacture 

28-29 

Attachment #6 - Manufacturing and Processing Information on the New Chemical Substance at 

Industrial Sites Controlled b the Submitter- Processin g 

30-31 

Attachment #7 - Worker/Occupational Exposure Information on the New Chemical Substance at 

Industrial Sites Controlled b the Submitter - Processing 

32-33 

Attachment #8 - Environmental Release and Disposal Information on the New Chemical 

Substance at Industrial Sites Controlled b the Submitter - Processing 

34-35 

Attachment #9 - Processing Information on the New Chemical Substance at Industrial Sites 

Controlled b Others - End Use 

36-37 

Attachment #10 - Worker/Occupational Exposure and Environmental Release Information on the New Chemical Substance at Industrial Sites Controlled b Others - End Use 

38-39 

I E] Mark (X) this box if you attach a continuation sheet. Enter the attachment name and number. 

EPA FORM 7710-25 (Rev . 5-95) Page 12 
p. 13 

Nano-C Inc. : Fullerene C60 

MATERIAL SAFETY DATA SHEET 

Fullerene C6a 

Section 1 Product and Manufacturer Information 

Product Name: Fullerene Cbo 

Manufacturer: Nano-C, Inc. phone: 1-781-407-9417 ext. 224 

33 Southwest Park fax: 1-781-407-9419 

Westwood, MA 02090 USA e-mail : infor(L) nano-c .com 

Date: October 28, 2008 

Section 2 Composition and Information on Ingredients 

Substance name : Fullerene C6o 

Product code: nano-C(BF) 

Components : Fullerene (> 98 .5%) 

Impurities: < 1 .5% carbonaceous material 

CAS Number: 99685-96-8 

Section 3 Hazards Identification 

Overview: Irritating to eyes and respiratory system. 

Skin Contact: No known hazards, but slight irritation may occur. 

Ingestion: No known hazards, but may irritate gastrointestinal tract . 

Acute and Chronic Health Effects : High concentrations of dusts may be irritating to eyes, skin, mucus 

membranes and respiratory tract . Toxicological properties have not been fully investigated . 

HMIS Rating: NFPA Rating: 

Health : 0 Health : 0 

Flammability: 0 Flammability: 0 

Reactivity: 0 Flammability: 0 

il000 :$3 
Nano-C, Inc : Fullerene C60 

Section 4 First Aid Measures 

Ingestion: If swallowed, wash out mouth with water provided person is conscious . Get medical attention . 

Inhalation: Remove to fresh air . If breathing is difficult, get medical advice. 

Skin Contact : Flush skin with water. Wash skin with soap and copious amounts of water. 

Eye Exposure: Immediately flush eyes with sufficient amounts of water for at least 15 min . 

Section 5 Fire Fighting Measures 

Flash Point: Not applicable. 

Explosion Limits: unknown. 

Extinguishing Media: water, carbon dioxide, dry chemical powder, appropriate foam. 

Protective EcFuipment: In the case of a fire, wear self contained breathing apparatus and protective 

clothing to prevent contact with skin and eyes . 

Specific Hazards : Emits toxic fumes under fire conditions. 

Section 6 Accidental Release Measures 

General Information : Wear proper PPE as described in Section 8 . 

Spill Procedures: Sweep up, place in a bag and hold for waste disposal. Avoid raising dust. Ventilate area 

and was spill site after material pickup is complete. 

Section 7 Handling and Storage 

Handling: Do not breathe dust. Avoid contact with eyes, skin, and clothing. 

Storage: Keep in closed container for storage . 

Section 8 Exposure Controls and Personal Protection 

Personal Protective Equipment: 

Eyes: approved safety glasses or goggles. 

Skin: compatible chemical-resistant gloves and protective clothing . 

Respiratory : Follow OSHA respirator regulations found in 29CFR 1910 .134 or related country specific 

(or EU) standards. 

0 0 i~" 0" 1 ~~ 
p. 15 

Nano-C Inc. : Fullerene C60 

General Hygiene Measures: Wash thoroughly after handling. 

Engineering Controls : Use adequate ventilation to keep airborne concentrations low. Allow for safety 

shower and eye bath. 

Section 9 Physical and Chemical Properties 

Appearance: brown powder 

Physical state: solid 

Molecular weicht: 720.7 

Melting point: not determined 

Solubilitv in water: insoluble 

Solubili in organic solvents : insoluble 

Odor: odorless 

SG/Density : 1 .6 to 1 .9 

N/A: Not Available : pH, vapor pressure, vapor density, evaporation rate, viscosity, boiling point, 

freezing/melting point, autoignition temperature, explosion limits, flash point, decomposition 

temperature, solubility. 

Section 10 Stability and Reactivity 

Stabilitv : stable 

Materials to avoid: strong oxidizing agents 

Hazardous polymerization : no 

Hazardous decomposition products: combustion may produce carbon monoxide and carbon dioxide . 

Section 11 Toxicological Information 

Effects : No known toxicological effects . To the best of our knowledge, toxicological properties 

have not been investigated in detail . 

Section 12 Ecological Information 

No data available . 
p. 16 

Nano-C Inc. : Fullerene C6o 

Section 13 Disposal Considerations 

Disposal: Dispose of this material in accordance with local, state, and federal regulations . 

Section 14 Transport Information 

US Department of Transportation (DOT): This material is considered to be non-hazardous for transport . 

IATA: Non-hazardous . 

IMDG: Non-hazardous . 

Section 15 Regulatory Information 

US Regulatory I nformation: 

This substance is not listed on the Toxic Substances Control Act (TSCA) Chemical Substance Inventory. 

This substance may only be used for experimental purposes under the TSCA R&D Exemption in 

accordance with the regulations at 40 CFR 720 .36. Commercial use is prohibited 

This product contains no toxic chemicals at or above the de-minimis threshold subject to the reporting 

requirements of Section 313 of Title III of the Superfund Amendments and Reauthorization Act of 1986 

and 40 CFR 372. 

EU Classification : 

Symbol of Danger: None. 

Indication of Danger: None. 

Risk statements: None. 

Safety statements : None. 

Section 16 Other Information 

Disclaimer: The above information is believed to be accurate and has been prepared based on the best 

information available to us. Nano-C makes no warranty of this product, express or implied, with respect 

to such information, and it assumes no liability resulting from its use. Users should make their own 

investigation to determine the suitability of the information for their particular purpose. In no event shall 

Nano-C, Inc . be held liable for any damage, claims, losses, or damages resulting from handling or contact 

with the above product. 

4 0 0 ~u0 1 G 
p. 17 

PHYSICAL AND CHEMICAL PROPERTIES WORKSHEET 

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 page of the notice on which the property appears, 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 . 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 _J. You are not required to 

submit this worksheet ; however, EPA strongly recommends that you do so, as it will simplify review and ensure that confidential 

information is properly 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 

( a) 

Mark 

(x) if 

provided 

Page 

number 

(b) 

Value 

(c) 

easured o 

Estimate 

[(M or E 

consdential 

Mark (X) 

(d) 

Physical state of neat substance X 17 x (s) - (1) - (g) N/A 

Vapor pressure 

Temperature 25 °C X 17 0 Torr E 

Density/relative density X 17 1 .6- 1 .9 g/cm3 E 

Solubility 

@ Temperature 25 °C 

Solvent Toluene and other aromatic solvents) X 17 Soluble E 

Solubility in water Temperature 25 °C X 17 Insoluble E 

Melting temperature 

Sublimation point X 17 800 K (527 °C) ( @0.4 Pa) E 

Spectra 

Dissociation constant 

Particle size distribution 

Octanol / water partition coefficient 

Henry 's Law constant 

Volitalization from water 

Volitalization from soil 

H concentration 

Flammability 

Ex lodability 

Adsorption / coefficient 

Other - Specify 

------ 

I 

G 1 7 ATTACHMENT 

PAGE 13 
TS-NCIC60 

Attachment #1 

Summary ofInformation on the New Chemical Substance 
p. 19 

TS-NCIC60 

Attachment #2 

Part I 

Section B.1 

PMN p. 4 

CA Index Name and CAS Inventory Expert Service Report 

The following page gives the CAS Inventory Expert Service (IES) Report on the new 

chemical substance. Also, attached here is an expanded version of the chemical structure 

shown at PMN page 4. In addition, the CAS Registry File printout for this compound is also 

included. 
p. 20 

Inventory Expert Service 

A division of the American Chemical Society Phone: 800-631-1884,614-447-3870 

Fax: 614-447-3747 

E-mail : answers@cas.org 

Web: www.cas .org/products/client/ 

INVENTORY EXPERT SERVICE REPORT 

IES-ORDER NUMBER : 122401-1 

REGISTRY NUMBER: 99685-96-8 

CA INDEX NAME 

[5,6]Fullerene-C60-Ih 

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

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 PNIId before 

submitting it to the EPA . 

00u, 020 

CAS " 2540 Olentangy River Road " RO. Box 3343 " Columbus, Ohio 43210-0334 " USA 
() ~) i~l 6 : 1 
STN Easy: Display Page 

Display without Links I Retu_rn to Results 

Display from REGISTRY 

p. 22 

Page 1 of 2 

L# ANSWER 1 OF 1 REGISTRY COPYRIGHT 2008 ACS on STN 

RN ***99685-96-8*** REGISTRY 

CN [5,6]Fullerene-C60-Ih (CA INDEX NAME) 

OTHER NAMES : 

CN Buckminsterfullerene ; Buckminsterfullerene (C60) ; Buckyball ; C60 

Fullerene; Carbon (C60) ; Carbon (C60) fullerene; Carbon (C60) mol . ; 

Carbon cluster (C60) ; Carbon, mol . (C60) ; Follene-60 ; Footballene ; 

Footballene (C60) ; Fullerene ; Fullerene C60 cluster; Fullerene-60 ; 

Fullerene-C60 ; Icosahedral C60; Nanom Purple ; Nanom Purple N 60S ; 

Soccerballene ; (5,6]Fullerene C60 ; [60]Fullerene 

MF C60 

CI COM, RPS 

19551 REFERENCES IN FILE CA (1907 TO DATE) 

2164 REFERENCES TO NON-SPECIFIC DERIVATIVES IN FILE CA 

19590 REFERENCES IN FILE CAPLUS (1907 TO DATE) 

SR CA 

CAS 

Search for information related to CAS RN 99685-96-8 in these categories: 

. Agriculture [$2 .00] 

. Siotech.notogy [$2 .00] 

. Business [$2 .00] 

. Chemical Catalogs [$2 .00) 

. Chemistry._References [$2 .00] 

Restricted to: 

1L/YJ Vjll ~2 

http ://stneasy .cas .org/tmp/20080513/1208894-0220861107-200/715545693 .html 5/13/2008 
p. 23 

TS-NCIC60 

Attachment #3 

Part II 

Section A.1 

PMN p. 8 

Manufacturing and Processing Information on the New Chemical Substance at 

Industrial Sites Controlled by the Submitter - Manufacture 

(MO1.~10,1_61 3 
TS-NCICSO Attachment #3 

Manufacturing and Processing Information on the New Chemical 

Substance at Industrial Sites Controlled by the Submitter - 

Manufacture 
p. 25 

TS-NCIC60 

Attachment #4 

Part II 

Section A.2 

PMN P. 9 

Worker/Occupational Exposure Information on the New Chemical Substance at 

Industrial Sites Controlled by the Submitter - Manufacture 
p. 26 

TS-NCIC60 

Attachment #4 

Worker/Occupational Exposure Information on the New Chemical Substance at 

Industrial Sites Controlled by the Submitter - Manufacture 

Worker Activity CBI Protective Binding Physical Binding CBI Number CBI Maximum duration CBI 

Equipment/ Option form(s) and Option of 

Engineering Mark % new Mark Workers 

Controls chemical Exposed 

substance 

Hrs/day Days/year 

(1) 

2) (3) (4) (5) 6) (7 S (9) (10) (11) 12) 

X X X X 

X X X X 

X X X X 

X X X X 

X X X X 

X X X X 

X X X X 
TS-NCIC60 

X 

x 

x 

x 

x 

x 

x 

X 

x 

p. 27 

x 

X 

X 

0 0 0 0 1,2w, 7 
p. 28 

TS-NCIC60 

Attachment #5 

Part II 

Section A.3 

PMN P. 9 

Environmental Release and Disposal Information on the New Chemical Substance 

at Industrial Sites Controlled by the Submitter - Manufacture 

OW~~~ .~f 
p. 29 

TS-NCICGO 

Attachment #5 

Environmental Release and Disposal Information on the New Chemical Substance 

at Industrial Sites Controlled by the Submitter - Manufacture 

Release 

Number 

Amount of New Substance 

Released 

Media of Release Control Technology and Efficiency CBI 

(1) ) (2a) 3) ( (4) ( 5a) 

Bindin g 

Mark ( 5b) (6) 

X X 

X X 

X X 

X X 

X 

X X 

(7) Mark (X~ the El POTW provide name(s) below: 

d i i f 

CBI ~ ti-Kahle ",at-y Provide NPUes ta CBI 

est nat on(s) o 

releases to water. 

0 Other 

0 Mark (X) this box if you attach a continuation sheet. 
p. 30 

TS-NCIC60 

Attachment #6 

Part II 

Section A.1 

PMN p. 8 

Manufacturing and Processing Information on the New Chemical Substance at 

Industrial Sites Controlled by the Submitter - Processin~ 
Attachment #6 

TS-NCIC60 Manufacturing and Processing Information on the New Chemical Substance at 

Industrial Sites Controlled by the Submitter - Processing 
p. 32 

TS-NCIC60 

Attachment #7 

Part II 

Section A.2 

PMN p. 9 

Worker/Occupational Exposure Information on the New Chemical Substance at 

Industrial Sites Controlled by the Submitter - Processin~ 
p. 33 

TS-NCIC60 

Attachment #7 

Worker/ Occupational Exposure Information on the New Chemical Substance at 

Industrial Sites Controlled by the Submitter - Processing 

Worker Activity CBI Protective Binding Physical Binding CBI Number CBI Maximum duration CBI 

Equipment/ Option form(s) and Option of 

Engineering Mark % new Mark Workers 

Controls chemical Exposed 

substance 

Hrs/day Days/year 

(1) 

(2) 3 (4) (5) 6) 7) 8) (9) (10) (11) 12 

X X X X 

X X X X 

X X X X 

X X X X 

X X X X 

X X X X 

X X X X 
p. 34 

TS-NCIC60 

Attachment #8 

Part II 

Section A.3 

PMN p. 9 

Environmental Release and Disposal Information on the New Chemical Substance 

at Industrial Sites Controlled by the Submitter - Processm~ 
p. 35 

TS-NCIC60 

Attachment #8 

Environmental Release and Disposal Information on the New Chemical Substance 

at Industrial Sites Controlled by the Submitter - Processing 

Release 

Number 

Amount of New Substance 

Released 

CBI Media of Release Control Technology and Efficiency CBI 

(1) 2a 2a) (3) (4) 5a 

BindMk a 56 (6) 

X X 

X X 

X X 

X X 

X X 

X X 

X X 

(7) Mark (X) the 0 PO"I"W provide name(s) below: C.B1 El N-ph),-ten ,y n,,),,dr Nht»s # CBI 

destination(s) of 

releases to water. 

EJ Other 

E3 Mark (X) this box if you attach a continuation sheet. 
p. 36 

TS-NCIC60 

Attachment #9 

Part II 

Section B.1 

PMN p. 10 

Processing Information on the New Chemical Substance at Industrial Sites 

Controlled by Others - End Use 
TS-NCICSO Attachment #9 

Processing Information on the New Chemical Substance at 

Industrial Sites Controlled by Others - End Use 

ti! ~'~ 
p. 38 

TS-NCIC60 

Attachment #10 

Part II 

Section B.2 

PMN p. 10 

Worker/Occupational Exposure and Environmental Release Information on the 

New Chemical Substance at Industrial Sites Controlled by Others - End Use 
p. 39 

TS-NCIC60 

Attachment #10 

Worker/ Occupational Exposure and Environmental Release Information on the 

New Chemical Substance at Industrial Sites Controlled by Others - End Use 

Letter of # of CBI Duration CBI Protective % in CBI Release Amount of New CBI Media of CBI 

Activity Workers of Equip./ Form- Number Substance Release 

Exposed Exposure Engineering ulation Released & Control 

(all sites) (pet worker) Controls/ (p er site Technology 

Physical 

Form and % 

h/d d/y new 

substance 

(1) 

(2) (3) (4a) (4b) (5) (6) (7) (S) (9) (l0a) (lOb) (11) (12) (13) 

X X X X X 

X X X X X 

X X X X X 

X X X 

X X X 

X X X 

(14) - Byproducts (15)