United States Environmental Protection Agency

Washington, DC 20460

Section 4 Submission

This is an original submission: This is an amendment:

✔

CERTIFICATION

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

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

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

penalty pursuant to 18 USC 1001.

Signature: Official Title:

Principal Toxicologist

Contact Person:

Haejo Hwang

Email Address:

haejo.hwang@champ-tech.com

Date Signed:

04/08/2015

PART 1 Contact Information

Submission

Information

Submission Type:

TestRules

Form Alias:

DCEE OECD422

Federal Register Notice:

76 FR 65385

Date Submitted:

04/08/2015

Submitter

Information

Company Name:

Nalco Champion, An Ecolab

Company

Address:

3200 Southwest Freeway, Suite 2700

Houston, TX, 77027

Contact Person: United States

Haejo Hwang

Phone Number:

7133321530

Email Address:

haejo.hwang@champ-tech.com

Technical Contact

Information

CBI

Yes: 	No: 

✔

Company Name:

Nalco Champion

Address:

3200 Southwest Fwy.

STE 2700

Houston, TX, 77027

United States

Contact Person:

Dr Haejo Hwang

Not for Submission
SEC4 Submission Page 2

Phone Number:

7133321530

Email Address:

haejo.hwang@champ-tech.com

Submitting on Behalf

of Consortium

Consortium Name:

DCEE consortium

CBI

Yes: 	No: 

✔

Company Name:

Nalco Champion, An Ecolab

Company

Address:

3200 Southwest Freeway, Suite 2700

Houston, TX, 77027

Contact Person: United States

Dr Haejo Hwang

Phone Number:

7133321530

Email Address:

haejo.hwang@champ-tech.com

CBI

Yes: 	No: 

✔

Company Name:

Buckman North America

Address:

1256 N. McLean Blvd

Memphis, TN, 38108

United States

Contact Person:

Dr Carl F. Watson

Phone Number:

9012726228

Email Address:

cfwatson@buckman.com

PART 2 Letter Of Intent

Chemical

Identification

CASRN:

111-44-4

CBI

Yes: 	No: 

✔

Chemical Name:

Ethane, 1,1'-oxybis[2-chloroChemical Test Name:

C6

Sponsoring Firms CBI

Yes: 	No: 

✔

Company Name:

Champion Technologies, Inc.

Address:

3200 Southwest Fwy.

STE 2700

Houston, TX, 77027

United States

Phone Number:

7133321530

CBI

Yes: 	No: 

✔

Not for Submission
SEC4 Submission Page 3

Company Name:

Buckman North America

Address:

1256 N. McLean Blvd

Memphis, TN, 38108

United States

Phone Number:

9012726228

Additional

Information

Document Type:

Amendment to the Study Plan

File Name:

CAS 111-44-4 OECD 422 w

RecoveryGRP_Redacted.pdf

Attachment Date:

04/08/2015

Chemicals

PART 3 Chemical - 111-44-4 : Study Plan

Attached

Document(s)

File Name:

CAS 111-44-4 OECD 422 w

RecoveryGRP_Redacted.pdf

Attachment Date:

04/08/2015

CBI

Yes: 	No: 

✔

Sanitized Document Upload:

N/A

Effects: Endpoints:

PART 5 Optional Substantiation

Attached

Document(s)

File Name:

CAS 111-44-4 OECD 422 w

RecoveryGRP_Redacted.pdf

Attachment Date:

04/07/2015

Effects:

Health Effects

Endpoints:

Additional toxicological information

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

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

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

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

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

Not for Submission