# A SANITIZEDV ERSION U .S. ENVIRONMENTAL PROTECTION AGENCY 

# I:-,FPe PREMANUFACTURE NOTICE CES 

# 111, 11 [Enter the total number of pages . 3y in the Premanufacture Notice 

### p. 1 FormApproved. 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 formto the extent that it is known to or reasonably ascertainable by you. Make reasonable estimates ifyou do not have actual data. Before you complete this form, you should read the "Instructions Manual for Premanufacture Notification" (the Instructions Manual is available fromthe Toxic Substances Control Act (TSCA) Information Service by calling202-554-1404, or faxing 202-554-5603) . If a user fee has been remitted for this notice (40 CFR700 .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, HQAccounting 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 ifyou claimthe 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 ofyour submission should reference your TS user fee identification number. You must submit an original and two copies of this notice including all test data . Ifyou 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 formfor 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 fromlater deviating from the information (except chemical identity) reported in the form . CONFIDENTIALITY CLAIMS You may claimany information in this notice as confidential . To assert a claim on the form, mark (X) the confidential box next to the information that you claimas confidential . To assert a claimin 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 ANDOTHERDATA 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, ifthese data are related to the health and environmental effects on the manufacture, processing, distribution in commerce, use, or disposal ofthe new chemical substance. Standard literature citations may be submitted for data in the open scientific literature. Complete test data (written in English), not summaries ofdata, 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 ofthe tested material should be characterized. Following are examples oftest data and other data. Data should be submitted according to the requirements of §720.50of the Premanufacture Notification Rule (40CFRPart 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 NewUse Notice) TMEA (Test Marketing Exemption Application) LVE (Low

Volume Exemption) @ 40 CFR 723.50(c)(1) LOREX (Low

Release/LowExposure 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 EPAForm7710-25. 

# ~ .~~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 ofthis 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 ofthis 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 ofthe 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: 0The Company named in Part 1, Section Ahas remitted the fee of $2500specified in 40 CFR 700 .45(b), or F~ The Company named in Part I, Section Ahas remitted the fee of $1000for 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 CFR700 .45(b) . If youare 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 of40 CFR723.50. 0 The manufacturer is familiar with the terms ofthis section andwill 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 ofthe date of the expiration of the 30 day reviewperiod. 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 pretation is subject to criminal p enal ty pursuant to 18 USC 1001 . Confidential Signature and title ofAuthorized Official (Original Signature Required) Date 

### Mr . Viktor Vejins, President, Nano-C, Inc. Signature of agent - (if applicable) Date 

### Mr, John V

. Massin ale, Princi p

al, Greenwich Chemical Consulting

EPA FORM

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

Section A-- SUBMITTER IDENTI FICATION 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 PalmBeach, FL 33401 561 515-6030 c. Ifyou are submitting this notice as part of ajoint submission, mark (X) this box. Joint Submitter (if Name ofauthorized 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 Princi p al 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 PalmBeach, FL 33401 561 515-6030 3. If you have had a prenotice communication (PC) concerning this notice and EPAassigned a PC Number to the notice, enterthe number . Mark (X) -- ifnone 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 itt b d PMN f hi b Mark (X) -1 El . y p us y su m e a or t s su stance enter the if none X PMN number assigned by EPA (i .e. withdrawn or incomplete) . 5. Ifyou have submitted a notice of Bona fide intent to manufacture or import for the chemical substance covered by this notice, enter the notice number Mark (X) -i 

# E-1 assigned by EPA. --i if none 

# X 6. Type ofNotice - 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 claimas 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 ofthe substance based on the ninth Collective Index 9CI of CA nomenclature rules and conventions. Mark (X) the "Confidential" box next to an itemyou claimas 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 ofthat person 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 ofsubstance - 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 CA9CI 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 ofthe Identification ~ Method 2 (Other Source) report obtained fromthe CAS Inventory Expert Services must be submitted as an attachment to this notice) d. Molecular formula and CAS Registry Number (ifa 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 ofcomposition 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 ofpolymer, see the Instructions Manual .) Confidential a. Indicate the number-average weight ofthe lowest molecular weight composition ofthe polymer you intend to manufacture. Indicate maximumweight percent of low molecular weight species (not including residual monomers, reactants, or solvents) below 500and below1,000 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 500molecular weight : iii) maximum

weight %

below1000 molecular weight: 0 Mark (X) this box ifyou 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 itemyou claimas 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 ifentry in column (1) is confidential . (3) - Indicate the typical weight percent ofeach 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 ifentries in columns (3) and (4) are confidential . (6) - Indicate the maximum weight percent ofeach monomer or other reactant that may be present as a residual in the polymer as manufactured for commercial purposes. (7) - Mark (X) this column ifent 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 ofthe identification report E] Method 2 (other source) obtained fromCAS 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 ifyou attach a continutation sheet . EPAFORM

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. Ifthere are unidentified impurities, enter "unidentified ." (b) - Estimate the maximumweight % ofeach im

purity. If there are unidentified im purities, 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 acontinuation 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 ifyou attach a continuation sheet. 6. Generic chemical name - If you claimchemical identify as confidential, you must provide a generic name for your substance that reveals the specific chemical identity ofthe newchemical substance to the maximumextent possible. Refer to the TSCA Chemical Substance Inventory, 1985 Edition, Appendix Bfor guidance on developing generic names.

Mark (X) this box if you attach a continuation sheet . 7. Byproducts - Describe any byproducts resulting fromthe manufacture, processing, use, or disposal ofthe newchemical substance. Provide the CAS Registry

Number ifavailable. Byproduct (1) CAS Registry Number (2) Confidential 

### X X X

Mark (X) this box ifyou 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 itemy ou claimas confidential . 1 . Production volume -- Estimate the maximumproduction volume during the first 12 months ofproduction. Also estimate the maximum 

### production volume for anyconsecutive 12-month period during the first three years ofproduction. Estimates should be on 100%new chemical substance basis. For a Low Volume Exemption application, ifyou choose to have your notice reviewed at a lower production volume than 10,000 k /yr, specif

y the volume and mark (x) in the binding box. If granted, you are bound to this volume 

### Maximum

first 12-month production (kg/yr) Maximum12-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 ofthe category ofuse, 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 claimas confidential . a. (1) -- Describe each intended category ofuse ofthe newchemical 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 thefirst threeyears devoted to each category ofuse. (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 ifentry in column (6) is confidential business information (CBI) . 

### (8) -- Indicate %

ofproductvolume 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) -- M

ark (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 % ofsubstance 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 * Ifyou have identified a "consumer" use, please provide on a continuation sheet a detailed description ofthe use(s) of this chemical substance in consumer products. In addition include estimates of the concentration ofthe 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 continuati on sheet. b . Generic Ifyou claimany 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 ifyou attach a continuation sheet. Hazard Information -- Include in the notice a copy ofreasonable facsimile of any hazard warning statement, label, material safety data sheet, or other 3 Binding

. informationwhich will be provided to any Person who is reasonably likely to be exposed to this substance regarding protective equipment or practices Option Mark (x) or disposal of the new substance. List in part III hazard information you include. transport use for the safe handing

, , , ®Mark (X) this box ifyou attach hazard information. EPAFORM

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 itemyou claimas confidential Complete section A for each type of manufacture, processing, or use operation involving the newchemical substance at industrial sites o 

### y 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 op erations after im

port . You must describe these op erations. See instructions manual 1 . Operation description Conf- a. Identi ty -- Enter the identi ty ofthe site at which the operation will occur . dential

Name 

### See Attachments #3 and #6 . Site address (number and street) City, County, State, ZIP code Ifthe same operation will occur at more than one site, enter the number of sites. Identify the additional sites on a continuation sheet, and ifany 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 -- Com plete I or 2 as appropriate Maximumkg/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) Diagramthe major unit operation steps and chemical conversions. Include interimstorage 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%newchemical 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 ofrelease, including small or intermittent releases, to the environment ofthe 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~ ~;iNVII~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 formofthe newchemical substan , ce, number ofworks exposed, and duration of activity. Mark (X) the "Confidential" box next to any itemyou claimas 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 ifentry 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) ofthe new chemical substance (e.g., solid: crystal, granule, powder, or dust) and % new chemical substance (ifpart of a mixture) at the time ofexposure. (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) M k ar (x) substance ( 1 ) (Z) ( 3) (4) (5) ( 6) (7) Expose (9) (i0) (II) (12) d 

### (8) See Attachments #4 and

®Mark (X) this box ifyou attach a continuation sheet . 3. Environmental Release and Disposal -- You must make separate confidentiality claims for the release number and the amount ofthe new chemical substance released and other release and disposal information. Mark (X) the "Confidential" box next to each itemyou claimas confidential. (1) --Enter the number of each release point identified in the process description, part II, section A, subsection ld(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 ifentries 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 other (specify)) to which the newsubstance will be released fromthat release point. (5) --a. Describe control technology, if any, and control efficiency that will be used to limit the release ofthe new substance to the environment For releases . disposed ofon 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 th i er e waste 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) ofreleases to water . Please supply NPDES (National Pollutant Discharge Elimination System) numbers for direct discharges or NPDES numbers ofthe 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 maywish to optionally attach efficiency data) CBt Number released release (1) (2a) (26) eg sack air Binding (4) (3) (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-- HUMANEXPOSURE 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 ort S th I i p . ee e nstruct ons Manual . Complete a separate section B

foreach type ofprocessing, or use operation involving the new chemical substance. If the same operation is performed at more than one site describe the typical op eration common to these sites. Identify additional sites on a continuation sheet . 1 . Operation Description -- To claiminformation 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 interimsto d t , g rage an 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 ofall feedstocks (including reactants, solvents and catalysts etc) and all , products, recycle streams, and wastes. Include cleaning chemicals (note frequency ifnot used daily or per batch) . (3) -- Identify by number the points ofrelease, including small or intermittent releases, to the environment of the new chemical substance. (4) Please enter the # ofsites (remember to identify the locations of these sites on a continuation sheet) : Tofsites 

# See Attachment #9

.

®Mark (X) this box ifyou attach a continuation sheet. 2. Worker Exposure/Environmental Release (1) --Fromthe diagramabove, 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 ofexposure per worker in (a) hours per day and (b) days per year. (6) -- Describe physical formofexposure and %newchemical substance (if in mixture), and any protective equipment and engineering controls, ifany used to , protect workers. (7) --Estimate the percent ofthe new substance as formulated when packaged or used as a final product . (9) -- Fromthe process diagramabove, enter the number ofeach release point . Complete 9-13 for each release point identified. (10) -- Estimate the amount of the newsubstance released (a) directly to the environment or (b) into control technology to the environment (in kg/day or kg/batch). (12) -- Describe media ofrelease i .e. stack air, fugitive air (optional-see Instructions Manual), surface water, on-site or off-site land or incineration POTWor other , , (specify) and control technology, if any, that will be used to limit the release ofthe new substance to the environment. (14) -- Identify byproducts which may result fromthe operation . (3), (5), (8), (11), (13) and (15) -- Mark (X) this column ifan ofthe proceeding 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 f F o Engineering Controls/ orm- Number New &Control Act- Exposed Exposure Physical Formand % ulation Substance Technology i i v ty newsubstance 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 ifyou attach a continuation sheet, EPAFORM

7710-25 (Rev. 5-95) Page 10

### p. 11 

# OPTIONAL POLLUTION PREVENTION INFORMATION To claiminformation in this section as confidential circle or bracket the sp ecific information that you claimas confidential

### . In this section you may provide information not reported elsewhere in this formregarding your efforts to reduce 

## or minimize potential risks associated with activities surrounding manufacturing, processing, use and disposal of the PMNsubstance. 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 ofuseful chemical components fromwastes 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 EPAis 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 PMNsubstance to potential alternatives may be provided. All information provided in this section will be taken into consideration during the reviewof this substance

. See Instructions Manual and Pollution Prevention Guidance manual for guidance and exam ples. 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 ofthe new chemical substa i i

nce n compar 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 p

oses a g reater 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.

0Mark (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 formand 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 ofthe formto 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 claimas confidential . Read the Instructions Manual for guidance on how to claimany information in an attachment as confidential . You must include with the sanitized copy of the notice forma sanitized version ofany attachment in which you claiminformation 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- Processing 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 ifyou attach a continuation sheet. Enter the attachment name and number. EPAFORM

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 5Fire 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 6Accidental 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: FollowOSHA 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&DExemption 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 ofthis product, express or implied, with respect to such information, and it assumes no liability resulting fromits 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 fromhandling or contact with the above product .



## 4 00~u0 1 G

### p. 17 PHYSICAL ANDCHEMICAL 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 ofthe 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 (%PMNsubstance in _J . You are not required to submit this worksheet ; however, EPA strongly recommends that you do so, as it will simplify reviewand 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 oftest 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 Tem p erature 25 °C X 17 Insoluble E Meltingtem

perature 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 fromwater Volitalization fromsoil H concentration Flammability Ex lodability Adsorption / coefficient Other - Specify

------ I 

# G1 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 andCASInventory 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 PMNp . 8 Manufacturing and Processing Information on the NewChemical 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 PMNP. 9 Worker/Occupational Exposure Information on the NewChemical 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)

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### TS-NCIC60

X

x

x x

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### x 

### p. 27

x

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# 0000 1,2w, 7

### p. 28 TS-NCIC60 

### Attachment #5 

## Part II Section A

.3 PMNP . 9 Environmental Release and Disposal Information on the New Chemical Substance at IndustrialSites 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) Binding 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 PMNp. 8 Manufacturing and Processing Information on the NewChemical 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 SectionA

.2 PMNp. 9 Worker/Occupational Exposure Information on the NewChemical 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

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### p. 34

TS-NCIC60 

## Attachment #8 Part II Section A

.3 PMNp. 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 Binda Mk 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 PMNp. 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 PMNp. 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/ (per site Technology Physical Formand % 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

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X X X

(14) - Byproducts (15)