U . .S. ENVIRONMENTAL PROTECTION AGENCY 

; .

1

ii:f l_j J ,1 ,jl' ! ,, 

PREMANUFACTURE 

-~QTICE __ 

FOR NEW CHEMICAL SUBSTANCES 

Enter the total number of pages, 

in the Premanufacture Notice 

Date of receipt 

2003 AUG -6 PM 3:· 1'5 

Company Sanitized 

• You 

not have 

must 

actual 

provide 

data. 

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 

. · · 

• Before you complete 

· ' 

Subst_ances Control Act 

this 

(TSCA) 

form, you 

Information 

should .read 

Service 

the "Instructions 

by 

Manual for Premanufacture Notification" (the Instntctions Manual is available from the Toxic · 

calling 202.-554-1404, or. faxing 2.02.-554-5603). 

• U a user fee has been remitted for this notice (40 CFR 700.45),indicate in the boxes above the T5-user fee identification number you have generated. 

Remember, your user fee ID number must also appear 

· 

P.O. 360399M, Pittsburgh,PA 15251-6399;Attn.-TSCA 

on your corre~ponding fee remittance, which is sent to: EPA, HQ Accounting OperatioJ!S Brandt (PM-2.66), 

'User Fee. · · · · · ·· 

Put 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 EP~ receives this infolDlation. 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 IT- HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE 

U there are several manufacture, processing, or use-operations to be described in 

Part II. sections A and B of this notice, reproduce the sedio.ns as neeqed. 

Part ID- UST OF ATTACHMENTS 

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

Label each continuation sheet wlth the corresponding section heading.· In Part 

lll'.list these attachments, U\Y test dati. or other data and any optional 

infolDlation included in the notice. 

OPTIONAL INFORMATION 

You·may include any information that you want:EP A to consider in evaluating 

the new substance. On page 11 of this folDl, space has been provided for you to 

describe pollution prevention and recycling infolDlation you may have regarding 

the new.substance. 

So-called "binding" boxes are included throughout this folDl for you·to indicate 

your willingness to be bound to certain statements you make in this notice, such 

. as use, production volume, protective equipment ••. This option is intended to 

reduce delays that routinely acmmpany 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~ ~y itself prohibit the submitter 

from later deviating from the infolUlation (except chemical identity) reported in 

the folDl. 

CON,FJDENTIALITY CLAIMS 

You may claim any·infolDlation in this notice as confidential. _To assert a claim 

on the fo~ marie (X) the confidential box next to the infolDlation that you claim 

as confidential. To assert a claim in an attachment, circle or bracket the 

information you claim as confidential. If you claim lnfonnatiop ip the notice as 

confidential. you must also proyjde a sanitized yexsjop of the notice. <includiDJ: 

attachments). For additional instructions on claiming information as 

confidential, read the Instructions Manual. 

csa l.1ark (X) if any infonnat~on in this notice is claimed as confidential. 

EPA FORM 771 0-25 (Rev. 5-95) 

TEST DAT-A AND OTIIER DATA 

You· are required to submit all test data in your possession or control 

and to provide a description of all other dati. known to or xeasonably 

. ascertainable by you, if these dati. are related to the health and 

environmental effects of the manufacture, proCle&Smg, distribution 

in rommerce, use, or disposal of the new chemical substance. Standard 

literature citations may be submitted for dati. in the open scientific 

·literature. Complete test data Cwxitten In English!. not summaries of dafa. 

must be subuiitted if they do not awear in the OJ>en lit~. You should 

clearly identify whether test dati. is on the substance or on an analog. Also, 

the chemical composition of the tested material should be characterized. 

Following are examples of test dati. and other data. Data· shoUld be 

submitted according to the requirements of §720.50 of the Premanufacture 

Notification Rule (40 CFR Part 720). 

Test . Dati. (Check Below any included in this notice) . .. 

"· :•En:vironmental.<fat:e. data ..,Q Yes 

0 Yes 

0 Yes 

• Otherdata 0 Yes 

Risk assessments • Health effects data 

• ·Environmental effects dati. Structure/activity relationships 

• Physical/Pemical·Properties •[il Yes Test data not in the possession 

. or control of the submitter 

•A physical and chemical properties worksheet islocated.on the last page 

· of this form. 

TYPE OF NOTICE (Check Only One) 

.fiJ -PMN (Pr~anufacture Notice) ~ 

0 . INTERMEDIATE PMN (submitted in sequence with fin~duct ~ 

PMN) .. c-... 

0 

0 

D 

D 

0 

c~ <:::">...: 

-"') .;;;:o - "-bh1 0.:> -., (") 

'l""r-] "(:) ... ":;';;..-- L VE (Low Volume Exemption) 0 40 CFR 723.50 (c)(1J:.1<.~ c) -.r::: . . -- f"rJ LOREX (Low Release/Low Exposure Exemption) @ -kt?SO(c){i)> t::::J 

SNUN (Significant New Use Notice) 

TMEA (Test Marlceting Exeinption Application) 

L VE Modification . 0 LOREX M~llf~ 

IS TinS A CONSOLIDATED PMN7 :r:gj . Yes 

II of chemicals <. 

(Prenotice Communication il required, enter ll.;n page 3). 

Replaces previous editions of EPA Form 7719-25. 

I ~--~-·1···- I: .... ---,---;--r-- I I --~--··-~ I 
l'ubUc rcporttng burden for iliis collection of information is estimated to average 110 hours per response, including time for reviewing instructions, 

·, .searching existing d::~to:~ sources, gathering and maintaining the d:ita needed, and c:omplcting and reviewing the collection of information. Send 

comments regarding ilie burden estimate or 01ny other aspect of this collection of information, including suggestions for reducing this burden, 

to Chief, Inform::~tion 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 Bud~et, Paperwork Reduction Act (2070-0012), Washington, D.C 20503. 

CERTIFICATION 

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

1. The company named in Part I, section A, subsection la of this notice form intends to manufacture or import for a 

Part 

commercial purpose, other than in small quantities solely for research and development, the substance identified in 

I, Section B. 

2. All infonnation provided in this notice is complete and truthful as of the date of submission. 

3. 

or 

I am submitting with this notice all test data in my possession or control and a description of all other data known to 

reasonably ascertainable by me as required by §720.50 of the Premanufacture Notiiication Rule. 

Additional Certification Statements: 

.If you are submitting a PMN, Intermediate PMN, Consolidated PlvfN, or SNUN, check the following user fee certification 

statement that applies: . 

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

D 

·accordance 

The Company 

with 

named in Part I, section A has remitted the fee of $1000 for an Intermediate PMN (defined@ 40 CFR 700.43) in 

4D CFR 700.45(b), or 

D 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 (L VE) application in accordance with: 40 CFR 723.50 (c) (1) or a Low 

certification 

release and low exposure exemption (LoREX) application in accordance with 40 CFR 723.50 (c) (2), check the following 

statements: · 

D The manufacturer submitting this notice intends to manufacture or import the new chemical substance for 

commercial 

of 

purposes, other than in small quanti,tilj!S solely for research and development, under the terms 

40 CFR 723.50. . . 

The manufacturer is familiar with the terms of this section and will comply with those terms; and 

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

D 

D 

D If 

manufacture 

this application is for an LVE in accordance with 40 CFR 723.50 (c)(l), the manufacturer intends to commence 

of the exeii1pted substance for commercial purposes within 1 year of the date of the expiration of the 

30 day review period. ' 

The accuracy of the statements you make in this notice should reflect your best prediction of the anticipated facts regarding the chemical 

substance described herein. Any knowing and willful misinterpretation is subject to criminal penalty pursuant to 18 USC 1001. 

Signatux:e and title of Authorized Official (Original Signature Required) Date 

Signature of agent- (if applicable) Date 

FORM EPA 7710-2.5 (Rev. 5-95) Page2 

Confid entia.J. 

X 
la. Person 

Submitting 

Notice 

(in U.S.) 

b. Agent (if 

applicable) 

Part I- GENERAL INFORMATION 

Name 

address (number 

Gty, State, ZIP Code 

Name of authorized official 

Mailing address (number and street} 

Gty, State, ZIP Code 

Telephone 

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

Joint 

Submitter 

(if applicable) 

2. Technical 

Contact 

(in U.S.) 

Name of authorized offidal 

Company 

Mailing address (number and street) 

City, State, ZIP Code. 

Name 

Company 

Mailing address (number and street) 

Gty, State, ZIP Code 

3. If you have had a prenotice communication <PO concerning this notice · 

and EPA assigned a PC Number to the notice, enter the number. 

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

substance covered by this notice, enter the exemption number assigned 

by EPA. If you previously submitted a PMN for this substance enter the 

PlviN number assigned by EPA (i.e. withdrawn or incomplete). --....::>-~. 

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

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

=~=ber~~~~ > 

Type of Notice- Mark (X) 

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

l.D 

D 

Manufacture 

Only 

Binding Option Mark(x) 

Page3 

Position 

Telephone 

Position 

Telephone 1 

I 

Mark(X) 

if none > D 

Mark (X) 

if none » D 

Mark (X) 

if none > D 

2. ~ Import 

Only 

D D Both 

BindingOption 3. 

Mark(-.:} 

Confl:·~ 

dential 

'X 

)( 
Patti~- GENERAL INFORMATION- . Continued . . . . . ' 

SectionB - CHEMICAL IDENTITY INFORMATION: You must pro'?de a ~tly COrrect Chemical Abstracts {CA) name oHlie substance. , _ · 1!ased on the runth Collective Index {9Cl) of CAnomenclature rules and. conventions. 

next to any item you claim as confidential. 

' . Complete either ', 

item 1 (Class1 or 2 substances) .or 2 (Polymers) as appropriate. Complete all other items. ' , • • ~ I ' • • • • • • ' • <i ' ' 

If another person will submit Chemical identity information for you (for either item l-or 2); mark (X) the box at the r~t. 

· the and address of that a continuation Sheet. ·- . >-

1. ·Class 1 or 2 Chemical substances (for definitio~ of class 1 and class 2 substances, see the Instructions Manual) · 

a. aa:ss ofsubstance- Mark (X) 1 0 Oass 1 . ,or 2 0 Oa~ 2 . 

b. Otemi~ name (Currently correct Oi.emicalAbstract~ (CA) Name that iS consistent with TSCA Inventory lisfutgs for siii!ilar substances. For Qass lsul,lstances a·<:A Index Name must be provided. For Oass 2 substanceS either a CA IndexName. orCA Preferred Name be provided, whj.chever is appropriate based on CA 90 nomenclature rules and conventions.). · · · 

c. J:'lease identify which method you used to develop or obtain the s~ed Chemical indentity information reported in this notice:_ . · (checl<:·omi). · , · · .· .· . ·. , ' · 

·· . · 0 Method l (CAS Inventory Expert Service - a copy: oftheidentification · QM:ethoo 2 (Other Source) 

reportobtainedfrcim the CAS Inventory Expert Service must be 

submitted as an attaChment to this notice) . 

. d; Molecular formula and CAS Registry Number (if a ~umber already existsfor the substance) . . ~ 

CAS# 

e. For. a da,(is 1 'substance, provide a complete ~d correct. clu~micill structure diagram .. For a clalJS 2 substance - (1) Ust the immediate 

precursor. st.ibstances with thefr respective CAS RegistryNumbers. (2) DesCribe the nature of the reaction or process. (3) Indicate the range of;s:omposition and' the typical composition (where appropriate). (4) Provide_ a correct representative or partial Chemical: . ·structure diasram, as complete as can be knoWn, if one c~ be reasonably ascertained. 

l 

:~ 

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

. . FORM EPA 771~25- (Rev. S:.95) Page4_Q 
Part I~- GENERAL INFORMATION- Continued. 

SectionB- CHEMICAL IDENTITY INFORMATIONi You must provide a currently correct Chemical Abstracts (CA)name of the substance 

basecton the ninth Collective Index (9CI) of Cknomenclature rules and. conventions;. . 

you claim as confidential. 

· . Complete either item 1 (Class1 or 2 substances) ,or ~ (Polymers) as appropriate. Complete ~II other items. 

· If another ~5on will submit Chemical identity information for you (for either item 1·or 2); mark 00 the box· at the rigl!t. . 

· · · the · ·and address of that a continuation Sheet. ·. >" 

1. Class 1 or 2 chemical substances (for definitions of class 1 and class 2 substances, see the Instructions Manual) ·. 

a. aa:s8 ofsubstance- Mark 00 1 D Oass 1 . .or 2 D Oass 2 

·. b. Chemi~ name (C~ently .correct c:ltenuc3J.Abstrac~(CA) Name th~t iS coruiistent with TSCA Iriventory listings for siriUlar substances. For Oass.l substances a·CA: Iridex Name must be provided. For Oass 2 substances either 11 CA Irid~ Name or CA Preferred Name be provided, whj.cltever is appropriate based on CA 90 nomenclature rul~ and conventions.). · . · . 

· c. Please identify whiclt method you used to develop or obtain the s~ed Chemical indentity information reported in this notice: : (cltee:k'omi). · . , · . . ' · 

. ' D . Method r (CAS.Inventory Expert Service - a copy ofthe Identification . Q:Method 2 (Other Source) 

report.obtainedfrom the CAS Iriventory Expert.Service must be 

as an attachment to this notice). . 

·d. Molecular formula and cAs Registry Number (if a ~umber a:Iready exists for the substance) ' . . ' ,~ . 

CASt 

e. For a cla,!Js 1 substance, provide a complete and correctcltqmical structure diagram .. For a class 2 substance- (1) List the immediate 

pr~r substances With their r~tive CAs Registry Numbers. (2) DesCribe the nature of the reaction or process. (3) Iridicate the . -X range o(~mposition and the typical composition. (where appropriate). (4) Provide a correct representative or partial chemical 

structure diasram, as complete as can be krio'Wn, if one c~ be reasonably ascertained. 

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

.. FORM EPA 7710-25. (Rev. S:.95) Paged~ 

-,~·~c··~r···--~-~··r· 

I 
\ Part! -GENERAL INFORMATION- Continued 

~ Section B- CHB1lC.A..L IDEN11TY INFOR..\1ATION - Continued -~ 

::!.. Polymers (For a defutition of polymer,~ the Insauctions Manu!.) Confi- .. ~ 

denti:ll 

;~.. lndicte the numbe:r-ave:-:1ge weight of the lowest molec-.llar weight composil:icn of the polymer you intend to.manufacture. 

~dicte maximum wei.~1t per=t of low molecular weight species (not including re5idualll)onom~. react:lllt:s, or :10lvent:s) below 

5iXl and below 1,000 absolute molec-.l!.ar wcight of that composition. • 

De3cribe the methods of me;;asurement or the basia far your e3t:imates: GPC 0 Othe:-0 : (Specify) 

!) lowest n=i:>e ave:n.;e mciec".:l:lr w.:;::t: - Ul m== w~~t ,. below 500 tnol«ui.ar wcgi"'!: 

iii) :naxi::::= wei;-~~ ,. below loaJ tnOitr.:l:lr wcgh:: 

0 Mark (X) this box if you attach a continuation 3heet. 

b. You must make separate ccniid.entiality d.ai:ms for monomer or other reac:mt identity, c:cmposil:icn inio=oon, and resJ.Ciual iJ:!icnnati.on. 

Mark (X) the MCon.fide:ntialM box next to any item you claim as c:oniidential. 

(1) - Provide the spec:ii.c chemical n=e and CAS Re<gistty Number (if a number exists) of eac:h monomer or other reac::mt used in the 

manuiac::ure oi the polymer. • 

(2) - Mark (X) this colu..-m if entry in column (1) is a:miidential. 

(3) - Indic::tte the typial. weight percent of each monomer or other reactant in the polymer. . 

(4) - Mn-k: CC the identity column ifycm w:mta mcmomer or other reac::;ntused at.two weight percent or less tc be wted as part of the 

polymer description on the TSCA Chemical Substance Inventcry. 

(5) - Mark (X) this c:cit:mn if entries in columns (3) and (4) are c:cniidential. 

(6) - Indic:ate the maximum weight percent of each moJ)cmer or other reac:tmt that may be present as a residual. jn the polymer as 

manuiad:ured for c::ommerCal purposes. 

(7) - Mark (X) this c:ciumn if entry in column (6) is confidential. 

Monomer or other react:lllt and CAS Registry Number Conn- T ypt 'cal Identity Con.fi- Ma:d.mum Conii.-

dmtial. composition Mark CO dential residual dential. 

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

_1'! ;:, 

. % r • 

-~- % 

. ·'10 % 

,. ;:, 

'!';, ""~ 

'10 '10 

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

c. Please identify which method. you U:li!Ci to develop ar obtain thespediied dlemic::!l.ideniity inio=aticn reponed. in thi3 notice.. (c:heci; one). 

D Method 1 (CAS Inventory Expert Servia!- a ccpy of the identification report 0 Method 2 (other source) · 

o btai:l ed. from CAS inventaty Expert Service must be submi!:ted :as 

an attac:..'"une:n t to thi3 notice) 

d. T.i'te o...-ren tly correct C"lemic::d :Abstrac::l (CA) name fa: the poiymer that i3 consistent wil.i. TSC:A Inventa')" lliltings £or similar pol~ 

e. Provide a correc:: representative or parti.;d c:hemi.Cil. ~ diagr=, as complete as= be .known. ii one= be reasonably asc:e::-tai.ne: 

- -

- . 

-

' 

0 Mark 00 this box ii you att:adl a ~~'uatian sheet. 

FO RM EPA m 0-25 (Rev . 5-95 PageS 
Part! -GENERAL INFORMATION- Continued 

~ Section B - CHEvrrCAL IDENTITY INFORMATION - Continued 

l. lnlparitles .. 

- (~ -

Pn:~vi 

Identify 

de the 

-=b. 

CAS 

lmparity 

Repl~Crr 

th.x 

N 

m.zy 

amber 

be 

if 

reuo=bly 

uaW.ble.. 

utic:ipaed 

If then. .ve 

liD 

.Wdentifled 

be pnooeat ID 

1m 

the 

pa:rltirs. 

chemic:a1 

eabor 

sab.toa:r.ce 

"1uUdmt!Bed. 

a m.mabc:u.n:d far annmcrc:W p~ 

• · 

(b) -Estim&e the m.aximam weight ~ of ....a lmp-arity. U there .m: uidmtifl.ed lmpartlirs,. ~a., thar~ w~ht ~-

Impurity and CAS Registry Number Maximum Conii- ~ 

(a) percent dential (b) 

% X: 

% 

'7. 

'7. 

% 

'10 

% 

0 Mark CO this box if you attac:h a c:ontinuation sheet. 

4. Synonyms - E."lter any chemical synonyz:ns fa the new chemic:al. substance identified in sub!ledon 1 or 2. . ~:l 

0 Marl: CO this box if you attach a amtinuation sheet. 

S. T.rade ici enti.-'iat:ioa - List traCe names for the new chemical.~ identified in subse::ticn 1 ar 2. 

0 Mar.k 00 this box if you attadl a amtinuati.on sheet. . 

6. Generic: ch emial name -

that 

If you 

reveals 

ci3im dlemic:::U identity as =Uiciential. you·must provide a generic chemic:::U name for y= substance 

Reier 

the specific chemic:::U identity of. the new chemicl substance to the maximum extent possible. 

to the TSC.o\ Chemical. Substance Inventory, 1985 Editian, Appendix B for guidance on developing · . . 

ge:nenc names. . . 

\0\od\{\~ ?o\j\S.o~y~ll'o-te 

D Marl: 00 .this box if you attach a amtinuation sheet. 

7. ByprodumRegistry 

De&::ibe 

Number 

any byprodud:! 

if available. 

resulting from the mmuiac::lre. ~g, 1l:le.. a disposal r:i the new che:nic:::U ~ Provide the CAS 

· 

Byproduct CAS Registry Number Conii-

(l) (2) dcntial. 

- . -

. 

D M:zr.k (X) this box if you attach a CDntinuatlat sheet. I 

FORM EPA 7710-:ZS (Rev. 5-95) Pagt'6Q-

••• , ' • ' • -.>o I I 
Pari I -GENERAL INFORMATION- Continued 

Section B -CHEMICAL IDENTITY INFORMATION - Continued 

l. lmpuritles ;. 

(.l)- IdmUfy eadllraputity th..t m;ay be reuoD.>bly :mtic:i!"'*ed to beprew:Dt In the c:hemia.IJabd:mce a m.m~ far a:nnmerc:iaJ. purpo.es. 

. Provide the CAS R~ Numl>er If nai.Uble.. If there..., wdc:ntified lmputltla. ealier"v.D.idc:ntified.• · 

(b) -&Um.ote the m;aximum weisht ,. of eaca lmpur.tty. u then:~ 'llllidc:ntifiecilmpurltia,. atim&.e thdr toW weight'"· 

Impurity and CAS Regi:st:ry Number ~ 

Maximum Coaii-

(a) pera:nt den rial (b) 

'K. ')( 

% 

'7. 

'7. 

'7. 

'K. 

% 

. Q_ Mark 00 this box if you attach a amtinuatian sheet. 

4. Synonym• - E."lter any chemic::al. synonyms fer the new d!emic:al. substance icienti.6.ed. ±n su~on 1 or 2. . =I 

0 Marx 00 this box if you attadl. a continuation sheet. 

s. Tr.ade i.dent:ifu:at:i.ao- Ust t:racienames fer the new c:hemic:alsubatanc:e identified in subeedcn 1 or 2. 

>< . 

0 Marx CO this box if you attach a continuation sheet. . 

6. Generic dlemic!.l namethat 

If you 

reveals 

claim cilemic::d identity as ccruld.ential. you·muat provide a generic chemic::d name for your substance 

Reier 

the specific d!e:micll. identity oi the new chemic:al substance to the maximum extent possible. 

tc the TSC.o\ Ctemicll Substance Inventory, 1985 ECitlat, ~c!lx B for guidance on developing . . ge:nenc names. . . 

~0(~\-\-\~ ~o\ y\~C:C.'{O-.'f'O-"t e.. ·. ' 

. 

0 Marx (X) .this box if you attach a amt:lnuatia:t sheet. 

7. ByprociucaRegistry 

De:lc:ibe 

Number 

any byproduc%3 

if available.. 

resulting £rem the mmuiac:::lre. ~g, u:~e. or~ oi the new chemical sub8ta.nc:e. Provide the CAS 

· 

Bypnxiuct. CAS Registry Number CQnfi.-

(1) (2) den rial 

. .. -

-

0 Mar.k: 00 thia box if you at:t:a.d\ a a:mtinuaticn sheet. 

FORM 

I 

EPA mo.25 (Rev . .>95) Page 6!::-. 

e _._., n ,,. --- >•L~ .... ~ •- ~ .. ~~ 

I 
Part I -GENERAL INFORMATION- Contiriued 

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

Mark 00 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, 

100% new chemical substance basis. For a Low Volw:ne Exemption application, if you choose to have your notice reviewed at a lowe 

production volume than 10,000 kg/yr, specify the volume and mark (X) in the binding box. If granted, you are bound to this volumE 

Maximum first 12-month production (kg/yr) Maximum 12-month production (kg/yr) Con£i- Blaclbas 

denti.al Optioa (100% new chemical substance basis) (100% new chemical substance basis) Muk(x) 

. )( 

2. Use Information - You must make separate confidentiality claims for the description of the category of uR, the percent of Foo,uction volume 

devoted to each category, the formulation of the new substance, and other use information. Mark 00 the "Confidential" Box next to any item you 

claim as confidential _ . 

a. (l) - Desaibe each intended category of use of the new chemical substance by function and application. ., 

(2) - Mark (X) this cchmm if entry in mlumn (1) is confidential business ~tian (CBD. · · (3) - Indicate your willingness to have the information provided in column (1) binding. " 

(4)- Estimate the. percent of total F,Oduction for the first three years devoted to each category of use. " ; 

(5) - Mark (X) this column if entry in mlumn (4) is confidential business information (CBD. · ·- (6) - Estimate the percent of the new substance as formulated in mixtures, suspensioDa, emulsions, solutions, or ~ 

as manufactured for commercial purpoees at sites under your control usociated with each category oi use. 

(7) - Mark (X) this column if entry in mlumn (6) is confidential business information (CBD. . (8) - Indicate 110 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 cchmm if entry(ies) in mlumn (8) is (are) amfldenti.al business informaticm (CBD. 

Category of use (1) CBl 'BmcUa1 Proc:iuc- CBI '!I. in CB1 '!1. of substance. expected per use ~ (by function and application i.e.· a dispersive dye for Optioll tion"' Form- (8) Muk(x)· ulation finishing polyester fibers) f:xte- ·~· Indus- Com- Binciing (2) (3) (4) (5) (6) m limiteci ~er trial merc:ial Option ( 

'X % )( % :X ,, f:l, 

% % 

% % 

% % . 

% % 

. 

% % 

%' % 

•If you have identified a "consumer" use, please provide on a continuation sheet a detaued 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~ substance loses its identity in the consumer product. 

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

b. Generic If you claim any category oi use deila:ipt:lan In subsec:timl. 2a u amfidential. enter a geMric desc:riptioo oi that 

use category. Read the IDitrUc:t:iaaa Manual for examples oi generic. use deacriptianL • 

desaiption 

~~(}-.~~~~" 

0 Mark (X) this box if you attac:h a canl:lnuatian sheet. 

3. Hazard IDfozmatkm- lndude in the notice a copy oi teMClnllble fac:aimile oi any hazard warning statement,. label. material safety data lbeet. llladi 

or other information which will be provided to any pe:raoo wbo Ia reuonably Ukely to be expoaed to this subeamce regarding protedive Optic 

I D ~pment 01: practices foe the safe handling, transport. use. or dispoaal. of the new suhstaDoe. u.t in put m ~information. you indude. 

Waril: 

Mark 00 this box if vou attach hazard Information. · · · · · 

FORM EPA 7710.25 (Rev. 5-95) 
Part. II - HUMAN EXPOSURE AND ENVIRONMENT At RELEASE 

Sectio~ A - lNDUSTRIAL SITES CONTROLLED BY THE SUBMl II ER Mark 00 the ·eo~dential" bo~ next to any item you 

Complete secti011 A foe each type of DWlufactare, prace..ut&- oc UM opentioa involving tbe new chemical JUbllallce at uuiu8trialsita y011 coatro 

lmporten.do not have ID complete tbillect:ioD for opuatiaile aabide tbe U.S.; however, yoa may ltUl have repart:iDg requimzwsta if tbU'I! Ill further i.Ddv.atrial proceAing or u• operatiaaa after impcllt. Yoa 111111t deKribe these operatiolll. See i.Datrv.ctiODI m.mul. · . . . .. ' ', . . ' . . .. • 

. ·., .: .. 

a. of the site at wbic:h the Will occur. 

... Name' ' .~. . . •,. · .... :1:·- •., ,''.\1• ' !' .~: ,, •;,, : '•• •'J: I 0 ',:, '' 

•,,. · .. ' ,. II .. :··'' •' ,' ···:' . .. ... ' 

:· ::; ... ·:i. 

··. ·Site and street). 

Clty, County, State, ZIP~ 

U. the same operatiaa ~ oa:ur at more than aae lille, enter the number of. lites. Identify the 

additional !lites on a ccatirluatiaa sheet, and if ay of. tbe lites have ligrlificantly diliermt · > production rates oc operatiODB, indude Ill the inicnNti.Oil requatediD thilleCti.an lor the.~ 

attach a ccadnuatitm lheet. 

b. Type- . 

MarkOO 0 Pioc:e.utg Ou. · 

1. B.tc:h 

ci P:roces clelc:riptial\ Mark oo m iadicaellyCIIU wUliap-•••1'CIIIIr pnaca~ dncript:laa btltdiDJ. 

(1) Diagram -the major unit operati011 stepa Ind. ~ CDII\IInka. ~ 1nterbn ltaragemc:l traD~pC~rt a:ntalnen (spedfy--Lg. S gallaa pels, 5 

gallon drUm. rail c:ar, tank truck, etc:.). · · . · · · · 

(2) Provide 

materlala 

the identity, the apprmdmate weight (by kg/day arkg/'blldt aa111'll:m new c:beiJ;Iical. subltanae basis), md entry pcint of. all starting 

and .feedlltrx:kl (induding re.dmta, aalvedl, mel c:at:al:ylta, &), llld of. aD prodUdl, ncyde ICnmal, IDd wuteL lndude delming chemicals (note frequency if not uaeci cbiily ar per Du!L). · · . · · · · ('3) Identify by num~ the pointa of. re-,. inc:ludlllg snail oc IDII!rmittllllt ,._.., to lbe I!IIYirOilment oi the new chemical sublltanc:e. 

0 Mark 00 this box if you attach a COIItinuatiCXI sheet. 

FORM EPA 7710.25 (Rev. 5-95) 

... 

.. 

·. 
Part II -- HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE- Continued 

~ Section A- INDUSTRIAL SITES CONTROLLED BY THE SUBMII I l:ili.-Continued 

2. Occupational Exposure- You must make separate confidentiality daims for the desa:iption of worker activity, physicll. form of the new chemical substance, number of workers exposed. and duration of activity. Mark (X) the "Confidential" box ne:ct to any item you claim as amfidential. (T)- Describe the activities (e.g. 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 you 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 confiqential business information (CBI). 

(8)- Estimate the maximum number of workers involved in each activity for all sites combined. (9)- Mark 00 this column if entry in column (8) is confidential business information (CBl). 

(10) and (11)- Estimate the maximum duration of the activity for any worker in hours per day and days per year. (12)- Mark (X) this column if entries in columns (10) and (11) are confidential business information {CBI). 

Worker activity CBI Protective Equipment! ~inding i' nys1cai form\SI !Binding CBI I of CBI Maximum duration CBI (e.g. bag dumping. .filling drums) Engineering Controls pption (e.g.solid:powder) pption Workers ~arit (x) and% new r.tar1c (x) Exposed Hrs/day Days/yr 

ffi (2) (3) (4) subs~ce IEl m (8) (9) (10) (11) I l12l 

... 

0 Mark (X) this box if you attach a amtinuation 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 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 kg/batch). (3) - Mark (X) this column if entries in columns (1) and (2) are mnfidential business information (CBI). (4) - Identify the media of release ie. stack air, fugitive air (optional-see Instruction Manual), surface water, on-site or off-site land or incineration, P01W, or other (please specify) to which 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 whether the waste is subject to secondary or tertiary on-site treatment. b. Estimate the amount released to the environment after control technology (in kg/day). (6) - Mark (X) this column if entries in columns (4) and (5) are mnfidential business information (CBI). 

\7) - Identify the destination(s} of releases to water. Please supply NPDES (National Pollutant Discharge Elimination System) numbers for direct ··dischargers or NPDES numbers of the P01W (Publicly Owned Treatment Works). Mark (X) if the PO'IW 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) Number release CBI 

(1) (2a) (2b) : Blncllng e.g. otackalr 

(3) (4) (Sa) MarkU<) (Sb) (6) I 

I 

I 

I 

I 

I 

I 

I 

I 

I 

I 

I 

I 

I 

I 

I 

(7) Mark (X) the D POTW provide name(s) below: CBI 0 Navigable 0 Other- Specify provide NPDES # CBI 

destination(s) of - waterway 

releases to water. 

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

FORM EPA 7710..25 (Rev. S-95) Page9 

// 
.. 

Part II- HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE- Continued 

• Section B- INDUSTRIAL SITES CONTR.OLLED BY O'l1li!RS 

Complete eec:tlan B ~typical procesalngor use operations involvh!g the new dlemica1 substance at sUes you do not amtrol.Importen do nothaVI to 

ManuaL 

complete 

Ctmqlltle 

thistii!Ctloll 

• ,.,.re 

a Operatlcms outside the U.S.; however, youiDUIII:tepcld any proce88IDg or use activities after import. See the~ .~ fiCtion B for llldt type of Jm~CtSSillg,"',. opcrafim iii'IIOltlillg tire ,.,., c1rernit:tll ~ If the same operation :Is & at more than one llile daiCilbe the typiCII operali<m CQII\11\011 to thele aill!8. Identify additional sites on a continuallon sheet. 

11. OpuatioD Dacriptial-To daim.mfonnatlmill this section as Clllllfldeolilll, c:irde 01' bladrd the specifk: iniOI'matiolllhat you daiJn as cxm&denllal jos, 55p11on 

(l)-Diapm the major unit operatiollllll!pB and dlemical cxmvemions, indudiag iDterlm storaue and tranaport Clllllainenl (specify- e.g. 5 pUoo p 

ciNme,. rail an, bmk trw:b, ete). 01\ the diagram, Jdciulify by Jetter and briellydeacdbe each wmbs: activity. (2)-Provide the identity, 

solvent~~ 

the appoxilltate Might (by kg/day or kg/balda, on an 1~ ~ dteadalllll.1blltance basis), and eDiry poiDt of alleedstorb (including reaclaDis, 

batcb). 

and calal~ etc) and of an produds, teeye1e lltl.'eamlf.and Wlllls. Include deaning dtemic:als (Dole &equePcyifnot used daly or per (J) -lden by IIUIDber the poiDIB of JeJeaee, indudingamal ar illtennitllent le1eases, to the envlroJIJQent oE the new chemical eubetancle. (4) Please entar lhe II of lites ( temell\ber to identify the localklas ol theae Bites m a cantinuatiClll sheet) : {_ 

iohak!B 

We do not have the information on worker ex:posure 

or environmental release. 

I 0 MaJ:k 00 this boxif you attad\ a Clllllinuatlon sheet. 

2. Warlrer~IReleue 

(1)-From the diapln above, pnwide the letter' lot' each WOI'ker aclivtly. Comp1ele 2-8 lot' each-- activity dellcribed. (2)-Eadmate the mmtb. of Mll'lcen expoeedfor all aitee Cllllllbined. · (4)-Estimate the typical cluratkln oE exposw:e per worker in (a) hours per day and (b) dayw per year. 

j!d (6)- Describe phyaical fonn of~ and 1ro new c:bemicaliiUbelance Of in Ddxture), and anyprotec:tlwe equipanent and engineedng Clllltrols 1.11 to protect worbn. 

(1)-B'slllnale the pel'Q!llt of the new substance as fonnulaled when packaged or used as a final product. (9)-From the poceaa di.agramabove. enter the nuuiber of eadl releaae paint. CompJele 9-13 lot' each release point idenHfied. (10)- F.sllmale the amount of the new 8Ublltance :re1eaBed (a) dindy to the enviromnent or (b) into Clllllrol tec:lmology to the env.homDeatt (in kg/day Ill" kg/baldt). 

(12)- Describe media of release i.e. !lladc alr,.fusitlve air (optional-see hultrudloas Manwd),swface water, OIHIIe ar ofHUe land orilldneratlcm. 

POlW,or other (spedfy) and control tec:bnology,lf any, tbat wDl be used tolianit the :release of the newaubalance to theenviromnent. 

(14) -ldeollfybyprocluds which mayreeult from the operattoa. (3), (5), (8), (11), (13) lllld (15) - Mark 00 this mJumn if any oE the proceeding eDtries are CIDRfidel\tial businells illfclriDatiorl (CBJ). 

Letter tlol CBI DuraliClll CBI Protective Equip./ l"in CBI Release Alnountof 

oE Workers CBI Mectia of Release t:BI 

Act- of EDgineeringControJs/ Penn- NllDlber New A: Control 

Exposed Exposure Physical Form lllld " ulation Substance Tecbnology ivity new substance Released 

I (1) (2) (3) (4al I {4bl (5) (6) (1) (8) (9) (100 : (JOb) lm (12) lla> I I I I 

~ ! 

I I I I 

! I 

I I 

: I 

I I I I I 

! I 

(14) Byproducts: 5) 

0 Mark 00 this box if you attach a (li)Jltinuatlon sheet. 

FORM EPA 7710-25 (Rev.S-95) Page10 
.. 

OPTIONAL POLLUTION PREVENTION INFORMATION 

To claim information in this section as c:onfidential cln:le or bracket the specific information that you claim as oonfidential. 

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 

this 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 oonsumer exposure). In addition, information on the relative cost or 

All 

performance characteriS.tics of the PMN substance to potential alternatives may be provided. 

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

manual 

of this substance. See the revised Instructions Manual that includes a Pollution Prevention 

for guidance and examples. 

the 

Describe 

volume 

the 

manufactured; 

expected net benefits, such as (1) an overall :reduction in risk to human health or the environment; (2) a :reduction in 

means; (4) a ftduc:tion 

(3) a reduction in the generation of waste materials tluough recycling, source mduction or other 

per1'ormal¥:e, 

in potential toxicity or human exposwe and/or environmental release; (5) an in.cn!ase in product 

oomparison to 

a 

existing 

decrease 

c:hemicalll1ibstances 

in the cost of production and/or improved operation efficiency of the new chemical substarule in 

may be a substitute 

used in similar applications; or (6) the extent to which the new chemical substance 

for an exiSting substance that poses a greater overall risk to human health or the environment. 

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

FORMEPA7'110-2S (Rev. !HIS) Posen 

13 --·~~~··--"""= ... ~~-- -~ ... ~. 

i 

I ' 
... 

Part m-UST OP A1TACHMENTS 

Allach oaaftrm811an llheals b 8IICIIoaltaf lhefama .ad liSt data and adler data (Jndul:lblac:=daaDk:alpopedii!Baad. IIINCbn/lldl¥il;yblfmiiatk!D), 8DCl oplkmallafcJmldm after lids paae. Oeldyidea:t.: alladanentlllld lheseclklla of lbe bm lo which JtN!ale!I.Jf appopdllle. Number C111D181:1J1i.v tlteJ'IW!Sof tile .a-tnnena Ja CXJlumn below, ea1e:r tbeilldalivepese 

IIUIDIIela of eada eftal'tmuoDt Mark 00 lbe "'nnfldenll.r boxaext toayattadnn•t .... you dlllm asCCIIIfillel:dia Read lhe lallradlall•.......,.lar coahowlo dabn 8DJillfuun.Unn m•llllal::lameDt as gjn6dentlaL Yoamuatilldade with lbe...,li:r.ed C10P.V of lheaolicle llllllbled. Willian olaay_almdulleatm whidJ. JOU.daim iDfarn-llcm asmafideDtlat. 

AUadlmeotl\8me Allac:luDeot 

'JI8P DUJDIIelfJa) ~ ~ 

Material Safety Data Sheet (MSDS) 13o; 18"' 

GPC Chart 1 9lli:20Q. X 

IR Chart 21r22 £1.. X 

CAS Inventory Exp$rt Service 23a. )< 

Continuation sheet, ·page4~(> ..... t;, .. B 1.. e 24 0.. >< 

Physical and Chemical Properttes worksheet 2501. 

~ASD~ ' \~h-L.~h 

c~?c rlln V'\- ~qb-~h )< 

IR rJL.~t- d..l~n-1lb 

. ., 

I 

c ~s LA\I!P, ·h..v'-1 "B:vVJ_(;> rt c e.Y'VIU ) ~ \,. x 

C .h 1 i ~ct r~T ')-.e-e'.o:t ? (J..A,o 4 ~1"-J-l~ \3 of p ".1-4-. \n X 

~A ..\•u c._ :1 (> .. J (t~~~ I \PvtnnnA1.\A \A//}v-f§Jon!- '2.J)\r, 

~ T 

0 Mark 00 lids box If ,YOUatlacb a cmdiDuation sheet. Iiiia lhe 8ltaduDeat IllUDe and numlJer. 

FORM EPA T/10.25 (Rev. 5-95) Papl2 

=---• _,__,,- ••---~c .........-=-~ -•o•r-c-< 

I 
_, ~ - ..... , 

I 

MATERIAL SAFETY DATA SHEET 

lllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllll 

Date of printing: July 7, 2003 

Version: No.UO 

Date of revision: 

Date of issue: July 1, 2003 

Product name: = -----....... 

1. CHEMICAL PRODUCT AND COMPANY IDENTIFICATION 

Product name 

General description 

Manufacturer 

Modified polyisocyanate 

Emergency telephone number ·- ----- -·- .... 

(Monday - Friday, 9:00 a.m. - 6:00 p.m.) 

2. COMPOSITION/INFORMATION ON INGREDIENTS 

Chemical name 

Modified polyisocyanate 

Control parameters 

Residual HDI monomer is less than 0.4 wt<»lo 

3. HAZARDS IDENTIFICATION 

NFPA ratings ( scale 0-4 ) 

Emergency overview 

Major health hazards 

wt% CAS registrY 

>99 

ACGlli(1LV-TWA)2001 

O.Olppm DFG MAK (peak) 2001 

Health=2, Fire=!, Reactivity=! 

Harmful if inhaled, respiratory tract irritation, skin irritation, eye irritation allergic reactions. 

Physical hazards 

May polymerize. Container may rupture or explode. May react on contact with water. 

Potential health effect 

Inhalation 

Short term exposure: irritation, allergic reactions, wheezing, asthma, lung congestion. 

Long term exposure: lung damage 

Skin contact 

Short term exposure: irritation, blisters, rash 

Long term exposure: itching 

Eye contact 

Short term exposure: irritation, tearing 

Long term exposure: same as effects reported in short tenn exposure. 

Ingestion 

--·~--....--.--.-=--~,---~ .....------ ! 

1 
MATERIAL SAFETY DATA SHEET 

lllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllll 

Product name: 

Short term exposure: vomiting 

Long tenn exposure: not available 

Carcinogen status 

OSHA: no 

NTP:no 

IARC:no 

4. FIRST AID MEASURES 

Eye contact 

- ....... 

Date of printing: July 7, 2003 

Version: No.UO 

Date of revision: 

Date of issue: July 1, 2003 

Hold eyelids apart and immediately flush eyes with plenty of water for at least 15 minutes. 

Seek immediate medical advice. 

Skin contact 

Remove all contaminated clothing and shoes immediately. 

Wash the contaminated area·thoroughly with. watetfollowed by soap. 

If irritation persists or inflammation is caused, ·seek medical advice. 

Inhalation 

Remove the patient immediately to an area with fresh air. Seek medical attention. 

Ingestion 

If swallowed, seek medical advice immediately. Wash out mouth with water. 

Do not induce vomiting. Try to get the patient to vomit if he is positive. 

5. FIRE FIGHTING :MEASURES 

Flash point 

Autoignition point 

Range of explosion 

Flammability 

Combustibility 

Oxidizibility 

421F (216"C), detennined by open cup flash test. 

Self reactivity 

Dust explosion 

General hazard 

Not available 

Not available 

None 

Yes 

None 

None 

None 

During a fire, aerosols or gases may be generated through decomposition. 

Fire fighting instructions 

Positive pressure self-contained breathing apparatus and full protective clothing and gloves 

2 

/6 ... -.~-~··< --.-.----~"',.___ ~- .......... ' 

' 
MATERIAL SAFETY DATA SHEET 

lllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllll 

Product name: 

should be provided. 

Date of printing: July 7, 2003 

Version: No.UO 

Date of revision: 

Date of issue: July 1, 2003 

Splash water onto drums and facilities which are not on fire to avoid fire spreading and heat 

evolved. 

After the fire is extinguished, neutralize the spilled material with decontaminant. 

Restrict entry of unauthorized personnel. 

Extinguishing media: dry chemical powder, carbon dioxide, water and foam. 

6 .. ACCIDENTAL RELEASE l\1EASURES 

General 

Protective goggles, rubber gloves, and gas mask should be worn. 

Restrict entry of unauthorized personnel. 

Stay in windward position at the time of disposal. 

The hazard area should be well-ventilated. 

Safely stop discharge. 

Small spill 

Neutralize the leakage/spillage with decontaminant, or by admixing it with sand, clay or 

sawdust. 

Dispose of in a closed chemical waste container. 

Large spill 

Admix with sand, clay or sawdust to prevent the spillage/leakage from further spreading out. 

Dispose of in a chemical waste container. This container should not be closed. 

Neutralize the residues with decontaminant. 

Wash the spillage area clean with water. 

7. HANDLING AND STORAGE 

Handling 

The operator should be trained in handling this product. 

Appropriate safety measures and protective equipment should be used for this operation. 

Provide adequate ventilation and the operator should use protective equipment. 

When the drum is pressurized, unscrew the bung slowly to release the pressure before taking it 

off. 

This product should not be filled in an unwashed or wet container. 

The use of frre is strictly prohibited in the work area. 

Those who show allergenic and sensitizing effects should not be in charge. 

Storage 

Keep container properly sealed and store indoors in a weli ventilated area. 

17 

3 
MATERIAL SAFETY DATA SHEET 

lllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllll 

Product name: ........................................ -= 

Date ofprinting: July 7, 2003 

Version: No.UO 

Date of revision: 

Date of issue: July 1, 2003 

Once opened, the container should be closed and sealed with nitrogen gas. 

If stored outdoors, the container should be covered with waterproof canvas sheet to avoid being 

exposed in the rain. 

The use of fire is strictly prohibited in the work area. 

8. EXPOSURE CONTROLS I PERSONAL PROTECTION 

Engineering controls 

Local exhaust ventilation should be provided for indoors use. 

Readily accessible eye and hand wash stations should be provided. 

Personal protection 

Chemical goggles, rubber gloves and suitable respiratory equipment. 

Exposure limit: Refer to Section 2 

9. PHYSICAL AND CHEMICAL·PROPERTIES 

Physical form 

Color 

Odor 

Boiling point 

Vapor pressure 

Evaporation rate 

Freezing point 

Specific gravity 

Initial boiling point 

Viscosity 

Solubility (water) 

Solubility (other) 

Liquid 

Pale yellow 

No odor 

None 

None 

None 

-4F(~20t) 

1.079 at 73F(23°C) 

Not available 

100 mPa·s at 77F(25"C) 

Insoluble 

Soluble in toluene, ethyl acetate or acetone 

Note: The above data are typical physical properties and should not be taken as a specification. 

lO.STABILITY AND REACTIVITY 

Chemical stability (Condition to avoid) 

High temperature and moisture. 

Incompatibility 

This product reacts with materials with active hydrogen groups such as amines and alcohols. 

4 
MATERIAL SAFETY DATA SHEET 

llllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllltlllllllllllllllllllllllllllllllllllllll 

--- ---- --- ___ ..! 

Product name: 

Hazardous decomposition product 

Reaction with water produces heat and carbon dioxide gas. 

Hazardous polymerization 

Date of printing: July 7, 2003 

Version: No.UO 

Date ofrevision: 

Date of issue: July I, 2003 

will occur. It gets polymerized by alkaline materials or tertiary amines. 

11. TOXICOLOGICAL INFORMATION 

Corrosive properties 

Irritant properties 

Allergeric & sensitizing effects 

Acute toxicity 

Sub-acute toxicity 

Chronic toxicity 

Not available 

Not available 

Not available 

Not available 

Not available 

Repeated exposure may cause an allergic sensitization of the respiratory tract. 

Carcinogenic effects Not available 

Mutagenic effects Not available 

Effects on the reproductive system Not available 

Teratogenic effects Not available 

Others 

This material is not listed by IARC, OSHA, or NTP. 

12.ECOLOGICAL INFORMATION 

Biodegradability 

Bioaccumulation 

Fish toxicity 

Other information on ecotoxicity 

13.DISPOSAL CONSIDERATIONS 

Disposal methods 

Not available 

Not available 

Not available 

Not available 

This product should be incinerated in an appropriate facility. 

This product should be treated by authorized agents professionally trained in disposing 

industrial waste. 

This product should be disposed of after forming solid foam through reaction with polyol. 

Mix this product with decontaminant to form urea compound through chemical reaction, and 

remove the toxicity by dripping the mix and being left to stand for 24 hours. 

5 
MATERIAL SAFETY DATA SHEET 

lllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllll 

Date of printing: July 7, 2003 

Version: No.UO 

Date of revision: 

Date of issue: July 1, 2003 

Product name: __ _.:1: ,.._ .... .._~ ~. IIHandling empty container after use 

Empty drum should be left to stand with water and left unsealed for 24 hoW'S. 

Water should subsequently be removed afterward. 

Used container should be punctured and scrapped. 

14. TRANSPORT INFORMATION 

Proper shipping name: Modified polyisocyanate 

Hazardous class: Not applicable 

Identification no.: Not applicable 

IMDG class : Not applicable 

Follow all the regulations in your country. 

Be sure that the container is tightly sealed, that no leakage is found and that all the necessary 

indications are specified. 

Filling, loading and extracting operations should be performed under the supervision of an 

authorized operator. · ·· · 

Nitrogen gas or dry air should be charged into the container for transportation after fllling or 

extracting. 

15.REGULATORY INFORMATION 

U.S. regulations Not confirmed 

U.S. inventory Not confirmed 

TSCA 12(b) export notification Not confirmed. 

Regulatory information with regard to this substance in your country should be examined by 

your own responsibility. 

16.0THER INFORMATION 

Reason for issue: 

Prepared by : 

Update to new format 

Technical department 

All the chemical materials may present unknown hazards and should be used in caution. 

The information herein is given in good faith, but no warranty, express or implied is made. 

Consult Nippon Polyurethane Industry Co., Ltd. for further information. 

-·~~_.~ -.. ~~ -··~,..,....,. 

i 

6 
-= ., .. ,.....__. 

! 


-·I 

. .2CJA ,. . ,,,_, " ~-~-,,--,.-~··""!--:-~-··--~-· . 1 
PHYSICAL AND CHEMICAL PROPERTIES WO:a:KSHEET 

To 

ud.Jadude 

8ll8lst EPA's 

It 

review of ph~ chemic:al paperHes data. 1'1-complele the following Wodalheetb data you provide ill theDOtlae. 

of the~ 

the property~ lite papal the notiae em whld\ the plaperly appears. the Value 

....,a..,..tiaJ theualtsin 

ph;plallataof whidl. 

the 

thepropeatyia Delli: llllbetaaae --.. ;;::::::l.),aDd whether al'llot the~c:1aimeclas 

puze) c:l1emil:aliAiblltmc:e. should be These11l41881Jn1Cl propert1e1J be lor the~ noow. 

are notrequlled 

PIOpertlee that are measured fclr mlxturel Gl" fcmau1ld:kms ahou1d 'be 110 DOted (1. PMN llll1lalanceiD _).You to aubmit this worbheet; however, BPAibulgly recoaunencls ht you do 110, aslt wm eiiJlplify J'e\liew and e&I8Ul'e 

dala. 

that amftdeallaliDformalion 

1bls worbheet is= eleCted. You should submit Ibis wurbbeel: as a supplement to your subJniasion of test is not a 111 tu1e aubmisalon of test clala. 

Property .!:. Value -.....4 

= MarkOOif or 

provided ...... ~ (a) (b) (c) 

til arlO ~4 

Physical etateof aeat subabmae - (s)...L. (I)-(K) M 

Vapor-&::: Oem llure "C NK Tatt 

Dellalty/J:etallve deaudty g/cm3 

Solubility 

OTemperatare "C 

Solvent ft!L 

illwats OTi "C Insoluble "C 

Mellin "C 

llallblg/aubllmalloJI. • &orr preasme 

Spectra GPC, IR 

Dissociation cxmslant NK 

Partideaize distribullon 

Octanol/waler partitionCIOeffid-• NK 

Henry's Law CD.181ant NK 

VontaJizallon from water NK 

VoB.talizatiall &om soil 

NK 

pH • CDJ\Celltraticm NK 

Flam!nabi1ity NO M 

ExplodabiJitr No 

E 

Adsorplillll/coeOideut NK 

Other-Spedfy Viscosity at 77F 100mP.s M 

..J..S-o... 
MATERIAL SAFETY DATA SHEET 

lllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllll 

Product name: 

Date of printing: July 7,.2003 

Version: No.UO 

Dale of revision: 

Date of issue: July 1, 2003 

1. CHEMICAL PRODUCT AND COMPANY IDENTIFICATION 

Product name 

General description 

Manufacturer 

Modified polyisocyanate 

Emergency telephone number 

(Monday -Friday, 9:00 a.m. - 6:00 p.m.) 

2. COMPOSITION/INFORMATION ON INGREDIENTS 

Chemical name 

Modified polyisocyanate 

Control parameters 

Residual HDI monomer is less than 0.4 m&/o 

3. HAZARDS IDENTIFICATION 

~ CAS registry 

>99 

1 ACGllf('ILV-TWA)2001 

O.Olppm DFG MA.K (peak) 2001 

NFPA ratings ( scale 0-4 ) 

Emergency overview 

Health=2 Fire=l Reactivity=l 

Major health hazards 

Harmful if inhaled, respiratory tract irritation, skin irritation, eye irritation allergic reactions. 

Physical hazards 

May polymerize. Container may rupture or explode. May react on contact with water. 

Potential health effect 

Inhalation 

Short term exposure: irritation, allergic reactions, wheezing, asthma, lung congestion. 

Long term exposure: lung damage 

Skin contact 

Short term exposure: irritation, blisters, rash 

Long term exposure: itching 

Eye contact 

Short term exposure: irritation, tearing 

Long term exposure: same as effects reported in short term exposure. 

Ingestion 

1 

b 
MATERIAL SAFETY DATA SHEET 

lllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllll 

- -- =--.eea.-· 

Short term exposure: vomiting 

Long term exposure: not available 

Carcinogen status 

OSHA: no 

NTP:no 

IARC:no 

4. FIRST AID MEASURES 

Eye contact 

Dale of printing: July 7, 2003 

Version: No.UO 

Dale of revision: 

Date of issue: July 1, 2003 

---

Hold eyelids apart and immediately flush eyes with plenty ofwater for at least 15 minutes. 

Seek immediate medical advice. 

Skin contact 

Remove all contaminated clothing and shoes immediately. 

Wash the contaminated area thoroughly with water followed by soap. 

If irritation persists or inflammation is caused, seek medical advice. 

Inhalation 

Remove the patient immediately to an area with fresh air. Seek medical attention. 

Ingestion 

If swallowed, seek medical advice immediately. Wash out mouth with water. 

Do not induce vomiting. T:ry to get the patient to vomit if he is positive. 

S. FIRE FIGHTING MEASURES 

Flash point 

Autoignition point 

Range of explosion 

Flammability 

Combustibility 

Oxidizibility 

414F (212t), determined by open cup flash test. 

Self reactivity 

Dust explosion 

General hazard 

Not available 

Not available 

None 

Yes 

None 

None 

None 

During a fire, aerosols or gases may be generated through decomposition. 

Fire fighting instructions 

Positive pressure self -contained breathing apparatus and full protective clothing and gloves 

2 

_ r- =---Or ,......._-••~•r"'~- ,..,,.--- -~·~•L' 

I 
MATERIAL SAFETY DATA SHEET 

lllllllllllllllllllflllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllll 

-·--r----. 

Product name: 

should be provided. 

Dale of printing: July 7, 2003 

Version: No.UO 

Date of revision: 

Dale of issue: July 1, 2003 

Splash water onto drums and facilities which are not on fire to avoid fire spreading and heat 

evolved. 

After the fire is extinguished, neutralize the spilled material with decontaminant. 

Restrict entry of unauthorized personnel. I 

Extinguishing media: dry chemical powder, carbon dioxide, water and foam. 

6. ACCIDENTAL RELEASE MEASURES 

General 

Protective goggles, rubber gloves, and gas mask should be worn. 

Restrict entry of unauthorized personnel. 

Stay in windward position at the time of disposal. 

The hazard area should be well~ventilated. 

Safely stop discharge. 

Small spill 

Neutralize the leakage/spillage with decontaminant, or by admixing it with sand, clay or 

sawdust. 

Dispose of in a closed chemical waste container. 

LargespDI 

Admix with sand, clay or sawdust to prevent the spillage/leakage from further spreading out. 

Dispose of in a chemical waste container. This container should not be closed. 

Neutralize the residues with decontaminant. Wash the spillage area clean with water. 

7. HANDLING AND STORAGE 

Handling 

The operator should be trained in handling this product. 

Appropriate safety measures and protective equipment should be used for this operation. 

Provide adequate ventilation and the operator should use protective equipment. 

When the drum is pressurized, unscrew the bung slowly to release the pressure before taking it 

off. 

This product should not be filled in an unwashed or wet container. 

The use of fire is strictly proln"bited in the work area. 

Those who show allergenic and sensitizing effects shorild not be in charge. 

Storage 

Keep container properly sealed and store indoors in a well ventilated area. 

Once opened, the container should be closed and sealed with nitrogen gas. 

3 

llb 3Z, ·-·-··-~ ~--- --~~·-
lb>b 3~ ' -·~~ ~~~ o.c- ~ --~· •. ' -• • "'-~'"' T -~- ~·-T~•-:r·-~ ----~-






PHYSICAL AND CHEMICAL PROPERTIES WOJU<SHEEI' 

Toulilll: BPA'arevlewofphr=and aDd badude It Ia theDOikle. dealify 

dlemiall properlles&Wa. pleasecxmpJete the~worbheetf« data JOUprovlde 

of the~ lbeualtaln whicll thep-opertyism~ 

lbepoperty ~the page of lbenotlCle 011 whidl poperty appars. the Value 

Cllllfl e ph)'lllallltal8 of the neat llllbiltallceshoUld (as .-ry), IIJicl whether arnot the~l•c:1abDedas beprcwlded.'l'helle-.ured poperta pule) cllemk:aliiUIMialcle. Properties lie lor the nat (lOOW. 

are :not requited to submit tbatiiJemeiiUNCllor mixtures or fonauJalfous abouhi be so DOted(!. PMN IIUbellmeein _).You 

that CDDftdenHaJ .lafannlllioa 

Ibis 'Mlll:bheel; however, EPAsfmllsly recommmds that youdoso,as It willtlimplifywview and eiiiiiDe 

data. 'l1dl worbheet 

is properly pmlec:led. You should submit this worbheet as a su.ppJement to your IIUbmisskm. of test 

is not a 1111bltlt.ule for suhmillslo.n of lest data. 

Prapert:y Page Value ........ = MarkOOif ar 

provided number Eollallle 

~ {a) (b) (c:) u:c IN arlO 

Phyaiall state of llalt substance - (B)-X... Q)-(A:) M 

Vaporpnsure 

OTemPIRlUre ere NK TGn" 

Density /relative c1enally g/cm3 

Solubilit,y 

0 Temperabae "C 

Scivent 

ElL 

Solubililyin Wider • "C Insoluble "C 

ture 

"C 

BollbldaubBmatlan • &orrpreasme 

5Jlectra GPC, IR 

Dlslloc:iatiOD amsbmt NK •. 

Particle si7.A! disb:ibulion 

Octancll/wala' partlliOD CXJeffident NK 

Henrv's Law CIDDlllant NK 

VoJilalizallon &um walel' NK 

Volitalizatim &um 80ft NK 

pH • CXJJ\CIII'Illratfon NK 

FJammability No M 

Explodability No E 

Adsorplioa/coeftident NK 

Other-Spedfy Ui e!r-r.co: i t-v ~i-. 77'F 125mP.s M