P.O. BOX 450499 HOUSTON, TEXAS 77245-0499



### August 6, 2003

U.S. EPA Office of Pollution Prevention and Toxics Document Control Office (7407M) 1200 Pennsylvania Ave., N.W. Washington, D.C. 20460 Subject: PMN TS-C02666 Sanitized Copy To Whom It May Concern:

# ~-D3-8&6 Telephone (281) 431-2561 Fax (281) 431-1655

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Enclosed is a sanitized copy of PMN TS-C02666 with confidential information deleted.
Sincerely,

Mel Davis Manager of Regulatory Affairs MD/Ir

cc: File PMN TS-C02666**~** => c;:::-.. (._..._.) 0 O;o ('"? --i 

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MD03-13



# ,Form oved O.M.B. No. 2070..()012. A ires 10-31-96. 

### U.S. ENVIRONMENTAL PROTECTION AGENCY 

## AGENCY USE ONLY 

# ft

# ·~~PA PREMANUFACTURE NOTICE


# IIIIIIIJilli Iiiii 

# IIIII illii 

# III:IIH IH 

# IH IJ**I~J** f, ,: 

# 1.1 

# ·ill
.) 1 0 -5 I) t"j {, () ,• ') ·,

lU.ta Ul..., l.Vt.ul .u
..... u .• ._.-,.,._ ,...._ r- 0 - in the Premanufacture Notice Date ofreceipt 

# RfCEIVFrJ 

# 03 SEP 2 9 AM 6: r ·J 

### 'S

• You must provide all information requested in this form to the extent that it is known to or reasonably ascertainable by you. Make reasonable estimates if you do not have actual data.
• Before you complete this form, you should read the "Instructions Manual for Premanufacture Notification" (the Instructions Manual is available from the Toxic Substances Control Act (TSCA) Information Service by calling 202-554-1404, or faxing 202-554-5603 ). If a user fee has been remitted for this notice (40 CFR 700.45), indicate in the boxes above the TS-user fee identification number you have generated. Remember, your user fee ID number must also appear on your corresponding fee remittance, which is sent to EPA, HQ Accounting Operations Branch (PM-226), P.O. 360399M, Pittsburgh, PA 15251-6399, Attn. TSCA User fee.
Part I- GENERAL INFORMATION
You must provide the currently correct Chemical Abstracts (CA) N arne of the new chemical substance, even if you claim the identity as confidentiaL Yau may authorize another person to submit chemical identity information for you, but your submission will not be complete and the review will not begin until EPA receives this information. A letter in support of your submission should reference your TS user fee identification number. Yau 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 Ifthere are several manufacture, processing, or use operations to be described in Part ll, sections A and B ofthis notice, reproduce the sections as needed.

Part HI --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 m the notice.

OPTIONAL INFORMATION
You may include any mforrnabon 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 mcluded throughout this form for you to indicate your willingness to be bound to certain statements you make in this section, such a.' use, production volume, protective equipment This option IS intended to reduce delays that routinely accompany the development of consent orders or Significant New Use Rules. Except in the case of exemption applications (such as TMEA, LVE, LOREX) where certain information provided in such notification is binding on the submitter when the Agency approves the exemption application, checking a binding box in this notice does not by itself prohibit the submitter from later deviating from the information (except chemical identity) reported in tbe form

CONFIDENTIALITY CLAIMS
You may claim any information in this notice as confidential. To assert a claim on the form, mark (X) the confidential box next to the information that you claim as confidential. To assert a claim in an attachment, circle or bracket the information you claim as confidential. 1f you claim information in the notic!;S as confidential you must also provide a sanitize.\iyersion of the notice (including attachments) For additional instructions on claiming information as confidential, read the Instructions Manual 

# D Mark (x) if any information in this notice 1s claimed as confidential.

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

# I TEST DATA AND OTHER DATA
You are required to submit all test data in your possession or control and to provide a description of all other data known to or reasonably ascertainable by you, ifthese data are related to the health and environmental effects on the manufacture, processing, distribution in commerce, use, or disposal of the new chemical substance. Standard literalw'e citatiom may be submitted for data in the open scientific literalw'e. Complete test data (written in English), not summaries of data, must be submitted if they do not appear in the open literature. You should clearly identify whether test data is on the substance or on an analog. Also, the chemical composition of the tested material should be characterized. Fallowing are examples of test data and other data. Data should be submitted according to the requirements of §720.50 of the Premanufacture Notification Rule (40 CFR Part 720).

Test Data (Check Below any mcluded in this notice)
Environmental fate data 

### 0
Health effects data 

### 0
Environmental effects data 

### 0
Phvsical/Chemical Properties* 

### I&! Yes
Yes
Yes
Yes Other data 

### I&! Yes
Risk assessments Structure/activity relationships
Test data not in the possessiOn or control ofthe submitter 

## • A physical and cherrucal properties worksheet is located on the last page ofthis form

. TYPE OF NOTICE (Check Only One) 

# l?3l 

# D 

# D D D D PMN (Premanufacture Notice)

INTERMEDIATE PMN (subrrutted in sequence with

### ~roduct PMN) 

# E.: SNUN (S1gruficant New Use Notice)

TMEA (Test Marketing Exemption Application) 0 ('J -t

LVE (Low Volume Exemption)@ 40 CFR 723.50(c1!,J 

### 2:..::·r·r·J LOREX (Low Release/Low Exposure**Exemption)~** CFlf71f5«cX2) 

# D LVE Modification 

# D D (_fl LOREX 1(!0lification

IS TillS A CONSOLIDATED PMN? Yes

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

Replaces previous editions of EPA Form 7710-25.

### Public reporting burden for this collection of infonnation 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 infonnation. Send comments regarding the burden estimate or any other aspect of this collection of infonnation, 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 

### I, section 

### A, subsection Ia of this 

### notice form intends to manufacture or import for a commercial purpose, other 

### than in small quantities solely for research and development, the substance identified in Part I, Section B.
2. All information provided in this notice is complete and 

### truthful as ofthe date of submission.
3. I am submitting with this notice 

### all test 

### data in my possession or control and a description of 

### all other data known to or reasonably ascertainable by me as 

### required by §720.50 of the Premanufacture Notification Rnle.



### Additional Certification Statements: Ifyou are submitting a PMN, Intennediate PMN, Consolidated PMN, or SNUN, check the following user fee certification statement that applies: 

# t8J The Company named in Part I, Section A has remitted the fee of$2500 specified in 40 CFR 700.45(b), or 

# D The Company named in Part I, Section A has remitted the fee of $1000 for an Intennediate PMN (defined 

### @ 40 CFR 700.43) in accordance with 40 CFR 700.45(b), or 

# 0 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). 

### Ifyou are submitting a 

### low volume exemption (LVE) application in accordance with 40 CFR 723.50(c)(l) or a 

### Low release and 

### low exposure exemption (LoRex) application in accordance with 40 CFR 723.50(c)(2), check the following certification statements: 

# 0 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 tenns of 40 CFR 723.50. 

# 0 The manufacturer is familiar with the terms of this section 

### and will comply with those terms; and 

# 0 The new chemical substance for which the notice is submitted meets 

### all applicable exemption conditions. 

# 0 If this application is for an LVE in accordance with 40 CFR 723.50(c)(1), the manufacturer intends to commence manufacture of the exempted substance for commercial purposes within 1 year of the date of the expiration of 

### the 30 day review period.

The accancy ofthe statements**yot~** maloe In this notice mould reflect your best predktioa of the anticipated facts rqpording the chemical substance described herein. Any knowing and willful misinterpretation is subject to criminal penalty JNinuant to 18 USC 1001.

# signa~:/~;T::Z:alsignatureRequired) 

# t- So_ :;Lo 

# cJ.3 Virgil Seail, oir'ector of Research & 

### Development Signature of agent

- (if applicable) Date

EPA FORM 7710-25 (Rev. 5-95) Page2 Conrldentialla. Person Submitting Notice (in U.S.)

b. Agent(if applicable} 

### Vi Seale Company



### P .0. Box 

### 450499 City, State, ZIP Code 

### Houston Texas 

### 77245-0499 Name of authorized

Company

Mailing address (number and street)

City, State, ZIP Code Telephone

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

# -----------------------+

Joint Submitter (if applicable} Name ofauthorized official

Company

Mailing address (number and street)

, State, ZIP Code

2. Technical Contact(in U.S.) Name of authorized official

3.

4

5.

6. 

### Inc.

Houston, Texas 

### 77245-0499

a prenotice communication (PC) concerning this notice and EPA assigned a PC Number to the notice, enter the number.

If you previously an exemptton for the substance covered by this notice, enter the exemption number assigned by EPA. If you previously submitted a PMN for this substance enter the PMN number assigned by EPA (i.e. withdrawn or incomplek:}. ., a notice of Bona fide mtent to manufacture or import fOr the chemical substance covered by this notice, enter the notice number assigned by EPA

1.

Type of Notice

- Mark (X) Manufacture Only Binding Option Mark EPA FORM 7710-25 (Rev. 5-95) Position

Telephone

Position

Mark(X) ifnone
Mark(X) if none 

# 52 98 00 00068 Mark(X) if none
2. 

# D

Page3 Import Only Binding Option Mark 

### 431-2561



# D

3. 

# D Both Confidentiall.
a. Class of substance

- Mark (X)
name correct For Class I substances a CA Index Name must be provided. For Class 2 substances either a CA Index Name orCA Preferred Name must 

### X be provided, which ever is appropriate based on CA 9CI nomenclature rules and conventions). 

### REDACTED

c. Please identifY which method you used to develop or obtain the specified

### ~ Method I (CAS Inventory Expert Service -a copy ofthe Identification report obtained from the CAS Inventory Expert Services must be submitted as an attachment to this

CAS# REDACTED

e. For a class 1 substance, provide a complete and correct chemical structure diagram. For a class 2 substance- (I) List precursor substances with their respective CAS Registry Numbers. (2) Describe the nature ofthe reaction or process. (3) Indicate the range ofcomposition and the typical composition (where appropriate). (4) Provide a correct representative or partial chemical structure diai!Tam. as comnlete as can he known. if one can he reasonahlv ascertained. 

## 1. CADMA [68140-01-2] Acrylic Acid [79-10-7] Butyl Cellosove [111-76-2] Water [7732-18-5] 2. Michael reaction

4. Structure (REDACTED)

Mark (X) this box attach a continuation sheet.

EPA FORM 7710-25 (Rev. 5-95) Page4 

## X

Xa. Indicate the number-average weight ofthe lowest molecular weight composition ofthe polymer you intend to manufacture. 'Indicate maximum weight percent oflow molecular weight species (not including residual monomers, reactants, or solvents) below 500 and below 1,000 absolute molecular weight ofthat composition. Describe the methods ofmeasurement or the basis for your estimates: GPC 

# 0
i) lowest number average molecular weight: ii) maximum weight %below 500 molecular weight: iii) maximum weight% below 1000 molecular weight: Other 

# 0 (Specify) Confidential

must make separate confidentiality claims for monomer or other reactant identity, composition information, and residual "Confidential" box next to any item you claim as confidential Mark(X)the (I)

- Provide the specific chemical name and CAS Registry Number (if a number exists) of each monomer or other reactant used in the manufacture of (2)

- (3)

- (4)

- (5)

- (6)

- the polymer. Mark (X) this column if entry in column (I) is confidential. Indicate the typical weight percent of each monomer or other reactant in the polymer. Mark (X) the identity column ifyou want a monomer or other reactant used at two weight percent or less to be listed as part ofthe polymer description on the TSCA Chemical Substance Inventory. Mark (X) this column if entries in columns (3) and (4) are confidential. Indicate the maximum weight percent of each monomer or other reactant that may be present as a residual in the polymer as manufactured for commercial purposes. Mark this column if in column is confidential. Confi- Typical

%

method you used to develop or obtain the specified chemical identity information reported in this notice (check one). (CAS Inventory Expert Service- a copy ofthe identification report 

# 0 Method 2 (other source) obtained from CAS Inventory Expert Service must be submitted as as tothis Confi-

%
%
%
%

EPA FORM 7710-25 (Rev. 5-95) Page 53. Impurities (a)

- Identify each impurity that may be reasonably anticipated to be 

### present in the chemical substance as manufactured for commercial purpose. Provide the CAS Registry Number if available. Ifthere are unidentified impurities, enter •'unidentified." Estimate the · · %of each If there are unidentified · estimate their total wei o/o.



## REDACTED REDACTED
REDACTED WATER [7732-18-5] 

## REDACTED

N-acrylic betaine, Propyl cocoamidopropyl betaine 

# 0 Mark (X) this box ifyou attach a continuation sheet. 5. Trade identification- List trade names substance identified in subsection 1 or 2.


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


### 4 "'

1%

49.5%

40%

2%

%

%

6. Generic chemical name- Ifyou claim 1dentif)' as confidential, you must provide a generic name for your substance that reveals the specific chemical identity ofthe new chemical substance to the maximum extent possible. Refer to the TSCA Chemical Substance Inventory, 1985 Edition, Appendix B for guidance on developing generic names. 

### N-acrylic betaine

attach a continuation sheet. Confidential



### X



### X

X

Confidential

Describe any byproducts resulting from the manufacture, processing, use, or disposal ofthe new chemical substance. Provide the CAS Registry Number if available. 

### alkyl groups based on coconut oil; n 

# =8, 12, 14, 16 (refer to generic
betaine based on polymers of acrylic acid; x**~** 

### 2

EPA FORM 7710-25 (Rev. 5-95) Page6 CAS Number Confidential

## SEP.29.2003 1:02PM CHAMPION FRESNO N0.847 P.2/3--

Mm-k (X) 

### the**~confidential"** 

## bo.x next 

## to any item 

## you claim as confidCDtial. 1. 

### Production volume- Estimlllc 

### the muim.um ptoduction volume dllring 

### 1he 

## fust 12 months ofp-oduetion. Also estimate 

### the maximum production volume for nny**consecutiv~** 

### 12-month period 

### during the 

### fJISt three 

### years ofprodpction. Estiinatcs sbould 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 1l:um 

### 10,000 

## k!t/yr, specifv 

### the**voltm~e** 

### and mark.(x) in 

### the binding 

### box. 

## rf**~** 

### vou are bound 

## to this volume 

### Ma"l:imum 

### fiiSt 

## 12-month production (kg/yr) 

## Maximum 12-mouth production (kglyr)**~-** 

### !3irlding 

### (100% 

### new chemical substmoe basis) (10()41.4 

### new chemical substance Qasis) dcotia1 Option 

### M:lfk (X) 

# REDACTED REDACTED X
2. 

### Use**Info~on-** 

### You must JDDkc separate 

### confidentiality claims for the de:scriplian 

### ofthc category of**usc,~** 

### percent of

### production volume devoted 

### to each category, lhc 

### fOimulation of the new 

### subsrance, 

### and 

### other usc 

### infOrmation. Mark 

### (X) the "'COIIlfufenti.al" 

### Box uext 

### to any item you 

### claim 

## as confidential. 

## a. (I)- 

### Describe 

### each intended 

### c:rtegocy ofuse of the new chcmic:ll 

### sub&anl;c by function and 

### appliconion

.. (2)- 

### Mark (X) this 

### oolumn if entry 

### colUmn ( l) is 

### confJde:ntial 

### business information (CBl). (3)- 

### Indicate your willingness to haVe the 

### infolltllltion provided 

### in column ( 1) binding. (4)- 

### Estimate the pcrcc:nt 

### of

### total production 

### for the 

### fizst three 

### years devoted to esdl 

### category 

### ofuse. (5)- 

### Mark (X) this 

### column if

### entry in 

### column (4) is 

### confidential business 

### information (CBl). (6)- 

### Estimate the**pcrccr~t** 

### of the 

## new substance as fonnulated 

### in mixtures, 

### suspensions, emulsions, 

### solqtions., or gels as manufactw'ed for commercial 

### purposes at 

### sires tmder 

### your control :!SSocillltd with 

### each category 

### of use. (7)- 

### Mark (X) this column 

### ifentry 

### iD column ( 6} is

## confide:otial business information (CBI). (8)- 

### Jndicate % 

### of

### product volume ell.'})eCted 

### for the 

### tisted ''usc., 

### sectors. Mmk more than one bo."( if 

### :!Wfopriatc. 

### Mark (X) to indicate your willingness to ba.ve the 

### use type 

### provided in (8) binding. (9)- 

### Mark (X) this 

### column 

### if entry(ies) 

### in column (8) 

### is 

### (are) confadential business information (CBI). Co.tegory oruse (1) 

## em Dlndin£ Produc- 

### CHl**~'ill** 

### CBI**~o** ofliUbSIIUICC cxpocted per usc 

## cur Oplio'l lion% FOI"'Il- (8). (by firlll%ion al1d Dpp1ic41ioa i.e. 

### :a**c!ispcrsi~** dye Nallc (;;) 

### 11laliua Site-**Co~~o•** lodam- Com- Bindins 

### for fmisbing 

### J)Olyestc:r Jibcr,j_ (2) (l) (4) (S) {6) (7) 

### limited 

### snmcr trial mcrci:ll 

### Option (9) 

## Redacted 

## X X 100% Redact 

## X 90 

## 10 eel**~~** e;..

_%_**~ ~** 



# ..**~** I _% 0,'**~** 

# "'**~~** o/. 

### • lC**you~-&** 

### idmti6cd**~** 

### "cocsumcr" asc,**pl~e** 

### provide oo 

### a cootiiiWI.tioo sbccu dcbilcd dcacription oflhe 

### 11Se(s) of

### this**~icsl su~**  

### in consumer products.

I:uddition inchlde 

### c:szimaEOS of the 

### COIICimtrliZioa ofthc 

### new cbGmicul 

### !llbstaoco 

### as**e~:pecroo** 

### in COJ:lSIIDia"pracluctsancldcsaibcthc cbcnliOIIl 

### reactions 

### by whit:h this 

### substance l01>cs**i~** 

### idenlity in the**~a** produrt 

# OM:Irk (X)

### this bo:r.:ifyou m:ach 

### a c.:uatimwioa sheet. b. 

### Generic If

### you cbitn 

### any category 

### ofuse description 

### in sub!lldion 2a**~** confidential, ¢Gicr a gCDCric dcscriplioo of th3l 

### estcgory. Ri!ll.d 

### Pic use Jnslrudiapa**~uallbr** c:GIIlples**or~~c** 1154 

### dcsaipliOIII. 

### description 

## Product can be 

## used as a non-corrosive foamer in the Oil and gas ind1..1stry. Non-corrosive can be defined by the lack 

### of 

## reaction of the 

## product with 

## specific metallurgies 

## used to transport the produd. 

## However. use is not rrmited to the metallutgies commonly associated 

## witJ1 the gas and oil industry.


# 0 Mak (:\)this box ifyoullU:Icl\

## ~ coatinuatioo shoet. 

### 3.**~ lnro~U~~tten**  

### •• lndudc 

### in tho notice a copy of reasooablc lacsimilo ofany lmzard**~** sUttc:mcnt, 

### label, IDlllc:Ml sqfety 

### cmta sbcet, or olhc:r llill<ling Ud'orma.tioa wbida will be**~to** 

### aay pc:r501t a•!Jo is 

### n:asooably l.i.kdy to be C'--po$Cd to this .subsWic:o**~** 

### pr"O!Celtive cquipmc:nc <lr pn&C(jc:c:s Op!ign fortbc s:tf'o 

### bmdius, 1J':l11Spol'l. u:sc, or 

### disposal ofthc IICWsubstomc:c. 

### List in pat! 

### 01 baz:lrd information you iw:Nd.e. !.f.uk(l<)

## ~ MarJe (X) this box 

### ifyou .11Qeh h42.1rd iofoma.1tioo. 

# X Part D- HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE Sect;on A 

## INDUSTRIAL SITES CONTROLLED B'\' THE SUBMITTER Mark (X) tho 

### "CO!!Ifidc:nti:ll'' bas 

### nen to :any 

### item you claim**~** 

### confide-ntial li.PA FORM 7710-25 

### (Rov. 5·95) 

### hsc7Complete section A type of processing, or use operation involving the new chemical substance at industrial sites you control. hnporters do not have to complete this section tor operations outside the U.S.; however, you may still have reporting requirements if there are further industrial or use after You must describe these See instructions 

### manual
of the site at which the 

### will occur. Name 

### Champion Technologies, Inc. street) 

### 3130 

### FM 521 County, State, ZIP code 

### Fresno (Fort Bend county}, Texas 77545

same operation 

### will occur at more than one site, enter the number of sites. Identity the additional sites on a continuation sheet, and if any of the sites have significantly different production rates or operations, include all the information requested in this section for those sites as attaclnnents.

1. Batch

2. Continuous 

### 13,000 Maximum kglbatch (l OO"Io new chemical Hours/batch substance) 

### 12

d. Process description Mark (X) to indicate your willingness to have your process description binding. Batches/year 

### 150 Batches/year Confidential

( 1) Diagram the major unit operation steps and chemical conversions. Include interim storage and transport containers (specifY- e.g. 5 gallon pails, 55 gallon dnun, rail car, tank truck, etc.). (2) Provide the identity

. the approximate weight (by kg! day or kg/batch on a l 00% new chemical substance basis), and entry point of all starting materials and feedstocks (including reactants, solvents, catalysts, etc.). and of all products, recycle streams, and wastes. Include cleaning chemicals (note frequency if not used daily or per batch.). (3) Identify by number the points ofrelease. including small or intermittent releases, to the environment ofthe new chemical substance.

EPA FORM 7710-25 (Rev. 5-95) Page 8PARTII-HUMANEXPOSUREANDENVIRONMENTALRELEASE-1(d)-continuationCADMAACRYLICACIDBUTYLCELLOSOLVEH20CODE266620%-40%...5.15-10.3%...DRUMS35%-49.7%...REACTORI...BULKCONTAINERSIIJoUSEINGASANDOILWELLS39.85%-0%...TANKERTRUCKSS(a)'PARTII-HUMANEXPOSUREANDENVIRONMENTALRELEASE-1(d)-continuation--«Sl.!cGasOut--....,se\lara\Of·BelowGrade·'0•••'00.0.....'''---<:)•0••0••Q''Drum,truckorbulkcontainerChemicalreservoir'·2. Occupational Exposure-- You must make separate confidentiality claims for the description of worker activity, physical form ofthe new chemical substance, number of works exposed, and duration of activity. Mark (X) the "Confidential" box next to any item you claim as confidential. (1) --Describe the activities (i.e. bag dumping, tote filling, unloading drums, sampling, cleaning, etc.) in which workers may be exposed to the substance. (2) --Mark (X) this column if entry in column ( l) 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 of exposure. (7) --Mark (X) this column ifentry 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). (1 0) and (II)-- Estimate the maximum duration ofthe activity for any worker in hours per day and days per year. (12)

-- Mark (X) this column if entries in columns (l0) and (II) are confidential business information (CBI). Worker activity CBI Protective Equipment! Bindmg Physical form•(s) Bindmg CBI #of CB! Maxirnu duration CBI m (i.e., bag dumping, filling drums) Engineering Controls Option and %new Option Workers Hrslday Dayslyr Mark (x) substance Mark (x) Exposed (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (II) (12) 

### Manufacture Goggles and Liquid 2 

### 3 2 a loves Transfer to holding Goggles and Liquid 2 

### 3 2 facilities a loves



# 0 Mark (X) this box if you attach a continuation sheet. 3. Environmental Release and Disposal

-- You must make separate confidentiality claims for the release number and the amount ofthe new chemical substance released and other release and disposal information. Mark (X) the "Cortfidential" box next to each item you claim as confidential. (I)-- Enter the number of each release point identified in the process description. part II, section 

### A subsection ld(3). (2)

-- Estimate the amount ofthe 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 (I) and (2) are cortfidential 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 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 ofthe new substance to the environment. For releases disposed of on land, characterize the disposal method and state whether it is approved for disposal ofRCRA hazardous waste. On a continuation sheet, for each site describe any additional disposal methods that will be used and whether the waste is subject to secondary or tertiary on-site treatment. b. Estimate the amount released to the environment after control technology (in kg/day). (6) --Mark (X) this column if entries in columns (4) and (5) are confidential business information (CBI). (7) --Identify the destination(s) of releases to water. Please supply NPDES (National Pollutant Discharge Elimination System) numbers for direct discharges or NPDES numbers ofthe POTW (Publici Owned Treatment Works). Mark (X) ifthe POTW name or NPDES #is confidential business information (CBI). Release Amount of new substance CBI Media of Control technology and efficiency (you may wish to optionally attach efficiency data) CBl Number released release

(1) (2a) (2b) e..g. stack air Bindmg (3) (4) (Sa) Mark (X) (5b) (6) 

## 1 0 

## N/A Load reactor with reactants Pipes 

### & pumps from tanks to reactor 

### 2 0 

## N/A React to produce product

- vent gases to Scrubber scrubber. 

### 3 0 

## N/A Product loadout to storage facilities Scales/drumming equipment

(7) Mark (X) the 

# 0 POTW provide name(s) below: CBI 

# 0 Navigable 

# 0 Other- SpecifY provide NPDES # CBI destination(s) of f-- waterway releases to water.



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

EPA FORM 7710-25 (Rev. 5-95) Page9 

# JJ

## SEP.29.2003 1:03PM CHAMPION FRESNO N0.847 -P.3/3

___ ·-·



## Part D- HUMAN EXPOSURE AND ENVIRONMENTAL 

# RELEASE- Continued Section 

## B -INDUSTRIAL SITES CONTROU.ED BY OTHERS Compldc**~** lllOr typical 

### proccssing ar 11$0 OpcralioaS 

### involving 1ho llOW**dlcmicall~Ub:~t~Aco** 

### II site& you do DOt conll'ol. 

### 1mpol1cts dG Dot 

### have tO 

### c:orvpJete this 

### 9cction tor opcAlions outside 

### the U.S.; howover, yw 

### must report 

### any 

## proc:CPiot or usc 

### activities 

### afia- import. Sec lho 

### l:mtmctiloos MmuaL Complete a 

### separore**~pn** B for each lype ofproccszing, or u:tc operQlfon**invol~** 

### rhc new cl1emical rubnoncc. fftho 

### same opcr:llioa ill**pen~** aL 

### more thaD 

### one 4il0 

### describe the typical opl!l':\tion CCINDOII to thcso sites. ldcmif 

## v additional sites 011 a canlinwdiM sheet. 

### 1. Openlioq 

### Desaiptian- To 

### clsiDl information .ill 

### this soc:tioll a:r 

### confideolilll, cin:lo 01 

### bnlc:J.:or tbe 

### specific**inJ.~tion** 

### Wit 

### you claim ss confJdcntinl. (1)-· DiAgnun tbc nnjorunit opcrmon steps and chcmiQJ conversions, 

### illcludiJie ilurim m:ocageiiDd=aspon cOill:liD«s 

### 1:spcc:ifjr- e.g. 

### 5 gallon pails, 

### 55**~on** 

### drt!lll$, mil 

### c:.us, tank ttucks, etc). 

### On the 

### cliat;r.un. ideutify by ffner a!ld bridly dcscribo cacb 

### workllr :ldivity. (2)- PrOYi(fo !he 

### idcutity.**~ nppro~**  

### weight (by 

### Jc&'cl.'Y or Jc&'b.Ucb, 

### on 

### :m l**~•** n::w cbemiCIIlBUbs=lee basis). :md Clllry poilll 

### of all**f~oc:k& (including~** **St~** .lOd 

### c:atalysts, cr.c:) 

### and .111 products,**reeycl~:** 111raams, 1111d W3.StOS. 

### lnclu4o clemins 

### c:bemicala (note ftcqucacy it' DOt 1111cd daily 

### or per**~cb).** (3) ••**Id~** by numb« tho poiD.ts ofrcliJUo, including small 

### or intc:nnittcnt rclc:uc:s, 10 tbe 

### cavironment of

### the aew cbanic::al substance. ( 4) Plc:uc CJUr the #of siles (rr.mcmbcr 10 identify the locatiaos of those sites 

### on a ooatiDU.\tion sbcet):



# 0 Mart (:X) this

## ~" ifyou ataclt 

### a coatimwiOB shed. 2. Worm**Expoll'llt'~** 

### Re1ea.-.e (I) 

### -From tbo dillgJum 3boVe, provide 

### the Idler for 

## eae4 worka- 

### activity. Compldc U 

### for 

### aadt \wricer aeli\lity described. (2) 

### ·-Estimate**tho~** ofworken 

### Qt)losod for all 

### ws combined. 

## >100 fl ofsites

(4)- 

### Estimal.e the typiCl\1 dwation ofO..'qiOSUI"C: par wod:cr 

### in (a) hour& per cby :md (b) days per yov. 

### (6)

- Doscribe physical 

### funn of**o:~:posurc** 

### ADd% new 

### chemical Stlbcncc (if 

### in mi).1urc),**~** my 

### prvtc:ctive equi.pDICIIt 3nd 

### CllgineeriJis co111rols, if;my, used 

### to protect wQrkers. (7)- 

### Estimate**~he** 

### paTCCU oftbo now**sub~** 3S f'omml;lrcd wbca 

### pWilgal or 

# used'" :r**f~** produd. (9)- From the p!'OC\.'SS 

### di.1gtam. :tbovo, ealc..T the niUDbtr 

### ofC3Ch rclcuc poinz. 

### Complete 9-13 

### for each rclcaso 

### point identified. (10)

- 

### Estinuto the 

### .:uoountofthcnow**subslaaccrclc:ascd(3)~tothc** 

### mvironmem or (b) 

### U.o COiltroi1AlabDoJogy10thcowirownent**(~kg/day** 

### orJcWb=h). (12) •• Desc:ribc**~** ofrclwe i.o.lil.l¥:k**~.fugitive** ait(optior141...sec 

### lmtnsctioas**Manual).~** 

### tater, 

### on-.dc or**off-sl~** bod or in<:itlerAtioa, POTW, or other 

### (spDCify) and control 

### technology, ifaay, "Wl will be 

### used to**limit~** 

### n::Jc:aso oftbc 

### new sublllallcc 10 the 

### cnviroruncnl.

I

### .cncr 

### # ot Cl:H 

### Duntion CB! 

### Protective F.quip. I o/o in CUJ**Rcl~...c** AmoliiDt of

c! Workctl> of 

### f.ntineerins Con&rolsl Fonn- Number Ne>or AC'!-

### B:qt~**f~-posurc** Physical 

### Fcmn =% 

### W..JOn

### ~r.e ivity Rd--d**IIOW~SI::IIlce** _,

(14) •· Identifybyproducls**wbichmayrcsultbmtho~OD.**



### . 0). (5), (8). (ll), 

### (13) and (1 

### S}

- Mark (X} 

### this eoi"UD:I.n 

### if:u"(Y oflbe proceedi11g entries arc confideatinl business 

### informati011 (CBI).

(I) (2) (3) (4a) (4b) (S) (6) (7) (&) (9) (lOs) (lOb) 

### A 1-2 

## 0.5 

## 75 jGoggles and gloves Rectaclecl X 0 0 

# o

14)- Byprod11cts:

F.PA FORM 7710.25 (Rev. 5-9S) Pttgc 10 

# t2. car Mcdi• of**ltclc'~** & CODJ:rDI T

L'duiology CBl

(II)**(1~** (13) 

## Closed piping 

# system, 'njection well

(lS)

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

# OPTIONAL POLLUTION PREVENTION INFORMATION To claim information in this section as confidential circle or bracket the specific information that you claim as confidential. 

## In this section you may provide information not reported elsewhere in this form regarding your efforts to reduce or minimize potential risks associated with activities surrounding manufacturing, processing, use and disposal of the PMN substance. Please include new information pertinent to pollution prevention, including source reduction, recycling activities and safer processes or products available due to the new chemical substance. Source reduction includes the reduction in the amount or toxicity of chemical wastes by technological modification, process and procedure modification, product reformulation, raw materials substitution, and/or inventory control. Recycling refers to the reclamation of useful chemical components from wastes that would otherwise be treated or released as air emissions or water discharges, or land disposal. Descriptions of pollution prevention, source reduction and recycling should emphasize potential risk reduction subsequent to compliance with existing regulatory requirements and can be either quantitative or qualitative. The EPA is interested in the information to assess overall net reductions in toxicity or environmental releases and exposures, not the shifting of risks to other environmental media or non-environmental areas (e.g., occupational or consumer exposure). In addition, information on the relative cost or performance characteristics of the PMN substance to potential alternatives may be provided. 

## All information provided in this section will be taken into consideration during the review of this substance. See Instructions Manual and Pollution Prevention Guidance manual for guidance and examples. Describe the expected net benefits, such as (1) an overall reduction in risk to human health or the environment; (2) a reduction in the volume manufactured; (3) a reduction in the generation of waste materials through recycling, source reduction or other means; (4) a reduction in potential toxicity or human exposure and/or environmental release; (5) an increase in product performance, a decrease 

### in the cost of production and/or improved operation efficiency of the new chemical substance in comparison to existing chemical substances used in similar application; or (6) the extent to which the new chemical substance may be a substitute for an existing substance that poses a greater overall risk to human health or the environment. 

## All ingredients become part of the product. There are no by-products or discharges. All product is transferred to storage facilities immediately after manufacture. Product can be blended directly from storage facilities in designated blend facilities. There are no discharges from this process. Product or blended product is injected directly into producing gas and oil facilities. Treated fluids are not discharged. Separated water carrying product is re-injected in appropriate wells or treated to appropriate standards.

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

### [ ] Mark (X) 

### this box if you attach a continuation sheet. 

# Part III-- LIST OF ATTACHMENTS

Attach continuation sheets for sections of the form and test data and other data (including physical/chemical properties and structure/activity information), and optional information after this page. Clearly identify the attachment and the section of the form to which it relates, if appropriate. Number consecutively the pages of the attachments. In the column below, enter the inclusive page numbers of each attachment. Mark (X) the "Confidential" box next to any attachment name you claim as confidential. Read the Instructions 

### Manual for guidance on how to claim any information in an attachment as confidential. You must include with the sanitized copy of the notice form a sanitized version of any attachment in which you claim intormation as confidential. Attachment name Attachment Contipage number( s) dential


### Material Safetv Data Sheet (MSDS) Attachment I Physical and chemical properties worksheet 

### 14
Attachment II Material Safety Data Sheet 

## 15
Attachment Ill REDACTED X
Attachment IV REDACTED X
Attachment V REDACTED X Attachment VI Log Pow report 

### 21
Attachment VII REDACTED 

### X
Attachment VIII REDACTED X
Attachment IX Comparison of Toxicological Properties to other similar compounds 67

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

# Jt.l

# D Mark (X) this box if you attach a continuation sheet. Enter the attachment name and number. 

# I I

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

# ~~

### PHYSICAL AND CHEMICAL PROPERTIES WORKSHEET To assist EPA's review ofphysical and chemical properties data, please complete the following wodsheet for data you provide and include it in the notice. Identify the property measured, the page ofthe notice on which the property appears, the value ofthe 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 (I 00% pure) chemical substance

.

. Properties that are measured for mixtures or formulations should be so noted(% PMN substance**in~)-** You are not required to submit this worksheet; however, EPA strongly recommends that you do so, as it wi II simplifY review and ensure that confidential information is properly protected. You should submit this worksheet as a supplement to your submission oftest data This worksheet is not a substitute for submission oftest data. Property Mark Page Value jMeasured o Confidential (a) 

### Physical state of neat substance Vapor pressure (j/J 

### Temperature 

# c Density/relative density @ 15.5 C Solubility @ Temperature 25 

# oc

Solvent water Solubility in water @ Temperature 

# oc Melting temperature Boiling 

### I sublimation temperature@ torr pressure Spectra (REDACTED)
Dissociation constant
Particle size distribution
Octanol 

### I water partition coefficient (report attached) Henry's Law constant
Volitalization from water
Volitalization from soil pH@ concentration 100% Flammability Explodability Adsorption 

### I coefficient
Pour Point Viscosity, Brookfield @ 25 C (X) tf number provided (b)



### X

X 

### 13

X 

### 13

X

X

X 

### 13
X 

### 13



# /£. (c)


### (s) X (l) (g)

Torr 0.99 

### +/- 0.2 g!cm3



### Soluble in all proportions giL 

# oc oc
FTIR

Log Pow= 0.4

4.0-6.0 Flash Point> 62.5 C



### < -23 

# c
15 

### +/- 5 cps Estimate Mark(X) (MorE) (d)



### X



### ATTACHMENT PAGE 14

# A**""~~W\e~-\-** 

# " 

# {>-..,..\ \ - (;•-A«t'•\ 

# \t1**~l,..w..-\-\OK- ~«:~~\0"'\**  C - 

# 3-**CoWI~\'If'LichM** MATERIAL SAFETY DATA SHEET VP8-37**--------------------------------------------------------------------------~--** 

## SECTION 1

- IDENTIFICATION IBM VP8-37



# ----------------------------------------------------------------------------- Champion Technologies, Inc. 3130 FM 521 Fresno, TX 77545 PO. BOX 450499 Houston, TX 77245 EMERGENCY TELEPHONE NUMBERS 1-281-431-2561 1-800-424-9300 CHEMTREC 1-703-527-3887 CHEMTREC

- Trade Name: VP8-37 International Chemical Family: BETAINES CAS No.: PROPRIETARY Current as of: 8/26/02 By: L. ORESCHNIGG



# ----------------------------------------------------------------------------- SECTION 2

- HAZARDOUS INGREDIENTS/IDENTITY**----------------------------------------------------------------------~------** 

## Hazardous Components 2-BUTOXYETHANOL CAS No. 111-76-2 Wt .% 

## 35 PEL/STEL 50ppm/NO

ff 

## Denotes a chemical subject to the reporting requirements of SARA Title III section 313 of 1986 and 40 CFR part 372. SARA Title III Hazard Catagories: 1,3 The components_ of this product are listed on the EPA/TSCA Inventory SECTION 3

- PHYSICAL &**~HEMICAL** 

## CHARACTERISTICS Boiling Point, F: Vapor Pressure (mm 

## Hg) : Vapor Density {Air=1) : pH: Solubility in Water: Appearance and Odor: ND ND ND 

## 4-5 SOLUBLE CLEAR YELLOW Specific Gravity (H20=1): Evaporation Rate: {butyl acetate=1) Viscosity: LIQUID SECTION 4 - 

## FIRE & EXPLOSION DATA Flash Point, F 

## & Method Flammable Limits: 165 PMCC Based on: 2-BUTOXYETHANOL FIRE HAZARDS: 0:9876 ND ND



## LEL,% 1.1 UEL,% 12.5

Flammable materials may be ignited by heat, sparks or flames. Vapors may travel to a source of ignition and flash back. Containers may rupture in heat or fire. Vapors are an ignitability hazard indoors, outdoors, or in sewers. Runoff to a sewer may create a fire hazard.

EXTINGUISHING MEDIA: Dry chemical, C02, water spray or regular foam. Move container from fire area if you can do it without risk. Apply cooling water to sides of containers that are exposed to flames until well after the fire is out. Stay away from ends of containers.

Abbreviations: NA=not applicable, ND=not determined, NE=not established



# 15 

# 11

## Page 2 of 3 VPB-37**--------------------------------------------------------------------------~--** 

## SECTION 

## 5 - PHYSICAL HAZARDS (REACTIVITY DATA)



# ----------------------------------------------------------------------------- Chemical Stability: STABLE Conditions To Avoid: OPEN FLAMES Incompatibility (materials to avoid) : STRONG OXIDIZERS Hazardous Decomposition/Byproducts: OXIDES OF CARBON Hazardous Polymerization: WILL NOT OCCUR Hazard Rating Scale: HEALTH: 

## 2 FIRE: 

## 2 REACTIVITY: 0 

## O=minimal) (4=severe, 3=serious, 2=moderate, l=slight, SECTION 6 - 

## HEALTH HAZARDS PRIMARY ROUTES OF ENTRY Inhalation: X Absorption: X Ingestion: X Injection: NA
HBALTII HAZARDS: 

## May be hazardous if inhaled, ingested or absorbed through the skin. Direct contact with eyes and skin may cause irritation. Ingestion and inhalation may cause headaches, nausea, dizziness and other symptoms of central nervous system depression. Repeated and prolonged exposure to skin may cause defatting, which may lead to dryness, cracking, blistering, or dermatitis. SKIN AND EYE CONTACT SHOULD BE AVOIDED. AVOID BREATHING VAPORS. DO NOT INGEST.

EMERGENCY 

## & FIRST AID PROCEDURES: INGESTION Contact physician. Give water to drink and induce vomiting if directed by a physician. INHALATION: Remove to fresh air. If.not breathing, give artificial respiration. If breathing is difficult, oxygen may be given by qualified personnel. SKIN Remove contaminated clothing and wash skin with soap and water. Obtain medical attention if irritation persists. EYES Immediately flush eyes with running water and continue washing for at least 15 minutes.

IF CONDITIONS PERSIST, SEEK MEDICAL ATTENTION.
Carcinogenicity? NO NTP? NO !ARC Monograph? ND OSHA Regulated? NO

## Page 3 of 3 VPB-37



# ----------------------------------------------------------------------------- SECTION 7 - 

## SPECIAL PRECAUTIONS AND 

## SPILL/LEAK PROCEDURES



# ----------------------------------------------------------------------------- STEPS TO BB TAKEN IN CASH MATERIAL IS RBLRASBD 

## OR SPILLED: 

## Shut off ignition sources. No flares, smoking or flames in hazard area. Stop leak if you can do it without risk. Water spray may reduce vapor; but it may not prevent ignition in closed areas. Take up spill with sand or other noncombustible absorbent material and place in containers for later disposal. ALWAYS WEAR PROPER PERSONAL PROTECTIVE EQUIPMENT WHEN ADDRESSING SPILL OR LEAK.

WASTE DISPOSAL MBTHOD: 

## Contact an EPA or State Approved Disposal Facility.

. 

## . 

# ----------------------------------------------------------------------------- SECTION 

## 8 - SPECIAL PROTECTION INFORMATION/CONTROL MEASURES Respiratory Protection (Specify Type) : USE NIOSH APPROVED RESPIRATOR WHEN PEL IS EXCEEDED**Venti~ation:. L.oca~**  

## .Exhaust: .Recommended

...GeneraL Exhaust: Recommended Special: USE SCBA WHEN ENTERING TANKS Protective Gloves: Chemically Resistant 

# I Non-Slip Eye Protection: Chemical Safety Goggles 

# I Safety Glasses Other Protective Clothing or Equipment: Work/Hygenic Practices: Coveralls, Splash Aprons, Eye Wash, and Safety Shower Clean up Spills Promptly, Wash Contaminated Clothing. SECTION 

## 9 - SHIPPING DATA Hazard Classification: NOT-REGULATED Labels Required: NONE Proper Shipping Name/Description: NOT REGULATED

DOT RQ in Lbs: NA DOT RQ in Gal: NA Flash Point, F: 165 

## pH: 4-5 

## DOT ER Guide No. : NONE UN/NA No.: NONE

Pkg. Group: NONE IMDG 

## Pg. No. : NONE

This information is based on data believed by Champion Technologies, Inc. to be accurate, but no warranty, express or implied is made.



# 17 

# I 

# 'I

# ~~

# ~TechnolOgies Committed 

### To Improvement

# ~¥leal 

# Services LaboratoiJ' Report No. AS2003082

3130 FM 

### 521 Fresno, Texas 

### n545, USA Phone: 

### 281-431-2561 Fax: 

### 281-431-1655 emaU: NeRie.Chu@champ-tech.com


## To: V. Panchalingam

From: Nellie Chu Date: February 27, 2003

Cc: Virgil Seale Adelina Son Mike Rudel Steve Davis Rajan George Analytical File
Determination ofLogPow by High Performance Liquid Chromatography
Executive Summary Three samples were submitted by Paraffin laboratory for analysis. The purpose ofthis project is to determine LogPow value so Champion can file pre-manufacture notification. The samples were analyzed by Liquid Chromatography. The LogPow was found to be around 0 to 0.39. The data are summarized in Table I. 

## Sample Identification I. Code 2666 2. Commercial Betaine, N-Cocoacyl type 3. Commercial Betaine, N-Oleylacyl type 

## Analysis and Results Determination of LogPow by Liquid Chromatography: A HP-II 00 series Liquid Chromatograph with RI detector was utilized to analyze LogPow ofthe sample. The HPLC method is based on OECD Guideline II7:"Determination ofthe n-octanoVwater partition coefficient by HPLC." A HPLC determination ofLogPow was based on the correlation established between Log K and Log Pow· Two standards, each with four different chemicals, were used to do the calibration. Samples were dissolved in 60:40 (v/v) Phosphate Buffer: Methanol and analyzed using CI8 reverse phase column (25 em x0.4mm1D). 

## Table 1:**Lo~Pow** 

## Analysis Sample LogPow Code2666 0.39 Commercial Betaine N-Cocoacyl type 0 Commercial Betaine N-Oleylacyl type 0

Confidential Page 1 of4 

# (2..\) 2003082 

# :lrl

# ~Chanpi9n**~TechnolOgies** 

### Committed 

### To lmpfovement

# ~\ytical 

# Services Laboraby Report No. AS2003082

3130 FM 521 Fresno. Texas 77545, USA Phone: 281-431-2561 Fax: 281-431-1655 eman: Nellie.Chu@champ-tech.com 

## Summary and Conclusion The expected LogPow value for the samples is less than 3, which was confllllled by HPLC analysis. The correlation graph between LogK and LogPow is shown in Figure 1 and the chromatograms ofthe samples are shown in Figure 2 thru Figure 4. 

## The detailed calculations are included for your references. All the chromatograms are also attached to the hardcopy ofthis report in Analytical Report Folder. 

## Figure 1: LogPow 

## vs. Log K

•.•



# ..

'.•



# ..**--~** 

# -**~** J 

# .....

.....**~** 

# .. nc

nn


## Figure 2: Code 2666

"'"""



## """""



# ......

Confidential loa P_ VS 

### log k



# -**~** Ia..

## ~



# .....**~**



# .. ,. __.y 

### = 2.4923x + 1.4075 R 2 

## =0.9795



## __.

## ~



## __.**~ ~** 

Page 2 of4 

# (22; j.J 2003082

# ~~

# ~TechnolOgies CommHted To 

### tmproyement

# ~¥ical 

# Services Laboraro, Report No. AS2003082

3130 FM 521 Fresno. Texas 77545, USA Phone: 281-431-2561 Fax: 281-431-1655 email:**Nellie.Chu@cllam~tecll.com** 

## Figure 3: Commercial Betaine, N-Cocoacyl type

RD1 A, Rtlr8dtW**Index~** (20031CJ8VrfC033120.0)



## ,....,. Commercial 

### 8etaln!. N=Coco!cyltype



## ,.....,



# -

.. Figure 4: Commercial Betaine, N-Oieylacyl type

Rl[)1 A. RefractiVe Index**S~gnat** (2003108\NC033123 D) nRU

150000 Commercial Betaine. JH)!ey!acy! type

125000

100000

75000

50000

25000



### Confidential Page 3 of4 

## 2003082

### ~Cha 

# .

# ~Tech~**~ytica\** 

# Services**Labora~** CommJited To lmpfovemenf 

## Report No. AS2003082

3130 FM 

### 521 Fresno, Texas 

### n545, USA Phone: 

### 281-431-2561 Fax: 

### 281-431-1655


## Detailed Calculation Standards Aniline Benzyl Alcohol Acetophenone Benzene Toluene Chlorobenzene Benzophenone Naphthalene 

## LogPow 0.90 1.10 1.70 2.10 2.70 2.80 3.20 3.60 

## LogK -0.183 -0.179 0.1137 0.3393 0.5872 0.5937 0.6352 0.8383
Dead volumeffhio Urea 2.26 

## Code 2666 (ti),214 om LogPow Peak #1 0.00 Peak #2 0.00 Peak#3 1.18 

## Weighted Average 0.39**N~Cocoag:l** 

## @214nm LogPow Peak#2 0.00 Peak #3 0.00 

## Weighted Average 0.00**N~Oleilag:l** 

## @214nm LogPow Peak#2 0.00 Peak#3 0.00 

## Weighted Average 0.00 Logk -1.33 -0.68 -0.09


## Logk -1.25 -0.68


## Logk -1.22 -0.68 

## Rt 3.741 3.754 5.197 7.197 10.996 11.129 12.018 17.834



## Rt 2.366 2.731 4.092



## Rt 2.386 2.731



## Rt 2.396 2.730

Confidential Page4of4 

# (2 

# 4)**~** email: Nellie.Chu@champ-tech.com



## Area% @214nm 7.59 79.28 12.13



## Areao/o @214nm 12.2053 82.6144



## Area% @214nm 14.6032 76.2365

2003082\..,}c'''o\,,'ComparisonofDataforCode2666withsimilarCompoundsAnaeroorcLC50crustacean;Biodegradability;Biodegradability;1LC50ftsh;timeIC50algae;timetimeOECD301ISO11734IProductCASnumberc12-14alkyldimethyl-,betaine(Iaury!betaine)66455-29-621.9;96-hr[3]2.5;72-hr[3]Cocoamidopropylbetaine61789-40-02;96-hr{4]1.84;96-hr[4]Code2666198574-04-8n/d6.28;72-hrCocoamidopropylbetaineisnotlistedas carcinogenicbyIARC,NTP,OSHA,ACGIHCocoamidopropylbetaineisnotconsideredtobemutagenic.n/d>60%[1]6.5;48-hr[4]90-94%[1]20.9;96-hrn/dAccordingtotheUSEPA,theestimatedtoxicityofcocoamidopropylbetaineis>10mg/Lforfish,Dsphneisp.,andalgae.[5]Theconcernconcentrationforthecocoamidopropylbetaineis0.2mg/Lwithahazardrankofmoderate.[5]n/d=notdetermined75%[2]75%[2]n/d1.Dormsch,A.,Karsa,D.R.andM.R.Porter(ed.),BiodegradabilityofSurfactants,BlackieAcademicandProfessional,Glasgow,1995;pp231-2542.Madsen,T.et.e/.,EnvironmentalandHealthAssessmentofSubstanceinHouseholdDetergentsandCosmeticDetergentProducts.RapporttilMilj0styrelsen,januar20013.DatapublishedbyDanishEPA;seewww.fi.dk.hjemmet/rengoeringllndholdsstoffer/alkyldimethyllalkyldimethylbetainc1214/4.DatafromEuropeanChemicalsBureau,IUCLID-CDVersion1.0,EnvironmentInstitute,lspra5."CleanerTechnologiesSubstitutesAssessment:ProfessionalFabricareProcesses"';USEPA,OfficeofPollutionPreventionandTaxies,EPA744-B-98-001,June1998Basedonthisdata,CTImakesthefollowingclaims:"Claim1:Basedonsimilarityinstructuretootherbetaines,theOECD301biodegradabilityofC-2666isexpectedtobe60-90%.Claim2:Basedonthesimilarityinstructuretootherbetaines,theISO11734biodegradabilityofC-2666isexpectedtobe70-80%.Claim3:The96-hrLC50forfishwillbe2-30mg/LClaim4:BasedontheSARAssessmentoftheUSEPA,C-2666willhaveariskandconcernconcentrationsimilartothatofcocoamidopropylbetaine.Claim5:Basedonthesimilarityinstructureandtoxicitytococoamidopropylbetaine,C-2666shouldnotbecarcinogenicormutagenic.(p7