### Cover Letter

October 18, 2013 By Central Data Exchange New Chemicals Program Office of Pollution Prevention and Toxics Confidential Business Information Center [Rm. 6428] EPA East Building Ronald Reagan Complex 1201 Constitution Ave., NW Washington, DC 20004-3302 Re: Premanufacture Notice Submission under TSCA Section 5 by {XXX}
Dear Sir/Madam: Enclosed you will find a Premanufacture Notice (PMN) submitted under Section 5(a)(1) of the Toxic Substances Control Act (TSCA). This PMN is being submitted to the U.S. Environmental Protection Agency (EPA or the Agency) by {XXX} for the chemical substance identified below: CA Index Name: {XXX} CAS Registry Number: {XXX} Company Identifier: {XXX} TS Number: EMLA50 This PMN submission is made in accordance with the regulations given at 40 CFR 720. We request that the Agency begin review upon receipt. This notice has been created using the EPA’s new e-PMN software and, as now required under EPA regulations, this notice is being submitted through EPA's Central Data Exchange (CDX). Page 1 SANITIZED SUBMISSIONAt this time, {XXX} is also remitting a check in the amount $2,500.00 for the PMN user fee in accordance with the

requirements at 40 CFR 700.45(b)(2)(i). This check is being sent to EPA’s Washington Finance Center in St. Louis, MO. {XXX} is claiming certain information in the PMN as Confidential Business Information (CBI), including the chemical identity and company identity, in accordance with the provisions at 40 CFR 720.80. For all questions regarding the submission of this PMN, the technical contact is {XXX} Sincerely, {XXX} {XXX} cc: {XXX}

Page 2 SANITIZED SUBMISSIONCheck Number: 85666 EMLA131018427762500 EMLA50

X
X

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Page 4 SANITIZED SUBMISSIONXXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX

XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX 

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X X X X XXX XXX XXX

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XXX 

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XXX 

### X 363722-1 Attachment-3-EMLA-SAN-EMLA50.pdf XXX 

### X See Attachment 003 (Attachment-3-EMLA-SAN-EMLA50.pdf)

Attachment-3-EMLA-SAN-EMLA50.pdf Page 6 SANITIZED SUBMISSIONXXX

XXX

XXX 

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Page 7 SANITIZED SUBMISSIONPage 8 SANITIZED SUBMISSIONPage 9 SANITIZED SUBMISSIONXXX

XXX

Fatty acid amide 

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X XXX XXX XXX X XXX XXX XXX X

XXX XXX X XXX XXX X

Page 10 SANITIZED SUBMISSIONXXX XXX 

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X Emulsifier for use in asphalt applications. XXX X XXX X XXX XXX XXX XXX X

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XXX XXX XXX 

### X XXX X

See Attachment #4. 

### X XXX XXX XXX XXX XXX 

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Page 12 SANITIZED SUBMISSIONSee Attachment 004 (Attachment-4-EMLA-SAN.pdf)

Attachment-4-EMLA-SAN.pdf Page 13 SANITIZED SUBMISSIONXXX XXX XXX XXX XXX 

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XXX XXX XXX XXX XXX 

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XXX XXX XXX XXX XXX 

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XXX XXX XXX XXX XXX 

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XXX XXX XXX XXX XXX 

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XXX XXX XXX XXX XXX 

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XXX XXX XXX XXX XXX 

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Page 14 SANITIZED SUBMISSIONXXX XXX XXX XXX XXX 

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XXX XXX XXX XXX XXX 

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XXX XXX XXX XXX XXX 

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Page 15 SANITIZED SUBMISSIONXXX XXX XXX XXX XXX XXX X X X X XXX XXX XXX XXX XXX XXX X X X X XXX XXX XXX XXX XXX XXX X X X X

Page 16 SANITIZED SUBMISSIONXXX XXX XXX XXX XXX XXX X X

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### X

See Attachment 007 (Attachment-7-EMLA-SAN.pdf)

Attachment-7-EMLA-SAN.pdf Page 18 SANITIZED SUBMISSIONP10SB1(a)(4)1 Part II, Section B, 1(a)(4). Operation Site Locations

XXX

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XXX XXX XXX XXX XXX XXX XXX

XXX XXX XXX XXX

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X X

Page 20 SANITIZED SUBMISSION{XXX}

Attachment-9-EMLA-SAN.pdf
Page 21 SANITIZED SUBMISSION001 Material Safety Data Sheet Attachment-1-EMLA-SAN.pdf 9

002 Summary of Information on the New Chemical Substance Attachment-2-EMLA-SAN.pdf 2 003 CAS Inventory Expert Service Report and Chemical Structure of the New Chemical Attachment-3-EMLA-SANEMLA50.pdf Pt.I, Sec.B, 1c. | Pt.I, Sec.B, 1e. 3 004 Manufacturing and Processing Information on the New Chemical Substance at Industrial Sites Attachment-4-EMLA-SAN.pdf Pt.2, Sec.A, 1d. 4 005 Worker/Occupational Exposure Information on the New Chemical Substance at Industrial Sites Attachment-5-EMLA-SAN.pdf 1 006 Environmental Release and Disposal Information on the New Chemical Substance at Industrial Attachment-6-EMLA-SAN.pdf 1 007 Processing Information on the New Chemical Substance at Industrial Sites Controlled by Attachment-7-EMLA-SAN.pdf Pt.2, Sec.B, 1a. 2 008 Worker/Occupational Exposure and Environmental Release Information on the New Attachment-8-EMLA-SAN.pdf 1 009 Additional Information on the Absence of Tank Truck Cleaning Operations at Road Construction Attachment-9-EMLA-SAN.pdf Pollution Prevention 5

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### X Measured 0.97 - 1.03 Measured

Partially soluble Estimate 25

Flash point: > 300 °F Measured

1,000 - 5,000 cps (60 °C) Measured Viscosity Page 23 SANITIZED SUBMISSION

### ATTACHMENT HEADER SHEET Attachment Number 001 Attachment Name Material Safety Data Sheet 

### Associated PMN Section Number

N/A Does not contain CBI 

### Report Number EMLA131018427762500

### ATTACHMENT HEADER SHEET Attachment Number 002 Attachment Name Summary of Information on the New Chemical Substance 

### Associated PMN Section Number

N/A Does not contain CBI 

### Report Number EMLA131018427762500

### ATTACHMENT HEADER SHEET Attachment Number 003 Attachment Name CAS Inventory Expert Service Report and Chemical Structure of the New Chemical Substance



### Associated PMN Section Number Pt.I, Sec.B, 1c. | Pt.I, Sec.B, 1e. Does not contain CBI 

### Report Number EMLA131018427762500

### ATTACHMENT HEADER SHEET Attachment Number 004 Attachment Name Manufacturing and Processing Information on the New Chemical Substance at Industrial Sites Controlled by the Submitter 

### Associated PMN Section Number

Pt.2, Sec.A, 1d. Does not contain CBI 

### Report Number EMLA131018427762500

### ATTACHMENT HEADER SHEET Attachment Number 005 Attachment Name Worker/Occupational Exposure Information on the New Chemical Substance at Industrial Sites Controlled by the Submitter – Manufacture and Processing 

### Associated PMN Section Number

N/A Does not contain CBI 

### Report Number EMLA131018427762500

### ATTACHMENT HEADER SHEET Attachment Number 006 Attachment Name Environmental Release and Disposal Information on the New Chemical Substance at Industrial Sites Controlled by the Submitter – Manufacture and Processing 

### Associated PMN Section Number

N/A Does not contain CBI 

### Report Number EMLA131018427762500

### ATTACHMENT HEADER SHEET Attachment Number 007 Attachment Name Processing Information on the New Chemical Substance at Industrial Sites Controlled by Others 

### Associated PMN Section Number

Pt.2, Sec.B, 1a. Does not contain CBI 

### Report Number EMLA131018427762500

### ATTACHMENT HEADER SHEET Attachment Number 008 Attachment Name Worker/Occupational Exposure and Environmental Release Information on the New Chemical Substance at Industrial Sites Controlled by Others 

### Associated PMN Section Number

N/A Does not contain CBI 

### Report Number EMLA131018427762500

### ATTACHMENT HEADER SHEET Attachment Number 009 Attachment Name Additional Information on the Absence of Tank Truck Cleaning Operations at Road Construction Sites 

### Associated PMN Section Number

Pollution Prevention Does not contain CBI 

### Report Number EMLA131018427762500