11111111111111111111111111111111111111111111111111111 SAM~~~BM.~ 

Part II-- HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE — Continued 

Section B-- INDUSTRIAL SITES CONTROLLED BY OTHERS 

The infortnation on pages 10 and 10a refer to consolidated chemical number(s): ❑ 1 ❑ 2 ❑ 3 ❑ 4 ❑ 5 6 

Complete section B for typical processing or use operations invofving the new chemical substance at sites you do not control. importers do not have to 

compfete this section for operations outside the U.S.; however, you must report any processing or use activities after import. See the Instructions Manual. 

Comptete a separate section 8 for each type of processing, or use operation invotving the new chemica/ substance. If the same operation is performed at 

more than one site describe the typical o eration common to these sites. Identify additional sites on a continuation sheet. 

1(a). Operation Description — To claim information in this section as confidential, bracket (e.g. Q) the specific information that you claim as 

confidential. 

(1) -- Diagram the major unit operation steps and chemical conversions, inGuding interim storage and transport containers (speclfy - e.g. 5 gallon 

pails, 55 gallon drums, rail cars, tank trucks, etc). On the diagram, identify by letter and briefly describe each worker activity. 

(2) -- Either in the diagram or in the text field 1(b) below, provide the identity, the approximate weight (by kg/day or kg/batch, on an 100% new 

chemical substance basis), and entry point of all feedstocks (including reactants, solvents and catalysts, etc) and all products, recycle 

streams, and wastes. Include cleaning chemicals (note frequency if not used daily or per batch). 

(3) Either in the diagram or in the text field 1(b) below, identify by number the points of release, including small or intermittent releases, to the 

environment of the new chemical substance. 

4-- Please enter the # of sites remember to identify the locations of these sites on a continuation sheet : 

Number of Sites Confidential JAI 

See Attachment 017 (Attachment for PMN Page 10 (#2a) (pubfic).pdf) 

1(b). (Optional) This space is for a text description to clarify the diagram above. Confidential FXK 

XXX 

Enter Attachment filename for Part II, Section B on fhe bottom of page 10a. Attachment for PMN Page 10 (#2a) (public).pdf ❑ 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 

Page 21 
,..,.D,.,..,,. 

[ D IP10SB1(a)(4)3 Field I Part II, Section B, 1(a)(4). Operation Site Locations 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 

Page 22 
IINNNINNVINN ~INMVIINNN SANITIZED SUBMISSION 

2. Worker Exposure/Environmental Release 

(1) -- From the diagram above, provide the lefter for each worker activity. Complete 2-8 for each worker activity described. 

(2) - Estimate the number of workers exposed for all sites combined. 

(4) -- Estimate the typical duration of exposure per worker in (a) hours per day and (b) days per year. 

(6) – Describe physical form of exposure and % new chemical substance (if in mixture), and any protective equipment and engineering controls, if 

any, used to protect workers. 

(7) -- Estimate the percent of the new substance as formulated when packaged or used as a final product. 

(9) -- From the process diagram above, enter the number of each release point. Complete 9-13 for each release point identified. 

(10)-- Estimate the amount of the new substance released (a) directly to the environment or (b) into control technology to the environment (in 

kg/day or kg/batch). 

(12) -- Describe media of release i.e. stack air, fugitive air (optional-see Instructions Manual), surface water, on-site or off-site land or incineration, 

POTW, or other (specify) and control technology, if any, that will be used to limit the release of the new substance to the environment. 

(14) -- Identify byproducts which may result from the operation. 

(3), (5), (8), (11), (13) and (15) – Mark (X) this column if any of the proceeding entries are confidential business information (CBI). 

Letter # of Duration of Protective Equ1p./Engineering Controls/Physical % new % in of Workers CBI Exposure 

CBI Form substance Formulation CBI 

Activity Exposed 

( 1 ) ( 2) ( 3) ( 4a) ( 4b) ( 5) ( 6) ( 6) ( 7) (8) 

XXX XXX X XXX XXX X XXX XXX XXX X 

XXX XXX X xxX XXX X xxx XXX XXX X 

XXX XXX X XXX XXX X XXX XXX XXX X 

XXX XXX X XXX XXX X XXX XXX XXX X 

Release Amount of New Substance Released CBI Media of Release & Control Technology CBI 

Number 

(9) (10a) (10b) (11) (12) (13)

XXX XXX XXX X XXX X 

XXX XXX XXX X XXX X 

XXX XXX XXX X XXX X 

XXX XXX XXX X xxX X 

Mark (X) this box if the data continues on the next page. 

(14) Byproducts: (15)CBI F—I 

Enter Attachment filename for Part li, Section B. ~ 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 

Page 23 
111 11111 11111111111111111 I11I 111i SANITIZED,,,..,.. 

Part II-- HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE — Continued 

Section B-- INDUSTRIA L SITES CONTROLL E D BY OTHERS 

The information on pages 10 and 10a refer to consolidated chemical number(s): ❑ 1 ❑ 2 ❑ 3 ❑ 4 ❑ 5 ❑ 6 

Complete section B for typical processing or use operations involving the new chemical substance at sites you do not control. Importers do not have to 

complete this section for operations outside the U.S.; however, you must report any processing or use activities after import. See the Instructions Manual 

Comp/ete a separate section 8 for each type of processing, or use operation invo/ving the new chemical substance. If the same operation is performed at 

more than one site describe the typical o eration common to these sites. Identify additional sites on a continuation sheet. 

1(a). Operation Description -- To claim information in this section as confidential, bracket (e.g. ()) the specific information that you claim as 

confidential. 

(1) -- Diagram the major unit cperation steps and chemical conversions, including interim storage and transport containers (specify - e.g. 5 gallon 

pails, 55 gallon drums, rail cars, lank trucks, etc). On the diagram, identify by letter and briefly describe each worker activity. 

(2) -- Either in the diagram or in the text field 1(b) below, provide the identity, the approximate weight (by kg/day or kg/batch, on an 100% new 

chemical substance basis), and entry point of all feedstocks (including reactants, solvents and catalysts, etc) and all produds, recycle 

streams, and wastes. Include cleaning chemicals (note frequency if not used daily or per batch). 

(3) -- Either in the diagram or in the text field 1(b) below, identify by number the points of release, including small or intermittent releases, to the 

environment of the new chemical substance. 

4-- Please enter the # of sites remember to identify the locations of these sites on a continuation sheet : 

Number of Sites Confidential ~ 

See Attachment 018 (Attachment for PMN Page 10 (#2b) (public).pdf) 

1(b). (Optional) This space is for a text description to clarify the diagram above. Confidential ~ 

XXX 

I

Enter Attachment filename for Part II, Section B on the bottom of page 10a. Attachment for PMN Page 10 (#21b) (publi c).pd f ❑ 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 

Page 24 
i~IN~ II~MINIIIWWI~NW~NY~~V SANITIZED SUBMISSION 

Continuation Sheet 

I ID I P10SB1(a)(4)4 I kield I Part II , Section B, 1(a)(4). Operation Site Locations I 

XXX 

FPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 

Page 25 
11111111 111111111111111111111111111111111111111111111 v.,,IZ.o„a.,SI„ 

2. Worker Exposure/Environmental Release 

(1) -- From the diagram above, provide the letter for each worker activity. Comptete 2-8 for each worker activity described. 

(2) -- Estimate the number of workers exposed for all sites combined. 

(4) - Estimate the typical duration of exposure per worker in (a) hours per day and (b) days per year. 

(6) — Describe physical form of exposure and % new chemical substance (if in mixture), and any protective equipment and engineering controls, if 

any, used to protect workers. 

(7) — Estimate the percent of the new substance as formulated when packaged or used as a final product. 

(9) - From the process diagram above, enter the number of each reiease point. Complete 9-13 for each release point identified. 

(10)— Estimate the amount of the new substance released (a) directly to the environment or (b) into control technology to the environment (in 

kg/day or kg/batch). 

(12) -- Describe media of release i.e. stack air, fugitive air (optionai-see Instructions Manual), surface water, on-site or off-site land or incineration, 

POTW, or other (specify) and control technology, if any, that will be used to limit the release of the new substance to the environment. 

(14) -- Identify byproducts which may result from the operation. 

(3), (5), (8), (11), (13) and (15) — Mark (X) this column if any of the proceeding entries are confidential business information (CBI). 

Letter # of Duration of Protective Equip./Engineering Controls/Physical % new % in of Workers CBI Exposure CBI Form substance Formulation CBI 

Activity Exposed 

(1) (2) (3) (4a) (4b) (5) (6) (s) (7) (8) 

XXX XXX X XXX XXX X XXX XXX XXX X 

XXX XXX X XXX XXX X XXX XXX XXX X 

XXX XXX X XXX XXX X XXX XXX XXX X 

XXX XXX X XXX XXX X XXX XXX XXX X 

Release Amount of New Substance Released CBI Media of Release & Control Technology CBI 

Number 

(9) (10a) (10b) (11) (12) (13)

XXX XXX XXX X XXX X 

XXX XXX XXX X XXX X 

XXX XXX XXX X XXX X 

XXX XXX XXX X XXX X 

Mark (X) this box if the data continues on the next page. F—I 

(14) Byproducts: 7116) CBI ~ 

Enter Aftachment filename for Part II, Section B. El 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 

Page 26 
SANITIZED SUBMISSION 

Part II-- HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE — Continued 

Section B-- INDUSTRIAL SITES CONTROLLED BY OTHERS 

The information on pages 10 and 10a refer to consotidated chemical number(s): 1 2 ❑ 3 Ej 4 5 ❑ 6 

Complete section B for typical processing or use operations involving the new chemical substance at sites you do not control. Importers do not have to 

complete this section for operations outside the U.S.; however, you must report any processing or use activities after import. See the Instructions Manual. 

Complete a separate section 8 for each type of processing, or use operation involving the new chemica/ substance. If the same operation is performed at 

more than one site describe the typical o eration common to these sites. Identify additional sites on a continuation sheet. 

1(a). Operation Description -- To claim information in this section as confidential, bracket (e.g. {)) the specific information that you claim as 

confidential. 

(1) -- Diagram the major unit operation steps and chemical conversions, inciuding interim storage and transport containers (specify - e.g. 5 gallon 

pails, 55 gallon drums, rail cars, tank trucks, etc). On the diagram, identify by lefter and briefly describe each worker activity. 

(2) -- Either in the diagram or in the text field 1(b) below, provide the identity, the approximate weight (by kg/day or kg/batch, on an 100% new 

chemical substance basis), and entry point of all feedstocks (including reactants, solvents and catalysts, etc) and all products, recycle 

streams, and wastes. Include cleaning chemicais (note frequency if not used daily or per batch). 

(3) -- Either in the diagram or in the text field 1(b) beiow, identify by number the points of release, including small or intermiftent releases, to the 

environment of the new chemical substance. 

4— Please enter the # of sites remember to identify the locations of these sites on a continuation sheet : 

Number of Sites Confidential X 

See Attachment 019 (Aftachment for PMN Page 10 (#2c) (public).pdf) 

1(b). (Optional) This space is for a text description to Garify the diagram above. Confidential a 

XXX 

Enter Attachment filename for Part II, Section B on the bottom of page 10a. Attachment for PMN Page 10 (#2c) (public).pdf ❑ 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 

Page 27 
i~~I~II~InI~IIIVIN~~~W~ IIIIN ~ IIIIN SANITIZED SUBMISSION 

Continuation Sheet 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 

Page 28 
II~WIl~I~~III~ IIUVNBIIINIIIBh SANITIZED SUBMISSION 

2. Worker Exposure/Environmental Release 

(1) -- From the diagram above, provide the lefter for each worker activity. Complete 2-8 for each worker activity described. 

(2) - Estimate the number of workers exposed for all sites combined. 

(4) -- Estimate the typical duration of exposure per worker in (a) hours per day and (b) days per year. 

(6) - Describe physical form of exposure and % new chemical substance (if in mixture), and any protective equipment and engineering controis, if 

any, used to protect workers. 

(7) -- Estimate the percent of the new substance as formulated when packaged or used as a final product. 

(9) From the process diagram above, enter the number of each release point. Complete 9-13 for each release point identified. 

(10)-- Estimate the amount of the new substance released (a) directly to the environment or (b) into control technology to the environment (in 

kg/day or kg/batch). 

(12) -- Describe media of reiease i.e. stack air, fugitive air (optional-see Instructions Manual), surface water, on-site or off-site land or incineration, 

POTW, or other (specify) and control technoiogy, if any, that will be used to limit the reiease of the new substance to the environment. 

(14) -- Identify byproducts which may result from the operation. 

(3), (5), (8), (11), (13) and (15) — Mark (X) this coiumn if any of the proceeding entries are confidential business information (CBI). 

Letter # of Duration of Protective Equip./Engineering Controls/Physicai % new % in of Workers CBI Exposure CBI Form substance Formulation CBI 

Activity Exposed 

(1) (2) (3) (4a) (4b) (5) (6) (6) (7) (8) 

XXX XXX X XXX XXX X XXX XXX XXX X 

XXX XXX X XXX XXX XxxX XXX XXX X 

XXX XXX X XXX XXX X XXX XXX XXX X 

XXX XXX X XXX XXX X XXX XXX XXX X 

Release Amount of New Substance Released CBI Media of Release & Control Technology CBI 

Number 

(9) (10a) (10b) (11) (12) (13)

XXX XXX XXX X XXX X 

XXX XXX XXX X XXX X 

XXX XXX XXX X XXX X 

XXX XXX XXX X XXX X 

Mark (X) this box if the data continues on the next page. 

(14) Byproducts: (15)CBI ~ 

Enter Aftachment filename for Part II, Section B. ~ 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 

Page 29 
1 1111 111111111111111 1 111111111111 1111u III 1 SAN IT IZED SUBMISS ION 

Part II-- HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE — Continued 

Section B -- INDUSTRIAL SITES CONTROLLED BY OTH ERS 

The information on pages 10 and 10a refer to consolidated chemical number(s): ❑ 1 ❑ 2 ❑ 3 ❑ 4 ❑ 5 ❑ 6 

Complete section B for typical processing or use operations involving the new chemical substance at sites you do not control. Importers do not have to 

complete this section for operations outside the U.S.; however, you must report any processing or use activities after import. See the Instructions Manual. 

Comp/ete a separate section B for each type of processing, or use operation involving the new chemical substance. If the same operation is performed at 

more than one site describe the typical o eration common to these sites. Identify additional sites on a continuation sheet. 

1(a). Operation Description -- To claim information in this section as confidential, bracket (e.g. {}) the specific information that you claim as 

confdential. 

(1) -- Diagram the major unit operation steps and chemical conversions, including interim storage and transport containers (specify - e.g. 5 gallon 

pails, 55 gallon drums, rail cars, tank trucks, etc). On the diagram, identify by letter and briefly describe each worker activity. 

(2) -- Either in the diagram or in the text field 1(b) below, provide the identity, the approximate weight (by kg/day or kg/batch, on an 100% new 

chemical substance basis), and entry point of all feedstocks (including reactants, solvents and catalysts, etc) and all products, recycle 

streams, and wastes. Include cleaning chemicals (note frequency if not used daily or per batch). 

(3) -- Either in the diagram or in the text field 1(b) below, identify by number the points of release, including small or intermittent releases, to the 

environment of the new chemical substance. 

4-- Please enter the # of sites remember to identify the locations of these sites on a continuation sheet : 

Number of Sites Confidential X 

See Attachment 020 (Attachment for PMN Page 10 (#3) (public).pdf) 

1(b). (Optional) This space is for a text description to clarify the diagram above. Confidential ® 

XXX 

Enter Attachment filename for Part II, Section B on the bottom of page 10a. Attachment for PMN Page 1 0 (#3) (public).pdf ~ 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 

Page 30 
'fl1~~IN~IMNIM ~lllll Illnl IIIIIIIIII II III SANITIZED SUBMISSION 

Continuation Sheet 

I ID I P10SB1(a)(4)6 1 Field I Part 11, Section B, 1(a)(4). Operation Site Locations I 

XXX 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 

Page 31 
111111111111 11111111 111I II I II IIIII IIIIIII 1 ,..,,.,.U...„,w 

2. Worker Exposure/Environmentaf Release 

(1) -- From the diagram above, provide the letter for each worker activity. Complete 2-8 for each worker activity described. 

(2) -- Estimate the number of workers exposed for all sites combined. 

(4) -- Estimate the typical duration of exposure per worker in (a) hours per day and (b) days per year. 

(6) -- Describe physical form of exposure and % new chemical substance (if in mixture), and any protective equipment and engineering controls, if 

any, used to protect workers. 

(7) -- Estimate the percent of the new substance as formulated when packaged or used as a final product. 

(9) -- From the process diagram above, enter the number of each release point. Complete 9-13 for each release point identified. 

(10)-- Estimate the amount of the new substance released (a) directly to the environment or (b) into control technology to the environment (in 

kg/day or kg/batch). 

(12) -- Describe media of release i.e. stack air, fugitive air (optional-see Instructions Manual), surface water, on-site or off-site land or incineration, 

POTW, or other (specify) and control technology, if any, that will be used to limit the release of the new substance to the environment. 

(14) -- Identify byproducts which may result from the operation. 

(3), (5), (8), (11), (13) and (15) -- Mark (X) this column if any of the proceeding entries are confidential business information (CBI). 

Letter 

of 

Activity 

# of 

Workers 

Exposed 

E(3)1 

Duration of 

Exposure CBI Protective Equip./Engineering Controls/Physical Form 

% new 

substance 

% in 

Formulation CBI 

(1) (2) (4a) (4b) (5) (6) (6) (7) (8) 

XXX XXX X XXX XXX X XXX XXX XXX X 

XXX XXX X XXX XXX X XXX XXX XXX X 

Release 

Number Amount of New Substance Released CBI Media of Release & Control Technology CBI 

(9) (10a) (10b) (11) (12) (13)

XXX XXX XXX X XXX X 

XXX XXX XXX X XXX X 

Mark (X) this box if the data continues on the next page. ~ 

(14) Byproducts: (15)CBI 0 

Enter Attachment flename for Part II, Section B. 11 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 

Page 32 
1111111 1111I III I11 1111111111111111111111111111 11111111111 SAN IT IZED.,.,...„.. 

Part 11-- HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE — Continued 

Section B-- INDUSTRIA L SITES CONTROLLED BY OTHERS 

The information on pages 10 and 10a refer to consolidated chemical number(s): ❑ 1 ❑ 2 ❑ 3 ❑ 4 ❑ 5 ❑ 6 

Complete section B for typical processing or use operations involving the new chemical substance at sites you do not control. Importers do nol have to 

complete this section for operations outside the U.S.; however, you must report any processing or use activities after import. See the Instructions Manual. 

Complete a separate section B for each type of processing, or use operation involving the new chemical substance. If the same operation is performed at 

more than one site describe the typical o eration common to these sites. Identify additional sites on a continuation sheet. 

1(a). Operation Description -- To claim information in this section as confidential, bracket (e.g. {}) the specific information that you claim as 

confidential. 

(1) -- Diagram the major unit operation steps and chemical conversions, including interim storage and transport containers (specify - e.g. 5 gallon 

pails, 55 gallon drums, rail cars, tank trucks, etc). On the diagram, identify by letter and briefly describe each worker activity. 

(2) -- Either in the diagram or in the text field 1(b) below, provide the identity, the approximate weight (by kg/day or kg/batch, on an 100% new 

chemical substance basis), and entry point of all feedstocks (including reactants, solvents and catalysts, etc) and all products, recycle 

streams, and wastes. Include cleaning chemicals (note frequency if not used daily or per batch). 

(3) -- Either in the diagram or in the text field 1(b) below, identify by number the points of release, including small or intermittent releases, to the 

environment of the new chemical substance. 

4-- Please enter the # of sites remember to identify the locations of these sites on a continuation sheet : 

Number of Sites Confdential Fv—1 

See Attachment 021 (Attachment for PMN Page 10 (#4a) (public).pdf) 

1(b). (Optional) This space is for a text description to clarify the diagram above. Confidential ~ 

XXX 

Enter Attachment filename for Part II, Section B on the bottom of page 10a. Attachment for PMN Page 10 (#4a) (public).pdf ❑ 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 

Page 33 
IVIIIIVIIIVI ~~~ IVY'IVIVVdIIIIYIIIIIIIVI'INII ~ IIU SANITIZED SUBMISSION 

Continuation Sheet 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 

Page 34 
i 111111111111111111111 ....EO,,,,.... , 

2. Worker Exposure/Environmental Release 

(1) -- From the diagram above, provide the letter for each worker activity. Complete 2-8 for each worker activity described. 

(2) -- Estimate the number of workers exposed for all sites combined. 

(4) -- Estimate the typical duration of exposure per worker in (a) hours per day and (b) days per year. 

(6) -- Describe physical form of exposure and % new chemical substance (if in mixture), and any protective equipment and engineering controls, if 

any, used to protect workers. 

(7) -- Estimate the percent of the new substance as formulated when packaged or used as a final product. 

(9) -- From the process diagram above, enter the number of each release point. Complete 9-13 for each release point identified. 

(10)-- Estimate the amount of the new substance released (a) directly to the environment or (b) into control technology to the environment (in 

kg/day or kg/batch). 

(12) -- Describe media of release i.e. stack air, fugitive air (optional-see Instructions Manual), surface water, on-site or off-site land or incineration, 

POTW, or other (specify) and control technology, if any, that will be used to limit the release of the new substance to the environment. 

(14) -- Identify byproducts which may result from the operation. 

(3), (5), (8), (11), (13) and (15) -- Mark (X) this column if any of the proceeding entries are confidential business information (CBI). 

Letter 

of 

Activity 

# of 

Workers 

Exposed 

CBI Duration of 

Exposure CBI Protective Equip./Engineering Controls/Physical 

Form 

% new 

substance 

% in 

Formulatfon CBI 

(1) (2) (3) (4a) (4b) (5) (6) (6) (7) (8) 

XXX XXX X XXX XXX X l xxx XXX XXX X 

Release 

Number Amount of New Substance Released CBI Media of Release & Control Technology CBI 

(9) (10a) (10b) (11) (12) (13)

XXX XXX XXX X XXX X 

Mark (X) this box if the data continues on the next page. El 

(14) Byproducts: (15)CBI ~ I 

Enter Attachment filename for Part II, Section B. ~ 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 

Page 35 
..,,.o.U.,..,.. 

Part II-- HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE — Continued 

Section B-- INDUSTRIAL SITES CONTROLLED BY OTHERS 

The information on pages 10 and 10a refer to consolidated chemical number(s): ❑ 1 ❑ 2 ❑ 3 ❑ 4 ❑ 5 ❑ 6 

Complete section B for typical processing or use operations involving the new chemical substance at sites you do not control. Importers do not have to 

complete this section for operations outside the U.S.; however, you must report any processing or use activities after import. See the Instructions Manual. 

Complete a separate section B for each type of processing, or use operation involving the new chemica/ substance. If the same operation is performed at 

m ore than one site describe the typical operation common to these sites. Identify additional sites on a continuation sheet. 

1(a). Operation Description -- To claim information in this section as confidential, bracket (e.g. {}) the specific information that you claim as 

confidential. 

(1) -- Diagram the major unit operation steps and chemical conversions, including interim storage and transport containers (specify - e.g. 5 gallon 

pails, 55 gallon drums, rail cars, tank trucks, etc). On the diagram, identify by letter and briefly describe each worker activity. 

(2) -- Either in the diagram or in the text field 1(b) below, provide the identity, the approximate weight (by kg/day or kg/batch, on an 100% new 

chemical substance basis), and entry point of all feedstocks (including reactants, solvents and catalysts, etc) and all products, recycle 

streams, and wastes. Include cleaning chemicals (note frequency if not used daily or per batch). 

(3) -- Either in the diagram or in the text field 1(b) below, identify by number the points of release, including small or intermiftent releases, to the 

environment of the new chemical substance. 

4-- Please enter the # of sites remember to identify the locations of these sites on a continuation sheet : 

Number of Sites Confidential DX 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 

Page 36 
I'RIaNNY~6~NY~IVN~IN~I'~~N SANITIZED SUBMISSION 

Continuation Sheet 

I ID I P10SB1(a)(4)8 I Field I Part II, Section B, 1(a)(4). Operation Site Locations I 

XXX 

EPA FORM 7710-25 (Rev. 6-09) Replaces previcus editions of EPA Form 7710-25 

Page 37 
I I SAN I TI ZED SUBMISS I ON 

2. Worker Exposure/Environmental Release 

(1) -- From the diagram above, provide the letter for each worker activity. Complete 2-8 for each worker activity described. 

(2) -- Estimate the number of workers exposed for all sites combined. 

(4) -- Estimate the typical duration of exposure per worker in (a) hours per day and (b) days per year. 

(6) -- Describe physical form of exposure and % new chemical substance (if in mixture), and any protective equipment and engineering controls, if 

any, used to protect workers. 

(7) -- Estimate the percent of the new substance as formulated when packaged or used as a final product. 

(9) -- From the process diagram above, enter the number of each release point. Complete 9-13 for each release point identified. 

(10)-- Estimate the amount of the new substance released (a) directly to the environment or (b) into control technology to the environment (in 

kg/day or kg/batch). 

(12) -- Describe media of release i.e. stack air, fugitive air (optional-see Instructions Manual), surface water, on-site or off-site land or incineration, 

POTW, or other (specify) and control technology, if any, that will be used to limit the release of the new substance to the environment. 

(14) -- Identify byproducts which may result from the operation. 

(3). (5), (8), (11), (13) and (15) -- Mark (X) this column if any of the proceeding entries are confidential business information (CBI). 

Letter 

of 

Activity 

# of 

Workers 

Exposed 

CBI Duration of 

Exposure CBI Protective Equip./Engineering Controls/Physical Form 

% new 

substance 

% in 

Formutation CBI 

(1) (2) (3) (4a) (4b) (5) (6) (6) (7) (8) 

XXX XXX X XXX XXX X XXX XXX XXX X 

XXX XXX X XXX XXX X XXX XXX XXX X 

XXX XXX X XXX XXX X XXX XXX XXX X 

Release 

Number Amount of New Substance Released CBI Media of Release & Control Technology CBI 

(9) (10a) (10b) (11) (12) (13)

XXX XXX XXX X XXX X 

XXX XXX XXX X XXX X 

XXX XXX XXX X XXX X 

i 

Mark (X) this box if the data continues on the next page. ~ 

(14) Byproducts: (15)CBI F—I 

Enter Attachment filename for Part II, Section B. 1:1 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 

Page 38 
m SAN I TI ZED..o,...O., 

Part II-- HUMAN EXPOSURE AND ENVIRONMENTAL RELEASE — Continued 

Section B-- INDUSTRIAL SITES CONTROLLED BY OTHERS 

The information on pages 10 and 10a refer to consolidated chemical number(s): ❑ 1 ❑ 2 ❑ 3 ❑ 4 ❑ 5 ❑ 6 

Complete section B for typical processing or use operations involving the new chemical substance at sites you do not control. Importers do not have to 

complete this section for operations outside the U.S.; however, you must report any processing or use activities after import. See the Instructions Manual. 

Compfete a separate section 8 for each type of processing, or use operation invotving the new chemical substance. If the same operation is performed at 

more than one site describe the typical o eration common to these sites. Identify additional sites on a continuation sheet. 

1(a). Operation Description -- To claim information in this section as confdential, bracket (e.g. {}) the specific information that you claim as 

confdential. 

(1) -- Diagram the major unit operation steps and chemical conversions, including interim storage and transport containers (specify - e.g. 5 gallon 

pails. 55 gallon drums, rail cars, tank trucks, etc). On the diagram, identify by letter and briefly describe each worker activity. 

(2) Either in the diagram or in tne text field 1(b) below, provide the identity, the approximate weight (by kg/day or kg/batch, on an 100% new 

chemical substance basis), and entry point of all feedstocks (including reactants, solvents and catalysts, etc) and all products, recycle 

streams, and wastes. Include cleaning chemicals (note frequency if not used daily or per batch). 

(3) -- Either in the diagram or in the text field 1(b) below, identify by number the points of release, including small or intermittent releases, to the 

environment of the new chemical substance. 

4-- Please enter the # of sites remember to identify the locations of these sites on a continuation sheet : 

Number of Sites Confidential X 

See Attachment 030 (Attachment for PMN Page 10 (#5) (public).pdf) 

1(b). (Optional) This space is for a text description to clarify the diagram above. Confidential ~ 

XXX 

Enter Attachment flename for Part II, Section B on the bottom of page 10a. Attachment for PMN Page 10 (#5) (public).pdf ❑ 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 

Page 39 
SANITIZED SUBMISSION 

Continuation Sheet 

I f!) 1 P10SB1(a)(4)9 I Field I Part II, Section B, 1(a)(4). Operation Site Locations I 

XXX 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 77' 0-25 

Page 40 
N~~IY~YI~VWI~I~VI~ SANITIZED SUBMISSION 

2. Worker ExposurelEnvironmental Release 

(1) -- From the diagram above, provide the letter for each worker activity. Complete 2-8 for each worker activity described. 

(2) -- Estimate the number of workers exposed for all sites combined. 

(4) -- Estimate the typical duration of exposure per worker in (a) hours per day and (b) days per year. 

(6) — Describe physical form of exposure and % new chemical substance (if in mixture), and any protective equipment and engineering controls, if 

any, used to protect workers. 

(7) — Estimate the percent of the new substance as formulated when packaged or used as a final product. 

(9) — From the process diagram above, enter the number of each release point. Complete 9-13 for each release point identified. 

(10)-- Estimate the amount of the new substance refeased (a) directly to the environment or (b) into control technofogy to the environment (in 

kg/day or kg/batch). 

(12) — Describe media of release i.e. stack air, fugitive air (optional-see Instrudions Manual), surface water, on-site or off-site land or incineration, 

POTW, or other (specify) and control technology, if any, that will be used to limit the release of the new substance to the environment. 

(14) -- Identify byproducts which may result from the operation. 

(3), (5), (8), (11), (13) and (15) -- Mark (X) this column if any of the proceeding entries are confidential business information (CBI). 

Letter 

of 

Activity 

# of 

Workers 

Exposed 

CBI Duration of 

Exposure CBI Protective Equip./Engineering Controls/Physical 

Form 

% new 

substance 

% in 

Formulation CBI 

( 1 ) (2) (3) (4a) (4b) (5) (s) (s) (7) ($) 

xxx xxx X xxx xxx X xxx xxx xxx X 

xxx xxx X xxx xxx X xxx xxx xxx X 

xxx xxx X xxx xxx X xxx xxx xxx X 

Release 

Number Amount of New Substance Released CBI Media of Release 8 Control Technology CBI 

(9) (10a) (10b) (11) (12) (13)

XXX XXX XXX X XXX X 

XXX xXX xxX X XXX X 

xXX xXX XXX X XxX X 

Mark (X) this box if the data continues on the next page. 

(14) Byproducts: (15) CBI 0 

Enter Attachment filename for Part II, Section B. 11 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 

Page 41 
I 11111111111111111111111111111111111111111111111111111111111 v.,IZEO..BMISSa. 

OPTIONAL POLLUTION PREVENTION INFORMATION 

To claim information in the following section as confidential, bracket (e.g. ()) 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, and/or raw materials substitution. 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. Quantitative or qualitative 

descriptions of pollution prevention, source reduction and recycling should emphasize potential risk reduction in addition to compliance with existing 

regulatory requirements. The EPA is interested in the information to assess overall net reductions in toxicity or environmental releases and 

exposures, not lhe shifting of risks to other media (e.g., air to water) or nonenvironmental areas (e.g., occupational or consumer exposure). To the 

extent known, information about the technology being replaced will assist EPA in its relative risk determination. In addition, information on the 

relative cost or performance characteristics of the PMN substance to potential altematives may be provided. 

Describe the expected net benefits, such as 

(1)an overall reduction in risk to human health or the environment; 

(2)a reduction in the generation of waste materials through recycling, source reduction or other means; 

(3)a reduction in the use of hazardous starting materials, reagents, or feedstocks; 

(4)a reduction in potential toxicity, human exposure and/or environmental release; or 

(5)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. 

Information provided in this section wiil be taken into consideration during the review of this substance. See PMN Instructions Manual 

and Pollution Prevention Guidance manual for guidance and exam les. 

{XXX) The PMN substance is a candidate replacement foam expansion agent (blowing agent) viewed as more environmentally compatible than 

many current commercial foam expansion agent products. The PMN substance has zero ozone depletion potential, very low lifetime global 

greenhouse gas emissions (GWP = 8.9 - 100 year ITH) and shorter atmospheric lifetime (22 days). It is non-flammable and is compatible with 

current materials of construction and ingredients used in foam expansion agent systems and processes. Being nonflammable, it can reduce 

handling and use risks associated with some current flammable foam expansion agents. It is expected that phase out of some high global 

warming potential products will be mandated in many areas due to environmental impact concerns, and a more environmentally compatible foam 

expansion agent such as PMN substance will urgentiy be needed to take their place. 

(XXX) 

Enter Attachment filename for Pollution Prevention Page 11. El 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 

Page 42 
11111111 11111111111111111111111111111111111111111111 ,.....o,U,M„ON 

Part III -- LIST OF ATTACHMENTS 

Attach continuation sheets for sections of the form, test data and other data (including physicaUchemical 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 any paper attachments. In the Number of Pages column 

below, enter the inclusive page numbers of each attachment for paper submissions or enter the total number of pages for each 

attachment for electronic submissions. Electronic attachments can be identified by filename. 

Mark (X) the "Confidentiaf' box next to any attachment name or filename you claim as confidential. Read the Instructions Manual 

for guidance on how to claim any information in an attachment as confidential. You must include vAth the sanitized copy of the 

notice form a sanitized version of any attachment in which you claim information as confidential. 

# Attachment Name Attachment Filename Number 

of Pages 

Associated 

PMN Section CBI 

Number 

001 Attachment for PMN Page 13 - Finnegan (1949) Attachment for PMN Page 13 - 3 Worksheet: Melting temp I Worksheet: 

Finnegan (1949).pdf Boiling / sublimation temp 

002 Attachment for PMN Page 13 - vapor pressure Attachment for PMN Page 13 - 0 Worksheet: Vapor Pressure 

vapor pressure.pdf 

003 Attachment for PMN Page 13 - density (public) Attachment for PMN Page 13 - 1 Worksheet: Density 

density (public).pdf 

004 Estimated property table (public) Estimated property table 1 

ublic . df 

005 Attachment for PMN Page 13 - flammability Attachment for PMN Page 13 - 1 Worksheet: Flammability 

(public) flammability (public).pdf 

006 Attachment for PMN Page 13 - Henrys Law Attachment for PMN Page 13 - 1 

(public) Henrys Law (public).pdf 

007 Molecular Drawing molecular drawing.pdf 1 Pt.l, Sec.B, 1e. 

008 Attachment for PMN Page 13 - UV-Vis Attachment for PMN Page 13 - 1 Worksheet: Other Property (UV-Vis) 

UV-Vis. pdf 

009 Attachment for PMN Page 4- CAS IES Attachment for PMN Page 4- 1 Pt.l, Sec.B, 1c. 

Response CAS IES Response.pdf 

010 Attachment for PMN Page 13 - solubility in water Attachment for PMN Page 13 - 12 

(public) solubility in water (public).pdf 

011 Attachment for PMN Page 13 - GC-MS (public) Attachment for PMN Page 13 - 1 

GC-MS (public).pdf 

012 Attachment for PMN Page 13 - FTIR (public) Attachment for PMN Page 13 - 2 

013 Attachment for PMN Page 13 - thermal stability Attachment for PMN Page 13 - 5 

(public) thermal stability (public).pdf 

014 Attachment for PMN Page 6- impurities (public) Attachment for PMN Page 6- 1 Pt.l, Sec.B, 3. 

impurities (public).pdf 

015 Attachment for PMN Page 10 (#1a) (public) Attachment for PMN Page 10 1 Pt.2, Sec.B, 1a. 

016 Attachment for PMN Page 10 (#1b) (public) Attachment for PMN Page 10 1 Pt.2, Sec.B, 1a. (#2) 

(#1b) (public).pdf 

017 Attachment for PMN Page 10 (#2a) (pubtic) Attachment for PMN Page 10 1 Pt.2, Sec.B, 1a. (#3) 

(#2a) (public).pdf 

018 Attachment for PMN Page 10 (#2b) (public) Attachment for PMN Page 10 1 Pt.2, Sec.B, 1a. (#4) 

(#2b) (public).pdf 

019 Attachment for PMN Page 10 (#2c) (public) Attachment for PMN Page 10 1 P1.2, Sec.B, 1 a. (#5) 

020 Attachment for PMN Page 10 (#3) (public) Attachment for PMN Page 10 1 Pt.2, Sec.B, 1a. (#6) 

(#3) (public).pdf 

021 Attachment for PMN Page 10 (#4a) (public) Attachment for PMN Page 10 1 Pt.2, Sec.B, 1a. (#7) 

Mark (X) this box if the data continues on the next page. 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 

Page 43 
~IY~~ IAhl~l~~lHlll~lll~ll~ SANITIZED SUBMISSION 

Part III -- LIST OF ATTACHMENTS 

Attach continuation sheets for sections of the form, 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 any paper attachments. In the Number of Pages column 

below, enter the inclusive page numbers of each attachment for paper submissions or enter the total number of pages for each 

attachment for electronic submissions. Electronic attachments can be identified by filename. 

Mark (X) the "ConfidentiaP' box next to any attachment name or fllename 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 information as confidential. 

Number Associated 

# Attachment Name Attachment Filename of Pages PMN Section CBI 

Number 

022 Attachment for PMN Page 13 - extinguishing Attachment for PMN Page 13 - 1 

(NFPA-ASTM) (public) extinguishing (NFPA-ASTM) 

023 Attachment for PMN Page 13 - solubility (public) Attachment for PMN Page 13 - 1 Worksheet: Solubility 

solubility (public).pdf 

024 Attachment for PMN Page 13 - GWP -draft paper Attachment for PMN Page 13 - 30 Worksheet: Other Property (GWP) 

(public) GWP -draft paper (public).pdf 

025 FEA-1100 R&D MSDS FEA 1100 R&D MSDS.pdf 6 

026 Attachment for PMN Page 13 - NMR Attachment for PMN Page 13 - 4 Worksheet: Other Property (NMR) 

NMR.pdf 

027 FEA-1100 Toxicity Testing (CAS RN 692-92-2) FEA-1100 Toxicity Testing (CAS 2 

RN 692-92-2).pdf 

028 FEA-1100 Toxicity Testing (CAS RN 66711-86- FEA-1100 Toxicity Testing (CAS 1 

2) RN 66711-86-2). f 

029 FEA-1100 Toxicity Testing (CAS RN 407-60-3) FEA-1100 Toxicity Testing (CAS 1 

RN 407-60-3).pdf 

030 Attachment for PMN Page 10 (#5) (public) Attachment for PMN Page 10 1 Pt.2, Sec.B, 1 a. (#9) 

(#5) (public).pdf 

031 ttachment for PMN Page 10 (#4b) (public) Attachment for PMN Page 10 1 Pt.2, Sec.B, 1a. (#8) 

(#4b) (public).pdf 

032 Appliance Trial Concentrations (public) Appliance Trial Concentrations 10 

(public).pdf 

033 Attachment for PMN Page 13 - octanol water Attachment for PMN Page 13 - 21 See continuation page. id:<P12033> 

034 Release and Exposure Scenarios Summarized Release and Exposure Scenarios 2 

(public) Summarized (public).pdf 

035 DuPont-21871 (public) DuPont-21871 redacted.pdf 9 

036 DuPont-26154-RV1 (public) DuPont-26154-RV1- 77 

037 DuPont-25453 (public) DuPont-25453 redacted.pdf 95 

038 DuPont-22199 (public) DuPont-22199 redacted.pdf 17 

039 DuPont-22597 (public) DuPont-22597 redacted.pdf 55 

040 DuPont-22598 (public) DuPont-22598 redacted.pdf 42 

041 DuPont-25309 (public) DuPont-25309 redacted.pdf 334 

Mark (X) this box if the data continues on the next page. 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 

Page 44 
SANITIZED SUBMISSION 

Continuation Sheet 

I [D I P12033 I Field I List of Attachments, Associated PMN Section No., ID: 033 1 

Worksheet: Octanol / water partition coefficient 

EPA FORM 7710-25 (Rev. 6-09) Replaces previous editions of EPA Form 7710-25 

Page 45 
11111111111111111111111 S, ~„owa,.=a„ 

PHYSICAL AND CHEMICAL PROPERTIES WORKSHEET 

The information on this page refers to chemical number(s): ❑ 1 2 ❑ 3 4 ❑ 5 ❑ 6 

To assist EPA's review of physical and chemical properties data, please complete the following worksheet for data you provide and include it in the 

notice. Identify the property measured, the value of the property, the units in which the property is measured (as necessary), and whether or not the 

property is claimed as confidential. Give the attachment number (found on page 12) in column (b). The physical state of the neat substance should be 

provided. These measured properties should be for the neat (100% pure) chemical substance. Properties that are measured for mixtures or 

formulations should be so noted (% PMN substance in _). You are not required to submit this worksheet; however, EPA strongly recommends that 

you do so, as it will simplify the review and ensure that confidential information is properly protected. You should submit this worksheet as a 

supplement to your submission of test data. This worksheet is not a substitute for submission of test data. 

Property Mark X if Attachnient Value Measured CBI 

(a) Unit Provided Number 

(c) 

or Estimate Mark (X) 

b M or E) (d) 

Physical state of neat substance 

❑ (solid) (liquid) (gas) 

❑ © ❑ Measured 

Vapor Pressure @ 20 , C ~ 002 453 To~ Measured 

Temperature 

Density/relative density ® 003 1.38 

glcm3 Measured 

Solubility 

20 

@ Temperature ° C ~ 

023 completely miscible 

grL Measured 

acetone (see 

Solvent attachment) 

Solubility in Water @ XXX °c ❑ XXX XXX gIL X 

Temperature 

Melting Temperature ® 

001 -90.5 

°c 

Measured 

Boiling / Sublimation 760 Torr ® 001 33•2 ,~ Measured 

temperature @ 

Spectra 

❑ XXX X 

XXX 

Dissociation constant ❑ 

Octanol / water partition coefficient ® 033 

2.3 

Measured 

Henry's Law constant 

❑ 

XXX 

XXX X 

Volatilization from water ❑ 

Volatilization from soil ❑ 

pH@ concentration ❑ 

non-flammable 

Flammability ❑X 005 Measured 

Explodability ❑ 

Adsorption / Coefficient 

❑ 

xxX 

""" x 

Particle Size Distribution ❑ 

Other — Specify XXX ❑ 

XXX 

XXX 

I 

X 

Page 46 
1~~ N9N~NVI'iWI1111111111111I1111111111I111111111 ,w...o,U,.„o. 

Continuation Sheet 

ID Field 

PHYSICAL AND CHEMICAL PROPERTIES WORKSHEET 

Property Mark X if Attachment Value Measured CBI 

(a) Provided Number b (c) 

or Estimate Mark (X) 

M or E d 

Other — Specify 

XXX ❑ XXX 

X 

Other — Specify xxx El XXX 

X 

Other— Specify xxx F-1 XXX 

X 

Other — Specify XXX ❑ xxx 

X 

Other — Specify XXX 

El XXX 

X 

Other — Specify xxx ~ XXX 

X 

Other — Specify xxx ~ xxx 

X 

xxx XXX Other — Specify ❑ X 

Other — Specify XXX 

F-I xxx 

X 

Other — Specify XXx 

7 

xxX 

X 

Other — Specify xxx F] xxx 

X 

Other — Specify XXx F] x(X 

X 

Other — Specify xxx 

El xxX 

X 

Other — Specify XXX El xx( 

X 

Other — Specify XXX ❑ xxx 

X 

Other — Specify NMR ~ see attachment 

026 Measured 

Page 47 
I~~dtlN~'I~IUqRVU~II~IW ~I SANITIZED SUBMISSION 

Continuation Sheet 

ID I Field 

PHYSICAL AND CHEMICAL PROPERTIES WORKSHEET 

Property 

(a) 

Extinguishing concentration, 

Other — Specify heptane 

Mark X if 

Provided 

Attachment 

Number 

b 

Value 

(c> 

g 10 0 

Measured 

or Estimate 

M or E 

CBI 

Mark (X) 

d 

❑ Measured 

Other — Specify GWP ~ 

024 

8.9 (100 year ITH) 

Measured 

Other — Specify UV-Vis ~ 

008 

see attachment 

Measured 

Other — Specify ❑ 

Other — Specify F—I 

Other — Specify ❑ 

Other — Specify ~ 

Other — Specify ❑ 

Other — Specify ❑ 

Other — Specify ❑ 

Other — Specify ❑ 

Other — Specify ❑ 

Other — Specify ❑ 

Other — Specify ❑ 

Other — Specify ❑ 

Other — Specify ❑ 

I ~ 

Page 48 
ATTACHMENT HEADER SHEET 

Attachment Number 001 

Attachment Name 

Attachment for PMN Page 13 - Finnegan (1949) 

Associated PMN Section Number 

Worksheet: Melting temp I Worksheet: Boiling / sublimation temp 

Does not contain CBI 

Report Number 

FEA-110801029581242