Toxic Chemical Release Inventory Reporting Forms and Instructions

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Toxics Release Inventory Reporting Forms and Instructions Table of Contents 4.3 Technical Contact................................................................... 32 4.4 Public Contact ..................................................................... 32 4.5 Standard Industrial Classification (SIC) Code ............................................. 32 4.6 Latitude and Longitude............................................................... 33 4.7 Dun & Bradstreet Number ............................................................ 33 4.8 EPA Identification Number ........................................................... 33 4.9 NPDES Permit Number(s) ............................................................ 33 4.10 Underground Injection Well Code (UIC) Identification Number .............................. 33 Section 5. Parent Company Information ............................................................... 33 5.1 Name of Parent Company............................................................. 34 5.2 Parent Company's Dun & Bradstreet Number ............................................. 34 Part II. Chemical Specific Information .......................................................... 35 Section 1. EPCRA Section 313 Chemical Identity ....................................................... 35 1.1 CAS Number ...................................................................... 35 1.2 EPCRA Section 313 Chemical or Chemical Category Name .................................. 35 1.3 Generic Chemical Name.............................................................. 36 1.4 Distribution of Each Member of the Dioxin and Dioxin-like Compounds Category ................ 36 Section 2. Mixture Component Identity ................................................................ 36 2.1 Generic Chemical Name Provided by Supplier ............................................ 36 Section 3. Activities and Uses of the EPCRA Section 313 Chemical at the Facility .............................. 37 3.1 Manufacture the EPCRA Section 313 Chemical ........................................... 37 3.2 Process the EPCRA Section 313 Chemical (incorporative activities) ........................... 37 3.3 Otherwise Use the EPCRA Section 313 Chemical (non-incorporative activities) .................. 38 Section 4. Maximum Amount of the EPCRA Section 313 Chemical On-site at Any Time During the Calendar Year . . . 38 Section 5. Quantity of the EPCRA Section 313 Chemical Entering Each Environmental Medium On-site . . . . . . ...... 40 5.1 Fugitive or Non-Point Air Emissions .................................................... 40 5.2 Stack or Point Air Emissions .......................................................... 40 5.3 Discharges to Receiving Streams or Water Bodies ......................................... 41 5.4.1 Underground Injection On-Site to Class I Wells ........................................... 41 5.4.2 Underground Injection On-site to Class II–V Wells ........................................ 41 5.5 Disposal to Land On-site ............................................................. 41 5.5.1A RCRA Subtitle C landfills ...................................................... 41 5.5.1B Other landfills ............................................................... 41 5.5.2 Land treatment/application farming ................................................ 42 5.5.3A RCRA Subtitle C Surface Impoundments .......................................... 42 5.5.3B Other Surface Impoundments .................................................... 42 5.5.4 Other Disposal ................................................................ 42 Section 5 Column A: Total Release .......................................................... 42 Section 5 Column B: Basis of Estimate ....................................................... 43 Section 5 Column C: Percent From Stormwater ................................................. 44 Section 6. Transfers of the EPCRA Section 313 Chemical in Wastes to Off-Site Locations .......................... 46 6.1 Discharges to Publicly Owned Treatment Works .......................................... 46 6.1.A.1 Total Transfers ............................................................ 47 6.1.A.2 Basis of Estimate .......................................................... 47 6.2 Transfers to Other Off-Site Locations ................................................... 47 6.2a Column A: Total Transfers ...................................................... 48 6.2b Column B: Basis of Estimate..................................................... 49 6.2c Column C: Type of Waste Management: Disposal/ Treatment/Energy Recovery/Recycling . . . 50 Section 7. On-Site Waste Treatment, Energy Recovery, and Recycling Methods ................................ 53 Section 7A On-Site Waste Treatment Methods and Efficiency ......................................... 53 7A Column a: General Waste Stream ........................................................ 53 7A Column b: Waste Treatment Method(s) Sequence ............................................ 53 7A Column c: Range of Influent Concentration ............................................... 56 7A Column d: Waste Treatment Efficiency Estimate ............................................ 57 7A Column e: Based on Operating Data? ..................................................... 57 Section 7B On-Site Energy Recovery Processes .................................................... 58 ii Toxics Release Inventory Reporting Forms and Instructions
Toxics Release Inventory Reporting Forms and Instructions Table of Contents Section 7C On-Site Recycling Processes .......................................................... 58 Section 8. Source Reduction and Recycling Activities ....................................................... 60 D. Facility Eligibility Determination for Alternate Threshold and for Reporting on EPA Form A Certification Statement .......................................... 69 D.1 Alternate Threshold.............................................................................. 69 D.2 What is the Form A Certification Statement? .......................................................... 69 D.3 What is the Total Annual Reportable Amount? ........................................................ 69 D.4 Recordkeeping.................................................................................. 69 D.5 Multi-establishment Facilities . . .................................................................... 69 D.6 Trade Secrets ................................................................................... 70 D.7 Metals and Metal Category Compounds .............................................................. 70 E. Instructions for Completing EPA Form A Certification Statement ............................ 71 Part I. Facility Identification Information ...................................................... 71 Section 1. Reporting Year ............................................................................ 71 Section 2. Trade Secret Information .................................................................... 71 2.1 Are you claiming the EPCRA Section 313 chemical identified on page 2 trade secret? ................ 71 2.2 If “yes” in 2.1, is this copy sanitized or unsanitized? ........................................... 71 Section 3. Certification .............................................................................. 71 Section 4. Facility Identification . . . .................................................................... 71 4.1 Facility Name, Location, and TRI Facility Identification Number ................................. 71 4.2 Federal Facility Designation .............................................................. 72 4.3 Technical Contact ...................................................................... 72 4.4 Intentionally Left Blank ................................................................. 72 4.5 Standard Industrial Classification (SIC) Code ................................................ 72 4.6 Latitude and Longitude .................................................................. 72 4.7 Dun & Bradstreet Number(s).............................................................. 73 4.8 EPA Identification Number(s) ............................................................. 73 4.9 Facility NPDES Permit Number(s) ......................................................... 73 4.10 Underground Injection Well Code (UIC) Identification Number(s) ............................... 73 Section 5. Parent Company Information ................................................................. 73 5.1 Name of Parent Company ................................................................ 73 5.2 Parent Company's Dun & Bradstreet Number ................................................. 73 Part II. Chemical Identification ................................................................. 74 Section 1. Toxic Chemical Identity . .................................................................... 74 1.1 CAS Number .......................................................................... 74 1.2 EPCRA Section 313 Chemical or Chemical Category Name ..................................... 74 1.3 Generic Chemical Name ................................................................. 74 Section 2. Mixture Component Identity .................................................................. 75 2.1 Generic Chemical Name Provided by Supplier ................................................ 75 Table I SIC codes 10–73 ............................................................................ I–1 Table II EPCRA Section 313 Chemical List (including chemical categories) for Reporting Year 2003 ...............II–1 Table III State Abbreviations ........................................................................ III–1 Table IV Federal Information Processing Standards (FIPS) Codes ........................................... IV–1 Appendix A Federal Facility Reporting Information ...................................................... A–1 Appendix B Reporting Codes for EPA Form R and Instructions for Reporting Metals ............................B–1 Appendix C Facility Data Profiles and Common Errors in Completing Form R Reports and Form A Certifications . . . . . C–1 Appendix D Supplier Notification Requirements ........................................................ D–1 Toxics Release Inventory Reporting Forms and Instructions iii
Page 1 and 2: Toxic Chemical Release Inventory Re
Page 3 and 4: Toxic Chemical Release Inventory Re
Page 5 and 6: More Information or Assistance TRI
Page 7 and 8: Important Information for Reporting
Page 9: Toxics Release Inventory Reporting
Page 13 and 14: TRI Reporting Software Toxics Relea
Page 15 and 16: Chemical and Industry Guidance Docu
Page 17 and 18: III. Industry-Specific Guidance EPA
Page 19 and 20: Form Approved OMB Number: 2070-0093
Page 29 and 30: (IMPORTANT: Type or print; read ins
Page 31 and 32: IMPORTANT: Type or print; read inst
Page 33 and 34: A. General Information Reporting to
Page 35 and 36: General Information may request doc
Page 37 and 38: General Information < Use for motor
Page 39 and 40: General Information A.8 How to Obta
Page 41 and 42: B. Facility Eligibility Determinati
Page 43 and 44: Facility Eligibility Determination
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Facility Eligibility Determination
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C. Instructions for Completing EPA
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Instructions for Completing Part I
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Part II. Chemical Specific Informat
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Instructions for Completing Part II
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Example 14: Container Residue Instr
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D. Facility Eligibility Determinati
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E. Instructions for Completing EPA
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Instructions for Completing Part I
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Section 2. Mixture Component Identi
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Table I. SIC codes 10 Metal Mining
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Table I 2542 Office and store fixtu
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Table I 3431 Enameled iron and meta
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Table I 3873 Watches, clocks, clock
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Table II. EPCRA Section 313 Chemica
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Table II quantities. Phosphorus (ye
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Table II De Minimis CAS Number Chem
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Table II N171 Ethylenebisdithiocarb
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Table III. State Abbreviations Alab
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Table IV. Federal Information Proce
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Table IV YI YM ZA ZI Yugoslavia Yem
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Appendix A. Federal Facility Report
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Appendix A More Help is Available!
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Appendix B. Reporting Codes For EPA
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Appendix B F99 Other Incineration/T
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Appendix B Reporting the Waste Mana
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Appendix B Section 7B. On-site Ener
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Appendix C. Facility Data Profiles
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Appendix C C. Common Errors in Comp
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Appendix C ” Generic chemical nam
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Appendix C ” Any time a reported
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Appendix C ” M95 Transfer to Wast
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Appendix C 25. EPA has corrected th
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Appendix C one of the activity(ies)
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Appendix C 89. You reported a negat
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Appendix D. Supplier Notification R
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Appendix D “ 0.1 percent if the E
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Appendix D Sample Notification Lett
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Appendix E. How To Determine Latitu
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Appendix E (5) To determine the inc
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Appendix F. State Designated Sectio
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Appendix F Illinois Ms. Deirdre McQ
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Appendix F New Hampshire Ms. Wallen
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Appendix F Texas U.S. Postal Servic
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Appendix G. Section 313 EPA Regiona
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Appendix H. Other Relevant Section
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Appendix I. Sample Revision and Wit
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Index A Activity Exemptions 15 Acti
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United States Environmental Protect
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