Toxic Chemical Release Inventory Reporting Forms and Instructions

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Appendix F Michigan Mr. Robert Jackson State Emergency Planning and Community Right-to-Know Michigan Dept. of Environmental Quality Environmental Science and Services Division P.O. Box 30457 Lansing, MI 48909 517 373-8481; fax 517 241-7966 jacksorc@michigan.gov Overnight Mail Mr. Robert Jackson Michigan Dept. of Environmental Quality Environmental Science and Services Division Constitution Hall, 1 North 525 West Allegan Lansing, MI 48933 Minnesota Mr. Steve Tomlyanovich Department of Public Safety Emergency Response Commission 444 Cedar Street, Suite 223 St Paul, MN 55101 651 282-5396; fax 651 296-0459 steve.tomlyanovich@state.mn.us Mississippi Mr. John David Burns, TRI Coordinator Mississippi Department of Environmental Quality P.O. Box 20305 Jackson, MS 39289-1305 601 961-5005; fax 601 961-5660 john_d_burns@deq.state.ms.us Missouri Mr. Gene Nickel, EE II Missouri Department of Natural Resources Environmental Assistance Office P.O. Box 176 Jefferson City, MO 65101 573 526-6627; fax 573 526-5808 800 361-4827 gene.nickel@dnr.mo.gov www.dnr.mo.gov/oac/bus.htm Certified Mail ONLY Gene Nickel Missouri Department of Natural Resources Environmental Assistance Office 1659 East Elm Street Jefferson City, MO 65102 Montana Mr. Tom Ellerhoff Montana Emergency Response Commission DEQ Metcalf Building 1520 East 6th Avenue Helena, MT 59620-0901 406 444-5263; fax 406 444-4386 tellerhoff@state.mt.us Navajo Nation Mr. Calvert Curly, Acting Division Director Navajo Environmental Protection Agency P.O. Box 339 Window Rock, AZ 86515 928 871-7692; fax: 928 871-7996 Nebraska Mr. Donnie Zach SARA Title III and NEPCRA Coordinator Nebraska Department of Environmental Quality P.O. Box 98922 Lincoln, NE 68509-8922 402 471-4251; fax: 402 471-2909 donnie.zach@ndeq.state.ne.us Certified Mail ONLY Donnie Zach SARA Title III and NEPCRA Coordinator Nebraska Dept of Environmental Quality 1200 N Street, Suite 400 Lincoln, NE 68509 Nevada Ms. Alene Coulson c/o State Emergency Response Commission 555 Wright Way Carson City, NV 89711-0925 775 687-9464, fax: 775 687-6396 acoulson@ndep.nv.us ndep.nv.gov/bwm/hazard05.htm F–4 Toxics Release Inventory Reporting Forms and Instructions
Appendix F New Hampshire Ms. Wallene Foote New Hampshire Office of Emergency Management Agency, Title III Program State Office Park South 107 Pleasant Street Concord, NH 03301 603 271-2231; fax 603 225-7341 wfoote@nhoem.state.nh.us New Jersey Mr. Andrew Opperman Department of Environmental Protection EPCRA Section 313 Bureau of Chemical Release Information & Prevention P.O. Box 405 Trenton, NJ 08625-0405 609 292-6714; fax 609 633-7031 andy.opperman@dep.state.nj.us New Mexico Mr. Jerry J. Lazzari, TRI Coordinator New Mexico Department of Public Safety Office of Emergency Services and Security P.O. Box 1628 Santa Fe, NM 87504-1628 505 476-9681; fax 505 471-5922 jlazzari@dps.state.nm.us Certified Mail/Fed Ex Mr. Jerry J. Lazzari, TRI Coordinator Office of Emergency Services and Security 13 Bataan Blvd. Santa Fe, NM 87508 New York Ms. Susanne Wither New York State Department of Environmental Conservation Division of Environmental Remediation 625 Broadway, 11 th Floor Albany, NY 12233-7020 518 402-9553; fax: 518 402-9020 smwither@gw.dec.state.ny.us North Carolina Mr. Anthony B. Bonapart North Carolina Division of Emergency Management 4714 Mail Service Center Raleigh, NC 27699-4714 919 733-3899; fax 919 733-2860 Hotline: 919 733-1361 1-800-541-1403 (NC only) Abonapart@ncem.org North Dakota Mr. Ray DeBoer North Dakota State Division of Emergency Management P.O. Box 5511 Bismarck, ND 58502-5511 701 328-8100; fax 701 328-8181 rdeboer@state.nd.us Certified Mail ONLY Ray DeBoer ND State Division of Emergency Management Fraine Barracks Road, Building 35 Bismarck, ND 58506-5511 Ohio Ms. Cindy DeWulf Ohio Environmental Protection Agency Lazarus Government Center P. O. Box 1049 Columbus, OH 43216-1049 614 644-3606; fax 614 644-3681 cindy.dewulf@epa.state.oh.us Certified Mail ONLY Ms. Cindy DeWulf Ohio Environmental Protection Agency Lazarus Government Center 122 South Front Street Columbus, OH 43215 Oklahoma Ms. Monty Elder Department of Environmental Quality Risk Communication P.O. Box 1677 Oklahoma City, OK 73101-1677 405 702-1017or 800 869-1400; fax 405 702-1001 monty.elder@deq.state.ok.us Toxics Release Inventory Reporting Forms and Instructions F–5
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Toxic Chemical Release Inventory Re
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Toxic Chemical Release Inventory Re
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More Information or Assistance TRI
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Important Information for Reporting
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Toxics Release Inventory Reporting
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Toxics Release Inventory Reporting
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TRI Reporting Software Toxics Relea
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Chemical and Industry Guidance Docu
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III. Industry-Specific Guidance EPA
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Form Approved OMB Number: 2070-0093
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(IMPORTANT: Type or print; read ins
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IMPORTANT: Type or print; read inst
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A. General Information Reporting to
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General Information may request doc
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General Information < Use for motor
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General Information A.8 How to Obta
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B. Facility Eligibility Determinati
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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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Page 137 and 138: Table II De Minimis CAS Number Chem
Page 139 and 140: Table II N171 Ethylenebisdithiocarb
Page 141 and 142: Table III. State Abbreviations Alab
Page 143 and 144: Table IV. Federal Information Proce
Page 145 and 146: Table IV YI YM ZA ZI Yugoslavia Yem
Page 147 and 148: Appendix A. Federal Facility Report
Page 149 and 150: Appendix A More Help is Available!
Page 151 and 152: Appendix B. Reporting Codes For EPA
Page 153 and 154: Appendix B F99 Other Incineration/T
Page 155 and 156: Appendix B Reporting the Waste Mana
Page 157 and 158: Appendix B Section 7B. On-site Ener
Page 159 and 160: Appendix C. Facility Data Profiles
Page 161 and 162: Appendix C C. Common Errors in Comp
Page 163 and 164: Appendix C ” Generic chemical nam
Page 165 and 166: Appendix C ” Any time a reported
Page 167 and 168: Appendix C ” M95 Transfer to Wast
Page 169 and 170: Appendix C 25. EPA has corrected th
Page 171 and 172: Appendix C one of the activity(ies)
Page 173 and 174: Appendix C 89. You reported a negat
Page 175 and 176: Appendix D. Supplier Notification R
Page 177 and 178: Appendix D “ 0.1 percent if the E
Page 179 and 180: Appendix D Sample Notification Lett
Page 181 and 182: Appendix E. How To Determine Latitu
Page 183 and 184: Appendix E (5) To determine the inc
Page 185 and 186: Appendix F. State Designated Sectio
Page 187: Appendix F Illinois Ms. Deirdre McQ
Page 191 and 192: Appendix F Texas U.S. Postal Servic
Page 193 and 194: Appendix G. Section 313 EPA Regiona
Page 195 and 196: Appendix H. Other Relevant Section
Page 197 and 198: Appendix I. Sample Revision and Wit
Page 199 and 200: Index A Activity Exemptions 15 Acti
Page 201: United States Environmental Protect
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