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~pCDd~ ~ Nag louse Industda1 Sumac List of Selected Substances (gable 1) Selected Substance Report Quesdonnsire and Instructions *SOURCE: JEEP, 198~ 139

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140 {D ' C C os o, _ o CL - ~D C) ~ D O 1~- O C _ O O ~ O ~, o _ O O ~ E _, o - Z ~ cn z _ ~n m J ~r c, - lLI C' ~ J o O U.= o . c E 6 E E O ~ E E _ c~ ~_ (~ 433 u~ _ ~o 0 ~ ~r 0 a _ ~ ~ t_ 0 ~ c~ r~ C~ a~ ~ ~ ~ ~o ~ u->-a~ o> 0 ~r c~ c~ 40 0 ~ ~o 0 0 ~ o, o, 0 ~ ~ 0 0 :~ c c o c c ~ ~ ~ e E =, ~ ~ ~ c c "m ~ - ' m o-~ _ ~ ~ cn _ ~ C~ ~ ~ ~ o, V~ - q~cn_~O v, ~ .,~ _ _ ~ _ ~o~o)o,momo, _ _ ~ `~ ~ ~ S ~ ~ ~ ~ ~ Q ~ ~ ~o ~ ~ e ' ' E e e O ~ ~. ~ `o 0 ,~) ~ ~. ,,, ,,, ,_ ~O _ O ~ ~ O ~ ~ g ~ ~ ~ ~ ~ _ ~ _ ~_ _ ,o ~ 0 ~ X C O ._ C O ~ E ~ ~ ~ E ~ jO ~ ~ O E ~ e 0 c Y C" - e ~ c e "e c c a' 2 ~ a, ~ -~ ~ _ o 3 - ~ - c' - ~dcE ~ ~ ~ _ ~r~ r~ 0 _ 0 ~ _ ~ <, 0 ~ C~ _ r, ~ ~_} 2, _ ~ _ ,~ , r ., _ ~-{D-a) _ O P_ ~ N _ _ ~ o ~ _ ~ _ ~ ~ S _ - _ _ _ . o _= o - _ ~^ E 0 ~ :5 ' 0 ~ c 0 o ~ o~lc o -'-~ e ! -~"] - ~_~_ - o~o - - o -` - N4D - ~'o~o~ c~_ - g_~ - s m~_ - s - ~o 0 _ ~ ~ ~ ~ ~ ~ ~ ~0 ~ ~ ~ r_ ~ ~ ~ ~ ~ o 3 0c ~0 0,,, c ~ cc 0 ~ - c _ ~ ._ ~c ~ ~c ~ c~ 0 - ~ - ~n ~ o, ~n - 0 _ q r ~ q E ,-g ~ ~ 2, ~,= y ~- ~ ~ ~ =~ s ~_ _ _ ~ ~ ~ 0 ~ ~ ~ 0 ~ ~ ~ ~ _ ~ ~ ~ ~ ~ ~ - , ~ ~ ~ ~ - , O ~ ~ ~ _ ~ ~ r . ~ ~ ~ ~ r_ ~ {g g ~ ~ t$ 0 ~ U~ ~ ~ ~ ~ 0 8 p; ~ ~ 8 0 ~- o ~2 \~} ~ t~ ~) ~ In 0 ~ CJ~ o) O O ~ er' O O r_ ~ ~ C~ Yt ~ O; I; ~; 1; ~ ~ {D r-~ ~ ~ ~ ~ ~ ~ ~ C~- ~ C~ O ~; ~ ~ g ~ O O~ ~O ~ {0 O)

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APPENDIX G 141 Folm COM 021 Rev. 2180 .___ ~_ OfFICE or ~Hs CO - ISSIONEFI PART I - Gen~ol Plont Informotlon ;in=:~_ _.~ Stat. ot Hew Jer - y Depu~t d En'6ro~te. Protectlon ~ Raturn forms to: INDUSTRIAL SURVEY PROJECT P.O. BOX 251 TRENTON, NEW JERSEY 08602 SELECTED SUBSTANCE REPORT CO~PLETE ONE REPORT FOR EACII PLANT 51TE OR fACILITY LOCATION 1. Compeny NU~ I 2. Dl~lshn ~ Plant N~ 3. Maillog Addrose (Str~t) tCltyJ7a~n) County State Zlp Code 4. Plant Locatlon Add - " (Str~t) --- (It no' as sbove) tClty/Ta - ~, C - nty State Zlp Code. 5. Dato Plant B - - Operations At Tl~is Locatlon 6. Porson to Contact Rogarding th,iS Report. 7. Phone Numt~or (Ar~ Codo) Tl~le 8. ~IC C - o (Four Dl'lt) S=ndard InduarW Cl~itic~ion (if evulabb) 9. Natus d Busi - " 10. Number ot Pr~tu:tlon Employoes at this Plant Site 11. Doos this plant mantJacture, process, tc~m, repackage, relea - , use, dispose ot a. store "y ot the selected subetances st~own on Table I of the anclosod Instructlons? (Check Or - ) YES C NO C It your answ. to nwobor 1t ;s "YES", comPlate the Entire Rep~t lor yow facility, sign and ret~n. It your answo~r to n~r 11 is "NO", con~letc ~stion 1S, sign and retun. 1, HEREBY, CERTIFY TttAT AEL STATEMENTS MAOE eY ME iN TFtlS REP - T ARE TRUE, COMPLETE ANO CORRECT TO ThiE BEST OF ~ KNOWL~E A~ THAT ESTIMATES WH~E US~ HAYE B~N ~OE IN G=O FAITH. NAME (Prtnt) Title Signatu. Dat ~-~ 12A. Sketch (On tt. rever" side d this page) or anach a copy ot a map indicatinq thc exact location d the plant site. t28. SUpply your Dun ~ eradatr~t numbor tt available. FOR OFFICIAL USE ONLY I ~ | | | C ~ V o s 1 1 1 ~ 1 o o N OA l--T I I I I I I I 1 I ..

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142 AL4SS BALANCE INFORMA TION PART I - Gonoral Informat~on (continu.~) 13. List atl d t" select" s~t~os Included in this report along with their CAS Nu~ers (From Table I of tl# Inetructlons) whid, u. manufactured, procossed, tornad, ropackag - , rele~ed, u~d, dlepo~i ot or storm) at ths plant site: 14. W - t~ter Ol~rges-Compiete the toliowing in10rmatlon: A. Ol~r" to publicly owned treatment works (POTW}: 1. Nams d Utillt~y (PO1~). ~dressI Location __ 2. Estimatod Av~e Volun. d Wast~tor Oisc~rgod to POTW in ~ day 3. 13rlefly deacrlbe my ~retrostment mett~ods fOR4 CEP USE ONLY - 4. tN"tewater conslets d: ( ) Procs" Water, ( ) Contact Coollng, ( ) Non-Contact Cooli~, ( ) Oomnstic Sewago, ( ) Coniaminated Storm Water, ( ) washdown Water, ( ) Sc~Oer Water, ( ) Ot~r _ B t~i~rgo to Nevig~le W.t~y or Tributary Stream 1 N~ d Rscolving Strsam 2 Nf3OES Pormit l~umb~ 3 Estim~ted av. - o volume d wast~ator dix~r~d to rocol~lag stream in a "y -- ga' ions Brle11y doscri" any tr atment msthmis Wast~ter consists d ( ) Process v~ter, ( ) Contact Cooling, ( ) Non-Contact Cooilnl, ( ) Domestic Ssw go, ( ) Contam' - ted Stcrm "ter, ( ) Wssmown Wator, ~ ~ ~ ~ ( ) Ot - ; t~ ~lous oIsposal practicff (19~19~ Has this plant previously d15=S-i ot ~stes contain~ng ~y ot _ select= su~tu= - at my )and dispmal SltO (1 s by 1and spr~ding or buri~, landtililng, lagoon or s - Pago Pit) sit~r on or ott site? rES = t4O _ It availablo provide the following into~tion tor each disP - aI sit. Use aCditional pages it necs~sary N~ and ~tloll d Slto nm. period sIte w" u~d Nams ot selocted subst~es P~ysical Amount ot S6I6Ct~ SUOSt=C dlep~d of at tnis ~ite atate di~cosed at 3'te ,Pounas) .

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APPENDIX G ' 3. CUANTtTY CONSUIUEC1 ON ~TE 7. CUANTITY S~IPP0 OFF SITE AS tOR IN) P`OUCT I Form CO~ 021 8 q - . ~ - State ol New lereq ~tn~rn o' Environ~tal Proteetion ART tI SELECTED SUBSTANCE REPORT OMPLETE ONE FORM FOR EACH SE~CTED SUBSTANCE ~ ar* _x~ton of Pl~t I__ {r.~4 .' F~R OEP USE I.D. Select" Subetance Nane CAS . 53ristly Ocacrio. Its Use Cn T:~e Site: I CHECK ONE =~=E =S R~ | ACT- I OTI- fOR rHe PLANT B"~D ON 1978 ~ACE ~ ~ ES71 - tED AHOUN75 l=~St" UNITy UAL ! uAr': l I 4. CU - Tt~ PROOUC~ ON SITE ~ 2Y - ' S. =~ - BROU - T CNTO ~ITe Its/y . Ibstyr. I j Ibe/yr. | j I ~ T I 8. MAXI~-INV-TORY I | Ib~ 9. TOTAL STACX ~l=O~ 0F SELECT~ = - T - CE ! mex lest~y l n .' --- ! ;~ _ , tO. TOT~L FUGITIVE e~tlSSIOP~I OF SEt ECT0 SUBSTP~Cc ! 11, TOT~_ GISC~^PGE OF SEL=CTE!: SlJBSTANCE INTO S1JRFACE WAT 1 l 1, Iba/yr. ~ , | max Ibe/day | tb~lyt. ' I max Ibs/d" i _'2. 7OTAL ~ISC~AF:\GE CF SE' --CTED I ~:~BST~bJC-- INT~ ~ UC l_Y OWN l~EAT iA-T 'NORKS be/yr. n~ It33'd" i. 8tSPS)SAL OF VY~= CONTAINI~ - E SE=C I ~ ~8=A= LOC4nO~ 0# t~lN& DIS~5&L Slr~ 8 A~D AOOR PHY~JCAL SS&TE TAOLE ~ OIWSAL METHCO sAaLE 8 CUANTITY Of SELECTED SU8SS - C~ 01~" tl - ) POR D~ USE 1 1 1 1 r~aLe ~ - ~C~ 57475 01 .so~ic ~' L, Outd H~ ~1~ \~ ;i - ~e ..~_09 ~ l~} 143 U-O' C~ -02 cv~- on ..~= "c~c~nq ? - K '.:~l l~c~nwat~on `~S In1cc:~ on .'JCI I 'A-26 _ - con rAB~E a ~S~AL us=~= .u~07 L~ Bur'al U-OI! ~an~ Soreaalng 009 Neutratizatlen t O ._CC - 1 u.t 1 p~'CIi~ ' - 72 ;an1 t~ _~ti il ,d, ~ ~ye '.Y8tC, .~4 Suosurtace ;ystem S ?.,rolwe's ^~6 Saav Irr~geticn \1.'7 it_t" Cn ;.~. t.~?8 .~::`et ~acc: "

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144 THOMAS BURKE, M.~.hl. D I R E COO R I . GENERAL I NFORMAT I ON ~45S BALANCE INFORMS TION .~t' of N'm 31r rery DEPARTMENT OF ENVIRONMENTAL PROTECTION 0 reach 0 F CANCER AN D TO X I C SO VISTA PICAS ~ AS ~ ~ R C CN-4OZ TRENTON. ~.J. 08625 INDUSTRIAL SURVEY PROJECT I NSTRUCT I ONS The Industrial Survey Proj ect is part of an effort by the Depart- me".t of Environmental Protection (DEP) to assemble a computerized data base on the uses and release into the environment of about 155 carcinogenic and toxic chemicals. The enclosed questionnaire forms, entitled "Selected Substance Report", will be mailed to approximately fifteen thousand industrial establishments in the State of New Jersey over a year's time. When returned to the Department, the information contained on them will be coded for entry and stored in a computer system. The data will then be correlated with other information, such as death and disease statistics, to try to identify areas of the state and population groups who may be subj ected to an increased risk of disease due to chemical exposure. The Industrial Survey Project is being conducted by DEP's Toxic Substances Program. If you have questions about the survey or the questionnaire forms, or if you need additional information, you may contact: Industrial Survey Project 1474 Prospect Street EN 405 Trenton, New Jersey 08625 Tel. (6093 292-1520 Participation in the Industrial Survey is mandatory. Willful failure to return a completed Selected Substance Report may result in legal action against your firm. You will be notified by letter before any legal action is brought, however, and given adequate time to submit the report if it has been lost or delayed for any legitimate reason. blew Jersey Is An Equal Op,vortunity Employer

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APPENDIX G Regulations governing the Industrial Survey Proj ect have been adopted and codified as Chapter IF of Title 7 of the New Jersey Administrative Code (N. J.A. C. 7:1F-l.1 et. seq.~. These regulations describe the proj ect in somewhat greater detail, provide for the protection of confidential information submitted by survey re- spondents, and set penalties for persons who fail to return questionnaires or who make unauthorized disclosures of confidential information. You may obtain copies of the regulations by contacting the Industrial Survey Project at the above address. II. CONFIDENTIAL BUSINESS INFORMTION If any question on the Selected Substance Report requires you to submit information which is (or would lead a knowledgeable reader to deduce from it) ~ trade secret, proprietary business information or information related to national security, you may make a confiden- tiality claim. DEP will then treat that information as confidential and not disclose it in any form that would reveal the secret or proprietary information, unless the Department makes a formal finding that the material is not entitled to confidential treatment under the regulations. Unless an emergency (such as a fire In your plant which threatens to exposre nearby resident's to toxic materials) calls for the immediate release of information, you will be notified in advance if the Department interims to disclose information that you have claimed as confidential. You will be given an opportunity to challenge the Department's decision through administrative pro- cesses, and if not satisfied with the outcome, you will be given time (except in an emergency situational to obtain a restraining order from a court, if you wish to pursue an appeal. To make a confidentiality claim for information contained in the Selected Substance Report you must do the following: 1. Submit two copies of the report. The first must contain all the information requested. The secon" contain no information which you believe entitled to confidential treatment. (The second copy can be a photocopy of the first with the confidential material braced or whited out). 2. Mark the top of each page containing confidential information with the heading "CONFIDENTIAL" in bold type, stamp or hand 1=tter- ~ng. Do not maric every page - only the ones that contain confidential Information. 3. Identify all information which you Cal aim to be confidential by underlinging or highligthing it in a clear manner. Translucent in markers are accetable for this purpose. Example: Question 6. Quantity Consumed On Site - 140,500 lbs/yr. 145 4. Seal the copy of the report which contains confidential information into an envelope, and mark the envelope on both sides with the work "CONFIDENTIAL" in bold type, stamp or hand lettering. Place this envelope, together with the second (non-confidential) copy of the report, inside another envelope for transmittal to the Industrial Survey Project. - 2

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146 MASS BALANCE INFORMS TION 5. Send the complete package to the Industrial Survey Proj ect at the address listed in Part III, Instruction C, below. For your own protection, we recommend the use of certified mail, return receipt requested, a messenger service, personal delivery, or some other means that will give you verification that the Pro- ject has received your material. You may use ordinary mail, but the Proj ect assumes no responsiblity for materials not signed for until they are actually received in the proj ect office. Please give careful eons iteration to what material you claim as confidential. Be sure it really is proprietary or a trade secret. Do not mark a report "Entire Contents Confidential'' or in some similar fashion. Doing so will result in the Project refusing to recognize any confidentiality claim, or in our sending it back to you to be revised. You should also be aware that under State and federal laws, emissions of toxic materials into the environment are not entitled to be kept confidential. ~ . . . I I I . INSTRUCTIONS FOR COMPLETING THE SELECTED SUBSTANCE REPORT General Instructions . A. The data requested are to be supplied as they pertain to the selected substances of concern to the Department of Environmental Protection listed in Table 1 (attached). If your plant does not manufacture, process, form, repackage, release, use, dispose of or store any of the selected substances, either as a pure sub- stance or as part of a mixture; and has not disposed of selected substances by landfilling, lagooning, underground injection or other subsurface methods in past years since 1930, only Items 1 through 10 of Part I need be completed. B. If you have more than one plant location, a separate complete report must be filed for each location. However, you will receive a separate survey package for each plant location on file with the State. C. The report forms are to be completed and returned within 90 days addressed to: . INDUSTRIAL SURVEY PROJECT EN 405 TRENTON, NEW JERSEY 0 8 6 2 5 . . . . Be sure to address the envelope exactly as shown in the box above. Do not add references to "Department of Environmental Protection" or "State of New Jersey" as this may cause misrouting of mail. If you use a messenger service or deliver the forms in person, return them to: 14 74 Prospect Street Trenton, New Jers ey ATTN: Edward Stevenson or Cindie Scott - 3

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APPENDIX G NOTE: The 90 day deadline may be extended by the Proj ect for additional periods, not to exceed 90 days each, for good cause shown by the respondent. D. All information is to be based on calendar year 1981, if possible. If information of 1981 is not readily available, contact the Industrial Surrey Project (609-292-1520) for further ins tructions . E. Please give your answer in terms of the units specified in the forms (i.e., pounds per year, maximum pounds per day, gallons per day, etc. ~ . Leave boxes marked "DEP use only'' blank. F. Complete all sections. of the report that pertain to your firm or plant site. If a section does not apply to your operations, write in "NA" for "not applicable". G. Please attach process descriptions, explanatory notes, flow charts, lists, etc., that will assist in clarifying entries made on the report if you feel the answers require further explanation. I f information needed to complete a section is not readily avail- able, provide a written explanation describing the nature of the operations involved and the reasons for not supplying the data. H. It is intended that you use existing or readily ascertainable data to complete the Selected Substance Report. Where quantities can be determined from existing records (e . g . inventory or produc- tion figures) or the cost of testing is nominal, actual figures are to be supplied. Otherwise, estimates may be givers. You may use engineering estimates and computations; process material balance studies; field tests or measurements made by the plant, equipment manufacturers or government agencies, or other technically sound bases. I. If you do not '-now the formulation of trade name chemicals you use in your plant operations, you should make reasonable in- quiries of your supplier or the manufacturer to ascertain whether the material contains any selected substances. (For example, Tri-Clene a solvent, is a trade name for trichloroethylene , a selected substance) . J. Exempt from this report are quantities of selected substances which are manufactured, used, formed or processed for purposes of scientific experimentation, analysis or chemical research (in- cluding research or analysis for product development), provided such quantities of each substance are less than 1, 000 pounds in a one-year period. Also exempted are quantities of selected substances which are present as impurities, without regard to the purpose for which the material in which such impurities are contained is produced, provided the concentration of selected substance present as im- pur~ty is less than It and the total amount of selected substance present as impurity is less than 1,000 pounds in a one-year period. -4- 147

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148 AL4SS BALANCE INFORMATION Example: You produce 100,000 pounds per year of xylene in which benzene is present as an impurity at a concentration of .65 percent. You do not have to report the presence of benzene since it is present in a concentration less than 1% and annual production is only 650 pounds. Example: You produce 50,000 pounds per year of xylene in which benzene is present as an impurity at a concentration of 1.3 percent. You must report the presence of benzene because the concentration is greater than 1%, even though annual production is only 650 pounds. Example: You produce 1,OOO,OOO pounds per year of xylene in which benzene is present as an impurity at a concentration of .5 percent. You must report the presence of benzene, even though its con- centratzon is less than 1%, because annual pro- duction is 5,000 pounds. In the case of the third example (involving a concentration less than 1~) you would not be required to report the presence of the Impurity unless you know or have reason to know of its presence. See paragraph H. Specific Instructions The Selected Substance Report is divided into two parts. Part I consists of 15 questions about the plant site, its operations and its use of selected substances. Part II consists of separate sheets, each of which is to be filled out with information about only one selected substance. Three copies of the form for Part II have been sent to you; if you need extra ones, you may make photocopies or request additional forms from the Project. The questions in Part I should be self-explantory. Refer to the following for guidance in completing Part II. QUESTION 1 - enter the plant name and location QUESTION 2 - enter ache name of the selected substance and the corresponding CAS number, as lis ted in Table 1. QUESTION 3 - "use" refers to any use made of the selected substance at your plant site. It includes synthesis, whether the substance is incorporated into a finished product or produced only as an intermediate; use as raw material, where the substance is chemically changed or in- corporated into another; mixing, blending, repackaging or transshipment; use as supplementary fuel or for cleaning, and anything else. If the substance is used for more than one purpose at your plant site, list all uses. 5

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APPENDIX G Example: vinyl chloride (monomer) is used in the production of polyvinyl chloride resin. Example: 1,1,1 trichloroethane is used as a parts decreased. THROUGH- PUT QUANTITIES (Questions 4-83: These questions seek specific information about the quantities of selected substances used in your production or processing operations. The figures you supply' in your answers to the questions will not necessarily give rise to a material balance . Some subs Lances may be counted in more than one category. The Proj ect is aware of this, and it has beer taken into account in the design of the computer programs that will analyze the survey responses. QUESTION 4 - Quantity Producted on Site: this refers to quantities of the substance synthesized in your plant production processes. It includes isolated intermediates (those drawn off and stored for later use in the production process), but not transient intermediates (i.e. , substances formed in the production process as in- termediates (i.e., substances formed in the production process as an intermediate step but immediately transformed into something else). Also included are by products and quantities generated as impurities or waste. QUESTION S - Quantity Brought onto Site: This refers to quantities of the substance brought into your plant from suppliers off-site, including other plants or divisions of your own firm. Include all quantities shipped onto the site, whether they are to be used as raw materials, cleaning materials, or simply repac'^aoed for reshipment. QUESTION 6 - Quantity Consumed on Site: In some cases ~ selected substance is consumed in a chemical reaction either through incorporation into the molecular structure of the product or by combining with a reactant or solvent to alter its structure and thus lose its identity. Example: You make nitrobenzene by reacting benzene and nitric acid. Benzene is "consumed" in the production process because it under- goes chemical change and ceases to exist as benzene. On the other hand, quantities of selected substance which are used in plant processes but not chemically transformed should not be listed as "consumed". Example: You use trichloroethylene (ICE) as a de- greasing agent for cleaning metal. Some of the chemical evaporates in the process, and the rest becomes too contaminated for reuse. The quantities should be recorded under "Air Emissions" and "Waste Disposal", not under "Quantity Consumed". -6- 149

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150 ~45S BALANCE INFORMATION QUESTION 7 - Quantity Shipped Off-site As (or In) Product: The information sought here is the amount of selected substance that leaves your plant site in product form - that is, in a form suitable for final use or for further processing leading to eventual final use. This includes materials shipped to other plants or divisions of your own firm. It does not, however, include wastes; these should be recorded in the "Waste Disposal" section. Enter only the quantity of selected substance shipped off-site, not the quantity of product in which it is contained. Example: You ship to customers 10.0, 000 pounds per year of a mixture containing 10% by weight of isophorene, Chat is, 10, 000 pounds of isophorene. Your answer to Question 7 should be 10,000 pounds, not 100,000. QUESTION 8 - Maximum Inventory : In this question we are attempting to gain an idea of the quantities of selected sub- stance stored on your site at a given moment in time. Since computing an average daily storage quantity would require averaging your daily inventory records over an ent' re year, to simplify your response we have requested only the maximum quantity stored. Enter the largest amount of selected substance you had in storage on-site at any time during 1981. Again, enter the quanti ty of substance only, not the amount of material in which At is contained. AIR EMISSIONS (Question 9 and 103: These questions seek Deco lean the amounts of selected substances your plant releases into the atmosphere from all sources. Please attach explanatory notes, itemized sources of emissions, calculations, etc., that will assist in clarifying your responses. QUESTION 9 - Stack Emissions: These are emissions which are re- leased into the atm-osphe re from a readi ly - ident i f i ab le point source, such as a chimney or exhaust vent. QUESTION 10 - Fugitive Emissions: These are emissions other than stack emissions. Included should be such items as evaporation from tanks, vapor or dust emissions during blending, transfer discharging reaction vessels, etc.

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APPENDLY G 151 WASTEWATER DISCHARGES (Questions 11 and 123: These questions are concerned only with discharges into surface waters and publicly owned treatment works (POTW's) . Discharges into subsurface waters or onto land (e. q. lagooning, spray irrigation) should be recorded under the section on Waste Disposal . Here again, the questions are concerned only with the quantity of selected substance discharged, not with the volume of effluent in which it is contained. Thus, if you discharge a million gallons of effluent containing 500 pounds of selected substance, you enter 500 pounds for Question 11 or 12. QUESTION 11 - Surface Water Discharges: Enter the total quantity of selected substance you discharged into surface water, other than quantities which went to surface waters via a POTW (Question 12~. QUESTION 12 - Discharge into Publicly Owned Treatment Works: Enter the total quantity of selected substance you discharged into a municipal sewer system or one owned by an MUA, SA or regional utilities authority. WASTE DISPOSAL (Question 133: This question asks you to describe how you dispose of wastes containing selected substances which are not emitted into the atmosphere or discharged into surface waters or sewerage systems. QUESTION 13 - Disposal of Waste Containing the Selected Substance. This question is organized in tabular form. In the first column, list the name and location of each final disposal site to which you send waste contai ning the selected substance. This includes disposal facilities located on your own plant site, e.g., a chemical landfill or lagoon. In general, "final disposal site" means final with respect to you. If the operator of the d~s- posal site makes further economic use of the waste (for example, he recovers solvents from it) you do not have to report this further use. (Note: do not list a transfer station as a final disposal site.) In the second column, you are to characterize the physical state of the waste you sent to the disposal sites listed in column one. Consult Table A and enter the appropriate physical state code or codes. If selected substance is contained in more than one type of waste, enter all appropriate code numbers. For the third column, consult Table B and enter the appropriate code or codes. Your entries should reflect the disposal method employed at the site you listed in the corresponding row. In the fourth column enter the quantity of selected sub- stance contained in the waste disposed at the site you 1 isted in the corresponding row. Once again, enter only the quantity of selected substance, not the total quantity of waste in which it is contained. The fifth column is for DEP use only. Leave it blank. -8

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