| | Toxic Chemical Release Inventory Reporting Forms and |
| | 1,28 | | MB | Instructions |
| | 205 | | stron |
| | 4616 | | ID | UNITED STATES ENVIRONMENTAL PROTECTION AGENCY |
| | 2005 | | rok |
| | Table of Contents |
| | Toxics Release Inventory Reporting Forms and Instructions i |
| | I. TRI Reporting Software v |
| | II. Chemical and Industry Guidance vii |
| | III. General Guidance vii |
| | IV. Chemical-Specific Guidance . viii |
| | V. Industry-Specific Guidance . ix |
| | A. General Information 1 |
| | A.1 Who Must Report . 1 |
| | A.2 How to Report to TRI . 1 |
| | A.2.a The Toxic Chemical Release Reporting Form, EPA Form R . 1 |
| | A.2.b The Alternate Threshold Form A Certification Statement . 1 |
| | A.3 How to Submit Forms . 2 |
| | A.3.a How to Submit Form R(s) and/or Form A(s) to EPA via the Internet (EPA’s Central Data |
| | Exchange (CDX))2 |
| | A.3.b How to Send Your Disks Containing Form R(s) and/or Form A(s) . 2 |
| | A.3.b.1 Labeling Your Submission Diskette 2 |
| | A.3.b.2 Submitting by Diskette to States 2 |
| | A.3.c How to Submit Paper Form R(s) and/or Form A(s) . 3 |
| | A.4 Trade Secret Claims . 3 |
| | A.5 Recordkeeping . 4 |
| | A.6 How to Revise or Withdraw TRI Data . 4 |
| | A.7 When the Report Must Be Submitted . 6 |
| | A.8 How to Obtain Forms and Other Information . 7 |
| | B. How to Determine if Your Facility Must Submit a Form R or is Eligible to Use the Form A . 9 |
| | B.1 Full-Time Employee Determination . 9 |
| | B.2 Primary SIC Code Determination 9 |
| | B.2.a. Multi-Establishment Facilities 11 |
| | B.2.b. Auxiliary Facilities . 12 |
| | B.2.c. Property Owners 12 |
| | B.3 Activity Determination . 12 |
| | B.3.a. Definitions of “Manufacture,” “Process,” and “Otherwise Use” 12 |
| | B.3.b. Persistent Bioaccumulative Toxic (PBT) Chemicals and Chemical Categories Overview 14 |
| | B.3.c. Activity Exemptions 15 |
| | B.4 Threshold Determinations . 21 |
| | B.4.a. How to Determine if Your Facility Has Exceeded Thresholds 22 |
| | B.4.b. Threshold Determinations for On-Site Reuse Operations . 23 |
| | B.4.c. Threshold Determinations for Ammonia 23 |
| | B.4.d. Threshold Determinations for Chemical Categories 23 |
| | B.4.e Threshold Determination for Persistent Bioaccumulative Toxic (PBT) Chemicals 24 |
| | B.4.f. Mixtures and Other Trade Name Products . 24 |
| | B.5 Release and Other Waste Management Determinations for Metals, Metal Category Compounds, |
| | and Nitrate Compounds . 25 |
| | C. Instructions for Completing EPA Form R . 31 |
| | Part I. Facility Identification Information . 31 |
| | Section 1. Reporting Year 31 |
| | Section 2. Trade Secret Information . 31 |
| | 2.1 Are you claiming the EPCRA section 313 chemical identified on page 2 a trade secret? |
| | Section 3. Certification . 31 |
| | Section 4. Facility Identification . 31 |
| | 4.1 Facility Name, Location, and TRI Facility Identification Number 31 |
| | 4.2 Full or Partial Facility Indication 32 |
| | 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 41 |
| | 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 41 |
| | 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 . 45 |
| | 6.1 Discharges to Publicly Owned Treatment Works . 46 |
| | 6.1.A.1 Total Transfers 46 |
| | 6.1.A.2 Basis of Estimate . 466.2 Transfers to Other Off-Site Locations . 47 |
| | 6.2a Column A: Total Transfers . 47 |
| | 6.2b Column B: Basis of Estimate . 49 |
| | 6.2c Column C: Type of Waste Management: Disposal/ Treatment/Energy Recovery/Recycling50 |
| | 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 . 57 |
| | 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 70 |
| | D.1 Alternate Threshold 70 |
| | D.2 What is the Form A Certification Statement? 70 |
| | D.3 What is the Total Annual Reportable Amount? . 70 |
| | D.4 Recordkeeping 70 |
| | D.5 Multi-establishment Facilities 70 |
| | D.6 Trade Secrets . 71 |
| | D.7 Metals and Metal Category Compounds 71 |
| | E. Instructions for Completing EPA Form A . 72 |
| | Part I. Facility Identification Information . 72 |
| | Section 1. Reporting Year . 72 |
| | Section 2. Trade Secret Information . 72 |
| | 2.1 Are you claiming the EPCRA Section 313 chemical identified on page 2 a trade secret? 72 |
| | 2.2 If “yes” in 2.1, is this copy sanitized or unsanitized? 72 |
| | Section 3. Certification . 72 |
| | Section 4. Facility Identification 72 |
| | 4.1 Facility Name, Location, and TRI Facility Identification Number 72 |
| | 4.2 Federal Facility Designation . 73 |
| | 4.3 Technical Contact . 73 |
| | 4.4 Intentionally Left Blank 73 |
| | 4.5 Standard Industrial Classification (SIC) Code . 73 |
| | 4.6 Latitude and Longitude . 73 |
| | 4.7 Dun & Bradstreet Number(s) 74 |
| | 4.8 EPA Identification Number(s) 74 |
| | 4.9 Facility NPDES Permit Number(s) 74 |
| | 4.10 Underground Injection Well Code (UIC) Identification Number(s) 74 |
| | Section 5. Parent Company Information 74 |
| | 5.1 Name of Parent Company . 74 |
| | 5.2 Parent Company's Dun & Bradstreet Number 74 |
| | Part II. Chemical Identification 75 |
| | Section 1. Toxic Chemical Identity 75 |
| | 1.1 CAS Number . 75 |
| | 1.2 EPCRA Section 313 Chemical or Chemical Category Name 75 |
| | 1.3 Generic Chemical Name 75 |
| | Section 2. Mixture Component Identity 76 |