FORM R REPORTS

PART I. FACILITY IDENTIFICATION INFORMATION (FORM R)

DOCUMENT CONTROL NUMBER: 1390045041011

Facility Registry System ID:  110000861041

Section 1. Reporting Year

Reporting Year: 1990

Section 2. Trade Secret Information

2.1 Trade Secret: NO

2.2 Sanitized Copy: Unsanitized

Section 3. Certification

CERTIFYING OFFICIAL'S NAME	CERTIFYING OFFICIAL'S TITLE	CERTIFYING OFFICIAL'S SIGNATURE	DATE SIGNED
J. THOMAS WEBSTER	GENERAL MANAGER	Original	29-MAY-91

Section 4. Facility Identification

TRI Facility ID: 90039CTVSP5433S

4.1 Facility Name and Address.

Facility Information

NAME	STREET	CITY	COUNTY	STATE	ZIP CODE
ACTIVE SUPPLY CO	5433 SAN FERNANDO RD W	LOS ANGELES	LOS ANGELES	CA	90039

BIA Tribal Code	Tribe
NO DATA	NO DATA

Mailing Information

NAME	STREET	CITY	STATE	ZIP CODE
ACTIVE SUPPLY CO	5433 SAN FERNANDO RD W	LOS ANGELES	CA	90039

PROVINCE	COUNTRY (NON - US)
NO DATA	NO DATA

4.2 Facility Classification

ENTIRE FACILITY	PARTIAL FACILITY	FEDERAL FACILITY	GOCO FACILITY
YES	NO	NO	No Data

4.3 Technical Contact

Not Available to the Public as this information is only for Intranet.

4.4 Public Contact

NAME	PHONE
J. THOMAS WEBSTER	2132455737

4.5 SIC Codes

SIC CODE	PRIMARY	SIC CODE DESCRIPTION
3442	YES	METAL DOORS, SASH, AND TRIM
NA	NO	NA

4.6 Location

LATITUDE	LONGITUDE
034-09-10	118-16-48

4.7 Dun Numbers

DUNS NUMBER
NA

4.8 RCRA ID Numbers

RCRA ID NUMBER
CAD981376668

4.9 NPDES Permit Numbers

NPDES PERMIT NUMBER
NO DATA

4.10 Underground Injection Well Code (UIC) ID Number

UIC ID NUMBER
NO DATA

5. Parent Company Information

Parent Company Name: No US Parent Company

Parent Company DUNS Number: NA

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PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1390045041011

Section 1. Toxic Chemical Identity

1.1 CAS Number: 71-55-6       PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: 1,1,1-Trichloroethane

1.3 Generic Chemical Name: NA

1.4 Distribution of Each Member of the Dioxin and Dioxin like Compounds Category

NA	1	2	3	4	5	6	7	8	9	10	11	12	13	14	15	16	17
NO

Section 2. Mixture Component Identity

2.1 Supplier Provided Generic Chemical Name: NA

Section 3. Activities and Uses of the Toxic Chemical

3.1 Manufacture the Toxic Chemical:

Produce: NO	Import: NO	On-Site Use/Processing: NO
Sale/Distribution: NO	Byproduct: NO	Impurity: NO

3.2 Process the Toxic Chemical:

Reactant: NO

Formulation Component: NO

Article Component: NO

Repackaging: NO

Impurity: NO

Recycling:

3.3 Otherwise Use the Toxic Chemical:

Chemical Processing Aid: NO

Manufacturing Aid: NO

Ancillary or Other Use: YES

Section 4. Maximum Amount of the Toxic Chemical Onsite During the Calendar Year

Maximum Chemical Amount: 1000 to 9999

Section 5. Quantity of the Toxic Chemical Entering each Environmental Medium Onsite

5.1 Fugitive or Non-Point Air Emissions

NA	TOTAL RELEASE (per year)	UNIT OF MEASURE	BASIS OF ESTIMATE
NO	15496	Pounds	O - Other Approaches

5.2 Stack or Point Air Emissions

NA	TOTAL RELEASE (per year)	UNIT OF MEASURE	BASIS OF ESTIMATE
NO	0	Pounds	O - Other Approaches

5.3 Discharges to Receiving Streams or Water Bodies

NA	STREAM/WATER BODY NAME	TOTAL RELEASE (per year)	UNIT OF MEASURE	BASIS OF ESTIMATE	% FROM STORMWATER
YES	NA
YES	NA
YES	NA
YES	NA
YES	NA
YES	NA

5.4 Underground Injection On Site 87-95

NA	TOTAL RELEASE (per year)	UNIT OF MEASURE	BASIS OF ESTIMATE
YES

5.4-5.5 Disposal to Land Onsite

5.4.1 Underground Injection Onsite to Class I Wells.

NA	TOTAL RELEASE (per year)	UNIT OF MEASURE	BASIS OF ESTIMATE
NO

5.4.2 Underground Injection Onsite to Class II-V Wells.

NA	TOTAL RELEASE (per year)	UNIT OF MEASURE	BASIS OF ESTIMATE
NO

5.5 Disposal to Land Onsite

5.5.1 On Site Landfill

NA	TOTAL RELEASE (per year)	UNIT OF MEASURE	BASIS OF ESTIMATE
YES

5.5.2 Land Treatment/Application Farming

NA	TOTAL RELEASE (per year)	UNIT OF MEASURE	BASIS OF ESTIMATE
YES

5.5.3 Surface Impoundment

NA	TOTAL RELEASE (per year)	UNIT OF MEASURE	BASIS OF ESTIMATE
YES

5.5.4 Other Disposal

NA	TOTAL RELEASE (per year)	UNIT OF MEASURE	BASIS OF ESTIMATE
YES

Section 6. Transfers of the Toxic Chemical in Wastes to Off-Site Locations

6.1 Discharges to Publicly Owned Treatment Works (POTWs)

6.1.A Total Quantity Transferred to POTWs and Basis of Estimate

6.1.A.	TOTAL TRANSFERS (per year)	UNIT OF MEASURE	BASIS OF ESTIMATE
1	NO DATA		NO DATA

6.1.B POTW Locations

6.1.B.	POTW NAME	ADDRESS	CITY	STATE	COUNTY	ZIP CODE
1	NA

6.2 Transfers to other Off-Site Locations

RCRA Number:	Parent Company Controlled:
Name:	Address:
City:	State:
County:	Zip Code:
Country Code (Non - US):	Province:

TOTAL TRANSFERS (per year)	UNIT OF MEASURE	BASIS OF ESTIMATE	WASTE MANAGEMENT TYPE
NO DATA		NO DATA	NO DATA

Section 7A. On-Site Waste Treatment Methods and Efficiency

7A.1a. Waste Stream:

7A.1b.	WASTE TREATMENT METHOD(S) SEQUENCE
1	NA

7A.1c. Range of Influent Concentration:

7A.1d. Waste Treatment Efficiency Estimate:

7A.1e. Based on Operating Data?:

Section 7B. On-Site Energy Recovery Processes

ON SITE ENERGY RECOVERY PROCESSES
NO DATA

Section 7C. On-Site Recycling Processes

ON SITE RECYCLING PROCESSES
NO DATA

Section 8. Source Reduction and Recycling Activities

SECTION	TYPE OF QUANTITY	UNITS	PRIOR YEAR	CURRENT REPORTING YEAR	FOLLOWING YEAR	SECOND FOLLOWING YEAR
8.1	Quantity Released
8.2	Quantity Used for Energy Recovery Onsite
8.3	Quantity Used for Energy Recovery Offsite
8.4	Quantity Recycled Onsite
8.5	Quantity Recycled Offsite
8.6	Quantity Treated Onsite
8.7	Quantity Treated Offsite

8.8 One-Time Event Release: 0

8.9 Production Ratio:

8.10 Source Reduction Activities

SOURCE REDUCTION ACTIVITIES	METHOD 1	METHOD 2	METHOD 3	ESTIMATED ANNUAL REDUCTION
NO DATA	NO DATA	NO DATA	NO DATA	NO DATA

8.11 Additional Data Indicator: NO

Additional Optional Information on Source Reduction, Recycling, or Pollution Control Activities

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