PART I. FACILITY IDENTIFICATION INFORMATION (FORM R)
Facility Registry System ID: 110017395255Reporting Year: 1993
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 |
|---|---|---|---|
| DAVID L. GURBACH |
V.P./G.M. |
Original |
17-JUN-94 |
Section 4. Facility Identification
TRI Facility ID: 44077VRYSP205CH
4.1 Facility Name and Address.
Facility Information
| NAME | STREET | CITY | COUNTY | STATE | ZIP CODE |
|---|---|---|---|---|---|
| AVERY DENNISON CORP SPECIALTY TAPE DIV |
205 CHESTER ST |
PAINESVILLE |
LAKE |
OH |
44077 |
| BIA Tribal Code | Tribe |
|---|---|
| NO DATA |
NO DATA |
Mailing Information
| NAME | STREET | CITY | STATE | ZIP CODE |
|---|---|---|---|---|
| AVERY DENNISON CORP SPECIALTY TAPE DIV |
250 CHESTER ST BUILDING 5 |
PAINESVILLE |
OH |
44077 |
| 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 |
|---|---|
| JAMES A. SHENKER |
2163574956 |
4.5 SIC Codes
| SIC CODE | PRIMARY | SIC CODE DESCRIPTION |
|---|---|---|
| 2672 |
YES |
PAPER: COATED AND LAMINATED, NEC (1987) |
| NA |
NO |
NA |
4.6 Location
| LATITUDE | LONGITUDE |
|---|---|
| 041-43-50 |
081-15-17 |
4.7 Dun Numbers
| DUNS NUMBER |
|---|
| 008256364 |
4.8 RCRA ID Numbers
| RCRA ID NUMBER |
|---|
| NO DATA |
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: AVERY DENNISON CORP
Parent Company DUNS Number: 008256364
PART II. CHEMICAL - SPECIFIC INFORMATION
1.1 CAS Number: 108-88-3 PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Toluene
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: YES |
| Manufacturing Aid: NO |
| Ancillary or Other Use: YES |
Section 4. Maximum Amount of the Toxic Chemical Onsite During the Calendar Year
Maximum Chemical Amount: 100000 to 999999
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 |
230000 |
Pounds |
O - Other Approaches |
5.2 Stack or Point Air Emissions
| NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
|---|---|---|---|
| NO |
1100000 |
Pounds |
C - Mass Balance Calculations |
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 |
|---|---|---|---|---|---|
| NO |
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 |
44 |
Pounds |
M - Data Monitoring Or Measurements |
6.1.B POTW Locations
| 6.1.B. | POTW NAME | ADDRESS | CITY | STATE | COUNTY | ZIP CODE |
|---|---|---|---|---|---|---|
| 1 |
PAINESVILLE WATER POLLUTION, CONTROL |
1170 N. STATE ST. |
PAINESVILLE |
OH |
LAKE |
44077 |
6.2 Transfers to other Off-Site Locations
| 1 RCRA Number: MID980615298 | Parent Company Controlled: NO |
| Name: PETRO-CHEM PROCESSING INC. | Address: 421 LYCASTE |
| City: DETROIT | State: MI |
| County: WAYNE | Zip Code: 48214 |
| Country Code (Non - US): | Province: |
| OFFSITE AMOUNT SEQUENCE | TOTAL TRANSFERS (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE | WASTE MANAGEMENT TYPE |
|---|---|---|---|---|
| 1 |
350000 |
Pounds |
O - Other Approaches |
M56 - Energy Recovery |
| 2 RCRA Number: NA | Parent Company Controlled: NO |
| Name: LAKE COUNTY SOLID WASTE LAND, FILL | Address: 2039 BLAISE-NEMETH RD. |
| City: PAINESVILLE | State: OH |
| County: LAKE | Zip Code: 44077 |
| Country Code (Non - US): | Province: |
| OFFSITE AMOUNT SEQUENCE | TOTAL TRANSFERS (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE | WASTE MANAGEMENT TYPE |
|---|---|---|---|---|
| 1 |
663 |
Pounds |
O - Other Approaches |
M72 - Landfill/Disposal Surface Impoundment |
| 3 RCRA Number: OHD083377010 | Parent Company Controlled: NO |
| Name: ENVIRONMENTAL ENTERPRISES INC. | Address: 4650 SPRING GROVE AVE. |
| City: CINCINNATI | State: OH |
| County: HAMILTON | Zip Code: 45232 |
| Country Code (Non - US): | Province: |
| OFFSITE AMOUNT SEQUENCE | TOTAL TRANSFERS (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE | WASTE MANAGEMENT TYPE |
|---|---|---|---|---|
| 1 |
1 - 10 |
Pounds |
O - Other Approaches |
M61 - Wastewater Treatment (Excluding POTW) |
| 4 RCRA Number: OHD004178612 | Parent Company Controlled: NO |
| Name: RESEARCH OIL CO. | Address: 2655 TRANSPORT RD. |
| City: CLEVELAND | State: OH |
| County: CUYAHOGA | Zip Code: 44115 |
| Country Code (Non - US): | Province: |
| OFFSITE AMOUNT SEQUENCE | TOTAL TRANSFERS (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE | WASTE MANAGEMENT TYPE |
|---|---|---|---|---|
| 1 |
11 - 499 |
Pounds |
O - Other Approaches |
M61 - Wastewater Treatment (Excluding POTW) |
Section 7A. On-Site Waste Treatment Methods and Efficiency
| 7A.1a. Waste Stream: GASEOUS |
| 7A.1b. |
WASTE TREATMENT METHOD(S) SEQUENCE |
|---|---|
| 1 |
F71 - FUME/VAPOR |
| 2 |
NA |
| 7A.1c. Range of Influent Concentration: GREATER THAN 1 PERCENT |
| 7A.1d. Waste Treatment Efficiency Estimate: 99 |
| 7A.1e. Based on Operating Data?: NO |
Section 7B. On-Site Energy Recovery Processes
| ON SITE ENERGY RECOVERY PROCESSES |
|---|
| NA |
Section 7C. On-Site Recycling Processes
| ON SITE RECYCLING PROCESSES |
|---|
| R19 - SOLVENTS/ORGANICS RECOVERY - OTHER |
| NA |
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 |
Pounds |
1400000 |
1300000 |
1300000 |
750000 |
| 8.2 |
Quantity Used for Energy Recovery Onsite |
Pounds |
0 |
0 |
0 |
0 |
| 8.3 |
Quantity Used for Energy Recovery Offsite |
Pounds |
160000 |
350000 |
300000 |
250000 |
| 8.4 |
Quantity Recycled Onsite |
Pounds |
1800000 |
1800000 |
1900000 |
1900000 |
| 8.5 |
Quantity Recycled Offsite |
Pounds |
0 |
0 |
0 |
0 |
| 8.6 |
Quantity Treated Onsite |
Pounds |
1300000 |
1400000 |
1500000 |
2000000 |
| 8.7 |
Quantity Treated Offsite |
Pounds |
2100 |
780 |
750 |
750 |
8.8 One-Time Event Release: NA
8.9 Production Ratio: 1.01
8.10 Source Reduction Activities
| SOURCE REDUCTION ACTIVITIES | METHOD 1 | METHOD 2 | METHOD 3 | ESTIMATED ANNUAL REDUCTION |
|---|---|---|---|---|
| NA |
8.11 Additional Data Indicator: NO
Additional Optional Information on Source Reduction, Recycling, or Pollution Control Activities
PART I. FACILITY IDENTIFICATION INFORMATION (FORM R)
Facility Registry System ID: 110017395255Reporting Year: 1993
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 |
|---|---|---|---|
| DAVID L. GURBACH |
V.P./G.M. |
Original |
17-JUN-94 |
Section 4. Facility Identification
TRI Facility ID: 44077VRYSP205CH
4.1 Facility Name and Address.
Facility Information
| NAME | STREET | CITY | COUNTY | STATE | ZIP CODE |
|---|---|---|---|---|---|
| AVERY DENNISON CORP SPECIALTY TAPE DIV |
205 CHESTER ST |
PAINESVILLE |
LAKE |
OH |
44077 |
| BIA Tribal Code | Tribe |
|---|---|
| NO DATA |
NO DATA |
Mailing Information
| NAME | STREET | CITY | STATE | ZIP CODE |
|---|---|---|---|---|
| AVERY DENNISON CORP SPECIALTY TAPE DIV |
250 CHESTER ST BUILDING 5 |
PAINESVILLE |
OH |
44077 |
| 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 |
|---|---|
| JAMES A. SHENKER |
2163574956 |
4.5 SIC Codes
| SIC CODE | PRIMARY | SIC CODE DESCRIPTION |
|---|---|---|
| 2672 |
YES |
PAPER: COATED AND LAMINATED, NEC (1987) |
| NA |
NO |
NA |
4.6 Location
| LATITUDE | LONGITUDE |
|---|---|
| 041-43-50 |
081-15-17 |
4.7 Dun Numbers
| DUNS NUMBER |
|---|
| 008256364 |
4.8 RCRA ID Numbers
| RCRA ID NUMBER |
|---|
| NO DATA |
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: AVERY DENNISON CORP
Parent Company DUNS Number: 008256364
PART II. CHEMICAL - SPECIFIC INFORMATION
1.1 CAS Number: 1330-20-7 PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Xylene (mixed isomers)
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: YES |
| 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: NO |
Section 4. Maximum Amount of the Toxic Chemical Onsite During the Calendar Year
Maximum Chemical Amount: 100 to 999
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 |
480 |
Pounds |
O - Other Approaches |
5.2 Stack or Point Air Emissions
| NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
|---|---|---|---|
| NO |
2500 |
Pounds |
C - Mass Balance Calculations |
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 |
|---|---|---|---|---|---|
| NO |
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 |
NO DATA |
NO DATA |
NO DATA |
NO DATA |
NO DATA |
NO DATA |
6.2 Transfers to other Off-Site Locations
| 1 RCRA Number: MID980615298 | Parent Company Controlled: NO |
| Name: PETRO-CHEM PROCESSING INC. | Address: 421 LYCASTE |
| City: DETROIT | State: MI |
| County: WAYNE | Zip Code: 48214 |
| Country Code (Non - US): | Province: |
| OFFSITE AMOUNT SEQUENCE | TOTAL TRANSFERS (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE | WASTE MANAGEMENT TYPE |
|---|---|---|---|---|
| 1 |
1280 |
Pounds |
O - Other Approaches |
M56 - Energy Recovery |
| 2 RCRA Number: NA | Parent Company Controlled: NO |
| Name: LAKE COUNTY SOLID WASTE LAND, FILL | Address: 2039 BLAISE-NEMETH RD. |
| City: PAINESVILLE | State: OH |
| County: LAKE | Zip Code: 44077 |
| Country Code (Non - US): | Province: |
| OFFSITE AMOUNT SEQUENCE | TOTAL TRANSFERS (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE | WASTE MANAGEMENT TYPE |
|---|---|---|---|---|
| 1 |
1 - 10 |
Pounds |
O - Other Approaches |
M72 - Landfill/Disposal Surface Impoundment |
Section 7A. On-Site Waste Treatment Methods and Efficiency
| 7A.1a. Waste Stream: GASEOUS |
| 7A.1b. |
WASTE TREATMENT METHOD(S) SEQUENCE |
|---|---|
| 1 |
F71 - FUME/VAPOR |
| 2 |
NA |
| 7A.1c. Range of Influent Concentration: GREATER THAN 1 PERCENT |
| 7A.1d. Waste Treatment Efficiency Estimate: 99 |
| 7A.1e. Based on Operating Data?: NO |
| 7A.2a. Waste Stream: NA |
| 7A.2b. |
WASTE TREATMENT METHOD(S) SEQUENCE |
|---|---|
| 1 |
NO DATA |
| 7A.2c. Range of Influent Concentration: |
| 7A.2d. Waste Treatment Efficiency Estimate: |
| 7A.2e. Based on Operating Data?: |
Section 7B. On-Site Energy Recovery Processes
| ON SITE ENERGY RECOVERY PROCESSES |
|---|
| NA |
Section 7C. On-Site Recycling Processes
| ON SITE RECYCLING PROCESSES |
|---|
| R19 - SOLVENTS/ORGANICS RECOVERY - OTHER |
| NA |
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 |
Pounds |
0 |
3000 |
3000 |
3000 |
| 8.2 |
Quantity Used for Energy Recovery Onsite |
Pounds |
0 |
0 |
0 |
0 |
| 8.3 |
Quantity Used for Energy Recovery Offsite |
Pounds |
0 |
1300 |
1500 |
1500 |
| 8.4 |
Quantity Recycled Onsite |
Pounds |
0 |
3800 |
4000 |
4000 |
| 8.5 |
Quantity Recycled Offsite |
Pounds |
0 |
0 |
0 |
0 |
| 8.6 |
Quantity Treated Onsite |
Pounds |
0 |
3000 |
3000 |
3000 |
| 8.7 |
Quantity Treated Offsite |
Pounds |
0 |
2 |
2 |
2 |
8.8 One-Time Event Release: NA
8.9 Production Ratio:
8.10 Source Reduction Activities
| SOURCE REDUCTION ACTIVITIES | METHOD 1 | METHOD 2 | METHOD 3 | ESTIMATED ANNUAL REDUCTION |
|---|---|---|---|---|
| NA |
8.11 Additional Data Indicator: NO
Additional Optional Information on Source Reduction, Recycling, or Pollution Control Activities
PART I. FACILITY IDENTIFICATION INFORMATION (FORM R)
Facility Registry System ID: 110017395255Reporting Year: 1993
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 |
|---|---|---|---|
| DAVID L. GURBACH |
V.P./G.M. |
Original |
17-JUN-94 |
Section 4. Facility Identification
TRI Facility ID: 44077VRYSP205CH
4.1 Facility Name and Address.
Facility Information
| NAME | STREET | CITY | COUNTY | STATE | ZIP CODE |
|---|---|---|---|---|---|
| AVERY DENNISON CORP SPECIALTY TAPE DIV |
205 CHESTER ST |
PAINESVILLE |
LAKE |
OH |
44077 |
| BIA Tribal Code | Tribe |
|---|---|
| NO DATA |
NO DATA |
Mailing Information
| NAME | STREET | CITY | STATE | ZIP CODE |
|---|---|---|---|---|
| AVERY DENNISON CORP SPECIALTY TAPE DIV |
250 CHESTER ST BUILDING 5 |
PAINESVILLE |
OH |
44077 |
| 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 |
|---|---|
| JAMES A. SHENKER |
2163574956 |
4.5 SIC Codes
| SIC CODE | PRIMARY | SIC CODE DESCRIPTION |
|---|---|---|
| 2672 |
YES |
PAPER: COATED AND LAMINATED, NEC (1987) |
| NA |
NO |
NA |
4.6 Location
| LATITUDE | LONGITUDE |
|---|---|
| 041-43-50 |
081-15-17 |
4.7 Dun Numbers
| DUNS NUMBER |
|---|
| 008256364 |
4.8 RCRA ID Numbers
| RCRA ID NUMBER |
|---|
| NO DATA |
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: AVERY DENNISON CORP
Parent Company DUNS Number: 008256364
PART II. CHEMICAL - SPECIFIC INFORMATION
1.1 CAS Number: 108-05-4 PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Vinyl acetate
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: YES |
| 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: NO |
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 |
2100 |
Pounds |
O - Other Approaches |
5.2 Stack or Point Air Emissions
| NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
|---|---|---|---|
| NO |
8300 |
Pounds |
C - Mass Balance Calculations |
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 |
|---|---|---|---|---|---|
| NO |
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 |
NO DATA |
NO DATA |
NO DATA |
NO DATA |
NO DATA |
NO DATA |
6.2 Transfers to other Off-Site Locations
| 1 RCRA Number: MID980615298 | Parent Company Controlled: NO |
| Name: PETRO-CHEM PROCESSING INC. | Address: 421 LYCASTE |
| City: DETROIT | State: MI |
| County: WAYNE | Zip Code: 48214 |
| Country Code (Non - US): | Province: |
| OFFSITE AMOUNT SEQUENCE | TOTAL TRANSFERS (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE | WASTE MANAGEMENT TYPE |
|---|---|---|---|---|
| 1 |
1500 |
Pounds |
O - Other Approaches |
M56 - Energy Recovery |
| 2 RCRA Number: NA | Parent Company Controlled: NO |
| Name: LAKE COUNTY SOLID WASTE LAND, FILL | Address: 2039 BLAISE-NEMETH RD. |
| City: PAINESVILLE | State: OH |
| County: LAKE | Zip Code: 44077 |
| Country Code (Non - US): | Province: |
| OFFSITE AMOUNT SEQUENCE | TOTAL TRANSFERS (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE | WASTE MANAGEMENT TYPE |
|---|---|---|---|---|
| 1 |
0 |
Pounds |
O - Other Approaches |
M72 - Landfill/Disposal Surface Impoundment |
Section 7A. On-Site Waste Treatment Methods and Efficiency
| 7A.1a. Waste Stream: GASEOUS |
| 7A.1b. |
WASTE TREATMENT METHOD(S) SEQUENCE |
|---|---|
| 1 |
F71 - FUME/VAPOR |
| 2 |
NA |
| 7A.1c. Range of Influent Concentration: GREATER THAN 1 PERCENT |
| 7A.1d. Waste Treatment Efficiency Estimate: 99 |
| 7A.1e. Based on Operating Data?: NO |
| 7A.2a. Waste Stream: NA |
| 7A.2b. |
WASTE TREATMENT METHOD(S) SEQUENCE |
|---|---|
| 1 |
NO DATA |
| 7A.2c. Range of Influent Concentration: |
| 7A.2d. Waste Treatment Efficiency Estimate: |
| 7A.2e. Based on Operating Data?: |
Section 7B. On-Site Energy Recovery Processes
| ON SITE ENERGY RECOVERY PROCESSES |
|---|
| NA |
Section 7C. On-Site Recycling Processes
| ON SITE RECYCLING PROCESSES |
|---|
| NA |
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 |
Pounds |
9100 |
10400 |
11000 |
11500 |
| 8.2 |
Quantity Used for Energy Recovery Onsite |
Pounds |
0 |
0 |
0 |
0 |
| 8.3 |
Quantity Used for Energy Recovery Offsite |
Pounds |
800 |
1500 |
1700 |
1800 |
| 8.4 |
Quantity Recycled Onsite |
Pounds |
0 |
0 |
0 |
0 |
| 8.5 |
Quantity Recycled Offsite |
Pounds |
0 |
0 |
0 |
0 |
| 8.6 |
Quantity Treated Onsite |
Pounds |
17000 |
41000 |
45000 |
50000 |
| 8.7 |
Quantity Treated Offsite |
Pounds |
0 |
0 |
0 |
0 |
8.8 One-Time Event Release: NA
8.9 Production Ratio: 1.01
8.10 Source Reduction Activities
| SOURCE REDUCTION ACTIVITIES | METHOD 1 | METHOD 2 | METHOD 3 | ESTIMATED ANNUAL REDUCTION |
|---|---|---|---|---|
| NA |
8.11 Additional Data Indicator: NO
Additional Optional Information on Source Reduction, Recycling, or Pollution Control Activities
PART I. FACILITY IDENTIFICATION INFORMATION (FORM R)
Facility Registry System ID: 110017395255Reporting Year: 1993
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 |
|---|---|---|---|
| DAVID L. GURBACH |
VICE PRESIDENT |
Original |
17-JUN-94 |
Section 4. Facility Identification
TRI Facility ID: 44077VRYSP205CH
4.1 Facility Name and Address.
Facility Information
| NAME | STREET | CITY | COUNTY | STATE | ZIP CODE |
|---|---|---|---|---|---|
| AVERY DENNISON CORP SPECIALTY TAPE DIV |
205 CHESTER ST |
PAINESVILLE |
LAKE |
OH |
44077 |
| BIA Tribal Code | Tribe |
|---|---|
| NO DATA |
NO DATA |
Mailing Information
| NAME | STREET | CITY | STATE | ZIP CODE |
|---|---|---|---|---|
| AVERY DENNISON CORP SPECIALTY TAPE DIV |
250 CHESTER ST BUILDING 5 |
PAINESVILLE |
OH |
44077 |
| 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 |
|---|---|
| JAMES A. SHENKER |
2163574956 |
4.5 SIC Codes
| SIC CODE | PRIMARY | SIC CODE DESCRIPTION |
|---|---|---|
| 2672 |
YES |
PAPER: COATED AND LAMINATED, NEC (1987) |
| NA |
NO |
NA |
4.6 Location
| LATITUDE | LONGITUDE |
|---|---|
| 041-43-50 |
081-15-17 |
4.7 Dun Numbers
| DUNS NUMBER |
|---|
| 008256364 |
4.8 RCRA ID Numbers
| RCRA ID NUMBER |
|---|
| NO DATA |
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: AVERY DENNISON CORP
Parent Company DUNS Number: 008256364
PART II. CHEMICAL - SPECIFIC INFORMATION
1.1 CAS Number: N010 PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Antimony compounds
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: YES |
| 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: NO |
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 |
62 |
Pounds |
O - Other Approaches |
5.2 Stack or Point Air Emissions
| NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
|---|---|---|---|
| NO |
250 |
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 |
|---|---|---|---|---|---|
| NO |
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 |
NO DATA |
NO DATA |
NO DATA |
NO DATA |
NO DATA |
NO DATA |
6.2 Transfers to other Off-Site Locations
| 1 RCRA Number: MID980615298 | Parent Company Controlled: NO |
| Name: PETRO CHEM PROCESSING INC. | Address: 421 LYCASTE |
| City: DETROIT | State: MI |
| County: WAYNE | Zip Code: 48214 |
| Country Code (Non - US): | Province: |
| OFFSITE AMOUNT SEQUENCE | TOTAL TRANSFERS (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE | WASTE MANAGEMENT TYPE |
|---|---|---|---|---|
| 2 |
11 - 499 |
Pounds |
O - Other Approaches |
M54 - Incineration/Insignificant Fuel Value |
| 2 RCRA Number: NA | Parent Company Controlled: NO |
| Name: LAKE COUNTY SOLID WASTE, LANDFILL | Address: 2039 BLAISE NEMETH RD. |
| City: PAINESVILLE | State: OH |
| County: LAKE | Zip Code: 44077 |
| Country Code (Non - US): | Province: |
| OFFSITE AMOUNT SEQUENCE | TOTAL TRANSFERS (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE | WASTE MANAGEMENT TYPE |
|---|---|---|---|---|
| 1 |
1400 |
Pounds |
O - Other Approaches |
M72 - Landfill/Disposal Surface Impoundment |
Section 7A. On-Site Waste Treatment Methods and Efficiency
| 7A.1a. Waste Stream: NA |
| 7A.1b. |
WASTE TREATMENT METHOD(S) SEQUENCE |
|---|---|
| 1 |
NO DATA |
| 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 |
|---|
| NA |
Section 7C. On-Site Recycling Processes
| ON SITE RECYCLING PROCESSES |
|---|
| NA |
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 |
Pounds |
260 |
1710 |
1850 |
1900 |
| 8.2 |
Quantity Used for Energy Recovery Onsite |
Pounds |
0 |
0 |
0 |
0 |
| 8.3 |
Quantity Used for Energy Recovery Offsite |
Pounds |
0 |
0 |
0 |
0 |
| 8.4 |
Quantity Recycled Onsite |
Pounds |
0 |
0 |
0 |
0 |
| 8.5 |
Quantity Recycled Offsite |
Pounds |
0 |
0 |
0 |
0 |
| 8.6 |
Quantity Treated Onsite |
Pounds |
0 |
0 |
0 |
0 |
| 8.7 |
Quantity Treated Offsite |
Pounds |
1600 |
0 |
0 |
0 |
8.8 One-Time Event Release: NA
8.9 Production Ratio: 1.01
8.10 Source Reduction Activities
| SOURCE REDUCTION ACTIVITIES | METHOD 1 | METHOD 2 | METHOD 3 | ESTIMATED ANNUAL REDUCTION |
|---|---|---|---|---|
| NA |
8.11 Additional Data Indicator: NO
Additional Optional Information on Source Reduction, Recycling, or Pollution Control Activities