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FORM R REPORTS



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PART I. FACILITY IDENTIFICATION INFORMATION (FORM A)

DOCUMENT CONTROL NUMBER: 1398121072452

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110006835639

Section 1. Reporting Year

Reporting Year: 1998

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
THOMAS J. KEDROWSKI
VICE PRESIDENT-OPERATIONS
None
23-JUN-99

Section 4. Facility Identification

TRI Facility ID: 30084HBFLL233FU

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
H.B. FULLER CO
2333 FULLER WAY
TUCKER
DEKALB
GA
30084

BIA Tribal Code Tribe
NO DATA
NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
H.B. FULLER CO
2333 FULLER WAY
TUCKER
GA
30084

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
No Data
No Data

4.5 SIC Codes

SIC CODE PRIMARY SIC CODE DESCRIPTION
2891
YES
ADHESIVES AND SEALANTS
NA
NO
NA

4.6 Location

LATITUDE LONGITUDE
033-48-00
084-12-00

4.7 Dun Numbers

DUNS NUMBER
014332282

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: HB FULLER CO

Parent Company DUNS Number: 006159776


PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1398121072452

Section 1. Toxic Chemical Identity

1.1 CAS Number: 0000108054

1.2 Toxic Chemical or Chemical Category Name: Vinyl acetate

1.3 Generic Chemical Name: NA




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