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FORM R REPORTS



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PART I. FACILITY IDENTIFICATION INFORMATION (FORM R)

DOCUMENT CONTROL NUMBER: 1398120446176

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110000396553

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
ROB MATT
PLANT MANAGER
None
30-JUN-99

Section 4. Facility Identification

TRI Facility ID: 46140VRYDN870WA

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
AVERY DENNISON
870 W ANDERSON BLVD
GREENFIELD
HANCOCK
IN
46140

BIA Tribal Code Tribe
NO DATA
NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
AVERY DENNISON
870 W ANDERSON BLVD
GREENFIELD
IN
46140

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
NANCY VALENT
4403584936

4.5 SIC Codes

SIC CODE PRIMARY SIC CODE DESCRIPTION
2672
YES
PAPER: COATED AND LAMINATED, NEC (1987)

4.6 Location

LATITUDE LONGITUDE
039-49-00
085-46-00

4.7 Dun Numbers

DUNS NUMBER
008256364

4.8 RCRA ID Numbers

RCRA ID NUMBER
NA

4.9 NPDES Permit Numbers

NPDES PERMIT NUMBER
NA

4.10 Underground Injection Well Code (UIC) ID Number

UIC ID NUMBER
NA

5. Parent Company Information

Parent Company Name: AVERY DENNISON CORP

Parent Company DUNS Number: 008256364


PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1398120446176

Section 1. Toxic Chemical Identity

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: YES

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
YES



5.2 Stack or Point Air Emissions

NA TOTAL RELEASE (per year) UNIT OF MEASURE BASIS OF ESTIMATE
NO
40817
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




5.4-5.5 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
YES



5.4.2 Underground Injection Onsite to Class II-V Wells.

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



5.5 Disposal to Land Onsite

5.5.1A RCRA Subtitle C Landfills

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



5.5.1B Other Landfills

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

1 RCRA Number: MID096963194

Parent Company Controlled: NO

Name: CHEM-MET SERVICES, INC.

Address: 18550 ALLEN ROAD

City: WYANDOTTE

State: MI

County: WAYNE

Zip Code: 48192

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
C - Mass Balance Calculations
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
49191
40817
39000
35000
8.2
Quantity Used for Energy Recovery Onsite

NA
NA
NA
NA
8.3
Quantity Used for Energy Recovery Offsite

NA
NA
NA
NA
8.4
Quantity Recycled Onsite

NA
NA
NA
NA
8.5
Quantity Recycled Offsite

NA
NA
NA
NA
8.6
Quantity Treated Onsite

NA
NA
NA
NA
8.7
Quantity Treated Offsite
Pounds
391
26
20
17

8.8 One-Time Event Release: 0 Pounds

8.9 Production Ratio: 0

8.10 Source Reduction Activities

SOURCE REDUCTION ACTIVITIES METHOD 1 METHOD 2 METHOD 3 ESTIMATED ANNUAL REDUCTION
NA




NA




NA




NA




8.11 Additional Data Indicator: NO

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




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