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FORM R REPORTS



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PART I. FACILITY IDENTIFICATION INFORMATION (FORM R)

DOCUMENT CONTROL NUMBER: 1398120412287

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110000485804

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: 95678HBFLL10500

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
H.B. FULLER CO
 10500 INDUSTRIAL AVE
 ROSEVILLE
 PLACER
 CA
 95678

BIA Tribal Code Tribe
NO DATA
 NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
H.B. FULLER CO
 10500 INDUSTRIAL AVE
 ROSEVILLE
 CA
 95678

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
BRIAN LIM
 6512363173

4.5 SIC Codes

SIC CODE PRIMARY SIC CODE DESCRIPTION
2891
 YES
 ADHESIVES AND SEALANTS
2821
 NO
 PLASTICS MATERIALS AND RESINS
NA
 NO
 NA

4.6 Location

LATITUDE LONGITUDE
038-46-57
 121-18-32

4.7 Dun Numbers

DUNS NUMBER
046414694

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: 1398120412287

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: YES
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: NO

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
 760
 Pounds
 O - Other Approaches

5.2 Stack or Point Air Emissions

NA TOTAL RELEASE (per year) UNIT OF MEASURE BASIS OF ESTIMATE
NO
 1128
 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
 UNNAMED CREEK
 2
 Pounds
 O - Other Approaches
 95

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
 832
 Pounds
 C - Mass Balance Calculations

6.1.B POTW Locations

6.1.B. POTW NAME ADDRESS CITY STATE COUNTY ZIP CODE
1
 CITY OF ROSEVILLE
 316 VERNON STREET
 ROSEVILLE
 CA
 PLACER
 95678

6.2 Transfers to other Off-Site Locations

1 RCRA Number: CAD008302903

 Parent Company Controlled: NO
Name: CHEMICAL WASTE MANAGEMENT INC.

 Address: 1704 WEST FIRST STREET
City: AZUSA

 State: CA
County: LOS ANGELES

 Zip Code: 91702
Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
 18
 Pounds
 C - Mass Balance Calculations
 M40 - Solidification/Stabilization

2 RCRA Number: NA

 Parent Company Controlled: NO
Name: FILTER RECYCLING

 Address: 180 W. MONTE
City: RIALTO

 State: CA
County: SAN BERNARDINO

 Zip Code: 92376
Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
 1064
 Pounds
 C - Mass Balance Calculations
 M40 - Solidification/Stabilization

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

7A.1a. Waste Stream: WASTEWATER
7A.1b.
 WASTE TREATMENT METHOD(S) SEQUENCE
1
 A06 - MECHANICAL SEPARATION
2
 C09 - CHEMICAL PRECIPITATION -- OTHER
3
 P01 - EQUALIZATION
4
 P18 - EMULSION BREAKING -- OTHER
5
 NA
7A.1c. Range of Influent Concentration: 100 PPM TO 1 PERCENT
7A.1d. Waste Treatment Efficiency Estimate: 70
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
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
 1893
 1888
 2000
 2000
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
 388
 1914
 2000
 2000

8.8 One-Time Event Release: 120 Pounds

8.9 Production Ratio: .99

8.10 Source Reduction Activities

SOURCE REDUCTION ACTIVITIES METHOD 1 METHOD 2 METHOD 3 ESTIMATED ANNUAL REDUCTION
W14 - CHANGED PRODUCTION SCHEDULE TO MINIMIZE EQUIPMENT AND FEEDSTOCK CHANGEOVERS
 T03 - MATERIALS BALANCE AUDITS
 T05 - EMPLOYEE RECOMMENDATION (INDEPENDENT OF A FORMAL COMPANY PROGRAM)
 T04 - PARTICIPATIVE TEAM MANAGEMENT

8.11 Additional Data Indicator: NO

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

PART I. FACILITY IDENTIFICATION INFORMATION (FORM A)

DOCUMENT CONTROL NUMBER: 1398121072300

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110000485804

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
 22-JUN-99

Section 4. Facility Identification

TRI Facility ID: 95678HBFLL10500

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
H.B. FULLER CO
 10500 INDUSTRIAL AVE
 ROSEVILLE
 PLACER
 CA
 95678

BIA Tribal Code Tribe
NO DATA
 NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
H.B. FULLER CO
 10500 INDUSTRIAL AVE
 ROSEVILLE
 CA
 95678

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
2821
 NO
 PLASTICS MATERIALS AND RESINS

4.6 Location

LATITUDE LONGITUDE
038-46-57
 121-18-32

4.7 Dun Numbers

DUNS NUMBER
046414694

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: 1398121072300

Section 1. Toxic Chemical Identity

1.1 CAS Number: 0000924425

1.2 Toxic Chemical or Chemical Category Name: N-Methylolacrylamide

1.3 Generic Chemical Name: NA

PART I. FACILITY IDENTIFICATION INFORMATION (FORM A)

DOCUMENT CONTROL NUMBER: 1398121072351

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110000485804

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
 22-JUN-99

Section 4. Facility Identification

TRI Facility ID: 95678HBFLL10500

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
H.B. FULLER CO
 10500 INDUSTRIAL AVE
 ROSEVILLE
 PLACER
 CA
 95678

BIA Tribal Code Tribe
NO DATA
 NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
H.B. FULLER CO
 10500 INDUSTRIAL AVE
 ROSEVILLE
 CA
 95678

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
2821
 NO
 PLASTICS MATERIALS AND RESINS
NA
 NO
 NA

4.6 Location

LATITUDE LONGITUDE
038-46-57
 121-18-32

4.7 Dun Numbers

DUNS NUMBER
046414694

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: 1398121072351

Section 1. Toxic Chemical Identity

1.1 CAS Number: 0000107211

1.2 Toxic Chemical or Chemical Category Name: Ethylene glycol

1.3 Generic Chemical Name: NA

PART I. FACILITY IDENTIFICATION INFORMATION (FORM A)

DOCUMENT CONTROL NUMBER: 1398121072437

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110000485804

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: 95678HBFLL10500

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
H.B. FULLER CO
 10500 INDUSTRIAL AVE
 ROSEVILLE
 PLACER
 CA
 95678

BIA Tribal Code Tribe
NO DATA
 NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
H.B. FULLER CO
 10500 INDUSTRIAL AVE
 ROSEVILLE
 CA
 95678

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
2821
 NO
 PLASTICS MATERIALS AND RESINS
NA
 NO
 NA

4.6 Location

LATITUDE LONGITUDE
038-46-57
 121-18-32

4.7 Dun Numbers

DUNS NUMBER
046414694

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: 1398121072437

Section 1. Toxic Chemical Identity

1.1 CAS Number: 0000067561

1.2 Toxic Chemical or Chemical Category Name: Methanol

1.3 Generic Chemical Name: NA