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FORM R REPORTS



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PART I. FACILITY IDENTIFICATION INFORMATION (FORM R)

DOCUMENT CONTROL NUMBER: 1399130448057

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110011247711

Section 1. Reporting Year

Reporting Year: 1999

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
NORBERT SCHNEIDER
PRESIDENT
Original
23-JUN-00

Section 4. Facility Identification

TRI Facility ID: 67530THFLLWESTP

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
FULLER INDUSTRIES INC
ONE FULLER WAY
GREAT BEND
BARTON
KS
67530

BIA Tribal Code Tribe
NO DATA
NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
FULLER INDUSTRIES INC
ONE FULLER WAY
GREAT BEND
KS
67530

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
NORBERT SCHNEIDER
3167921711

4.5 SIC Codes

SIC CODE PRIMARY SIC CODE DESCRIPTION
3991
YES
BROOMS AND BRUSHES
2392
NO
HOUSEFURNISHINGS, NEC
2841
NO
SOAP AND OTHER DETERGENTS

4.6 Location

LATITUDE LONGITUDE
038-21-00
098-52-00

4.7 Dun Numbers

DUNS NUMBER
078704329

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: No US Parent Company

Parent Company DUNS Number:


PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1399130448057

Section 1. Toxic Chemical Identity

1.1 CAS Number: 106-46-7       PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: 1,4-Dichlorobenzene

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: 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
500 - 999
Pounds
C - Mass Balance Calculations

5.2 Stack or Point Air Emissions

NA TOTAL RELEASE (per year) UNIT OF MEASURE BASIS OF ESTIMATE
NO
1655
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

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: 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
1790
1655
1900
2000
8.2
Quantity Used for Energy Recovery Onsite
Pounds
0
NA
0
0
8.3
Quantity Used for Energy Recovery Offsite
Pounds
0
0
0
0
8.4
Quantity Recycled Onsite
Pounds
0
NA
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
0
0
0
0

8.8 One-Time Event Release: 0 Pounds

8.9 Production Ratio: 1

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)

DOCUMENT CONTROL NUMBER: 1399130448069

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110011247711

Section 1. Reporting Year

Reporting Year: 1999

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
NORBERT SCHNEIDER
PRESIDENT
Original
23-JUN-00

Section 4. Facility Identification

TRI Facility ID: 67530THFLLWESTP

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
FULLER INDUSTRIES INC
ONE FULLER WAY
GREAT BEND
BARTON
KS
67530

BIA Tribal Code Tribe
NO DATA
NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
FULLER INDUSTRIES INC
ONE FULLER WAY
GREAT BEND
KS
67530

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
NORBERT SCHNEIDER
3167921711

4.5 SIC Codes

SIC CODE PRIMARY SIC CODE DESCRIPTION
3991
YES
BROOMS AND BRUSHES
2392
NO
HOUSEFURNISHINGS, NEC
2841
NO
SOAP AND OTHER DETERGENTS

4.6 Location

LATITUDE LONGITUDE
038-21-00
098-52-00

4.7 Dun Numbers

DUNS NUMBER
078704329

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: No US Parent Company

Parent Company DUNS Number:


PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1399130448069

Section 1. Toxic Chemical Identity

1.1 CAS Number: N230       PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Certain glycol ethers

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: 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
11 - 499
Pounds
C - Mass Balance Calculations

5.2 Stack or Point Air Emissions

NA TOTAL RELEASE (per year) UNIT OF MEASURE BASIS OF ESTIMATE
NO
11 - 499
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
2247
Pounds
C - Mass Balance Calculations

6.1.B POTW Locations

6.1.B. POTW NAME ADDRESS CITY STATE COUNTY ZIP CODE
1
GREAT BEND TREATMENT PLANT
ROUTE #3
GREAT BEND
KS
BARTON
67530

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: 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
1906
2247
2000
2000
8.2
Quantity Used for Energy Recovery Onsite
Pounds
0
NA
0
0
8.3
Quantity Used for Energy Recovery Offsite
Pounds
0
0
0
0
8.4
Quantity Recycled Onsite
Pounds
0
NA
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
0
0
0
0

8.8 One-Time Event Release: 0 Pounds

8.9 Production Ratio: 1

8.10 Source Reduction Activities

SOURCE REDUCTION ACTIVITIES METHOD 1 METHOD 2 METHOD 3 ESTIMATED ANNUAL REDUCTION
W13 - IMPROVED MAINTENANCE SCHEDULING, RECORDKEEPING, OR PROCEDURES
T01 - INTERNAL POLLUTION PREVENTION OPPORTUNITY AUDIT(S)
T03 - MATERIALS BALANCE AUDITS
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: 1399131076503

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110011247711

Section 1. Reporting Year

Reporting Year: 1999

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
NORBERT SCHNEIDER
PRESIDENT
Original
23-JUN-00

Section 4. Facility Identification

TRI Facility ID: 67530THFLLWESTP

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
FULLER INDUSTRIES INC
ONE FULLER WAY
GREAT BEND
BARTON
KS
67530

BIA Tribal Code Tribe
NO DATA
NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
FULLER INDUSTRIES INC
ONE FULLER WAY
GREAT BEND
KS
67530

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
3991
YES
BROOMS AND BRUSHES
2392
NO
HOUSEFURNISHINGS, NEC
2841
NO
SOAP AND OTHER DETERGENTS

4.6 Location

LATITUDE LONGITUDE
038-21-00
098-52-00

4.7 Dun Numbers

DUNS NUMBER
078704329

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: No US Parent Company

Parent Company DUNS Number:


PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1399131076503

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


PART I. FACILITY IDENTIFICATION INFORMATION (FORM A)

DOCUMENT CONTROL NUMBER: 1399131076527

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110011247711

Section 1. Reporting Year

Reporting Year: 1999

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
NORBERT SCHNEIDER
PRESIDENT
Original
23-JUN-00

Section 4. Facility Identification

TRI Facility ID: 67530THFLLWESTP

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
FULLER INDUSTRIES INC
ONE FULLER WAY
GREAT BEND
BARTON
KS
67530

BIA Tribal Code Tribe
NO DATA
NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
FULLER INDUSTRIES INC
ONE FULLER WAY
GREAT BEND
KS
67530

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
3991
YES
BROOMS AND BRUSHES
2392
NO
HOUSEFURNISHINGS, NEC
2841
NO
SOAP AND OTHER DETERGENTS

4.6 Location

LATITUDE LONGITUDE
038-21-00
098-52-00

4.7 Dun Numbers

DUNS NUMBER
078704329

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: No US Parent Company

Parent Company DUNS Number:


PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1399131076527

Section 1. Toxic Chemical Identity

1.1 CAS Number: 0000108883

1.2 Toxic Chemical or Chemical Category Name: Toluene

1.3 Generic Chemical Name: NA




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