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FORM R REPORTS



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PART I. FACILITY IDENTIFICATION INFORMATION (FORM A)

DOCUMENT CONTROL NUMBER: 1302202109637

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110018856709

Section 1. Reporting Year

Reporting Year: 2002

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
JULIUS EREDERICKS
PLANT MANAGER
Photo Copy
13-DEC-04

Section 4. Facility Identification

TRI Facility ID: 84532MGBLN132SH

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
MEGA BLUE INC
1324 S HIGHWAY 191
MOAB
GRAND
UT
845323102

BIA Tribal Code Tribe
NO DATA
NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
J&J CHEMICAL CO
PO BOX 81306
ATHENS
GA
306081306

PROVINCE COUNTRY (NON - US)
NO DATA
NO DATA

4.2 Facility Classification

ENTIRE FACILITY PARTIAL FACILITY FEDERAL FACILITY GOCO FACILITY
NO
NO
NO
NO

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
2844
YES
TOILET PREPARATIONS

4.6 Location

LATITUDE LONGITUDE
038-33-17
109-32-04

4.7 Dun Numbers

DUNS NUMBER
NA

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: No US Parent Company

Parent Company DUNS Number: NA


PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1302202109637

Section 1. Toxic Chemical Identity

1.1 CAS Number: 0000106467

1.2 Toxic Chemical or Chemical Category Name: 1,4-Dichlorobenzene

1.3 Generic Chemical Name: NA




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