PART I. FACILITY IDENTIFICATION INFORMATION (FORM R)
Facility Registry System ID: 110004572409Reporting Year: 2003
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 |
|---|---|---|---|
| WILLIS GILLEO |
FACILITIES MANAGER |
Electronic |
21-JUN-04 |
Section 4. Facility Identification
TRI Facility ID: 45895MDWST700IN
4.1 Facility Name and Address.
Facility Information
| NAME | STREET | CITY | COUNTY | STATE | ZIP CODE |
|---|---|---|---|---|---|
| MIDWEST ELASTOMERS INC |
700 INDUSTRIAL DR |
WAPAKONETA |
AUGLAIZE |
OH |
45895 |
| BIA Tribal Code | Tribe |
|---|---|
| NO DATA |
NO DATA |
Mailing Information
| NAME | STREET | CITY | STATE | ZIP CODE |
|---|---|---|---|---|
| MIDWEST ELASTOMERS INC |
PO BOX 412 |
WAPAKONETA |
OH |
45895 |
| PROVINCE | COUNTRY (NON - US) |
|---|---|
| NO DATA |
NO DATA |
4.2 Facility Classification
| ENTIRE FACILITY | PARTIAL FACILITY | FEDERAL FACILITY | GOCO FACILITY |
|---|---|---|---|
| YES |
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 |
|---|---|
| WILLIS GILLEO |
4197388844 |
4.5 SIC Codes
| SIC CODE | PRIMARY | SIC CODE DESCRIPTION |
|---|---|---|
| 3069 |
YES |
FABRICATED RUBBER PRODUCTS, NEC |
4.6 Location
| LATITUDE | LONGITUDE |
|---|---|
| 040-33-27 |
084-10-59 |
4.7 Dun Numbers
| DUNS NUMBER |
|---|
| 094808953 |
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
PART II. CHEMICAL - SPECIFIC INFORMATION
1.1 CAS Number: 149-30-4 PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: 2-Mercaptobenzothiazole
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: NO |
| Article Component: NO |
| Repackaging: YES |
| 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: 1000 to 9999
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 |
43 |
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 |
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 |
|
|
5.5.3A RCRA Subtitle C Surface Impoundments
| NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
|---|---|---|---|
| YES |
|
|
5.5.3B Other Surface Impoundments
| 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: OHD986981298 | Parent Company Controlled: NO |
| Name: COUNTRYSIDE WASTE | Address: 6141 DEPWEG RD. |
| City: CELINA | State: OH |
| County: MERCER | Zip Code: 45822 |
| Country Code (Non - US): | Province: |
| OFFSITE AMOUNT SEQUENCE | TOTAL TRANSFERS (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE | WASTE MANAGEMENT TYPE |
|---|---|---|---|---|
| 1 |
10866 |
Pounds |
O - Other Approaches |
M79 - Other Land Disposal |
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 |
|---|---|---|---|---|---|---|
| 8.1a |
Total on-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills |
|
NA |
NA |
NA |
NA |
| 8.1b |
Total other on-site disposal or other releases |
Pounds |
NA |
43 |
NA |
NA |
| 8.1c |
Total off-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills |
|
NA |
NA |
NA |
NA |
| 8.1d |
Total other off-site disposal or other releases |
Pounds |
15291 |
10866 |
11952 |
13147 |
| 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 |
|
NA |
NA |
NA |
NA |
8.8 One-Time Event Release: 43 Pounds
8.9 Production Ratio: 0
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)
Facility Registry System ID: 110004572409Reporting Year: 2003
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 |
|---|---|---|---|
| WILLIS GILLEO |
FACILITIES MANAGER |
Electronic |
21-JUN-04 |
Section 4. Facility Identification
TRI Facility ID: 45895MDWST700IN
4.1 Facility Name and Address.
Facility Information
| NAME | STREET | CITY | COUNTY | STATE | ZIP CODE |
|---|---|---|---|---|---|
| MIDWEST ELASTOMERS INC |
700 INDUSTRIAL DR |
WAPAKONETA |
AUGLAIZE |
OH |
45895 |
| BIA Tribal Code | Tribe |
|---|---|
| NO DATA |
NO DATA |
Mailing Information
| NAME | STREET | CITY | STATE | ZIP CODE |
|---|---|---|---|---|
| MIDWEST ELASTOMERS INC |
PO BOX 412 |
WAPAKONETA |
OH |
45895 |
| PROVINCE | COUNTRY (NON - US) |
|---|---|
| NO DATA |
NO DATA |
4.2 Facility Classification
| ENTIRE FACILITY | PARTIAL FACILITY | FEDERAL FACILITY | GOCO FACILITY |
|---|---|---|---|
| YES |
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 |
|---|---|
| WILLIS GILLEO |
4197388844 |
4.5 SIC Codes
| SIC CODE | PRIMARY | SIC CODE DESCRIPTION |
|---|---|---|
| 3069 |
YES |
FABRICATED RUBBER PRODUCTS, NEC |
4.6 Location
| LATITUDE | LONGITUDE |
|---|---|
| 040-33-27 |
084-10-59 |
4.7 Dun Numbers
| DUNS NUMBER |
|---|
| 094808953 |
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
PART II. CHEMICAL - SPECIFIC INFORMATION
1.1 CAS Number: 117-81-7 PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Di(2-ethylhexyl) phthalate
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: NO |
| Article Component: NO |
| Repackaging: YES |
| 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 |
|---|---|---|---|
| YES |
|
|
5.2 Stack or Point Air Emissions
| NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
|---|---|---|---|
| NO |
473 |
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 |
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 |
|
|
5.5.3A RCRA Subtitle C Surface Impoundments
| NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
|---|---|---|---|
| YES |
|
|
5.5.3B Other Surface Impoundments
| 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: OHD986981298 | Parent Company Controlled: NO |
| Name: COUNTRYSIDE WASTE | Address: 6141 DEPWEG RD. |
| City: CELINA | State: OH |
| County: MERCER | Zip Code: 45822 |
| Country Code (Non - US): | Province: |
| OFFSITE AMOUNT SEQUENCE | TOTAL TRANSFERS (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE | WASTE MANAGEMENT TYPE |
|---|---|---|---|---|
| 1 |
122314 |
Pounds |
O - Other Approaches |
M79 - Other Land Disposal |
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 |
|---|---|---|---|---|---|---|
| 8.1a |
Total on-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills |
|
NA |
NA |
NA |
NA |
| 8.1b |
Total other on-site disposal or other releases |
Pounds |
2449 |
473 |
NA |
NA |
| 8.1c |
Total off-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills |
|
NA |
NA |
NA |
NA |
| 8.1d |
Total other off-site disposal or other releases |
Pounds |
62090 |
122314 |
134545 |
147999 |
| 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 |
|
NA |
NA |
NA |
NA |
8.8 One-Time Event Release: NA
8.9 Production Ratio: 0
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)
Facility Registry System ID: 110004572409Reporting Year: 2003
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 |
|---|---|---|---|
| WILLIS GILLEO |
FACILITIES MANAGER |
Electronic |
21-JUN-04 |
Section 4. Facility Identification
TRI Facility ID: 45895MDWST700IN
4.1 Facility Name and Address.
Facility Information
| NAME | STREET | CITY | COUNTY | STATE | ZIP CODE |
|---|---|---|---|---|---|
| MIDWEST ELASTOMERS INC |
700 INDUSTRIAL DR |
WAPAKONETA |
AUGLAIZE |
OH |
45895 |
| BIA Tribal Code | Tribe |
|---|---|
| NO DATA |
NO DATA |
Mailing Information
| NAME | STREET | CITY | STATE | ZIP CODE |
|---|---|---|---|---|
| MIDWEST ELASTOMERS INC |
PO BOX 412 |
WAPAKONETA |
OH |
45895 |
| PROVINCE | COUNTRY (NON - US) |
|---|---|
| NO DATA |
NO DATA |
4.2 Facility Classification
| ENTIRE FACILITY | PARTIAL FACILITY | FEDERAL FACILITY | GOCO FACILITY |
|---|---|---|---|
| YES |
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 |
|---|---|
| WILLIS GILLEO |
4197388844 |
4.5 SIC Codes
| SIC CODE | PRIMARY | SIC CODE DESCRIPTION |
|---|---|---|
| 3069 |
YES |
FABRICATED RUBBER PRODUCTS, NEC |
4.6 Location
| LATITUDE | LONGITUDE |
|---|---|
| 040-33-27 |
084-10-59 |
4.7 Dun Numbers
| DUNS NUMBER |
|---|
| 094808953 |
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
PART II. CHEMICAL - SPECIFIC INFORMATION
1.1 CAS Number: 80-62-6 PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Methyl methacrylate
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: NO |
| Article Component: NO |
| Repackaging: YES |
| 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: 10000 to 99999
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 |
|---|---|---|---|
| YES |
|
|
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 |
|
|
5.5.3A RCRA Subtitle C Surface Impoundments
| NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
|---|---|---|---|
| YES |
|
|
5.5.3B Other Surface Impoundments
| 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: OHD986981298 | Parent Company Controlled: NO |
| Name: COUNTRYSIDE WASTE | Address: 6141 DEPWEG RD. |
| City: CELINA | State: OH |
| County: MERCER | Zip Code: 45822 |
| Country Code (Non - US): | Province: |
| OFFSITE AMOUNT SEQUENCE | TOTAL TRANSFERS (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE | WASTE MANAGEMENT TYPE |
|---|---|---|---|---|
| 1 |
12638 |
Pounds |
O - Other Approaches |
M79 - Other Land Disposal |
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 |
|---|---|---|---|---|---|---|
| 8.1a |
Total on-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills |
|
NA |
NA |
NA |
NA |
| 8.1b |
Total other on-site disposal or other releases |
|
NA |
NA |
NA |
NA |
| 8.1c |
Total off-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills |
|
NA |
NA |
NA |
NA |
| 8.1d |
Total other off-site disposal or other releases |
Pounds |
0 |
12638 |
13901 |
15291 |
| 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 |
|
NA |
NA |
NA |
NA |
8.8 One-Time Event Release: NA
8.9 Production Ratio: 0
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)
Facility Registry System ID: 110004572409Reporting Year: 2003
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 |
|---|---|---|---|
| WILLIS GILLEO |
FACILITIES MANAGER |
Electronic |
21-JUN-04 |
Section 4. Facility Identification
TRI Facility ID: 45895MDWST700IN
4.1 Facility Name and Address.
Facility Information
| NAME | STREET | CITY | COUNTY | STATE | ZIP CODE |
|---|---|---|---|---|---|
| MIDWEST ELASTOMERS INC |
700 INDUSTRIAL DR |
WAPAKONETA |
AUGLAIZE |
OH |
45895 |
| BIA Tribal Code | Tribe |
|---|---|
| NO DATA |
NO DATA |
Mailing Information
| NAME | STREET | CITY | STATE | ZIP CODE |
|---|---|---|---|---|
| MIDWEST ELASTOMERS INC |
PO BOX 412 |
WAPAKONETA |
OH |
45895 |
| PROVINCE | COUNTRY (NON - US) |
|---|---|
| NO DATA |
NO DATA |
4.2 Facility Classification
| ENTIRE FACILITY | PARTIAL FACILITY | FEDERAL FACILITY | GOCO FACILITY |
|---|---|---|---|
| YES |
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 |
|---|---|
| WILLIS GILLEO |
4197388844 |
4.5 SIC Codes
| SIC CODE | PRIMARY | SIC CODE DESCRIPTION |
|---|---|---|
| 3069 |
YES |
FABRICATED RUBBER PRODUCTS, NEC |
4.6 Location
| LATITUDE | LONGITUDE |
|---|---|
| 040-33-27 |
084-10-59 |
4.7 Dun Numbers
| DUNS NUMBER |
|---|
| 094808953 |
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
PART II. CHEMICAL - SPECIFIC INFORMATION
1.1 CAS Number: 100-42-5 PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Styrene
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: NO |
| Article Component: NO |
| Repackaging: YES |
| 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: 10000 to 99999
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 |
|---|---|---|---|
| YES |
|
|
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 |
|
|
5.5.3A RCRA Subtitle C Surface Impoundments
| NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
|---|---|---|---|
| YES |
|
|
5.5.3B Other Surface Impoundments
| 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: OHD986981298 | Parent Company Controlled: NO |
| Name: COUNTRYSIDE WASTE | Address: 6141 DEPWEG RD. |
| City: CELINA | State: OH |
| County: MERCER | Zip Code: 45822 |
| Country Code (Non - US): | Province: |
| OFFSITE AMOUNT SEQUENCE | TOTAL TRANSFERS (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE | WASTE MANAGEMENT TYPE |
|---|---|---|---|---|
| 1 |
10540 |
Pounds |
O - Other Approaches |
M79 - Other Land Disposal |
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 |
|---|---|---|---|---|---|---|
| 8.1a |
Total on-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills |
|
NA |
NA |
NA |
NA |
| 8.1b |
Total other on-site disposal or other releases |
|
NA |
NA |
NA |
NA |
| 8.1c |
Total off-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills |
Pounds |
199 |
NA |
NA |
NA |
| 8.1d |
Total other off-site disposal or other releases |
Pounds |
5718 |
10540 |
11594 |
12753 |
| 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 |
|
NA |
NA |
NA |
NA |
8.8 One-Time Event Release: NA
8.9 Production Ratio: 0
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)
Facility Registry System ID: 110004572409Reporting Year: 2003
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 |
|---|---|---|---|
| WILLIS GILLEO |
FACILITIES MANAGER |
Electronic |
21-JUN-04 |
Section 4. Facility Identification
TRI Facility ID: 45895MDWST700IN
4.1 Facility Name and Address.
Facility Information
| NAME | STREET | CITY | COUNTY | STATE | ZIP CODE |
|---|---|---|---|---|---|
| MIDWEST ELASTOMERS INC |
700 INDUSTRIAL DR |
WAPAKONETA |
AUGLAIZE |
OH |
45895 |
| BIA Tribal Code | Tribe |
|---|---|
| NO DATA |
NO DATA |
Mailing Information
| NAME | STREET | CITY | STATE | ZIP CODE |
|---|---|---|---|---|
| MIDWEST ELASTOMERS INC |
PO BOX 412 |
WAPAKONETA |
OH |
45895 |
| PROVINCE | COUNTRY (NON - US) |
|---|---|
| NO DATA |
NO DATA |
4.2 Facility Classification
| ENTIRE FACILITY | PARTIAL FACILITY | FEDERAL FACILITY | GOCO FACILITY |
|---|---|---|---|
| YES |
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 |
|---|---|
| WILLIS GILLEO |
4197388844 |
4.5 SIC Codes
| SIC CODE | PRIMARY | SIC CODE DESCRIPTION |
|---|---|---|
| 3069 |
YES |
FABRICATED RUBBER PRODUCTS, NEC |
4.6 Location
| LATITUDE | LONGITUDE |
|---|---|
| 040-33-27 |
084-10-59 |
4.7 Dun Numbers
| DUNS NUMBER |
|---|
| 094808953 |
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
PART II. CHEMICAL - SPECIFIC INFORMATION
1.1 CAS Number: 137-26-8 PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Thiram
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: NO |
| Article Component: NO |
| Repackaging: YES |
| 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 |
|---|---|---|---|
| YES |
|
|
5.2 Stack or Point Air Emissions
| NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
|---|---|---|---|
| NO |
28 |
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 |
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 |
|
|
5.5.3A RCRA Subtitle C Surface Impoundments
| NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
|---|---|---|---|
| YES |
|
|
5.5.3B Other Surface Impoundments
| 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: OHD986981298 | Parent Company Controlled: NO |
| Name: COUNTRYSIDE WASTE | Address: 6141 DEPWEG RD. |
| City: CELINA | State: OH |
| County: MERCER | Zip Code: 45822 |
| Country Code (Non - US): | Province: |
| OFFSITE AMOUNT SEQUENCE | TOTAL TRANSFERS (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE | WASTE MANAGEMENT TYPE |
|---|---|---|---|---|
| 1 |
7952 |
Pounds |
O - Other Approaches |
M79 - Other Land Disposal |
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 |
|---|---|---|---|---|---|---|
| 8.1a |
Total on-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills |
|
NA |
NA |
NA |
NA |
| 8.1b |
Total other on-site disposal or other releases |
Pounds |
100 |
28 |
NA |
NA |
| 8.1c |
Total off-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills |
|
NA |
NA |
NA |
NA |
| 8.1d |
Total other off-site disposal or other releases |
Pounds |
3843 |
7952 |
8747 |
9621 |
| 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 |
|
NA |
NA |
NA |
NA |
8.8 One-Time Event Release: NA
8.9 Production Ratio: 0
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)
Facility Registry System ID: 110004572409Reporting Year: 2003
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 |
|---|---|---|---|
| WILLIS GILLEO |
FACILITIES MANAGER |
Electronic |
21-JUN-04 |
Section 4. Facility Identification
TRI Facility ID: 45895MDWST700IN
4.1 Facility Name and Address.
Facility Information
| NAME | STREET | CITY | COUNTY | STATE | ZIP CODE |
|---|---|---|---|---|---|
| MIDWEST ELASTOMERS INC |
700 INDUSTRIAL DR |
WAPAKONETA |
AUGLAIZE |
OH |
45895 |
| BIA Tribal Code | Tribe |
|---|---|
| NO DATA |
NO DATA |
Mailing Information
| NAME | STREET | CITY | STATE | ZIP CODE |
|---|---|---|---|---|
| MIDWEST ELASTOMERS INC |
PO BOX 412 |
WAPAKONETA |
OH |
45895 |
| PROVINCE | COUNTRY (NON - US) |
|---|---|
| NO DATA |
NO DATA |
4.2 Facility Classification
| ENTIRE FACILITY | PARTIAL FACILITY | FEDERAL FACILITY | GOCO FACILITY |
|---|---|---|---|
| YES |
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 |
|---|---|
| WILLIS GILLEO |
4197388844 |
4.5 SIC Codes
| SIC CODE | PRIMARY | SIC CODE DESCRIPTION |
|---|---|---|
| 3069 |
YES |
FABRICATED RUBBER PRODUCTS, NEC |
4.6 Location
| LATITUDE | LONGITUDE |
|---|---|
| 040-33-27 |
084-10-59 |
4.7 Dun Numbers
| DUNS NUMBER |
|---|
| 094808953 |
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
PART II. CHEMICAL - SPECIFIC INFORMATION
1.1 CAS Number: N982 PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Zinc compounds
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: NO |
| Article Component: NO |
| Repackaging: YES |
| 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: 1000000 to 9999999
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 |
3491 |
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 |
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 |
|
|
5.5.3A RCRA Subtitle C Surface Impoundments
| NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
|---|---|---|---|
| YES |
|
|
5.5.3B Other Surface Impoundments
| 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: OHD986981298 | Parent Company Controlled: NO |
| Name: COUNTRYSIDE WASTE | Address: 6141 DEPWEG RD. |
| City: CELINA | State: OH |
| County: MERCER | Zip Code: 45822 |
| Country Code (Non - US): | Province: |
| OFFSITE AMOUNT SEQUENCE | TOTAL TRANSFERS (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE | WASTE MANAGEMENT TYPE |
|---|---|---|---|---|
| 1 |
202995 |
Pounds |
O - Other Approaches |
M79 - Other Land Disposal |
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 |
|---|---|---|---|---|---|---|
| 8.1a |
Total on-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills |
|
NA |
NA |
NA |
NA |
| 8.1b |
Total other on-site disposal or other releases |
Pounds |
3362 |
3491 |
NA |
NA |
| 8.1c |
Total off-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills |
|
NA |
NA |
NA |
NA |
| 8.1d |
Total other off-site disposal or other releases |
Pounds |
49020 |
202995 |
213294 |
234623 |
| 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 |
|
NA |
NA |
NA |
NA |
8.8 One-Time Event Release: NA
8.9 Production Ratio: 0
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