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FORM R REPORTS



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PART I. FACILITY IDENTIFICATION INFORMATION (FORM R)

DOCUMENT CONTROL NUMBER: 1304202206090

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110020517010

Section 1. Reporting Year

Reporting Year: 2004

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
DAVID VOSE
SENIOR MANAGER, GLOBAL EHS SYSTEMS
Electronic
07-JUN-05

Section 4. Facility Identification

TRI Facility ID: 94566PPLDB655SU

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
APPLIED BIOSYSTEMS LLC
6055 SUNOL BLVD
PLEASANTON
ALAMEDA
CA
94566

BIA Tribal Code Tribe
NO DATA
NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
APPLIED BIOSYSTEMS LLC
6055 SUNOL BLVD
PLEASANTON
CA
94566

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
DAVID VOSE
6506385553

4.5 SIC Codes

SIC CODE PRIMARY SIC CODE DESCRIPTION
2869
YES
INDUSTRIAL ORGANIC CHEMICALS, NEC

4.6 Location

LATITUDE LONGITUDE
037-38-44
121-53-04

4.7 Dun Numbers

DUNS NUMBER
182158873

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: THERMO FISHER SCIENTIFIC INC

Parent Company DUNS Number: 001408673


PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1304202206090

Section 1. Toxic Chemical Identity

1.1 CAS Number: 75-05-8       PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Acetonitrile

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: NO

Impurity: NO

Recycling:

3.3 Otherwise Use the Toxic Chemical:

Chemical Processing Aid: YES

Manufacturing Aid: NO

Ancillary or Other Use: YES

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
NO
19
Pounds
O - Other Approaches

5.2 Stack or Point Air Emissions

NA TOTAL RELEASE (per year) UNIT OF MEASURE BASIS OF ESTIMATE
NO
985
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: CAD008302903

Parent Company Controlled: NO

Name: ONYX ENVIRONMENTAL SERVICES

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
49083
Pounds
O - Other Approaches
M56 - Energy Recovery

2 RCRA Number: IL098642424

Parent Company Controlled: NO

Name: ONYX ENVIRONMENTAL SERVICES

Address: 7 MOBILE AVENUE

City: SAUGET

State: IL

County: ST. CLAIR

Zip Code: 622011069

Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
3
977
Pounds
O - Other Approaches
M50 - Incineration/Thermal Treatment

3 RCRA Number: OHD980613541

Parent Company Controlled: NO

Name: VAN ROLL AMERICA (WTI)

Address: 12509 ST. GEORGE ST.

City: EAST LIVERPOOL

State: OH

County: COLUMBIANA

Zip Code: 43920

Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
5
1197
Pounds
O - Other Approaches
M50 - Incineration/Thermal Treatment

4 RCRA Number: CAD981382732

Parent Company Controlled: NO

Name: ALTAMONT LANDFILL

Address: 10840 ALTAMONT PASS RD

City: LIVERMORE

State: CA

County: ALAMEDA

Zip Code: 94550

Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
7
504
Pounds
O - Other Approaches
M64 - Other Landfills

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
668
1003
1003
1003
8.1c
Total off-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills
Pounds
NA
504
504
504
8.1d
Total other off-site disposal or other releases

NA
NA
NA
NA
8.2
Quantity Used for Energy Recovery Onsite

NA
NA
NA
NA
8.3
Quantity Used for Energy Recovery Offsite
Pounds
19924
49083
49083
49083
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
232
2174
2174
2174

8.8 One-Time Event Release: NA

8.9 Production Ratio: 2

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: 1304202206102

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110020517010

Section 1. Reporting Year

Reporting Year: 2004

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
DAVID VOSE
SENIOR MANAGER, GLOBAL EHS SYSTEMS
Electronic
07-JUN-05

Section 4. Facility Identification

TRI Facility ID: 94566PPLDB655SU

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
APPLIED BIOSYSTEMS LLC
6055 SUNOL BLVD
PLEASANTON
ALAMEDA
CA
94566

BIA Tribal Code Tribe
NO DATA
NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
APPLIED BIOSYSTEMS LLC
6055 SUNOL BLVD
PLEASANTON
CA
94566

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
DAVID VOSE
6506385553

4.5 SIC Codes

SIC CODE PRIMARY SIC CODE DESCRIPTION
2869
YES
INDUSTRIAL ORGANIC CHEMICALS, NEC

4.6 Location

LATITUDE LONGITUDE
037-38-44
121-53-04

4.7 Dun Numbers

DUNS NUMBER
182158873

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: THERMO FISHER SCIENTIFIC INC

Parent Company DUNS Number: 001408673


PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1304202206102

Section 1. Toxic Chemical Identity

1.1 CAS Number: 75-09-2       PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Dichloromethane

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: NO

Impurity: NO

Recycling:

3.3 Otherwise Use the Toxic Chemical:

Chemical Processing Aid: YES

Manufacturing Aid: NO

Ancillary or Other Use: YES

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
NO
35
Pounds
O - Other Approaches

5.2 Stack or Point Air Emissions

NA TOTAL RELEASE (per year) UNIT OF MEASURE BASIS OF ESTIMATE
NO
1497
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: CAD008302903

Parent Company Controlled: NO

Name: ONYX ENVIRONMENTAL SERVICES

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
23963
Pounds
O - Other Approaches
M56 - Energy Recovery

2 RCRA Number: IL098642424

Parent Company Controlled: NO

Name: ONYX ENVIRONMENTAL SERVICES

Address: 7 MOBILE AVENUE

City: SAUGET

State: IL

County: ST. CLAIR

Zip Code: 622011069

Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
3
977
Pounds
O - Other Approaches
M50 - Incineration/Thermal Treatment

3 RCRA Number: OHD980613541

Parent Company Controlled: NO

Name: VAN ROLL AMERICA (WTI)

Address: 12509 ST. GEORGE ST.

City: EAST LIVERPOOL

State: OH

County: COLUMBIANA

Zip Code: 43920

Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
5
1197
Pounds
O - Other Approaches
M50 - Incineration/Thermal Treatment

4 RCRA Number: CAD981382732

Parent Company Controlled: NO

Name: ALTAMONT LANDFILL

Address: 10840 ALTAMONT PASS RD

City: LIVERMORE

State: CA

County: ALAMEDA

Zip Code: 94550

Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
7
252
Pounds
O - Other Approaches
M64 - Other Landfills

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
1733
1532
1532
1532
8.1c
Total off-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills
Pounds
NA
252
252
252
8.1d
Total other off-site disposal or other releases

NA
NA
NA
NA
8.2
Quantity Used for Energy Recovery Onsite

NA
NA
NA
NA
8.3
Quantity Used for Energy Recovery Offsite
Pounds
9165
23963
23963
23963
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
1160
2174
2174
2174

8.8 One-Time Event Release: NA

8.9 Production Ratio: 2

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




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