FORM R REPORTS

Reference Point/Description	Latitude	Longitude	Collection Method	Accuracy Value
N/A	41.72703	-93.57335	N/A	100

RCRA ID NUMBER
IAR000005124

NPDES PERMIT NUMBER
NO DATA

UIC ID NUMBER
NO DATA

To correct the FRS latitude, longitude or program ID values click on the "Report an Error" button in the top right corner of this page. Facilities wishing to correct other data elements with the FORM R or FORM A should refer to the related TRI-MEweb tutorial..

For more information, see Collection of Latitude, Longitude and Program ID Data Has Been Discontinued.

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PART I. FACILITY IDENTIFICATION INFORMATION (FORM A)

DOCUMENT CONTROL NUMBER: 1305203274307

Facility Registry System ID:  110001397881

Section 1. Reporting Year

Reporting Year: 2005

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
ED SNYPE	ED SNYPE	Electronic	14-JUN-06

Section 4. Facility Identification

TRI Facility ID: 50021RGSNR41SEC

4.1 Facility Name and Address.

Facility Information

NAME	STREET	CITY	COUNTY	STATE	ZIP CODE
AIRGAS USA LLC	410 SE CREEKVIEW RD	ANKENY	POLK	IA	50021

BIA Tribal Code	Tribe
NO DATA	NO DATA

Mailing Information

NAME	STREET	CITY	STATE	ZIP CODE
AIRGAS USA LLC	3011 EAST CAPITOL DRIVE	APPLETON	WI	54911

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
No Data	No Data

4.5 SIC Codes

SIC CODE	PRIMARY	SIC CODE DESCRIPTION
2813	YES	INDUSTRIAL GASES

4.7 Dun Numbers

DUNS NUMBER
198976359

5. Parent Company Information

Parent Company Name: AMERICAN AIR LIQUIDE HOLDINGS INC

Parent Company DUNS Number: 003312600

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PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1305203274307

Section 1. Toxic Chemical Identity

1.1 CAS Number: 0000115071

1.2 Toxic Chemical or Chemical Category Name: Propylene

1.3 Generic Chemical Name: NA

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