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FORM R REPORTS



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Reference Point/Description Latitude Longitude Collection Method Accuracy Value
N/A 33.92687 -118.22522 THE GEOGRAPHIC COORDINATE DETERMINATION METHOD BASED ON ADDRESS MATCHING N/A

RCRA ID NUMBER
CAD001746502

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.


PART I. FACILITY IDENTIFICATION INFORMATION (FORM R)

DOCUMENT CONTROL NUMBER: 1310208149346

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110009527976

Section 1. Reporting Year

Reporting Year: 2010

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
JOHN P. SKULAVIK
 VP, EH & S
 Original
 06-JUN-11

Section 4. Facility Identification

TRI Facility ID: 90055SCLRG11711

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
AIRGAS USA LLC
 11711 S ALAMEDA ST
 LOS ANGELES
 LOS ANGELES
 CA
 90059

BIA Tribal Code Tribe
NO DATA
 NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
AIRGAS USA LLC
 PO BOX 93500
 LONG BEACH
 CA
 90809

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
JOHN P. SKULAVIK
 3105059897

4.5 NAICS Codes

NAICS CODE PRIMARY NAICS CODE DESCRIPTION
424690
 YES
 Other Chemical and Allied Products Merchant Wholesalers

4.7 Dun Numbers

DUNS NUMBER
026366021

5. Parent Company Information

Parent Company Name: AIRGAS USA LLC

Parent Company DUNS Number: 078359651

PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1310208149346

Section 1. Toxic Chemical Identity

1.1 CAS Number: 115-07-1       PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Propylene

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: YES

 On-Site Use/Processing: NO
Sale/Distribution: YES

 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
 652
 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
YES
 NA

N - 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
 NO DATA
 NO DATA
 NO DATA
 NO DATA
 NO DATA
 NO DATA

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.1d. Waste Treatment Efficiency Estimate:

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




8.1c
 Total off-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills




8.1d
 Total other off-site disposal or other releases




8.2
 Quantity Used for Energy Recovery Onsite





8.3
 Quantity Used for Energy Recovery Offsite





8.4
 Quantity Recycled Onsite





8.5
 Quantity Recycled Offsite





8.6
 Quantity Treated Onsite





8.7
 Quantity Treated Offsite





8.8 One-Time Event Release: 0

8.9 Production Ratio:

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