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FORM R REPORTS



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Reference Point/Description Latitude Longitude Collection Method Accuracy Value
N/A 41.730597 -81.251911 N/A N/A

RCRA ID NUMBER
OHD987014826

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: 1311209299698

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110000385976

Section 1. Reporting Year

Reporting Year: 2011

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
ROBERT ROTELLA
 VICE PRESIDENT, SUPPLY CHAIN & OPERATIONS
 Electronic
 25-JUN-12

Section 4. Facility Identification

TRI Facility ID: 44077VRY2X250CH

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
AVERY DENNISON BUILDING 7
 215 CHESTER ST
 PAINESVILLE
 LAKE
 OH
 44077

BIA Tribal Code Tribe
NO DATA
 NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
AVERY DENNISON BUILDING 7
 250 CHESTER ST BUILDING 7
 PAINESVILLE
 OH
 44077

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
DANIEL JONES
 4403583132

4.5 NAICS Codes

NAICS CODE PRIMARY NAICS CODE DESCRIPTION
322222
 YES
 Coated and Laminated Paper Manufacturing

4.7 Dun Numbers

DUNS NUMBER
061756185

5. Parent Company Information

Parent Company Name: AVERY DENNISON CORP

Parent Company DUNS Number: 008256364

PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1311209299698

Section 1. Toxic Chemical Identity

1.1 CAS Number: 100-41-4       PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Ethylbenzene

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: YES
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
NO
 0
 Pounds
 O - Other Approaches

5.2 Stack or Point Air Emissions

NA TOTAL RELEASE (per year) UNIT OF MEASURE BASIS OF ESTIMATE
NO
 130
 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
YES
 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)

1 - NAME: ADDRESS:
CITY: STATE:
COUNTY: ZIP CODE:

TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE
NO DATA
NO DATA

6.2 Transfers to other Off-Site Locations

1 RCRA Number: NA

 Parent Company Controlled: NO
Name: LAKE COUNTY LANDFILL

 Address: 2039 BLASE NEMETH ROAD
City: PAINESVILLE

 State: OH
County: LAKE

 Zip Code: 44077
Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
 32
 Pounds
 O - Other Approaches
 M64 - Other Landfills

2 RCRA Number: ARD981057870

 Parent Company Controlled: NO
Name: RINECO CHEMICAL

 Address: 1007 VULCAN ROAD
City: BENTON

 State: AR
County: SALINE

 Zip Code: 72015
Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
 1100
 Pounds
 O - Other Approaches
 M56 - Energy Recovery

Section 7A. On-Site Waste Treatment Methods and Efficiency

7A.1a. Waste Stream: GASEOUS
7A.1b.
 WASTE TREATMENT METHOD(S) SEQUENCE
1
 H040 - Incineration - thermal destruction other than use as a fuel
7A.1d. Waste Treatment Efficiency Estimate: Greater than 99% but less than or equal to 99.99%

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
 75
 130
 130
 130
8.1c
 Total off-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills
 Pounds
 17
 32
 32
 32
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
 380
 1100
 1100
 1100
8.4
 Quantity Recycled Onsite

NA
 NA
 NA
 NA
8.5
 Quantity Recycled Offsite

NA
 NA
 NA
 NA
8.6
 Quantity Treated Onsite
Pounds
 24000
 40000
 40000
 40000
8.7
 Quantity Treated Offsite

NA
 NA
 NA
 NA

8.8 One-Time Event Release: NA

8.9 Production Ratio: 1.13

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: 1311209299700

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110000385976

Section 1. Reporting Year

Reporting Year: 2011

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
ROBERT ROTELLA
 VICE PRESIDENT, SUPPLY CHAIN & OPERATIONS
 Electronic
 25-JUN-12

Section 4. Facility Identification

TRI Facility ID: 44077VRY2X250CH

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
AVERY DENNISON BUILDING 7
 215 CHESTER ST
 PAINESVILLE
 LAKE
 OH
 44077

BIA Tribal Code Tribe
NO DATA
 NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
AVERY DENNISON BUILDING 7
 250 CHESTER ST BUILDING 7
 PAINESVILLE
 OH
 44077

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
DANIEL JONES
 4403583132

4.5 NAICS Codes

NAICS CODE PRIMARY NAICS CODE DESCRIPTION
322222
 YES
 Coated and Laminated Paper Manufacturing

4.7 Dun Numbers

DUNS NUMBER
061756185

5. Parent Company Information

Parent Company Name: AVERY DENNISON CORP

Parent Company DUNS Number: 008256364

PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1311209299700

Section 1. Toxic Chemical Identity

1.1 CAS Number: 67-56-1       PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Methanol

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: YES
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
NO
 61
 Pounds
 O - Other Approaches

5.2 Stack or Point Air Emissions

NA TOTAL RELEASE (per year) UNIT OF MEASURE BASIS OF ESTIMATE
NO
 1660
 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
YES
 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)

1 - NAME: ADDRESS:
CITY: STATE:
COUNTY: ZIP CODE:

TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE
NO DATA
NO DATA

6.2 Transfers to other Off-Site Locations

1 RCRA Number: NA

 Parent Company Controlled: NO
Name: LAKE COUNTY LANDFILL

 Address: 2039 BLASE NEMETH ROAD
City: PAINESVILLE

 State: OH
County: LAKE

 Zip Code: 44077
Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
 370
 Pounds
 O - Other Approaches
 M64 - Other Landfills

2 RCRA Number: ARD981057870

 Parent Company Controlled: NO
Name: RINECO CHEMICAL

 Address: 1007 VULCAN ROAD
City: BENTON

 State: AR
County: SALINE

 Zip Code: 72015
Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
 16000
 Pounds
 O - Other Approaches
 M56 - Energy Recovery

Section 7A. On-Site Waste Treatment Methods and Efficiency

7A.1a. Waste Stream: GASEOUS
7A.1b.
 WASTE TREATMENT METHOD(S) SEQUENCE
1
 H040 - Incineration - thermal destruction other than use as a fuel
7A.1d. Waste Treatment Efficiency Estimate: Greater than 99% but less than or equal to 99.99%

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
 1700
 1700
 1700
 1700
8.1c
 Total off-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills
 Pounds
 290
 370
 370
 370
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
 9500
 16000
 16000
 16000
8.4
 Quantity Recycled Onsite

NA
 NA
 NA
 NA
8.5
 Quantity Recycled Offsite

NA
 NA
 NA
 NA
8.6
 Quantity Treated Onsite
Pounds
 420000
 450000
 450000
 450000
8.7
 Quantity Treated Offsite

NA
 NA
 NA
 NA

8.8 One-Time Event Release: NA

8.9 Production Ratio: 1.13

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: 1311209299712

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110000385976

Section 1. Reporting Year

Reporting Year: 2011

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
ROBERT ROTELLA
 VICE PRESIDENT, SUPPLY CHAIN & OPERATIONS
 Electronic
 25-JUN-12

Section 4. Facility Identification

TRI Facility ID: 44077VRY2X250CH

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
AVERY DENNISON BUILDING 7
 215 CHESTER ST
 PAINESVILLE
 LAKE
 OH
 44077

BIA Tribal Code Tribe
NO DATA
 NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
AVERY DENNISON BUILDING 7
 250 CHESTER ST BUILDING 7
 PAINESVILLE
 OH
 44077

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
DANIEL JONES
 4403583132

4.5 NAICS Codes

NAICS CODE PRIMARY NAICS CODE DESCRIPTION
322222
 YES
 Coated and Laminated Paper Manufacturing

4.7 Dun Numbers

DUNS NUMBER
061756185

5. Parent Company Information

Parent Company Name: AVERY DENNISON CORP

Parent Company DUNS Number: 008256364

PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1311209299712

Section 1. Toxic Chemical Identity

1.1 CAS Number: 110-54-3       PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: n-Hexane

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: YES
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
NO
 0
 Pounds
 O - Other Approaches

5.2 Stack or Point Air Emissions

NA TOTAL RELEASE (per year) UNIT OF MEASURE BASIS OF ESTIMATE
NO
 200
 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
YES
 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)

1 - NAME: ADDRESS:
CITY: STATE:
COUNTY: ZIP CODE:

TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE
NO DATA
NO DATA

6.2 Transfers to other Off-Site Locations

1 RCRA Number: NA

 Parent Company Controlled: NO
Name: LAKE COUNTY LANDFILL

 Address: 2039 BLASE NEMETH ROAD
City: PAINESVILLE

 State: OH
County: LAKE

 Zip Code: 44077
Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
 53
 Pounds
 O - Other Approaches
 M64 - Other Landfills

2 RCRA Number: ARD981057870

 Parent Company Controlled: NO
Name: RINECO CHEMICAL

 Address: 1007 VULCAN ROAD
City: BENTON

 State: AR
County: SALINE

 Zip Code: 72015
Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
 3000
 Pounds
 O - Other Approaches
 M56 - Energy Recovery

Section 7A. On-Site Waste Treatment Methods and Efficiency

7A.1a. Waste Stream: GASEOUS
7A.1b.
 WASTE TREATMENT METHOD(S) SEQUENCE
1
 H040 - Incineration - thermal destruction other than use as a fuel
7A.1d. Waste Treatment Efficiency Estimate: Greater than 99% but less than or equal to 99.99%

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
 390
 200
 200
 200
8.1c
 Total off-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills
 Pounds
 87
 53
 53
 53
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
 3100
 3000
 3000
 3000
8.4
 Quantity Recycled Onsite

NA
 NA
 NA
 NA
8.5
 Quantity Recycled Offsite

NA
 NA
 NA
 NA
8.6
 Quantity Treated Onsite
Pounds
 130000
 64000
 64000
 64000
8.7
 Quantity Treated Offsite

NA
 NA
 NA
 NA

8.8 One-Time Event Release: NA

8.9 Production Ratio: 1.13

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: 1311209299724

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110000385976

Section 1. Reporting Year

Reporting Year: 2011

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
ROBERT ROTELLA
 VICE PRESIDENT, SUPPLY CHAIN & OPERATIONS
 Electronic
 25-JUN-12

Section 4. Facility Identification

TRI Facility ID: 44077VRY2X250CH

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
AVERY DENNISON BUILDING 7
 215 CHESTER ST
 PAINESVILLE
 LAKE
 OH
 44077

BIA Tribal Code Tribe
NO DATA
 NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
AVERY DENNISON BUILDING 7
 250 CHESTER ST BUILDING 7
 PAINESVILLE
 OH
 44077

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
DANIEL JONES
 4403583132

4.5 NAICS Codes

NAICS CODE PRIMARY NAICS CODE DESCRIPTION
322222
 YES
 Coated and Laminated Paper Manufacturing

4.7 Dun Numbers

DUNS NUMBER
061756185

5. Parent Company Information

Parent Company Name: AVERY DENNISON CORP

Parent Company DUNS Number: 008256364

PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1311209299724

Section 1. Toxic Chemical Identity

1.1 CAS Number: 108-88-3       PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Toluene

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: YES
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
NO
 18
 Pounds
 O - Other Approaches

5.2 Stack or Point Air Emissions

NA TOTAL RELEASE (per year) UNIT OF MEASURE BASIS OF ESTIMATE
NO
 2300
 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
YES
 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)

1 - NAME: ADDRESS:
CITY: STATE:
COUNTY: ZIP CODE:

TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE
NO DATA
NO DATA

6.2 Transfers to other Off-Site Locations

1 RCRA Number: NA

 Parent Company Controlled: NO
Name: LAKE COUNTY LANDFILL

 Address: 2039 BLASE NEMETH ROAD
City: PAINESVILLE

 State: OH
County: LAKE

 Zip Code: 44077
Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
 580
 Pounds
 O - Other Approaches
 M64 - Other Landfills

2 RCRA Number: ARD981057870

 Parent Company Controlled: NO
Name: RINECO CHEMICAL

 Address: 1007 VULCAN ROAD
City: BENTON

 State: AR
County: SALINE

 Zip Code: 72015
Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
 37000
 Pounds
 O - Other Approaches
 M56 - Energy Recovery

Section 7A. On-Site Waste Treatment Methods and Efficiency

7A.1a. Waste Stream: GASEOUS
7A.1b.
 WASTE TREATMENT METHOD(S) SEQUENCE
1
 H040 - Incineration - thermal destruction other than use as a fuel
7A.1d. Waste Treatment Efficiency Estimate: Greater than 99% but less than or equal to 99.99%

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
 3700
 2300
 2300
 2300
8.1c
 Total off-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills
 Pounds
 800
 580
 580
 580
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
 34000
 37000
 37000
 37000
8.4
 Quantity Recycled Onsite

NA
 NA
 NA
 NA
8.5
 Quantity Recycled Offsite

NA
 NA
 NA
 NA
8.6
 Quantity Treated Onsite
Pounds
 1200000
 730000
 730000
 730000
8.7
 Quantity Treated Offsite

NA
 NA
 NA
 NA

8.8 One-Time Event Release: NA

8.9 Production Ratio: 1.13

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: 1311209299736

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110000385976

Section 1. Reporting Year

Reporting Year: 2011

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
ROBERT ROTELLA
 VICE PRESIDENT, SUPPLY CHAIN & OPERATIONS
 Electronic
 25-JUN-12

Section 4. Facility Identification

TRI Facility ID: 44077VRY2X250CH

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
AVERY DENNISON BUILDING 7
 215 CHESTER ST
 PAINESVILLE
 LAKE
 OH
 44077

BIA Tribal Code Tribe
NO DATA
 NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
AVERY DENNISON BUILDING 7
 250 CHESTER ST BUILDING 7
 PAINESVILLE
 OH
 44077

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
DANIEL JONES
 4403583132

4.5 NAICS Codes

NAICS CODE PRIMARY NAICS CODE DESCRIPTION
322222
 YES
 Coated and Laminated Paper Manufacturing

4.7 Dun Numbers

DUNS NUMBER
061756185

5. Parent Company Information

Parent Company Name: AVERY DENNISON CORP

Parent Company DUNS Number: 008256364

PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1311209299736

Section 1. Toxic Chemical Identity

1.1 CAS Number: 108-05-4       PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Vinyl acetate

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: YES
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
NO
 0
 Pounds
 O - Other Approaches

5.2 Stack or Point Air Emissions

NA TOTAL RELEASE (per year) UNIT OF MEASURE BASIS OF ESTIMATE
NO
 56
 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
YES
 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)

1 - NAME: ADDRESS:
CITY: STATE:
COUNTY: ZIP CODE:

TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE
NO DATA
NO DATA

6.2 Transfers to other Off-Site Locations

1 RCRA Number: NA

 Parent Company Controlled: NO
Name: LAKE COUNTY LANDFILL

 Address: 2039 BLASE NEMETH ROAD
City: PAINESVILLE

 State: OH
County: LAKE

 Zip Code: 44077
Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
 15
 Pounds
 O - Other Approaches
 M64 - Other Landfills

2 RCRA Number: ARD981057870

 Parent Company Controlled: NO
Name: RINECO CHEMICAL

 Address: 1007 VULCAN ROAD
City: BENTON

 State: AR
County: SALINE

 Zip Code: 72015
Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
 2000
 Pounds
 O - Other Approaches
 M56 - Energy Recovery

Section 7A. On-Site Waste Treatment Methods and Efficiency

7A.1a. Waste Stream: GASEOUS
7A.1b.
 WASTE TREATMENT METHOD(S) SEQUENCE
1
 H040 - Incineration - thermal destruction other than use as a fuel
7A.1d. Waste Treatment Efficiency Estimate: Greater than 99% but less than or equal to 99.99%

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
 62
 56
 56
 56
8.1c
 Total off-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills
 Pounds
 14
 15
 15
 15
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
 1400
 2000
 2000
 2000
8.4
 Quantity Recycled Onsite

NA
 NA
 NA
 NA
8.5
 Quantity Recycled Offsite

NA
 NA
 NA
 NA
8.6
 Quantity Treated Onsite
Pounds
 19000
 16000
 16000
 16000
8.7
 Quantity Treated Offsite

NA
 NA
 NA
 NA

8.8 One-Time Event Release: NA

8.9 Production Ratio: 1.13

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: 1311209299748

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110000385976

Section 1. Reporting Year

Reporting Year: 2011

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
ROBERT ROTELLA
 VICE PRESIDENT, SUPPLY CHAIN & OPERATIONS
 Electronic
 25-JUN-12

Section 4. Facility Identification

TRI Facility ID: 44077VRY2X250CH

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
AVERY DENNISON BUILDING 7
 215 CHESTER ST
 PAINESVILLE
 LAKE
 OH
 44077

BIA Tribal Code Tribe
NO DATA
 NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
AVERY DENNISON BUILDING 7
 250 CHESTER ST BUILDING 7
 PAINESVILLE
 OH
 44077

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
DANIEL JONES
 4403583132

4.5 NAICS Codes

NAICS CODE PRIMARY NAICS CODE DESCRIPTION
322222
 YES
 Coated and Laminated Paper Manufacturing

4.7 Dun Numbers

DUNS NUMBER
061756185

5. Parent Company Information

Parent Company Name: AVERY DENNISON CORP

Parent Company DUNS Number: 008256364

PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1311209299748

Section 1. Toxic Chemical Identity

1.1 CAS Number: 1330-20-7       PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Xylene (mixed isomers)

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: YES
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
NO
 0
 Pounds
 O - Other Approaches

5.2 Stack or Point Air Emissions

NA TOTAL RELEASE (per year) UNIT OF MEASURE BASIS OF ESTIMATE
NO
 510
 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
YES
 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)

1 - NAME: ADDRESS:
CITY: STATE:
COUNTY: ZIP CODE:

TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE
NO DATA
NO DATA

6.2 Transfers to other Off-Site Locations

1 RCRA Number: NA

 Parent Company Controlled: NO
Name: LAKE COUNTY LANDFILL

 Address: 2039 BLASE NEMETH ROAD
City: PAINESVILLE

 State: OH
County: LAKE

 Zip Code: 44077
Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
 130
 Pounds
 O - Other Approaches
 M64 - Other Landfills

2 RCRA Number: ARD981057870

 Parent Company Controlled: NO
Name: RINECO CHEMICAL

 Address: 1007 VULCAN ROAD
City: BENTON

 State: AR
County: SALINE

 Zip Code: 72015
Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
 4600
 Pounds
 O - Other Approaches
 M56 - Energy Recovery

Section 7A. On-Site Waste Treatment Methods and Efficiency

7A.1a. Waste Stream: GASEOUS
7A.1b.
 WASTE TREATMENT METHOD(S) SEQUENCE
1
 H040 - Incineration - thermal destruction other than use as a fuel
7A.1d. Waste Treatment Efficiency Estimate: Greater than 99% but less than or equal to 99.99%

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
 300
 510
 510
 510
8.1c
 Total off-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills
 Pounds
 65
 130
 130
 130
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
 1500
 4600
 4600
 4600
8.4
 Quantity Recycled Onsite

NA
 NA
 NA
 NA
8.5
 Quantity Recycled Offsite

NA
 NA
 NA
 NA
8.6
 Quantity Treated Onsite
Pounds
 95000
 160000
 160000
 160000
8.7
 Quantity Treated Offsite

NA
 NA
 NA
 NA

8.8 One-Time Event Release: NA

8.9 Production Ratio: 1.13

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