No Javascript

Form R

Report Error
Toxics Logo  TRI
TRI logo FORM R REPORTS



Go back

As a result of the TRI Reporting Forms Modification Rule, beginning in reporting year 2005, the Toxics Release Inventory Program is no longer collecting latitude and longitude data or EPA program ID data (Including Resource Conservation and Recovery Act (RCRA) IDs, National Pollutant Discharge Elimination System (NPDES) IDs AND Underground Injection Code (UIC) IDs) via the FORM R or FORM A Certification Statement. However, this data will still be made available to TRI data users and will be included in TRI data Reports. For those Reports, this data will be obtained from the Facility Registry System (FRS). Latitude and longitude coordinates used to represent TRI facilities are chosen from the FRS using the "Pick Best" Process. Primary permitting systems supply FRS with the program IDs that are used to represent TRI facilities. The FRS data that are being used to represent this facility are:

Reference Point/Description Latitude Longitude Collection Method Accuracy Value
N/A 44.860025 -123.194716 INTERPOLATION-MAP 50

RCRA ID NUMBER
ORQ000019729

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: 1315213540469

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110012256986

Section 1. Reporting Year

Reporting Year: 2015

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
TYLER KUENZI
PLANT MANAGER
Electronic
26-APR-16

Section 4. Facility Identification

TRI Facility ID: 97351MDLLN625HO

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
ACPI WOOD PRODUCTS LLC
625 HOFFMAN RD
INDEPENDENCE
POLK
OR
97351

BIA Tribal Code Tribe
NO DATA
NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
ACPI WOOD PRODUCTS LLC
625 HOFFMAN RD
INDEPENDENCE
OR
97351

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
RICHARD J. LISAC
6305748652

4.5 NAICS Codes

NAICS CODE PRIMARY NAICS CODE DESCRIPTION
337110
YES
Wood Kitchen Cabinet and Countertop Manufacturing

4.7 Dun Numbers

DUNS NUMBER
100390586

5. Parent Company Information

Parent Company Name: ACPRODUCTS INC.

Parent Company DUNS Number: 070586858


PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1315213540469

Section 1. Toxic Chemical Identity

1.1 CAS Number: N230

1.2 Toxic Chemical or Chemical Category Name: CERTAIN GLYCOL ETHERS

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: NO

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
2186
Pounds
C - Mass Balance Calculations

5.2 Stack or Point Air Emissions

NA TOTAL RELEASE (per year) UNIT OF MEASURE BASIS OF ESTIMATE
NO
6557
Pounds
C - Mass Balance Calculations

5.3 Discharges to Receiving Streams or Water Bodies

NA STREAM/WATER BODY NAME REACH Code 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: TXD055141378

Parent Company Controlled: NO

Name: CLEAN HARBORS DEER PARK LLC

Address: 2027 INDEPENDENCE PKWY S

City: LA PORTE

State: TX

County: HARRIS

Zip Code: 77571

Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
35
Pounds
C - Mass Balance Calculations
M50 - Incineration/Thermal Treatment

2 RCRA Number: KSD980633259

Parent Company Controlled: NO

Name: SYSTECH ENVIRONMENTAL CORP

Address: 1420 SOUTH CEMENT ROAD

City: FREDONIA

State: KS

County: WILSON

Zip Code: 66736

Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
8
Pounds
C - Mass Balance Calculations
M56 - Energy Recovery

3 RCRA Number: ARD069748192

Parent Company Controlled: NO

Name: CLEAN HARBORS EL DORADO LLC

Address: 309 AMERICAN CIR

City: EL DORADO

State: AR

County: UNION

Zip Code: 71730

Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
33
Pounds
C - Mass Balance Calculations
M50 - Incineration/Thermal Treatment

4 RCRA Number: NED981723513

Parent Company Controlled: NO

Name: CLEAN HARBORS ENVIRONMENTAL SERVICES INC

Address: 2247 S HWY 71

City: KIMBALL

State: NE

County: KIMBALL

Zip Code: 69145

Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
780
Pounds
C - Mass Balance Calculations
M50 - Incineration/Thermal Treatment

5 RCRA Number: KSD031203318

Parent Company Controlled: NO

Name: ASH GROVE CEMENT CO

Address: 1801 NORTH SANTA FE STREET

City: CHANUTE

State: KS

County: NEOSHO

Zip Code: 66720

Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
384
Pounds
C - Mass Balance Calculations
M56 - Energy Recovery

6 RCRA Number: ARD981512270

Parent Company Controlled: NO

Name: ASH GROVE CEMENT CO

Address: 4457 HWY. 108

City: FOREMAN

State: AR

County: LITTLE RIVER

Zip Code: 71836

Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
49
Pounds
C - Mass Balance Calculations
M56 - Energy Recovery

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
Pounds
NA
8743
8850
8950
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

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
NA
441
450
465
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
NA
848
900
920

8.8 One-Time Event Release: NA

8.9 Production Ratio   or   Activity 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


PART I. FACILITY IDENTIFICATION INFORMATION (FORM R)

DOCUMENT CONTROL NUMBER: 1315213540471

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110012256986

Section 1. Reporting Year

Reporting Year: 2015

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
TYLER KUENZI
PLANT MANAGER
Electronic
26-APR-16

Section 4. Facility Identification

TRI Facility ID: 97351MDLLN625HO

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
ACPI WOOD PRODUCTS LLC
625 HOFFMAN RD
INDEPENDENCE
POLK
OR
97351

BIA Tribal Code Tribe
NO DATA
NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
ACPI WOOD PRODUCTS LLC
625 HOFFMAN RD
INDEPENDENCE
OR
97351

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
RICHARD J. LISAC
6305748652

4.5 NAICS Codes

NAICS CODE PRIMARY NAICS CODE DESCRIPTION
337110
YES
Wood Kitchen Cabinet and Countertop Manufacturing

4.7 Dun Numbers

DUNS NUMBER
100390586

5. Parent Company Information

Parent Company Name: ACPRODUCTS INC.

Parent Company DUNS Number: 070586858


PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1315213540471

Section 1. Toxic Chemical Identity

1.1 CAS Number: 000100414

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: NO

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
2410
Pounds
C - Mass Balance Calculations

5.2 Stack or Point Air Emissions

NA TOTAL RELEASE (per year) UNIT OF MEASURE BASIS OF ESTIMATE
NO
7229
Pounds
C - Mass Balance Calculations

5.3 Discharges to Receiving Streams or Water Bodies

NA STREAM/WATER BODY NAME REACH Code 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: TXD055141378

Parent Company Controlled: NO

Name: CLEAN HARBORS DEER PARK LLC

Address: 2027 INDEPENDENCE PKWY S

City: LA PORTE

State: TX

County: HARRIS

Zip Code: 77571

Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
38
Pounds
C - Mass Balance Calculations
M50 - Incineration/Thermal Treatment

2 RCRA Number: KSD980633259

Parent Company Controlled: NO

Name: SYSTECH ENVIRONMENTAL CORP

Address: 1420 SOUTH CEMENT ROAD

City: FREDONIA

State: KS

County: WILSON

Zip Code: 66736

Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
9
Pounds
C - Mass Balance Calculations
M56 - Energy Recovery

3 RCRA Number: ARD069748192

Parent Company Controlled: NO

Name: CLEAN HARBORS EL DORADO LLC

Address: 309 AMERICAN CIR

City: EL DORADO

State: AR

County: UNION

Zip Code: 71730

Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
37
Pounds
C - Mass Balance Calculations
M50 - Incineration/Thermal Treatment

4 RCRA Number: NED981723513

Parent Company Controlled: NO

Name: CLEAN HARBORS ENVIRONMENTAL SERVICES INC

Address: 2247 S HWY 71

City: KIMBALL

State: NE

County: KIMBALL

Zip Code: 69145

Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
860
Pounds
C - Mass Balance Calculations
M50 - Incineration/Thermal Treatment

5 RCRA Number: KSD031203318

Parent Company Controlled: NO

Name: ASH GROVE CEMENT CO

Address: 1801 NORTH SANTA FE STREET

City: CHANUTE

State: KS

County: NEOSHO

Zip Code: 66720

Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
423
Pounds
C - Mass Balance Calculations
M56 - Energy Recovery

6 RCRA Number: ARD981512270

Parent Company Controlled: NO

Name: ASH GROVE CEMENT CO

Address: 4457 HWY. 108

City: FOREMAN

State: AR

County: LITTLE RIVER

Zip Code: 71836

Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
54
Pounds
C - Mass Balance Calculations
M56 - Energy Recovery

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
Pounds
8741
9639
9600
9610
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

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
497
486
500
502
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
656
935
900
905

8.8 One-Time Event Release: NA

8.9 Production Ratio   or   Activity Ratio : .99

8.10 Source Reduction Activities

SOURCE REDUCTION ACTIVITIES METHOD 1 METHOD 2 METHOD 3 ESTIMATED ANNUAL REDUCTION
NA




8.11 Additional Data Indicator: NO

9.1 Miscellaneous, Additional or Optional Information regarding the Form R submission

COMMENT TYPE DESCRIPTION COMMENT TEXT
PRAI Production Ratio or Activity Index comment The variable used to calculate production ratio is: cabinets produced.


PART I. FACILITY IDENTIFICATION INFORMATION (FORM R)

DOCUMENT CONTROL NUMBER: 1315213540483

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110012256986

Section 1. Reporting Year

Reporting Year: 2015

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
TYLER KUENZI
PLANT MANAGER
Electronic
26-APR-16

Section 4. Facility Identification

TRI Facility ID: 97351MDLLN625HO

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
ACPI WOOD PRODUCTS LLC
625 HOFFMAN RD
INDEPENDENCE
POLK
OR
97351

BIA Tribal Code Tribe
NO DATA
NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
ACPI WOOD PRODUCTS LLC
625 HOFFMAN RD
INDEPENDENCE
OR
97351

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
RICHARD J. LISAC
6305748652

4.5 NAICS Codes

NAICS CODE PRIMARY NAICS CODE DESCRIPTION
337110
YES
Wood Kitchen Cabinet and Countertop Manufacturing

4.7 Dun Numbers

DUNS NUMBER
100390586

5. Parent Company Information

Parent Company Name: ACPRODUCTS INC.

Parent Company DUNS Number: 070586858


PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1315213540483

Section 1. Toxic Chemical Identity

1.1 CAS Number: 000071363

1.2 Toxic Chemical or Chemical Category Name: N-BUTYL ALCOHOL

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: NO

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
2816
Pounds
C - Mass Balance Calculations

5.2 Stack or Point Air Emissions

NA TOTAL RELEASE (per year) UNIT OF MEASURE BASIS OF ESTIMATE
NO
8447
Pounds
C - Mass Balance Calculations

5.3 Discharges to Receiving Streams or Water Bodies

NA STREAM/WATER BODY NAME REACH Code 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: TXD055141378

Parent Company Controlled: NO

Name: CLEAN HARBORS DEER PARK LLC

Address: 2027 INDEPENDENCE PKWY S

City: LA PORTE

State: TX

County: HARRIS

Zip Code: 77571

Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
45
Pounds
C - Mass Balance Calculations
M50 - Incineration/Thermal Treatment

2 RCRA Number: KSD980633259

Parent Company Controlled: NO

Name: SYSTECH ENVIRONMENTAL CORP

Address: 1420 SOUTH CEMENT ROAD

City: FREDONIA

State: KS

County: WILSON

Zip Code: 66736

Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
11
Pounds
C - Mass Balance Calculations
M56 - Energy Recovery

3 RCRA Number: ARD069748192

Parent Company Controlled: NO

Name: CLEAN HARBORS EL DORADO LLC

Address: 309 AMERICAN CIR

City: EL DORADO

State: AR

County: UNION

Zip Code: 71730

Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
43
Pounds
C - Mass Balance Calculations
M50 - Incineration/Thermal Treatment

4 RCRA Number: NED981723513

Parent Company Controlled: NO

Name: CLEAN HARBORS ENVIRONMENTAL SERVICES INC

Address: 2247 S HWY 71

City: KIMBALL

State: NE

County: KIMBALL

Zip Code: 69145

Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
1005
Pounds
C - Mass Balance Calculations
M50 - Incineration/Thermal Treatment

5 RCRA Number: KSD031203318

Parent Company Controlled: NO

Name: ASH GROVE CEMENT CO

Address: 1801 NORTH SANTA FE STREET

City: CHANUTE

State: KS

County: NEOSHO

Zip Code: 66720

Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
494
Pounds
C - Mass Balance Calculations
M56 - Energy Recovery

6 RCRA Number: ARD981512270

Parent Company Controlled: NO

Name: ASH GROVE CEMENT CO

Address: 4457 HWY. 108

City: FOREMAN

State: AR

County: LITTLE RIVER

Zip Code: 71836

Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
63
Pounds
C - Mass Balance Calculations
M56 - Energy Recovery

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
Pounds
NA
11263
11550
11725
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

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
NA
568
580
600
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
NA
1093
1000
1000

8.8 One-Time Event Release: NA

8.9 Production Ratio   or   Activity 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


PART I. FACILITY IDENTIFICATION INFORMATION (FORM R)

DOCUMENT CONTROL NUMBER: 1315213540495

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110012256986

Section 1. Reporting Year

Reporting Year: 2015

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
TYLER KUENZI
PLANT MANAGER
Electronic
26-APR-16

Section 4. Facility Identification

TRI Facility ID: 97351MDLLN625HO

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
ACPI WOOD PRODUCTS LLC
625 HOFFMAN RD
INDEPENDENCE
POLK
OR
97351

BIA Tribal Code Tribe
NO DATA
NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
ACPI WOOD PRODUCTS LLC
625 HOFFMAN RD
INDEPENDENCE
OR
97351

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
RICHARD J. LISAC
6305748652

4.5 NAICS Codes

NAICS CODE PRIMARY NAICS CODE DESCRIPTION
337110
YES
Wood Kitchen Cabinet and Countertop Manufacturing

4.7 Dun Numbers

DUNS NUMBER
100390586

5. Parent Company Information

Parent Company Name: ACPRODUCTS INC.

Parent Company DUNS Number: 070586858


PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1315213540495

Section 1. Toxic Chemical Identity

1.1 CAS Number: 000108883

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: NO

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
3288
Pounds
C - Mass Balance Calculations

5.2 Stack or Point Air Emissions

NA TOTAL RELEASE (per year) UNIT OF MEASURE BASIS OF ESTIMATE
NO
9864
Pounds
C - Mass Balance Calculations

5.3 Discharges to Receiving Streams or Water Bodies

NA STREAM/WATER BODY NAME REACH Code 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: TXD055141378

Parent Company Controlled: NO

Name: CLEAN HARBORS DEER PARK LLC

Address: 2027 INDEPENDENCE PKWY S

City: LA PORTE

State: TX

County: HARRIS

Zip Code: 77571

Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
52
Pounds
C - Mass Balance Calculations
M50 - Incineration/Thermal Treatment

2 RCRA Number: KSD980633259

Parent Company Controlled: NO

Name: SYSTECH ENVIRONMENTAL CORP

Address: 1420 SOUTH CEMENT ROAD

City: FREDONIA

State: KS

County: WILSON

Zip Code: 66736

Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
12
Pounds
C - Mass Balance Calculations
M56 - Energy Recovery

3 RCRA Number: ARD069748192

Parent Company Controlled: NO

Name: CLEAN HARBORS EL DORADO LLC

Address: 309 AMERICAN CIR

City: EL DORADO

State: AR

County: UNION

Zip Code: 71730

Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
50
Pounds
C - Mass Balance Calculations
M50 - Incineration/Thermal Treatment

4 RCRA Number: KSD031203318

Parent Company Controlled: NO

Name: ASH GROVE CEMENT CO

Address: 1801 NORTH SANTA FE STREET

City: CHANUTE

State: KS

County: NEOSHO

Zip Code: 66720

Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
577
Pounds
C - Mass Balance Calculations
M56 - Energy Recovery

5 RCRA Number: NED981723513

Parent Company Controlled: NO

Name: CLEAN HARBORS ENVIRONMENTAL SERVICES INC

Address: 2247 S HWY 71

City: KIMBALL

State: NE

County: KIMBALL

Zip Code: 69145

Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
1174
Pounds
C - Mass Balance Calculations
M50 - Incineration/Thermal Treatment

6 RCRA Number: ARD981512270

Parent Company Controlled: NO

Name: ASH GROVE CEMENT CO

Address: 4457 HWY. 108

City: FOREMAN

State: AR

County: LITTLE RIVER

Zip Code: 71836

Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
74
Pounds
C - Mass Balance Calculations
M56 - Energy Recovery

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
Pounds
12733
13152
13000
13005
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

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
723
663
700
705
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
957
1276
1200
1210

8.8 One-Time Event Release: NA

8.9 Production Ratio   or   Activity Ratio : .99

8.10 Source Reduction Activities

SOURCE REDUCTION ACTIVITIES METHOD 1 METHOD 2 METHOD 3 ESTIMATED ANNUAL REDUCTION
NA




8.11 Additional Data Indicator: NO

9.1 Miscellaneous, Additional or Optional Information regarding the Form R submission

COMMENT TYPE DESCRIPTION COMMENT TEXT
PRAI Production Ratio or Activity Index comment The variable used to calculate production ratio is: cabinets produced.


PART I. FACILITY IDENTIFICATION INFORMATION (FORM R)

DOCUMENT CONTROL NUMBER: 1315213540507

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110012256986

Section 1. Reporting Year

Reporting Year: 2015

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
TYLER KUENZI
PLANT MANAGER
Electronic
26-APR-16

Section 4. Facility Identification

TRI Facility ID: 97351MDLLN625HO

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
ACPI WOOD PRODUCTS LLC
625 HOFFMAN RD
INDEPENDENCE
POLK
OR
97351

BIA Tribal Code Tribe
NO DATA
NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
ACPI WOOD PRODUCTS LLC
625 HOFFMAN RD
INDEPENDENCE
OR
97351

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
RICHARD J. LISAC
6305748652

4.5 NAICS Codes

NAICS CODE PRIMARY NAICS CODE DESCRIPTION
337110
YES
Wood Kitchen Cabinet and Countertop Manufacturing

4.7 Dun Numbers

DUNS NUMBER
100390586

5. Parent Company Information

Parent Company Name: ACPRODUCTS INC.

Parent Company DUNS Number: 070586858


PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1315213540507

Section 1. Toxic Chemical Identity

1.1 CAS Number: 001330207

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: NO

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
11573
Pounds
C - Mass Balance Calculations

5.2 Stack or Point Air Emissions

NA TOTAL RELEASE (per year) UNIT OF MEASURE BASIS OF ESTIMATE
NO
34720
Pounds
C - Mass Balance Calculations

5.3 Discharges to Receiving Streams or Water Bodies

NA STREAM/WATER BODY NAME REACH Code 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: TXD055141378

Parent Company Controlled: NO

Name: CLEAN HARBORS DEER PARK LLC

Address: 2027 INDEPENDENCE PKWY S

City: LA PORTE

State: TX

County: HARRIS

Zip Code: 77571

Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
185
Pounds
C - Mass Balance Calculations
M50 - Incineration/Thermal Treatment

2 RCRA Number: KSD980633259

Parent Company Controlled: NO

Name: SYSTECH ENVIRONMENTAL CORP

Address: 1420 SOUTH CEMENT ROAD

City: FREDONIA

State: KS

County: WILSON

Zip Code: 66736

Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
43
Pounds
C - Mass Balance Calculations
M56 - Energy Recovery

3 RCRA Number: ARD069748192

Parent Company Controlled: NO

Name: CLEAN HARBORS EL DORADO LLC

Address: 309 AMERICAN CIR

City: EL DORADO

State: AR

County: UNION

Zip Code: 71730

Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
176
Pounds
C - Mass Balance Calculations
M50 - Incineration/Thermal Treatment

4 RCRA Number: ARD981512270

Parent Company Controlled: NO

Name: ASH GROVE CEMENT CO

Address: 4457 HWY. 108

City: FOREMAN

State: AR

County: LITTLE RIVER

Zip Code: 71836

Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
261
Pounds
C - Mass Balance Calculations
M56 - Energy Recovery

5 RCRA Number: KSD031203318

Parent Company Controlled: NO

Name: ASH GROVE CEMENT CO

Address: 1801 NORTH SANTA FE STREET

City: CHANUTE

State: KS

County: NEOSHO

Zip Code: 66720

Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
2031
Pounds
C - Mass Balance Calculations
M56 - Energy Recovery

6 RCRA Number: NED981723513

Parent Company Controlled: NO

Name: CLEAN HARBORS ENVIRONMENTAL SERVICES INC

Address: 2247 S HWY 71

City: KIMBALL

State: NE

County: KIMBALL

Zip Code: 69145

Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
4132
Pounds
C - Mass Balance Calculations
M50 - Incineration/Thermal Treatment

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
Pounds
42069
46293
46000
46050
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

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
2389
2335
2400
2450
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
3162
4493
4400
4400

8.8 One-Time Event Release: NA

8.9 Production Ratio   or   Activity Ratio : .99

8.10 Source Reduction Activities

SOURCE REDUCTION ACTIVITIES METHOD 1 METHOD 2 METHOD 3 ESTIMATED ANNUAL REDUCTION
NA




8.11 Additional Data Indicator: NO

9.1 Miscellaneous, Additional or Optional Information regarding the Form R submission

COMMENT TYPE DESCRIPTION COMMENT TEXT
PRAI Production Ratio or Activity Index comment The variable used to calculate production ratio is: cabinets produced.