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FORM R REPORTS



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Reference Point/Description Latitude Longitude Collection Method Accuracy Value
UNKNOWN 18.071036 -66.960911 UNKNOWN 11000

RCRA ID NUMBER
PRD090506239
PRD982274383

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 A)

DOCUMENT CONTROL NUMBER: 1317215875307

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110000307793

Section 1. Reporting Year

Reporting Year: 2017

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
BRYANT WINTERHOLER
 SHE MANAGER
 Electronic
 24-MAY-18

Section 4. Facility Identification

TRI Facility ID: 00747LCTTPNO9VQ

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
HENKEL PUERTO RICO INC
 QUILICHINI AVE # 9
 SABANA GRANDE
 SABANA GRANDE MUNICIPIO
 PR
 00637

BIA Tribal Code Tribe
NO DATA
 NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
HENKEL PUERTO RICO INC
 PO BOX 669
 SABANA GRANDE
 PR
 00637

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
ROSA DAVILA
 7878736500

4.5 NAICS Codes

NAICS CODE PRIMARY NAICS CODE DESCRIPTION
325520
 YES
 Adhesive Manufacturing

4.7 Dun Numbers

DUNS NUMBER
NA

5. Parent Company Information

Parent Company Name: HENKEL CORP

Parent Company DUNS Number: 051441731

PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1317215875307

Section 1. Toxic Chemical Identity

1.1 CAS Number: 0000079107

1.2 Toxic Chemical or Chemical Category Name: Acrylic acid

1.3 Generic Chemical Name: NA

PART I. FACILITY IDENTIFICATION INFORMATION (FORM A)

DOCUMENT CONTROL NUMBER: 1317215875319

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110000307793

Section 1. Reporting Year

Reporting Year: 2017

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
BRYANT WINTERHOLER
 SHE MANAGER
 Electronic
 24-MAY-18

Section 4. Facility Identification

TRI Facility ID: 00747LCTTPNO9VQ

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
HENKEL PUERTO RICO INC
 QUILICHINI AVE # 9
 SABANA GRANDE
 SABANA GRANDE MUNICIPIO
 PR
 00637

BIA Tribal Code Tribe
NO DATA
 NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
HENKEL PUERTO RICO INC
 PO BOX 669
 SABANA GRANDE
 PR
 00637

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
ROSA DAVILA
 7878736500

4.5 NAICS Codes

NAICS CODE PRIMARY NAICS CODE DESCRIPTION
325520
 YES
 Adhesive Manufacturing

4.7 Dun Numbers

DUNS NUMBER
NA

5. Parent Company Information

Parent Company Name: HENKEL CORP

Parent Company DUNS Number: 051441731

PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1317215875319

Section 1. Toxic Chemical Identity

1.1 CAS Number: 0000584849

1.2 Toxic Chemical or Chemical Category Name: Toluene-2,4-diisocyanate

1.3 Generic Chemical Name: NA

PART I. FACILITY IDENTIFICATION INFORMATION (FORM A)

DOCUMENT CONTROL NUMBER: 1317215875321

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110000307793

Section 1. Reporting Year

Reporting Year: 2017

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
BRYANT WINTERHOLER
 SHE MANAGER
 Electronic
 24-MAY-18

Section 4. Facility Identification

TRI Facility ID: 00747LCTTPNO9VQ

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
HENKEL PUERTO RICO INC
 QUILICHINI AVE # 9
 SABANA GRANDE
 SABANA GRANDE MUNICIPIO
 PR
 00637

BIA Tribal Code Tribe
NO DATA
 NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
HENKEL PUERTO RICO INC
 PO BOX 669
 SABANA GRANDE
 PR
 00637

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
ROSA DAVILA
 7878736500

4.5 NAICS Codes

NAICS CODE PRIMARY NAICS CODE DESCRIPTION
325520
 YES
 Adhesive Manufacturing

4.7 Dun Numbers

DUNS NUMBER
NA

5. Parent Company Information

Parent Company Name: HENKEL CORP

Parent Company DUNS Number: 051441731

PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1317215875321

Section 1. Toxic Chemical Identity

1.1 CAS Number: N120

1.2 Toxic Chemical or Chemical Category Name: Diisocyanates

1.3 Generic Chemical Name: NA

PART I. FACILITY IDENTIFICATION INFORMATION (FORM A)

DOCUMENT CONTROL NUMBER: 1317215875333

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110000307793

Section 1. Reporting Year

Reporting Year: 2017

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
BRYANT WINTERHOLER
 SHE MANAGER
 Electronic
 24-MAY-18

Section 4. Facility Identification

TRI Facility ID: 00747LCTTPNO9VQ

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
HENKEL PUERTO RICO INC
 QUILICHINI AVE # 9
 SABANA GRANDE
 SABANA GRANDE MUNICIPIO
 PR
 00637

BIA Tribal Code Tribe
NO DATA
 NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
HENKEL PUERTO RICO INC
 PO BOX 669
 SABANA GRANDE
 PR
 00637

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
ROSA DAVILA
 7878736500

4.5 NAICS Codes

NAICS CODE PRIMARY NAICS CODE DESCRIPTION
325520
 YES
 Adhesive Manufacturing

4.7 Dun Numbers

DUNS NUMBER
NA

5. Parent Company Information

Parent Company Name: HENKEL CORP

Parent Company DUNS Number: 051441731

PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1317215875333

Section 1. Toxic Chemical Identity

1.1 CAS Number: 0000080159

1.2 Toxic Chemical or Chemical Category Name: Cumene hydroperoxide

1.3 Generic Chemical Name: NA