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FORM R REPORTS



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Reference Point/Description Latitude Longitude Collection Method Accuracy Value
POINT WHERE SUBSTANCE IS RELEASED 37.984252 -90.686081 GPS CARRIER PHASE STATIC RELATIVE POSITION 31

RCRA ID NUMBER
MOD006286934

NPDES PERMIT NUMBER
MO0101184

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: 1317216515748

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110017980443

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
JEFFERY THORNE
 DIRECTOR - COMPLIANCE
 Electronic
 29-JUN-18

Section 4. Facility Identification

TRI Facility ID: 63630BCKMNHIGHW

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
BUCKMAN LABORATORIES INC.
 14664 E STATE HWY 47
 CADET
 WASHINGTON
 MO
 63630

BIA Tribal Code Tribe
NO DATA
 NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
BUCKMAN LABORATORIES INC.
 14664 E STATE HWY 47
 CADET
 MO
 63630

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
SCOTT A. LAMB
 5734388117

4.5 NAICS Codes

NAICS CODE PRIMARY NAICS CODE DESCRIPTION
325998
 YES
 All Other Miscellaneous Chemical Product and Preparation Manufacturing

4.7 Dun Numbers

DUNS NUMBER
007023658

5. Parent Company Information

Parent Company Name: BUCKMAN LABORATORIES INC

Parent Company DUNS Number: NA

PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1317216515748

Section 1. Toxic Chemical Identity

1.1 CAS Number: 79-06-1       PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Acrylamide

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: YES
Formulation Component: NO
Article Component: NO
Repackaging: NO
Impurity: NO
Recycling:

3.3 Otherwise Use the Toxic Chemical:

Chemical Processing Aid: NO
Manufacturing Aid: NO
Ancillary or Other Use: NO

Section 4. Maximum Amount of the Toxic Chemical Onsite During the Calendar Year

Maximum Chemical Amount: 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
YES


5.2 Stack or Point Air Emissions

NA TOTAL RELEASE (per year) UNIT OF MEASURE BASIS OF ESTIMATE
YES


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

RCRA Number:

Parent Company Controlled:

Name:

Address:

City:

State:

County:

Zip Code:

Country Code (Non - US):

Province:

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

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

7A.1a. Waste Stream: NA
7A.1b.
 WASTE TREATMENT METHOD(S) SEQUENCE
1
 NO DATA
7A.1d. Waste Treatment Efficiency Estimate:

Section 7B. On-Site Energy Recovery Processes

ON SITE ENERGY RECOVERY PROCESSES
NA

Section 7C. On-Site Recycling Processes

ON SITE RECYCLING PROCESSES
NA

Section 8. Source Reduction and Recycling Activities

SECTION
 TYPE OF QUANTITY UNITS PRIOR YEAR CURRENT REPORTING YEAR FOLLOWING YEAR SECOND FOLLOWING YEAR
8.1a
 Total on-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills
NA
 NA
 NA
 NA
8.1b
 Total other on-site disposal or other releases
NA
 NA
 NA
 NA
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

NA
 NA
 NA
 NA
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

NA
 NA
 NA
 NA

8.8 One-Time Event Release: NA

8.9 Production Ratio   or   Activity Ratio : 1

8.10 Source Reduction Activities

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



8.11 Additional Data Indicator: NO

No Data Found

PART I. FACILITY IDENTIFICATION INFORMATION (FORM A)

DOCUMENT CONTROL NUMBER: 1317216515751

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110017980443

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
JEFFERY THORNE
 DIRECTOR - COMPLIANCE
 Electronic
 29-JUN-18

Section 4. Facility Identification

TRI Facility ID: 63630BCKMNHIGHW

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
BUCKMAN LABORATORIES INC.
 14664 E STATE HWY 47
 CADET
 WASHINGTON
 MO
 63630

BIA Tribal Code Tribe
NO DATA
 NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
BUCKMAN LABORATORIES INC.
 14664 E STATE HWY 47
 CADET
 MO
 63630

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
SCOTT A. LAMB
 5734388117

4.5 NAICS Codes

NAICS CODE PRIMARY NAICS CODE DESCRIPTION
325998
 YES
 All Other Miscellaneous Chemical Product and Preparation Manufacturing

4.7 Dun Numbers

DUNS NUMBER
007023658

5. Parent Company Information

Parent Company Name: BUCKMAN LABORATORIES INC

Parent Company DUNS Number: NA

PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1317216515751

Section 1. Toxic Chemical Identity

1.1 CAS Number: 0007664417

1.2 Toxic Chemical or Chemical Category Name: Ammonia

1.3 Generic Chemical Name: NA

PART I. FACILITY IDENTIFICATION INFORMATION (FORM R)

DOCUMENT CONTROL NUMBER: 1317216515775

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110017980443

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
JEFFERY THORNE
 DIRECTOR - COMPLIANCE
 Electronic
 29-JUN-18

Section 4. Facility Identification

TRI Facility ID: 63630BCKMNHIGHW

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
BUCKMAN LABORATORIES INC.
 14664 E STATE HWY 47
 CADET
 WASHINGTON
 MO
 63630

BIA Tribal Code Tribe
NO DATA
 NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
BUCKMAN LABORATORIES INC.
 14664 E STATE HWY 47
 CADET
 MO
 63630

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
SCOTT A. LAMB
 5734388117

4.5 NAICS Codes

NAICS CODE PRIMARY NAICS CODE DESCRIPTION
325998
 YES
 All Other Miscellaneous Chemical Product and Preparation Manufacturing

4.7 Dun Numbers

DUNS NUMBER
007023658

5. Parent Company Information

Parent Company Name: BUCKMAN LABORATORIES INC

Parent Company DUNS Number: NA

PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1317216515775

Section 1. Toxic Chemical Identity

1.1 CAS Number: 75-15-0       PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Carbon disulfide

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: YES
Formulation Component: NO
Article Component: NO
Repackaging: NO
Impurity: NO
Recycling:

3.3 Otherwise Use the Toxic Chemical:

Chemical Processing Aid: NO
Manufacturing Aid: NO
Ancillary or Other Use: NO

Section 4. Maximum Amount of the Toxic Chemical Onsite During the Calendar Year

Maximum Chemical Amount: 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
 30
 Pounds
 E2 - Emission Factor, Site-specific

5.2 Stack or Point Air Emissions

NA TOTAL RELEASE (per year) UNIT OF MEASURE BASIS OF ESTIMATE
NO
 0
 Pounds
 E2 - Emission Factor, Site-specific

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

RCRA Number:

Parent Company Controlled:

Name:

Address:

City:

State:

County:

Zip Code:

Country Code (Non - US):

Province:

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

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

7A.1a. Waste Stream: NA
7A.1b.
 WASTE TREATMENT METHOD(S) SEQUENCE
1
 NO DATA
7A.1d. Waste Treatment Efficiency Estimate:

Section 7B. On-Site Energy Recovery Processes

ON SITE ENERGY RECOVERY PROCESSES
NA

Section 7C. On-Site Recycling Processes

ON SITE RECYCLING PROCESSES
NA

Section 8. Source Reduction and Recycling Activities

SECTION
 TYPE OF QUANTITY UNITS PRIOR YEAR CURRENT REPORTING YEAR FOLLOWING YEAR SECOND FOLLOWING YEAR
8.1a
 Total on-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills
NA
 NA
 NA
 NA
8.1b
 Total other on-site disposal or other releases
 Pounds
 28
 30
 30
 30
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

NA
 NA
 NA
 NA
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

NA
 NA
 NA
 NA

8.8 One-Time Event Release: NA

8.9 Production Ratio   or   Activity Ratio : 1

8.10 Source Reduction Activities

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



8.11 Additional Data Indicator: NO

No Data Found

PART I. FACILITY IDENTIFICATION INFORMATION (FORM R)

DOCUMENT CONTROL NUMBER: 1317216515787

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110017980443

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
JEFFERY THORNE
 DIRECTOR - COMPLIANCE
 Electronic
 29-JUN-18

Section 4. Facility Identification

TRI Facility ID: 63630BCKMNHIGHW

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
BUCKMAN LABORATORIES INC.
 14664 E STATE HWY 47
 CADET
 WASHINGTON
 MO
 63630

BIA Tribal Code Tribe
NO DATA
 NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
BUCKMAN LABORATORIES INC.
 14664 E STATE HWY 47
 CADET
 MO
 63630

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
SCOTT A. LAMB
 5734388117

4.5 NAICS Codes

NAICS CODE PRIMARY NAICS CODE DESCRIPTION
325998
 YES
 All Other Miscellaneous Chemical Product and Preparation Manufacturing

4.7 Dun Numbers

DUNS NUMBER
007023658

5. Parent Company Information

Parent Company Name: BUCKMAN LABORATORIES INC

Parent Company DUNS Number: NA

PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1317216515787

Section 1. Toxic Chemical Identity

1.1 CAS Number: 533-74-4       PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Dazomet

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: YES

 Import: NO

 On-Site Use/Processing: YES
Sale/Distribution: YES

 Byproduct: NO

 Impurity: NO

3.2 Process the Toxic Chemical:

Reactant: NO
Formulation Component: YES
Article Component: NO
Repackaging: YES
Impurity: NO
Recycling:

3.3 Otherwise Use the Toxic Chemical:

Chemical Processing Aid: NO
Manufacturing Aid: NO
Ancillary or Other Use: NO

Section 4. Maximum Amount of the Toxic Chemical Onsite During the Calendar Year

Maximum Chemical Amount: 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
 5
 Pounds
 O - Other Approaches

5.2 Stack or Point Air Emissions

NA TOTAL RELEASE (per year) UNIT OF MEASURE BASIS OF ESTIMATE
NO
 0
 Pounds
 O - Other Approaches

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
NO
 MILL CREEK
 07140104000161
 0
 Pounds
 M2 - Monitoring, Periodic/Random
 100

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: IND093219012

 Parent Company Controlled: NO
Name: HERITAGE ENVIRONMENTAL SERVICES LLC

 Address: 7901 W MORRIS ST
City: INDIANAPOLIS

 State: IN
County: MARION

 Zip Code: 46231
Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
 388
 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
 4
 5
 5
 5
8.1c
 Total off-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills
 Pounds
 0
 NA
 NA
 NA
8.1d
 Total other off-site disposal or other releases
 Pounds
 0
 NA
 NA
 NA
8.2
 Quantity Used for Energy Recovery Onsite

NA
 NA
 NA
 NA
8.3
 Quantity Used for Energy Recovery Offsite
Pounds
 13
 388
 50
 50
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
 0
 NA
 NA
 NA

8.8 One-Time Event Release: NA

8.9 Production Ratio   or   Activity Ratio : 1.2

8.10 Source Reduction Activities

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



8.11 Additional Data Indicator: NO

No Data Found

PART I. FACILITY IDENTIFICATION INFORMATION (FORM R)

DOCUMENT CONTROL NUMBER: 1317216515799

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110017980443

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
JEFFERY THORNE
 DIRECTOR - COMPLIANCE
 Electronic
 29-JUN-18

Section 4. Facility Identification

TRI Facility ID: 63630BCKMNHIGHW

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
BUCKMAN LABORATORIES INC.
 14664 E STATE HWY 47
 CADET
 WASHINGTON
 MO
 63630

BIA Tribal Code Tribe
NO DATA
 NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
BUCKMAN LABORATORIES INC.
 14664 E STATE HWY 47
 CADET
 MO
 63630

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
SCOTT A. LAMB
 5734388117

4.5 NAICS Codes

NAICS CODE PRIMARY NAICS CODE DESCRIPTION
325998
 YES
 All Other Miscellaneous Chemical Product and Preparation Manufacturing

4.7 Dun Numbers

DUNS NUMBER
007023658

5. Parent Company Information

Parent Company Name: BUCKMAN LABORATORIES INC

Parent Company DUNS Number: NA

PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1317216515799

Section 1. Toxic Chemical Identity

1.1 CAS Number: 77-78-1       PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Dimethyl sulfate

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: YES
Formulation Component: NO
Article Component: NO
Repackaging: NO
Impurity: NO
Recycling:

3.3 Otherwise Use the Toxic Chemical:

Chemical Processing Aid: NO
Manufacturing Aid: NO
Ancillary or Other Use: NO

Section 4. Maximum Amount of the Toxic Chemical Onsite During the Calendar Year

Maximum Chemical Amount: 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
 E2 - Emission Factor, Site-specific

5.2 Stack or Point Air Emissions

NA TOTAL RELEASE (per year) UNIT OF MEASURE BASIS OF ESTIMATE
NO
 0
 Pounds
 E2 - Emission Factor, Site-specific

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

RCRA Number:

Parent Company Controlled:

Name:

Address:

City:

State:

County:

Zip Code:

Country Code (Non - US):

Province:

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

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

7A.1a. Waste Stream: NA
7A.1b.
 WASTE TREATMENT METHOD(S) SEQUENCE
1
 NO DATA
7A.1d. Waste Treatment Efficiency Estimate:

Section 7B. On-Site Energy Recovery Processes

ON SITE ENERGY RECOVERY PROCESSES
NA

Section 7C. On-Site Recycling Processes

ON SITE RECYCLING PROCESSES
NA

Section 8. Source Reduction and Recycling Activities

SECTION
 TYPE OF QUANTITY UNITS PRIOR YEAR CURRENT REPORTING YEAR FOLLOWING YEAR SECOND FOLLOWING YEAR
8.1a
 Total on-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills
NA
 NA
 NA
 NA
8.1b
 Total other on-site disposal or other releases
 Pounds
 0
 0
 0
 0
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

NA
 NA
 NA
 NA
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

NA
 NA
 NA
 NA

8.8 One-Time Event Release: NA

8.9 Production Ratio   or   Activity Ratio : 1

8.10 Source Reduction Activities

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



8.11 Additional Data Indicator: NO

No Data Found

PART I. FACILITY IDENTIFICATION INFORMATION (FORM R)

DOCUMENT CONTROL NUMBER: 1317216515801

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110017980443

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
JEFFERY THORNE
 DIRECTOR - COMPLIANCE
 Electronic
 29-JUN-18

Section 4. Facility Identification

TRI Facility ID: 63630BCKMNHIGHW

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
BUCKMAN LABORATORIES INC.
 14664 E STATE HWY 47
 CADET
 WASHINGTON
 MO
 63630

BIA Tribal Code Tribe
NO DATA
 NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
BUCKMAN LABORATORIES INC.
 14664 E STATE HWY 47
 CADET
 MO
 63630

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
SCOTT A. LAMB
 5734388117

4.5 NAICS Codes

NAICS CODE PRIMARY NAICS CODE DESCRIPTION
325998
 YES
 All Other Miscellaneous Chemical Product and Preparation Manufacturing

4.7 Dun Numbers

DUNS NUMBER
007023658

5. Parent Company Information

Parent Company Name: BUCKMAN LABORATORIES INC

Parent Company DUNS Number: NA

PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1317216515801

Section 1. Toxic Chemical Identity

1.1 CAS Number: 124-40-3       PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Dimethylamine

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: YES
Formulation Component: NO
Article Component: NO
Repackaging: NO
Impurity: NO
Recycling:

3.3 Otherwise Use the Toxic Chemical:

Chemical Processing Aid: NO
Manufacturing Aid: NO
Ancillary or Other Use: NO

Section 4. Maximum Amount of the Toxic Chemical Onsite During the Calendar Year

Maximum Chemical Amount: 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
 180
 Pounds
 E2 - Emission Factor, Site-specific

5.2 Stack or Point Air Emissions

NA TOTAL RELEASE (per year) UNIT OF MEASURE BASIS OF ESTIMATE
NO
 39
 Pounds
 E2 - Emission Factor, Site-specific

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

RCRA Number:

Parent Company Controlled:

Name:

Address:

City:

State:

County:

Zip Code:

Country Code (Non - US):

Province:

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

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

7A.1a. Waste Stream: 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 50% but less than or equal to 95%

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
 187
 219
 200
 200
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

NA
 NA
 NA
 NA
8.4
 Quantity Recycled Onsite

NA
 NA
 NA
 NA
8.5
 Quantity Recycled Offsite

NA
 NA
 NA
 NA
8.6
 Quantity Treated Onsite
Pounds
 340
 395
 350
 350
8.7
 Quantity Treated Offsite

NA
 NA
 NA
 NA

8.8 One-Time Event Release: NA

8.9 Production Ratio   or   Activity Ratio : 1.1

8.10 Source Reduction Activities

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



8.11 Additional Data Indicator: NO

No Data Found

PART I. FACILITY IDENTIFICATION INFORMATION (FORM R)

DOCUMENT CONTROL NUMBER: 1317216515813

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110017980443

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
JEFFERY THORNE
 DIRECTOR - COMPLIANCE
 Electronic
 29-JUN-18

Section 4. Facility Identification

TRI Facility ID: 63630BCKMNHIGHW

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
BUCKMAN LABORATORIES INC.
 14664 E STATE HWY 47
 CADET
 WASHINGTON
 MO
 63630

BIA Tribal Code Tribe
NO DATA
 NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
BUCKMAN LABORATORIES INC.
 14664 E STATE HWY 47
 CADET
 MO
 63630

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
SCOTT A. LAMB
 5734388117

4.5 NAICS Codes

NAICS CODE PRIMARY NAICS CODE DESCRIPTION
325998
 YES
 All Other Miscellaneous Chemical Product and Preparation Manufacturing

4.7 Dun Numbers

DUNS NUMBER
007023658

5. Parent Company Information

Parent Company Name: BUCKMAN LABORATORIES INC

Parent Company DUNS Number: NA

PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1317216515813

Section 1. Toxic Chemical Identity

1.1 CAS Number: 106-89-8       PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Epichlorohydrin

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: YES
Formulation Component: NO
Article Component: NO
Repackaging: YES
Impurity: NO
Recycling:

3.3 Otherwise Use the Toxic Chemical:

Chemical Processing Aid: NO
Manufacturing Aid: NO
Ancillary or Other Use: NO

Section 4. Maximum Amount of the Toxic Chemical Onsite During the Calendar Year

Maximum Chemical Amount: 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
 7
 Pounds
 E2 - Emission Factor, Site-specific

5.2 Stack or Point Air Emissions

NA TOTAL RELEASE (per year) UNIT OF MEASURE BASIS OF ESTIMATE
NO
 4
 Pounds
 E2 - Emission Factor, Site-specific

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

RCRA Number:

Parent Company Controlled:

Name:

Address:

City:

State:

County:

Zip Code:

Country Code (Non - US):

Province:

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

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

7A.1a. Waste Stream: 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 50% but less than or equal to 95%

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
 13
 11
 10
 10
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

NA
 NA
 NA
 NA
8.4
 Quantity Recycled Onsite

NA
 NA
 NA
 NA
8.5
 Quantity Recycled Offsite

NA
 NA
 NA
 NA
8.6
 Quantity Treated Onsite
Pounds
 47
 39
 40
 40
8.7
 Quantity Treated Offsite

NA
 NA
 NA
 NA

8.8 One-Time Event Release: NA

8.9 Production Ratio   or   Activity Ratio : 1

8.10 Source Reduction Activities

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



8.11 Additional Data Indicator: NO

No Data Found

PART I. FACILITY IDENTIFICATION INFORMATION (FORM R)

DOCUMENT CONTROL NUMBER: 1317216515825

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110017980443

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
JEFFERY THORNE
 DIRECTOR - COMPLIANCE
 Electronic
 29-JUN-18

Section 4. Facility Identification

TRI Facility ID: 63630BCKMNHIGHW

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
BUCKMAN LABORATORIES INC.
 14664 E STATE HWY 47
 CADET
 WASHINGTON
 MO
 63630

BIA Tribal Code Tribe
NO DATA
 NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
BUCKMAN LABORATORIES INC.
 14664 E STATE HWY 47
 CADET
 MO
 63630

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
SCOTT A. LAMB
 5734388117

4.5 NAICS Codes

NAICS CODE PRIMARY NAICS CODE DESCRIPTION
325998
 YES
 All Other Miscellaneous Chemical Product and Preparation Manufacturing

4.7 Dun Numbers

DUNS NUMBER
007023658

5. Parent Company Information

Parent Company Name: BUCKMAN LABORATORIES INC

Parent Company DUNS Number: NA

PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1317216515825

Section 1. Toxic Chemical Identity

1.1 CAS Number: 50-00-0       PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Formaldehyde

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: YES
Formulation Component: NO
Article Component: NO
Repackaging: NO
Impurity: NO
Recycling:

3.3 Otherwise Use the Toxic Chemical:

Chemical Processing Aid: NO
Manufacturing Aid: NO
Ancillary or Other Use: NO

Section 4. Maximum Amount of the Toxic Chemical Onsite During the Calendar Year

Maximum Chemical Amount: 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
 50
 Pounds
 E2 - Emission Factor, Site-specific

5.2 Stack or Point Air Emissions

NA TOTAL RELEASE (per year) UNIT OF MEASURE BASIS OF ESTIMATE
NO
 4
 Pounds
 E2 - Emission Factor, Site-specific

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

RCRA Number:

Parent Company Controlled:

Name:

Address:

City:

State:

County:

Zip Code:

Country Code (Non - US):

Province:

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

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

7A.1a. Waste Stream: 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 50% but less than or equal to 95%

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
 54
 54
 55
 55
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

NA
 NA
 NA
 NA
8.4
 Quantity Recycled Onsite

NA
 NA
 NA
 NA
8.5
 Quantity Recycled Offsite

NA
 NA
 NA
 NA
8.6
 Quantity Treated Onsite
Pounds
 55
 46
 50
 50
8.7
 Quantity Treated Offsite

NA
 NA
 NA
 NA

8.8 One-Time Event Release: NA

8.9 Production Ratio   or   Activity Ratio : 1

8.10 Source Reduction Activities

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



8.11 Additional Data Indicator: NO

No Data Found

PART I. FACILITY IDENTIFICATION INFORMATION (FORM R)

DOCUMENT CONTROL NUMBER: 1317216515837

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110017980443

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
JEFFERY THORNE
 DIRECTOR - COMPLIANCE
 Electronic
 29-JUN-18

Section 4. Facility Identification

TRI Facility ID: 63630BCKMNHIGHW

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
BUCKMAN LABORATORIES INC.
 14664 E STATE HWY 47
 CADET
 WASHINGTON
 MO
 63630

BIA Tribal Code Tribe
NO DATA
 NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
BUCKMAN LABORATORIES INC.
 14664 E STATE HWY 47
 CADET
 MO
 63630

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
SCOTT A. LAMB
 5734388117

4.5 NAICS Codes

NAICS CODE PRIMARY NAICS CODE DESCRIPTION
325998
 YES
 All Other Miscellaneous Chemical Product and Preparation Manufacturing

4.7 Dun Numbers

DUNS NUMBER
007023658

5. Parent Company Information

Parent Company Name: BUCKMAN LABORATORIES INC

Parent Company DUNS Number: NA

PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1317216515837

Section 1. Toxic Chemical Identity

1.1 CAS Number: 137-42-8       PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Metham sodium

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: YES

 Import: NO

 On-Site Use/Processing: YES
Sale/Distribution: YES

 Byproduct: NO

 Impurity: NO

3.2 Process the Toxic Chemical:

Reactant: NO
Formulation Component: YES
Article Component: NO
Repackaging: YES
Impurity: NO
Recycling:

3.3 Otherwise Use the Toxic Chemical:

Chemical Processing Aid: NO
Manufacturing Aid: NO
Ancillary or Other Use: NO

Section 4. Maximum Amount of the Toxic Chemical Onsite During the Calendar Year

Maximum Chemical Amount: 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
 0
 Pounds
 O - Other Approaches

5.2 Stack or Point Air Emissions

NA TOTAL RELEASE (per year) UNIT OF MEASURE BASIS OF ESTIMATE
NO
 0
 Pounds
 O - Other Approaches

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
NO
 MILL CREEK
 07140104000161
 0
 Pounds
 M2 - Monitoring, Periodic/Random
 100

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: IND093219012

 Parent Company Controlled: NO
Name: HERITAGE ENVIRONMENTAL SERVICES LLC

 Address: 7901 W MORRIS ST
City: INDIANAPOLIS

 State: IN
County: MARION

 Zip Code: 46231
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
 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
 0
 0
 0
 0
8.1c
 Total off-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills
 Pounds
 0
 NA
 NA
 NA
8.1d
 Total other off-site disposal or other releases
 Pounds
 0
 NA
 NA
 NA
8.2
 Quantity Used for Energy Recovery Onsite

NA
 NA
 NA
 NA
8.3
 Quantity Used for Energy Recovery Offsite
Pounds
 58
 38
 40
 40
8.4
 Quantity Recycled Onsite

NA
 NA
 NA
 NA
8.5
 Quantity Recycled Offsite

NA
 NA
 NA
 NA
8.6
 Quantity Treated Onsite
Pounds
 0
 NA
 NA
 NA
8.7
 Quantity Treated Offsite
Pounds
 0
 NA
 NA
 NA

8.8 One-Time Event Release: NA

8.9 Production Ratio   or   Activity Ratio : 1

8.10 Source Reduction Activities

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



8.11 Additional Data Indicator: NO

No Data Found

PART I. FACILITY IDENTIFICATION INFORMATION (FORM A)

DOCUMENT CONTROL NUMBER: 1317216515849

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110017980443

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
JEFFERY THORNE
 DIRECTOR - COMPLIANCE
 Electronic
 29-JUN-18

Section 4. Facility Identification

TRI Facility ID: 63630BCKMNHIGHW

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
BUCKMAN LABORATORIES INC.
 14664 E STATE HWY 47
 CADET
 WASHINGTON
 MO
 63630

BIA Tribal Code Tribe
NO DATA
 NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
BUCKMAN LABORATORIES INC.
 14664 E STATE HWY 47
 CADET
 MO
 63630

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
SCOTT A. LAMB
 5734388117

4.5 NAICS Codes

NAICS CODE PRIMARY NAICS CODE DESCRIPTION
325998
 YES
 All Other Miscellaneous Chemical Product and Preparation Manufacturing

4.7 Dun Numbers

DUNS NUMBER
007023658

5. Parent Company Information

Parent Company Name: BUCKMAN LABORATORIES INC

Parent Company DUNS Number: NA

PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1317216515849

Section 1. Toxic Chemical Identity

1.1 CAS Number: 0010028156

1.2 Toxic Chemical or Chemical Category Name: Ozone

1.3 Generic Chemical Name: NA

PART I. FACILITY IDENTIFICATION INFORMATION (FORM R)

DOCUMENT CONTROL NUMBER: 1317216515852

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110017980443

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
JEFFERY THORNE
 DIRECTOR - COMPLIANCE
 Electronic
 29-JUN-18

Section 4. Facility Identification

TRI Facility ID: 63630BCKMNHIGHW

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
BUCKMAN LABORATORIES INC.
 14664 E STATE HWY 47
 CADET
 WASHINGTON
 MO
 63630

BIA Tribal Code Tribe
NO DATA
 NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
BUCKMAN LABORATORIES INC.
 14664 E STATE HWY 47
 CADET
 MO
 63630

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
SCOTT A. LAMB
 5734388117

4.5 NAICS Codes

NAICS CODE PRIMARY NAICS CODE DESCRIPTION
325998
 YES
 All Other Miscellaneous Chemical Product and Preparation Manufacturing

4.7 Dun Numbers

DUNS NUMBER
007023658

5. Parent Company Information

Parent Company Name: BUCKMAN LABORATORIES INC

Parent Company DUNS Number: NA

PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1317216515852

Section 1. Toxic Chemical Identity

1.1 CAS Number: 128-03-0       PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Potassium dimethyldithiocarbamate

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: YES

 Import: NO

 On-Site Use/Processing: YES
Sale/Distribution: YES

 Byproduct: NO

 Impurity: NO

3.2 Process the Toxic Chemical:

Reactant: NO
Formulation Component: YES
Article Component: NO
Repackaging: YES
Impurity: NO
Recycling:

3.3 Otherwise Use the Toxic Chemical:

Chemical Processing Aid: NO
Manufacturing Aid: NO
Ancillary or Other Use: NO

Section 4. Maximum Amount of the Toxic Chemical Onsite During the Calendar Year

Maximum Chemical Amount: 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
 0
 Pounds
 E2 - Emission Factor, Site-specific

5.2 Stack or Point Air Emissions

NA TOTAL RELEASE (per year) UNIT OF MEASURE BASIS OF ESTIMATE
NO
 0
 Pounds
 E2 - Emission Factor, Site-specific

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

RCRA Number:

Parent Company Controlled:

Name:

Address:

City:

State:

County:

Zip Code:

Country Code (Non - US):

Province:

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

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

7A.1a. Waste Stream: NA
7A.1b.
 WASTE TREATMENT METHOD(S) SEQUENCE
1
 NO DATA
7A.1d. Waste Treatment Efficiency Estimate:

Section 7B. On-Site Energy Recovery Processes

ON SITE ENERGY RECOVERY PROCESSES
NA

Section 7C. On-Site Recycling Processes

ON SITE RECYCLING PROCESSES
NA

Section 8. Source Reduction and Recycling Activities

SECTION
 TYPE OF QUANTITY UNITS PRIOR YEAR CURRENT REPORTING YEAR FOLLOWING YEAR SECOND FOLLOWING YEAR
8.1a
 Total on-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills
NA
 NA
 NA
 NA
8.1b
 Total other on-site disposal or other releases
 Pounds
 0
 0
 NA
 NA
8.1c
 Total off-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills
 Pounds
 0
 NA
 NA
 NA
8.1d
 Total other off-site disposal or other releases
 Pounds
 0
 NA
 NA
 NA
8.2
 Quantity Used for Energy Recovery Onsite

NA
 NA
 NA
 NA
8.3
 Quantity Used for Energy Recovery Offsite

NA
 NA
 NA
 NA
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
 0
 NA
 NA
 NA

8.8 One-Time Event Release: NA

8.9 Production Ratio   or   Activity Ratio : 1

8.10 Source Reduction Activities

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



8.11 Additional Data Indicator: NO

No Data Found

PART I. FACILITY IDENTIFICATION INFORMATION (FORM R)

DOCUMENT CONTROL NUMBER: 1317216515864

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110017980443

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
JEFFERY THORNE
 DIRECTOR - COMPLIANCE
 Electronic
 29-JUN-18

Section 4. Facility Identification

TRI Facility ID: 63630BCKMNHIGHW

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
BUCKMAN LABORATORIES INC.
 14664 E STATE HWY 47
 CADET
 WASHINGTON
 MO
 63630

BIA Tribal Code Tribe
NO DATA
 NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
BUCKMAN LABORATORIES INC.
 14664 E STATE HWY 47
 CADET
 MO
 63630

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
SCOTT A. LAMB
 5734388117

4.5 NAICS Codes

NAICS CODE PRIMARY NAICS CODE DESCRIPTION
325998
 YES
 All Other Miscellaneous Chemical Product and Preparation Manufacturing

4.7 Dun Numbers

DUNS NUMBER
007023658

5. Parent Company Information

Parent Company Name: BUCKMAN LABORATORIES INC

Parent Company DUNS Number: NA

PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1317216515864

Section 1. Toxic Chemical Identity

1.1 CAS Number: 137-41-7       PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Potassium N-methyldithiocarbamate

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: YES

 Import: NO

 On-Site Use/Processing: YES
Sale/Distribution: YES

 Byproduct: NO

 Impurity: NO

3.2 Process the Toxic Chemical:

Reactant: NO
Formulation Component: YES
Article Component: NO
Repackaging: NO
Impurity: NO
Recycling:

3.3 Otherwise Use the Toxic Chemical:

Chemical Processing Aid: NO
Manufacturing Aid: NO
Ancillary or Other Use: NO

Section 4. Maximum Amount of the Toxic Chemical Onsite During the Calendar Year

Maximum Chemical Amount: 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
 0
 Pounds
 C - Mass Balance Calculations

5.2 Stack or Point Air Emissions

NA TOTAL RELEASE (per year) UNIT OF MEASURE BASIS OF ESTIMATE
NO
 0
 Pounds
 O - Other Approaches

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

RCRA Number:

Parent Company Controlled:

Name:

Address:

City:

State:

County:

Zip Code:

Country Code (Non - US):

Province:

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

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

7A.1a. Waste Stream: NA
7A.1b.
 WASTE TREATMENT METHOD(S) SEQUENCE
1
 NO DATA
7A.1d. Waste Treatment Efficiency Estimate:

Section 7B. On-Site Energy Recovery Processes

ON SITE ENERGY RECOVERY PROCESSES
NA

Section 7C. On-Site Recycling Processes

ON SITE RECYCLING PROCESSES
NA

Section 8. Source Reduction and Recycling Activities

SECTION
 TYPE OF QUANTITY UNITS PRIOR YEAR CURRENT REPORTING YEAR FOLLOWING YEAR SECOND FOLLOWING YEAR
8.1a
 Total on-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills
NA
 NA
 NA
 NA
8.1b
 Total other on-site disposal or other releases
 Pounds
 0
 0
 NA
 NA
8.1c
 Total off-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills
 Pounds
 0
 NA
 NA
 NA
8.1d
 Total other off-site disposal or other releases
 Pounds
 0
 NA
 NA
 NA
8.2
 Quantity Used for Energy Recovery Onsite

NA
 NA
 NA
 NA
8.3
 Quantity Used for Energy Recovery Offsite

NA
 NA
 NA
 NA
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
 0
 NA
 NA
 NA

8.8 One-Time Event Release: NA

8.9 Production Ratio   or   Activity Ratio : 1

8.10 Source Reduction Activities

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



8.11 Additional Data Indicator: NO

No Data Found

PART I. FACILITY IDENTIFICATION INFORMATION (FORM R)

DOCUMENT CONTROL NUMBER: 1317216515876

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110017980443

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
JEFFERY THORNE
 DIRECTOR - COMPLIANCE
 Electronic
 29-JUN-18

Section 4. Facility Identification

TRI Facility ID: 63630BCKMNHIGHW

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
BUCKMAN LABORATORIES INC.
 14664 E STATE HWY 47
 CADET
 WASHINGTON
 MO
 63630

BIA Tribal Code Tribe
NO DATA
 NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
BUCKMAN LABORATORIES INC.
 14664 E STATE HWY 47
 CADET
 MO
 63630

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
SCOTT A. LAMB
 5734388117

4.5 NAICS Codes

NAICS CODE PRIMARY NAICS CODE DESCRIPTION
325998
 YES
 All Other Miscellaneous Chemical Product and Preparation Manufacturing

4.7 Dun Numbers

DUNS NUMBER
007023658

5. Parent Company Information

Parent Company Name: BUCKMAN LABORATORIES INC

Parent Company DUNS Number: NA

PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1317216515876

Section 1. Toxic Chemical Identity

1.1 CAS Number: 128-04-1       PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Sodium dimethyldithiocarbamate

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: YES

 Import: NO

 On-Site Use/Processing: YES
Sale/Distribution: YES

 Byproduct: NO

 Impurity: NO

3.2 Process the Toxic Chemical:

Reactant: NO
Formulation Component: YES
Article Component: NO
Repackaging: YES
Impurity: NO
Recycling:

3.3 Otherwise Use the Toxic Chemical:

Chemical Processing Aid: NO
Manufacturing Aid: NO
Ancillary or Other Use: NO

Section 4. Maximum Amount of the Toxic Chemical Onsite During the Calendar Year

Maximum Chemical Amount: 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
 0
 Pounds
 O - Other Approaches

5.2 Stack or Point Air Emissions

NA TOTAL RELEASE (per year) UNIT OF MEASURE BASIS OF ESTIMATE
NO
 0
 Pounds
 O - Other Approaches

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

RCRA Number:

Parent Company Controlled:

Name:

Address:

City:

State:

County:

Zip Code:

Country Code (Non - US):

Province:

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

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

7A.1a. Waste Stream: NA
7A.1b.
 WASTE TREATMENT METHOD(S) SEQUENCE
1
 NO DATA
7A.1d. Waste Treatment Efficiency Estimate:

Section 7B. On-Site Energy Recovery Processes

ON SITE ENERGY RECOVERY PROCESSES
NA

Section 7C. On-Site Recycling Processes

ON SITE RECYCLING PROCESSES
NA

Section 8. Source Reduction and Recycling Activities

SECTION
 TYPE OF QUANTITY UNITS PRIOR YEAR CURRENT REPORTING YEAR FOLLOWING YEAR SECOND FOLLOWING YEAR
8.1a
 Total on-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills
NA
 NA
 NA
 NA
8.1b
 Total other on-site disposal or other releases
 Pounds
 0
 0
 NA
 NA
8.1c
 Total off-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills
 Pounds
 0
 NA
 NA
 NA
8.1d
 Total other off-site disposal or other releases
 Pounds
 0
 NA
 NA
 NA
8.2
 Quantity Used for Energy Recovery Onsite

NA
 NA
 NA
 NA
8.3
 Quantity Used for Energy Recovery Offsite

NA
 NA
 NA
 NA
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
 0
 NA
 NA
 NA

8.8 One-Time Event Release: NA

8.9 Production Ratio   or   Activity Ratio : 1

8.10 Source Reduction Activities

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



8.11 Additional Data Indicator: NO

No Data Found

PART I. FACILITY IDENTIFICATION INFORMATION (FORM R)

DOCUMENT CONTROL NUMBER: 1317218608166

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110017980443

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
SHAWN KING
 DIRECTOR OF CADET MANUFACTURING
 Electronic
 24-MAR-21

Section 4. Facility Identification

TRI Facility ID: 63630BCKMNHIGHW

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
BUCKMAN LABORATORIES INC.
 14664 E STATE HWY 47
 CADET
 WASHINGTON
 MO
 63630

BIA Tribal Code Tribe
NO DATA
 NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
BUCKMAN LABORATORIES INC.
 14664 E STATE HWY 47
 CADET
 MO
 63630

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
SCOTT A. LAMB
 5734388117

4.5 NAICS Codes

NAICS CODE PRIMARY NAICS CODE DESCRIPTION
325998
 YES
 All Other Miscellaneous Chemical Product and Preparation Manufacturing

4.7 Dun Numbers

DUNS NUMBER
007023658

5. Parent Company Information

Parent Company Name: BUCKMAN LABORATORIES INC

Parent Company DUNS Number: NA

PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1317218608166

Section 1. Toxic Chemical Identity

1.1 CAS Number: 111-44-4       PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Bis(2-chloroethyl) ether

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: YES

 Import: NO

 On-Site Use/Processing: YES
Sale/Distribution: YES

 Byproduct: NO

 Impurity: NO

3.2 Process the Toxic Chemical:

Reactant: YES
Formulation Component: NO
Article Component: NO
Repackaging: YES
Impurity: NO
Recycling: NO

3.3 Otherwise Use the Toxic Chemical:

Chemical Processing Aid: NO
Manufacturing Aid: NO
Ancillary or Other Use: NO

Section 4. Maximum Amount of the Toxic Chemical Onsite During the Calendar Year

Maximum Chemical Amount: 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
 40
 Pounds
 E2 - Emission Factor, Site-specific

5.2 Stack or Point Air Emissions

NA TOTAL RELEASE (per year) UNIT OF MEASURE BASIS OF ESTIMATE
NO
 22
 Pounds
 E2 - Emission Factor, Site-specific

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
NO
 MILL CREEK
 07140104000161
 1
 Pounds
 C - Mass Balance Calculations
 100

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: BISSEL POINT WWTP ST LOUIS MSD ADDRESS: 10 E GRAND BLVD
CITY: SAINT LOUIS STATE: MO
COUNTY: ST LOUIS (CITY) ZIP CODE: 631472913
TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE
0
 Pounds
 M2 - Monitoring, Periodic/Random

6.2 Transfers to other Off-Site Locations

2 RCRA Number: IND093219012

 Parent Company Controlled: NO
Name: HERITAGE ENVIRONMENTAL SERVICES LLC

 Address: 7901 W MORRIS ST
City: INDIANAPOLIS

 State: IN
County: MARION

 Zip Code: 46231
Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
 9207
 Pounds
 C - Mass Balance Calculations
 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 50% but less than or equal to 95%

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
 35
 63
 50
 50
8.1c
 Total off-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills
 Pounds
 0
 0
 0
 0
8.1d
 Total other off-site disposal or other releases
 Pounds
 0
 0
 0
 0
8.2
 Quantity Used for Energy Recovery Onsite
Pounds
 NA
 NA
 0
 0
8.3
 Quantity Used for Energy Recovery Offsite
Pounds
 4420
 9207
 6000
 6000
8.4
 Quantity Recycled Onsite
Pounds
 NA
 NA
 0
 0
8.5
 Quantity Recycled Offsite

NA
 NA
 NA
 NA
8.6
 Quantity Treated Onsite
Pounds
 169
 221
 200
 200
8.7
 Quantity Treated Offsite
Pounds
 0
 0
 0
 0

8.8 One-Time Event Release: NA

8.9 Production Ratio   or   Activity Ratio : 1.5

8.10 Source Reduction Activities

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



8.11 Additional Data Indicator: NO

No Data Found

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

COMMENT TYPE DESCRIPTION COMMENT TEXT
REV Reason for Revision Correction of destination POTW address:Address should be BISSEL POINT WWTP ST LOUIS MSD, 10 E GRAND BLVD, SAINT LOUIS, MO 63417. POTW selection based on the large volume of wastewater shipped. The POTW located 3.9 miles away is not large enough to process the wastewater volumes shipped from our facility.
DQA98 Change in the total quantity of production-related waste This change in release totals was expected.

PART I. FACILITY IDENTIFICATION INFORMATION (FORM R)

DOCUMENT CONTROL NUMBER: 1317218608192

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110017980443

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
SHAWN KING
 DIRECTOR OF CADET MANUFACTURING
 Electronic
 24-MAR-21

Section 4. Facility Identification

TRI Facility ID: 63630BCKMNHIGHW

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
BUCKMAN LABORATORIES INC.
 14664 E STATE HWY 47
 CADET
 WASHINGTON
 MO
 63630

BIA Tribal Code Tribe
NO DATA
 NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
BUCKMAN LABORATORIES INC.
 14664 E STATE HWY 47
 CADET
 MO
 63630

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
SCOTT A. LAMB
 5734388117

4.5 NAICS Codes

NAICS CODE PRIMARY NAICS CODE DESCRIPTION
325998
 YES
 All Other Miscellaneous Chemical Product and Preparation Manufacturing

4.7 Dun Numbers

DUNS NUMBER
007023658

5. Parent Company Information

Parent Company Name: BUCKMAN LABORATORIES INC

Parent Company DUNS Number: NA

PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1317218608192

Section 1. Toxic Chemical Identity

1.1 CAS Number: 75-09-2       PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Dichloromethane

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: YES
Formulation Component: NO
Article Component: NO
Repackaging: NO
Impurity: NO
Recycling: NO

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: 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
 10
 Pounds
 E2 - Emission Factor, Site-specific

5.2 Stack or Point Air Emissions

NA TOTAL RELEASE (per year) UNIT OF MEASURE BASIS OF ESTIMATE
NO
 10
 Pounds
 E2 - Emission Factor, Site-specific

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
NO
 MILL CREEK
 07140104000161
 0
 Pounds
 M2 - Monitoring, Periodic/Random
 100

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: BISSEL POINT WWTP ST LOUIS MSD ADDRESS: 10 E GRAND BLVD
CITY: SAINT LOUIS STATE: MO
COUNTY: ST LOUIS (CITY) ZIP CODE: 631472913
TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE
0
 Pounds
 M2 - Monitoring, Periodic/Random

6.2 Transfers to other Off-Site Locations

RCRA Number:

Parent Company Controlled:

Name:

Address:

City:

State:

County:

Zip Code:

Country Code (Non - US):

Province:

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

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

7A.1a. Waste Stream: NA
7A.1b.
 WASTE TREATMENT METHOD(S) SEQUENCE
1
 NO DATA
7A.1d. Waste Treatment Efficiency Estimate:

Section 7B. On-Site Energy Recovery Processes

ON SITE ENERGY RECOVERY PROCESSES
NA

Section 7C. On-Site Recycling Processes

ON SITE RECYCLING PROCESSES
NA

Section 8. Source Reduction and Recycling Activities

SECTION
 TYPE OF QUANTITY UNITS PRIOR YEAR CURRENT REPORTING YEAR FOLLOWING YEAR SECOND FOLLOWING YEAR
8.1a
 Total on-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills
NA
 NA
 NA
 NA
8.1b
 Total other on-site disposal or other releases
 Pounds
 NA
 20
 20
 20
8.1c
 Total off-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills
 Pounds
 NA
 0
 NA
 NA
8.1d
 Total other off-site disposal or other releases
 Pounds
 NA
 0
 NA
 NA
8.2
 Quantity Used for Energy Recovery Onsite

NA
 NA
 NA
 NA
8.3
 Quantity Used for Energy Recovery Offsite

NA
 NA
 NA
 NA
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
 0
 NA
 NA

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

No Data Found

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

COMMENT TYPE DESCRIPTION COMMENT TEXT
REV Reason for Revision Correction of destination POTW address:Address should be BISSEL POINT WWTP ST LOUIS MSD, 10 E GRAND BLVD, SAINT LOUIS, MO 63417. POTW selection based on the large volume of wastewater shipped. The POTW located 3.9 miles away is not large enough to process the wastewater volumes shipped from our facility.

PART I. FACILITY IDENTIFICATION INFORMATION (FORM R)

DOCUMENT CONTROL NUMBER: 1317218608230

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110017980443

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
SHAWN KING
 DIRECTOR OF CADET MANUFACTURING
 Electronic
 24-MAR-21

Section 4. Facility Identification

TRI Facility ID: 63630BCKMNHIGHW

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
BUCKMAN LABORATORIES INC.
 14664 E STATE HWY 47
 CADET
 WASHINGTON
 MO
 63630

BIA Tribal Code Tribe
NO DATA
 NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
BUCKMAN LABORATORIES INC.
 14664 E STATE HWY 47
 CADET
 MO
 63630

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
SCOTT A. LAMB
 5734388117

4.5 NAICS Codes

NAICS CODE PRIMARY NAICS CODE DESCRIPTION
325998
 YES
 All Other Miscellaneous Chemical Product and Preparation Manufacturing

4.7 Dun Numbers

DUNS NUMBER
007023658

5. Parent Company Information

Parent Company Name: BUCKMAN LABORATORIES INC

Parent Company DUNS Number: NA

PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1317218608230

Section 1. Toxic Chemical Identity

1.1 CAS Number: 107-06-2       PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: 1,2-Dichloroethane

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: YES
Formulation Component: NO
Article Component: NO
Repackaging: NO
Impurity: NO
Recycling: NO

3.3 Otherwise Use the Toxic Chemical:

Chemical Processing Aid: NO
Manufacturing Aid: NO
Ancillary or Other Use: NO

Section 4. Maximum Amount of the Toxic Chemical Onsite During the Calendar Year

Maximum Chemical Amount: 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
 60
 Pounds
 E2 - Emission Factor, Site-specific

5.2 Stack or Point Air Emissions

NA TOTAL RELEASE (per year) UNIT OF MEASURE BASIS OF ESTIMATE
NO
 108
 Pounds
 E2 - Emission Factor, Site-specific

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: BISSEL POINT WWTP ST LOUIS MSD ADDRESS: 10 E GRAND BLVD
CITY: SAINT LOUIS STATE: MO
COUNTY: ST LOUIS (CITY) ZIP CODE: 631472913
TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE
0
 Pounds
 M2 - Monitoring, Periodic/Random

6.2 Transfers to other Off-Site Locations

2 RCRA Number: IND093219012

 Parent Company Controlled: NO
Name: HERITAGE ENVIRONMENTAL SERVICES LLC

 Address: 7901 W MORRIS ST
City: INDIANAPOLIS

 State: IN
County: MARION

 Zip Code: 46231
Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
 1101
 Pounds
 C - Mass Balance Calculations
 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 50% but less than or equal to 95%

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
 108
 168
 150
 150
8.1c
 Total off-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills
 Pounds
 0
 0
 0
 0
8.1d
 Total other off-site disposal or other releases
 Pounds
 0
 0
 0
 0
8.2
 Quantity Used for Energy Recovery Onsite

NA
 NA
 NA
 NA
8.3
 Quantity Used for Energy Recovery Offsite
Pounds
 732
 1101
 1000
 1000
8.4
 Quantity Recycled Onsite

NA
 NA
 NA
 NA
8.5
 Quantity Recycled Offsite

NA
 NA
 NA
 NA
8.6
 Quantity Treated Onsite
Pounds
 852
 1100
 1000
 1000
8.7
 Quantity Treated Offsite
Pounds
 0
 0
 0
 0

8.8 One-Time Event Release: NA

8.9 Production Ratio   or   Activity Ratio : 1.2

8.10 Source Reduction Activities

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



8.11 Additional Data Indicator: NO

No Data Found

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

COMMENT TYPE DESCRIPTION COMMENT TEXT
REV Reason for Revision Correction of destination POTW address:Address should be BISSEL POINT WWTP ST LOUIS MSD, 10 E GRAND BLVD, SAINT LOUIS, MO 63417. POTW selection based on the large volume of wastewater shipped. The POTW located 3.9 miles away is not large enough to process the wastewater volumes shipped from our facility.

PART I. FACILITY IDENTIFICATION INFORMATION (FORM R)

DOCUMENT CONTROL NUMBER: 1317218608267

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110017980443

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
SHAWN KING
 DIRECTOR OF CADET MANUFACTURING
 Electronic
 24-MAR-21

Section 4. Facility Identification

TRI Facility ID: 63630BCKMNHIGHW

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
BUCKMAN LABORATORIES INC.
 14664 E STATE HWY 47
 CADET
 WASHINGTON
 MO
 63630

BIA Tribal Code Tribe
NO DATA
 NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
BUCKMAN LABORATORIES INC.
 14664 E STATE HWY 47
 CADET
 MO
 63630

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
SCOTT A. LAMB
 5734388117

4.5 NAICS Codes

NAICS CODE PRIMARY NAICS CODE DESCRIPTION
325998
 YES
 All Other Miscellaneous Chemical Product and Preparation Manufacturing

4.7 Dun Numbers

DUNS NUMBER
007023658

5. Parent Company Information

Parent Company Name: BUCKMAN LABORATORIES INC

Parent Company DUNS Number: NA

PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1317218608267

Section 1. Toxic Chemical Identity

1.1 CAS Number: 123-91-1       PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: 1,4-Dioxane

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: YES

 Import: NO

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

 Byproduct: YES

 Impurity: YES

3.2 Process the Toxic Chemical:

Reactant: NO
Formulation Component: NO
Article Component: NO
Repackaging: NO
Impurity: NO
Recycling: NO

3.3 Otherwise Use the Toxic Chemical:

Chemical Processing Aid: NO
Manufacturing Aid: NO
Ancillary or Other Use: NO

Section 4. Maximum Amount of the Toxic Chemical Onsite During the Calendar Year

Maximum Chemical Amount: 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
 5
 Pounds
 E2 - Emission Factor, Site-specific

5.2 Stack or Point Air Emissions

NA TOTAL RELEASE (per year) UNIT OF MEASURE BASIS OF ESTIMATE
NO
 11
 Pounds
 E2 - Emission Factor, Site-specific

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
NO
 MILL CREEK
 07140104000161
 0
 Pounds
 M2 - Monitoring, Periodic/Random
 100

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: BISSEL POINT WWTP ST LOUIS MSD ADDRESS: 10 E GRAND BLVD
CITY: SAINT LOUIS STATE: MO
COUNTY: ST LOUIS (CITY) ZIP CODE: 631472913
TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE
0
 Pounds
 M2 - Monitoring, Periodic/Random

6.2 Transfers to other Off-Site Locations

2 RCRA Number: IND093219012

 Parent Company Controlled: NO
Name: HERITAGE ENVIRONMENTAL SERVICES LLC

 Address: 7901 W MORRIS ST
City: INDIANAPOLIS

 State: IN
County: MARION

 Zip Code: 46231
Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
 2194
 Pounds
 C - Mass Balance Calculations
 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 50% but less than or equal to 95%

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
 10
 16
 12
 12
8.1c
 Total off-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills
 Pounds
 0
 0
 0
 0
8.1d
 Total other off-site disposal or other releases
 Pounds
 0
 0
 0
 0
8.2
 Quantity Used for Energy Recovery Onsite

NA
 NA
 NA
 NA
8.3
 Quantity Used for Energy Recovery Offsite
Pounds
 1584
 2194
 1600
 1600
8.4
 Quantity Recycled Onsite

NA
 NA
 NA
 NA
8.5
 Quantity Recycled Offsite

NA
 NA
 NA
 NA
8.6
 Quantity Treated Onsite
Pounds
 83
 108
 100
 100
8.7
 Quantity Treated Offsite
Pounds
 0
 0
 0
 0

8.8 One-Time Event Release: NA

8.9 Production Ratio   or   Activity Ratio : 1.2

8.10 Source Reduction Activities

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



8.11 Additional Data Indicator: NO

No Data Found

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

COMMENT TYPE DESCRIPTION COMMENT TEXT
REV Reason for Revision Correction of destination POTW address:Address should be BISSEL POINT WWTP ST LOUIS MSD, 10 E GRAND BLVD, SAINT LOUIS, MO 63417. POTW selection based on the large volume of wastewater shipped. The POTW located 3.9 miles away is not large enough to process the wastewater volumes shipped from our facility.