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

Reference Point/Description Latitude Longitude Collection Method Accuracy Value
ENTRANCE POINT OF A FACILITY OR STATION 40.757251 -111.824055 ADDRESS MATCHING-HOUSE NUMBER 50

RCRA ID NUMBER
UT0000149534

NPDES PERMIT NUMBER
NO DATA

UIC ID NUMBER
NO DATA

To correct the FRS latitude, longitude or program ID values click on the "Report an Error" button in the top right corner of this page. Facilities wishing to correct other data elements with the FORM R or FORM A should refer to the related TRI-MEweb tutorial..
For more information, see Collection of Latitude, Longitude and Program ID Data Has Been Discontinued.



PART I. FACILITY IDENTIFICATION INFORMATION (FORM R)

DOCUMENT CONTROL NUMBER: 1317216560300

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110009506267

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
TIM RHEES
DIRECTOR OPERATIONAL SAFETY AMERICAS SLC
Electronic
02-JUL-18

Section 4. Facility Identification

TRI Facility ID: 84108WTSNL575CH

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
ACTAVIS LABORATORIES UT INC
575 577 579 CHIPETA WAY
SALT LAKE CITY
SALT LAKE
UT
84108

BIA Tribal Code Tribe
NO DATA
NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
ACTAVIS LABORATORIES UT INC
575, 577, 579 CHIPETA WAY
SALT LAKE CITY
UT
84108

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
DENISE BRADLEY
2155918974

4.5 NAICS Codes

NAICS CODE PRIMARY NAICS CODE DESCRIPTION
325412
YES
Pharmaceutical Preparation Manufacturing

4.7 Dun Numbers

DUNS NUMBER
840054118

5. Parent Company Information

Parent Company Name: TEVA PHARMACEUTICALS USA

Parent Company DUNS Number: 001627975


PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1317216560300

Section 1. Toxic Chemical Identity

1.1 CAS Number: N230

1.2 Toxic Chemical or Chemical Category Name: CERTAIN GLYCOL ETHERS

1.3 Generic Chemical Name: NA

1.4 Distribution of Each Member of the Dioxin and Dioxin like Compounds Category

NA 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
NO

















Section 2. Mixture Component Identity

2.1 Supplier Provided Generic Chemical Name: NA

Section 3. Activities and Uses of the Toxic Chemical

3.1 Manufacture the Toxic Chemical:

Produce: NO

Import: NO

On-Site Use/Processing: NO

Sale/Distribution: NO

Byproduct: NO

Impurity: NO

3.2 Process the Toxic Chemical:

Reactant: NO

Formulation Component: NO

Article Component: NO

Repackaging: NO

Impurity: NO

Recycling:

3.3 Otherwise Use the Toxic Chemical:

Chemical Processing Aid: NO

Manufacturing Aid: NO

Ancillary or Other Use: YES

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
174.46
Pounds
C - Mass Balance Calculations

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: SALT LAKE CITY ADDRESS: 1365 WEST 2600 NORTH
CITY: SALT LAKE CITY STATE: UT
COUNTY: SALT LAKE ZIP CODE: 84116
TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE
0
Pounds
O - Other Approaches

6.2 Transfers to other Off-Site Locations

2 RCRA Number: NVD980895338

Parent Company Controlled: NO

Name: 21ST CENTURY ENVIRONMENTAL MANAGEMENT OF NEVADA LLC

Address: 2095 NEWLANDS DRIVE E.

City: FERNLEY

State: NV

County: LYON

Zip Code: 89408

Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
68366
Pounds
C - Mass Balance Calculations
M92 - Transfer to Waste Broker-Energy Recovery

3 RCRA Number: UTD981552177

Parent Company Controlled: NO

Name: CLEAN HARBORS ARAGONITE LLC

Address: 11600 NORTH APTUS ROAD

City: GRANTSVILLE

State: UT

County: TOOELE

Zip Code: 84029

Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
14172
Pounds
C - Mass Balance Calculations
M50 - Incineration/Thermal Treatment

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

7A.1a. Waste Stream: NA

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

Section 7B. On-Site Energy Recovery Processes

ON SITE ENERGY RECOVERY PROCESSES
NA

Section 7C. On-Site Recycling Processes

ON SITE RECYCLING PROCESSES
NA

Section 8. Source Reduction and Recycling Activities

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

NA
NA
NA
NA
8.1b
Total other on-site disposal or other releases
Pounds
234
174.46
174.46
174.46
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
68682
68366
68366
68366
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
31216
14172
14172
14172

8.8 One-Time Event Release: NA

8.9 Production Ratio   or   Activity Ratio : .91

8.10 Source Reduction Activities

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




8.11 Additional Data Indicator: NO

COMMENT TYPE DESCRIPTION COMMENT TEXT
B6 Pollution prevention previously implemented - additional reduction does not appear technically or economically feasible. This chemical is primarily used for vessel cleaning and already has a very high capture rate.

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

COMMENT TYPE DESCRIPTION COMMENT TEXT
CALC Calculation Methods, e.g., Emission Factors The variable used to calculate production ratio is "Doses Manufactured"