No Javascript

Form R

Report Error
Toxics Logo  TRI
TRI logo FORM R REPORTS



Go back

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

Reference Point/Description Latitude Longitude Collection Method Accuracy Value
N/A 44.8084 -92.94291 ADDRESS MATCHING-HOUSE NUMBER N/A

RCRA ID NUMBER
MNR000107573

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: 1318216884662

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110024421561

Section 1. Reporting Year

Reporting Year: 2018

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
RANDY COOK
ENVIRONMENTAL MANAGER
Electronic
14-JUN-19

Section 4. Facility Identification

TRI Facility ID: 55106DVNCC358PR

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
ADVANCE CORP
8200 97TH ST S
COTTAGE GROVE
WASHINGTON
MN
55016

BIA Tribal Code Tribe
NO DATA
NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
ADVANCE CORP
8200 97TH ST S
COTTAGE GROVE
MN
55016

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
DAN LORENZ
6517719297

4.5 NAICS Codes

NAICS CODE PRIMARY NAICS CODE DESCRIPTION
339950
YES
Sign Manufacturing

4.7 Dun Numbers

DUNS NUMBER
006188148

5. Parent Company Information

Parent Company Name: No US Parent Company

Parent Company DUNS Number:


PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1318216884662

Section 1. Toxic Chemical Identity

1.1 CAS Number: N511

1.2 Toxic Chemical or Chemical Category Name: NITRATE COMPOUNDS

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: NO

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: 1000 to 9999

Section 5. Quantity of the Toxic Chemical Entering each Environmental Medium Onsite

5.1 Fugitive or Non-Point Air Emissions

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



Optional Waste Rock Piles Information

Section 5.5 quantities include "waste rock piles": NO
Quantity of "waste rock piles" (pounds/year*):

*For Dioxin and Dioxin-like Compounds, report in grams/year

Section 6. Transfers of the Toxic Chemical in Wastes to Off-Site Locations

6.1 Discharges to Publicly Owned Treatment Works (POTWs)

1 - NAME: COTTAGE GROVE WASTEWATER TREATMENT PLANT ADDRESS: 9311 110TH STREET SOUTH
CITY: COTTAGE GROVE STATE: MN
COUNTY: WASHINGTON ZIP CODE: 55016
POTW AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
12143.6
Pounds
C - Mass Balance Calculations
P36 - Other or Unknown Disposal
2
109292.4
Pounds
C - Mass Balance Calculations
P39 - Experimental and Estimated Treatment 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
Pounds
0
NA
NA
NA
8.1d
Total other off-site disposal or other releases
Pounds
7762.8
12143.6
12143.6
12143.6
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
69865.2
109292.4
109292.4
109292.4

8.8 One-Time Event Release: NA

8.9 Production Ratio   or   Activity Ratio : 1.33

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
B7 No known substitutes or alternative technologies. Nothing more effective, technically or economically.

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

COMMENT TYPE DESCRIPTION COMMENT TEXT
PRAI Production Ratio or Activity Index comment ratio of 2018 filter cake to 2017 filter cake lbs
POTWCALC POTW Transfer Details Transfer amounts of this chemical to POTW COTTAGE GROVE WASTEWATER TREATMENT PLANT were determined using Table IV estimates.


PART I. FACILITY IDENTIFICATION INFORMATION (FORM R)

DOCUMENT CONTROL NUMBER: 1318216884674

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110024421561

Section 1. Reporting Year

Reporting Year: 2018

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
RANDY COOK
ENVIRONMENTAL MANAGER
Electronic
14-JUN-19

Section 4. Facility Identification

TRI Facility ID: 55106DVNCC358PR

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
ADVANCE CORP
8200 97TH ST S
COTTAGE GROVE
WASHINGTON
MN
55016

BIA Tribal Code Tribe
NO DATA
NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
ADVANCE CORP
8200 97TH ST S
COTTAGE GROVE
MN
55016

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
DAN LORENZ
6517719297

4.5 NAICS Codes

NAICS CODE PRIMARY NAICS CODE DESCRIPTION
339950
YES
Sign Manufacturing

4.7 Dun Numbers

DUNS NUMBER
006188148

5. Parent Company Information

Parent Company Name: No US Parent Company

Parent Company DUNS Number:


PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1318216884674

Section 1. Toxic Chemical Identity

1.1 CAS Number: 007697372

1.2 Toxic Chemical or Chemical Category Name: NITRIC ACID

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: NO

3.3 Otherwise Use the Toxic Chemical:

Chemical Processing Aid: NO

Manufacturing Aid: YES

Sub-Uses:
Z299 Other
Ancillary or Other Use: NO

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

Maximum Chemical Amount: 1000 to 9999

Section 5. Quantity of the Toxic Chemical Entering each Environmental Medium Onsite

5.1 Fugitive or Non-Point Air Emissions

NA TOTAL RELEASE (per year) UNIT OF MEASURE BASIS OF ESTIMATE
NO
1 - 10
Pounds
O - Other Approaches

5.2 Stack or Point Air Emissions

NA TOTAL RELEASE (per year) UNIT OF MEASURE BASIS OF ESTIMATE
NO
1 - 10
Pounds
C - Mass Balance Calculations

5.3 Discharges to Receiving Streams or Water Bodies

NA STREAM/WATER BODY NAME REACH Code TOTAL RELEASE (per year) UNIT OF MEASURE BASIS OF ESTIMATE % FROM STORMWATER
YES
NA





5.4-5.5 Disposal to Land Onsite

5.4.1 Underground Injection Onsite to Class I Wells.

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



5.4.2 Underground Injection Onsite to Class II-V Wells.

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



5.5 Disposal to Land Onsite

5.5.1A RCRA Subtitle C Landfills

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



5.5.1B Other Landfills

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



5.5.2 Land Treatment/Application Farming

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



5.5.3A RCRA Subtitle C Surface Impoundments

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



5.5.3B Other Surface Impoundments

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



5.5.4 Other Disposal

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



Optional Waste Rock Piles Information

Section 5.5 quantities include "waste rock piles": NO
Quantity of "waste rock piles" (pounds/year*):

*For Dioxin and Dioxin-like Compounds, report in grams/year

Section 6. Transfers of the Toxic Chemical in Wastes to Off-Site Locations

6.1 Discharges to Publicly Owned Treatment Works (POTWs)

1 - NAME: COTTAGE GROVE WASTEWATER TREATMENT PLANT ADDRESS: 9311 110TH STREET SOUTH
CITY: COTTAGE GROVE STATE: MN
COUNTY: WASHINGTON ZIP CODE: 55016
POTW AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
1 - 10
Pounds
C - Mass Balance Calculations
P30 - Discharged to Water Stream

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: WASTEWATER

7A.1b.
WASTE TREATMENT METHOD(S) SEQUENCE
1
H121 - Neutralization
7A.1d. Waste Treatment Efficiency Estimate: Greater than 99.9999%

7A.2a. Waste Stream: WASTEWATER

7A.2b.
WASTE TREATMENT METHOD(S) SEQUENCE
1
H121 - Neutralization
7A.2d. Waste Treatment Efficiency Estimate: Greater than 99.9999%

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
10
5
5
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
Pounds
NA
5
10
10
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
78880
115200
115200
115200
8.7
Quantity Treated Offsite

NA
NA
NA
NA

8.8 One-Time Event Release: NA

8.9 Production Ratio   or   Activity Ratio : 1.46

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
B7 No known substitutes or alternative technologies. Alternative neutralization chemicals less effective and more costly.