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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 41.588749 -87.627894 ADDRESS MATCHING-HOUSE NUMBER 50

RCRA ID NUMBER
ILR000205609

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: 1319217803105

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110067272383

Section 1. Reporting Year

Reporting Year: 2019

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
GEORGE EMERLE
VICE PRESIDENT
Electronic
02-JUN-20

Section 4. Facility Identification

TRI Facility ID: 6047WNDSTR41W16

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
INDUSTRIAL SPECIALTY CHEMICALS INC
410 W 169TH ST
SOUTH HOLLAND
COOK
IL
60473

BIA Tribal Code Tribe
NO DATA
NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
INDUSTRIAL SPECIALTY CHEMICALS INC
410 W 169TH ST
SOUTH HOLLAND
IL
60473

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
CHRIS DOOLEY
7083391313

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
113088082

5. Parent Company Information

Parent Company Name: No US Parent Company

Parent Company DUNS Number:


PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1319217803105

Section 1. Toxic Chemical Identity

1.1 CAS Number: N511

1.2 Toxic Chemical or Chemical Category Name: Nitrate compounds (water dissociable; reportable only when in aqueous solution)

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

Sub-Uses:
P201 Additives
Article Component: YES

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: METROPOLITAN WATER RECLAMATION ADDRESS: 400 EAST 130TH STREET
CITY: CHICAGO STATE: IL
COUNTY: COOK ZIP CODE: 606286932
POTW AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
8
Pounds
E1 - Emission Factor, Published
P36 - Other or Unknown Disposal
2
72
Pounds
E1 - Emission Factor, Published
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

NA
NA
NA
NA
8.1d
Total other off-site disposal or other releases
Pounds
64.4
8
80
80
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
72
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

COMMENT TYPE DESCRIPTION COMMENT TEXT
B8 B8 - A reduction does not appear to be technically feasible Nitrate compounds in solution do not respond to precipitation technology.

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

COMMENT TYPE DESCRIPTION COMMENT TEXT
PE110 Chemical specific warning Error Reviewed / No Comment.
CDR CDR Comment We add dry sodium nitrate to water solution forming dissociable nitrate compound in solution.
PRAI Production Ratio or Activity Index comment About 36 lbs. of nitrate compounds are waste based on 74,200 of dry sodium nitrate used during 2019.


PART I. FACILITY IDENTIFICATION INFORMATION (FORM R)

DOCUMENT CONTROL NUMBER: 1319217803143

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110067272383

Section 1. Reporting Year

Reporting Year: 2019

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
GEORGE EMERLE
VICE PRESIDENT
Electronic
02-JUN-20

Section 4. Facility Identification

TRI Facility ID: 6047WNDSTR41W16

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
INDUSTRIAL SPECIALTY CHEMICALS INC
410 W 169TH ST
SOUTH HOLLAND
COOK
IL
60473

BIA Tribal Code Tribe
NO DATA
NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
INDUSTRIAL SPECIALTY CHEMICALS INC
410 W 169TH ST
SOUTH HOLLAND
IL
60473

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
CHRIS DOOLEY
7083391313

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
113088082

5. Parent Company Information

Parent Company Name: No US Parent Company

Parent Company DUNS Number:


PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1319217803143

Section 1. Toxic Chemical Identity

1.1 CAS Number: 0007632000

1.2 Toxic Chemical or Chemical Category Name: Sodium nitrite

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: YES

Sub-Uses:
P201 Additives
Article Component: YES

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
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: METROPOLITAN WATER RECLAMATION ADDRESS: 400 EAST 130TH STREET
CITY: CHICAGO STATE: IL
COUNTY: COOK ZIP CODE: 606286932
POTW AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
100
Pounds
C - Mass Balance Calculations
P31 - Discharged to Other Activities

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
2.68
NA
NA
NA
8.1d
Total other off-site disposal or other releases
Pounds
131.32
100
100
100
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
W13 - IMPROVED MAINTENANCE SCHEDULING, RECORDKEEPING, OR PROCEDURES
T05 - EMPLOYEE RECOMMENDATION (INDEPENDENT OF A FORMAL COMPANY PROGRAM)
T04 - PARTICIPATIVE TEAM MANAGEMENT

R6 - greater than 0%, but less than 5%

8.11 Additional Data Indicator: NO

COMMENT TYPE DESCRIPTION COMMENT TEXT
B8 B8 - A reduction does not appear to be technically feasible Further reduction in source is not seen as achievable.
W13 Comment for a W code entered in the data Active program to prevent leaking valves. When dripping is observed, valves are scheduled for maintenance or replacement.

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

COMMENT TYPE DESCRIPTION COMMENT TEXT
PRAI Production Ratio or Activity Index comment Out of 284,500 lbs. of sodium nitrite formulated into finished products (corrosion inhibitors) in 2019, less than 100 lbs. of sodium nitrite were wasted.


PART I. FACILITY IDENTIFICATION INFORMATION (FORM R)

DOCUMENT CONTROL NUMBER: 1319217804285

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110067272383

Section 1. Reporting Year

Reporting Year: 2019

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
GEORGE EMERLE
VICE PRESIDENT
Electronic
02-JUN-20

Section 4. Facility Identification

TRI Facility ID: 6047WNDSTR41W16

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
INDUSTRIAL SPECIALTY CHEMICALS INC
410 W 169TH ST
SOUTH HOLLAND
COOK
IL
60473

BIA Tribal Code Tribe
NO DATA
NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
INDUSTRIAL SPECIALTY CHEMICALS INC
410 W 169TH ST
SOUTH HOLLAND
IL
60473

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
CHRIS DOOLEY
7083391313

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
113088082

5. Parent Company Information

Parent Company Name: No US Parent Company

Parent Company DUNS Number:


PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1319217804285

Section 1. Toxic Chemical Identity

1.1 CAS Number: 0000128041

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: 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: 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: 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: METROPOLITAN WATER RECLAMATION ADDRESS: 400 EAST 130TH STREET
CITY: CHICAGO STATE: IL
COUNTY: COOK ZIP CODE: 606286932
POTW AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
.03
Pounds
E1 - Emission Factor, Published
P33 - Sludge to Disposal
2
.84
Pounds
E1 - Emission Factor, Published
P36 - Other or Unknown Disposal
3
2.13
Pounds
E1 - Emission Factor, Published
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
NA
.03
.03
.03
8.1d
Total other off-site disposal or other releases
Pounds
NA
.84
.84
.84
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
2.13
2.13
2.13

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

COMMENT TYPE DESCRIPTION COMMENT TEXT
B8 B8 - A reduction does not appear to be technically feasible The small amount of this comes from washing the transfer valve when we repackage.

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

COMMENT TYPE DESCRIPTION COMMENT TEXT
PRAI Production Ratio or Activity Index comment The waste amount is 20 to 30 grams generated from washing the valve used in repackaging the product into smaller containers. The volume per year is calculated from the number of repackagings we do.


PART I. FACILITY IDENTIFICATION INFORMATION (FORM R)

DOCUMENT CONTROL NUMBER: 1319217804614

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110067272383

Section 1. Reporting Year

Reporting Year: 2019

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
GEORGE EMERLE
VICE PRESIDENT
Electronic
02-JUN-20

Section 4. Facility Identification

TRI Facility ID: 6047WNDSTR41W16

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
INDUSTRIAL SPECIALTY CHEMICALS INC
410 W 169TH ST
SOUTH HOLLAND
COOK
IL
60473

BIA Tribal Code Tribe
NO DATA
NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
INDUSTRIAL SPECIALTY CHEMICALS INC
410 W 169TH ST
SOUTH HOLLAND
IL
60473

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
CHRIS DOOLEY
7083391313

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
113088082

5. Parent Company Information

Parent Company Name: No US Parent Company

Parent Company DUNS Number:


PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1319217804614

Section 1. Toxic Chemical Identity

1.1 CAS Number: N535

1.2 Toxic Chemical or Chemical Category Name: Nonylphenol Ethoxylates

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: YES

Sub-Uses:
P207 Emulsifiers
Article Component: YES

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: METROPOLITAN WATER RECLAMATION ADDRESS: 400 EAST 130TH STREET
CITY: CHICAGO STATE: IL
COUNTY: COOK ZIP CODE: 606286932
POTW AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
.4
Pounds
E1 - Emission Factor, Published
P33 - Sludge to Disposal
2
7.6
Pounds
E1 - Emission Factor, Published
P36 - Other or Unknown Disposal
3
12
Pounds
E1 - Emission Factor, Published
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
NA
.4
.4
.4
8.1d
Total other off-site disposal or other releases
Pounds
NA
7.6
7.6
7.6
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
NA
12
12
12

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

COMMENT TYPE DESCRIPTION COMMENT TEXT
B8 B8 - A reduction does not appear to be technically feasible The material is water soluble and is used in formulating water based cleaners. Aftr production and packaging, the waste arise from rinsing the valve used for packaging.

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

COMMENT TYPE DESCRIPTION COMMENT TEXT
PRAI Production Ratio or Activity Index comment The amount wasted is from valve washing after production.