FORM R REPORTS

Reference Point/Description	Latitude	Longitude	Collection Method	Accuracy Value
ENTRANCE POINT OF A FACILITY OR STATION	42.003439	-71.459069	ADDRESS MATCHING-HOUSE NUMBER	50

RCRA ID NUMBER
RIR000501171

NPDES PERMIT NUMBER
RIR5AA010

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.

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PART I. FACILITY IDENTIFICATION INFORMATION (FORM R)

DOCUMENT CONTROL NUMBER: 1320219057407

Facility Registry System ID:  110070037152

Section 1. Reporting Year

Reporting Year: 2020

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
STEVEN SAULEN	DIRECTOR OF MANUFACTURING	Electronic	28-JUN-21

Section 4. Facility Identification

TRI Facility ID: 02864TFFNY300MA

4.1 Facility Name and Address.

Facility Information

NAME	STREET	CITY	COUNTY	STATE	ZIP CODE
TIFFANY & CO	300 MAPLE RIDGE DR	CUMBERLAND	PROVIDENCE	RI	02864

BIA Tribal Code	Tribe
NO DATA	NO DATA

Mailing Information

NAME	STREET	CITY	STATE	ZIP CODE
TIFFANY & CO	300 MAPLE RIDGE DR	CUMBERLAND	RI	02864

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
TIM LALONDE	4012880101

4.5 NAICS Codes

NAICS CODE	PRIMARY	NAICS CODE DESCRIPTION
339910	YES	Jewelry and Silverware Manufacturing

4.7 Dun Numbers

DUNS NUMBER
001211473

5. Parent Company Information

Parent Company Name: TIFFANY & CO

Parent Company DUNS Number: 001211473

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PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1320219057407

Section 1. Toxic Chemical Identity

1.1 CAS Number: 7440-22-4       PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Silver

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: 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
NO	1 - 10	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

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:	ADDRESS:
CITY:	STATE:
COUNTY:	ZIP CODE:

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

6.2 Transfers to other Off-Site Locations

1 RCRA Number: RID059735761	Parent Company Controlled: NO
Name: ADVANCED CHEMICAL COMPANY	Address: 105 BELLOWS ST
City: WARWICK	State: RI
County: KENT	Zip Code: 02888
Country Code (Non - US):	Province:

OFFSITE AMOUNT SEQUENCE	TOTAL TRANSFERS (per year)	UNIT OF MEASURE	BASIS OF ESTIMATE	WASTE MANAGEMENT TYPE
1	2891	Pounds	O - Other Approaches	M24 - Metals Recovery

2 RCRA Number: RIR000503326	Parent Company Controlled: NO
Name: G S M METALS INC	Address: 40 KENNEY DR
City: CRANSTON	State: RI
County: PROVIDENCE	Zip Code: 02920
Country Code (Non - US):	Province:

OFFSITE AMOUNT SEQUENCE	TOTAL TRANSFERS (per year)	UNIT OF MEASURE	BASIS OF ESTIMATE	WASTE MANAGEMENT TYPE
1	15340	Pounds	O - Other Approaches	M24 - Metals Recovery

3 RCRA Number: RID981886104	Parent Company Controlled: NO
Name: GANNON AND SCOTT INC.	Address: 33 KENNEY DRIVE
City: CRANSTON	State: RI
County: PROVIDENCE	Zip Code: 02920
Country Code (Non - US):	Province:

OFFSITE AMOUNT SEQUENCE	TOTAL TRANSFERS (per year)	UNIT OF MEASURE	BASIS OF ESTIMATE	WASTE MANAGEMENT TYPE
1	6368	Pounds	O - Other Approaches	M24 - Metals Recovery

4 RCRA Number: NJD000692194	Parent Company Controlled: NO
Name: JOHNSON MATTHEY INC	Address: 874 PINEY HOLW RD
City: WINSLOW	State: NJ
County: CAMDEN	Zip Code: 08095
Country Code (Non - US):	Province:

OFFSITE AMOUNT SEQUENCE	TOTAL TRANSFERS (per year)	UNIT OF MEASURE	BASIS OF ESTIMATE	WASTE MANAGEMENT TYPE
1	29	Pounds	O - Other Approaches	M24 - Metals 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	5	5	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		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	Pounds	28018.9	24628	24628	24628
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 : .78

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

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