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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 39.820003 -75.216459 INTERPOLATION-MAP 3

RCRA ID NUMBER
NJR000053314
NJD000692970

NPDES PERMIT NUMBER
NJ0033588
NJU054874

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: 1320218759759

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110000321107

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
MICHELANGELO CAVALLO
 PRESIDENT
 Electronic
 14-JUN-21

Section 4. Facility Identification

TRI Facility ID: 08066CPLYRMANTU

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
COIM USA INC
 286 MANTUA GROVE RD BUILDING # 1
 WEST DEPTFORD
 GLOUCESTER
 NJ
 08066

BIA Tribal Code Tribe
NO DATA
 NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
COIM USA INC
 286 MANTUA GROVE RD BUILDING # 1
 WEST DEPTFORD
 NJ
 08066

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
DAVE OLSEN
 8562248562

4.5 NAICS Codes

NAICS CODE PRIMARY NAICS CODE DESCRIPTION
325520
 YES
 Adhesive Manufacturing
325199
 NO
 All Other Basic Organic Chemical Manufacturing

4.7 Dun Numbers

DUNS NUMBER
102472029

5. Parent Company Information

Parent Company Name: COIM USA INC

Parent Company DUNS Number: 102472029

PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1320218759759

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: NO

 Import: NO

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

 Byproduct: NO

 Impurity: NO

3.2 Process the Toxic Chemical:

Reactant: YES
Sub-Uses:
P199 Other
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
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
 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: NYD986930543

 Parent Company Controlled: NO
Name: COVANTA NIAGARA LP

 Address: 100 ENERGY BLVD AT 56TH ST
City: NIAGARA FALLS

 State: NY
County: NIAGARA

 Zip Code: 14304
Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
 878
 Pounds
 O - Other Approaches
 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
 10
 10
 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

NA
 NA
 NA
 NA
8.7
 Quantity Treated Offsite
Pounds
 750
 878
 878
 878

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: 1320218759761

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110000321107

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
MICHELANGELO CAVALLO
 PRESIDENT
 Electronic
 14-JUN-21

Section 4. Facility Identification

TRI Facility ID: 08066CPLYRMANTU

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
COIM USA INC
 286 MANTUA GROVE RD BUILDING # 1
 WEST DEPTFORD
 GLOUCESTER
 NJ
 08066

BIA Tribal Code Tribe
NO DATA
 NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
COIM USA INC
 286 MANTUA GROVE RD BUILDING # 1
 WEST DEPTFORD
 NJ
 08066

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
DAVE OLSEN
 8562248562

4.5 NAICS Codes

NAICS CODE PRIMARY NAICS CODE DESCRIPTION
325520
 YES
 Adhesive Manufacturing
325199
 NO
 All Other Basic Organic Chemical Manufacturing

4.7 Dun Numbers

DUNS NUMBER
102472029

5. Parent Company Information

Parent Company Name: COIM USA INC

Parent Company DUNS Number: 102472029

PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1320218759761

Section 1. Toxic Chemical Identity

1.1 CAS Number: 98-88-4       PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Benzoyl chloride

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
Sub-Uses:
P102 Raw materials
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: 0 to 99

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: 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

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 R)

DOCUMENT CONTROL NUMBER: 1320218759773

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110000321107

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
MICHELANGELO CAVALLO
 PRESIDENT
 Electronic
 14-JUN-21

Section 4. Facility Identification

TRI Facility ID: 08066CPLYRMANTU

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
COIM USA INC
 286 MANTUA GROVE RD BUILDING # 1
 WEST DEPTFORD
 GLOUCESTER
 NJ
 08066

BIA Tribal Code Tribe
NO DATA
 NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
COIM USA INC
 286 MANTUA GROVE RD BUILDING # 1
 WEST DEPTFORD
 NJ
 08066

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
DAVE OLSEN
 8562248562

4.5 NAICS Codes

NAICS CODE PRIMARY NAICS CODE DESCRIPTION
325520
 YES
 Adhesive Manufacturing
325199
 NO
 All Other Basic Organic Chemical Manufacturing

4.7 Dun Numbers

DUNS NUMBER
102472029

5. Parent Company Information

Parent Company Name: COIM USA INC

Parent Company DUNS Number: 102472029

PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1320218759773

Section 1. Toxic Chemical Identity

1.1 CAS Number: N120       PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Diisocyanates

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
Sub-Uses:
P102 Raw materials
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
 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
 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: PAD067098822

 Parent Company Controlled: NO
Name: CYCLECHEM INC

 Address: 550 INDUSTRIAL DR
City: LEWISBERRY

 State: PA
County: YORK

 Zip Code: 17339
Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
 8446
 Pounds
 O - Other Approaches
 M40 - Solidification/Stabilization

2 RCRA Number: PAR000043026

 Parent Company Controlled: NO
Name: WASTE RECOVERY SOLUTIONS INC

 Address: 343 KING ST
City: MYERSTOWN

 State: PA
County: LEBANON

 Zip Code: 17042
Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
 63825
 Pounds
 O - Other Approaches
 M79 - Other Land Disposal

3 RCRA Number: OHD066060609

 Parent Company Controlled: NO
Name: CHEMTRON CORPORATION

 Address: 35850 SCHNEIDER CT
City: AVON

 State: OH
County: LORAIN

 Zip Code: 44011
Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
 4500
 Pounds
 O - Other Approaches
 M40 - Solidification/Stabilization

4 RCRA Number: OHD048415665

 Parent Company Controlled: NO
Name: ROSS INCINERATION SERVICES INC

 Address: 36790 GILES RD
City: GRAFTON

 State: OH
County: LORAIN

 Zip Code: 44044
Country Code (Non - US):

Province:

OFFSITE AMOUNT SEQUENCE TOTAL TRANSFERS (per year) UNIT OF MEASURE BASIS OF ESTIMATE WASTE MANAGEMENT TYPE
1
 1100
 Pounds
 O - Other Approaches
 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
 10
 10
 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
 Pounds
 72776
 63825
 63825
 63825
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
 14046
 14046
 14046

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: 1320218759785

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110000321107

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
MICHELANGELO CAVALLO
 PRESIDENT
 Electronic
 14-JUN-21

Section 4. Facility Identification

TRI Facility ID: 08066CPLYRMANTU

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
COIM USA INC
 286 MANTUA GROVE RD BUILDING # 1
 WEST DEPTFORD
 GLOUCESTER
 NJ
 08066

BIA Tribal Code Tribe
NO DATA
 NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
COIM USA INC
 286 MANTUA GROVE RD BUILDING # 1
 WEST DEPTFORD
 NJ
 08066

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
DAVE OLSEN
 8562248562

4.5 NAICS Codes

NAICS CODE PRIMARY NAICS CODE DESCRIPTION
325520
 YES
 Adhesive Manufacturing
325199
 NO
 All Other Basic Organic Chemical Manufacturing

4.7 Dun Numbers

DUNS NUMBER
102472029

5. Parent Company Information

Parent Company Name: COIM USA INC

Parent Company DUNS Number: 102472029

PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1320218759785

Section 1. Toxic Chemical Identity

1.1 CAS Number: 107-21-1       PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Ethylene glycol

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
Sub-Uses:
P102 Raw materials
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
 250
 Pounds
 O - Other Approaches

5.2 Stack or Point Air Emissions

NA TOTAL RELEASE (per year) UNIT OF MEASURE BASIS OF ESTIMATE
NO
 250
 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

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
 10
 500
 500
 500
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: 1320218759797

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110000321107

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
MICHELANGELO CAVALLO
 PRESIDENT
 Electronic
 14-JUN-21

Section 4. Facility Identification

TRI Facility ID: 08066CPLYRMANTU

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
COIM USA INC
 286 MANTUA GROVE RD BUILDING # 1
 WEST DEPTFORD
 GLOUCESTER
 NJ
 08066

BIA Tribal Code Tribe
NO DATA
 NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
COIM USA INC
 286 MANTUA GROVE RD BUILDING # 1
 WEST DEPTFORD
 NJ
 08066

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
DAVE OLSEN
 8562248562

4.5 NAICS Codes

NAICS CODE PRIMARY NAICS CODE DESCRIPTION
325520
 YES
 Adhesive Manufacturing
325199
 NO
 All Other Basic Organic Chemical Manufacturing

4.7 Dun Numbers

DUNS NUMBER
102472029

5. Parent Company Information

Parent Company Name: COIM USA INC

Parent Company DUNS Number: 102472029

PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1320218759797

Section 1. Toxic Chemical Identity

1.1 CAS Number: 108-10-1       PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Methyl isobutyl ketone

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:
P205 Solvents
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
 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
 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

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
 10
 10
 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

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: 1320218759809

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110000321107

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
MICHELANGELO CAVALLO
 PRESIDENT
 Electronic
 14-JUN-21

Section 4. Facility Identification

TRI Facility ID: 08066CPLYRMANTU

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
COIM USA INC
 286 MANTUA GROVE RD BUILDING # 1
 WEST DEPTFORD
 GLOUCESTER
 NJ
 08066

BIA Tribal Code Tribe
NO DATA
 NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
COIM USA INC
 286 MANTUA GROVE RD BUILDING # 1
 WEST DEPTFORD
 NJ
 08066

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
DAVE OLSEN
 8562248562

4.5 NAICS Codes

NAICS CODE PRIMARY NAICS CODE DESCRIPTION
325520
 YES
 Adhesive Manufacturing
325199
 NO
 All Other Basic Organic Chemical Manufacturing

4.7 Dun Numbers

DUNS NUMBER
102472029

5. Parent Company Information

Parent Company Name: COIM USA INC

Parent Company DUNS Number: 102472029

PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1320218759809

Section 1. Toxic Chemical Identity

1.1 CAS Number: 85-44-9       PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Phthalic anhydride

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
Sub-Uses:
P102 Raw materials
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: 1000000 to 9999999

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: 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

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 R)

DOCUMENT CONTROL NUMBER: 1320218759811

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110000321107

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
MICHELANGELO CAVALLO
 PRESIDENT
 Electronic
 14-JUN-21

Section 4. Facility Identification

TRI Facility ID: 08066CPLYRMANTU

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
COIM USA INC
 286 MANTUA GROVE RD BUILDING # 1
 WEST DEPTFORD
 GLOUCESTER
 NJ
 08066

BIA Tribal Code Tribe
NO DATA
 NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
COIM USA INC
 286 MANTUA GROVE RD BUILDING # 1
 WEST DEPTFORD
 NJ
 08066

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
DAVE OLSEN
 8562248562

4.5 NAICS Codes

NAICS CODE PRIMARY NAICS CODE DESCRIPTION
325520
 YES
 Adhesive Manufacturing
325199
 NO
 All Other Basic Organic Chemical Manufacturing

4.7 Dun Numbers

DUNS NUMBER
102472029

5. Parent Company Information

Parent Company Name: COIM USA INC

Parent Company DUNS Number: 102472029

PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1320218759811

Section 1. Toxic Chemical Identity

1.1 CAS Number: 26471-62-5       PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Toluene diisocyanate (mixed isomers)

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
Sub-Uses:
P102 Raw materials
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
 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
 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

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
 10
 10
 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

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: 1320218759823

The Facility Registry System ID is not submitted as part of the TRI Form RFacility Registry System ID:  110000321107

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
MICHELANGELO CAVALLO
 PRESIDENT
 Electronic
 14-JUN-21

Section 4. Facility Identification

TRI Facility ID: 08066CPLYRMANTU

4.1 Facility Name and Address.

Facility Information

NAME STREET CITY COUNTY STATE ZIP CODE
COIM USA INC
 286 MANTUA GROVE RD BUILDING # 1
 WEST DEPTFORD
 GLOUCESTER
 NJ
 08066

BIA Tribal Code Tribe
NO DATA
 NO DATA

Mailing Information

NAME STREET CITY STATE ZIP CODE
COIM USA INC
 286 MANTUA GROVE RD BUILDING # 1
 WEST DEPTFORD
 NJ
 08066

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
DAVE OLSEN
 8562248562

4.5 NAICS Codes

NAICS CODE PRIMARY NAICS CODE DESCRIPTION
325520
 YES
 Adhesive Manufacturing
325199
 NO
 All Other Basic Organic Chemical Manufacturing

4.7 Dun Numbers

DUNS NUMBER
102472029

5. Parent Company Information

Parent Company Name: COIM USA INC

Parent Company DUNS Number: 102472029

PART II. CHEMICAL - SPECIFIC INFORMATION

DOCUMENT CONTROL NUMBER: 1320218759823

Section 1. Toxic Chemical Identity

1.1 CAS Number: 584-84-9       PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Toluene-2,4-diisocyanate

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
Sub-Uses:
P102 Raw materials
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
 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
 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

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
 10
 10
 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

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