Reference Point/Description | Latitude | Longitude | Collection Method | Accuracy Value |
---|---|---|---|---|
N/A | 30.346518 | -84.986721 | N/A | N/A |
RCRA ID NUMBER |
---|
NO DATA |
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)
Reporting Year: 2021
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 |
---|---|---|---|
CHRISTOPHER BRUNER |
GENERAL MANAGER |
Electronic |
07-JUN-22 |
Section 4. Facility Identification
TRI Facility ID: 3232WPLCHP186NW
4.1 Facility Name and Address.
Facility Information
NAME | STREET | CITY | COUNTY | STATE | ZIP CODE |
---|---|---|---|---|---|
APALACHEE POLE CO |
18561 NW COUNTY ROAD 12 |
BRISTOL |
LIBERTY |
FL |
32321 |
BIA Tribal Code | Tribe |
---|---|
NO DATA |
NO DATA |
Mailing Information
NAME | STREET | CITY | STATE | ZIP CODE |
---|---|---|---|---|
APALACHEE POLE CO |
PO BOX 610 |
BRISTOL |
FL |
32321 |
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 |
---|---|
RYAN BRUNER |
8632431824 |
4.5 NAICS Codes
NAICS CODE | PRIMARY | NAICS CODE DESCRIPTION |
---|---|---|
321114 |
YES |
Wood Preservation |
4.7 Dun Numbers
DUNS NUMBER |
---|
154475172 |
5. Parent Company Information
Parent Company Name: No US Parent Company
PART II. CHEMICAL - SPECIFIC INFORMATION
1.1 CAS Number: N090 PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Chromium compounds (except for chromite ore mined in the Transvaal Region)
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 | ||||
|
||||
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 |
0 |
Pounds |
C - Mass Balance Calculations |
5.2 Stack or Point Air Emissions
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.3 Discharges to Receiving Streams or Water Bodies
NA | STREAM/WATER BODY NAME | REACH Code | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE | % FROM STORMWATER |
---|---|---|---|---|---|---|
NO |
JOHNSON BRANCH |
03130011000397 |
0 |
Pounds |
C - Mass Balance Calculations |
100 |
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 |
---|---|---|---|
NO |
0 |
Pounds |
C - Mass Balance Calculations |
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: FLD981932494 | Parent Company Controlled: NO |
Name: US ECOLOGY TAMPA INC | Address: 2002 N ORIENT RD |
City: TAMPA | State: FL |
County: HILLSBOROUGH | Zip Code: 336193356 |
Country Code (Non - US): | Province: |
OFFSITE AMOUNT SEQUENCE | TOTAL TRANSFERS (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE | WASTE MANAGEMENT TYPE |
---|---|---|---|---|
1 |
34 |
Pounds |
C - Mass Balance Calculations |
M94 - Transfer to Waste Broker-Disposal |
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 |
NA |
0 |
0 |
0 |
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 |
34 |
34 |
34 |
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 : .82
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 | B7 - No known substitutes or alternative technologies. | CCA is best chemical for producing treated wood suitable for outdoor use. |
9.1 Miscellaneous, Additional or Optional Information regarding the Form R submission
COMMENT TYPE | DESCRIPTION | COMMENT TEXT |
---|---|---|
9.1 | Other Miscellaneous Information: | Based on the latest sds, the chemical shall be reported as a chromium compound. |
DQA92 | Your facility did not submit a form for this chemical for the prior reporting year. | Chromium compounds is the category based on the SDS. |
PART I. FACILITY IDENTIFICATION INFORMATION (FORM R)
Reporting Year: 2021
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 |
---|---|---|---|
CHRISTOPHER BRUNER |
GENERAL MANAGER |
Electronic |
07-JUN-22 |
Section 4. Facility Identification
TRI Facility ID: 3232WPLCHP186NW
4.1 Facility Name and Address.
Facility Information
NAME | STREET | CITY | COUNTY | STATE | ZIP CODE |
---|---|---|---|---|---|
APALACHEE POLE CO |
18561 NW COUNTY ROAD 12 |
BRISTOL |
LIBERTY |
FL |
32321 |
BIA Tribal Code | Tribe |
---|---|
NO DATA |
NO DATA |
Mailing Information
NAME | STREET | CITY | STATE | ZIP CODE |
---|---|---|---|---|
APALACHEE POLE CO |
PO BOX 610 |
BRISTOL |
FL |
32321 |
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 |
---|---|
RYAN BRUNER |
8632431824 |
4.5 NAICS Codes
NAICS CODE | PRIMARY | NAICS CODE DESCRIPTION |
---|---|---|
321114 |
YES |
Wood Preservation |
4.7 Dun Numbers
DUNS NUMBER |
---|
154475172 |
5. Parent Company Information
Parent Company Name: No US Parent Company
PART II. CHEMICAL - SPECIFIC INFORMATION
1.1 CAS Number: N020 PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Arsenic 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: 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 | ||||
|
||||
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 |
0 |
Pounds |
C - Mass Balance Calculations |
5.2 Stack or Point Air Emissions
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.3 Discharges to Receiving Streams or Water Bodies
NA | STREAM/WATER BODY NAME | REACH Code | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE | % FROM STORMWATER |
---|---|---|---|---|---|---|
NO |
JOHNSON BRANCH |
03130011000397 |
0 |
Pounds |
C - Mass Balance Calculations |
100 |
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 |
---|---|---|---|
NO |
0 |
Pounds |
C - Mass Balance Calculations |
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: FLD981932494 | Parent Company Controlled: NO |
Name: US ECOLOGY TAMPA INC | Address: 2002 N ORIENT RD |
City: TAMPA | State: FL |
County: HILLSBOROUGH | Zip Code: 336193356 |
Country Code (Non - US): | Province: |
OFFSITE AMOUNT SEQUENCE | TOTAL TRANSFERS (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE | WASTE MANAGEMENT TYPE |
---|---|---|---|---|
1 |
29 |
Pounds |
C - Mass Balance Calculations |
M94 - Transfer to Waste Broker-Disposal |
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 |
NA |
0 |
0 |
0 |
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 |
29 |
29 |
29 |
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 : .82
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 | B7 - No known substitutes or alternative technologies. | CCA is best means to protect wood for outdoor use. |
9.1 Miscellaneous, Additional or Optional Information regarding the Form R submission
COMMENT TYPE | DESCRIPTION | COMMENT TEXT |
---|---|---|
REG | Other Regulatory Requirements Related to this Chemical | Based on the latest SDS, the chemical shall be reported under Arsenic Compounds. |
DQA92 | Your facility did not submit a form for this chemical for the prior reporting year. | Based on SDS, the facility is reporting Arsenic compounds. |
PART I. FACILITY IDENTIFICATION INFORMATION (FORM R)
Reporting Year: 2021
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 |
---|---|---|---|
CHRISTOPHER BRUNER |
GENERAL MANAGER |
Electronic |
07-JUN-22 |
Section 4. Facility Identification
TRI Facility ID: 3232WPLCHP186NW
4.1 Facility Name and Address.
Facility Information
NAME | STREET | CITY | COUNTY | STATE | ZIP CODE |
---|---|---|---|---|---|
APALACHEE POLE CO |
18561 NW COUNTY ROAD 12 |
BRISTOL |
LIBERTY |
FL |
32321 |
BIA Tribal Code | Tribe |
---|---|
NO DATA |
NO DATA |
Mailing Information
NAME | STREET | CITY | STATE | ZIP CODE |
---|---|---|---|---|
APALACHEE POLE CO |
PO BOX 610 |
BRISTOL |
FL |
32321 |
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 |
---|---|
RYAN BRUNER |
8632431824 |
4.5 NAICS Codes
NAICS CODE | PRIMARY | NAICS CODE DESCRIPTION |
---|---|---|
321114 |
YES |
Wood Preservation |
4.7 Dun Numbers
DUNS NUMBER |
---|
154475172 |
5. Parent Company Information
Parent Company Name: No US Parent Company
PART II. CHEMICAL - SPECIFIC INFORMATION
1.1 CAS Number: N100 PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Copper 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: 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 | ||||
|
||||
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 |
0 |
Pounds |
C - Mass Balance Calculations |
5.2 Stack or Point Air Emissions
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.3 Discharges to Receiving Streams or Water Bodies
NA | STREAM/WATER BODY NAME | REACH Code | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE | % FROM STORMWATER |
---|---|---|---|---|---|---|
NO |
JOHNSON BRANCH |
03130011000397 |
0 |
Pounds |
C - Mass Balance Calculations |
100 |
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 |
---|---|---|---|
NO |
0 |
Pounds |
C - Mass Balance Calculations |
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: FLD981932494 | Parent Company Controlled: NO |
Name: US ECOLOGY TAMPA INC | Address: 2002 N ORIENT RD |
City: TAMPA | State: FL |
County: HILLSBOROUGH | Zip Code: 336193356 |
Country Code (Non - US): | Province: |
OFFSITE AMOUNT SEQUENCE | TOTAL TRANSFERS (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE | WASTE MANAGEMENT TYPE |
---|---|---|---|---|
1 |
13 |
Pounds |
C - Mass Balance Calculations |
M94 - Transfer to Waste Broker-Disposal |
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 |
NA |
0 |
0 |
0 |
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 |
13 |
13 |
13 |
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 : .82
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 | B7 - No known substitutes or alternative technologies. | Best chemical to treat wood for outdoor use. |
9.1 Miscellaneous, Additional or Optional Information regarding the Form R submission
COMMENT TYPE | DESCRIPTION | COMMENT TEXT |
---|---|---|
REG | Other Regulatory Requirements Related to this Chemical | Based on the latest SDS, the chemical in the CCA mixture shall be reported as a copper compound. |
DQA92 | Your facility did not submit a form for this chemical for the prior reporting year. | Based on SDS, the chemical shall be reported under Copper compound. |
PART I. FACILITY IDENTIFICATION INFORMATION (FORM R)
Reporting Year: 2021
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 |
---|---|---|---|
CHRISTOPHER BRUNER |
GENERAL MANAGER |
Electronic |
07-JUN-22 |
Section 4. Facility Identification
TRI Facility ID: 3232WPLCHP186NW
4.1 Facility Name and Address.
Facility Information
NAME | STREET | CITY | COUNTY | STATE | ZIP CODE |
---|---|---|---|---|---|
APALACHEE POLE CO |
18561 NW COUNTY ROAD 12 |
BRISTOL |
LIBERTY |
FL |
32321 |
BIA Tribal Code | Tribe |
---|---|
NO DATA |
NO DATA |
Mailing Information
NAME | STREET | CITY | STATE | ZIP CODE |
---|---|---|---|---|
APALACHEE POLE CO |
PO BOX 610 |
BRISTOL |
FL |
32321 |
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 |
---|---|
RYAN BRUNER |
8632431824 |
4.5 NAICS Codes
NAICS CODE | PRIMARY | NAICS CODE DESCRIPTION |
---|---|---|
321114 |
YES |
Wood Preservation |
4.7 Dun Numbers
DUNS NUMBER |
---|
154475172 |
5. Parent Company Information
Parent Company Name: No US Parent Company
PART II. CHEMICAL - SPECIFIC INFORMATION
1.1 CAS Number: 7439-92-1 PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Lead
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 | ||||
|
||||
Article Component: NO | ||||
Repackaging: NO | ||||
Impurity: YES | ||||
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 |
---|---|---|---|
NO |
0 |
Pounds |
C - Mass Balance Calculations |
5.2 Stack or Point Air Emissions
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.3 Discharges to Receiving Streams or Water Bodies
NA | STREAM/WATER BODY NAME | REACH Code | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE | % FROM STORMWATER |
---|---|---|---|---|---|---|
NO |
JOHNSON MILL BRANCH |
03130011000398 |
0 |
Pounds |
C - Mass Balance Calculations |
100 |
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 |
---|---|---|---|
NO |
0 |
Pounds |
C - Mass Balance Calculations |
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: FLD981932494 | Parent Company Controlled: NO |
Name: US ECOLOGY TAMPA INC | Address: 2002 N ORIENT RD |
City: TAMPA | State: FL |
County: HILLSBOROUGH | Zip Code: 33619 |
Country Code (Non - US): | Province: |
OFFSITE AMOUNT SEQUENCE | TOTAL TRANSFERS (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE | WASTE MANAGEMENT TYPE |
---|---|---|---|---|
1 |
.01 |
Pounds |
C - Mass Balance Calculations |
M94 - Transfer to Waste Broker-Disposal |
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 |
0 |
0 |
0 |
0 |
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 |
.003 |
.01 |
.01 |
.01 |
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 : .82
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 |
---|---|---|
SRNA | B99 - Other | Lead is an impurity in the wood that is processed. |