Reference Point/Description | Latitude | Longitude | Collection Method | Accuracy Value |
---|---|---|---|---|
CENTER OF A FACILITY OR STATION | 45.613223 | -122.705473 | ADDRESS MATCHING-HOUSE NUMBER | 30 |
RCRA ID NUMBER |
---|
ORD982652463 |
NPDES PERMIT NUMBER |
---|
ORR237039 |
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 |
---|---|---|---|
DEAN ZUELSDORFF |
EH&S COORDINATOR |
Electronic |
03-JUN-22 |
Section 4. Facility Identification
TRI Facility ID: 97217LCMSL3625N
4.1 Facility Name and Address.
Facility Information
NAME | STREET | CITY | COUNTY | STATE | ZIP CODE |
---|---|---|---|---|---|
LACAMAS LABORATORIES INC |
3625 N SUTTLE RD |
PORTLAND |
MULTNOMAH |
OR |
97217 |
BIA Tribal Code | Tribe |
---|---|
NO DATA |
NO DATA |
Mailing Information
NAME | STREET | CITY | STATE | ZIP CODE |
---|---|---|---|---|
LACAMAS LABORATORIES INC |
P.O. BOX 17659 |
PORTLAND |
OR |
97217 |
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 |
---|---|
EHS COORDINATOR |
5032850360 |
4.5 NAICS Codes
NAICS CODE | PRIMARY | NAICS CODE DESCRIPTION |
---|---|---|
325412 |
YES |
Pharmaceutical Preparation Manufacturing |
325199 |
NO |
All Other Basic Organic Chemical Manufacturing |
4.7 Dun Numbers
DUNS NUMBER |
---|
180734022 |
5. Parent Company Information
Parent Company Name: No US Parent Company
PART II. CHEMICAL - SPECIFIC INFORMATION
1.1 CAS Number: N230 PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Certain glycol ethers
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: 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 |
94.68 |
Pounds |
C - Mass Balance Calculations |
5.2 Stack or Point Air Emissions
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
NO |
24.77 |
Pounds |
E2 - Emission Factor, Site-specific |
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 |
97.88 |
119.45 |
113.47 |
114.6 |
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 : 1.05
8.10 Source Reduction Activities
SOURCE REDUCTION ACTIVITIES | METHOD 1 | METHOD 2 | METHOD 3 | ESTIMATED ANNUAL REDUCTION |
---|---|---|---|---|
NA |
8.11 Additional Data Indicator: NO
9.1 Miscellaneous, Additional or Optional Information regarding the Form R submission
COMMENT TYPE | DESCRIPTION | COMMENT TEXT |
---|---|---|
PRAI | Production or Activity Variable | These changes in release totals was expected |
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 |
---|---|---|---|
DEAN ZUELSDORFF |
EH&S COORDINATOR |
Electronic |
03-JUN-22 |
Section 4. Facility Identification
TRI Facility ID: 97217LCMSL3625N
4.1 Facility Name and Address.
Facility Information
NAME | STREET | CITY | COUNTY | STATE | ZIP CODE |
---|---|---|---|---|---|
LACAMAS LABORATORIES INC |
3625 N SUTTLE RD |
PORTLAND |
MULTNOMAH |
OR |
97217 |
BIA Tribal Code | Tribe |
---|---|
NO DATA |
NO DATA |
Mailing Information
NAME | STREET | CITY | STATE | ZIP CODE |
---|---|---|---|---|
LACAMAS LABORATORIES INC |
P.O. BOX 17659 |
PORTLAND |
OR |
97217 |
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 |
---|---|
EHS COORDINATOR |
5032850360 |
4.5 NAICS Codes
NAICS CODE | PRIMARY | NAICS CODE DESCRIPTION |
---|---|---|
325412 |
YES |
Pharmaceutical Preparation Manufacturing |
325199 |
NO |
All Other Basic Organic Chemical Manufacturing |
4.7 Dun Numbers
DUNS NUMBER |
---|
180734022 |
5. Parent Company Information
Parent Company Name: No US Parent Company
PART II. CHEMICAL - SPECIFIC INFORMATION
1.1 CAS Number: 872-50-4 PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: N-Methyl-2-pyrrolidone
1.3 Generic Chemical Name: NA
1.4 Distribution of Each Member of the Dioxin and Dioxin like Compounds Category
NA | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
NO |
Section 2. Mixture Component Identity
2.1 Supplier Provided Generic Chemical Name: NA
Section 3. Activities and Uses of the Toxic Chemical
3.1 Manufacture the Toxic Chemical:
Produce: NO | Import: NO | On-Site Use/Processing: NO |
Sale/Distribution: NO | Byproduct: NO | Impurity: NO |
3.2 Process the Toxic Chemical:
Reactant: NO |
Formulation Component: NO |
Article Component: NO |
Repackaging: NO |
Impurity: NO |
Recycling: YES |
3.3 Otherwise Use the Toxic Chemical:
Chemical Processing Aid: NO |
Manufacturing Aid: NO |
Ancillary or Other Use: NO |
Section 4. Maximum Amount of the Toxic Chemical Onsite During the Calendar Year
Maximum Chemical Amount: 10000 to 99999
Section 5. Quantity of the Toxic Chemical Entering each Environmental Medium Onsite
5.1 Fugitive or Non-Point Air Emissions
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.2 Stack or Point Air Emissions
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.3 Discharges to Receiving Streams or Water Bodies
NA | STREAM/WATER BODY NAME | REACH Code | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE | % FROM STORMWATER |
---|---|---|---|---|---|---|
YES |
NA |
|
|
5.4-5.5 Disposal to Land Onsite
5.4.1 Underground Injection Onsite to Class I Wells.
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.4.2 Underground Injection Onsite to Class II-V Wells.
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.5 Disposal to Land Onsite
5.5.1A RCRA Subtitle C Landfills
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.5.1B Other Landfills
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.5.2 Land Treatment/Application Farming
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.5.3A RCRA Subtitle C Surface Impoundments
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.5.3B Other Surface Impoundments
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.5.4 Other Disposal
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
Optional Waste Rock Piles Information
Section 5.5 quantities include "waste rock piles": | NO |
Quantity of "waste rock piles" (pounds/year*): |
*For Dioxin and Dioxin-like Compounds, report in grams/year
Section 6. Transfers of the Toxic Chemical in Wastes to Off-Site Locations
6.1 Discharges to Publicly Owned Treatment Works (POTWs)
1 - NAME: | 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 |
---|
H20 - Solvent recovery (including distillation, evaporation, fractionation or extraction) |
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 |
Pounds |
NA |
74340 |
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 :
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 |
---|---|---|
RECY7C | On-site Waste Recycling | This chemical was recycled prior to 2021 to reuse in a process, it has been in storage since the beginning of 2020, we did not report any in 2020 because we did not use 10000 lbs. The recycled chemical that was in storage from the begining of 2020 was sold in 2021. |
9.1 Miscellaneous, Additional or Optional Information regarding the Form R submission
COMMENT TYPE | DESCRIPTION | COMMENT TEXT |
---|---|---|
NOCHEM | No TRI Report Expected for this Chemical Next Year | The chemical was recycled years prior to 2020 and kept in storage and sold off in 2021. We do not make the process that requires this chemical anymore and all of this chemical is no longer in our inventory. |
9.1 | Other Miscellaneous Information: | This Chemical has been sold off from our inventory in 2021 |
PRAI | Production or Activity Variable | We didnt use or process 10000 lbs last year and the product was sold off in 2021 and will not be on next years TRI |
DQA92 | Your facility did not submit a form for this chemical for the prior reporting year. | We did not use or process 10000 lbs last year. The recycled chemcal was in storage since 2020 and was sold in 2021 |
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 |
---|---|---|---|
DEAN ZUELSDORFF |
EH&S COORDINATOR |
Electronic |
03-JUN-22 |
Section 4. Facility Identification
TRI Facility ID: 97217LCMSL3625N
4.1 Facility Name and Address.
Facility Information
NAME | STREET | CITY | COUNTY | STATE | ZIP CODE |
---|---|---|---|---|---|
LACAMAS LABORATORIES INC |
3625 N SUTTLE RD |
PORTLAND |
MULTNOMAH |
OR |
97217 |
BIA Tribal Code | Tribe |
---|---|
NO DATA |
NO DATA |
Mailing Information
NAME | STREET | CITY | STATE | ZIP CODE |
---|---|---|---|---|
LACAMAS LABORATORIES INC |
P.O. BOX 17659 |
PORTLAND |
OR |
97217 |
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 |
---|---|
EHS COORDINATOR |
5032850360 |
4.5 NAICS Codes
NAICS CODE | PRIMARY | NAICS CODE DESCRIPTION |
---|---|---|
325412 |
YES |
Pharmaceutical Preparation Manufacturing |
325199 |
NO |
All Other Basic Organic Chemical Manufacturing |
4.7 Dun Numbers
DUNS NUMBER |
---|
180734022 |
5. Parent Company Information
Parent Company Name: No US Parent Company
PART II. CHEMICAL - SPECIFIC INFORMATION
1.1 CAS Number: 75-09-2 PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Dichloromethane
1.3 Generic Chemical Name: NA
1.4 Distribution of Each Member of the Dioxin and Dioxin like Compounds Category
NA | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
NO |
Section 2. Mixture Component Identity
2.1 Supplier Provided Generic Chemical Name: NA
Section 3. Activities and Uses of the Toxic Chemical
3.1 Manufacture the Toxic Chemical:
Produce: NO | Import: NO | On-Site Use/Processing: NO |
Sale/Distribution: NO | Byproduct: NO | Impurity: NO |
3.2 Process the Toxic Chemical:
Reactant: NO |
Formulation Component: NO |
Article Component: NO |
Repackaging: NO |
Impurity: NO |
Recycling: NO |
3.3 Otherwise Use the Toxic Chemical:
Chemical Processing Aid: YES | ||||
|
||||
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 |
55.55 |
Pounds |
C - Mass Balance Calculations |
5.2 Stack or Point Air Emissions
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
NO |
69.97 |
Pounds |
E2 - Emission Factor, Site-specific |
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: WAD020257945 | Parent Company Controlled: NO |
Name: BURLINGTON ENVIRONMENTAL LLC TACOMA | Address: 1701 E ALEXANDER AVE |
City: TACOMA | State: WA |
County: PIERCE | Zip Code: 98421 |
Country Code (Non - US): | Province: |
OFFSITE AMOUNT SEQUENCE | TOTAL TRANSFERS (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE | WASTE MANAGEMENT TYPE |
---|---|---|---|---|
1 |
15746.86 |
Pounds |
C - Mass Balance Calculations |
M54 - Incineration/Insignificant Fuel Value |
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 |
1915.06 |
125.52 |
119.25 |
120.44 |
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 |
160191.53 |
15746.86 |
14959.52 |
15109.11 |
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
9.1 Miscellaneous, Additional or Optional Information regarding the Form R submission
COMMENT TYPE | DESCRIPTION | COMMENT TEXT |
---|---|---|
PRAI | Production or Activity Variable | This change in release totals was expected |
DQA98 | Change in the total quantity of production-related waste | The process this was used in, finished in 2021. We only ran a few of batches in 2021. |
DQA98 | Change in the total quantity of production-related waste | This change in release totals was expected. |
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 |
---|---|---|---|
DEAN ZUELSDORFF |
EH&S COORDINATOR |
Electronic |
03-JUN-22 |
Section 4. Facility Identification
TRI Facility ID: 97217LCMSL3625N
4.1 Facility Name and Address.
Facility Information
NAME | STREET | CITY | COUNTY | STATE | ZIP CODE |
---|---|---|---|---|---|
LACAMAS LABORATORIES INC |
3625 N SUTTLE RD |
PORTLAND |
MULTNOMAH |
OR |
97217 |
BIA Tribal Code | Tribe |
---|---|
NO DATA |
NO DATA |
Mailing Information
NAME | STREET | CITY | STATE | ZIP CODE |
---|---|---|---|---|
LACAMAS LABORATORIES INC |
P.O. BOX 17659 |
PORTLAND |
OR |
97217 |
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 |
---|---|
EHS COORDINATOR |
5032850360 |
4.5 NAICS Codes
NAICS CODE | PRIMARY | NAICS CODE DESCRIPTION |
---|---|---|
325412 |
YES |
Pharmaceutical Preparation Manufacturing |
325199 |
NO |
All Other Basic Organic Chemical Manufacturing |
4.7 Dun Numbers
DUNS NUMBER |
---|
180734022 |
5. Parent Company Information
Parent Company Name: No US Parent Company
PART II. CHEMICAL - SPECIFIC INFORMATION
1.1 CAS Number: 75-05-8 PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Acetonitrile
1.3 Generic Chemical Name: NA
1.4 Distribution of Each Member of the Dioxin and Dioxin like Compounds Category
NA | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
NO |
Section 2. Mixture Component Identity
2.1 Supplier Provided Generic Chemical Name: NA
Section 3. Activities and Uses of the Toxic Chemical
3.1 Manufacture the Toxic Chemical:
Produce: NO | Import: NO | On-Site Use/Processing: NO |
Sale/Distribution: NO | Byproduct: NO | Impurity: NO |
3.2 Process the Toxic Chemical:
Reactant: NO |
Formulation Component: NO |
Article Component: NO |
Repackaging: NO |
Impurity: NO |
Recycling: YES |
3.3 Otherwise Use the Toxic Chemical:
Chemical Processing Aid: YES | ||||||
|
||||||
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 |
730.93 |
Pounds |
C - Mass Balance Calculations |
5.2 Stack or Point Air Emissions
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
NO |
3129.17 |
Pounds |
E2 - Emission Factor, Site-specific |
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: WAD020257945 | Parent Company Controlled: NO |
Name: BURLINGTON ENVIRONMENTAL LLC TACOMA | Address: 1701 E ALEXANDER AVE |
City: TACOMA | State: WA |
County: PIERCE | Zip Code: 98421 |
Country Code (Non - US): | Province: |
OFFSITE AMOUNT SEQUENCE | TOTAL TRANSFERS (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE | WASTE MANAGEMENT TYPE |
---|---|---|---|---|
1 |
148488.4 |
Pounds |
C - Mass Balance Calculations |
M56 - Energy 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 |
---|
H20 - Solvent recovery (including distillation, evaporation, fractionation or extraction) |
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 |
160.89 |
3860.1 |
3667.1 |
3703.77 |
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 |
Pounds |
19363.23 |
148488.4 |
141063.98 |
142474.62 |
8.4 |
Quantity Recycled Onsite |
Pounds |
NA |
56489.64 |
53665.16 |
54201.81 |
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 : 7.8
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 |
---|---|---|
BSR | Barriers to Source Reduction | Customer would not allow us to use the recycled chemical back in thier process. |
RECY | Recycling | We were able to recycle Acetonitrile used in the process but were unable to reuse in the same process due to customer. But we were able to sell the recycled chemical to be used elsewhere. We were able to reduce our waste by 17.5% |
9.1 Miscellaneous, Additional or Optional Information regarding the Form R submission
COMMENT TYPE | DESCRIPTION | COMMENT TEXT |
---|---|---|
PRAI | Production or Activity Variable | The increased usage was due to a new process that used Acetonitrile and an unexpected increase in orders for this process. |
DQA98 | Change in the total quantity of production-related waste | Yes this is correct we ran a new process that used much more acetonitrile and we made more product than last year. |
DQA98 | Change in the total quantity of production-related waste | This change in release totals was expected. |
PE120 | You have reported a large change in Production Ratio or Activity Ratio. | Error Reviewed / No Comment. |
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 |
---|---|---|---|
DEAN ZUELSDORFF |
EH&S COORDINATOR |
Electronic |
03-JUN-22 |
Section 4. Facility Identification
TRI Facility ID: 97217LCMSL3625N
4.1 Facility Name and Address.
Facility Information
NAME | STREET | CITY | COUNTY | STATE | ZIP CODE |
---|---|---|---|---|---|
LACAMAS LABORATORIES INC |
3625 N SUTTLE RD |
PORTLAND |
MULTNOMAH |
OR |
97217 |
BIA Tribal Code | Tribe |
---|---|
NO DATA |
NO DATA |
Mailing Information
NAME | STREET | CITY | STATE | ZIP CODE |
---|---|---|---|---|
LACAMAS LABORATORIES INC |
P.O. BOX 17659 |
PORTLAND |
OR |
97217 |
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 |
---|---|
EHS COORDINATOR |
5032850360 |
4.5 NAICS Codes
NAICS CODE | PRIMARY | NAICS CODE DESCRIPTION |
---|---|---|
325412 |
YES |
Pharmaceutical Preparation Manufacturing |
325199 |
NO |
All Other Basic Organic Chemical Manufacturing |
4.7 Dun Numbers
DUNS NUMBER |
---|
180734022 |
5. Parent Company Information
Parent Company Name: No US Parent Company
PART II. CHEMICAL - SPECIFIC INFORMATION
1.1 CAS Number: 68-12-2 PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: N,N-Dimethylformamide
1.3 Generic Chemical Name: NA
1.4 Distribution of Each Member of the Dioxin and Dioxin like Compounds Category
NA | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
NO |
Section 2. Mixture Component Identity
2.1 Supplier Provided Generic Chemical Name: NA
Section 3. Activities and Uses of the Toxic Chemical
3.1 Manufacture the Toxic Chemical:
Produce: NO | Import: NO | On-Site Use/Processing: NO |
Sale/Distribution: NO | Byproduct: NO | Impurity: NO |
3.2 Process the Toxic Chemical:
Reactant: NO |
Formulation Component: NO |
Article Component: NO |
Repackaging: NO |
Impurity: NO |
Recycling: NO |
3.3 Otherwise Use the Toxic Chemical:
Chemical Processing Aid: YES | ||||
|
||||
Manufacturing Aid: NO | ||||
Ancillary or Other Use: YES | ||||
|
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 |
90.7 |
Pounds |
C - Mass Balance Calculations |
5.2 Stack or Point Air Emissions
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
NO |
.745 |
Pounds |
E2 - Emission Factor, Site-specific |
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: WAD020257945 | Parent Company Controlled: NO |
Name: BURLINGTON ENVIRONMENTAL LLC TACOMA | Address: 1701 E ALEXANDER AVE |
City: TACOMA | State: WA |
County: PIERCE | Zip Code: 98421 |
Country Code (Non - US): | Province: |
OFFSITE AMOUNT SEQUENCE | TOTAL TRANSFERS (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE | WASTE MANAGEMENT TYPE |
---|---|---|---|---|
1 |
25821.66 |
Pounds |
C - Mass Balance Calculations |
M56 - Energy 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 |
NA |
91.445 |
86.87 |
87.74 |
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 |
Pounds |
NA |
25821.66 |
24530.58 |
24775.89 |
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 : 5.13
8.10 Source Reduction Activities
SOURCE REDUCTION ACTIVITIES | METHOD 1 | METHOD 2 | METHOD 3 | ESTIMATED ANNUAL REDUCTION |
---|---|---|---|---|
NA |
8.11 Additional Data Indicator: NO
9.1 Miscellaneous, Additional or Optional Information regarding the Form R submission
COMMENT TYPE | DESCRIPTION | COMMENT TEXT |
---|---|---|
9.1 | Other Miscellaneous Information: | We did not use over 10000 lbs last year |
DQA92 | Your facility did not submit a form for this chemical for the prior reporting year. | We only used 5053 lbs last year |
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 |
---|---|---|---|
DEAN ZUELSDORFF |
EH&S COORDINATOR |
Electronic |
03-JUN-22 |
Section 4. Facility Identification
TRI Facility ID: 97217LCMSL3625N
4.1 Facility Name and Address.
Facility Information
NAME | STREET | CITY | COUNTY | STATE | ZIP CODE |
---|---|---|---|---|---|
LACAMAS LABORATORIES INC |
3625 N SUTTLE RD |
PORTLAND |
MULTNOMAH |
OR |
97217 |
BIA Tribal Code | Tribe |
---|---|
NO DATA |
NO DATA |
Mailing Information
NAME | STREET | CITY | STATE | ZIP CODE |
---|---|---|---|---|
LACAMAS LABORATORIES INC |
P.O. BOX 17659 |
PORTLAND |
OR |
97217 |
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 |
---|---|
EHS COORDINATOR |
5032850360 |
4.5 NAICS Codes
NAICS CODE | PRIMARY | NAICS CODE DESCRIPTION |
---|---|---|
325412 |
YES |
Pharmaceutical Preparation Manufacturing |
325199 |
NO |
All Other Basic Organic Chemical Manufacturing |
4.7 Dun Numbers
DUNS NUMBER |
---|
180734022 |
5. Parent Company Information
Parent Company Name: No US Parent Company
PART II. CHEMICAL - SPECIFIC INFORMATION
1.1 CAS Number: 67-56-1 PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Methanol
1.3 Generic Chemical Name: NA
1.4 Distribution of Each Member of the Dioxin and Dioxin like Compounds Category
NA | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
NO |
Section 2. Mixture Component Identity
2.1 Supplier Provided Generic Chemical Name: NA
Section 3. Activities and Uses of the Toxic Chemical
3.1 Manufacture the Toxic Chemical:
Produce: NO | Import: NO | On-Site Use/Processing: NO |
Sale/Distribution: NO | Byproduct: NO | Impurity: NO |
3.2 Process the Toxic Chemical:
Reactant: NO |
Formulation Component: NO |
Article Component: NO |
Repackaging: NO |
Impurity: NO |
Recycling: NO |
3.3 Otherwise Use the Toxic Chemical:
Chemical Processing Aid: YES | ||||
|
||||
Manufacturing Aid: NO | ||||
Ancillary or Other Use: YES | ||||
|
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 |
238.59 |
Pounds |
C - Mass Balance Calculations |
5.2 Stack or Point Air Emissions
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
NO |
419.16 |
Pounds |
E2 - Emission Factor, Site-specific |
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: WAD020257945 | Parent Company Controlled: NO |
Name: BURLINGTON ENVIRONMENTAL LLC TACOMA | Address: 1701 E ALEXANDER AVE |
City: TACOMA | State: WA |
County: PIERCE | Zip Code: 98421 |
Country Code (Non - US): | Province: |
OFFSITE AMOUNT SEQUENCE | TOTAL TRANSFERS (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE | WASTE MANAGEMENT TYPE |
---|---|---|---|---|
1 |
67511.96 |
Pounds |
C - Mass Balance Calculations |
M56 - Energy 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 |
444.26 |
657.75 |
624.87 |
631.11 |
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 |
Pounds |
63230.02 |
67511.96 |
64136.36 |
64777.73 |
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 : 1.07
8.10 Source Reduction Activities
SOURCE REDUCTION ACTIVITIES | METHOD 1 | METHOD 2 | METHOD 3 | ESTIMATED ANNUAL REDUCTION |
---|---|---|---|---|
NA |
8.11 Additional Data Indicator: NO
9.1 Miscellaneous, Additional or Optional Information regarding the Form R submission
COMMENT TYPE | DESCRIPTION | COMMENT TEXT |
---|---|---|
PRAI | Production or Activity Variable | This change in release totals was expected |
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 |
---|---|---|---|
DEAN ZUELSDORFF |
EH&S COORDINATOR |
Electronic |
03-JUN-22 |
Section 4. Facility Identification
TRI Facility ID: 97217LCMSL3625N
4.1 Facility Name and Address.
Facility Information
NAME | STREET | CITY | COUNTY | STATE | ZIP CODE |
---|---|---|---|---|---|
LACAMAS LABORATORIES INC |
3625 N SUTTLE RD |
PORTLAND |
MULTNOMAH |
OR |
97217 |
BIA Tribal Code | Tribe |
---|---|
NO DATA |
NO DATA |
Mailing Information
NAME | STREET | CITY | STATE | ZIP CODE |
---|---|---|---|---|
LACAMAS LABORATORIES INC |
P.O. BOX 17659 |
PORTLAND |
OR |
97217 |
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 |
---|---|
EHS COORDINATOR |
5032850360 |
4.5 NAICS Codes
NAICS CODE | PRIMARY | NAICS CODE DESCRIPTION |
---|---|---|
325412 |
YES |
Pharmaceutical Preparation Manufacturing |
325199 |
NO |
All Other Basic Organic Chemical Manufacturing |
4.7 Dun Numbers
DUNS NUMBER |
---|
180734022 |
5. Parent Company Information
Parent Company Name: No US Parent Company
PART II. CHEMICAL - SPECIFIC INFORMATION
1.1 CAS Number: 1634-04-4 PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Methyl tert-butyl ether
1.3 Generic Chemical Name: NA
1.4 Distribution of Each Member of the Dioxin and Dioxin like Compounds Category
NA | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
NO |
Section 2. Mixture Component Identity
2.1 Supplier Provided Generic Chemical Name: NA
Section 3. Activities and Uses of the Toxic Chemical
3.1 Manufacture the Toxic Chemical:
Produce: NO | Import: NO | On-Site Use/Processing: NO |
Sale/Distribution: NO | Byproduct: NO | Impurity: NO |
3.2 Process the Toxic Chemical:
Reactant: NO |
Formulation Component: NO |
Article Component: NO |
Repackaging: NO |
Impurity: NO |
Recycling: NO |
3.3 Otherwise Use the Toxic Chemical:
Chemical Processing Aid: YES | ||||
|
||||
Manufacturing Aid: NO | ||||
Ancillary or Other Use: YES | ||||
|
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 |
77.97 |
Pounds |
C - Mass Balance Calculations |
5.2 Stack or Point Air Emissions
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
NO |
123.35 |
Pounds |
E2 - Emission Factor, Site-specific |
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: WAD020257945 | Parent Company Controlled: NO |
Name: BURLINGTON ENVIRONMENTAL LLC TACOMA | Address: 1701 E ALEXANDER AVE |
City: TACOMA | State: WA |
County: PIERCE | Zip Code: 98421 |
Country Code (Non - US): | Province: |
OFFSITE AMOUNT SEQUENCE | TOTAL TRANSFERS (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE | WASTE MANAGEMENT TYPE |
---|---|---|---|---|
1 |
22075.93 |
Pounds |
C - Mass Balance Calculations |
M56 - Energy 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 |
868.4 |
201.32 |
191.25 |
193.16 |
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 |
Pounds |
127559.5 |
22075.93 |
20972.13 |
21181.85 |
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 : .17
8.10 Source Reduction Activities
SOURCE REDUCTION ACTIVITIES | METHOD 1 | METHOD 2 | METHOD 3 | ESTIMATED ANNUAL REDUCTION |
---|---|---|---|---|
NA |
8.11 Additional Data Indicator: NO
9.1 Miscellaneous, Additional or Optional Information regarding the Form R submission
COMMENT TYPE | DESCRIPTION | COMMENT TEXT |
---|---|---|
PRAI | Production or Activity Variable | This change in release totals was expected |
DQA98 | Change in the total quantity of production-related waste | The process for this chemical finished in 2021 and we only ran a few batches in 2021 |
DQA98 | Change in the total quantity of production-related waste | This change in release totals was expected. |
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 |
---|---|---|---|
DEAN ZUELSDORFF |
EH&S COORDINATOR |
Electronic |
03-JUN-22 |
Section 4. Facility Identification
TRI Facility ID: 97217LCMSL3625N
4.1 Facility Name and Address.
Facility Information
NAME | STREET | CITY | COUNTY | STATE | ZIP CODE |
---|---|---|---|---|---|
LACAMAS LABORATORIES INC |
3625 N SUTTLE RD |
PORTLAND |
MULTNOMAH |
OR |
97217 |
BIA Tribal Code | Tribe |
---|---|
NO DATA |
NO DATA |
Mailing Information
NAME | STREET | CITY | STATE | ZIP CODE |
---|---|---|---|---|
LACAMAS LABORATORIES INC |
P.O. BOX 17659 |
PORTLAND |
OR |
97217 |
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 |
---|---|
EHS COORDINATOR |
5032850360 |
4.5 NAICS Codes
NAICS CODE | PRIMARY | NAICS CODE DESCRIPTION |
---|---|---|
325412 |
YES |
Pharmaceutical Preparation Manufacturing |
325199 |
NO |
All Other Basic Organic Chemical Manufacturing |
4.7 Dun Numbers
DUNS NUMBER |
---|
180734022 |
5. Parent Company Information
Parent Company Name: No US Parent Company
PART II. CHEMICAL - SPECIFIC INFORMATION
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: NO |
Formulation Component: NO |
Article Component: NO |
Repackaging: NO |
Impurity: NO |
Recycling: NO |
3.3 Otherwise Use the Toxic Chemical:
Chemical Processing Aid: YES | ||||
|
||||
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 |
76.75 |
Pounds |
C - Mass Balance Calculations |
5.2 Stack or Point Air Emissions
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
NO |
12.64 |
Pounds |
E2 - Emission Factor, Site-specific |
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: WAD020257945 | Parent Company Controlled: NO |
Name: BURLINGTON ENVIRONMENTAL LLC TACOMA | Address: 1701 E ALEXANDER AVE |
City: TACOMA | State: WA |
County: PIERCE | Zip Code: 98421 |
Country Code (Non - US): | Province: |
OFFSITE AMOUNT SEQUENCE | TOTAL TRANSFERS (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE | WASTE MANAGEMENT TYPE |
---|---|---|---|---|
1 |
21839.97 |
Pounds |
C - Mass Balance Calculations |
M56 - Energy 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 |
1139.59 |
89.39 |
84.92 |
85.77 |
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 |
Pounds |
243912.96 |
21839.97 |
20747.97 |
20955.45 |
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 : .09
8.10 Source Reduction Activities
SOURCE REDUCTION ACTIVITIES | METHOD 1 | METHOD 2 | METHOD 3 | ESTIMATED ANNUAL REDUCTION |
---|---|---|---|---|
NA |
8.11 Additional Data Indicator: NO
9.1 Miscellaneous, Additional or Optional Information regarding the Form R submission
COMMENT TYPE | DESCRIPTION | COMMENT TEXT |
---|---|---|
PRAI | Production or Activity Variable | This change in release totals was expected |
DQA98 | Change in the total quantity of production-related waste | This process was finished in 2021 and we only ran a few batches in 2021. |
DQA98 | Change in the total quantity of production-related waste | This change in release totals was expected. |
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 |
---|---|---|---|
DEAN ZUELSDORFF |
EH&S COORDINATOR |
Electronic |
03-JUN-22 |
Section 4. Facility Identification
TRI Facility ID: 97217LCMSL3625N
4.1 Facility Name and Address.
Facility Information
NAME | STREET | CITY | COUNTY | STATE | ZIP CODE |
---|---|---|---|---|---|
LACAMAS LABORATORIES INC |
3625 N SUTTLE RD |
PORTLAND |
MULTNOMAH |
OR |
97217 |
BIA Tribal Code | Tribe |
---|---|
NO DATA |
NO DATA |
Mailing Information
NAME | STREET | CITY | STATE | ZIP CODE |
---|---|---|---|---|
LACAMAS LABORATORIES INC |
P.O. BOX 17659 |
PORTLAND |
OR |
97217 |
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 |
---|---|
EHS COORDINATOR |
5032850360 |
4.5 NAICS Codes
NAICS CODE | PRIMARY | NAICS CODE DESCRIPTION |
---|---|---|
325412 |
YES |
Pharmaceutical Preparation Manufacturing |
325199 |
NO |
All Other Basic Organic Chemical Manufacturing |
4.7 Dun Numbers
DUNS NUMBER |
---|
180734022 |
5. Parent Company Information
Parent Company Name: No US Parent Company
PART II. CHEMICAL - SPECIFIC INFORMATION
1.1 CAS Number: 108-88-3 PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Toluene
1.3 Generic Chemical Name: NA
1.4 Distribution of Each Member of the Dioxin and Dioxin like Compounds Category
NA | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
NO |
Section 2. Mixture Component Identity
2.1 Supplier Provided Generic Chemical Name: NA
Section 3. Activities and Uses of the Toxic Chemical
3.1 Manufacture the Toxic Chemical:
Produce: NO | Import: NO | On-Site Use/Processing: NO |
Sale/Distribution: NO | Byproduct: NO | Impurity: NO |
3.2 Process the Toxic Chemical:
Reactant: NO |
Formulation Component: NO |
Article Component: NO |
Repackaging: NO |
Impurity: NO |
Recycling: NO |
3.3 Otherwise Use the Toxic Chemical:
Chemical Processing Aid: YES | ||||
|
||||
Manufacturing Aid: NO | ||||
Ancillary or Other Use: YES | ||||
|
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 |
69.19 |
Pounds |
C - Mass Balance Calculations |
5.2 Stack or Point Air Emissions
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
NO |
222.4 |
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: WAD020257945 | Parent Company Controlled: NO |
Name: BURLINGTON ENVIRONMENTAL LLC TACOMA | Address: 1701 E ALEXANDER AVE |
City: TACOMA | State: WA |
County: PIERCE | Zip Code: 98421 |
Country Code (Non - US): | Province: |
OFFSITE AMOUNT SEQUENCE | TOTAL TRANSFERS (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE | WASTE MANAGEMENT TYPE |
---|---|---|---|---|
1 |
19476 |
Pounds |
C - Mass Balance Calculations |
M56 - Energy 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 |
370.27 |
291.59 |
276.99 |
279.77 |
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 |
Pounds |
28623.34 |
19476 |
18502.1 |
18687.2 |
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 : .68
8.10 Source Reduction Activities
SOURCE REDUCTION ACTIVITIES | METHOD 1 | METHOD 2 | METHOD 3 | ESTIMATED ANNUAL REDUCTION |
---|---|---|---|---|
NA |
8.11 Additional Data Indicator: NO
9.1 Miscellaneous, Additional or Optional Information regarding the Form R submission
COMMENT TYPE | DESCRIPTION | COMMENT TEXT |
---|---|---|
PRAI | Production or Activity Variable | This change in release totals was expected |