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Questions
June 2007
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
General ................................................................................................................3
Facility Name .............................................................................................................................. 3
Facility Description.................................................................................................................... 4
Facility Location......................................................................................................................... 4
Facility Owner or Operator........................................................................................................ 6
Facility Regulatory Mandates ................................................................................................... 6
EPA Facility Identifier ................................................................................................................ 8
Co-Located Facility.................................................................................................................... 8
Additional Facility Information ................................................................................................. 9
Security Vulnerability Assessment (SVA) ............................................................................. 10
SVA Date ................................................................................................................................... 11
Refinery Capacity..................................................................................................................... 11
Refinery Market Share ............................................................................................................. 12
Airport Fuels Supplier ............................................................................................................. 13
Military Installation Supplier ................................................................................................... 13
LNG Capacity............................................................................................................................ 14
LNG Exclusion Zone................................................................................................................ 14
Release of Toxics .............................................................................................16
Toxic Chemicals of Concern................................................................................................... 16
Toxic Chemicals Present On Site........................................................................................... 19
Release of Flammables ....................................................................................27
Flammable Chemicals of Concern ......................................................................................... 27
Flammable Chemicals Present On Site ................................................................................. 32
Release of Explosives ......................................................................................38
Explosive Chemicals of Concern ........................................................................................... 38
Explosive Chemicals Present On Site ................................................................................... 40
Theft/Diversion of IEDP ....................................................................................44
Explosive/IED Precursor Chemicals of Concern .................................................................. 44
Explosive/IED Precursor Chemicals Storage........................................................................ 47
Theft/Diversion of WME....................................................................................52
Weapons-of-Mass-Effect (WME) Chemicals of Concern ..................................................... 52
Weapons-of-Mass-Effect (WME) Chemicals Storage ........................................................... 54
Theft/Diversion of CW/CWP .............................................................................57
Chemical Weapons/Chemical Weapon Precursors (CW/CWP) Chemicals of Concern ... 57
Chemical Weapons/Chemical Weapon Precursors (CW/CWP) Chemicals Storage ......... 60
Sabotage/Contamination Chemicals...............................................................64
Sabotage/Contamination Chemicals of Concern ................................................................. 64
Sabotage/Contamination Chemicals Storage ....................................................................... 67
Mission Critical Chemicals ..............................................................................70
Mission Critical Production .................................................................................................... 70
Economically Critical Chemicals.....................................................................74
Economically Critical Production .......................................................................................... 74
Finish .................................................................................................................80
DHS Form 9007
Page 2 of 80
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
General
The Department of Homeland Security will use the information you provide in this Topscreen/Chemical Security Assessment Tool to determine whether particular facilities
present a high level of security risk. Your provision of accurate information in this Topscreen is critical to enabling the Department to make well informed decisions designed to
reduce the Nation's risk.
The Department will base its determinations, in part, upon the information provided in this
Top-screen/Chemical Security Assessment Tool. The information provided in the Topscreen/Chemical Security Assessment Tool will not, therefore, be the sole or definitive
basis upon which the Department will categorize facilities as presenting a high level of
security risk.
In the first part of the Top-screen/Chemical Security Assessment Tool, the Department
seeks information concerning the presence and amounts of certain chemicals. The
presence or amount of a particular chemical is not the sole factor in determining whether a
facility presents a high level of security risk. This information informs the subsequent
parts of the Department's assessment. The Department will use its best judgment and all
available information in determining whether a facility presents a high level of security
risk.
The public reporting burden for this form is estimated to be 30.3 hours. The burden
estimate includes time for reviewing instructions, researching existing data sources,
gathering and maintaining the needed data, and completing and submitting the form. Send
comments regarding the accuracy of the burden estimate and any suggestions for
reducing the burden to: NPPD/OIP/Chemical Security Compliance Division, Attention:
Matthew Bettridge, Project Manager, U.S. Department of Homeland Security, Mail Stop
8100, Washington, DC 20528-8100 (Paperwork Reduction Project (1670_0007). Your
response is mandatory according to Public Law 109- 295 Section 550. You are not required
to respond to this collection of information unless a valid OMB control number is
displayed in the upper right corner of this form. NOTE: DO NOT send your completed form
to this address.
Facility Name
Facility Name
[Q:1.0-66]
Provide the name of the facility. The name must be specific to the
site; if the site is part of a large corporation, the name may be the
corporate name plus the location (for example, 'ABC Oil/Refining Hightown Plant')
DHS Form 9007
Page 3 of 80
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
Alternative Facility
Name [Q:1.0-62]
Provide alternative names under which the facility may be known
Facility Description
NAICS Code for the
Facility [Q:1.1-63]
Provide the five- or six-digit NAICS Industry code that corresponds
most closely to the primary activity of this facility as a whole. NAICS
codes are maintained by the U.S. Census Bureau. For a list of the
codes see http://www.census.gov/epcd/naics02/naicod02.htm.
Facility Data
Universal
Numbering System
(DUNS) [Q:1.1-64]
Choose the facility
type that best
describes your
facility [Q:1.1-65]
Enter the nine digit Data Universal Numbering System (DUNS)
identification code for the facility itself. If the facility does not have a
DUNS number, leave this data element blank. Explain: The Data
Universal Numbering System (DUNS) Number is a unique nine
character identification number provided by Duns & Bradstreet (D&B).
The DUNS Number is site-specific and division-specific. Therefore,
each physical location of an entity will have its own DUNS Number. If
the facility doesn't have a DUNS number, leave this field blank.
Chemical manufacturing, usage, storage, and distribution
Petroleum refining
LNG storage
Facility Location
Facility Location
Address [Q:1.1-68]
Enter the street address of the facility's physical location. [Note: This
may be different from the mailing address.] Use local street and road
designations, not post office or rural box numbers.
DHS Form 9007
Page 4 of 80
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
Facility Location
Address (continued)
[Q:1.1-69]
Facility Location
Address (continued)
[Q:1.1-70]
Enter any additional street data for the facility's physical location.
[Note: This may be different from the mailing address.] Use local street
and road designations, not post office or rural box numbers.
Facility Location City
[Q:1.1-71]
Enter the city of the facility's physical location.
[Note: This may be different from the mailing address.]
Facility Location
State [Q:1.1-72]
Select the state of the facility's physical location.
[Note: This may be different from the mailing address.]
Facility Location ZIP
Code [Q:1.1-73]
Enter the ZIP Code (including the 4 digit extension, if applicable) of
the facility's physical location. For example, XXXXX or XXXXX-XXXX
are valid ZIP Code formats.
[Note: This may be different from the mailing address.]
Facility Latitude
[Q:1.1-591]
Enter the latitudinal coordinate of the center of the facility in decimal
degrees (XX.XXXXXX).
Facility Longitude
[Q:1.1-75]
Enter the longitudinal coordinate of the center of the facility in
decimal degrees. Longitude should begin with a negative sign with no
space before the coordinates (-XX.XXXXXX).
DHS Form 9007
Page 5 of 80
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
Enter the name of the county or equivalent jurisdiction (borough, parish) in which the
facility is located. If the facility is located in more than one jurisdiction, enter all
appropriate names.
[Q:1.1-76]
Facility Owner or Operator
Who is the Owner of
the facility? [Q:1.2-78]
The Owner is the person or entity that owns a facility. This may be a
person, company, cooperative, state, municipality, etc. This may be
different from the Operator.
Who is the Operator
of the facility?
[Q:1.2-594]
The Operator is the person who has responsibility for the daily
operations of a facility. This may be a person, company, cooperative,
state, municipality, etc. This may be different from the Owner.
Facility Regulatory Mandates
Is the facility site regulated pursuant to the Maritime Transportation Security Act of 2002,
Public Law 107-295, as amended?
[Q:1.3-85]
Yes, the facility is regulated pursuant to MTSA.
No, the facility is not regulated pursuant to MTSA
Partially: The site includes both a facility regulated pursuant to MTSA and a facility not
regulated pursuant to MTSA.
If the site includes both a facility regulated pursuant to the Maritime Transportation Security Act
of 2002, Public Law 107-295, as amended, and a facility not regulated pursuant to the Maritime
Transportation Security Act, select "Partially" and continue to fill out the screen for the facility not
subject to the Maritime Transportation Security Act.
DHS Form 9007
Page 6 of 80
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
Is the facility regulated pursuant to Public Water Systems, as defined by section 1401 of
the Safe Drinking Act, Public Law 93-523, as amended?
[Q:1.3-86]
Yes, the facility is a Public Water System.
No, the facility is not a Public Water System.
Partially: the facility contains a Public Water System regulated under the Safe Drinking
Water Act, but also contains components that are not so regulated.
If the facility contains a Public Water System regulated under the Safe Drinking Water Act, but
also contains components not so regulated, select "Partially" and continue to fill out the screen for
the portion of the facility not regulated under the Safe Drinking Water Act.
Is the facility regulated as a Treatment Works as defined in section 212 of the Federal
Water Pollution Control Act, Public Law 92-500, as amended?
[Q:1.3-87]
Yes, the facility is regulated as a Treatment Works.
No, the facility is not regulated as a Treatment Works.
Partially: the site contains Treatment Works regulated under the Federal Water Pollution
Control Act, but also contains a facility or portion of a facility not so regulated.
If the site contains Treatment Works regulated under the Federal Water Pollution Control Act,
but also contains a facility or portion of a facility not so regulated, select "Partially" and continue to
fill out the screen for the facility or portion of the facility not regulated under the Federal Water
Pollution Control Act.
Is the facility owned or operated by the Department of Defense?
[Q:1.3-88]
Yes
No
For further information or discussion of this type of exemption, please refer to the Interim Final
Rule.
Is the facility owned or operated by the Department of Energy?
[Q:1.3-89]
Yes
No
For further information or discussion of this type of exemption, please refer to the Interim Final
Rule.
DHS Form 9007
Page 7 of 80
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
Is the facility subject to regulation by the Nuclear Regulatory Commission?
[Q:1.3-90]
Yes
No
For further information or discussion of this type of exemption, please refer to the Interim Final
Rule.
EPA Facility Identifier
Does the facility operate any EPA RMP covered process(es) - Program 1, 2, or 3?
[Q:1.41-395]
Yes
No
Program 1, 2, and 3 processes are those determined under RMP. See 40 CFR 68.10(b), (c),
and (d), or Chapter 2 or EPA's General Guidance for Risk Management Programs (40 CFR 68).
http://yosemite.epa.gov/oswer/ceppoweb.nsf/content/index.html
If Yes, fill in EPA Facility Identifier number
Provide the EPA Facility Identifier, a unique, 12-digit number assigned to the facility by the
RMP Reporting Center after the first RMP submission. The RMP Report Center included
this number in their acknowledgment letter to your facility.
[Q:1.42-396]
EPA Facility
Identifier
Co-Located Facility
Specify if the facility is a host to a co-located tenant facility, is a co-located tenant facility
itself, or if this is not applicable.
[Q:1.43-397]
Facility is host to a co-located tenant facility
Facility is a co-located tenant facility
Not applicable
A facility that is co-located shares a site with another company's facility through either a host or
a tenant agreement. If a facility does not share a site with another company's facility it is the sole
tenant.
DHS Form 9007
Page 8 of 80
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
If facility is host or tenant:
Enter the name of the host or tenant facility and its corresponding EPA Facility Identifier.
Host/Tenant Facility
[Q:1.44-398]
Host/Tenant EPA
Facility Identifier
[Q:1.44-399]
Additional Facility Information
Enter the number of full-time employees and contractors.
Number of Full Time
Employees
[Q:1.45-400]
The number should represent the typical maximum number of
employees/full-time contractors onsite at any given time. Do not include
occasional times of a higher onsite workforce, such as turnarounds, in
this estimate.
Parent Company Name and Data Universal Numbering System (DUNS)
The parent company is the corporation or other business entity that owns at least 50 percent of
the voting stock of the company. If the facility is owned by a joint venture, enter the first of the two
major owners here. If the company does not have a parent company, leave these fields blank.
Parent Company 1
Name [Q:1.45-432]
Parent Company 1
DUNS [Q:1.45-433]
Parent Company 2
Name [Q:1.45-434]
Parent Company 2
DUNS [Q:1.45-435]
DHS Form 9007
Page 9 of 80
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
Security Vulnerability Assessment (SVA)
Has a security vulnerability assessment been conducted for this facility?
[Q:1.47-436]
Yes
No
A Security Vulnerability Assessment (SVA), enables the identification of security hazards,
threats, and the evaluation of security countermeasures and vulnerabilities.
If Yes, answer Security Vulnerability Assessment Fields
Security Vulnerability Assessment (SVA) methodology
Select the methodology used for the most recent security vulnerability assessment.
Explain: Name of the methodology used for the most recent security vulnerability assessment.
[Q:1.48-438]
CCPS (Center for Chemical Process Safety)
If selected, go to SVA Date
CCPS-Equivalent
If selected, go to CCPS Equivalent Methodology
Sandia VAM
If selected, go to SVA Date
Other
If selected, go to SVA Other Methodology
CCPS Equivalent Methodology
Provide the name of the CCPS Certified SVA methodology that was used to conduct the
most recent assessment only.
Select the name of the vulnerability methodology that was most recently conducted for this
facility. The typical methodologies have been used in this industry are presented. If CCPSequivalent or other is selected, please indicate the name of the security vulnerability assessment
methodology.
Air Products and Chemicals SVA
API/NPRA (For petroleum sites only)
Asmark SVA (Ag chemical distributors only)
Bayer SVA
BASF SVA
ExxonMobil SSQRA
FMC SVA
DHS Form 9007
Page 10 of 80
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
Georgia-Pacific SHA
Marathon Ashland Petroleum
National Paint and Coatings Association (For paint and coatings formulators only)
PPG SVA
SOCMA (Manual method must be used)
SRM (Chemical Extended Version by Straec)
SVA-Pro by Dyadem
Go to SVA Date
SVA Other Methodology
Enter the Name of the SVA Methodology
SVA methodology
[Q:1.482-653]
SVA Date
Enter the date when the most recent security vulnerability assessment of this facility was
completed.
Date of the most recent security
vulnerability assessment
[Q:1.483-654]
The response format is mm/dd/yyyy.
(e.g. May 1, 2006 is entered as
05/01/2006.)
If the answer to question [Q:1.1-65], "Choose the facility type that best describes your facility" is
Refinery, fill in Refinery Capacity, Refinery Market Share, Airport Fuels Supplier, and Military
Installation Supplier fields.
If the answer to question [Q:1.1-65] , "Choose the facility type that best describes your facility" is
LNG, fill in LNG Capacity and LNG Exclusion Zone fields
If facility is a chemical facility, go to Release of Toxics (page 16)
Refinery Capacity
Enter the normal (typical operating) and name plate design (maximum operating) crude oil
capacity of the refinery in barrels per day.
Typical Operating
Capacity (bpd)
[Q:1.5-386]
DHS Form 9007
Page 11 of 80
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
Maximum Design
Capacity (bpd)
[Q:1.5-387]
For each of the potential refinery crude sources (e.g., ship, pipeline, strategic petroleum
reserve (SPR), rail, and truck) enter the typical contribution as a percentage of the total
barrels per day.
Crude % by
Ship/Barge
[Q:1.5-388]
Crude % by Pipeline
[Q:1.5-389]
Crude % by SPR
[Q:1.5-390]
Crude % by Rail
[Q:1.5-391]
Crude % by Truck
[Q:1.5-392]
Refinery Market Share
Enter the regional market shares (%) for each fuel type and description of state/region
supplied. (Gasoline, Diesel, Jet Fuel/Kerosene, LPG, Home Heating Oil). State/region
supplied can include the states or areas of the US where the refinery's products are sold.
Gasoline Market
Share [Q:1.51-655]
Region
Diesel Market Share
Region
[Q:1.51-657]
Jet Fuel/Kerosene
Market Share
Region
[Q:1.51-659]
LPG Market Share
[Q:1.51-661]
Home Heating Oil
Market Share
Region
Region
[Q:1.51-663]
DHS Form 9007
Page 12 of 80
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
Airport Fuels Supplier
Is the refinery a direct supplier to a major metropolitan airport?
[Q:1.52-374]
Yes
No
If “Yes”, fill in Airport(s)
For each listed airport, enter the refinery's share (0% to 100%) of total deliveries of
Aviation Gasoline (Avgas) and Jet Fuel/Kerosene to the airport.
Airport Name
[Q:1.53-375]
% Share of Aviation
Gasoline
% Share of Jet
Fuel/Kerosene
[Q:1.53-376]
[Q:1.53-378]
Military Installation Supplier
Is the refinery a direct supplier to a military installation (products shipped from refinery to
the installation)?
[Q:1.54-380]
Yes
No
If “Yes”, fill in Installation(s) and Product(s)
Military Installation and Products
Military Installation
% Share of Gasoline
% Share of Diesel
[Q:1.55-381]
[Q:1.55-382]
[Q:1.55-383]
% Share of Jet
Fuel/Kerosene
[Q:1.55-384]
DHS Form 9007
Page 13 of 80
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
Go to Release of Toxics (page 16)
LNG Capacity
Enter the total LNG storage capacity for the facility (in cubic meters).
[Q:1.6-618]
If there are multiple LNG storage tanks onsite the capacity reported is the total storage capacity
of all LNG tanks.
Enter the regasification rate (billion cubic feet (Bcf) per day).
[Q:1.6-619]
Regasification rate should be the annual average reported in Bcf per day.
Enter the name of the natural gas pipeline system the facility feeds.
[Q:1.6-620]
The name of the natural gas pipeline system should be the name of the main tie-in point from
this facility.
LNG Exclusion Zone
Indicate if this facility was sited according to the 49 CFR 193 exclusion zone requirements
for thermal radiation and flammable vapor dispersion.
[Q:1.92-667]
Yes
No
49 CFR 193 incorporates NFPA 59A by reference. As defined in NFPA 59A, the siting
requirements are provisions to minimize the possibility of the damaging effects of fire reaching
beyond a property line. Refer to the downloadable guidance on the DHS website for the specific
requirements.
If “No”, provide a reason why the facility was exempted.
DHS Form 9007
Page 14 of 80
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
Provide the reason why the facility was exempted from this regulation.
[Q:1.91-669]
Provide the distance (in feet) of the 5kW/m2 thermal radiation zone using the 49 CFR 193
siting requirements.
[Q:1.93-670]
Feet
Provide the distance (in feet) to half the Lower Flammability Limit (1/2 LFL) using the 49
CFR 193 siting requirements.
[Q:1.93-671]
Feet
Go to Release of Toxics (page 16)
DHS Form 9007
Page 15 of 80
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
Release of Toxics
Toxic Chemicals of Concern
The presence or amount of a particular chemical is not the sole factor in determining
whether a facility presents a high level of security risk. This information informs the
subsequent parts of the Department's assessment. The Department will use its best
judgment and all available information in determining whether a facility presents a high
level of security risk.
Do you manufacture, process, use, store, or distribute any of the following toxic chemicals
at your facility? Check "Yes" if the chemical is present on site at or above the screening
threshold quantity.
(The default settings on this list indicate that the chemicals are NOT present on site. At the
end of the list, you must indicate that these settings have been changed as needed for
your facility.)
These chemicals were determined by the US Department of Homeland Security to be a potential
security risk at "high risk chemical facilities" as defined in Section 550 the Department of
Homeland Security Act of 2007. Chemicals should be selected if they were on site at or above the
screening threshold quantity at any time over the past 12 months.
If “No” selected for all chemicals, go to Release of Flammables (page 27)
[Q:2.0-121]
Chemical Name
CAS#
Screening
Threshold
Quantity
Acrolein
[2-Propenal]
107-02-8
3,750 lbs
Allyl alcohol
[2-Propen-1-ol]
107-18-6
11,250 lbs
Ammonia (anhydrous)
7664-41-7
7,500 lbs
Ammonia (conc. 20% or greater) relative density
less than 0.880 at 15 degrees C in water, with more
than 50 percent ammonia
7664-41-7
15,000 lbs
Arsenous trichloride
[Arsenic trichloride]
7784-34-1
11,250 lbs
Arsine
7784-42-1
750 lbs
Boron trichloride
[Borane, trichloro]
10294-34-5
3,750 lbs
DHS Form 9007
Page 16 of 80
Yes
No
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
Chemical Name
CAS#
Screening
Threshold
Quantity
Boron triflouride
[Borane, triflouro]
7637-07-2
3,750 lbs
Boron triflouride compound with methyl ether (1:1)
[Boron, triflouro [oxybis (methane)]-,T-4-]
353-42-4
11,250 lbs
Bromine
7726-95-6
7,500 lbs
75-15-0
15,000 lbs
Chlorine
7782-50-5
1,875 lbs
Chlorine dioxide
[Chlorine oxide, (ClO2)]
10049-04-4
2,000 lbs
Chloroform
[Methane, trichloro-]
67-66-3
15,000 lbs
Chloromethyl ether
[Methane, oxybis(chloro-)]
542-88-1
750 lbs
Chloromethyl methyl ether
[Methane, chloromethoxy-]
107-30-2
3,750 lbs
Cyanogen chloride
506-77-4
7,500 lbs
Cyclohexylamine
[Cyclohexanamine]
108-91-8
11,250 lbs
19287-45-7
1,875 lbs
Epichlorohydrin
[Oxirane, (chloromethyl)-]
106-89-8
15,000 lbs
Ethylenediamine
[1,2-Ethanediamine]
107-15-3
15,000 lbs
Fluorine
7782-41-4
750 lbs
50-00-0
11,250 lbs
7647-01-0
11,250 lbs
74-90-8
1,875 lbs
Hydrogen chloride (anhydrous)
[Hydrochloric acid]
7647-01-0
3,750 lbs
Hydrogen fluoride/Hydrofluoric acid (conc. 50% or
greater)
[Hydrofluoric acid]
7664-39-3
750 lbs
Carbon disulfide
Diborane
Formaldehyde (solution)
Hydrochloric acid
(conc. 37% or greater)
Hydrocyanic acid
DHS Form 9007
Page 17 of 80
Yes
No
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
Chemical Name
CAS#
Screening
Threshold
Quantity
7783-06-4
7,500 lbs
Isobutyronitrile
[Propanenitrile, 2-methyl-]
78-82-0
15,000 lbs
Isopropyl chloroformate
[Carbonochloridic acid, 1-methylethyl ester]
108-23-6
11,250 lbs
Methacrylonitrile
[2-Propenenitrile, 2-methyl-]
126-98-7
7,500 lbs
Methyl hydrazine
[Hydrazine, methyl-]
60-34-4
11,250 lbs
Methyl isocyanate
[Methane, isocyanato-]
624-83-9
11,250 lbs
Methyl thiocyanate
[Thiocyanic acid, methyl ester]
556-64-9
15,000 lbs
Nitric acid
7697-37-2
11,250 lbs
Nitric oxide
[Nitrogen oxide (NO)]
10102-43-9
7,500 lbs
Oleum (Fuming Sulfuric acid)
[Sulfuric acid, mixture with sulfur trioxide]
8014-95-7
7,500 lbs
Perchloromethylmercaptan
[Methanesulfenyl chloride trichloro-]
594-42-3
7,500 lbs
Phosgene
[Carbonic dichloride]
75-44-5
375 lbs
Phosphorus oxychloride
[Phosphoryl chloride]
10025-87-3
3,750 lbs
Phosphorus trichloride
[Phosphorous trichloride]
7719-12-2
11,250 lbs
Propionitrile
[Propanenitrile]
107-12-0
7,500 lbs
Propyleneimine
[Aziridine, 2-methyl-]
75-55-8
7,500 lbs
Sulfur dioxide (anhydrous)
7446-09-5
3,750 lbs
Sulfur tetraflouride
[Sulfur flouride (SF4), (T-4)-]
7783-60-0
1,875 lbs
Sulfur trioxide
7446-11-9
7,500 lbs
Hydrogen sulfide
DHS Form 9007
Page 18 of 80
Yes
No
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
Chemical Name
CAS#
Screening
Threshold
Quantity
75-74-1
7,500 lbs
Titanium tetrachloride
[Titanium chloride (TiCl4) (T-4)-]
7550-45-0
2,000 lbs
Toluene 2,4-diisocyanate
[Benzene, 2,4-diisocyanato-1-methyl-]
584-84-9
7,500 lbs
Toluene 2,6-diisocyanate
[Benzene, 1,3-diisocyanato-2-methyl-]
91-08-7
7,500 lbs
26471-62-5
7,500 lbs
Tetramethyllead
[Plumbane, tetramethyl-]
Toluene diisocyanate (unspecified isomer)
[Benzene, 1,3-diisocyanatomethyl-]
Yes
No
The list above has been reviewed and all chemicals present on site at or above the
screening threshold quantity have been indicated by selecting "Yes."
[Q:2.0-631]
Yes
No
Toxic Chemicals Present On Site
Indicate the topography used in the RMP*Comp calculation for the area where the facility
is located.
Q:2.1-122]
Urban
Rural
If this facility is covered by EPA RMP, the selection should be the same as that reported to
EPA. For all other facilities, if the site is located in an area with few buildings or other
obstructions, select Rural. If the site is in an urban location, or is in an area with many
obstructions, select Urban.
Enter the total onsite quantity of the toxic chemical of concern (pounds). Enter the
distance of concern reported by RMP*Comp (miles).
The total onsite quantity is the highest amount that is expected to be at your facility at any time in
a 12-month period. Round the quantity to two significant digits (e.g., round 247500 pounds to
250000 pounds, and round 7625 pounds to 7600 pounds).
The Distance of Concern that should be reported is the downwind distance calculated using
RMP*Comp for total onsite quantity of the regulated chemical, using additional process conditions
for this chemical. Report all distances shorter than 0.1 mile as 0.1 mile, and all distances 25
DHS Form 9007
Page 19 of 80
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
miles or longer as 25 miles. (RMP*Comp can be downloaded from
http://yosemite.epa.gov/oswer/ceppoweb.nsf/content/comp-dwn.htm)
Chemical Name
CAS#
Screening
Threshold
Quantity
Total
Onsite
Quantity
(pounds)
[Q:2.1-124]
Acrolein
[2-Propenal]
107-02-8
3,750 lbs
Allyl alcohol
[2-Propen-1-ol]
107-18-6
11,250 lbs
Ammonia (anhydrous)
7664-41-7
7,500 lbs
Ammonia (conc. 20% or greater)
relative density less than 0.880 at
15 degrees C in water, with more
than 50 percent ammonia
7664-41-7
15,000 lbs
Arsenous trichloride
[Arsenic trichloride]
7784-34-1
11,250 lbs
Arsine
7784-42-1
750 lbs
Boron trichloride
[Borane, trichloro]
10294-34-5
3,750 lbs
Boron triflouride
[Borane, triflouro]
7637-07-2
3,750 lbs
Boron triflouride compound with
methyl ether (1:1)
[Boron, triflouro [oxybis (methane)],T-4-]
353-42-4
11,250 lbs
Bromine
7726-95-6
7,500 lbs
Carbon disulfide
75-15-0
15,000 lbs
Chlorine
7782-50-5
1,875 lbs
Chlorine dioxide
[Chlorine oxide, (ClO2)]
10049-04-4
2,000 lbs
Chloroform
[Methane, trichloro-]
67-66-3
15,000 lbs
Chloromethyl ether
[Methane, oxybis(chloro-)]
542-88-1
750 lbs
Chloromethyl methyl ether
[Methane, chloromethoxy-]
107-30-2
3,750 lbs
DHS Form 9007
Page 20 of 80
Distance of
Concern
(miles)
[Q:2.1-126]
CSAT Top-Screen Questions
Chemical Name
CAS#
OMB PRA # 1670-0007
Expires: 12/31/2007
Screening
Threshold
Quantity
Total
Onsite
Quantity
(pounds)
[Q:2.1-124]
Cyanogen chloride
506-77-4
7,500 lbs
Cyclohexylamine
[Cyclohexanamine]
108-91-8
11,250 lbs
Diborane
19287-45-7
1,875 lbs
Epichlorohydrin
[Oxirane, (chloromethyl)-]
106-89-8
15,000 lbs
Ethylenediamine
[1,2-Ethanediamine]
107-15-3
15,000 lbs
Fluorine
7782-41-4
750 lbs
Formaldehyde (solution)
50-00-0
11,250 lbs
Hydrochloric acid
(conc. 37% or greater)
7647-01-0
11,250 lbs
Hydrocyanic acid
74-90-8
1,875 lbs
Hydrogen chloride (anhydrous)
[Hydrochloric acid]
7647-01-0
3,750 lbs
Hydrogen fluoride/Hydrofluoric acid
(conc. 50% or greater)
[Hydrofluoric acid]
7664-39-3
750 lbs
Hydrogen sulfide
7783-06-4
7,500 lbs
Isobutyronitrile
[Propanenitrile, 2-methyl-]
78-82-0
15,000 lbs
Isopropyl chloroformate
[Carbonochloridic acid, 1methylethyl ester]
108-23-6
11,250 lbs
Methacrylonitrile
[2-Propenenitrile, 2-methyl-]
126-98-7
7,500 lbs
Methyl hydrazine
[Hydrazine, methyl-]
60-34-4
11,250 lbs
Methyl isocyanate
[Methane, isocyanato-]
624-83-9
11,250 lbs
Methyl thiocyanate
[Thiocyanic acid, methyl ester]
556-64-9
15,000 lbs
DHS Form 9007
Page 21 of 80
Distance of
Concern
(miles)
[Q:2.1-126]
CSAT Top-Screen Questions
Chemical Name
CAS#
OMB PRA # 1670-0007
Expires: 12/31/2007
Screening
Threshold
Quantity
Total
Onsite
Quantity
(pounds)
[Q:2.1-124]
Nitric acid
7697-37-2
11,250 lbs
Nitric oxide
[Nitrogen oxide (NO)]
10102-43-9
7,500 lbs
Oleum (Fuming Sulfuric acid)
[Sulfuric acid, mixture with sulfur
trioxide]
8014-95-7
7,500 lbs
Perchloromethylmercaptan
[Methanesulfenyl chloride trichloro-]
594-42-3
7,500 lbs
Phosgene
[Carbonic dichloride]
75-44-5
375 lbs
Phosphorus oxychloride
[Phosphoryl chloride]
10025-87-3
3,750 lbs
Phosphorus trichloride
[Phosphorous trichloride]
7719-12-2
11,250 lbs
Propionitrile
[Propanenitrile]
107-12-0
7,500 lbs
Propyleneimine
[Aziridine, 2-methyl-]
75-55-8
7,500 lbs
Sulfur dioxide (anhydrous)
7446-09-5
3,750 lbs
Sulfur tetraflouride
[Sulfur flouride (SF4), (T-4)-]
7783-60-0
1,875 lbs
Sulfur trioxide
7446-11-9
7,500 lbs
Tetramethyllead
[Plumbane, tetramethyl-]
75-74-1
7,500 lbs
Titanium tetrachloride
[Titanium chloride (TiCl4) (T-4)-]
7550-45-0
2,000 lbs
Toluene 2,4-diisocyanate
[Benzene, 2,4-diisocyanato-1methyl-]
584-84-9
7,500 lbs
Toluene 2,6-diisocyanate
[Benzene, 1,3-diisocyanato-2methyl-]
91-08-7
7,500 lbs
DHS Form 9007
Page 22 of 80
Distance of
Concern
(miles)
[Q:2.1-126]
CSAT Top-Screen Questions
Chemical Name
CAS#
OMB PRA # 1670-0007
Expires: 12/31/2007
Screening
Threshold
Quantity
Total
Onsite
Quantity
(pounds)
Distance of
Concern
(miles)
[Q:2.1-126]
[Q:2.1-124]
Toluene diisocyanate (unspecified
isomer)
[Benzene, 1,3-diisocyanatomethyl-]
26471-62-5
7,500 lbs
Enter the quantity of the toxic chemical of concern in the Area of Highest Quantity
(pounds). Enter the distance of concern reported by RMP*Comp for the Area of Highest
Quantity (AHQ) (miles).
The Area of Highest Quantity (AHQ) is defined as an onsite area, with a radius of 170 feet, where
the greatest amount of the toxic chemical of concern is expected to be located at any time in a
12-month period. This amount may differ from the total onsite quantity. Round the quantity to
two significant digits (e.g., round 247500 pounds to 250000 pounds, and round 7625 pounds to
7600 pounds).
Chemical Name
CAS#
Screening
Threshold
Quantity
Quantity in
AHQ
(pounds)
[Q:2.2-2792]
Acrolein
[2-Propenal]
107-02-8
3,750 lbs
Allyl alcohol
[2-Propen-1-ol]
107-18-6
11,250 lbs
Ammonia (anhydrous)
7664-41-7
7,500 lbs
Ammonia (conc. 20% or greater)
relative density less than 0.880 at
15 degrees C in water, with more
than 50 percent ammonia
7664-41-7
15,000 lbs
Arsenous trichloride
[Arsenic trichloride]
7784-34-1
11,250 lbs
Arsine
7784-42-1
750 lbs
Boron trichloride
[Borane, trichloro]
10294-34-5
3,750 lbs
Boron triflouride
[Borane, triflouro]
7637-07-2
3,750 lbs
Boron triflouride compound with
methyl ether (1:1)
[Boron, triflouro [oxybis
(methane)]-,T-4-]
353-42-4
11,250 lbs
DHS Form 9007
Page 23 of 80
Distance of
Concern for
AHQ (miles)
[Q:2.2-2793]
CSAT Top-Screen Questions
Chemical Name
CAS#
OMB PRA # 1670-0007
Expires: 12/31/2007
Screening
Threshold
Quantity
Quantity in
AHQ
(pounds)
[Q:2.2-2792]
Bromine
7726-95-6
7,500 lbs
Carbon disulfide
75-15-0
15,000 lbs
Chlorine
7782-50-5
1,875 lbs
Chlorine dioxide
[Chlorine oxide, (ClO2)]
10049-04-4
2,000 lbs
Chloroform
[Methane, trichloro-]
67-66-3
15,000 lbs
Chloromethyl ether
[Methane, oxybis(chloro-)]
542-88-1
750 lbs
Chloromethyl methyl ether
[Methane, chloromethoxy-]
107-30-2
3,750 lbs
Cyanogen chloride
506-77-4
7,500 lbs
Cyclohexylamine
[Cyclohexanamine]
108-91-8
11,250 lbs
Diborane
19287-45-7
1,875 lbs
Epichlorohydrin
[Oxirane, (chloromethyl)-]
106-89-8
15,000 lbs
Ethylenediamine
[1,2-Ethanediamine]
107-15-3
15,000 lbs
Fluorine
7782-41-4
750 lbs
Formaldehyde (solution)
50-00-0
11,250 lbs
Hydrochloric acid
(conc. 37% or greater)
7647-01-0
11,250 lbs
Hydrocyanic acid
74-90-8
1,875 lbs
Hydrogen chloride (anhydrous)
[Hydrochloric acid]
7647-01-0
3,750 lbs
Hydrogen fluoride/Hydrofluoric acid
(conc. 50% or greater)
[Hydrofluoric acid]
7664-39-3
750 lbs
Hydrogen sulfide
7783-06-4
7,500 lbs
DHS Form 9007
Page 24 of 80
Distance of
Concern for
AHQ (miles)
[Q:2.2-2793]
CSAT Top-Screen Questions
Chemical Name
CAS#
OMB PRA # 1670-0007
Expires: 12/31/2007
Screening
Threshold
Quantity
Quantity in
AHQ
(pounds)
[Q:2.2-2792]
Isobutyronitrile
[Propanenitrile, 2-methyl-]
78-82-0
15,000 lbs
Isopropyl chloroformate
[Carbonochloridic acid, 1methylethyl ester]
108-23-6
11,250 lbs
Methacrylonitrile
[2-Propenenitrile, 2-methyl-]
126-98-7
7,500 lbs
Methyl hydrazine
[Hydrazine, methyl-]
60-34-4
11,250 lbs
Methyl isocyanate
[Methane, isocyanato-]
624-83-9
11,250 lbs
Methyl thiocyanate
[Thiocyanic acid, methyl ester]
556-64-9
15,000 lbs
Nitric acid
7697-37-2
11,250 lbs
Nitric oxide
[Nitrogen oxide (NO)]
10102-43-9
7,500 lbs
Oleum (Fuming Sulfuric acid)
[Sulfuric acid, mixture with sulfur
trioxide]
8014-95-7
7,500 lbs
Perchloromethylmercaptan
[Methanesulfenyl chloride trichloro]
594-42-3
7,500 lbs
Phosgene
[Carbonic dichloride]
75-44-5
375 lbs
Phosphorus oxychloride
[Phosphoryl chloride]
10025-87-3
3,750 lbs
Phosphorus trichloride
[Phosphorous trichloride]
7719-12-2
11,250 lbs
Propionitrile
[Propanenitrile]
107-12-0
7,500 lbs
Propyleneimine
[Aziridine, 2-methyl-]
75-55-8
7,500 lbs
Sulfur dioxide (anhydrous)
7446-09-5
3,750 lbs
DHS Form 9007
Page 25 of 80
Distance of
Concern for
AHQ (miles)
[Q:2.2-2793]
CSAT Top-Screen Questions
Chemical Name
CAS#
OMB PRA # 1670-0007
Expires: 12/31/2007
Screening
Threshold
Quantity
Quantity in
AHQ
(pounds)
[Q:2.2-2792]
Sulfur tetraflouride
[Sulfur flouride (SF4), (T-4)-]
7783-60-0
1,875 lbs
Sulfur trioxide
7446-11-9
7,500 lbs
Tetramethyllead
[Plumbane, tetramethyl-]
75-74-1
7,500 lbs
Titanium tetrachloride
[Titanium chloride (TiCl4) (T-4)-]
7550-45-0
2,000 lbs
Toluene 2,4-diisocyanate
[Benzene, 2,4-diisocyanato-1methyl-]
584-84-9
7,500 lbs
Toluene 2,6-diisocyanate
[Benzene, 1,3-diisocyanato-2methyl-]
91-08-7
7,500 lbs
Toluene diisocyanate (unspecified
isomer)
[Benzene, 1,3-diisocyanatomethyl-]
26471-62-5
7,500 lbs
DHS Form 9007
Page 26 of 80
Distance of
Concern for
AHQ (miles)
[Q:2.2-2793]
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
Release of Flammables
Flammable Chemicals of Concern
The presence or amount of a particular chemical is not the sole factor in determining
whether a facility presents a high level of security risk. This information informs the
subsequent parts of the Department's assessment. The Department will use its best
judgment and all available information in determining whether a facility presents a high
level of security risk.
Do you manufacture, process, use, store, or distribute any of the following flammable
chemicals at your facility? Check "Yes" if the chemical is present on site at or above the
screening threshold quantity.
(The default settings on this list indicate that the chemicals are NOT present on site. At the
end of the list, you must indicate that these settings have been changed as needed for
your facility.)
These chemicals were determined by the US Department of Homeland Security to be a potential
security risk at "high risk chemical facilities" as defined in Section 550 the Department of
Homeland Security Act of 2007. Chemicals should be selected if they were on site at or above the
screening threshold quantity at any time over the past 12 months.
If “No” selected for all chemicals, go to Release of Explosives (page 38)
[Q:3.0-129]
Chemical Name
CAS#
Screening
Threshold
Quantity
1,1-Dimethylhydrazine
[Hydrazine,1,1-dimethyl-]
57-14-7
11,250 lbs
1,3-Butadiene
106-99-0
7,500 lbs
1,3-Pentadiene
504-60-9
7,500 lbs
1-Butene
106-98-9
7,500 lbs
1-Chloropropylene
[1-Propene, 1-chloro-]
590-21-6
7,500 lbs
1-Pentane
109-67-1
7,500 lbs
2,2-Dimethylpropane
[Propane, 2,2-dimethyl-]
463-82-1
7,500 lbs
2-Butene
107-01-7
7,500 lbs
2-Butene-cis
590-18-1
7,500 lbs
DHS Form 9007
Page 27 of 80
Yes
No
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
Chemical Name
CAS#
Screening
Threshold
Quantity
2-Butene-trans
[2-Butene, (E)]
624-64-6
7,500 lbs
2-Chloropropylene
[1-Propene, 2-chloro-]
557-98-2
7,500 lbs
2-Methyl-1-butene
563-46-2
7,500 lbs
2-Methylpropene
[1-Propene, 2-methyl-]
115-11-7
7,500 lbs
2-Pentene, (Z)-
627-20-3
7,500 lbs
2-Pentene,(E)-
646-04-8
7,500 lbs
3-Methyl-1-butene
563-45-1
7,500 lbs
Acetaldehyde
75-07-0
7,500 lbs
Acetylene
[Ethyne]
74-86-2
7,500 lbs
Acrylonitrile
[2-Propenenitrile]
107-13-1
15,000 lbs
Acrylyl chloride
[2-Propenoyl chloride]
814-68-6
7,500 lbs
Allylamine
[2-Propen-1-amine]
107-11-9
7,500 lbs
Bromotrifluorethylene
[Ethene, bromotrifluoro-]
598-73-2
7,500 lbs
Butane
106-97-8
7,500 lbs
Butene
25167-67-3
7,500 lbs
Carbon oxysulfide
[a.k.a Carbon oxide sulfide (COS); carbonyl sulfide]
463-58-1
7,500 lbs
Chlorine monoxide
[Chlorine oxide]
7791-21-1
7,500 lbs
Crotonaldehyde
[2-Butenal]
4170-30-3
15,000 lbs
Crotonaldehyde, (E)[2-Butenal], (E)-]
123-73-9
15,000 lbs
Cyanogen
[Ethanedinitrile]
460-19-5
7,500 lbs
DHS Form 9007
Page 28 of 80
Yes
No
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
Chemical Name
CAS#
Screening
Threshold
Quantity
Cyclopropane
75-19-4
7,500 lbs
Dichlorosilane
[Silane, dichloro-]
4109-96-0
7,500 lbs
Difluoroethane
[Ethane, 1,1-difluoro-]
75-37-6
7,500 lbs
Dimethylamine
[Methanamine, N-methyl-]
124-40-3
7,500 lbs
Dimethyldichlorosilane
[Silane, dichlorodimethyl-]
75-78-5
7,500 lbs
Ethane
74-84-0
7,500 lbs
Ethyl acetylene
[1-Butyne]
107-00-6
7,500 lbs
Ethyl chloride
Ethyl chloride [Ethane, chloro-]
75-00-3
7,500 lbs
Ethyl ether
Ethyl ether [Ethane, 1,1-oxybis-]
60-29-7
7,500 lbs
Ethyl mercaptan
Ethyl mercaptan [Ethanethiol]
75-08-1
7,500 lbs
Ethyl nitrite
Ethyl nitrite [Nitrous acid, ethyl ester]
109-95-5
7,500 lbs
Ethylamine
Ethylamine [Ethanamine]
75-04-7
7,500 lbs
Ethylene
Ethylene [Ethene]
74-85-1
7,500 lbs
Ethylene oxide
Ethylene oxide [Oxirane]
75-21-8
7,500 lbs
Ethyleneimine
Ethyleneimine [Aziridine]
151-56-4
7,500 lbs
Furan
110-00-9
7,500 lbs
Hydrazine
302-01-2
11,250 lbs
Hydrogen
1333-74-0
7,500 lbs
Hydrogen selenide
7783-07-5
7,500 lbs
DHS Form 9007
Page 29 of 80
Yes
No
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
Chemical Name
CAS#
Screening
Threshold
Quantity
Iron, pentacarbonyl[Iron carbonyl (Fe (CO)5), (TB5-11)-]
13463-40-6
7,500 lbs
Isobutane
[Propane, 2-methyl]
75-28-5
7,500 lbs
Isopentane
[Butane, 2-methyl-]
78-78-4
7,500 lbs
Isoprene
[1,3-Butadiene, 2-methyl-]
78-79-5
7,500 lbs
Isopropyl chloride
[Propane, 2-chloro-]
75-29-6
7,500 lbs
Isopropylamine
[2-Propanamine]
75-31-0
7,500 lbs
Methane
74-82-8
7,500 lbs
Methyl chloride
[Methane, chloro-]
74-87-3
7,500 lbs
Methyl chloroformate
[Carbonchloridic acid, methylester]
79-22-1
7,500 lbs
Methyl ether
[Methane, oxybis-]
115-10-6
7,500 lbs
Methyl formate
[Formic acid Methyl ester]
107-31-3
7,500 lbs
Methyl mercaptan
[Methanethiol]
74-93-1
7,500 lbs
Methylamine
[Methanamine]
74-89-5
7,500 lbs
Methyltrichlorosilane
[Silane, trichloromethyl-]
75-79-6
7,500 lbs
Nickel Carbonyl
13463-39-3
7,500 lbs
Pentane
109-66-0
7,500 lbs
Peracetic acid
[Ethaneperoxic acid]
79-21-0
7,500 lbs
Phosphine
7803-51-2
7,500 lbs
Piperidine
110-89-4
11,250 lbs
DHS Form 9007
Page 30 of 80
Yes
No
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
Chemical Name
CAS#
Screening
Threshold
Quantity
Propadiene
[1,2-Propadiene]
463-49-0
7,500 lbs
Propane
74-98-6
7,500 lbs
Propyl chlorofromate
[Carbonchloridic acid, propylester]
109-61-5
11,250 lbs
Propylene
[1-Propene]
115-07-1
7,500 lbs
Propylene oxide
[Oxirane, methyl-]
75-56-9
7,500 lbs
Propyne
[1-Propyne]
74-99-7
7,500 lbs
Silane
7803-62-5
7,500 lbs
Tetrafluoroethylene
[Ethene, tetrafluoro-]
116-14-3
7,500 lbs
Tetramethylsilane
[Silane, tetramethyl-]
75-76-3
7,500 lbs
Tetranitromethane
[Methane, tetranitro-]
509-14-8
7,500 lbs
Trichlorosilane
[Silane, trichloro-]
10025-78-2
7,500 lbs
Trifluorochloroethylene
[Ethene, chlorotrifluoro]
79-38-9
7,500 lbs
Trimethylamine
[Methanamine, N,N-dimethyl-]
75-50-3
7,500 lbs
Trimethylchlorosilane
[Silane, chlorotrimethyl-]
75-77-4
7,500 lbs
Vinyl acetate monomer
[Acetic acid ethenyl ester]
108-05-4
11,250 lbs
Vinyl acetylene
[1-Buten-3-yne]
689-97-4
7,500 lbs
Vinyl chloride
[Ethene, chloro-]
75-01-4
7,500 lbs
Vinyl ethyl ether
[Ethene, ethoxy-]
109-92-2
7,500 lbs
DHS Form 9007
Page 31 of 80
Yes
No
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
Chemical Name
CAS#
Screening
Threshold
Quantity
Vinyl fluoride
[Ethene, fluoro-]
75-02-5
7,500 lbs
Vinyl methyl ether
[Ethene, methoxy-]
107-25-5
7,500 lbs
Vinylidene chloride
[Ethene, 1,1-dichloro-]
75-35-4
7,500 lbs
Vinylidene fluoride
[Ethene, 1,1-difluoro-]
75-38-7
7,500 lbs
Yes
No
The list above has been reviewed and all chemicals present on site at or above the
screening threshold quantity have been indicated by selecting "Yes."
[Q:3.0-632]
Yes
No
Flammable Chemicals Present On Site
Enter the total onsite quantity of the flammable chemical of concern (pounds). Enter the
quantity of the flammable chemical of concern in the Area of Highest Quantity (pounds).
The total onsite quantity is the highest amount that is expected to be at your facility at any time in
a 12-month period. The Area of Highest Quantity (AHQ) is defined as an onsite area, with a
radius of 170 feet, where the greatest amount of the flammable chemical of concern is expected
to be located at any time in a 12-month period. This amount may differ from the total onsite
quantity. Round both quantities to two significant digits (e.g., round 247500 pounds to
250000 pounds, and round 7625 pounds to 7600 pounds).
Chemical Name
CAS#
Screening
Threshold
Quantity
Total Onsite
Quantity
(pounds)
[Q:3.1-131]
1,1-Dimethylhydrazine
[Hydrazine, 1, 1-dimethyl-]
57-14-7
11,250 lbs
1,3-Butadiene
106-99-0
7,500 lbs
1,3-Pentadiene
504-60-9
7,500 lbs
1-Butene
106-98-9
7,500 lbs
DHS Form 9007
Page 32 of 80
Quantity in
AHQ (pounds)
[Q:3.1-2794]
CSAT Top-Screen Questions
Chemical Name
CAS#
OMB PRA # 1670-0007
Expires: 12/31/2007
Screening
Threshold
Quantity
Total Onsite
Quantity
(pounds)
[Q:3.1-131]
1-Chloropropylene
[1-Propene, 1-chloro-]
590-21-6
7,500 lbs
1-Pentane
109-67-1
7,500 lbs
2,2-Dimethylpropane
[Propane, 2,2-dimethyl-]
463-82-1
7,500 lbs
2-Butene
107-01-7
7,500 lbs
2-Butene-cis
590-18-1
7,500 lbs
2-Butene-trans
[2-Butene, (E)]
624-64-6
7,500 lbs
2-Chloropropylene
[1-Propene, 2-chloro-]
557-98-2
7,500 lbs
2-Methyl-1-butene
563-46-2
7,500 lbs
2-Methylpropene
[1-Propene, 2-methyl-]
115-11-7
7,500 lbs
2-Pentene, (Z)-
627-20-3
7,500 lbs
2-Pentene,(E)-
646-04-8
7,500 lbs
3-Methyl-1-butene
563-45-1
7,500 lbs
Acetaldehyde
75-07-0
7,500 lbs
Acetylene
[Ethyne]
74-86-2
7,500 lbs
Acrylonitrile
[2-Propenenitrile]
107-13-1
15,000 lbs
Acrylyl chloride
[2-Propenoyl chloride]
814-68-6
7,500 lbs
Allylamine
[2-Propen-1-amine]
107-11-9
7,500 lbs
Bromotrifluorethylene
[Ethene, bromotrifluoro-]
598-73-2
7,500 lbs
Butane
106-97-8
7,500 lbs
Butene
25167-67-3
7,500 lbs
DHS Form 9007
Page 33 of 80
Quantity in
AHQ (pounds)
[Q:3.1-2794]
CSAT Top-Screen Questions
Chemical Name
CAS#
OMB PRA # 1670-0007
Expires: 12/31/2007
Screening
Threshold
Quantity
Total Onsite
Quantity
(pounds)
[Q:3.1-131]
Carbon oxysulfide
[a.k.a Carbon oxide sulfide
(COS); carbonyl sulfide]
463-58-1
7,500 lbs
Chlorine monoxide
[Chlorine oxide]
7791-21-1
7,500 lbs
Crotonaldehyde
[2-Butenal]
4170-30-3
15,000 lbs
Crotonaldehyde, (E)[2-Butenal], (E)-]
123-73-9
15,000 lbs
Cyanogen
[Ethanedinitrile]
460-19-5
7,500 lbs
Cyclopropane
75-19-4
7,500 lbs
Dichlorosilane
[Silane, dichloro-]
4109-96-0
7,500 lbs
Difluoroethane
[Ethane, 1,1-difluoro-]
75-37-6
7,500 lbs
Dimethylamine
[Methanamine, N-methyl-]
124-40-3
7,500 lbs
Dimethyldichlorosilane
[Silane, dichlorodimethyl-]
75-78-5
7,500 lbs
Ethane
74-84-0
7,500 lbs
Ethyl acetylene
[1-Butyne]
107-00-6
7,500 lbs
Ethyl chloride
Ethyl chloride [Ethane, chloro-]
75-00-3
7,500 lbs
Ethyl ether
Ethyl ether [Ethane, 1,1oxybis-]
60-29-7
7,500 lbs
Ethyl mercaptan
Ethyl mercaptan [Ethanethiol]
75-08-1
7,500 lbs
Ethyl nitrite
Ethyl nitrite [Nitrous acid, ethyl
ester]
109-95-5
7,500 lbs
DHS Form 9007
Page 34 of 80
Quantity in
AHQ (pounds)
[Q:3.1-2794]
CSAT Top-Screen Questions
Chemical Name
CAS#
OMB PRA # 1670-0007
Expires: 12/31/2007
Screening
Threshold
Quantity
Total Onsite
Quantity
(pounds)
[Q:3.1-131]
Ethylamine
Ethylamine [Ethanamine]
75-04-7
7,500 lbs
Ethylene
Ethylene [Ethene]
74-85-1
7,500 lbs
Ethylene oxide
Ethylene oxide [Oxirane]
75-21-8
7,500 lbs
Ethyleneimine
Ethyleneimine [Aziridine]
151-56-4
7,500 lbs
Furan
110-00-9
7,500 lbs
Hydrazine
302-01-2
11,250 lbs
Hydrogen
1333-74-0
7,500 lbs
Hydrogen selenide
7783-07-5
7,500 lbs
Iron, pentacarbonyl[Iron carbonyl (Fe (CO)5),
(TB5-11)-]
13463-40-6
7,500 lbs
Isobutane
[Propane, 2-methyl]
75-28-5
7,500 lbs
Isopentane
[Butane, 2-methyl-]
78-78-4
7,500 lbs
Isoprene
[1,3-Butadiene, 2-methyl-]
78-79-5
7,500 lbs
Isopropyl chloride
[Propane, 2-chloro-]
75-29-6
7,500 lbs
Isopropylamine
[2-Propanamine]
75-31-0
7,500 lbs
Methane
74-82-8
7,500 lbs
Methyl chloride
[Methane, chloro-]
74-87-3
7,500 lbs
Methyl chloroformate
[Carbonchloridic acid,
methylester]
79-22-1
7,500 lbs
Methyl ether
[Methane, oxybis-]
115-10-6
7,500 lbs
DHS Form 9007
Page 35 of 80
Quantity in
AHQ (pounds)
[Q:3.1-2794]
CSAT Top-Screen Questions
Chemical Name
CAS#
OMB PRA # 1670-0007
Expires: 12/31/2007
Screening
Threshold
Quantity
Total Onsite
Quantity
(pounds)
[Q:3.1-131]
Methyl formate
[Formic acid Methyl ester]
107-31-3
7,500 lbs
Methyl mercaptan
[Methanethiol]
74-93-1
7,500 lbs
Methylamine
[Methanamine]
74-89-5
7,500 lbs
Methyltrichlorosilane
[Silane, trichloromethyl-]
75-79-6
7,500 lbs
Nickel Carbonyl
13463-39-3
7,500 lbs
Pentane
109-66-0
7,500 lbs
Peracetic acid
[Ethaneperoxic acid]
79-21-0
7,500 lbs
Phosphine
7803-51-2
7,500 lbs
Piperidine
110-89-4
11,250 lbs
Propadiene
[1,2-Propadiene]
463-49-0
7,500 lbs
Propane
74-98-6
7,500 lbs
Propyl chlorofromate
[Carbonchloridic acid,
propylester]
109-61-5
11,250 lbs
Propylene
[1-Propene]
115-07-1
7,500 lbs
Propylene oxide
[Oxirane, methyl-]
75-56-9
7,500 lbs
Propyne
[1-Propyne]
74-99-7
7,500 lbs
Silane
7803-62-5
7,500 lbs
Tetrafluoroethylene
[Ethene, tetrafluoro-]
116-14-3
7,500 lbs
Tetramethylsilane
[Silane, tetramethyl-]
75-76-3
7,500 lbs
DHS Form 9007
Page 36 of 80
Quantity in
AHQ (pounds)
[Q:3.1-2794]
CSAT Top-Screen Questions
Chemical Name
CAS#
OMB PRA # 1670-0007
Expires: 12/31/2007
Screening
Threshold
Quantity
Total Onsite
Quantity
(pounds)
[Q:3.1-131]
Tetranitromethane
[Methane, tetranitro-]
509-14-8
7,500 lbs
Trichlorosilane
[Silane, trichloro-]
10025-78-2
7,500 lbs
Trifluorochloroethylene
[Ethene, chlorotrifluoro]
79-38-9
7,500 lbs
Trimethylamine
[Methanamine, N,N-dimethyl-]
75-50-3
7,500 lbs
Trimethylchlorosilane
[Silane, chlorotrimethyl-]
75-77-4
7,500 lbs
Vinyl acetate monomer
[Acetic acid ethenyl ester]
108-05-4
11,250 lbs
Vinyl acetylene
[1-Buten-3-yne]
689-97-4
7,500 lbs
Vinyl chloride
[Ethene, chloro-]
75-01-4
7,500 lbs
Vinyl ethyl ether
[Ethene, ethoxy-]
109-92-2
7,500 lbs
Vinyl fluoride
[Ethene, fluoro-]
75-02-5
7,500 lbs
Vinyl methyl ether
[Ethene, methoxy-]
107-25-5
7,500 lbs
Vinylidene chloride
[Ethene, 1,1-dichloro-]
75-35-4
7,500 lbs
Vinylidene fluoride
[Ethene, 1,1-difluoro-]
75-38-7
7,500 lbs
DHS Form 9007
Page 37 of 80
Quantity in
AHQ (pounds)
[Q:3.1-2794]
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
Release of Explosives
Explosive Chemicals of Concern
The presence or amount of a particular chemical is not the sole factor in determining
whether a facility presents a high level of security risk. This information informs the
subsequent parts of the Department's assessment. The Department will use its best
judgment and all available information in determining whether a facility presents a high
level of security risk.
Do you manufacture, process, use, store, or distribute any of the following explosive
chemicals at your facility? Check "Yes" if the chemical is present on site at or above the
screening threshold quantity.
(The default settings on this list indicate that the chemicals are NOT present on site. At the
end of the list, you must indicate that these settings have been changed as needed for
your facility.)
These chemicals were determined by the US Department of Homeland Security to be a potential
security risk at "high risk chemical facilities" as defined in Section 550 the Department of
Homeland Security Act of 2007. Chemicals should be selected if they were on site at or above the
screening threshold quantity at any time over the past 12 months.
If the answer to question [Q:1.1-65], "Choose the facility type that best describes your facility" is
Refinery or LNG, go to Theft/Diversion of WME (page 52)
If “No” selected for all chemicals, go to Theft/Diversion of IEDP (page 44)
[Q:4.0-154]
Chemical Name
CAS#
Screening
Threshold
Quantity
1H-Tetrazole
16681-77-9
2,000 lbs
5-Nitrobenzotriazol
2338-12-7
2,000 lbs
Ammonium nitrate
6484-52-2
2,000 lbs
Ammonium perchlorate
7790-98-9
2,000 lbs
Ammonium picrate
131-74-8
2,000 lbs
Barium azide
18810-58-7
2,000 lbs
Cyclotetramethylenetetranitramine
2691-41-0
2,000 lbs
Diazodinitrophenol
87-31-0
2,000 lbs
Diethyleneglycol dinitrate
693-21-0
2,000 lbs
Dinitroglycoluril
55510-04-8
2,000 lbs
DHS Form 9007
Page 38 of 80
Yes
No
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
Chemical Name
CAS#
Screening
Threshold
Quantity
Dinitrophenol
25550-58-7
2,000 lbs
Dinitroresorcinol
35860-51-6
2,000 lbs
Dipicryl sulfide
2217-06-3
2,000 lbs
Guanyl nitrosaminoguanylidene hydrazine
2,000 lbs
Guanyl nitrosaminoguanyltetrazene
109-27-3
2,000 lbs
Hexanitrodiphenylamine
35860-31-2
2,000 lbs
Hexanitrostilbene
20062-22-0
2,000 lbs
Hexolite
121-82-4
2,000 lbs
Hexotonal
107-15-3
2,000 lbs
Lead azide
13424-46-9
2,000 lbs
Lead styphnate
15245-44-0
2,000 lbs
Mannitol hexanitrate, wetted
15825-70-4
2,000 lbs
Mercury fulminate
628-86-4
2,000 lbs
Nitro urea
556-89-8
2,000 lbs
Nitrocellulose
9004-70-0
2,000 lbs
Nitroglycerine
55-63-0
2,000 lbs
Nitroguanidine
556-88-7
2,000 lbs
Nitrostarch
9056-38-6
2,000 lbs
Nitrotriazolone
932-64-9
2,000 lbs
Octolite
68610-51-5
2,000 lbs
Octonal
124-13-0
2,000 lbs
Pentaerythrite tetranitrate or PETN
78-11-5
2,000 lbs
Pentolite
8066-33-9
2,000 lbs
RDX and HMX mixtures
121-82-4
2,000 lbs
Tetranitroaniline
53014-37-2
2,000 lbs
Trinitroaniline
26952-42-1
2,000 lbs
Trinitroanisole
606-35-9
2,000 lbs
DHS Form 9007
Page 39 of 80
Yes
No
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
Chemical Name
CAS#
Screening
Threshold
Quantity
Trinitrobenzene
99-35-4
2,000 lbs
Trinitrobenzenesulfonic acid
2508-19-2
2,000 lbs
Trinitrobenzoic acid
129-66-8
2,000 lbs
Trinitrochlorobenzene
88-88-0
2,000 lbs
Trinitrofluorenone
129-79-3
2,000 lbs
Trinitro-meta-cresol
602-99-3
2,000 lbs
Trinitronaphthalene
558101-17-8
2,000 lbs
Trinitrophenetole
4732-14-3
2,000 lbs
Trinitrophenol
88-89-1
2,000 lbs
Trinitroresorcinol
82-71-3
2,000 lbs
Trinitrotoluene
118-96-7
2,000 lbs
Tritonal
54413-15-9
2,000 lbs
Urea nitrate
124-47-0
2,000 lbs
Yes
No
The list above has been reviewed and all chemicals present on site at or above the
screening threshold quantity have been indicated by selecting "Yes."
[Q:4.0-711]
Yes
No
Explosive Chemicals Present On Site
Enter the total onsite quantity of the explosive chemical of concern (pounds). Enter the
quantity of the explosive chemical of concern in the Area of Highest Quantity (pounds).
The total onsite quantity is the highest amount that is expected to be at your facility at any time in
a 12-month period. The Area of Highest Quantity (AHQ) is defined as an onsite area, with a
radius of 170 feet, where the greatest amount of the explosive chemical of concern is expected to
be located at any time in a 12-month period. This amount may differ from the total onsite
quantity. Round both quantities to two significant digits (e.g., round 247500 pounds to
250000 pounds, and round 7625 pounds to 7600 pounds).
DHS Form 9007
Page 40 of 80
CSAT Top-Screen Questions
Chemical Name
CAS#
OMB PRA # 1670-0007
Expires: 12/31/2007
Screening
Threshold
Quantity
Total Onsite
Quantity
(pounds)
[Q:4.1-712]
1H-Tetrazole
16681-77-9
2,000 lbs
5-Nitrobenzotriazol
2338-12-7
2,000 lbs
Ammonium nitrate
6484-52-2
2,000 lbs
Ammonium perchlorate
7790-98-9
2,000 lbs
Ammonium picrate
131-74-8
2,000 lbs
Barium azide
18810-58-7
2,000 lbs
Cyclotetramethylenetetranitra
mine
2691-41-0
2,000 lbs
Diazodinitrophenol
87-31-0
2,000 lbs
Diethyleneglycol dinitrate
693-21-0
2,000 lbs
Dinitroglycoluril
55510-04-8
2,000 lbs
Dinitrophenol
25550-58-7
2,000 lbs
Dinitroresorcinol
35860-51-6
2,000 lbs
Dipicryl sulfide
2217-06-3
2,000 lbs
Guanyl
nitrosaminoguanylidene
hydrazine
2,000 lbs
Guanyl
nitrosaminoguanyltetrazene
109-27-3
2,000 lbs
Hexanitrodiphenylamine
35860-31-2
2,000 lbs
Hexanitrostilbene
20062-22-0
2,000 lbs
Hexolite
121-82-4
2,000 lbs
Hexotonal
107-15-3
2,000 lbs
Lead azide
13424-46-9
2,000 lbs
Lead styphnate
15245-44-0
2,000 lbs
Mannitol hexanitrate, wetted
15825-70-4
2,000 lbs
Mercury fulminate
628-86-4
2,000 lbs
DHS Form 9007
Page 41 of 80
Quantity in
AHQ (pounds)
[Q:4.1-2795]
CSAT Top-Screen Questions
Chemical Name
CAS#
OMB PRA # 1670-0007
Expires: 12/31/2007
Screening
Threshold
Quantity
Total Onsite
Quantity
(pounds)
[Q:4.1-712]
Nitro urea
556-89-8
2,000 lbs
Nitrocellulose
9004-70-0
2,000 lbs
Nitroglycerine
55-63-0
2,000 lbs
Nitroguanidine
556-88-7
2,000 lbs
Nitrostarch
9056-38-6
2,000 lbs
Nitrotriazolone
932-64-9
2,000 lbs
Octolite
68610-51-5
2,000 lbs
Octonal
124-13-0
2,000 lbs
Pentaerythrite tetranitrate or
PETN
78-11-5
2,000 lbs
Pentolite
8066-33-9
2,000 lbs
RDX and HMX mixtures
121-82-4
2,000 lbs
Tetranitroaniline
53014-37-2
2,000 lbs
Trinitroaniline
26952-42-1
2,000 lbs
Trinitroanisole
606-35-9
2,000 lbs
Trinitrobenzene
99-35-4
2,000 lbs
Trinitrobenzenesulfonic acid
2508-19-2
2,000 lbs
Trinitrobenzoic acid
129-66-8
2,000 lbs
Trinitrochlorobenzene
88-88-0
2,000 lbs
Trinitrofluorenone
129-79-3
2,000 lbs
Trinitro-meta-cresol
602-99-3
2,000 lbs
Trinitronaphthalene
558101-178
2,000 lbs
Trinitrophenetole
4732-14-3
2,000 lbs
Trinitrophenol
88-89-1
2,000 lbs
Trinitroresorcinol
82-71-3
2,000 lbs
DHS Form 9007
Page 42 of 80
Quantity in
AHQ (pounds)
[Q:4.1-2795]
CSAT Top-Screen Questions
Chemical Name
CAS#
OMB PRA # 1670-0007
Expires: 12/31/2007
Screening
Threshold
Quantity
Total Onsite
Quantity
(pounds)
[Q:4.1-712]
Trinitrotoluene
118-96-7
2,000 lbs
Tritonal
54413-15-9
2,000 lbs
Urea nitrate
124-47-0
2,000 lbs
DHS Form 9007
Page 43 of 80
Quantity in
AHQ (pounds)
[Q:4.1-2795]
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
Theft/Diversion of IEDP
Explosive/IED Precursor Chemicals of Concern
The presence or amount of a particular chemical is not the sole factor in determining
whether a facility presents a high level of security risk. This information informs the
subsequent parts of the Department's assessment. The Department will use its best
judgment and all available information in determining whether a facility presents a high
level of security risk.
Do you manufacture, process, use, store, or distribute any of the following explosive/IED
precursor chemicals at your facility? Check "Yes" if the chemical is present on site at or
above the screening threshold quantity.
(The default settings on this list indicate that the chemicals are NOT present on site. At the
end of the list, you must indicate that these settings have been changed as needed for
your facility.)
These chemicals were determined by the US Department of Homeland Security to be a potential
security risk at "high risk chemical facilities" as defined in Section 550 the Department of
Homeland Security Act of 2007. Chemicals should be selected if they were on site at or above the
screening threshold quantity at any time over the past 12 months.
If “No” selected for all chemicals, go to Theft/Diversion of WME (page 52)
[Q:5.0-175]
Chemical Name
CAS#
Screening
Threshold
Quantity
1H-Tetrazole
16681-77-9
2,000 lbs
5-Nitrobenzotriazol
2338-12-7
2,000 lbs
Acetone
67-64-1
2,000 lbs
Ammonium nitrate
(nitrogen concentration of 23% or greater)
6484-52-2
2,000 lbs
Ammonium perchlorate
7790-98-9
2,000 lbs
Ammonium picrate
131-74-8
2,000 lbs
Barium azide
18810-58-7
2,000 lbs
Cyclotetramethylenetetranitramine
2691-41-0
2,000 lbs
Diazodinitrophenol
87-31-0
2,000 lbs
Diethyleneglycol dinitrate
693-21-0
2,000 lbs
DHS Form 9007
Page 44 of 80
Yes
No
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
Chemical Name
CAS#
Screening
Threshold
Quantity
Dinitroglycoluril
[Dingu]
55510-04-8
2,000 lbs
Dinitrophenol
25550-58-7
2,000 lbs
Dinitroresorcinol
35860-51-6
2,000 lbs
Dinitrosobenzene
25550-55-4
2,000 lbs
Dipicryl sulfide
2217-06-3
2,000 lbs
Guanyl nitrosaminoguanylidene hydrazine
2,000 lbs
Guanyl nitrosaminoguanyltetrazene
[Tetrazene]
109-27-3
2,000 lbs
Hexanitrodiphenylamine
[Dipicrylamine [or] Hexyl]
35860-31-2
2,000 lbs
Hexanitrostilbene
20062-22-0
2,000 lbs
Hexolite
[Hexotol]
121-82-4
2,000 lbs
Hexotonal
107-15-3
2,000 lbs
Hydrogen peroxide
concentration of at least 30%
7722-84-1
2,000 lbs
Lead azide
13424-46-9
2,000 lbs
Lead styphnate
[Lead trinitroresorcinate]
15245-44-0
2,000 lbs
Mannitol hexanitrate, wetted
[Nitromannite]
15825-70-4
2,000 lbs
Mercury fulminate
628-86-4
2,000 lbs
Nitric acid
concentration of least 68%
7697-37-2
2,000 lbs
Nitro urea
556-89-8
2,000 lbs
Nitrocellulose
[dry or wetted with <25% water (or alcohol), by
mass]
9004-70-0
2,000 lbs
Nitroglycerine
[desensitized with not <40% non-volatile water
insoluble phlegmatizer, by mass]
55-63-0
2,000 lbs
DHS Form 9007
Page 45 of 80
Yes
No
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
Chemical Name
CAS#
Screening
Threshold
Quantity
Nitroguanidine
[Picrite, dry or wetted with less than 20 percent
water, by mass]
556-88-7
2,000 lbs
Nitromethane
75-52-5
2,000 lbs
Nitrostarch
9056-38-6
2,000 lbs
Nitrotriazolone
[NTO]
932-64-9
2,000 lbs
Octolite
[Octol]
68610-51-5
2,000 lbs
Octonal
124-13-0
2,000 lbs
Pentaerythrite tetranitrate or PETN
78-11-5
2,000 lbs
Pentolite
8066-33-9
2,000 lbs
Potassium chlorate
3811-04-9
2,000 lbs
Potassium nitrate
7757-79-1
2,000 lbs
Potassium perchlorate
7778-74-7
2,000 lbs
RDX and HMX mixtures
121-82-4
2,000 lbs
Sodium chlorate
7775-09-9
2,000 lbs
Sodium dinitro-o-cresolate
25641-53-6
2,000 lbs
Sodium nitrate
7631-99-4
2,000 lbs
Sodium picramate
831-52-7
2,000 lbs
Tetranitroaniline
53014-37-2
2,000 lbs
Tetrazol-1-acetic acid
21732-17-2
2,000 lbs
Trinitroaniline
[Picramide]
26952-42-1
2,000 lbs
Trinitroanisole
606-35-9
2,000 lbs
Trinitrobenzene
99-35-4
2,000 lbs
Trinitrobenzenesulfonic acid
2508-19-2
2,000 lbs
Trinitrobenzoic acid
129-66-8
2,000 lbs
DHS Form 9007
Page 46 of 80
Yes
No
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
Chemical Name
CAS#
Screening
Threshold
Quantity
Trinitrochlorobenzene
[Picryl chloride]
88-88-0
2,000 lbs
Trinitrofluorenone
129-79-3
2,000 lbs
Trinitro-meta-cresol
602-99-3
2,000 lbs
Trinitronaphthalene
558101-17-8
2,000 lbs
Trinitrophenetole
4732-14-3
2,000 lbs
Trinitrophenol
[Picric acid]
88-89-1
2,000 lbs
Trinitroresorcinol
[Styphnic acid]
82-71-3
2,000 lbs
Trinitrotoluene
[TNT, dry or wetted with less than 30 per cent
water, by mass ]
118-96-7
2,000 lbs
Tritonal
54413-15-9
2,000 lbs
Urea
57-13-6
2,000 lbs
Urea nitrate
124-47-0
2,000 lbs
Zirconium picramate
63868-82-6
2,000 lbs
Yes
No
The list above has been reviewed and all chemicals present on site at or above the
screening threshold quantity have been indicated by selecting "Yes."
[Q:5.0-714]
Yes
No
Explosive/IED Precursor Chemicals Storage
Check if the chemical is available in man-portable, bulk transportation, or bulk storage
containers.
A man-portable container can be moved by 1-3 people without the aid of powered mechanical
devices such as fork lifts, trucks or cranes. For gases, man-portable containers are containers of
any size up to and including DOT Cylinder Specification 3AA2400 which has a tare weight of 135
lbs and a volume of 1.76 cu ft/49.8 liters. Such containers weigh up to about 400 lbs fully loaded.
Note that cylinder tare weight and volume may vary slightly from company to company for those
that supply industrial gas in cylinder quantities.
DHS Form 9007
Page 47 of 80
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
Bulk transportation containers include tank cars, rail cars and other large storage containers that
could be hitched to a vehicle for removal from a site.
A bulk storage container is one from which the material could be safely removed without undue
potential harm or without the use of special equipment.
Chemical Name
CAS#
Screening
Threshold
Quantity
1H-Tetrazole
16681-77-9
2,000 lbs
5-Nitrobenzotriazol
2338-12-7
2,000 lbs
Acetone
67-64-1
2,000 lbs
Ammonium nitrate
(nitrogen concentration of
23% or greater)
6484-52-2
2,000 lbs
Ammonium perchlorate
7790-98-9
2,000 lbs
Ammonium picrate
131-74-8
2,000 lbs
Barium azide
18810-58-7
2,000 lbs
Cyclotetramethylenetetranitr
amine
2691-41-0
2,000 lbs
Diazodinitrophenol
87-31-0
2,000 lbs
Diethyleneglycol dinitrate
693-21-0
2,000 lbs
Dinitroglycoluril
[Dingu]
55510-04-8
2,000 lbs
Dinitrophenol
25550-58-7
2,000 lbs
Dinitroresorcinol
35860-51-6
2,000 lbs
Dinitrosobenzene
25550-55-4
2,000 lbs
Dipicryl sulfide
2217-06-3
2,000 lbs
Guanyl
nitrosaminoguanylidene
hydrazine
2,000 lbs
Guanyl
nitrosaminoguanyltetrazene
[Tetrazene]
109-27-3
2,000 lbs
Hexanitrodiphenylamine
[Dipicrylamine [or] Hexyl]
35860-31-2
2,000 lbs
Hexanitrostilbene
20062-22-0
2,000 lbs
DHS Form 9007
Page 48 of 80
Manportable
Bulk
Transport
[Q:5.1-233]
[Q:5.1-234]
Bulk
Storage
[Q:5.1-235]
CSAT Top-Screen Questions
Chemical Name
CAS#
Screening
Threshold
Quantity
Hexolite
[Hexotol]
121-82-4
2,000 lbs
Hexotonal
107-15-3
2,000 lbs
Hydrogen peroxide
concentration of at least 30%
7722-84-1
2,000 lbs
Lead azide
13424-46-9
2,000 lbs
Lead styphnate
[Lead trinitroresorcinate]
15245-44-0
2,000 lbs
Mannitol hexanitrate, wetted
[Nitromannite]
15825-70-4
2,000 lbs
Mercury fulminate
628-86-4
2,000 lbs
Nitric acid
concentration of least 68%
7697-37-2
2,000 lbs
Nitro urea
556-89-8
2,000 lbs
Nitrocellulose
[dry or wetted with <25%
water (or alcohol), by mass]
9004-70-0
2,000 lbs
Nitroglycerine
[desensitized with not <40%
non-volatile water insoluble
phlegmatizer, by mass]
55-63-0
2,000 lbs
Nitroguanidine
[Picrite, dry or wetted with
less than 20 percent water,
by mass]
556-88-7
2,000 lbs
Nitromethane
75-52-5
2,000 lbs
Nitrostarch
9056-38-6
2,000 lbs
Nitrotriazolone
[NTO]
932-64-9
2,000 lbs
Octolite
[Octol]
68610-51-5
2,000 lbs
Octonal
124-13-0
2,000 lbs
Pentaerythrite tetranitrate or
PETN
78-11-5
2,000 lbs
DHS Form 9007
Page 49 of 80
OMB PRA # 1670-0007
Expires: 12/31/2007
Manportable
Bulk
Transport
[Q:5.1-233]
[Q:5.1-234]
Bulk
Storage
[Q:5.1-235]
CSAT Top-Screen Questions
Chemical Name
CAS#
Screening
Threshold
Quantity
Pentolite
8066-33-9
2,000 lbs
Potassium chlorate
3811-04-9
2,000 lbs
Potassium nitrate
7757-79-1
2,000 lbs
Potassium perchlorate
7778-74-7
2,000 lbs
RDX and HMX mixtures
121-82-4
2,000 lbs
Sodium chlorate
7775-09-9
2,000 lbs
Sodium dinitro-o-cresolate
25641-53-6
2,000 lbs
Sodium nitrate
7631-99-4
2,000 lbs
Sodium picramate
831-52-7
2,000 lbs
Tetranitroaniline
53014-37-2
2,000 lbs
Tetrazol-1-acetic acid
21732-17-2
2,000 lbs
Trinitroaniline
[Picramide]
26952-42-1
2,000 lbs
Trinitroanisole
606-35-9
2,000 lbs
Trinitrobenzene
99-35-4
2,000 lbs
Trinitrobenzenesulfonic acid
2508-19-2
2,000 lbs
Trinitrobenzoic acid
129-66-8
2,000 lbs
Trinitrochlorobenzene
[Picryl chloride]
88-88-0
2,000 lbs
Trinitrofluorenone
129-79-3
2,000 lbs
Trinitro-meta-cresol
602-99-3
2,000 lbs
Trinitronaphthalene
558101-178
2,000 lbs
Trinitrophenetole
4732-14-3
2,000 lbs
Trinitrophenol
[Picric acid]
88-89-1
2,000 lbs
Trinitroresorcinol
[Styphnic acid]
82-71-3
2,000 lbs
DHS Form 9007
Page 50 of 80
OMB PRA # 1670-0007
Expires: 12/31/2007
Manportable
Bulk
Transport
[Q:5.1-233]
[Q:5.1-234]
Bulk
Storage
[Q:5.1-235]
CSAT Top-Screen Questions
Chemical Name
CAS#
Screening
Threshold
Quantity
Trinitrotoluene
[TNT, dry or wetted with less
than 30 per cent water, by
mass ]
118-96-7
2,000 lbs
Tritonal
54413-15-9
2,000 lbs
Urea
57-13-6
2,000 lbs
Urea nitrate
124-47-0
2,000 lbs
Zirconium picramate
63868-82-6
2,000 lbs
DHS Form 9007
Page 51 of 80
OMB PRA # 1670-0007
Expires: 12/31/2007
Manportable
Bulk
Transport
[Q:5.1-233]
[Q:5.1-234]
Bulk
Storage
[Q:5.1-235]
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
Theft/Diversion of WME
Weapons-of-Mass-Effect (WME) Chemicals of Concern
The presence or amount of a particular chemical is not the sole factor in determining
whether a facility presents a high level of security risk. This information informs the
subsequent parts of the Department's assessment. The Department will use its best
judgment and all available information in determining whether a facility presents a high
level of security risk.
Do you manufacture, process, use, store, or distribute any of the following WME
chemicals at your facility? Check "Yes" if the chemical is present on site at or above the
screening threshold quantity.
(The default settings on this list indicate that the chemicals are NOT present on site. At the
end of the list, you must indicate that these settings have been changed as needed for
your facility.)
These chemicals were determined by the US Department of Homeland Security to be a potential
security risk at "high risk chemical facilities" as defined in Section 550 the Department of
Homeland Security Act of 2007. Chemicals should be selected if they were on site at or above the
screening threshold quantity at any time over the past 12 months.
If “No” selected for all chemicals, go to Theft/Diversion of CW/CWP (page 57)
[Q:6.0-251]
Chemical Name
CAS#
Screening
Threshold
Quantity
Ammonia (anhydrous)
7664-41-7
7,500 lbs
Ammonia (conc. 20% or greater)
7664-41-7
15,000 lbs
Arsine
7784-42-1
Boron trichloride
10294-34-5
Boron triflouride
7637-07-2
Bromine chloride
13863-41-7
Carbon monoxide
630-08-0
Carbonyl fluoride
353-50-4
Carbonyl sulfide
463-58-1
Chlorine
7782-50-5
Chlorine pentafluoride
13637-63-3
DHS Form 9007
Page 52 of 80
1,875 lbs
Yes
No
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
Chemical Name
CAS#
Chlorine trifluoride
7790-91-2
Cyanogen
460-19-5
Cyanogen chloride
506-77-4
Diborane
19287-45-7
Dichlorosilane
4109-96-0
Dinitrogen tetroxide
10544-72-6
Ethylene oxide
75-21-8
Fluorine
7782-41-4
Germane
7782-65-2
Germanium tetrafluoride
7783-58-6
Hexaethyl tetraphosphate and compressed gas
mixtures
757-58-4
Hexafluoroacetone
684-16-2
Hydrogen bromide, anhydrous
10035-10-6
Hydrogen chloride (anhydrous)
7647-01-0
Hydrogen iodide, anhydrous
10034-85-2
Hydrogen selenide
7783-07-5
Hydrogen sulfide
7783-06-4
Methyl bromide
74-83-9
Methyl mercaptan
74-93-1
Methylchlorosilane
993-00-0
Nitric oxide
10102-43-9
Nitrogen trioxide
10544-73-7
Nitrosyl chloride
2696-92-6
Oxygen difluoride
7783-41-7
Perchloryl fluoride
7616-94-6
Phosgene
75-44-5
DHS Form 9007
Page 53 of 80
Screening
Threshold
Quantity
Yes
No
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
Chemical Name
CAS#
Phosphine
7803-51-2
Phosphorus
7723-14-0
Selenium hexafluoride
7783-79-1
Silicon tetrafluoride
7783-61-1
Stibine
7803-52-3
Sulfur dioxide (anhydrous)
7446-09-5
Sulfur tetraflouride
7783-60-0
Sulfuryl fluoride
2699-79-8
Tellurium hexafluoride
7783-80-4
Trifluoroacetyl chloride
354-32-5
Trifluorochloroethylene
79-38-9
Tungsten hexafluoride
7783-82-6
Screening
Threshold
Quantity
Yes
No
The list above has been reviewed and all chemicals present on site at or above the
screening threshold quantity have been indicated by selecting "Yes."
[Q:6.0-715]
Yes
No
Weapons-of-Mass-Effect (WME) Chemicals Storage
Check if the chemical is available in man-portable or bulk transportation containers.
Man portable containers are containers of any size up to and including DOT Cylinder
Specification 3AA2400 which has a tare weight of 135 lbs and a volume of 1.76 cu ft/49.8 liters.
Such containers weigh up to about 400 lbs fully loaded. Note that cylinder tare weight and volume
may vary slightly from company to company for those that supply industrial gas in cylinder
quantities.
Bulk transportation containers include tank cars, rail cars and other large storage containers that
could be hitched to a vehicle for removal from a site.
DHS Form 9007
Page 54 of 80
CSAT Top-Screen Questions
Chemical Name
CAS#
OMB PRA # 1670-0007
Expires: 12/31/2007
Screening
Threshold
Quantity
Ammonia (anhydrous)
7664-41-7
7,500 lbs
Ammonia (conc. 20% or greater)
7664-41-7
15,000 lbs
Arsine
7784-42-1
Boron trichloride
10294-34-5
Boron triflouride
7637-07-2
Bromine chloride
13863-41-7
Carbon monoxide
630-08-0
Carbonyl fluoride
353-50-4
Carbonyl sulfide
463-58-1
Chlorine
7782-50-5
Chlorine pentafluoride
13637-63-3
Chlorine trifluoride
7790-91-2
Cyanogen
460-19-5
Cyanogen chloride
506-77-4
Diborane
19287-45-7
Dichlorosilane
4109-96-0
Dinitrogen tetroxide
10544-72-6
Ethylene oxide
75-21-8
Fluorine
7782-41-4
Germane
7782-65-2
Germanium tetrafluoride
7783-58-6
Hexaethyl tetraphosphate and
compressed gas mixtures
757-58-4
Hexafluoroacetone
684-16-2
Hydrogen bromide, anhydrous
10035-10-6
Hydrogen chloride (anhydrous)
7647-01-0
Hydrogen iodide, anhydrous
10034-85-2
DHS Form 9007
1,875 lbs
Page 55 of 80
Manportable
[Q:6.1-253]
Bulk
Transport
[Q:6.1-254]
CSAT Top-Screen Questions
Chemical Name
CAS#
Hydrogen selenide
7783-07-5
Hydrogen sulfide
7783-06-4
Methyl bromide
74-83-9
Methyl mercaptan
74-93-1
Methylchlorosilane
993-00-0
Nitric oxide
10102-43-9
Nitrogen trioxide
10544-73-7
Nitrosyl chloride
2696-92-6
Oxygen difluoride
7783-41-7
Perchloryl fluoride
7616-94-6
Phosgene
75-44-5
Phosphine
7803-51-2
Phosphorus
7723-14-0
Selenium hexafluoride
7783-79-1
Silicon tetrafluoride
7783-61-1
Stibine
7803-52-3
Sulfur dioxide (anhydrous)
7446-09-5
Sulfur tetraflouride
7783-60-0
Sulfuryl fluoride
2699-79-8
Tellurium hexafluoride
7783-80-4
Trifluoroacetyl chloride
354-32-5
Trifluorochloroethylene
79-38-9
Tungsten hexafluoride
7783-82-6
DHS Form 9007
OMB PRA # 1670-0007
Expires: 12/31/2007
Screening
Threshold
Quantity
Page 56 of 80
Manportable
[Q:6.1-253]
Bulk
Transport
[Q:6.1-254]
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
Theft/Diversion of CW/CWP
Chemical Weapons/Chemical Weapon Precursors (CW/CWP)
Chemicals of Concern
The presence or amount of a particular chemical is not the sole factor in determining
whether a facility presents a high level of security risk. This information informs the
subsequent parts of the Department's assessment. The Department will use its best
judgment and all available information in determining whether a facility presents a high
level of security risk.
Do you manufacture, process, use, store, or distribute any of the following CW/CWP
chemicals at your facility? Check "Yes" if the chemical is present on site.
(The default settings on this list indicate that the chemicals are NOT present on site. At the
end of the list, you must indicate that these settings have been changed as needed for
your facility.)
These chemicals were determined by the US Department of Homeland Security to be a potential
security risk at "high risk chemical facilities" as defined in Section 550 the Department of
Homeland Security Act of 2007. Chemicals should be selected if they were on site at any time
over the past 12 months.
If the answer to question [Q:1.1-65], "Choose the facility type that best describes your facility" is
Refinery or LNG, or if “No” selected for all chemicals, go to Sabotage/Contamination Chemicals
(page 64)
[Q:7.0-257]
Chemical Name
CAS#
1,1,3,3,3-pentafluoro-2-(trifluoromethyl)-1-propene
382-21-8
1,2-bis(2-chloroethylthio)ethane
3563-36-8
1,3-bis(2-chloroethylthio)-n-propane
63905-10-2
1,4-bis(2-chloroethylthio)-n-butane
142868-93-7
1,5-bis(2-chloroethylthio)-n-pentane
142868-94-8
2-chloroethylchloromethylsulfide
2625-76-5
2-chlorovinyldichloroarsine
541-25-3
3,3-dimethyl-2-butanol
464-07-3
3-quinuclidinyl benzilate
BZ
1709855
Arsenous trichloride
Arsenic trichloride
7784-34-1
DHS Form 9007
Page 57 of 80
Yes
No
CSAT Top-Screen Questions
Chemical Name
OMB PRA # 1670-0007
Expires: 12/31/2007
CAS#
bis(2-chloroethyl)ethylamine
538-07-8
bis(2-chloroethyl)methylamine
51-75-2
bis(2-chloroethyl)sulfide
505-60-2
bis(2-chloroethylthio)methane
63869-13-6
bis(2-chloroethylthioethyl)ether
63918-89-8
bis(2-chloroethylthiomethyl)ether
63918-90-1
bis(2-chlorovinyl)chloroarsine
40334-69-8
Chloropicrin
76-06-2
Cyanogen chloride
506-77-4
Diethyl ethylphosphonate
78-38-6
Diethyl N,N-dimethylphosphoramidate
184150
Diethyl phosphate
762-04-9
Dimethyl ethylphosphonate
6163-75-3
Dimethyl methylphosphonate
756-79-6
Dimethyl phosphate
868-85-9
Dimethylphosphoramidodichloridate
677-43-0
Diphenyl-2-hydroxyacetic acid
benzilic acid
76-93-7
Ethyl phosphonyl dichloride
1066-50-8
Ethyl phosphonyl difluoride
753-98-0
Ethyldiethanolamine
139-87-7
Hydrogen cyanide
74-90-8
Methyl phosphonyl dichloride
676-97-1
Methyl phosphonyl difluoride
676-99-3
Methyldiethanolamine
105-59-9
N,N-diisopropyl-2-aminoethyl chloride hydrochloride
4261-68-1
N,N-diisopropyl-β-aminoethanol
96-80-0
N,N-diisopropyl-β-aminoethyl chloride
96-79-7
DHS Form 9007
Page 58 of 80
Yes
No
CSAT Top-Screen Questions
Chemical Name
OMB PRA # 1670-0007
Expires: 12/31/2007
CAS#
o,o-diethyl S-[2-(diethylamino)ethyl] phosphorothiolate
Amiton
78-53-5
o-ethyl-N,N-dimethylphosphoramido-cyanidate
Tabun
77-81-6
o-ethyl-o-2-diisopropylaminoethyl methylphosphonite
57856-11-8
o-ethyl-S-2-diisopropylaminoethyl methyl phosphonothiolate
VX
50782-69-9
o-isopropyl methylphosphonochloridate
Chlorosarin
1445-76-7
o-isopropyl methylphosphonofluoridate
Sarin
107-44-8
o-pinacolyl methylphosphonochloridate
Chlorosoman
7040-57-5
o-pinacolyl methylphosphonofluoridate
Soman
96-64-0
Phosgene
75-44-5
Phosphorus oxychloride
Phosphoryl chloride
10025-87-3
Phosphorus pentachloride
10026-13-8
Phosphorus trichloride
Phosphorous trichloride
7719-12-2
Quinuclidine-3-ol
1619-34-7
Sulfur dichloride
10545-99-0
Sulfur monochloride
10025-67-9
Thiodiglycol
111-48-8
Thionyl chloride
2125597
Triethanolamine
102-71-6
Triethyl phosphite
122-52-1
Trimethyl phosphite
121-45-9
Tris(2-chloroethyl)amine
555-77-1
Tris(2-chlorovinyl)arsine
40334-70-1
DHS Form 9007
Page 59 of 80
Yes
No
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
The list above has been reviewed and all chemicals present on site have been indicated by
selecting "Yes."
[Q:7.0-721]
Yes
No
Chemical Weapons/Chemical Weapon Precursors (CW/CWP)
Chemicals Storage
Check if the chemical is available in man-portable, bulk transportation, or bulk storage
containers.
A man-portable container can be moved by 1-3 people without the aid of powered mechanical
devices such as fork lifts, trucks or cranes. For gases, man-portable containers are containers of
any size up to and including DOT Cylinder Specification 3AA2400 which has a tare weight of 135
lbs and a volume of 1.76 cu ft/49.8 liters. Such containers weigh up to about 400 lbs fully loaded.
Note that cylinder tare weight and volume may vary slightly from company to company for those
that supply industrial gas in cylinder quantities.
Bulk transportation containers include tank cars, rail cars and other large storage containers that
could be hitched to a vehicle for removal from a site.
A bulk storage container is one from which the material could be safely removed without undue
potential harm or without the use of special equipment.
Chemical Name
CAS#
Manportable
[Q:7.1-260]
1,1,3,3,3-pentafluoro-2-(trifluoromethyl)-1propene
382-21-8
1,2-bis(2-chloroethylthio)ethane
3563-36-8
1,3-bis(2-chloroethylthio)-n-propane
63905-10-2
1,4-bis(2-chloroethylthio)-n-butane
142868-93-7
1,5-bis(2-chloroethylthio)-n-pentane
142868-94-8
2-chloroethylchloromethylsulfide
2625-76-5
2-chlorovinyldichloroarsine
541-25-3
3,3-dimethyl-2-butanol
464-07-3
3-quinuclidinyl benzilate
BZ
1709855
DHS Form 9007
Page 60 of 80
Bulk
Transport
[Q:7.1-261]
Bulk
Storage
[Q:7.1-262]
CSAT Top-Screen Questions
Chemical Name
CAS#
OMB PRA # 1670-0007
Expires: 12/31/2007
Manportable
[Q:7.1-260]
Arsenous trichloride
Arsenic trichloride
7784-34-1
bis(2-chloroethyl)ethylamine
538-07-8
bis(2-chloroethyl)methylamine
51-75-2
bis(2-chloroethyl)sulfide
505-60-2
bis(2-chloroethylthio)methane
63869-13-6
bis(2-chloroethylthioethyl)ether
63918-89-8
bis(2-chloroethylthiomethyl)ether
63918-90-1
bis(2-chlorovinyl)chloroarsine
40334-69-8
Chloropicrin
76-06-2
Cyanogen chloride
506-77-4
Diethyl ethylphosphonate
78-38-6
Diethyl N,N-dimethylphosphoramidate
184150
Diethyl phosphate
762-04-9
Dimethyl ethylphosphonate
6163-75-3
Dimethyl methylphosphonate
756-79-6
Dimethyl phosphate
868-85-9
Dimethylphosphoramidodichloridate
677-43-0
Diphenyl-2-hydroxyacetic acid
benzilic acid
76-93-7
Ethyl phosphonyl dichloride
1066-50-8
Ethyl phosphonyl difluoride
753-98-0
Ethyldiethanolamine
139-87-7
Hydrogen cyanide
74-90-8
Methyl phosphonyl dichloride
676-97-1
Methyl phosphonyl difluoride
676-99-3
Methyldiethanolamine
105-59-9
DHS Form 9007
Page 61 of 80
Bulk
Transport
[Q:7.1-261]
Bulk
Storage
[Q:7.1-262]
CSAT Top-Screen Questions
Chemical Name
CAS#
OMB PRA # 1670-0007
Expires: 12/31/2007
Manportable
[Q:7.1-260]
N,N-diisopropyl-2-aminoethyl chloride
hydrochloride
4261-68-1
N,N-diisopropyl-β-aminoethanol
96-80-0
N,N-diisopropyl-β-aminoethyl chloride
96-79-7
o,o-diethyl S-[2-(diethylamino)ethyl]
phosphorothiolate
Amiton
78-53-5
o-ethyl-N,N-dimethylphosphoramidocyanidate
Tabun
77-81-6
o-ethyl-o-2-diisopropylaminoethyl
methylphosphonite
57856-11-8
o-ethyl-S-2-diisopropylaminoethyl methyl
phosphonothiolate
VX
50782-69-9
o-isopropyl methylphosphonochloridate
Chlorosarin
1445-76-7
o-isopropyl methylphosphonofluoridate
Sarin
107-44-8
o-pinacolyl methylphosphonochloridate
Chlorosoman
7040-57-5
o-pinacolyl methylphosphonofluoridate
Soman
96-64-0
Phosgene
75-44-5
Phosphorus oxychloride
Phosphoryl chloride
10025-87-3
Phosphorus pentachloride
10026-13-8
Phosphorus trichloride
Phosphorous trichloride
7719-12-2
Quinuclidine-3-ol
1619-34-7
Sulfur dichloride
10545-99-0
Sulfur monochloride
10025-67-9
Thiodiglycol
111-48-8
DHS Form 9007
Page 62 of 80
Bulk
Transport
[Q:7.1-261]
Bulk
Storage
[Q:7.1-262]
CSAT Top-Screen Questions
Chemical Name
CAS#
OMB PRA # 1670-0007
Expires: 12/31/2007
Manportable
[Q:7.1-260]
Thionyl chloride
2125597
Triethanolamine
102-71-6
Triethyl phosphite
122-52-1
Trimethyl phosphite
121-45-9
Tris(2-chloroethyl)amine
555-77-1
Tris(2-chlorovinyl)arsine
40334-70-1
DHS Form 9007
Page 63 of 80
Bulk
Transport
[Q:7.1-261]
Bulk
Storage
[Q:7.1-262]
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
Sabotage/Contamination Chemicals
Sabotage/Contamination Chemicals of Concern
The presence or amount of a particular chemical is not the sole factor in determining
whether a facility presents a high level of security risk. This information informs the
subsequent parts of the Department's assessment. The Department will use its best
judgment and all available information in determining whether a facility presents a high
level of security risk.
Does the facility ship any of the following sabotage/contamination chemicals from the
facility? Check "Yes" if the chemical is present on site at or above the screening
threshold quantity.
(The default settings on this list indicate that the chemicals are NOT present on site. At the
end of the list, you must indicate that these settings have been changed as needed for
your facility.)
These chemicals were determined by the US Department of Homeland Security to be a potential
security risk at "high risk chemical facilities" as defined in Section 550 the Department of
Homeland Security Act of 2007. Chemicals should be selected if they were on site at or above the
screening threshold quantity at any time over the past 12 months.
If “No” selected for all chemicals, go to Mission Critical Chemicals (page 70)
[Q:8.1-722]
Chemical Name
CAS#
Screening
Threshold
Quantity
Acetone cyanohydrin, stabilized
75-86-5
2,000 lbs
Acetyl bromide
506-96-7
2,000 lbs
Acetyl chloride
75-36-5
2,000 lbs
Acetyl iodide
507-02-8
2,000 lbs
Allyltrichlorosilane, stabilized
107-37-9
2,000 lbs
Aluminum bromide, anhydrous
7727-15-3
2,000 lbs
Aluminum chloride, anhydrous
7446-70-0
2,000 lbs
Aluminum phosphide
20859-73-8
2,000 lbs
Amyltrichlorosilane
107-72-2
2,000 lbs
Antimony pentafluoride
7783-70-2
2,000 lbs
Boron tribromide
10294-33-4
2,000 lbs
DHS Form 9007
Page 64 of 80
Yes
No
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
Chemical Name
CAS#
Screening
Threshold
Quantity
Bromine pentafluoride
7789-30-2
2,000 lbs
Bromine trifluoride
7787-71-5
2,000 lbs
Butyltrichlorosilane
7521-80-4
2,000 lbs
Calcium dithionite
15512-36-4
2,000 lbs
Calcium hydrosulfite
15512-36-4
2,000 lbs
Calcium phosphide
1305-99-3
2,000 lbs
Chlorine dioxide
10049-04-4
2,000 lbs
Chloroacetyl chloride
79-04-9
2,000 lbs
Chlorosulfonic acid
7790-94-5
2,000 lbs
Chromium oxychloride
7803-51-2
2,000 lbs
Cyclohexyltrichlorosilane
98-12-4
2,000 lbs
Diethyldichlorosilane
1719-53-5
2,000 lbs
Dimethyldichlorosilane
75-78-5
2,000 lbs
Diphenyldichlorosilane
80-10-4
2,000 lbs
Dodecyltrichlorosilane
4484-72-4
2,000 lbs
Ethyltrichlorosilane
115-21-9
2,000 lbs
Fluorosulfonic acid
7789-21-1
2,000 lbs
Hexyltrichlorosilane
928-89-2 6
2,000 lbs
Iodine pentafluoride
7783-66-6
2,000 lbs
Lithium amide
7782-89-0
2,000 lbs
Lithium nitride
26134-62-3
2,000 lbs
Magnesium aluminum phosphide
2,000 lbs
Magnesium diamide
7803-54-5
2,000 lbs
Magnesium phosphide
12057-74-8
2,000 lbs
Methyldichlorosilane
75-54-7
2,000 lbs
Methylphenyldichlorosilane
149-74-6
2,000 lbs
Methyltrichlorosilane
75-79-6
2,000 lbs
DHS Form 9007
Page 65 of 80
Yes
No
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
Chemical Name
CAS#
Screening
Threshold
Quantity
Nonyltrichlorosilane
5283-67-0
2,000 lbs
Octadecyltrichlorosilane
112-04-9
2,000 lbs
Octyltrichlorosilane
5283-66-9
2,000 lbs
Phenyltrichlorosilane
98-13-5
2,000 lbs
Phosphorus oxychloride
10025-87-3
2,000 lbs
Phosphorus pentachloride
10026-13-8
2,000 lbs
Phosphorus pentasulfide
1314-80-3
2,000 lbs
Phosphorus trichloride
7719-12-2
2,000 lbs
Potassium cyanide
151-50-8
2,000 lbs
Potassium phosphide
20770-41-6
2,000 lbs
Propyltrichlorosilane
141-57-1
2,000 lbs
Silicon tetrachloride
10026-04-7
2,000 lbs
Sodium cyanide
143-33-9
2,000 lbs
Sodium dithionite
7775-14-6
2,000 lbs
Sodium hydrosulfite
7775-14-6
2,000 lbs
Sodium phosphide
7558-80-7
2,000 lbs
Strontium phosphide
13450-99-2
2,000 lbs
Sulfuryl chloride
7791-25-5
2,000 lbs
Thionyl chloride
7719-09-7
2,000 lbs
Titanium tetrachloride
7550-45-0
2,000 lbs
Trichlorosilane
10025-78-2
2,000 lbs
Trimethylchlorosilane
75-77-4
2,000 lbs
Vinyltrichlorosilane
75-94-5
2,000 lbs
Zinc dithionite
7779-86-4
2,000 lbs
Zinc hydrosulfite
7779-86-4
2,000 lbs
DHS Form 9007
Page 66 of 80
Yes
No
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
The list above has been reviewed and all chemicals present on site at or above the
screening threshold quantity have been indicated by selecting "Yes."
[Q:8.1-718]
Yes
No
Sabotage/Contamination Chemicals Storage
Check if the chemical is available in bulk transportation containers.
Bulk transportation containers include tank cars, rail cars and other large storage containers that
could be hitched to a vehicle for removal from a site.
Chemical Name
CAS#
Screening
Threshold
Quantity
Acetone cyanohydrin, stabilized
75-86-5
2,000 lbs
Acetyl bromide
506-96-7
2,000 lbs
Acetyl chloride
75-36-5
2,000 lbs
Acetyl iodide
507-02-8
2,000 lbs
Allyltrichlorosilane, stabilized
107-37-9
2,000 lbs
Aluminum bromide, anhydrous
7727-15-3
2,000 lbs
Aluminum chloride, anhydrous
7446-70-0
2,000 lbs
Aluminum phosphide
20859-73-8
2,000 lbs
Amyltrichlorosilane
107-72-2
2,000 lbs
Antimony pentafluoride
7783-70-2
2,000 lbs
Boron tribromide
10294-33-4
2,000 lbs
Bromine pentafluoride
7789-30-2
2,000 lbs
Bromine trifluoride
7787-71-5
2,000 lbs
Butyltrichlorosilane
7521-80-4
2,000 lbs
Calcium dithionite
15512-36-4
2,000 lbs
Calcium hydrosulfite
15512-36-4
2,000 lbs
Calcium phosphide
1305-99-3
2,000 lbs
DHS Form 9007
Page 67 of 80
Bulk
Transport
[Q:8.2-720]
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
Chemical Name
CAS#
Screening
Threshold
Quantity
Chlorine dioxide
10049-04-4
2,000 lbs
Chloroacetyl chloride
79-04-9
2,000 lbs
Chlorosulfonic acid
7790-94-5
2,000 lbs
Chromium oxychloride
7803-51-2
2,000 lbs
Cyclohexyltrichlorosilane
98-12-4
2,000 lbs
Diethyldichlorosilane
1719-53-5
2,000 lbs
Dimethyldichlorosilane
75-78-5
2,000 lbs
Diphenyldichlorosilane
80-10-4
2,000 lbs
Dodecyltrichlorosilane
4484-72-4
2,000 lbs
Ethyltrichlorosilane
115-21-9
2,000 lbs
Fluorosulfonic acid
7789-21-1
2,000 lbs
Hexyltrichlorosilane
928-89-2 6
2,000 lbs
Iodine pentafluoride
7783-66-6
2,000 lbs
Lithium amide
7782-89-0
2,000 lbs
Lithium nitride
26134-62-3
2,000 lbs
Magnesium aluminum phosphide
2,000 lbs
Magnesium diamide
7803-54-5
2,000 lbs
Magnesium phosphide
12057-74-8
2,000 lbs
Methyldichlorosilane
75-54-7
2,000 lbs
Methylphenyldichlorosilane
149-74-6
2,000 lbs
Methyltrichlorosilane
75-79-6
2,000 lbs
Nonyltrichlorosilane
5283-67-0
2,000 lbs
Octadecyltrichlorosilane
112-04-9
2,000 lbs
Octyltrichlorosilane
5283-66-9
2,000 lbs
Phenyltrichlorosilane
98-13-5
2,000 lbs
Phosphorus oxychloride
10025-87-3
2,000 lbs
Phosphorus pentachloride
10026-13-8
2,000 lbs
DHS Form 9007
Page 68 of 80
Bulk
Transport
[Q:8.2-720]
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
Chemical Name
CAS#
Screening
Threshold
Quantity
Phosphorus pentasulfide
1314-80-3
2,000 lbs
Phosphorus trichloride
7719-12-2
2,000 lbs
Potassium cyanide
151-50-8
2,000 lbs
Potassium phosphide
20770-41-6
2,000 lbs
Propyltrichlorosilane
141-57-1
2,000 lbs
Silicon tetrachloride
10026-04-7
2,000 lbs
Sodium cyanide
143-33-9
2,000 lbs
Sodium dithionite
7775-14-6
2,000 lbs
Sodium hydrosulfite
7775-14-6
2,000 lbs
Sodium phosphide
7558-80-7
2,000 lbs
Strontium phosphide
13450-99-2
2,000 lbs
Sulfuryl chloride
7791-25-5
2,000 lbs
Thionyl chloride
7719-09-7
2,000 lbs
Titanium tetrachloride
7550-45-0
2,000 lbs
Trichlorosilane
10025-78-2
2,000 lbs
Trimethylchlorosilane
75-77-4
2,000 lbs
Vinyltrichlorosilane
75-94-5
2,000 lbs
Zinc dithionite
7779-86-4
2,000 lbs
Zinc hydrosulfite
7779-86-4
2,000 lbs
DHS Form 9007
Page 69 of 80
Bulk
Transport
[Q:8.2-720]
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
Mission Critical Chemicals
Mission Critical Production
Does this facility account for 20% or more of the domestic production of any one chemical
to one or more critical infrastructure sectors? The critical infrastructure sectors are
defined as Defense Industrial Base, Energy (electric generation only), Public Health and
Healthcare, or Public Drinking Water.
[Q:9.0-692]
Yes
No
This question should be answered "Yes" if this facility accounts for 20% or more of the
domestic production of a chemical to one or more critical infrastructure sectors. A single facility
may produce more than one chemical that meets the criteria.
If answered “No”, go to Economically Critical Chemicals (page 74)
For each chemical, copy the following pages (71-73) and answer the following fields:
• “Chemical Name”
• “Enter the CAS# (if available)”
• “Is there another common name for this chemical?”
• “Select the facility’s estimated domestic market share of this chemical.”
• “What is the primary application of this chemical by this facility’s customer(s)?”
• “Indicate the primary sector(s) for which this facility produces this chemical.”
• ”Exact (or direct) substitute(s) for this chemical produced to meet the supply needs of this
facility’s customer(s)”
o Is there North American production?
o Is there overseas production?
• “Functional substitute(s) for this chemical produced to meet the supply needs of this facility’s
customer(s)”
o Is there North American production?
o Is there overseas production?
• “What is this facility's estimated annual average Capacity Utilization Rate for this chemical?”
• “What is this facility's estimated National Emergency Production Rate for this chemical?”
• “What is the total annual production of this chemical (in pounds/year) from this facility?”
• “What is the estimated replacement cost of the production unit(s) for this chemical at this
facility?”
For each chemical listed, enter the appropriate information, then go to Economically Critical
Chemicals (page 74)
DHS Form 9007
Page 70 of 80
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
Enter the chemical name(s) that account for 20% of the domestic production to one or
more critical infrastructure sectors. The critical infrastructure sectors are defined as
Defense Industrial Base, Energy (electric generation only), Public Health and Healthcare,
or Public Drinking Water.
For each chemical, enter the appropriate information.
Chemical Name
[Q:9.1-693]
Enter the CAS# (if available).
CAS#
[Q:9.3-852]
Is there another common name for this chemical?
[Q:9.3-733]
This question is optional if you provided a CAS#.
Select the facility's estimated domestic market share of this chemical.
[Q:9.3-734]
20% - 29%
30% - 39%
40% - 50%
50% - 99%
100%
What is the primary application of this chemical by this facility's customer(s)?
[Q:9.3-737]
DHS Form 9007
Page 71 of 80
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
Indicate the primary sector(s) for which this facility produces this chemical. Check all that
apply.
[Q:9.3-1131]
Defense Industrial Base
Public Heath or Healthcare
Energy (electric generation only)
Public Drinking Water
Exact (or direct) substitute(s) for this chemical produced to meet the supply needs of this
facility's customer(s):
Is there North American production?
Is there overseas production?
[Q:9.4-755]
[Q:9.4-756]
Yes
No
Yes
No
Functional substitute(s) for this chemical produced to meet the supply needs of this
facility's customer(s):
Is there North American production?
Is there overseas production?
[Q:9.4-759]
[Q:9.4-760]
Yes
No
Yes
No
What is this facility's estimated annual average Capacity Utilization Rate for this chemical?
Capacity Utilization Rate
[Q:9.5-762]
< 50%
50% - 69%
70% - 89%
>= 90%
Explain: "Capacity Utilization Rate" (operating rate) is estimated by dividing the average amount
of the chemical produced over the previous two years by the amount that could have been
produced if the facility had been operating at full capacity during that period. The rate may be
derived from the information your facility may have already provided as part of the U.S. Census
Bureau's Annual Plant Capacity Utilization Survey (form MQ-C1, question 2c). The survey and
instructions are available at http://www.census.gov/cir/www/mqc1pag2.html. Assumptions that
should be used for estimating this rate are available in the related downloadable guidance on the
DHS website.
What is this facility's estimated National Emergency Production Rate for this chemical?
Emergency Production Rate
[Q:9.5-763]
< 50%
50% - 69%
70% - 89%
>= 90%
DHS Form 9007
Page 72 of 80
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
Explain: The National Emergency Production Rate is estimated by dividing the average amount
of chemical produced over the previous two (2) years by the amount that could have been
produced if the plant had been operating under national emergency conditions during that period.
The rate may be derived from the information your facility may have already provided as part of
the U.S. Census Bureau's Annual Plant Capacity Utilization Survey (form MQ-C1, question 2c).
The survey and instructions are available at http://www.census.gov/cir/www/mqc1pag2.html.
Assumptions that should be used for estimating this rate are available in the related
downloadable guidance on the DHS website. Your rate of production at national emergency
levels should be greater than or equal to the rate of full production capacity.
What is the total annual production of this chemical (in pounds/year) from this facility?
Annual Production
[Q:9.5-764]
Explain: This information is similar to that which is reported under EPA's Inventory Update Rule
(for updating the Toxic Substances Control Act Chemical Inventory Database) for those organic
and inorganic substances manufactured or imported in quantities of 25,000 pounds per site per
reporting year. Report production only, not imports. If your chemical is not on the TSCA Inventory,
provide an estimate of your annual production.
What is the estimated replacement cost of the production unit(s) for this chemical at this
facility?
Replacement Cost(s) of Production Units
[Q:9.5-765]
> $1,000,000,000
$750,000,000 - $1,000,000,000
$500,000,000 - $749,999,999
$100,000,000 - $499,999,999
$50,000,000 - $99,999,999
$25,000,000 - $49,999,999
$12,000,000 - $24,999,999
$6,000,000 - $11,999,999
< $6,000,000
Explain: Replacement Costs apply to the production unit(s) related to the manufacture of this
chemical and any other onsite property likely to be damaged beyond repair that would need to be
replaced to restore the original functionality of the unit or equipment to its design productivity
levels. The economic value to repair or replace the damaged or destroyed unit(s) and its
associated equipment, plus the economic value of any lost products, should be estimated in US
dollars. For the purposes of this analysis use the historic (undepreciated) cost of the facility
property plus the undepreciated value of betterments/improvements (excluding maintenance and
repair) to the production unit less the amount that is covered by insurance.
Have you listed all chemicals that account for 20% of the domestic production to one or
more critical infrastructure sectors?
[Q:9.1-2772]
Yes
Go to Economically Critical Chemicals (page 74)
DHS Form 9007
Page 73 of 80
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
Economically Critical Chemicals
Economically Critical Production
What is the total value of products shipped and other receipts from the facility? (In dollars
- number without dollar sign or commas)
[Q:10.0-691]
The total value will be the same as that provided in the Annual Survey of Manufactures
(conducted annually for a sample of manufacturing sectors every year except those ending in "2"
and "7") or in the Economic Census (a survey of all manufacturing sectors conducted only in
years ending in "2" and "7"). Information and sample forms are available by searching for the
survey names at the Census Bureau website http://www.census.gov/index.html. Facilities may
provide the response from a recent Census Bureau survey if the information accurately reflects
current facility operations.
Excluding production for critical infrastructure sector(s), does this facility account for 35%
or more of the domestic production of any one chemical for the other sectors of the US
market. Do not include production to the critical infrastructure sectors defined as Defense
Industrial Base, Energy (electric generation only), Public Health and Healthcare, or Public
Drinking Water.
[Q:10.0-771]
Yes
No
This question should be answered "Yes" if this facility's production accounts for 35% or more of
the domestic production of a chemical and this chemical is not supplied to Defense Industrial
Base, Energy (electric generation only), Public Health and Healthcare, or Public Drinking Water.
If answered “No”, go to page 80
For each chemical, copy the following pages (76-79) and answer the following fields:
• “Chemical Name”
• “Enter the CAS# (if available)”
• “Is there another common name for this chemical?”
• “Select the facility’s estimated domestic market share of this chemical.”
• “What is the application(s) of this chemical by this facility’s customer(s)?”
• “Enter other application(s) of this chemical by this facility's customer(s) that were not listed on
the previous page.”
• “Indicate the primary sector(s) for which this facility produces this chemical.”
• “Enter other primary sector(s) for which this facility produces this chemical that was not listed
on the previous page.”
• ”Exact (or direct) substitute(s) for this chemical produced to meet the supply needs of this
facility’s customer(s)”
o Is there North American production?
o Is there overseas production?
DHS Form 9007
Page 74 of 80
CSAT Top-Screen Questions
•
•
•
•
•
OMB PRA # 1670-0007
Expires: 12/31/2007
“Functional substitute(s) for this chemical produced to meet the supply needs of this facility’s
customer(s)”
o Is there North American production?
o Is there overseas production?
“What is this facility's estimated annual average Capacity Utilization Rate for this chemical?”
“What is this facility's estimated National Emergency Production Rate for this chemical?”
“What is the total annual production of this chemical (in pounds/year) from this facility?”
“What is the estimated replacement cost of the production unit(s) for this chemical at this
facility?”
DHS Form 9007
Page 75 of 80
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
Enter the chemical name(s) that account for 35% or more of the domestic production for
the other sectors of the US market. Do not include production to the critical infrastructure
sectors defined as Defense Industrial Base, Energy (electric generation only), Public
Health and Healthcare, or Public Drinking Water.
For each chemical, enter the appropriate information.
Chemical Name
[Q:10.1-772]
Enter the CAS# (if available).
CAS#
[Q:9.3-852]
Is there another common name for this chemical?
[Q:10.2-872]
This question is optional if you provided a CAS#.
Select the facility's estimated domestic market share of this chemical.
[Q:10.2-873]
35% - 49%
50% - 75%
76% - 99%
100%
What is the application(s) of this chemical by this facility's customer(s)? Check all that
apply.
[Q:10.3-793]
Adhesive or Sealant
Catalyst
Coating
Cosmetic additive
Electronic chemical
Fine chemical
Flavor or fragrance
Food additive
Functional fuel or lubricant additive
Institutional or industrial cleaner
Oilfield chemical
Paper additive
Plastic additive
DHS Form 9007
Page 76 of 80
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
Plastic compounding
Rubber processing chemical
Water management chemical
Pharmaceutical (active ingredient)
Consumer product (e.g., soaps, cosmetics, toiletries)
Check for other primary sector(s) not listed. [Q:10.5-914]
Enter other application(s) of this chemical by this facility's customer(s) that were not listed
on the previous page.
[Q:10.4-912]
Indicate the primary sector(s) for which this facility produces this chemical. Check all that
apply.
[Q:10.5-794]
Agriculture and food
Energy (except electric generation)
National Monuments and Icons
Banking and Finance
Public Water Treatment Systems (not drinking water systems)
Commercial facilities
Dams, Locks & Levees
Emergency Services
Commercial Nuclear Reactors, Materials and Wastes
Information Technology
Telecommunications
Postal and Shipping
Transportation Systems
Government Facilities
Check for other primary sector(s) not listed. [Q:10.5-914]
Enter other primary sector(s) for which this facility produces this chemical that was not
listed on the previous page.
[Q:10.6-915]
DHS Form 9007
Page 77 of 80
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
Exact (or direct) substitute(s) for this chemical produced to meet the supply needs of this
facility's customer(s):
Is there North American production?
Is there overseas production?
[Q:10.7-815]
[Q:10.7-816]
Yes
No
Yes
No
Functional substitute(s) for this chemical produced to meet the supply needs of this
facility's customer(s):
Is there North American production?
Is there overseas production?
[Q:10.7-812]
[Q:10.7-813]
Yes
No
Yes
No
What is this facility's estimated annual average Capacity Utilization Rate for this chemical?
Capacity Utilization Rate
[Q:10.8-818]
< 50%
50% - 69%
70% - 89%
>= 90%
Explain: "Capacity Utilization Rate" (operating rate) is estimated by dividing the average amount
of the chemical produced over the previous two years by the amount that could have been
produced if the facility had been operating at full capacity during that period. The rate may be
derived from the information your facility may have already provided as part of the U.S. Census
Bureau's Annual Plant Capacity Utilization Survey (form MQ-C1, question 2c). The survey and
instructions are available at http://www.census.gov/cir/www/mqc1pag2.html. Assumptions that
should be used for estimating this rate are available in the related downloadable guidance on the
DHS website.
What is this facility's estimated National Emergency Production Rate for this chemical?
Emergency Production Rate
[Q:10.8-820]
< 50%
50% - 69%
70% - 89%
>= 90%
Explain: The National Emergency Production Rate is estimated by dividing the average amount
of chemical produced over the previous two (2) years by the amount that could have been
produced if the plant had been operating under national emergency conditions during that period.
The rate may be derived from the information your facility may have already provided as part of
the U.S. Census Bureau's Annual Plant Capacity Utilization Survey (form MQ-C1, question 2c).
The survey and instructions are available at http://www.census.gov/cir/www/mqc1pag2.html.
Assumptions that should be used for estimating this rate are available in the related
downloadable guidance on the DHS website. Your rate of production at national emergency
levels should be greater than or equal to the rate of full production capacity.
DHS Form 9007
Page 78 of 80
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
What is the total annual production of this chemical (in pounds/year) from this facility?
Annual Production
[Q:10.8-821]
Explain: This information is similar to that which is reported under EPA's Inventory Update Rule
(for updating the Toxic Substances Control Act Chemical Inventory Database) for those organic
and inorganic substances manufactured or imported in quantities of 25,000 pounds per site per
reporting year. Report production only, not imports. If your chemical is not on the TSCA Inventory,
provide an estimate of your annual production.
What is the estimated replacement cost of the production unit(s) for this chemical at this
facility?
Replacement Cost(s) of Production Units
[Q:10.8-822]
> $1,000,000,000
$750,000,000 - $1,000,000,000
$500,000,000 - $749,999,999
$100,000,000 - $499,999,999
$50,000,000 - $99,999,999
$25,000,000 - $49,999,999
$12,000,000 - $24,999,999
$6,000,000 - $11,999,999
< $6,000,000
Explain: Replacement Costs apply to the production unit(s) related to the manufacture of this
chemical and any other onsite property likely to be damaged beyond repair that would need to be
replaced to restore the original functionality of the unit or equipment to its design productivity
levels. The economic value to repair or replace the damaged or destroyed unit(s) and its
associated equipment, plus the economic value of any lost products, should be estimated in US
dollars. For the purposes of this analysis use the historic (undepreciated) cost of the facility
property plus the undepreciated value of betterments/improvements (excluding maintenance and
repair) to the production unit less the amount that is covered by insurance.
Have you listed all chemicals that account for 35% or more of the domestic production for
the other sectors of the US market?
[Q:10.1-2774]
Yes
DHS Form 9007
Page 79 of 80
CSAT Top-Screen Questions
OMB PRA # 1670-0007
Expires: 12/31/2007
Finish
Submitter Copy
A copy of the completed survey will be sent to the Submitter.
Preparer Copy
Do you want copies of communications from DHS about this facility to be sent to the
Preparer in addition to the Submitter?
[Q:15.2-931]
Yes
No
DHS Form 9007
Page 80 of 80
| File Type | application/pdf |
| File Title | CSAT Top-Screen Questions |
| Author | DHS |
| File Modified | 2007-07-24 |
| File Created | 2007-07-24 |