Form BEES Please BEES Please BEES Please

BEES Please

BEES_Please_Questionnaire-1-22-08.xls

BEES Please

OMB: 0693-0036

Document [xlsx]
Download: xlsx | pdf

Overview

General Data
Site Data
Utility Data
Product Data


Sheet 1: General Data




























General Data








Company Contact Information



Person in Charge of Completing Questionnaire:




Address:










Tel:




Fax:




Email:









Site Information



Site Name:




Site Location:










Products Produced at the Site: Name Quantity Produced per Year














































Date Questionnaire Completed:





























































































August 2007



















Sheet 2: Site Data





Data Quality Trasport of Materials to the Site
Product Material and Manufacturing Data
Units Quantity Source Type Year Distance (miles) Mode Notes:
Products:







Products: Building Product (please specify)


















Co-products (please specify)



































































Inflows







Raw Materials: Water




N/A N/A

Others (please specify)













































































Purchased Energy: Electricity




N/A N/A

Steam




N/A N/A

Compressed Air




N/A N/A

Others (please specify)















































Purchased Fuels: Coal








Coke








Natural Gas








Fuel Oil








Diesel Oil








Gasoline








Others (please specify)













































































Outflows







Solid Waste: Total Solid Waste








Solid Waste



























Recovered Matter: Recovered Matter (please specify)




Fate of rec'd material















































Air Emissions: Provide the following when data are available








Flue Gas (total)








Sulfur Oxides (SOx as SO2)








Ammonia (NH3)








Hydrogen Chloride (HCl)








Hydrogen Fluoride (HF)








Sulfuric Acid (H2SO4)








Methane (CH4)








Nitrous Oxide (N2O)








Particulate Matter








Non-methane hydrocarbons (total)








Hydrocarbons (unspecified)








VOC (unspecified)








Metals (total)


















Scroll down this list and provide any data you have on any of these emissions








2,4 - D (C8H6Cl2O3)








Acenaphthene (C12H10)








Acenaphthylene (C12H8)








Acephate (C4H10NO3PS)








Acetaldehyde (CH3CHO)








Acetic Acid (CH3COOH)








Acetone (CH3COCH3)








Acetophenone (C8H8O)








Acetylene (C2H2)








Acrolein (CH2CHCHO)








Alcohol (unspecified)








Aldehyde (unspecified)








Aldicarb (C7H14N2O2S)








Alkane (unspecified)








Alkene (unspecified)








Alkyne (unspecified)








Allyl Alcohol (C3H6O)








Aluminum (Al)








Ammonia (NH3)








Anthracene (C14H10)








Antimony (Sb)








AOX (Adsorbable Organic Halogens)








Aromatic Hydrocarbons (unspecified)








Arsenic (As)








Atrazine (C8H14ClN5)








Azinphos-methyl (C10H12N3O3PS2)








Barium (Ba)








Benzaldehyde (C6H5CHO)








Benzene (C6H6)








Benzoanthracene








Benzopyrene (C20H12)








Benzo(b)fluoranthene








Benzo(bjk)fluoranthene








Benzo(e)pyrene (C20H12)








Benzo(g,h,i)perylene (C22H12)








Benzo(k)fluoranthene








Benzyl Chloride (C7H7Cl)








Beryllium (Be)








Biphenyl (1,1-C12H10)








Boron (B)








Bromium (Br)








Bromoform (CHBr3)








Bromoxynil (C7H3Br2NO)








Butadiene (1,3-CH2CHCHCH2)








Butane (C4H10)








Butane (n-C4H10)








Butanol (1-C4H10O)








Butanol (2-C4H10O)








Butanol (tert-C4H9OH)








Butene (1-CH3CH2CHCH2)








Butyraldehyde (CH3CH2CH2CHO)








Cadmium (Cd)








Calcium (Ca)








Carbofuran (C12H15NO3)








Carbon Dioxide (CO2, biomass)








Carbon Dioxide (CO2, fossil)








Carbon Disulfide (CS2)








Carbon Monoxide (CO)








Carbon Tetrachloride (CCl4)








Carbon Tetrafluoride (CF4)








Carbonyl Sulfide (COS)








CFC 12 (CCl2F2)








Chlorides (Cl-)








Chlorinated Matter (unspecified, as Cl)








Chlorine (Cl2)








Chlorine Dioxide (ClO2)








Chloroacetophenone (2-C8H7ClO)








Chlorobenzene (C6H5Cl)








Chloroform (CHCl3, HC-20)








Chloronaphthalene (2-C10H7Cl)








Chlorothalonil (C8Cl4N2)








Chlorpyrifos (C9H11Cl3NO3PS)








Chromium (Cr III, Cr VI)








Chromium (Cr VI)








Chrysene (C18H12)








Cobalt (Co)








Copper (Cu)








Cresol (C6H4OHCH3)








Crotonaldehyde (C4H6O)








Cumene (C9H12)








Cumene Hydroperoxide (C9H12O2)








Cyanazine (C9H13ClN6)








Cyanide (CN-)








Cyclohexane (C6H12)








Di(2-ethylhexyl)phthalate (DEHP, C24H38O4)








Diazinon (C12H21N2O3PS)








Dibenzo(a,h)anthracene








Dicamba (C8H6Cl2O3)








Dichlorobenzene (1,4-C6H4Cl2)








Dichloroethane (1,2-CH2ClCH2Cl)








Dichloroethene (1,1-CHClCHCl)








Dicyclopentadiene (C10H12)








Diethanol Amine (C4H11O2N)








Dimethyl Benzanthracene (7,12-C20H16)








Dimethyl Sulfate (C2H6O4S)








Dinitrotoluene (2,4-C7H6N2O4)








Dioxins (unspecified)








Diphenyl ((C6H5)2)








Disulfoton (C8H19O2PS3)








Diuron (C9H10Cl2N2O)








Endosulfan (C9H6Cl6O3S)








Epichlorohydrin (C3H5ClO)








EPTC (C9H19NOS)








Ethane (C2H6)








Ethanol (C2H5OH)








Ethoprop (C8H19O2PS2)








Ethyl Benzene (C6H5C2H5)








Ethyl Chloride (C2H5Cl)








Ethyl Dipropylthiocarbamate (C9H19NOS)








Ethylene (C2H4)








Ethylene Dibromide (C2H4Br2)








Ethylene Dichloride (C2H4Cl2)








Ethylene Glycol (HOCH2CH2OH)








Ethylene Oxide (C2H4O)








Fluoranthene








Fluorene (C13H10)








Fluorides (F-)








Fluorine (F2)








Formaldehyde (CH2O)








Furan (C4H4O)








Glycol Ether (unspecified)








Glyphosate (C3H8NO5P)








Halogenated Hydrocarbons (unspecified)








Halogenated Matter (unspecified)








Halon 1301 (CF3Br)








HCFC 22 (CHF2Cl)








Heptane (C7H16)








Hexanal (C6H12O)








Hexane (C6H14)








Hydrazine (N2H4)








Hydrocarbons (except methane)








Hydrocarbons (unspecified)








Hydrogen (H2)








Hydrogen Chloride (HCl)








Hydrogen Cyanide (HCN)








Hydrogen Fluoride (HF)








Hydrogen Sulfide (H2S)








Indeno (1,2,3,c,d) Pyrene








Indoor Air Quality








Iodine (I)








Iron (Fe)








Isobutyraldehyde ((CH3)2CHCHO)








Isophorone








lanthanum (La)








Lead (Pb)








Linuron (C9H10Cl2N2O2)








Magnesium (Mg)








Malathion (C10H19O6PS2)








Manganese (Mn)








Mercaptans








Mercury (Hg)








Metals (unspecified)








Methane (CH4)








Methanol (CH3OH)








Methyl 2-Pyrrolidone (n-C10N2H6)








Methyl Bromide (CH3Br)








Methyl Chloride (CH3Cl)








Methyl Cholanthrene (3-C21H16)








Methyl Chrysene (5-C19H15)








Methyl Cyanide (C2H3N)








Methyl Ethyl Ketone (MEK, C4H8O)








Methyl Hydrazine (CH6N2)








Methyl Isobutyl Ketone (C6H12O)








Methyl Methacrylate (CH2C(CH3)COOCH3)








Methyl Naphthalene (2-C11H10)








Methyl Parathion (C8H10NO5PS)








Methyl tert Butyl Ether (MTBE, C5H12O)








Methylene Chloride (CH2Cl2, HC-130)








Metolachlor (C15H22ClNO2)








Metribuzin (C8H14N4OS)








Molybdenum (Mo)








Molybdenum Trioxide (MoO3)








Naphthalene (C10H8)








Nickel (Ni)








Nitrogen Oxides (NOx as NO2)








Nitrous Oxide (N2O)








Organic Matter (unspecified)








Oxamyl (C7H13N3O3S)








Particulates (greater than PM10)








Particulates (PM 10)








Particulates (unspecified)








Pentachloronitrobenzene (C6Cl5NO2)








Pentane (C5H12)








Permethrin (C21H20Cl2O3)








Perylene (C20H12)








Phenanthrene (C14H10)








Phenol (C6H5OH)








Phosphoric Acid (H3PO4)








Phosphorus (P)








Phosphorus Pentoxide (P2O5)








Phthalates (unspecified)








Phthalic Anhydride (C8H4O3)








Polycyclic Aromatic Hydrocarbons (PAH, unspecified)








Potassium (K)








Propane (C3H8)








Propionaldehyde (CH3CH2CHO)








Propionic Acid (CH3CH2COOH)








Propylene (CH2CHCH3)








Pyrene (C16H10)








Quinoline (C9H7N)








Quinone (C6H4O2)








Scandium (Sc)








Selenium (Se)








Silicon (Si)








Silver (Ag+)








Simazine (C7H12ClN5)








Sodium (Na)








Sodium Nitrite (NaNO2)








Strontium (Sr)








Styrene (C6H5CHCH2)








Sulfur Oxides (SOx as SO2)








Sulfuric Acid (H2SO4)








Tars (unspecified)








Tetrachloroethylene (C2Cl4)








Thallium (TI)








Tin (Sn)








Titanium (Ti)








Toluene (C6H5CH3)








Triallate (C10H16Cl3NOS)








Tribufos (C12H27OPS3)








Trichloroethane (1,1,1-CH3CCl3)








Trichloroethylene (CCl2CHCl)








Trichloropropane (1,2,3-C2H5Cl3)








Trifluralin (C13H16F3N3O4)








Trimethyl Benzene (1,2,4-C6H3(CH3)3)








Vanadium (V)








Vinyl Acetate (C4H6O2)








Vinyl Chloride (CH2CHCl)








Xylene (C6H4(CH3)2)








Xylene (m-C6H4(CH3)2)








Xylene (o-C6H4(CH3)2)








Xylene (p-C6H4(CH3)2)








Zinc (Zn)








Zirconium (Zr)








Radioactive Substance (unspecified)



























Water Effluents: Provide the following when data are available








Wastewater total








Ammonia (NH4+)








Nitrogen (N, total)








Phosphates (PO4 3-)








Phosphorus (P)








COD (Chemical Oxygen Demand)








Nitrogenous Matter (Kjeldhal, as N)








Nitrates (NO3-)








Nitrogenous Matter (unspecified, as N)








Phosphorous Matter (unspecified, as P)








Nitrogen Dioxide (NO2)








Nitrogen Oxide (NO)








Nitrites (NO2-)








Phosphorus Pentoxide (P2O5)








BOD








Suspended Solids








Hydrocarbons (total)








Metals (total)




























Scroll down this list and provide any data you have on any of these effluents








2,4 - D (C8H6Cl2O3)








Acephate (C4H10NO3PS)








Acetic Acid (CH3COOH)








Acids (H+)








Aldehyde (unspecified)








Aldicarb (C7H14N2O2S)








Alkane (unspecified)








Alkene (unspecified)








Aluminum (Al3+)








Ammonia (NH4+, NH3, as N)








Anthracene (C14H10)








Antimony (Sb++)








AOX (Adsorbable Organic Halogens)








Aromatic Hydrocarbons (unspecified)








Arsenic (As3+, As5+)








Atrazine (C8H14ClN5)








Azinphos-methyl (C10H12N3O3PS2)








Barium (Ba++)








Barytes








Benzene (C6H6)








Beryllium (Be)








Biphenyl (1,1-C12H10)








BOD5 (Biochemical Oxygen Demand)








Boron (B III)








Bromoxynil (C7H3Br2NO)








Butadiene (1,3-CH2CHCHCH2)








Butanol (tert-C4H9OH)








Cadmium (Cd++)








Calcium (Ca++)








Carbofuran (C12H15NO3)








Carbon Tetrachloride (CCl4)








Carbonates (CO3--, HCO3-, CO2, as C)








Chlorides (Cl-)








Chlorinated Matter (unspecified, as Cl)








Chlorine (Cl2)








Chloroform (CHCl3, HC-20)








Chlorothalonil (C8Cl4N2)








Chlorpyrifos (C9H11Cl3NO3PS)








Chromate (CrO4--)








Chromium (Cr III)








Chromium (Cr III, Cr VI)








Chromium (Cr VI)








Cobalt (Co I, Co II, Co III)








COD (Chemical Oxygen Demand)








Copper (Cu+, Cu++)








Cresol (C6H4OHCH3)








Cumene (C9H12)








Cyanazine (C9H13ClN6)








Cyanide (CN-)








Cyclohexane (C6H12)








Diazinon (C12H21N2O3PS)








Dicamba (C8H6Cl2O3)








Dichloroethane (1,2-CH2ClCH2Cl)








Dichloroethene (1,1-CHClCHCl)








Diethanol Amine (C4H11O2N)








Dissolved Matter (unspecified)








Dissolved Organic Carbon (DOC)








Disulfoton (C8H19O2PS3)








Diuron (C9H10Cl2N2O)








Endosulfan (C9H6Cl6O3S)








EPTC (C9H19NOS)








Ethoprop (C8H19O2PS2)








Ethyl Benzene (C6H5C2H5)








Ethyl Dipropylthiocarbamate (C9H19NOS)








Ethylene (C2H4)








Ethylene Dibromide (C2H4Br2)








Ethylene Glycol (HOCH2CH2OH)








Fluorides (F-)








Formaldehyde (CH2O)








Glyphosate (C3H8NO5P)








Halogenated Matter (organic)








Hexachloroethane (C2Cl6)








Hexane (C6H14)








Hydrocarbons (unspecified)








Hydrogen Fluoride (HF)








Hypochlorite (ClO-)








Hypochlorous Acid (HClO)








Inorganic Dissolved Matter (unspecified)








Iode (I-)








Iron (Fe++, Fe3+)








Lead (Pb++, Pb4+)








Linuron (C9H10Cl2N2O2)








Magnesium (Mg++)








Malathion (C10H19O6PS2)








Manganese (Mn II, Mn IV, Mn VII)








Mercury (Hg+, Hg++)








Metals (unspecified)








Methanol (CH3OH)








Methyl 2-Pyrrolidone (n-C10N2H6)








Methyl Ethyl Ketone (MEK, C4H8O)








Methyl Isobutyl Ketone (C6H12O)








Methyl Parathion (C8H10NO5PS)








Methyl tert Butyl Ether (MTBE, C5H12O)








Methylene Chloride (CH2Cl2, HC-130)








Metolachlor (C15H22ClNO2)








Metribuzin (C8H14N4OS)








Molybdenum (Mo II, Mo III, Mo IV, Mo V, Mo VI)








Molybdenum Trioxide (MoO3)








Naphthalene (C10H8)








Nickel (Ni++, Ni3+)








Nitrate (NO3-)








Nitrite (NO2-)








Nitrogenous Matter (unspecified, as N)








Oils (unspecified)








Organic Dissolved Matter (aromatic)








Organic Dissolved Matter (chlorinated)








Organic Dissolved Matter (unspecified)








Organic Matter (unspecified)








Oxamyl (C7H13N3O3S)








Pentachloronitrobenzene (C6Cl5NO2)








Permethrin (C21H20Cl2O3)








Phenanthrene (C14H10)








Phenol (C6H5OH)








Phosphates (PO4 3-, HPO4--, H2PO4-, H3PO4, as P)








Phosphorus (P)








Phosphorus Pentoxide (P2O5)








Polycyclic Aromatic Hydrocarbons (PAH, unspecified)








Potassium (K+)








Propylene (CH2CHCH3)








Rubidium (Rb+)








Salts (unspecified)








Saponifiable Oils and Fats








Selenium (Se II, Se IV, Se VI)








Silicon Dioxide (SiO2)








Silver (Ag+)








Simazine (C7H12ClN5)








Sodium (Na+)








Sodium Nitrite (NaNO2)








Strontium (Sr II)








Styrene (C6H5CHCH2)








Sulfate (SO4--)








Sulfide (S--)








Sulfite (SO3--)








Sulfurated Matter (unspecified, as S)








Suspended Matter (unspecified)








Tars (unspecified)








Tetrachloroethylene (C2Cl4)








Tin (Sn++, Sn4+)








Titanium (Ti3+, Ti4+)








TOC (Total Organic Carbon)








Toluene (C6H5CH3)








Tri n-butyl-phosphate (TBP, (C4H9O)3PO)








Triallate (C10H16Cl3NOS)








Tribufos (C12H27OPS3)








Trichloroethane (1,1,1-CH3CCl3)








Trichloroethylene (CCl2CHCl)








Triethylene Glycol (C6H14O4)








Trifluralin (C13H16F3N3O4)








Trimethyl Benzene (1,2,4-C6H3(CH3)3)








Vanadium (V3+, V5+)








Vinyl Chloride (CH2CHCl)








Water (unspecified)








Water: Chemically Polluted








Xylene (C6H4(CH3)2)








Xylene (m-C6H4(CH3)2)








Xylene (o-C6H4(CH3)2)








Xylene (p-C6H4(CH3)2)








Zinc (Zn++)








Radioactive Substance (unspecified)








Sheet 3: Utility Data

List the Utility (e.g., cogenerator, wastewater treatment plant, etc.) below and provide data in each approporiate column














































Utility Services What: Describe what each utility on site does










Allocation to the product:








Utility provides Example: Column D Utility: __WW treatment plant__ Example: the WWTP treatment plant treats the water from our nylon spinning and dye plants.










20%






services to the Column D Utility: _________________



















following processes Column I Utility: _________________



















on your site: Column N Utility: _________________




















Column __ Utility: _________________












































Utility 1: _______ Data Quality
Utility 2: _______ Data Quality
Utility 3: _______ Data Quality Trasport of Materials to the Site Add more columns if you have more utility data





Units Quantity Source Type Year Units Quantity Source Type Year Units Quantity Source Type Year Distance (miles) Mode




Inflows





















Raw Materials: Water














N/A N/A





Others (please specify)





















































































































































































































Purchased Energy: Electricity














N/A N/A





Steam














N/A N/A





Compressed Air














N/A N/A





Others (please specify)













































































































































Purchased Fuels: Coal






















Coke






















Natural Gas






















Fuel Oil






















Diesel Oil






















Gasoline






















Others (please specify)





























































































































































































Pollutants: Pollutant Flows






















Flue Gas






















Wastewater





































































Solid Waste: Total Solid Waste






















Solid Waste





































































Recovered Matter: Recovered Matter (please specify)













































































































































Air Emissions: List any process-related air emissions






















Particulate Matter






















VOC (unspecified)






















Hydrocarbons (unspecified)






















Nonmethane hydrocarbons (unspecified)






















Others (list):





































































































































































Water Effluents: Provide the following where data are available






















Wastewater total






















Ammonia (NH4+)






















Nitrogen (N, total)






















Phosphates (PO4 3-)






















Phosphorus (P)






















COD (Chemical Oxygen Demand)






















Nitrogenous Matter (Kjeldhal, as N)






















Nitrates (NO3-)






















Nitrogenous Matter (unspecified, as N)






















Phosphorous Matter (unspecified, as P)






















Nitrogen Dioxide (NO2)






















Nitrogen Oxide (NO)






















Nitrites (NO2-)






















Phosphorus Pentoxide (P2O5)






















BOD






















Suspended Solids






















Hydrocarbons (total)






















Metals (total)






































































Scroll down this list and provide any data you have on any of these effluents






















2,4 - D (C8H6Cl2O3)






















Acephate (C4H10NO3PS)






















Acetic Acid (CH3COOH)






















Acids (H+)






















Aldehyde (unspecified)






















Aldicarb (C7H14N2O2S)






















Alkane (unspecified)






















Alkene (unspecified)






















Aluminum (Al3+)






















Ammonia (NH4+, NH3, as N)






















Anthracene (C14H10)






















Antimony (Sb++)






















AOX (Adsorbable Organic Halogens)






















Aromatic Hydrocarbons (unspecified)






















Arsenic (As3+, As5+)






















Atrazine (C8H14ClN5)






















Azinphos-methyl (C10H12N3O3PS2)






















Barium (Ba++)






















Barytes






















Benzene (C6H6)






















Beryllium (Be)






















Biphenyl (1,1-C12H10)






















BOD5 (Biochemical Oxygen Demand)






















Boron (B III)






















Bromoxynil (C7H3Br2NO)






















Butadiene (1,3-CH2CHCHCH2)






















Butanol (tert-C4H9OH)






















Cadmium (Cd++)






















Calcium (Ca++)






















Carbofuran (C12H15NO3)






















Carbon Tetrachloride (CCl4)






















Carbonates (CO3--, HCO3-, CO2, as C)






















Chlorides (Cl-)






















Chlorinated Matter (unspecified, as Cl)






















Chlorine (Cl2)






















Chloroform (CHCl3, HC-20)






















Chlorothalonil (C8Cl4N2)






















Chlorpyrifos (C9H11Cl3NO3PS)






















Chromate (CrO4--)






















Chromium (Cr III)






















Chromium (Cr III, Cr VI)






















Chromium (Cr VI)






















Cobalt (Co I, Co II, Co III)






















COD (Chemical Oxygen Demand)






















Copper (Cu+, Cu++)






















Cresol (C6H4OHCH3)






















Cumene (C9H12)






















Cyanazine (C9H13ClN6)






















Cyanide (CN-)






















Cyclohexane (C6H12)






















Diazinon (C12H21N2O3PS)






















Dicamba (C8H6Cl2O3)






















Dichloroethane (1,2-CH2ClCH2Cl)






















Dichloroethene (1,1-CHClCHCl)






















Diethanol Amine (C4H11O2N)






















Dissolved Matter (unspecified)






















Dissolved Organic Carbon (DOC)






















Disulfoton (C8H19O2PS3)






















Diuron (C9H10Cl2N2O)






















Endosulfan (C9H6Cl6O3S)






















EPTC (C9H19NOS)






















Ethoprop (C8H19O2PS2)






















Ethyl Benzene (C6H5C2H5)






















Ethyl Dipropylthiocarbamate (C9H19NOS)






















Ethylene (C2H4)






















Ethylene Dibromide (C2H4Br2)






















Ethylene Glycol (HOCH2CH2OH)






















Fluorides (F-)






















Formaldehyde (CH2O)






















Glyphosate (C3H8NO5P)






















Halogenated Matter (organic)






















Hexachloroethane (C2Cl6)






















Hexane (C6H14)






















Hydrocarbons (unspecified)






















Hydrogen Fluoride (HF)






















Hypochlorite (ClO-)






















Hypochlorous Acid (HClO)






















Inorganic Dissolved Matter (unspecified)






















Iode (I-)






















Iron (Fe++, Fe3+)






















Lead (Pb++, Pb4+)






















Linuron (C9H10Cl2N2O2)






















Magnesium (Mg++)






















Malathion (C10H19O6PS2)






















Manganese (Mn II, Mn IV, Mn VII)






















Mercury (Hg+, Hg++)






















Metals (unspecified)






















Methanol (CH3OH)






















Methyl 2-Pyrrolidone (n-C10N2H6)






















Methyl Ethyl Ketone (MEK, C4H8O)






















Methyl Isobutyl Ketone (C6H12O)






















Methyl Parathion (C8H10NO5PS)






















Methyl tert Butyl Ether (MTBE, C5H12O)






















Methylene Chloride (CH2Cl2, HC-130)






















Metolachlor (C15H22ClNO2)






















Metribuzin (C8H14N4OS)






















Molybdenum (Mo II, Mo III, Mo IV, Mo V, Mo VI)






















Molybdenum Trioxide (MoO3)






















Naphthalene (C10H8)






















Nickel (Ni++, Ni3+)






















Nitrate (NO3-)






















Nitrite (NO2-)






















Nitrogenous Matter (unspecified, as N)






















Oils (unspecified)






















Organic Dissolved Matter (aromatic)






















Organic Dissolved Matter (chlorinated)






















Organic Dissolved Matter (unspecified)






















Organic Matter (unspecified)






















Oxamyl (C7H13N3O3S)






















Pentachloronitrobenzene (C6Cl5NO2)






















Permethrin (C21H20Cl2O3)






















Phenanthrene (C14H10)






















Phenol (C6H5OH)






















Phosphates (PO4 3-, HPO4--, H2PO4-, H3PO4, as P)






















Phosphorus (P)






















Phosphorus Pentoxide (P2O5)






















Polycyclic Aromatic Hydrocarbons (PAH, unspecified)






















Potassium (K+)






















Propylene (CH2CHCH3)






















Rubidium (Rb+)






















Salts (unspecified)






















Saponifiable Oils and Fats






















Selenium (Se II, Se IV, Se VI)






















Silicon Dioxide (SiO2)






















Silver (Ag+)






















Simazine (C7H12ClN5)






















Sodium (Na+)






















Sodium Nitrite (NaNO2)






















Strontium (Sr II)






















Styrene (C6H5CHCH2)






















Sulfate (SO4--)






















Sulfide (S--)






















Sulfite (SO3--)






















Sulfurated Matter (unspecified, as S)






















Suspended Matter (unspecified)






















Tars (unspecified)






















Tetrachloroethylene (C2Cl4)






















Tin (Sn++, Sn4+)






















Titanium (Ti3+, Ti4+)






















TOC (Total Organic Carbon)






















Toluene (C6H5CH3)






















Tri n-butyl-phosphate (TBP, (C4H9O)3PO)






















Triallate (C10H16Cl3NOS)






















Tribufos (C12H27OPS3)






















Trichloroethane (1,1,1-CH3CCl3)






















Trichloroethylene (CCl2CHCl)






















Triethylene Glycol (C6H14O4)






















Trifluralin (C13H16F3N3O4)






















Trimethyl Benzene (1,2,4-C6H3(CH3)3)






















Vanadium (V3+, V5+)






















Vinyl Chloride (CH2CHCl)






















Water (unspecified)






















Water: Chemically Polluted






















Xylene (C6H4(CH3)2)






















Xylene (m-C6H4(CH3)2)






















Xylene (o-C6H4(CH3)2)






















Xylene (p-C6H4(CH3)2)






















Zinc (Zn++)






















Radioactive Substance (unspecified)






















Sheet 4: Product Data





Data Quality




Product Use, Transport, and General Data
Units Quantity Source Type Year





Useful Lifetime of the Product:






















Indoor Volatile Organic Compound (VOC) Emissions






















Density of the Product:






















Is the Product Recyclable (y/n):










If (yes) What Percent is Currently Recycled:






















Avg. Distance Final Product is Transported to Customer:










Mode of Transport for Final Product:






















Manufacturer's Suggested Retail Price:





































Data Quality
Data Quality
Installation and Maintenance Data
Units Installation Quantity Source Type Year Maintenance Quantity Source Type Year Maintenance schedule and requirements
Inflows









Raw Materials: Water










Others (please specify)









































































































Energy: Electricity










Steam










Compressed Air










Others (please specify)





































































Fuels: Coal










Coke










Natural Gas










Fuel Oil










Diesel Oil










Gasoline










Others (please specify)





























































































Solid Waste: Total Solid Waste










Solid Waste





















File Typeapplication/vnd.ms-excel
File TitleOMB NO: 0693-0036 Expires 08/31/2004
AuthorBarbara C. Lippiatt
Last Modified ByDarla Yonder
File Modified2008-01-22
File Created1999-07-23

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