NCS000132_Fact sheet binder_20231011

DEQ / DEMLR
FACT SHEET FOR NPDES INDUSTRIAL INDIVIDUAL
STORMWATER PERMIT DEVELOPMENT
Basic Information for Permit Issuance and Renewals:
Permit Writer/Date Brianna Young 10/9/2023
Permit Number NCS000132
Owner/Facility Name C.M. Tucker Lumber of NC,LLC/C.M. Tucker
Lumber of NC,LLC
SIC AICS Code/Category 2491 321114 /Wood Preservation
Basin Name/Sub-basin number Tar-Pamlico/03-03-04
Receiving Stream/HUC UT to Fishin Creek/030201020301
Stream Classification/Stream Segment Q NSW/28-79-(1)
Is the stream impaired [on 303 d list]? No
Any TMDLs? No
Any threatened and/or endangered species? No
Any compliance concerns? See Section 2 below
Any permit mods since lastpermit? No
New expiration date 10/31/2028
Comments on Draft Permit? See Section 6 below
Section 1. Facility Activities and Process:
C.M. Tucker Lumber of NC, LLC is a wood preserving plant where lumber is pressure treated with a
wood treating formulation. Treated lumber is stored on a drip pad and once drying has completed, the
lumber is stored on gravel and paved lots. Per information in the permit file history, the facility
previously used creosote, Penta, chromated copper arsenate (CCA), and ACQ. The facility added
treatment with Ecolife (a more aqueous based preservative) in 2011 for above-ground contact wood and
transitioned from AQC to copper azole (CA-C) in 2013 for ground-contact wood. Chemicals stored
onsite include:
Henderson Chemical
Work Tank 1 Koppers #406
Work Tank 2 Koppers #406
Work Tank 3 Arxada-Loma
Work Tank 4 Arxada-Loma
Water Tank Water
MCA conc. Tank Arxada-Loma Concentrate
Empty Tank Empty
XPS concentrate tank Koppers #406 Concentrate
Tote Protek WP 14
Tote Protek WP45
Tote Barmine
Fuel Tank On Road Diesel
Fuel Tank On Road Diesel
1 Propane Tank Propane
Page 1 of 6

Outfall SW001:
Drainage area consists of a wetland, grassy areas, gravel areas,parking lot, storage sheds, treatment
plant, treated and untreated lumber storage areas, two (2) diesel fuel tanks, a tank farm(ASTs),
unloading area, railroad tracks, tote storage, rail tie storage, and gravel piles.
Why Industrial Sites with Stormwater are Subject to a Permit: Federal NPDES regulations define
stormwater discharge associated with industrial activity in 40 CFR §122.26 (b)(14) as: "the discharge
from any conveyance that is used for collecting and conveying storm water and that is directly related to
manufacturing,processing or raw materials storage areas at an industrial plant. The term does not
include discharges from facilities or activities excluded from the NPDES program under this part 122.
For the categories of industries identified in this section, the term includes, but is not limited to, storm
water [sic] discharges from industrial plant yards; immediate access roads and rail lines used or traveled
by carriers of raw materials, manufactured products, waste material, or byproducts used or created by
the facility; material handling sites; refuse sites; sites used for the application or disposal of process
waste waters (as defined at part 401 of this chapter); sites used for the storage and maintenance of
material handling equipment; sites used for residual treatment, storage, or disposal; shipping and
receiving areas; manufacturing buildings; storage areas (including tank farms) for raw materials, and
intermediate and final products; and areas where industrial activity has taken place in the past and
significant materials remain and are exposed to storm water. For the purposes of this paragraph, material
handling activities include storage, loading and unloading, transportation, or conveyance of any raw
material, intermediate product, final product, byproduct or waste product. The term excludes areas
located on plant lands separate from the plant's industrial activities, such as office buildings and
accompanying parking lots as long as the drainage from the excluded areas is not mixed with storm
water [sic] drained from the above described areas."
Section 2. Monitoring Information and Compliance History:
• June 2017 to April 2023, benchmarks exceeded for:
o Copper 5x
o Copper not measured down to PQL/benchmark level 7x therefore unable to accurately
determine if any exceedances in these samples (values reported as< 0.020 mg/L)
Section 3. Proposed Monitoring for Stormwater Discharges:
The Division considered potential pollutants from past and present industrial activities and data was
submitted for June 2017 to April 2023. Quantitative sampling included pH, TSS, BOD, COD, total
phosphorus, TKN, total nitrogen, and copper.
Parameters are based on potential pollutants in the drainage area, sampling results, and in some cases,
dependent upon future activities (e.g., ash removal through the drainage area). Below is a table of the
proposed monitoring for each outfall at the C.M. Tucker Lumber of NC, LLC site.
Page 2 of 6

Outfall SWO01
Quarterly monitoring
Total Suspended Solids BASIS: Potential pollutant from drainage area and BMP effectiveness
(TSS) indicator.
Quarterly monitoring
pH BASIS: Pollutant indicator
Quarterly monitoring
Total Rainfall BASIS: Discharge potential indicator
Quarterly monitoring
Non-Polar Oil &Grease BASIS: Potential pollutant from lubricants; Method 1664 SGT-HEM
targets petroleum-based O&G
Quarterly monitoring
Monthly Oil Usage BASIS: Potential pollutant from drainage area
Quarterly monitoring
BOD BASIS: Discharge potential indicator
Quarterly monitoring
COD BASIS: Discharge potential indicator
Quarterly monitoring
Total Nitrogen BASIS: Discharge potential indicator
Quarterly monitoring
Total Phosphorus BASIS: Discharge potential indicator
Quarterly monitoring
Total Copper BASIS: Potential pollutant from drainage area
Quarterly monitoring
Total Hardness BASIS: Monitoring for hardness dependent metals present
Stormwater Benchmarks and Tiered Response: Rather than limits,North Carolina NPDES
Stormwater permits contain benchmark concentrations. Stormwater benchmarks are numerical action
levels for stormwater monitoring. Benchmarks are not effluent limits, and benchmark exceedances are
not permit violations. Benchmarks provide facilities a tool for assessing the significance of pollutants in
stormwater discharges and the effectiveness of best management practices (BMPs). Benchmark
concentrations are intended as guidelines for the facility's development and implementation of the
Stormwater Pollution Prevention Plan (SWPPP).
Benchmark exceedances require the permittee to increase monitoring, increase management actions,
increase record keeping, and/or install stormwater BMPs in a tiered program. The permit establishes a
tiered approach to specify actions the permittee must take in response to analytical results above
Page 3 of 6

benchmark concentrations. The tiered structure of the permit provides the permittee and DEMLR wide
flexibility to address issues that may arise with one or more parameters and/or outfalls.
Metals benchmarks are calculated to mimic acute water quality standards and with the guidance of
DWR. NC DWR follows established federal procedures for calculating acute standards when developing
the benchmarks. Just like the acute standards, metals benchmarks normally reflect one half of the
calculated Final Acute Value (the "1/2 FAV"). In most cases, translation into total recoverable values is
based on an assumed hardness of 25 mg/L and a total suspended solids (TSS) concentration of 10 mg/L.
Acute standards protect aquatic life from negative impacts of short-term exposure to higher levels of
chemicals where the discharge enters a waterbody. The Stormwater Permitting Program applies this
approach because of the ephemeral nature of rainfall events.
The Division may evaluate results to determine if a smaller suite of parameters for some outfalls is
adequate to characterize potential pollution or BMP effectiveness. For example, one or more metals or
other parameters may serve as an adequate tracer for the presence of ash pollution during disturbance or
ash removal in specific drainage areas at this site. For parameters that do not have a stormwater
benchmark, the Division may develop a benchmark value if appropriate toxicity data become available
or if rising trends in concentrations suggest a persistent source.
A summary of the benchmarks in the draft permit, and their basis, is below:
Parameter Benchmark Basis
Total Suspended 100 mg/L National Urban Runoff Program(NURP) Study, 1983
Solids TSS
H 6 s.u. —9 s.u. NC Water Quality Standard(Range)
Non-Polar Oil & Review of other state's daily maximum benchmark
Grease 15 mg/L concentration for this more targeted O&G;NC WQS that
EPA Method 1664 does not allow oil sheen in waters
SGT-HEM
BOD 30 mg/L BPJ; Based on Secondary Treatment Regulation(40 CFR
133.03
COD 120 mg/L BPJ; Generally found at levels 4x BOD5 in domestic
wastewaters
Total Nitrogen 30 mg/L TKN+Nitrate+Nitrite Benchmarks (Expressed in mg/L of
N
Total Phosphorus 2 m /L BPJ; Based on wastewater permit limits for NSW waters
Copper(Total) 10 /L Acute Aquatic Criterion, '/2 FAV
Stormwater Pollution Prevention Plan: The proposed permit conditions reflect the EPA and NC's
pollution prevention approach to stormwater permitting. The Division's maintains that implementation
of Best Management Practices (BMPs) and traditional stormwater management practices that control the
source of pollutants meets the definition of Best Available Technology (BAT) and Best Conventional
Pollutant Control Technology(BCT). The permit conditions are not numeric effluent limitations but are
designed to be flexible requirements for implementing site-specific plans to minimize and control
pollutants in stormwater discharges associated with the industrial activity. Title 40 Code of Federal
Regulations (CFR) §122.44(k)(2) authorizes the use of BMPs in lieu of numeric effluent limitations in
NPDES permits when the agency finds numeric effluent limitations to be infeasible. The agency may
also impose BMP requirements which are "reasonably necessary" to carry out the purposes of the Act
under the authority of 40 CFR 122.44(k)(3). The conditions proposed in this draft permit are included
Page 4 of 6

under the authority of both of these regulatory provisions. In essence, the pollution prevention and BMP
requirements operate as limitations on effluent discharges that reflect the application of BAT/BCT.
Flexibility in Tier Responses: Tier Two actions provide an opportunity for the permittee to propose an
alternative monitoring plan for approval by the Region:
• Alternatively, in lieu of steps 2 and 3, the permittee may, after two consecutive exceedances,
exercise the option of contacting the DEMLR Regional Engineer as provided below in Tier
Three. The Regional Engineer may direct the response actions on the part of the permittee as
provided in Tier Three, including reduced or additional sampling parameters or frequency.
• If pursuing the alternative above after two consecutive exceedances, the permittee may propose
an alternative monitoring plan for approval by the Regional Engineer.
The permit therefore allows the permittee to petition the Regional Office for monitoring changes sooner
than Tier Three (upon any four benchmark exceedances) and gives guidance on one option to take. For
example, the permittee may request that mercury only be monitored semi-annually under the tiers, or
that only parameters over the benchmark be monitored more frequently. In this way, changes to the
monitoring scheme for any outfall could be handled outside of a permit modification.
Other Proposed Requirements:
• It is standard for Stormwater Pollution Prevention Plan(SWPPP) requirements to include an
annual certification that stormwater outfalls have been evaluated for the presence of non-
stormwater discharges, and if any are identified, how those discharges are permitted or otherwise
authorized.
• Requirement to submit a request for permit modification if the facility identifies or creates any
new outfalls, removes outfalls, or alters any drainage area that changes potential pollutants.
• The Division expects the permittee to apply best professional judgment and consider the safety
of its personnel in fulfilling sampling obligations under the permit.
• Federal regulations require electronic submittal of all discharge monitoring reports (DMRs). If a
state does not establish a system to receive such submittals, then permittees must submit DMRs
electronically to the EPA.
• Quarterly QualitativeNisual Monitoring to assure regular observation of outfalls throughout
year.
Section 4. Changes from previous permit to draft:
• Monitoring increased from semi-annually to quarterly for all parameters (qualitative and
quantitative)
• "No discharge" clarifications made
• Feasibility study requirement removed per updated stormwater program requirements
• eDMR requirement added
• Boilerplate language moved into body of the permit; boilerplate no longer attached
• Outfall-specific monitoring been implemented to reflect industrial activity and potential
pollutants specific to each discharge area
• Monitoring for total hardness added for outfalls where monitoring for hardness dependent metals
is required
• Benchmarks updated for parameters per guidance from DWR Standards group on stormwater
benchmarks
Page 5 of 6

Section 5. Changes from draft to final:
• None
Section 6. Discussions with the Facility and Regional Office:
• Initial contact with facility: 5/4/2023
• Initial contact with Regional Office: 5/4/2023
• Draft sent to CO peer review: N/A
• Draft sent to Regional Office: 9/29/2023
• Final permit sent for supervisor signature: N/A
Section 7. Comments received on draft permit:
• None
Page 6 of 6

BEBOOFI:Gazette The Haradd-Rock Hill el Nuievc,Herald-Miami Sun News-Myrtle Beach
Belleville Herald Sun-Durham Modesto Bee The N�Tribune Tacoma
Bellingham Herald Idaho Statesman Radaigh News&Obee�r The Telegraph-Macon
Bradenton Herald Wand Packet The Olympian San Luis Obispo Tribune
A0,ACCLATCHY Centre,Daily Times Kansas City Star Sacramento Bee, Tri-Ony Herald
Charlotte Obsarver Lexington Herald-Leader Fort Worth Slau-Telegrann Wichita Eagle
Colurnbus Ledger-Enquirer Merced Sun-Star The State-Columbia
Fresno Bee Miami Herald Sun Herald-Biloxi
AFFIDAVIT OF PUBLICATION
Account# Order Number Identification Order PO Amount Cols Depth
38106 JIM 1Pr1ntLegalAd-IPL0t38f/30-IPLOt3 B $602.84 2 30L
Attention: Joyce Sanford Clark STATE OF NORTH CAROLINA
NC DENR ENGERGY MINERAL&LAND RESOURCES ; COUNTY OF WAKE,COUNTY OFDURHAM
1612 MAIL SERVICE CENTER Before the undersigned,a Notary Public of Dallas
RALEIGH,NC 276991612 County,Texas,duly commissioned and authorized to
administer oaths,affirmations,etc.,personally
[e-mail] appeared Tara Pennington,who being duly sworn or
affirmed,according to law,Both depose and say that he
N IMC ------------MENTA MAMA---'-" or she is Accounts Receivable Specialist oftheNews&
NORIII CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
INTENT TOISSLIE Observer Publishing Company,a corporation organized
NPDES STORMWATER DISCHARGE PERMITS and doing business under the Laws of the State of North
The North Carolina Environmental Management Commission proposes to Issue g
NPDES stommvater discharge permits)to the persons) listed bekw.Public I Carolina,and publishing a newspaper known as The
cornmemor objection to the draft permM1s is invited.Written comments regarding News&Observer,Wake and State aforesaid,the said
the proposed permit will be accepted until 30 days after the publish date of this
notice am considered In the final determination regarding permit Issuance ant I newspaper in which such notice,paper,document,or
pemft provisions.The Director of the NO Division of Energy,Mineral,and Lend legal advertisement was published was,at the time of
Resources(DEMLR)may hold a public hearing should here be a significant
degree of public interest.Please man comments,and/or inromation request,to each and every such publication,a newspaper meeting
DEMLR at 1612 Mall Service Center,Raleigh,NO 27699-1612. all of the requirements and qualifications of Section l-
• CM.Tucker Lumber of NO,L-C[sot N Pearl Street,Pageland,SC 297281 ; 597 of the General Statutes of North Carolina and was a
has requested ren rwal of mane NGS000132 for the C.M.Tucker Lumber news g
of NC,LLC facility In Vance County.This facility discharges to an unnamed i qualified paper within the meaning of Section 1-597
tributary to Rshlr g Creek in the Tar-Pamlico River Basin. i of the General Statutes of North Carolina,and that as
• Perry Logistics,Inc.t2760 Raleigh Road,Henderson,NC 275371 has re- i such he or she makes this affidavit;and isfamiliarwith
qua,ceCcoqunttym��nlm/d�scha3rgesroanunnameeddtriibutalrrCytoJoes i the books,files and business of said corporation and by
Branch In the Ter-Pemlk»Rlver Basin. reference to the files of said publication the attached
Interested persons may visit DEMI R at 512 N.Salisbury Street,Raleigh, NO 1 advertisement for NC DENR ENGERGY MINERAL&LAND
276134 to review Information on file.Additional Intonation on NPDES permfts RESOURCES was inserted in the aforesaid newspaper on
and this notice may be found on our websne:httpsJ/deq.ncgov/about/dM-
slons/enegy mirwaFard-IaM-mwun*s/sto s ter/sto m ter- program/ dates as follows:
stormwater-public notices,or by contacting Bdenna Young at 6aanne.youngO
deq.ncgm or 919 707-3647.IPL0138173 i insertion(s)published on:
Sep 6 2023 09/06/23
I 0. f
�OI certify ordeclare)under pena o perjuryt att e
d� foregoing is true and correct
.O
�� Stasp�.ae�i,e HaFt��'
Notary Publicinan art e state of Texas,re5i ingin
Dallas County
STEPHMIE HATCHER
1 My Notary 10#13359M
Expires January 14,2026
Extra charge for lost adupliate affidavits.
Legal doglmerd please do mt destroy!

5/3/23,3:38 PM North Carolina Secretary of State Search Results
• File an Annual Report/Amend an Annual Report • Upload a PDF Filing • Order a Document Online -
Add Entity to My Email Notification List • View Filings • Print a Pre-Populated Annual Report form • Print
an Amended a Annual Report form
Limited Liability Company
Legal Name
C.M. Tucker Lumber of North Carolina, LLC
Information
Sosld: 1518846
Status: Current-Active O
Date Formed: 5/20/2016
Citizenship: Foreign
State of Incorporation: SC
Annual Report Due Date: April 15th
Currentgnnual Report Status:
Registered Agent: Tucker, David B
Addresses
Reg Office Reg Mailing Principal Office
100 Tucker Lumber Road 100 Tucker Lumber Road 601 North Pearl Street
Henderson, NC 27537 Henderson, NC 27537 Pageland, SC 29728
Mailing
PO Box 7
Pageland, SC 29728
Company Officials
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
Manager Manager Manager Manager
Andrew Tucker David B Tucker Mark H Tucker Paul H Tucker
601 North Pearl Street 601 North Pearl Street 601 North Pearl Street 601 North Pearl Street
Pageland SC 29728 Pageland SC 29728 Pageland SC 29728 Pageland SC 29728
https://www.sosnc.gov/online_services/search/Business_Registration_ResuIts 1/2

5/3/23,3:38 PM North Carolina Secretary of State Search Results
https://www.sosnc.gov/online_services/search/Business_Registration_ResuIts 2/2

Young, Brianna A
From: John Zakrzewski <[e-mail]>
Sent: Tuesday, May 23, 2023 7:25 PM
To: Young, Brianna A
Cc: David Tucker; Ken Villena
Subject: [External] NCS000132 Permit Renewal Information
Attachments: NCS000132 Stormwater Testing 2017-2023.xlsx; 233-KPC Sodium Nitrite Solution-
SDS-US-English REV4.pdf,Arxada-Lonza Wolman® E (µCA-B 25) Concentrate
10-28-21.pdf, Koppers#405.3 MicroPro XPS Custom Blend Solution Concentrate
4-17-23.pdf,Troy Corp Protek WP14 SIDS 4-9-19.pdf; Troy Corp Protek WP45 SDS
1-23-19.pdf, Lonza BARamines 9-29-18.pdf
CAUTION: External email. Do not click links or open attachments unless verified. Report suspicious emails with the Report Message
button located on your Outlook menu bar on the Home tab.
Good afternoon Brianna,
Here is the information you requested to move forward with the Individual Stormwater Permit renewal process for the
C.M.Tucker Lumber facility in Henderson, NC (NCS000132):
1. Description of industrial activity occurring and chemicals used/stored onsite;
The facility is a standalone wood preserving plant. Untreated lumber is transported to the facility where it is stored
until it is pressure treated with a wood treating formulation.The treated lumber is stored at the facility prior to
transport.
Please see below for a table with the chemicals stored at the facility:
Henderson Chemical Max Target Diameter Height
Work Tank 1 Koppers#406 28,000 26,500 13'6" 28'
Work Tank 2 Koppers#406 28,000 26,500 13'6" 28'
Work Tank 3 Arxada-Lonza 39,000 32,000 15'6" 28'
Work Tank 4 Arxada-Lonza 39,000 32,000 15'6" 28'
Water Tank Water 22,000 13,000 12'6" 24'
MCA conc.Tank Arxada-Lonza Concentrate 9,000 3,500 10'6" 12'6"
Empty Tank Empty 9,000 3,500 10'6" 12'6"
XPS concentrate tank Koppers#406 Concentrate 7,000 3,000 1 10, 17'6"
Tote Protek WP14 2,500 750
Tote Protek WP45 2,500 750
Tote Barm i ne 500 250
Fuel Tank On Road Diesel 12,000 1 6,000 8'6" 9'
Fuel Tank On Road Diesel 500 350 4' 4'2"
1 Propane Tank Propane 1,000 400 41" 37'
*SDS for the materials in this table have been attached.
*Sodium Nitrate is a corrosion inhibitor added to Arxada-Lonza.
2. Confirmation on the number of outfalls and associated coordinates;
1

LATITUDE LONGITUDE
Outfall #1 36.3872 -78.3322
3. Description of industrial activity in each drainage area;
All industrial activity on site is within the drainage area for Outfall #1.This would include primarily the pressure
treating of lumber and storage of both untreated/treated lumber.The facility also stores Diesel Fuel Tanks.
4. SIC (NAICS) code;
SIC: 2491—Wood Preserving
NAICS: 321114—Wood Preservation
5. An electronic spreadsheet summarizing all of the monitoring data that has been collected since the
effective date of the current permit;
Please see attached spreadsheet.
6. Verification that the information in the renewal application is still complete and correct.
The information on the renewal application has been reviewed and has been determined to be accurate.
7. An explanation of any operational changes since the renewal application was submitted.
There have been no changes in operation since the renewal application was submitted.
The Stormwater Permit Summary Report has also been reviewed and has been determined to be accurate.The facility
does not owe any outstanding permit fees.The facility has been registered in eDMR.
Please let me know if you need any additional information.
Best,
John Z
John Zakrzewski
Environmental Engineer I
CONVERSION
TECHNOLOGY IN[.
FMV40erncntak d Safety{ansuHimg Enjincers
Office: [phone] ext. 116
Cell: [phone]
conversiontechnology.com
2

Summary of Analytical Results for Outfall#1
Year 2017 2018 2019 2020 2021 2022 2023
Monitoring Period 1st Half 2nd Half 1st Half 2nd Half 1st Half 2nd Half 1st Half 2nd Half 1st Half 2nd Half 1st Half 2nd Half January February March April
Date Sampled 6/22/2017 12/29/2017 6/29/2018 12/23/2018 7/30/2019 6/29/2020 12/31/2020 6/30/2021 3/4/2023 12/29/2022 1/22/2023 2/18/2023 3/29/2023 4/22/2023
BOOS(mg/L) <2.0 <2.0 <2.0 <2.0 <2.0 <2.0 <2.0 <2.0 <2.0 <2.0 <2.0 <2.0 2.3 <2.0
COD(mg/L) <10.0 <10.0 10.20 <10.0 <10.0 <25.0 <25.0 <25.0 <25.0 <25.0 <25.0 14.4 68.3 <10.0
Total Nitrogen(mg/L) 4.10 3.30 3.59 14.00 2.66 2.90 4.00 2.90 4.10 3.60 1.90 3.00 1.70 2.70
Total Phosphorus(mg/L) <0.050 <0.050 <0.050 <0.050 <0.050 <0.050 <0.050 0.05 <0.050 <0.050 <0.050 <0.050 0.083 <0.050
Total Copper(mg/L) <0.020 <0.020 <0.020 <0.020 <0.020 <0.020 <0.020 0.03 0.011 0.011 <0.0050 0.014 0.03 0.0075
PH(s.u.) NS 7.02 NS 7.00 7.3 6.40 6.90 6.90 7.1 6.60 6.8 6.9 6.6 6.6
Rain(inches) 8.00 0.10 1.00 2.25 7.00 2.00 3.50 4.50 0.16 8.00 5.00 4.00 1.50 7.00
Stormwater Discharged(gallons) 3,608,553 45,106 451,000 1,014,905 3,157,484 902,138 1,578,742 2,029,812 72,171 3,608,554 2,225,346 2,255,346 676,604 3,157,484

SAFETY DATA SHEET
KOPPERS
�__:F
1. Identification
Product identifier Sodium Nitrite Solution
Other means of identification
SIDS number 233-KPC
Recommended use Corrosion Inhibitor Additve for use at wood treatment plants.
Recommended restrictions None known.
Manufacturer/Importer/Supplier/Distributor information
Company Name Koppers Performance Chemicals Inc.
Address 1016 Everee Inn Rd., Griffin, GA 30224
Telephone number 770-233-4200
Contact person Regulatory Manager, KPC Inc.
Emergency Telephone CHEMTREC 1-800-424-9300
Number
E-mail [e-mail]
2. Hazard(s) identification
Physical hazards Not classified.
Health hazards Acute toxicity, oral Category 4
Acute toxicity, inhalation Category 4
Serious eye damage/eye irritation Category 2A
Environmental hazards Hazardous to the aquatic environment, acute Category 1
hazard
OSHA defined hazards Not classified.
Label elements
< >*
r
Signal word Warning
Hazard statement Harmful if swallowed. Harmful if inhaled. Causes serious eye irritation.Very toxic to aquatic life.
Precautionary statement
Prevention Wear eye protection/face protection.Avoid breathing mist/vapors. Do not eat, drink or smoke
when using this product. Use only outdoors or in a well-ventilated area.Wash thoroughly after
handling.Avoid release to the environment.
Response If swallowed: Call a poison center/doctor if you feel unwell. Rinse mouth. If in eyes: Rinse
cautiously with water for several minutes. Remove contact lenses, if present and easy to do.
Continue rinsing. If eye irritation persists: Get medical advice/attention. If inhaled: Remove person
to fresh air and keep comfortable for breathing. Call a poison center/doctor if you feel unwell.
Collect spillage.
Storage Store away from incompatible materials.
Disposal Dispose of contents/container in accordance with local/regional/national/international regulations.
Hazard(s)not otherwise None known.
classified (HNOC)
3. Composition/information on ingredients
Mixtures
Chemical name CAS number %
Water 7732-18-5 50-70
Sodium Nitrite Solution SIDS US
1 /7

Sodium nitrite 7632-00-0 30-50
Composition comments Components not listed are either non-hazardous or are below reportable limits.
4. First-aid measures
Inhalation Remove victim to fresh air and keep at rest in a position comfortable for breathing. Keep victim
warm. If the affected person is not breathing, apply artificial respiration. Get medical attention.
Skin contact Remove contaminated clothes and rinse skin thoroughly with water. Get medical attention if
irritation develops or persists.
Eye contact Immediately flush with plenty of water for up to 15 minutes. Remove any contact lenses and open
eyelids wide apart. Seek medical attention.
Ingestion Give one or two glasses of water if patient is alert and able to swallow. Seek immediate medical
attention. Do not induce vomiting.
Most important This material may produce methemoglobin which, in sufficient concentration, causes cyanosis, a
symptoms/effects, acute and blue-gray discoloration of the skin and lips caused by a reduced ability of the blood to carry
delayed oxygen. Headaches, dizziness and nausea. Contact may cause eye irritation with redness,tearing,
pain, and/or blurred vision. Rash.
Indication of immediate Treat symptomatically. Danger of methaemoglobin formation after ingestion.
medical attention and special Treatment:Treat according to symptoms(decontamination,vital functions), treat with toluonium
treatment needed chloride to reverse methaemoglobinanaemia.
General information Ensure that medical personnel are aware of the material(s)involved, and take precautions to
protect themselves.
5. Fire-fighting measures
Suitable extinguishing media Use fire-extinguishing media appropriate for surrounding materials.
Unsuitable extinguishing Dry chemical. Carbon dioxide(CO2).
media
Specific hazards arising from By heating and fire, toxic vapors/gases may be formed.
the chemical
Special protective equipment Selection of respiratory protection for firefighting:follow the general fire precautions indicated in the
and precautions for firefighters workplace. Self-contained breathing apparatus and full protective clothing must be worn in case of
fire.
Fire fighting Use standard firefighting procedures and consider the hazards of other involved materials. Cool
equipment/instructions containers exposed to heat with water spray and remove container, if no risk is involved.
Specific methods Use water spray to cool unopened containers.
General fire hazards Combustible materials may catch fire more easily after being wet with sodium nitrite and dried.
Product intensifies combustion of other materials.
6. Accidental release measures
Personal precautions, Ensure adequate ventilation.Avoid inhalation of mist and contact with skin and eyes. Keep
protective equipment and unnecessary personnel away. Do not touch damaged containers or spilled material unless wearing
emergency procedures appropriate protective clothing.Wear appropriate personal protective equipment(See Section 8).
Methods and materials for Should not be released into the environment. For waste disposal, see Section 13 of the SIDS.
containment and cleaning up
Large Spills: Dike far ahead of spill for later disposal.Absorb or cover with dry earth, sand or other
non-combustible material and transfer to containers.
Small Spills:After removal flush contaminated area thoroughly with water.
Never return spills in original containers for re-use.
Environmental precautions Prevent further leakage or spillage if safe to do so. Do not contaminate water. Reporting of
releases to appropriate regulatory agencies may be required.
7. Handling and storage
Precautions for safe handling Use only with adequate ventilation.Avoid inhalation of mist and contact with skin and eyes. Do not
breathe dust from dried product. Keep away from clothing and other combustible materials.Wash
thoroughly after handling.Wear appropriate personal protective equipment. Observe good
industrial hygiene practices.Avoid release to the environment.
Conditions for safe storage, Keep container tightly closed in a dry and well-ventilated place. Do not store with acids,
including any incompatibilities ammonium salts, cyanides, amines or reducing agents.
Sodium Nitrite Solution SIDS US
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8. Exposure controls/personal protection
Occupational exposure limits No exposure limits noted for ingredient(s).
Biological limit values No biological exposure limits noted for the ingredient(s).
Appropriate engineering Good general ventilation should be provided to minimize contact with vapors, or dust from
controls dried-down product. Eye wash facilities and emergency shower must be available when handling
this product.
Individual protection measures,such as personal protective equipment
Eye/face protection Chemical goggles and face shield are recommended.
Skin protection
Hand protection Wear protective gloves. Be aware that the liquid may penetrate the gloves. Frequent change is
advisable. Suitable gloves can be recommended by the glove supplier.
Other Wear appropriate chemical resistant clothing.
Respiratory protection Not necessary under normal conditions. In case of insufficient ventilation wear suitable respiratory
equipment. Use a NIOSH/MSHA approved air purifying respirator as needed to control exposure.
Consult with respirator manufacturer to determine respirator selection, use, and limitations. Use
positive pressure, air-supplied respirator for uncontrolled releases or when air purifying respirator
limitations may be exceeded. Follow respirator protection program requirements (OSHA 1910.134
and ANSI Z88.2)for all respirator use.
Thermal hazards Wear appropriate thermal protective clothing,when necessary.
General hygiene Always observe good personal hygiene measures, such as washing after handling the material
considerations and before eating, drinking, and/or smoking. Routinely wash work clothing and protective
equipment to remove contaminants.
9. Physical and chemical properties
Appearance
Physical state Liquid.
Form Liquid.
Color Straw colored.
Odor Odorless.
Odor threshold Not available.
pH 9
Melting point/freezing point 19 °F (-7.22°C)
Initial boiling point and boiling 238°F (114.44°C)
range
Flash point Not available.
Evaporation rate > 1 (n-Butyl acetate= 1)
Flammability(solid, gas) Not applicable.
Upper/lower flammability or explosive limits
Flammability limit-lower Not available.
N
Flammability limit-upper Not available.
N
Explosive limit-lower(%) Not available.
Explosive limit-upper(%) Not available.
Vapor pressure 16 mm Hg (at 80°F, 27°C)(water vapor only)
Vapor density < 1 (Air= 1)
Relative density 1.32 (Approximate)
Solubility(ies)
Solubility(water) Soluble in water.
Partition coefficient No data available.
(n-octanol/water)
Auto-ignition temperature Not available.
Decomposition temperature Not available.
Viscosity Not available.
Sodium Nitrite Solution SIDS US
3/7

Other information
Bulk density 10.97 lb/gal
10. Stability and reactivity
Reactivity The product is stable and non reactive under normal conditions of use, storage and transport.
Chemical stability Material is stable under normal conditions. Unstable with heat after dry down.
Possibility of hazardous Will not occur.
reactions
Conditions to avoid High temperatures. Incompatible materials.
Incompatible materials Acids.Ammonium salts.Amines.Activated carbon. Cyanides. Reducing agents. May react with
secondary or tertiary amines to form nitrosamines. (Certain nitrosamines are cancer-suspect
agents.)
Hazardous decomposition Decomposes with heat. Decomposition temperature is 490°C (914°F)after dry down and will
products produce oxygen and toxic nitrogen.
11. Toxicological information
Information on likely routes of exposure
Inhalation Vapors and mist may irritate throat and respiratory system and cause coughing.
Skin contact May cause skin irritation.
Eye contact Causes serious eye irritation.
Ingestion Harmful if swallowed. If ingested it may cause the formation of methaemoglobin. Ingestion may
cause gastrointestinal irritation, nausea,vomiting and diarrhea. Hypotension (low blood pressure).
Symptoms related to the This material may produce methemoglobin which, in sufficient concentration, causes cyanosis, a
physical, chemical and blue-gray discoloration of the skin and lips caused by a reduced ability of the blood to carry
toxicological characteristics oxygen. Headaches, dizziness and nausea. Contact may cause eye irritation with redness,
tearing, pain, and/or blurred vision. Rash.
Information on toxicological effects
Acute toxicity Harmful if inhaled or swallowed.
Components Species Test Results
Sodium nitrite(CAS 7632-00-0)
Inhalation
LC50 Rat 1.45 mg/I,4 hours
Oral
LD50 Rat 120 mg/kg
Skin corrosion/irritation Based on available data,the classification criteria are not met.
Serious eye damage/eye Causes serious eye irritation.
irritation
Respiratory or skin sensitization
Respiratory sensitization Based on available data,the classification criteria are not met.
Skin sensitization Based on available data,the classification criteria are not met.
Germ cell mutagenicity No data available.
Carcinogenicity No data available for this product.
OSHA Specifically Regulated Substances (29 CFR 1910.1001-1050)
Not listed.
Reproductive toxicity No data available.
Specific target organ toxicity- Based on available data,the classification criteria are not met.
single exposure
Specific target organ toxicity- Based on available data,the classification criteria are not met.
repeated exposure
Aspiration hazard Not classified.
Chronic effects None known.
Sodium Nitrite Solution SIDS US
4/7

Further information This material may produce methemoglobin which, in sufficient concentration, causes cyanosis, a
blue-gray discoloration of the skin and lips caused by a reduced ability of the blood to carry
oxygen. Sodium nitrite can also react with certain amines forming compounds which may cause
cancer, mutations, or other toxicity.These compounds, known as nitrosamines, can be formed in
acidic environments such as that found in stomach. Since many medications and chemicals
contain an amine group, simultaneous exposure to nitrites should be avoided.
12. Ecological information
Ecotoxicity Very toxic to aquatic life.
Components Species Test Results
Sodium nitrite(CAS 7632-00-0)
Aquatic
Crustacea EC50 Greasyback shrimp(Metapenaeus 16.14-26.61 mg/I,48 hours
ensis)
Fish LC50 Rainbow trout(Oncorhynchus mykiss) 0.15-0.25 mg/I, 95 hours
Persistence and degradability The product contains inorganic compounds which are not biodegradable.
Bioaccumulative potential Bioaccumulation is not expected.
Mobility in soil This product is water soluble and may disperse in soil.
Mobility in general The product is soluble in water.
Other adverse effects No other adverse environmental effects (e.g. ozone depletion, photochemical ozone creation
potential, endocrine disruption, global warming potential)are expected from this component.
13. Disposal considerations
Disposal instructions Dispose in accordance with applicable federal, state, and local regulations. Do not discharge into
drains,water courses or onto the ground.
Local disposal regulations Dispose of in accordance with local regulations.
Hazardous waste code The Waste code should be assigned in discussion between the user, the producer and the waste
disposal company.
Waste from residues/unused Dispose in accordance with all applicable regulations. Do not discharge into drains,water courses
products or onto the ground.
Contaminated packaging Since emptied containers may retain product residue,follow label warnings even after container is
emptied.
14. Transport information
DOT
UN number UN3287
UN proper shipping name Toxic liquid, inorganic, n.o.s. (Sodium nitrite) RQ= 100 LBS
Transport hazard class(es)
Class 6.1
Subsidiary risk -
Label(s) 6.1
Packing group III
Environmental hazards
Marine pollutant No
Special precautions for user Read safety instructions, SDS and emergency procedures before handling.
Special provisions 1133, T7,TP1, TP28
Packaging exceptions 153
Packaging non bulk 203
Packaging bulk 241
IATA
UN number UN3287
UN proper shipping name Toxic liquid, inorganic, n.o.s. (Sodium nitrite)
Transport hazard class(es)
Class 6.1
Subsidiary risk -
Label(s) 6.1
Packing group III
Environmental hazards No
ERG Code 6L
Sodium Nitrite Solution SDS US
5/7

Special precautions for user Read safety instructions, SIDS and emergency procedures before handling.
IMDG
UN number UN3287
UN proper shipping name TOXIC LIQUID, INORGANIC, N.O.S. (Sodium nitrite)
Transport hazard class(es)
Class 6.1
Subsidiary risk -
Label(s) 6.1
Packing group III
Environmental hazards
Marine pollutant No
EmS F-A, S-A
Special precautions for user Read safety instructions, SIDS and emergency procedures before handling.
Transport in bulk according to This product is a liquid and when transported in bulk is covered under MARPOL 73/78 Annex II.
Annex II of MARPOL 73178 and This product is listed in the IBC Code.
the IBC Code
15. Regulatory information
US federal regulations This product is a"Hazardous Chemical'as defined by the OSHA Hazard Communication
Standard, 29 CFR 1910.1200.
TSCA Section 12(b) Export Notification (40 CFR 707, Subpt. D)
Sodium nitrite (CAS 7632-00-0) 1.0% One-Time Export Notification only.
OSHA Specifically Regulated Substances (29 CFR 1910.1001-1050)
Not listed.
CERCLA Hazardous Substance List(40 CFR 302.4)
Sodium nitrite (CAS 7632-00-0) LISTED
Superfund Amendments and Reauthorization Act of 1986(SARA)
Hazard categories Acute toxicity, oral
Acute toxicity, inhalation
Serious eye damage/eye irritation
SARA 302 Extremely hazardous substance
Not listed.
SARA 311/312 Hazardous Yes
chemical
SARA 313(TRI reporting)
Chemical name CAS number %by wt.
Sodium nitrite 7632-00-0 30-50
Other federal regulations
Clean Air Act(CAA)Section 112 Hazardous Air Pollutants(HAPs) List
Not regulated.
Clean Air Act(CAA)Section 112(r)Accidental Release Prevention (40 CFR 68.130)
Not regulated.
Clean Water Act(CWA) Hazardous substance
Section 112(r)(40 CFR
68.130)
Safe Drinking Water Act Not regulated.
(SDWA)
US state regulations
US. Massachusetts RTK-Substance List
Sodium nitrite (CAS 7632-00-0)
US. New Jersey Worker and Community Right-to-Know Act
Sodium nitrite (CAS 7632-00-0)
US. Pennsylvania Worker and Community Right-to-Know Law
Sodium nitrite (CAS 7632-00-0)
Sodium Nitrite Solution SDS US
6/7

US. Rhode Island RTK
Sodium nitrite(CAS 7632-00-0)
US. California Proposition 65
Not listed.
International Inventories
Country(s)or region Inventory name On inventory(yes/no)*
United States&Puerto Rico Toxic Substances Control Act(TSCA) Inventory Yes
*A"Yes"indicates this product complies with the inventory requirements administered by the governing country(s).
A"No"indicates that one or more components of the product are not listed or exempt from listing on the inventory administered by the governing
country(s).
16. Other information, including date of preparation or last revision
Issue date 03-20-2015
Revision date 08-16-2018
Version# 04
Further information HMIS®is a registered trade and service mark of the NPCA.
C-Safety Glasses, Gloves,Apron
HMIS®ratings Health: 2
Flammability: 0
Physical hazard: 0
Personal protection: C
Disclaimer Koppers Performance Chemicals Inc. cannot anticipate all conditions under which this information
and its product, or the products of other manufacturers in combination with its product, may be
used. It is the user's responsibility to ensure safe conditions for handling, storage and disposal of
the product, and to assume liability for loss, injury, damage or expense due to improper use. The
information in the sheet was written based on the best knowledge and experience currently
available.
Sodium Nitrite Solution SIDS US
7/7

armada SAFETY DATA SHEET
Issue Date 01-Jun-2015 Revision Date 28-Oct-2021 Version 7
1. IDENTIFICATION
Product identifier
Product Name Wolman® E pCA-B 25
Other means of identification
Product Code 26262
UN/ID no UN3082
Registration Number(s) EPA: 75506-16
Recommended use of the chemical and restrictions on use
Recommended Use Wood Preservative.
Details of the supplier of the safety data sheet
Supplier Address
Arch Treatment Technologies, Inc
3941 Bonsal Road
Conley, GA 30288
Emergency telephone number
Company Phone Number 1-800-777-1875
Emergency Telephone For incidents only(spill, leak,fire, exposure, or accident), call CHEMTREC:
1-800-424-9300(Inside North America)[CCN 864796]
1-703-741-5970(Outside North America)[CCN 864796]
2. HAZARDS IDENTIFICATION
Classification
OSHA Regulatory Status
This chemical is considered hazardous by the 2012 OSHA Hazard Communication Standard (29 CFR 1910.1200)
cute toxicity-Oral lCategory 4
Re roductive toxicity Cate or 2
Label elements
Emergency Overview
Warning
Hazard statements
Harmful if swallowed
Suspected of damaging fertility or the unborn child
Page 1 /9

26262 - Wolman® E NCA-B 25 Revision Date 28-Oct-2021
60*S>
Physical state Liquid Odor Sli h
Precautionary Statements-Prevention
Obtain special instructions before use
Do not handle until all safety precautions have been read and understood
Use personal protective equipment as required
Wash face, hands and any exposed skin thoroughly after handling
Do not eat, drink or smoke when using this product
Precautionary Statements-Response
IF exposed or concerned: Get medical advice/attention
IF SWALLOWED: Call a POISON CENTER or doctor/physician if you feel unwell
Rinse mouth
Precautionary Statements-Storage
Store locked up
Precautionary Statements-Disposal
Dispose of contents/container to an approved waste disposal plant
Hazards not otherwise classified(HNOC)
Not applicable
Other Information
May be harmful in contact with skin Very toxic to aquatic life with long lasting effects
3. COMPOSITION/INFORMATION ON INGREDIENTS
Substance
This material is considered hazardous by the OSHA Hazard Communication Standard (29 CFR 1910.1200).
Chemical Name I CAS No. Wei ht% Trade Secret
Copper II carbonate--copper(II)hydroxide 1:1 12069-69-1 43.51
Tebuconazole 107534-96-3 1
*The exact percentage(concentration)of composition has been withheld as a trade secret
4. FIRST AID MEASURES
Description of first aid measures
General advice In case of accident or unwellness, seek medical advice immediately(show directions for
use or safety data sheet if possible).
Eye contact Immediately flush with plenty of water.After initial flushing, remove any contact lenses and
Page 2/9

26262 - Wolman® E NCA-B 25 Revision Date 28-Oct-2021
continue flushing for at least 15 minutes. Do not rub affected area.
Skin contact IF ON SKIN (or hair): Remove/Take off immediately all contaminated clothing. Rinse skin
with water/shower.
Inhalation Remove to fresh air. Call a physician immediately. If not breathing, give artificial respiration.
Ingestion If swallowed, call a poison control center or physician immediately. If swallowed, do not
induce vomiting: seek medical advice immediately and show this container or label.
Most important symptoms and effects, both acute and delayed
Symptoms See Section 11:TOXICOLOGICAL INFORMATION.
Indication of any immediate medical attention and special treatment needed
Note to physicians Treat symptomatically.
5. FIRE-FIGHTING MEASURES
Suitable extinguishing media
Use extinguishing measures that are appropriate to local circumstances and the surrounding environment. Carbon dioxide (CO2).
Water spray or fog.
Unsuitable extinguishing media Do not use a solid water stream as it may scatter and spread fire.
Specific hazards arising from the chemical
No information available.
Hazardous combustion productsCarbon monoxide. Carbon dioxide(CO2).Toxic gas. Nitrogen oxides(NOx).
Explosion data
Sensitivity to Mechanical Impact None.
Sensitivity to Static Discharge None.
Protective equipment and precautions for firefighters
As in any fire,wear self-contained breathing apparatus pressure-demand, MSHA/NIOSH (approved or equivalent)and full
protective gear.
6. ACCIDENTAL RELEASE MEASURES
Personal precautions, protective equipment and emergency procedures
Personal precautions Ensure adequate ventilation, especially in confined areas.
For emergency responders Use personal protection recommended in Section 8.
Environmental precautions
Environmental precautions See Section 12: ECOLOGICAL INFORMATION.
Methods and material for containment and cleaning up
Methods for containment Prevent further leakage or spillage if safe to do so.
Methods for cleaning up Dam up. Prevent product from entering drains.After cleaning,flush away traces with water.
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26262 - Wolman® E NCA-B 25 Revision Date 28-Oct-2021
Take up mechanically, placing in appropriate containers for disposal.
7. HANDLING AND STORAGE
Precautions for safe handling
Advice on safe handling Handle in accordance with good industrial hygiene and safety practice.Avoid contact with
skin, eyes or clothing.
Conditions for safe storage, including any incompatibilities
Storage Conditions Keep containers tightly closed in a dry, cool and well-ventilated place.
Incompatible materials None known based on information supplied.
8. EXPOSURE CONTROLS/PERSONAL PROTECTION
Control parameters
Exposure Guidelines
Chemical Name ACGIH TLV OSHA PEL NIOSH IDLH
(Copper(II)carbonate--copper(II) TWA: 1 mg/m3 Cu dust and mist IDLH: 100 mg/m3 Cu dust and mist
hydroxide(1:1)) TWA: 1 mg/m3 Cu dust and mist
12069-69-1
NIOSH IDLH Immediately Dangerous to Life or Health
Other Information Vacated limits revoked by the Court of Appeals decision in AFL-CIO v. OSHA, 965 F.2d 962
(11th Cir., 1992).
Appropriate engineering controls
Engineering Controls Showers
Eyewash stations
Ventilation systems.
Individual protection measures,such as personal protective equipment
Eye/face protection Goggles.
Skin and body protection Wear impervious protective clothing, including boots, gloves, lab coat, apron or coveralls,
as appropriate,to prevent skin contact.
Respiratory protection If exposure limits are exceeded or irritation is experienced, NIOSH/MSHA approved
respiratory protection should be worn. Positive-pressure supplied air respirators may be
required for high airborne contaminant concentrations. Respiratory protection must be
provided in accordance with current local regulations.
General Hygiene Considerations Handle in accordance with good industrial hygiene and safety practice. Do not eat, drink or
smoke when using this product. Take off all contaminated clothing and wash it before
reuse.Avoid contact with skin, eyes or clothing.Wash face, hands and any exposed skin
thoroughly after handling.
9. PHYSICAL AND CHEMICAL PROPERTIES
Information on basic physical and chemical properties
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26262 - Wolman@ E NCA-B 25 Revision Date 28-Oct-2021
Physical state Liquid
Appearance No information available Odor Slight
Color green Odor threshold No information available
Property Values Remarks •Method
pH 8.75
Melting point/freezing point No information available
Boiling point/boiling range No information available
Flash point Not applicable
Evaporation rate No information available
Flammability(solid,gas) No information available
Flammability Limit in Air
Upper flammability limit: No information available
Lower flammability limit: No information available
Vapor pressure No information available
Vapor density No information available
Relative density 1.53
Water solubility Soluble in water
Solubility in other solvents No information available
Partition coefficient No information available
Autoignition temperature No information available
Decomposition temperature No information available
Kinematic viscosity No information available
Dynamic viscosity 372 CPS @ 20 °C
Explosive properties No information available
Oxidizing properties No information available
Other Information
Softening point No information available
Molecular weight No information available
VOC Content(%) No information available
Density 12.73 lb/gal
Bulk density No information available
10. STABILITY AND REACTIVITY
Reactivity
No data available
Chemical stability
Stable under recommended storage conditions.
Possibility of Hazardous Reactions
None under normal processing.
Conditions to avoid
Extremes of temperature and direct sunlight.
Incompatible materials
None known based on information supplied.
Hazardous Decomposition Products
None known based on information supplied.
11. TOXICOLOGICAL INFORMATION
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26262 - Wolman® E NCA-B 25 Revision Date 28-Oct-2021
Information on likely routes of exposure
Product Information
Inhalation Avoid breathing vapors or mists.
Eye contact Avoid contact with eyes.
Skin contact Avoid contact with skin and clothing.
Ingestion Harmful if swallowed. Do not taste or swallow. Contains a known or suspected reproductive
toxin.
Chemical Name Oral LD50 Dermal LD50 Inhalation LC50
(Copper(II)carbonate--copper(II) =1350 mg/kg(RT) >2000 mg/kg(RT) 1.03-5.2 mg/L(RT)4h
hydroxide(1:1))
12069-69-1
Tebuconazole >1700 mg/kg(RT) >2000 mg/kg (RT) >5.0 mg/L(RT)4h
107534-96-3
Note:
RT=Rat
RBT=Rabbit
MSE=Mouse
GP=Guinea Pig
V=Vapour
Information on toxicological effects
Symptoms No information available.
Delayed and immediate effects as well as chronic effects from short and long-term exposure
Developmental Toxicity Contains ingredients that have suspected developmental hazards.
Numerical measures of toxicity -Product Information
The following values are calculated based on chapter 3.1 of the GHS document .
ATEmix(oral)
ATEmix(dermal)
ATEmix(inhalation-gas)
ATEmix(inhalation-dust/mist)
ATEmix(inhalation-vapor)
Numerical measures of toxicity
Oral LD50 Estimated 820 mg/kg (rat)
Dermal LD50 > 5000 mg/kg (rat)
Inhalation LC50 > 5.13 mg/1
12. ECOLOGICAL INFORMATION
Ecotoxicity
0 % of the mixture consists of components s of unknown hazards to the aquatic environment
Chemical Name AI ae/aquatic plants Fish Crustacea
(Copper(II)carbonate--copper(II) 0.043 mg/L EC50 96h 0.087 mg/L LC50 96h 0.042 mg/L EC50 48h(Daphnia
hydroxide(1:1)) (Desmodesmus suspicatus) (Oncorhynchus mykiss) magna)
12069-69-1
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26262 - Wolman® E NCA-B 25 Revision Date 28-Oct-2021
Tebuconazole 3.8 mg/L EC50 72h 4.4 mg/L LC50 48h(Oncorhyncus 2.79 mg/L EC50 48h(Daphnia
107534-96-3 Pseudokirchneriella subca itata m kiss ma na
Persistence and degradability
No information available.
Bioaccumulation
No information available.
Mobility
Other adverse effects No information available
13. DISPOSAL CONSIDERATIONS
Waste treatment methods
Disposal of wastes This material, as supplied, is not a hazardous waste according to Federal regulations(40
CFR 261). Dispose of in accordance with federal, state and local regulations.
Contaminated packaging Do not reuse container. Empty containers must be tripled rinsed prior to disposal.
Chemical Name California Hazardous Waste Status
(Copper(II)carbonate--copper(II)hydroxide(1:1)) Toxic
12069-69-1
14. TRANSPORT INFORMATION
DOT
UN/ID no UN3082
Proper shipping name ENVIRONMENTALLY HAZARDOUS SUBSTANCE, LIQUID, N.O.S.
Hazard Class 9
Packing Group III
Reportable Quantity(RQ) (sodium nitrite: RQ (kg)=45.40, Copper sulfate: RQ(kg)=4.54)
Special Provisions 8, 146, 173, 335, 1133, T4,TP1, TP29
Description UN3082, ENVIRONMENTALLY HAZARDOUS SUBSTANCE, LIQUID, N.O.S. ((Copper(11)
carbonate--copper(11)hydroxide (1:1)),Tebuconazole), 9, 111, Marine pollutant
Emergency Response Guide 171
Number
IMDG
UN/ID no UN3082
Proper shipping name ENVIRONMENTALLY HAZARDOUS SUBSTANCE, LIQUID, N.O.S.
Hazard Class 9
Packing Group III
EmS-No F-A, S-F
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26262 - Wolman® E NCA-B 25 Revision Date 28-Oct-2021
Special Provisions 274, 335, 969
Marine pollutant This material meets the definition of a marine pollutant
Description UN3082, ENVIRONMENTALLY HAZARDOUS SUBSTANCE, LIQUID, N.O.S., ((Copper(II)
carbonate--copper(II)hydroxide (1:1)),Tebuconazole), 9, III, Marine pollutant
15. REGULATORY INFORMATION
US Federal Regulations
SARA 313
Section 313 of Title III of the Superfund Amendments and Reauthorization Act of 1986(SARA). This product contains a chemical
or chemicals which are subject to the reporting requirements of the Act and Title 40 of the Code of Federal Regulations, Part 372
Chemical Name SARA 313-Threshold Values%
Co er II carbonate--copper(II)hydroxide 1:1 -12069-69-1 1.0
SARA 311/312 Hazard Categories
Acute health hazard Yes
Chronic Health Hazard Yes
Fire hazard No
Sudden release of pressure hazard No
Reactive Hazard No
CWA(Clean Water Act)
This product contains the following substances which are regulated pollutants pursuant to the Clean Water Act(40 CFR 122.21
and 40 CFR 122.42)
Chemical Name CWA-Reportable CWA-Toxic Pollutants CWA-Priority Pollutants CWA-Hazardous
Quantities Substances
(Copper(11) X
carbonate--copper(II)
hydroxide(1:1))
12069-69-1
CERCLA
This material, as supplied, contains one or more substances regulated as a hazardous substance under the Comprehensive
Environmental Response Compensation and Liability Act(CERCLA)(40 CFR 302)
US State Regulations
California Proposition 65
This product contains the following Proposition 65 chemicals
Chemical Name California Proposition 65
Formaldehyde-50-00-0 Carcinogen
Naphthalene-91-20-3 Carcinogen
U.S.State Right-to-Know Regulations
Chemical Name New Jersey Massachusetts Penns Ivania
(Copper(11)carbonate--copper(II) X X
hydroxide(1:1))
12069-69-1
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26262 - Wolman® E NCA-B 25 Revision Date 28-Oct-2021
Sodium sulfate X X
7757-82-6
Formaldehyde X X X
50-00-0
Naphthalene X X X
91-20-3
U.S. EPA Label Information
EPA Pesticide Registration Number 75506-16
Difference between SIDS and EPA Pesticide label
This chemical is a pesticide product registered by the Environmental Protection Agency and is subject to certain labeling
requirements under federal pesticide law.These requirements differ from the classification criteria and hazard information required
for safety data sheets, and for workplace labels of non-pesticide chemicals. Following is the hazard information as required on the
pesticide label:
CAUTION
Causes moderate eye irritation
Harmful if swallowed
Harmful if absorbed through skin.
16. OTHER INFORMATION
Issue Date 01-Jun-2015
Revision Date 28-Oct-2021
Revision Note
No information available
Disclaimer
The information provided in this Material Safety Data Sheet is correct to the best of our knowledge, information and belief
at the date of its publication.The information given is designed only as a guidance for safe handling, use, processing,
storage,transportation, disposal and release and is not to be considered a warranty or quality specification.The
information relates only to the specific material designated and may not be valid for such material used in combination
with any other materials or in any process, unless specified in the text.
End of Safety Data Sheet
Page 9/9

KP
Safety Data Sheet
Material Name: MicroPro Custom Blend 405.3-KPC
Section 1 -PRODUCT AND COMPANY IDENTIFICATION
Material Name
MicroPro Custom Blend
Product Use
Custom blend preservative concentrate for the pressure treatment of wood.
Restrictions on Use
To be only used by customers with a custom blend request.
Details of the supplier of the safety data sheet
Koppers Performance Chemicals Inc.
1016 Everee Inn Rd.
Griffin, GA 30224
Phone: [phone]
Emergency Phone#: CHEMTREC 1-800-424-9300
E-mail:KPCm rg sds(&koMers.com
Section 2 - HAZARDS IDENTIFICATION
Classification in accordance with paragraph(d)of 29 CFR 1910.1200.
Acute Toxicity-Oral-Category 4
Acute Toxicity—Inhalation—Category 4
Serious Eye Damage/Irritation—Category 1
Sensitization(Skin)—Category 1
Reproductive Toxicity-Category 2
Carcinogenicity—Category 2
Specific Target Organ Toxicity-Repeated Exposure-Category 2(eyes)
Hazardous to the Aquatic Environment-Acute-Category 1
Hazardous to the Aquatic Environment-Chronic-Category 1
GHS Label Elements
Symbol(s)
�. 1
NO, < *> < >
Signal Word
Danger
Hazard Statement(s)
Harmful if swallowed.
Harmful if inhaled.
Causes serious eye damage.
Suspected of damaging fertility or the unborn child.
Suspected of causing cancer.
May cause an allergic skin reaction.
May cause damage to organs(eyes)through prolonged or repeated exposure.
Very toxic to aquatic life with long lasting effects.
Page 1 of 12 Issue date: 2023-04-17 Revision 1.0

KP
Safety Data Sheet
Material Name: MicroPro Custom Blend 405.3-KPC
Precautionary Statement(s)
Prevention
Obtain special instructions before use.
Do not handle until all safety precautions have been read and understood.
Wear protective gloves/protective clothing/eye protection/face protection.
Use only outdoors or in well-ventilated areas.
Do not breathe dust/fume/gas/mist/vapors/spray.
Wash thoroughly after handling.
Do not eat,drink or smoke when using this product.
Contaminated work clothing must not be allowed out of the workplace.
Avoid release to the environment.
Response
Collect spillage.
IF exposed or concerned: Get medical advice/attention.
Get medical advice/attention if you feel unwell.
IF IN EYES:Rinse cautiously with water for several minutes.Remove contact lenses,if present and easy to do.
Continue rinsing. Immediately call a POISON CENTER/doctor.
IF SWALLOWED: Call a POISON CENTER/doctor if you feel unwell.Rinse mouth.
IF ON SKIN:Wash with plenty of water.If skin irritation or rash occurs: Get medical advice/attention. Take off
contaminated clothing and wash it before reuse.
IF INHALED:Remove person to fresh air and keep comfortable for breathing. Call a POISON CENTER or doctor
if you feel unwell.
Storage
None needed according to classification criteria.
Disposal
Dispose of contents/container in accordance with local/regionaUnational/intemational regulations.
Hazards Not Otherwise Classified(HNOC)
May cause mild skin irritation.
Section 3 - COMPOSITION/INFORMATION ON INGREDIENTS
CAS Component Name Percent
12069-69-1 Basic copper carbonate* F20-30
107534-96-3 FTebuconazole Fo5-1
494793-67-8 FPenflufen FO.1-0.2
64742-61-6 [Wax 5-10
Mixture Base Oil 5-10
Proprietary Surfactants 1-5
Component Related Regulatory Information
*Copper metallic Equivalent to 15.7%.
Page 2 of 12 Issue date: 2023-04-17 Revision 1.0

KP
Safety Data Sheet
Material Name: MicroPro Custom Blend 405.3-KPC
The chemical identity and/or percentage of composition is being withheld as a trade secret. Components not listed
are non-hazardous or below reportable limits.
Section 4 -FIRST AID MEASURES
Inhalation
Remove person to fresh air and keep comfortable for breathing.Call a POISON CENTER or doctor if you feel
unwell.
Skin
Take off contaminated clothing.Rinse skin immediately with plenty of water for 15-20 minutes. Get medical
attention if irritation develops or persists.
Eyes
Rinse cautiously with water for at least 15 minutes.Remove contact lenses,if present and easy to do.Continue
rinsing. Seek medical advice/attention immediately.
Ingestion
Call a POISON CENTER/doctor if you feel unwell.Rinse mouth. Do not give anything by mouth to an unconscious
person.
Most Important Symptoms/Effects
Acute
Harmful if inhaled. Harmful if swallowed. Causes serious eye damage. May cause mild skin irritation.
Delayed
Suspected of damaging fertility or the unborn child. Suspected of causing cancer. May cause damage to organs
(eyes)through prolonged or repeated exposure.May cause an allergic skin reaction.
Note to Physicians
Treat symptomatically.
Section 5 -FIRE FIGHTING MEASURES
Extinguishing Media
Suitable Extinguishing Media
Carbon dioxide,regular dry chemical,foam,water spray
Unsuitable Extinguishing Media
Do not scatter spilled material with high-pressure water streams.
Special Hazards Arising from the Chemical
Irritating and toxic gases or fumes may be released during a fire.
Hazardous Combustion Products
Oxides of carbon,nitrogen oxides,metal oxides.
Advice for firefighters
Containers may rupture or explode if exposed to heat.
Fire Fighting Measures
Move container from fire area if it can be done without risk.Cool containers with flooding quantities of water until
well after fire is out.Avoid inhalation of material or combustion by-products. Stay upwind and keep out of low
areas.
Special Protective Equipment and Precautions for Firefighters
Wear full protective firefighting gear including self-contained breathing apparatus(SCBA)for protection against
possible exposure.
Page 3 of 12 Issue date: 2023-04-17 Revision 1.0

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Safety Data Sheet
Material Name: MicroPro Custom Blend 405.3-KPC
Section 6 -ACCIDENTAL RELEASE MEASURES
Personal Precautions,Protective Equipment and Emergency Procedures
Wear personal protective clothing and equipment,see Section 8.
Methods and Materials for Containment and Cleaning Up
Reduce vapors with water spray.Do not touch spilled material. Stop leak if possible without personal risk.Wipe up
with absorbent material(e.g.cloth,fleece).Collect spilled material in appropriate container for disposal.Clean
contaminated surface thoroughly.Never return spills in original containers for re-use. Do not contaminate water,
food,or feed by storage or disposal.There may be specific regulatory reporting requirements associated with spills,
leaks,or releases of this product.
Environmental Precautions
Avoid release to the environment.Collect spillage.
Section 7- HANDLING AND STORAGE
Precautions for Safe Handling
Do not get in eyes,on skin,or on clothing.Wear protective eyewear such as glasses,face shield,or safety glasses.
Wear long-sleeved shirt and long pants,socks, shoes,and chemical-resistant gloves.Wash thoroughly with soap and
water after handling and before eating, drinking,chewing gum,using tobacco or using the toilet.Remove and wash
contaminated clothing before reuse.
Conditions for Safe Storage,Including any Incompatibilities
Store and handle in accordance with all current regulations and standards. Store in original tightly closed container
in a cool,dry,well-ventilated place. Keep separated from incompatible substances.Keep out of direct sunlight,and
away from heat,water,and incompatible materials.Protect from freezing.
Incompatible Materials
Strong acids,oxidizing agents,peroxides,and borohydrides.
Section 8 - EXPOSURE CONTROLS /PERSONAL PROTECTION
Com onent Exposure Limits
Copper 7440-50-8
ACGIH: 0.2 mg/m3 TWA fume
NIOSH: 1 mg/m3 TWA dust and mist;0.1 mg/m3 TWA fume
100 mg/m3 IDLH dust,fume and mist
OSHA(US): 0.1 mg/m3 TWA fume; 1 mg/m3 TWA dust and mist
Mexico: 0.2 mg/m3 TWA[VLE-PPT]fume; 1 mg/m3 TWA[VLE-PPT]dust and mist
Wax 64742-61-6
ACGIH: 8-hour TWA: 2 mg/m3
NIOSH: 8-hour REL: 2 mg/m3
Page 4 of 12 Issue date: 2023-04-17 Revision 1.0

KP
Safety Data Sheet
Material Name: MicroPro Custom Blend 405.3-KPC
Base Oil [Mixture
ACGIH: 5 mg/m3—ACGIH TLV(inhalable fraction)
OSHA(US): 1 5 mg/m3—OSHA PEL
ACGIH-Threshold Limit Values-Biological Exposure Indices(BEI)
There are no biological limit values for any of this product's components.
Engineering Controls
As necessary to comply with applicable exposure limits,provide local exhaust or process enclosure ventilation
system.Ensure compliance with applicable exposure limits.Provide easy access to water supply and eye wash
facilities.
Individual Protection Measures,such as Personal Protective Equipment
Eye/face protection
Wear protective eyewear such as glasses,face shield,or safety glasses.
Skin Protection
Wear long-sleeved shirt and long pants,socks, shoes,and chemical-resistant gloves.
Respiratory Protection
If the applicable TLVs and/or PELs are exceeded,use NIOSH-approved multipurpose air-purifying cartridge
respirators, for organic vapors and P-100 particulate.Use a positive-pressure,air-supplied respirator if there is any
potential for uncontrolled release,exposure levels are not known,or any other circumstance where air-purifying
respirators may not provide adequate protection.
Glove Recommendations
Wear appropriate chemical resistant gloves. (Example:nitrile,PVC.)
Section 9 -PHYSICAL AND CHEMICAL PROPERTIES
Appearance Blue greenish Physical State Liquid
dispersion
Odor Latex paint-like Color Blue,green
Odor Threshold Not available FPH
Melting Point Not available Boiling Point 100.8°C
Boiling Point Range Not available Freezing point 0.6°C
Evaporation Rate Not available Flammability(solid,gas) Not available
Autoignition Not available Flash Point >100°C
Temperature
Lower Explosive Limit Not available Decomposition temperature Not available
Upper Explosive Limit Not available Fyapor Pressure Not available
Vapor Density(air=1) Not available Specific Gravity(water=l) ILI
-L28
Page 5 of 12 Issue date: 2023-04-17 Revision 1.0

KP
Safety Data Sheet
Material Name: MicroPro Custom Blend 405.3-KPC
Water Solubility Yes,Dispersible Partition coefficient: n- Not available
octanol/water
Viscosity 55 cP Kinematic viscosity Not available
Solubility(Other) Not available Bulk Density 9.75—10.75
lb/gal
Section 10 - STABILITY AND REACTIVITY
Reactivity
No reactivity hazard is expected.
Chemical Stability
Stable at normal temperatures and pressure.
Possibility of Hazardous Reactions
Will not polymerize.
Conditions to Avoid
Avoid contact with incompatible materials.Heat, sparks,or flame and incompatible materials.Extreme
temperatures.Protect from freezing.
Incompatible Materials
strong acids,oxidizing agents,peroxides,and borohydrides.
Hazardous decomposition products
Oxides of carbon,nitrogen oxides,metal oxides.
Section 11 - TOXICOLOGICAL INFORMATION
Information on Likely Routes of Exposure
Inhalation
Harmful if inhaled.
Skin Contact
May cause mild skin irritation.
Eye Contact
Causes serious eye damage.
Ingestion
Harmful if swallowed.
Acute and Chronic Toxicity
Product Toxicity Values
Oral LD50: Rat>2000 mg/kg
Dermal LD50: Rat>2000 mg/kg
Inhalation LC50: Rat>2.25 mg/14 hr
Immediate Effects
Harmful if swallowed. Harmful if inhaled. Causes serious eye damage. May cause mild skin irritation.
Delayed Effects
Page 6 of 12 Issue date: 2023-04-17 Revision 1.0

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Safety Data Sheet
Material Name: MicroPro Custom Blend 405.3-KPC
Suspected of damaging fertility or the unborn child. Suspected of causing cancer. May cause damage to organs
(eyes)through prolonged or repeated exposure.May cause allergic skin reaction.
Irritation/Corrosivity Data
Causes serious eye damage.May cause mild skin irritation.
Respiratory Sensitization
No information on significant adverse effects.
Dermal Sensitization
This material is a skin sensitizer. (Mouse)
Component Carcinogenicity
None of this product's components are listed by ACGIH,IARC,NTP,DFG or OSHA.
Suspected of causing cancer.Penflufen: Suggestive Evidence of Carcinogenic Potential.
Animal data on penflufen are suggestive of carcinogenicity,which raises a concern for carcinogenic effects but are
judged not sufficient for quantification of cancer risk in humans. (EPA 2011 Penflufen Human Health Risk
Assessment)
Germ Cell Mutagenicity
No information on significant adverse effects.
Tumorigenic Data
No data available.
Reproductive Toxicity
Suspected of damaging fertility or the unborn child.
Specific Target Organ Toxicity-Single Exposure
No target organs identified.
Specific Target Organ Toxicity-Repeated Exposure
Eyes.
Aspiration hazard
No data available.
Medical Conditions Aggravated by Exposure
None known.
Section 12 - ECOLOGICAL INFORMATION
Ecotoxicity
Very toxic to aquatic life with long lasting effects.
Com onent Analysis-Aquatic Toxicity
Copper F7440-50-8
LC50 96 h Pimephales promelas 0.0068 -0.0156 mg/L;LC50 96 h Pimephales promelas
<0.3 mg/L [static];LC50 96 h Pimephales promelas 0.2 mg/L [flow-through];LC50 96 h
Fish: Oncorhynchus mykiss 0.052 mg/L [flow-through];LC50 96 h Lepomis macrochirus 1.25
mg/L [static];LC50 96 h Cyprinus carpio 0.3 mg/L [semi-static];LC50 96 h Cyprinus
carpio 0.8 mg/L [static];LC50 96 h Poecilia reticulata 0.112 mg/L[flow-through]
EC50 72 h Pseudokirchneriella subcapitata 0.0426 -0.0535 mg/L [static]EPA;EC50 96 h
Algae: Pseudokirchneriella subcapitata 0.031 -0.054 mg/L[static]EPA
Invertebrate: EC50 48 h Daphnia magna 0.03 mg/L [Static]EPA
Wax 64742-61-6
Page 7 of 12 Issue date: 2023-04-17 Revision 1.0

KP
Safety Data Sheet
Material Name: MicroPro Custom Blend 405.3-KPC
Fish LL50 Oncorhynchus mykiss(rainbow trout)96 h>1,000 mg/L
Algae EL50 Scenedesmus subspicatus(green algae)96 h>1,000 mg/L
Tebuconazole F107534-96-3
Fish: LC50 6.4 mg/1 Exposure time: 96 h
Algae: EC50: 2.09-3.01 mg/1 Exposure time: 72 h
FEC50: 1.45 mg/1 Exposure time: 96 h
Aquatic EC50(Crustacea2.1-3.94 mg/1 Exposure time:48 h
Invertebrates:
[NOEC(Crustacea): 0.008-0.009 mg/1 Exposure time: 504 h
Base Oil Mixture
Fish: FOncorhyncus mykiss(rainbow trout)96 hr LL50>1000 mg/L
Algae: Fscenedesmus subspicatus(green algae)96 hr EL50>1000 mg/L
Aquatic Daphnia Magna(water flea)21 Day WAF>50%mg/L,
Invertebrates:
Penflufen F494793-67-8
Fish: LC50(Cyprinus Carpio(Carp)): 0.103 mg/L 96hr
Aquatic EC50(Daphnia magna):>4.66 mg/L Exposure time:48 h
Invertebrates:
Algae: EC50(Pseudokirchneriella Subcapitata):>5.1 mg/L Exposure time: 96 h
Microorganisms: EC50(activated sludge):> 1000 mg/L Exposure time: 3 h
Surfactants Proprietary
Fish: LC50 Oncorhynchus mykiss(rainbow trout): 3.3 mg/L 96h
Microorganisms: IC50(Pseudomonas putida): 100 mg/L
Persistence and Degradability
No Data Available.
Bioaccumulative Potential
No Data Available.
Mobility
No Data Available.
Page 8 of 12 Issue date: 2023-04-17 Revision 1.0

KP
Safety Data Sheet
Material Name: MicroPro Custom Blend 405.3-KPC
Section 13 -DISPOSAL CONSIDERATIONS
Disposal Methods
Dispose in accordance with all applicable regulations.Avoid discharge into drains or surface water.
Component Waste Numbers
The U.S.EPA has not published waste numbers for this product's components.
Section 14 - TRANSPORT INFORMATION
IATA Information:
Shipping Name:ENVIRONMENTALLY HAZARDOUS SUBSTANCE,LIQUID,N.O.S.,(Contains:
Tebuconazole,Basic Copper Carbonate)
Hazard Class: 9
UN#: UN3082
Packing Group: III
Required Label(s): 9
Marine pollutant
ICAO Information:
Shipping Name:ENVIRONMENTALLY HAZARDOUS SUBSTANCE,LIQUID,N.O.S. , (Contains:
Tebuconazole,Basic Copper Carbonate)
Hazard Class: 9
UN#: UN3082
Packing Group: III
Required Label(s): 9
Marine pollutant
IMDG Information:
Shipping Name: ENVIRONMENTALLY HAZARDOUS SUBSTANCE,LIQUID,N.O.S., (Contains:
Tebuconazole,Basic Copper Carbonate)
Hazard Class: 9
UN#: UN3082
Packing Group: III
Required Label(s): 9
Marine pollutant
US DOT Information:
Further information:Not regulated as dangerous goods
International Bulk Chemical Code
This material does not contain any chemicals required by the IBC Code to be identified as dangerous chemicals in
bulk.
Page 9 of 12 Issue date: 2023-04-17 Revision 1.0

KP
Safety Data Sheet
Material Name: MicroPro Custom Blend 405.3-KPC
Section 15 - REGULATORY INFORMATION
U.S.Federal Regulations
This material contains one or more of the following chemicals required to be identified under SARA Section 302
(40 CFR 355 Appendix A), SARA Section 313 (40 CFR 372.65),CERCLA(40 CFR 302.4),TSCA 12(b),and/or
require an OSHA process safety plan.
Basic copper carbonate 12069-69-1
SARA 313: Copper Compounds,Chemical Category N100
CERCLA::=[5000 lb final RQ;2270 kg final RQ(for copper fraction only)
SARA Section 311/312(40 CFR 370 Subparts B and C)reporting categories
Acute toxicity;Reproductive Toxicity; Specific Target Organ Toxicity; Skin Sensitization;Carcinogenicity; Serious
Eye Damage/Irritation
U.S.State Regulations
None of this product's components are listed on the state lists from CA,MA,MN,NJ or PA.
California Safe Drinking Water and Toxic Enforcement Act(Proposition 65)
AWARNING
This product can expose you to chemicals including paraffinic distillate,heavy,hydrotreated(mild),paraffinic
distillate,light, solvent-refined(mild),ethylene oxide,and 1,4-dioxane which is known to the State of California to
cause cancer.For more information go to www.P65Wamings.ca.gov.
Component Analysis-Inventory
Basic copper carbonate(12069-69-1)
US FA I FAU CN FEUJP-ENCS JP-ISHL KR KECI-Annex 1 FKTKEC1-Annex 2
--IYes DSL Yes Yes EIN Yes Yes Yes FNo
KR-REACH CCA MX Fl[PH] TH-TECI TW,CN VN(Draft)
No No Yes Yes Yes Yes Yes
Tebuconazole(107534-96-3)
US CAI F AU FN EU JP-ENCS JP- ISHL KR KECI-Annex 1 KR KECI-Annex 2
HEEIEE=:]=�
Yes No
KR-REACH CCA MX FNZ]FPH] TH-TECI TW,CN VN(Draft)
No Yes Yes Yes Yes Yes Yes
Page 10 of 12 Issue date: 2023-04-17 Revision 1.0

KOPPERS "
�T
Safety Data Sheet
Material Name: MicroPro Custom Blend 405.3-KPC
Penflufen(494793-67-8)
Fu-sl FcAI F AU CNI F EU JP-ENCS JP-ISHL KR KECI-Annex 1 KR KECI-Annex 2
1EE1EEEEE::1EE::]
No No
KR-REACH CCA NZ PH TH-TECI TW,CN VN(Draft)
No No No No No Yes No
Section 16 - OTHER INFORMATION
NFPA Ratings
Health:2 Fire: 1 Instability:0
Hazard Scale: 0=Minimal 1 =Slight 2=Moderate 3=Serious 4=Severe
Preparation Date
Issue date:4/17/2023
Key/Legend
ACGIH-American Conference of Governmental Industrial Hygienists;ADR-European Road Transport;AU-
Australia;BOD-Biochemical Oxygen Demand; C-Celsius;CA-Canada; CA/MA/MN/NJ/PA-
California/Massachusetts/Minnesota/New Jersey/Pennsylvania*; CAS -Chemical Abstracts Service;CERCLA-
Comprehensive Environmental Response,Compensation,and Liability Act;CFR-Code of Federal Regulations
(US); CLP-Classification,Labelling,and Packaging;CN-China;CPR-Controlled Products Regulations;DFG-
Deutsche Forschungsgemeinschaft;DOT-Department of Transportation;DSD-Dangerous Substance Directive;
DSL-Domestic Substances List;EC—European Commission;EEC-European Economic Community;EIN-
European Inventory of(Existing Commercial Chemical Substances);EINECS -European Inventory of Existing
Commercial Chemical Substances;ENCS-Japan Existing and New Chemical Substance Inventory;EPA-
Environmental Protection Agency;EU-European Union;F-Fahrenheit;F-Background(for Venezuela Biological
Exposure Indices);IARC-International Agency for Research on Cancer;IATA-International Air Transport
Association;ICAO-International Civil Aviation Organization;IDL-Ingredient Disclosure List; IDLH-
Immediately Dangerous to Life and Health;IMDG-International Maritime Dangerous Goods;ISHL -Japan
Industrial Safety and Health Law;IUCLID-International Uniform Chemical Information Database;JP-Japan;
Kow-Octanol/water partition coefficient; KR KECI Annex I -Korea Existing Chemicals Inventory(KECI)/Korea
Existing Chemicals List(KECL);KR KECI Annex 2 -Korea Existing Chemicals Inventory(KECI)/Korea
Existing Chemicals List(KECL),KR-Korea;LD50/LC50-Lethal Dose/Lethal Concentration;KR REACH CCA
-Korea Registration and Evaluation of Chemical Substances Chemical Control Act;LEL -Lower Explosive Limit;
LLV-Level Limit Value;LOLI-List Of LIstsTM-ChemADVISOR's Regulatory Database;MAK-Maximum
Concentration Value in the Workplace;MEL-Maximum Exposure Limits;MX—Mexico;Ne-Non-specific;NFPA
-National Fire Protection Agency;NIOSH-National Institute for Occupational Safety and Health;NJTSR-New
Jersey Trade Secret Registry;Nq-Non-quantitative;NSL—Non-Domestic Substance List(Canada);NTP-
National Toxicology Program;NZ-New Zealand;OSHA-Occupational Safety and Health Administration; PEL-
Permissible Exposure Limit;PH-Philippines;RCRA-Resource Conservation and Recovery Act;REACH-
Registration,Evaluation,Authorisation,and restriction of Chemicals;RID -European Rail Transport; SARA-
Superfund Amendments and Reauthorization Act; Sc -Semi-quantitative; STEL- Short-term Exposure Limit;
TCCA—Korea Toxic Chemicals Control Act;TDG-Transportation of Dangerous Goods;TH-TECI-Thailand-
Page 11 of 12 Issue date: 2023-04-17 Revision 1.0

KP
Safety Data Sheet
Material Name: MicroPro Custom Blend 405.3-KPC
FDA Existing Chemicals Inventory(TECI);TLV-Threshold Limit Value;TSCA-Toxic Substances Control Act;
TW—Taiwan;TWA-Time Weighted Average;UEL-Upper Explosive Limit;UN/NA-United Nations/North
American;US-United States;VLE-Exposure Limit Value(Mexico);VN(Draft) -Vietnam(Draft);WHMIS-
Workplace Hazardous Materials Information System(Canada).
Other Information
Disclaimer:
The information set forth in this Safety Data Sheet does not purport to be all-inclusive and should be used only as a
guide.While the information and recommendations set forth herein are believed to be accurate,the company makes
no warranty regarding such information and recommendations and disclaims all liability from reliance thereon.
Page 12 of 12 Issue date: 2023-04-17 Revision 1.0

SAFETY DATA SHEET Lonza
BARamine@
Version 1.2 SDS Number: 000000014060 Revision Date: 2016.09.29
SECTION 1. IDENTIFICATION
Commercial Product Name BARamine®
Product name BARamine®
Product code 000000014060
Manufacturer or supplier's details
Company Lonza Inc.
90 Boroline Road
Allendale, NJ 07401
USA
Business Telephone [phone]
Lonza Inc.
1200 Bluegrass Lakes Pkwy
Alpharetta, GA 30004
USA
Business Telephone [phone]
E-mail address [e-mail]
Emergency telephone number [phone] (24h )
For US only CHEMTREC 1-800-424-9300
Recommended use of the chemical and restrictions on use
Recommended use Biocides
SECTION 2. HAZARDS IDENTIFICATION
GHS Classification
Flammable liquids Category 4
Acute toxicity (Oral) Category 3
Skin corrosion Category 1 B
Serious eye damage Category 1
Specific target organ toxicity- Category 2
single exposure
GHS label elements
Hazard pictograms
Signal word Danger
Ref. /000000014060 Page 1 (13)

SAFETY DATA SHEET Lonza
BARamine®
Version 1.2 SDS Number: 000000014060 Revision Date: 2016.09.29
Hazard statements H227 Combustible liquid.
H301 Toxic if swallowed.
H314 Causes severe skin burns and eye damage.
H318 Causes serious eye damage.
H371 May cause damage to organs.
Precautionary statements Prevention:
P210 Keep away from heat/sparks/open flames/hot surfaces. No
smoking.
P260 Do not breathe dust/fume/gas/mist/vapours/spray.
P264 Wash skin thoroughly after handling.
P270 Do not eat, drink or smoke when using this product.
P280 Wear protective gloves/ protective clothing/eye protection/
face protection.
Response:
P301 + P310 + P330 IF SWALLOWED: Immediately call a
POISON CENTER/doctor. Rinse mouth.
P301 + P330 + P331 IF SWALLOWED: Rinse mouth. Do NOT
induce vomiting.
P303 + P361 + P353 IF ON SKIN (or hair): Take off immediately
all contaminated clothing. Rinse skin with water/shower.
P304 + P340 + P310 IF INHALED: Remove person to fresh air
and keep comfortable for breathing. Immediately call a POISON
CENTER/doctor.
P305 + P351 + P338 + P310 IF IN EYES: Rinse cautiously with
water for several minutes. Remove contact lenses, if present and
easy to do. Continue rinsing. Immediately call a POISON
CENTER/doctor.
P308 + P311 IF exposed or concerned: Call a POISON
CENTER/doctor.
P363 Wash contaminated clothing before reuse.
P370 + P378 In case of fire: Use dry sand, dry chemical or alco-
hol-resistant foam to extinguish.
Storage:
P403 + P235 Store in a well-ventilated place. Keep cool.
P405 Store locked up.
Disposal:
P501 Dispose of contents/container to an approved waste dis-
posal plant.
Other hazards
None known.
SECTION 3. COMPOSITION/INFORMATION ON INGREDIENTS
Hazardous components
Chemical name CAS-No. Concentration (%)
N,N-Didecyl-N,N-dimethylammonium carbonate 894406-76-9 50.00
(3:2)
N,N-Dialkyl-N-methylamine (CAS No. Proprie- Not Assigned 2.00
tary)
Methanol 67-56-1 3.00
Glycerol 56-81-5 9.00
Water 7732-18-5 36.00
Ref. /000000014060 Page 2(13)

SAFETY DATA SHEET Lonza
BARamine®
Version 1.2 SIDS Number: 000000014060 Revision Date: 2016.09.29
SECTION 4. FIRST AID MEASURES
If inhaled Move to fresh air.
If breathing is irregular or stopped, administer artificial respiration.
Give oxygen.
First aider needs to protect himself.
Call a physician immediately.
In case of skin contact Take off all contaminated clothing immediately.
After contact with skin, wash immediately with plenty of soap and
water.
Call a physician immediately.
In case of eye contact Rinse immediately with plenty of water, also under the eyelids, for
at least 15 minutes.
Call a physician immediately.
If swallowed Call a physician immediately.
Clean mouth with water and drink afterwards plenty of water.
Do not induce vomiting without medical advice.
Never give anything by mouth to an unconscious person.
SECTION 5. FIREFIGHTING MEASURES
Suitable extinguishing media Dry powder
Water spray
Foam
Specific hazards during firefighting Heating or fire can release toxic gas.
Further information Use water spray to cool unopened containers.
Special protective equipment for In the event of fire, wear self-contained breathing apparatus.
firefighters
SECTION 6. ACCIDENTAL RELEASE MEASURES
Personal precautions, protective Use respirator when performing operations involving potential ex-
equipment and emergency proce- posure to vapour of the product.
dures
Environmental precautions
General advice Do not flush into surface water or sanitary sewer system.
Methods and materials for con- Contain spillage, and then collect with non-combustible absorbent
tainment and cleaning up material, (e.g. sand, earth, diatomaceous earth, vermiculite) and
place in container for disposal according to local/ national regula-
tions (see section 13).
SECTION 7. HANDLING AND STORAGE
Ref. /000000014060 Page 3(13)

SAFETY DATA SHEET Lonza
BARamine®
Version 1.2 SIDS Number: 000000014060 Revision Date: 2016.09.29
Advice on safe handling Avoid contact with skin and eyes.
Provide sufficient air exchange and/or exhaust in work rooms.
Conditions for safe storage Keep container tightly closed.
To maintain product quality, do not store in heat or direct sunlight.
Keep in a dry, cool and well-ventilated place.
SECTION 8. EXPOSURE CONTROLS/PERSONAL PROTECTION
Components with workplace control parameters
Components CAS-No. Value type Control parame- Basis
(Form of ters/ Permissi-
exposure) ble concentra-
tion
Methanol 67-56-1 TWA 200 ppm ACGIH
STEL 250 ppm ACGIH
STEL 250 ppm NIOSH/GUIDE
325 m /m3
REL 200 ppm NIOSH/GUIDE
260 mg/m3
PEL 200 ppm OSHA—TRANS
260 m /m3
TWA 200 ppm Z1A
260 m /m3
STEL 250 ppm Z1A
325 m /m3
STEL 250 ppm CAD ON OEL
TWA 200 ppm CAD ON OEL
Glycerol 56-81-5 PEL (Total 15 mg/m3 OSHA—TRANS
dust.
PEL (Respir- 5 mg/m3 OSHA—TRANS
able fraction.
TWA(Res- 5 mg/m3 Z1A
pirable frac-
tion.
TWA(Total 10 mg/m3 Z1A
dust.
TWA Mist. 10 m /m3 CAD ON OEL
Appropriate engineering controls
Personal protective equipment
Respiratory protection In the case of vapour formation use a respirator with an approved
filter.
Hand protection
Material Nitrile rubber
Rate of permeability >480 min
Eye protection Tightly fitting safety goggles
Face-shield
Skin and body protection Choose body protection according to the amount and concentra-
tion of the dangerous substance at the work place.
Ref. /000000014060 Page 4(13)

SAFETY DATA SHEET Lonza
BARamine®
Version 1.2 SDS Number: 000000014060 Revision Date: 2016.09.29
Rubber or plastic apron
Rubber or plastic boots
Hygiene measures Wash hands before breaks and immediately after handling the
product.
Avoid contact with skin, eyes and clothing.
Remove and wash contaminated clothing and gloves, including
the inside, before re-use.
SECTION 9. PHYSICAL AND CHEMICAL PROPERTIES
Appearance liquid
Colour light yellow
Odour slight, amine-like
Odour Threshold no data available
pH 9 - 11
Melting point/range -10 °C
Boiling point/boiling range no data available
Flash point 76 °C
Method: Tagliabue C.C.
Does not sustain combustion according to ASTM 4206
Evaporation rate no data available
Upper explosion limit no data available
Lower explosion limit no data available
Vapour pressure no data available
Relative vapour density no data available
Relative density no data available
Density 0.96 g/cm3 (25 °C)
Solubility(ies)
Water solubility soluble
Partition coefficient: n- no data available
octanol/water
Auto-ignition temperature no data available
Decomposition temperature no data available
Viscosity
Viscosity, dynamic 350 mPa.s (21 °C)
Ref. /000000014060 Page 5(13)

SAFETY DATA SHEET Lonza
BARamine®
Version 1.2 SDS Number: 000000014060 Revision Date: 2016.09.29
Viscosity, kinematic no data available
SECTION 10. STABILITY AND REACTIVITY
Possibility of hazardous reactions Stable under recommended storage conditions.
Conditions to avoid no data available
Incompatible materials Strong oxidizing agents
Reducing agents
Hazardous decomposition prod- Nitrogen oxides (NOx)
ucts Carbon oxides
SECTION 11. TOXICOLOGICAL INFORMATION
Information on likely routes of Skin
exposure Eyes
Ingestion
Inhalation
Further information
Remarks: Information given is based on data on the components and the toxicology of similar products.
No data is available on the product itself.
The following toxicological data refer to:
N,N-Didecyl-N,N-dimethylammonium carbonate (3:2) (CAS-No.: 894406-76-9)
Acute toxicity
Acute oral toxicity (LD50) 245 mg/kg
Species: Rat
Method: OECD Test Guideline 401
GLP: yes
Acute dermal toxicity (LD50) > 2,000 mg/kg
Species: Rat (male and female)
Exposure time: 24 h
Method: OECD Test Guideline 402
GLP: yes
Skin corrosion/irritation
Skin irritation Corrosive
Species: Rabbit
Exposure time: 4 h
Assessment: Causes burns.
Method: OECD Test Guideline 404
GLP: yesRemarks: 50% solution
Serious eye damage/eye irritation
Eye irritation severe irritant
Species: Rabbit
Respiratory or skin sensitisation
Ref. /000000014060 Page 6(13)

SAFETY DATA SHEET Lonza
BARamine®
Version 1.2 SDS Number: 000000014060 Revision Date: 2016.09.29
Sensitisation Test Type: Photoallergy
Species: Guinea pig
Method: US-EPA
Result: not sensitizing
GLP: yes
Germ cell mutagenicity
Genotoxicity in vitro negative
Ames test, Salmonella typhimurium
Metabolic activation: yesMethod: OECD Test Guideline 471
GLP: yes
negative
Chromosome aberration test in vitro, Human lymphocytes
Metabolic activation: yesMethod: OECD Test Guideline 473
negative
Gene mutation, mouse lymphoma cells
Metabolic activation: yesMethod: OECD Test Guideline 476
GLP: yes
Repeated dose toxicity
Species: Dog
Application Route: Dietary
Exposure time: 365 d
Dose: 3 - 10 - 36 MG/KG/TAG
Group: yes
Method: OECD Test Guideline 452
GLP: yes
Remarks: Data refer to N,N-Didecyl-N,N-dimethylammonium
chloride.
SECTION 12. ECOLOGICAL INFORMATION
Ecotoxicity
no data available
Persistence and degradability
no data available
Bioaccumulative potential
Components:
N,N-Didecyl-N,N-dimethylammonium carbonate (3:2)
Partition coefficient: n- Remarks: Not applicable
octanol/water
Methanol
Partition coefficient: n- log Pow: -0.7
octanol/water
Glycerol
Ref. /000000014060 Page 7(13)

SAFETY DATA SHEET Lonza
BARamine®
Version 1.2 SIDS Number: 000000014060 Revision Date: 2016.09.29
Partition coefficient: n- log Pow: -2.6
octanol/water
Mobility in soil
no data available
Other adverse effects
Additional ecological information Information given is based on data on the components and the
ecotoxicology of similar products.
The following ecotoxicological data refer to:
N,N-Didecyl-N,N-dimethylammonium carbonate (3:2) (CAS-No.: 894406-76-9)
Ecotoxicity
Toxicity to fish (LC50) 0.28 mg/I
Species: Lepomis macrochirus (Bluegill sunfish)
Acute toxicity
Exposure time: 96 h
Analytical monitoring: yes
Method: US-EPA
GLP: yes
Toxicity to fish (LC50) 1.1 mg/I
Species: Cyprinodon variegatus (sheepshead minnow)
Acute toxicity
Exposure time: 96 h
Analytical monitoring: yes
Method: US-EPA
GLP: yes
Toxicity to daphnia and other 0.066 mg/I
aquatic invertebrates (EC50) Species: Daphnia magna (Water flea)
Immobilization
Exposure time: 48 h
Analytical monitoring: yes
Method: US-EPA
GLP: yes
Toxicity to daphnia and other 0.073 mg/I
aquatic invertebrates (LC50) Species: Mysidopsis bahia
Acute toxicity
Exposure time: 96 h
Analytical monitoring: yes
Method: US-EPA
GLP: yes
Toxicity to daphnia and other 26 mg/I
aquatic invertebrates (EC50) Chronic toxicity
Exposure time: 10 d
Analytical monitoring: yes
Method: US-EPA
GLP: yes
Ref. /000000014060 Page 8(13)

SAFETY DATA SHEET Lonza
BARamine®
Version 1.2 SDS Number: 000000014060 Revision Date: 2016.09.29
Toxicity to daphnia and other 1,063 mg/I
aquatic invertebrates (EC50) Species: Chironomus sp.
Acute toxicity
Exposure time: 10 d
Analytical monitoring: yes
Method: US-EPA
GLP: yes
Toxicity to algae (EC50) 0.025 mg/I
Species: algae
Cell multiplication inhibition test
Exposure time: 96 h
Test Type: Cell multiplication inhibition test
Analytical monitoring: yes
Method: US-EPA
Toxicity to algae (ErC50) 0.035 mg/I
Species: Desmodesmus subspicatus (green algae)
Cell multiplication inhibition test
Exposure time: 72 h
Test Type: Cell multiplication inhibition test
Analytical monitoring: yes
Method: OECD Test Guideline 201
Toxicity to algae (NOEC) 0.0152 mg/I
Species: Desmodesmus subspicatus (green algae)
Cell multiplication inhibition test
Exposure time: 72 h
Test Type: Cell multiplication inhibition test
Analytical monitoring: yes
Method: OECD Test Guideline 201
M-Factor(Acute aquatic toxicity) 10
Toxicity to bacteria (EC50) 51 mg/I
Species: activated sludge
Respiration inhibition
Exposure time: 3 h
Test Type: Respiration inhibition
Analytical monitoring: no
Method: OECD Test Guideline 209
GLP: yes
Persistence and degradability
Biodegradability Test Type: CO2 Evolution Test
Result: Readily biodegradable.
Biodegradation: 96 %
Exposure time: 28 d
Method: OECD Test Guideline 301 B
GLP: yes
Ref. /000000014060 Page 9(13)

SAFETY DATA SHEET Lonza
BARamine®
Version 1.2 SDS Number: 000000014060 Revision Date: 2016.09.29
Stability in water Method: EPA-FIFRA
GLP: yes
Remarks: Data refer to N,N-Didecyl-N,N-dimethylammonium
chloride.
Bioaccumulative potential
no data available
Mobility in soil
Distribution among environmental Adsorption/Soil
compartments Method: EPA-FIFRA
Remarks: Data refer to N,N-Didecyl-N,N-dimethylammonium
chloride.
Other adverse effects
no data available
SECTION 13. DISPOSAL CONSIDERATIONS
Disposal methods
Waste from residues Dispose of in accordance with local regulations.
Contaminated packaging CONTAINER DISPOSAL: Triple rinse (or equivalent). Then offer
for recycling or reconditioning, or puncture and dispose of in a
sanitary landfill, or incineration, or, if allowed by state and local
authorities, by burning. If burned, stay out of smoke.
Dispose of as unused product.
Ref. /000000014060 Page 10(13)

SAFETY DATA SHEET Lonza
BARamine®
Version 1.2 SDS Number: 000000014060 Revision Date: 2016.09.29
SECTION 14. TRANSPORT INFORMATION
IATA
UN number 3267
Proper shipping name Corrosive liquid, basic, organic, n.o.s.
(N,N-Didecyl-N,N-dimethylammonium carbonate)
Transport hazard class 8
Packing group III
Labels 8
Environmental hazards no
IMDG
UN number 3267
Proper shipping name Corrosive liquid, basic, organic, n.o.s.
(N,N-Didecyl-N,N-dimethylammonium carbonate)
Transport hazard class 8
Packing group III
Labels 8
EmS Number 1 F-A
EmS Number 2 S-B
Environmental hazards Marine pollutant: yes
ADR
UN number 3267
Proper shipping name CORROSIVE LIQUID, BASIC, ORGANIC, N.O.S.
(N,N-Didecyl-N,N-dimethylammonium carbonate)
Transport hazard class 8
Packing group III
Classification Code C7
Hazard Identification Number 80
Labels 8
Environmental hazards no
RID
UN number 3267
Proper shipping name CORROSIVE LIQUID, BASIC, ORGANIC, N.O.S.
(N,N-Didecyl-N,N-dimethylammonium carbonate)
Transport hazard class 8
Packing group III
Classification Code C7
Hazard Identification Number 80
Labels 8
Environmental hazards no
Ref. /000000014060 Page 11 (13)

SAFETY DATA SHEET Lonza
BARamine®
Version 1.2 SDS Number: 000000014060 Revision Date: 2016.09.29
DOT
UN number 3267
Proper shipping name Corrosive liquid, basic, organic, n.o.s.
(N,N-Didecyl-N,N-dimethylammonium carbonate)
Transport hazard class 8
Packing group III
Labels 8
Emergency Response Guidebook 153
Number
Environmental hazards no
TDG
UN number 3267
Proper shipping name CORROSIVE LIQUID, BASIC, ORGANIC, N.O.S.
(N,N-Didecyl-N,N-dimethylammonium carbonate)
Transport hazard class 8
Packing group III
Labels 8
Environmental hazards no
Special precautions for user none
Transport in bulk according to An- Not applicable
nex II of MARPOL 73/78 and the IBC
Code
SECTION 15. REGULATORY INFORMATION
This chemical is a pesticide product registered by the United States Environmental Protection
Agency and is subject to certain labeling requirements under federal pesticide law. These require-
ments differ from the classification criteria and hazard information required for safety data sheets
(SDS), and for workplace labels of non-pesticide chemicals.
Signal word DANGER!
Hazard statements Corrosive. Causes irreversible eye damage.
Corrosive. Causes skin burns.
May be fatal if swallowed.
May be fatal if inhaled.
Harmful if absorbed through skin.
EPA No. 6836-304
EPCRA- Emergency Planning and Community Right-to-Know Act
SARA 3111312 Hazards Acute Health Hazard
SARA 302
No chemicals in this material are subject to the reporting requirements of SARA Title III, Section 302.
Components CAS-No. Concentration
Ref. /000000014060 Page 12(13)

SAFETY DATA SHEET Lonza
BARamine®
Version 1.2 SDS Number: 000000014060 Revision Date: 2016.09.29
Glycerol 56-81-5 1 6 %
US State Regulations
Massachusetts Right To Know
Components CAS-No.
Methanol 67-56-1
Glycerol 56-81-5
Pennsylvania Right To Know
Components CAS-No.
Methanol 67-56-1
Glycerol 56-81-5
New Jersey Right To Know
Components CAS-No.
Methanol 67-56-1
Glycerol 56-81-5
California Prop. 65
This product does not contain any chemicals known to State of California to cause cancer, birth defects,
or any other reproductive harm.
SECTION 16. OTHER INFORMATION
Revision Date 2016.09.29
The information provided in this Safety Data Sheet is correct to the best of our knowledge, information
and belief at the date of its publication. The information given is designed only as a guidance for safe
handling, use, processing, storage, transportation, disposal and release and is not to be considered a
warranty or quality specification. The information relates only to the specific material designated and
may not be valid for such material used in combination with any other materials or in any process, un-
less specified in the text.
Ref. /000000014060 Page 13(13)

Young, Brianna A
From: Young, Brianna A
Sent: Thursday,July 21, 2022 1:43 PM
To: [e-mail]
Subject: NCS000132 Renewal application acknowledgement
Good afternoon,
The Division of Energy, Mineral, and Land Resources (DEMLR) Stormwater Permitting Program
acknowledges receipt of your renewal application for coverage under NPDES Permit Number NCS000132.
Please continue to comply with all conditions and monitoring requirements in your current NPDES stormwater
permit. As long as you have submitted a complete renewal request package and maintain compliance with those
permit conditions, stormwater discharges from this facility are authorized by that permit until the Division
issues a renewal permit or notifies you of an alternative action. Please note that due to the current backlog and
staff shortages, review of this permit renewal is not scheduled until 2023,however this schedule is subject to
change. Please let me know if you have any questions in the interim.
Thank you,
Brianna Young, MS(she/her/hers)
Industrial Individual Permits Coordinator
Stormwater Program
NC DEQ/Division of Energy, Mineral, and Land Resources (DEMLR)
[e-mail](e-mail preferred)
919-707-3647 (office)
Mailing address: 1612 Mail Service Center, Raleigh, NC 27699-1612
Physical address: 512 North Salisbury Street, Raleigh, NC 27604
Email correspondence to and from this address is subject to the North Carolina
Public Records Law and may be disclosed to third parties.
Based on the current guidance to minimize the spread of COVID-19,the Department of Environmental Quality has adjusted
operations to protect the health and safety of the staff and public. Many employees are working remotely or are on staggered shifts.
Please check with the appropriate staff before visiting our offices,as we may be able to handle your requests by phone or email.We
appreciate your patience as we continue to serve the public during this challenging time.
1

SUPPLEMENTAL INFORMATION REQUIRED FOR RENEWAL OF INDIVIDUAL
NPDES STORMWATER PERMIT
Two copies of each of the following shall accompany this submittal in order for the application
to be considered complete:
(Do not submit the site Stormwater Pollution Prevention Plan)
Initials
DT 1. �A current Site Map from the Stormwater Pollution Prevention Plan. The location of
industrial activities (including storage of materials, disposal areas, process areas and
loading and unloading areas), drainage structures, drainage areas for each outfall,
--
building locations and impervious surfaces should be clearly noted.
DT 2.UA summary of Analytical Monitoring results during the term of the existing permit
(if your permit required analytical sampling). Do not submit individual lab reports.
The summary can consist of a table including such items as outfall number,
parameters sampled, lab results, date sampled, and storm event data.
D `-T 3 A summary of the Visual Monitoring results. Do not submit individual monitoring •
reports. The summary can consist of a table including such items as outfall number,
parameters surveyed, observations, and date monitoring conducted.
DT 4. A summary of the Best Management Practices utilized at the permitted facility.
Summary should consist of a short narrative description of each BMP's in place at
the facility. If the implementation of any BMP's is planned, please include
information on these BMP's.
DT S. A short narrative describing any significant changes in industrial activities at the f
permitted facility. Significant changes could include the addition or deletion of
work processes, changes in material handling practices, changes in material storage
practices, and/or changes in the raw materials used by the facility.
DT 6.+Certification of the development and implementation of a Stormwater Pollution
Prevention Plan for the permitted facility (Sign and return attached form).
If the final year analytical monitoring of the existing permit term has not been completed
prior to filing the renewal submittal, then the last years monitoring results should be submitted
within 30 days of receipt of the laboratory reports. (i.e. do not withhold renewal submittal
waiting on lab results)
REFIVED
JI
LL 1 Z022
DEMLR-Stormwater Program

STORMWATER POLLUTION PREVENTION PLAN
DEVELOPMENT AND IMPLEMENTATION
CERTIFICATION
!North Carolina Division of Energy, Mineral, and Land Resources— Stormwater Program
Facility blame: C.M.Tucker Lumber of NC,LLC-Henderson Plant
Permit dumber: NC5000132
Location Address: I 0D Tucker Lumber Rcad
Henderson,NC 27537
County:
Vance
"I certify, under penalty of law, that the Stormwater Pollution Prevention Plan (SPPP) document and all
attachments were developed and implemented under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gather and evaluate the information required by the SPPP.
Based on my inquiry of the person or persons who manage the system, or those persons directly responsible
for gathering the information, the information gathered is, to the best of my knowledge and belief, true,
accurate and complete."
And
"I certify that the SPPP has been developed, signed and retained at the named facility location, and the SPPP
has been fully implemented at this facility location in accordance with the terms and conditions of the
stormwater discharge permit."
And
"I am aware that there are significant penalties for falsifying information, including the possibility of fines and
imprisonment for knowing violations."
Sign (according to permit signatory requirements) and return this Certification. DO NOT
SEND STORMWATER POLLUTION PREVENTION PLAN WITH THIS CERTIFICATION.
Signature P" 8 DateI�
David Tucker CEO
Print or type name of person signing above Title
SPPP Certification 10/13

a •• Topo Nonh America"'9
yy
f
C.M Tucker Lumber of
s
Worm Carolina LlC ,
1 I fib.
SDO 001
Receiving Waters Fishing Greek{listed on 303(d)
{ list as impaired for Benthos however, facility
does not discharge to impaired stream segment.y
Graving NarrE
C.hl TUCKER LUMBER OF NORTH
CAROUNA LLC
FACILITY LOCATION TOPOGRAPHICA t
MAP !
r.. Scale Latitude Longitude
9 et
35'2T 14" 7811956
DAa use skkKV to Ir emr —a...* - — - -------- --.--
C flea ramv Tops North AnxrK a"'9 tY�111
4 bird sb,,. s'r3J itti.=.
wMwdekbsnecom MN{9W WI

5,
r-r-r r_ T
' GRAVEL
r• � , G
to �
y r II WETLAND I f - :
k+
r r II !I t j GRASS
' HEAVY VEGETATION + i GRAVEL S s a
I \�
�I GRASS 1 SHED
f
I la
HEAVY VEGETATION III �I e ® TREATING P1ANT
f a ` 7 ASPHALT ,
DRAINAGE AREA=44.3 ACRES �__�- ~r
24% IMPERVIOUS —'�'' COMMENTS:
c-0.375 0~� `
HEAVY VEGETATION �'' 1. 500-gallon used oil tank (decomissianed).
-f 2. 500-gallon off-road diesel fuel tank in containment. LEGEND:
` f ' 3. Primary treating plant tank form containing the fallowing:
r ! Two 39,000-gallon tanks } OUTFALL POINT LOCATION
' Two 27,000-gallon tanks STORMWATER FLOW
One 22,000-gallon tank ------- OUTFALL DRAINAGE AREA
One 9,500-gallon lank
-- -- - FENCE LINE
4. Two 9,500-gallan tanks in secondary containment. ----- PROPERTY LINE
NOTES: 5. Lumber splilter hydraulic unit. }�) RAILROAD TRACKS
1. Loading/unloading may occur at the locations of items 1-4 and 7. 6. Crane hydraulic units. CULVERT PIPE
2. There are no dust/particulate generating processes at the facility 7 Tanker truck unloading area. -�
other than trucks traveling on plant roads. 8. Outside storage of Pumber. 219a N.Norcron Tudw Rd.
3. Non-hozardous waste is disposed of from the treating plant. 9. 12,000 gallon double walled diesel tank „,3W71
ON
4. The receivingwater, Fishin Creek, is listed on the state 303 d list and fuel pump, GRAPHIC SCALE (IN FT.) cofNYE1GY INL m.corn111) dc+obgy._
9 ( ) p p TONVERS INC. t7ao1 _
as impaired for Benthos. The facility does not dischorge to the 10. Empty tole storage,
WP
impaired stream segment. 11. Rail tie storage. a To22 aRaR+acE
12. Gravel pifes. Kv .a, x ROf a 20a 400 �0 0 s NR N .Nc
p CMT2 SWP22-01 1

Supplemental Information for CM Tucker Lumber of North Carolina, LLC
Page 1 of 2
Summary of Analytical Results for Outfall#1
Date Lab Result
Sampled Parameter Storm Event Data lagl
GODS <2,000
COD <10,000
TOTAL NITROGEN 4,100
6/22/17 TOTAL PHOSPHOROUS <SO $"of rainfall resulting in 3,608,553 gallons of discharge
T.REC.COPPER <20
pH N5
BODE <2,000
COD <10,000
TOTAL NITROGEN 3,300
12/29/2017 TOTAL PHO5PHOROUS <50 0.1"of rainfall resulting in 45,106 gallons of discharge
T.REC.COPPER <20
pH 7.02 s.u.
BODS <2,000
COD 10,200
TOTAL NITROGEN 3,590
6/29/18 TOTAL PHOSPHOROUS <50 1"of rainfall resulting in 451,000 gallons of discharge
T. REC.COPPER <20
pH NS
BODS <2,000
COD <10,000
TOTAL NITROGEN 14,000
12/23/18 TOTAL PHOSPHOROUS <50 2.25"of rainfall resulting in 1,014,905 gallons of discharge
T. REC.COPPER <20
pH 7.0 s.u.
BODS <2,000
COD <10,000
TOTAL NITROGEN 2,660
7/30/19 TOTAL PHOSPHOROUS <50 7"of rainfall resulting in 3,157,484 gallons of discharge
T. REC.COPPER <20
pH 7.3 s.u.
BOD5 <2,000
COD <10,000
TOTAL NITROGEN 2,660
6/29/20 TOTAL PHOSPHOROUS <50 7"of rainfall resulting in 3,157,484 gallons of discharge
T. REC.COPPER <20
pH 7.3 s.u.
BOD5 <2,000
COD <25,000
TOTAL NITROGEN 4,000
12/31/20 TOTAL PHOSPHOROUS <50 3.5"of rainfall resulting in 1,57$,742 gallons of discharge
T.REC.COPPER <20
pH 6.1 sm.
SODS <2,000
COD <25,000
TOTAL NITROGEN 2,900
6/30/21 TOTAL PHOSPHOROUS 53 4.5"of rainfall resulting in 2,029,812 gallons of discharge
T. REC.COPPER 30
pH 6.9 s.u.
BODS <2,000
COD <25,000
TOTAL NITROGEN 4,104
3/04/22 TOTAL PHOSPHOROUS <50 0.16"of rainfall resulting in 72,171 gallons of discharge
T. REC_.COPPER 11
pH 7.1 s.u.
NS: Not Sampled

Supplemental Information for CM Tucker Lumber of North Carolina, LLC
Page 2 of 2
Summary of Visual Monitoring Results for Outfall #1
Quantitative Analysis Average Summary of Analysis
for Outfall#1
Color Color varied from clear to light amber to brown depending on the amount of sediment in
the discharge.
Odor No distinct odors were recorded or observed.
Clarity Clarity ranged from 1 to 3 on the provided scale on the SDO Qualitative Monitoring Report.
Floating Solids Floating solids was recorded as 1 on the provided scale on the SDO Qualitative Monitoring
Report.
Suspended Solids Suspended solids ranged from 1 to 3 on the provided scale on the SDO Qualitative
Monitoring Report.
Foam No Foam was observed.
Oil Sheen No oil sheen was observed.
Erosion No Erosion was observed.
Other Indicators No other obvious indicators of stormwater pollution was observed.

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03105/19
110004037612 NC5000132 C.M.TUCKER LUMBER OF NC, OMB No.2040-0004
Form A U.S.Environmental Protection Agency
9 t.EPA Application for NPDES Permit to Discharge Wastewater
NPDES GENERAL INFORMATION
REQUIRINGSECTION 1.ACTIVITIES •D i
1.1 Applicants Not Required to Submit Forth 1
Is the facility a new or existing publicly owned Is the facility a new or existing treatment works
1.1.1 treatment works? 1.1.2 treating domestic sewage?
If yes, STOP. Do NOT complete ® No If yes, STOP. Do NOT 0 No
Form 1.Complete Form 2A. complete Form 1.Complete
Form 2S,
1.2 Applicants Required to Submit Form 1
1.2.1 Is the facility a concentrated animal feeding 1.2.2 Is the facility an existing manufacturing,
operation or a concentrated aquatic animal commercial, mining,or silvicultural facility that is
rz production facility? currently discharging process wastewater?
U [ Yes 4 Complete Form 1 0 No ❑ Yes 4 Complete Form � No
IL and Form 213, 1 and Form 2C.
z
C 1.2.3 Is the facility a new manufacturing,commercial, 1.2.4 Is the facility a new or existing manufacturing,
mining,or silvicultural facility that has not yet commercial,mining,or silvicultural facility that
commenced to discharge? discharges only nonprocess wastewater?
m ❑ Yes 4 Complete Farm 1 No (] Yes 3 Complete Form []✓ No
and Form 2D. 1 and Form 2E.
1.2.5 Is the facility a new or existing facility whose
discharge is composed entirely of stormwater
a associated with industrial activity or whose
discharge is composed of both stormwater and
non-stormwater?
M✓ Yes 4 Complete Farm 1 No
and Form 2F
unless exempted by
40 CFR
122.26(b)(14)(x)or
b 15).
SECTION 2.NAME,MAILING ADDRESS, i
2.1 Facility Name
C.M.TUCKER LUMBER OF NC,LLC
0 2.2 EPA Identification Number
R
110004037612
2.3 Facility Contact
Name(first and last) Title Phone number
DAVID TUCKER [phone]
a
= Email address
[e-mail]
d 2A Facility Mailing Address
zStreet or P.O.box
100 TUCKER LUMBER ROAD
City or town State ZIP code
HENDERSON NC 27536
EPA Form 3510.1(revised 3-19) Page 1

EPA identification Number NPDES Permit Number Facility Name Farm Approved 03105119
110004037612 NC5000132 C.M.TUCKER LUMBER OF NC,® OMB No.2040-0004
,if 2.5 Facility Location
yStreet,route number,or other specific identifier
a 00 100TUCKER LUMBER ROAD
0 County name County code(if known)
VANCE
0
F _j City or town State ZIP code
z HENDERSON NC 27536
SECTION •f+ 1
3.1 SIC Code(s) Description(optional)
2491 WOOD PRESERVING
CA
Gl
0
f!?
U
z 3.2 NAILS Code(s) Description(optional)
c
321114 WOOD PRESERVING
co
SECTIONOPERATOR INFORMATION(40
4.1 Name of Operator
C.M.TUCKER LUMBER OF North Carolina,LLC
0 4.2 Is the name you listed in Item 4.1 also the owner?
E 0 Yes ❑ No
0
w
4.3 Operator Status
a
❑ Public--federal ❑ Public—state ❑ Other public(specify)
o ❑✓ Private ❑ Other(specify)
4.4 Phone Number of Operator
[phone]
4.5 Operator Address
`—' Street or P.O. Box
100 TUCKER ROAD
y City or town State ZIP code
0 a HENDERSON INC 25736
e�
CL Email address of operator
O [e-mail]
SECTIONr i
5.1 Is the facility located on Indian Land?
0 cc
❑Yes 0 No
EPA Form 3510-1(revised 3-19) Page 2

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03105/19
110004037612 NCS000132 C.M.TUCKER LUMBER OF NC,13 OMB No.2040-0004
SECTION '• 1
6.1 Existing Environmental Permits(check all that apply and print or type the corresponding permit number for each)
m NPDES(discharges to surface ❑ RCRA(hazardous wastes) ❑ UIC(underground injection of
water) fluids)
NCS000132 NCD982168460
w ❑ PSD(air emissions) ❑ Nonattainment program(CAA) ❑ NESHAPs(CAA)
❑ Ocean dumping(MPRSA) ❑ Dredge or fill(CWA Section 404) ❑ Other(specify)
SECTION
7.1 Have you attached a topographic map containing all required information to this application?(See instructions for
o specific requirements.)
ID Yes ❑ No ❑ CAFO—Not Applicable(See requirements in Form 213.)
SECTIONOF i
8.1 Describe the nature of your business.
The facility is a standalone wood preserving plant. Untreated lumber is transported to the facility where it is stored
until it is pressure treated with a wood treating formulation.The treated lumber is stored at the facility prior to
transport.
m
6
z
SECTION ••
9A Does your facility use cooling water?
❑ Yes ❑ No 4 SKIP to Item 10.1.
9.2 Identify the source of cooling water.(Note that facilities that use a cooling water intake structure as described at
a, 40 CFR 125,Subparts I and J may have additional application requirements at 40 CFR 122.21(r). Consult with your
NPDES permitting authority to determine what specific information needs to be submitted and when.)
6 Y
o c) N/A
SECTIONi
.VARIANCE REQUESTS(40 CFR 122.21(f)(10))
10.1 Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(m)?(Check all that
N apply. Consult with your NPDES permitting authority to determine what information needs to be submitted and
m when.)
v ❑ Fundamentally different factors(CWA ❑ Water quality related effluent limitations(CWA Section
Section 301(n)) 302(b)(2))
❑ Non-conventional pollutants(CWA ❑ Thermal discharges(CWA Section 316(a))
Section 301(c)and(g))
Not applicable
EPA Form 3510-1(revised 3.19) Page 3

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110004037612 NCS000132 C.M.TUCKER LUMBER OF NC,LLC 0M8 No.2040-0004
SECTION 11-CHECKLIST 1 1 .
11.1 In Column 1 below,mark the sections of Form 1 that you have completed and are submitting with your application.
For each section,specify in Column 2 any attachments that you are enclosing to alert the permitting authority.Note
that not all applicants are required to provide attachments.
Column 1 Column 2
❑✓ Section 1:Activities Requiring an NPDES Permit ❑ wl attachments
❑✓ Section 2:Name,Mailing Address,and Location ❑ wl attachments
❑✓ Section 3:SIC Codes ❑ wl attachments
✓❑ Section 4:Operator Information ❑ wl attachments
Section 5: Indian Land ❑ wl attachments
❑✓ Section 6: Existing Environmental Permits ❑ wl attachments
CD
E ® wl topographic Section 7: Map ❑ ma Elwi additional attachments
® Section 8: Nature of Business ❑ wl attachments
w ❑✓ Section 9: Gaoling Water Intake Structures ❑ wl attachments
1=
a�
Section 10:Variance Requests ❑ wl attachments
,n ❑✓ Section 11: Checklist and Certification Statement ❑ w/attachments
Y
11.2 Certification Statement
!certify under penalty of law that this document and all attachments were prepared under my direction or supervision
in accordance with a system designed to assure that qualified personnel properly gather and evaluate the
information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and
belief, true,accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fine and imprisonment for knowing violations.
Name(print or type first and last name) Official title
DAVID TUCKER CEO
Signat re Date signed
EPA Form 3510.1(revised 3.19) Page 4

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05119
110004037612 NCS000132 C.M.TUCKER LUMBER OF NC,LLC OMB No.2040.0004
Form U.S Environmental Protection Agency
2F 483V EPA Application for NPDES Permit to Discharge Wastewater
NPDES STORMWATER DISCHARGES ASSOCIATED WITH INDUSTRIAL ACTIVITY
SECTIONOUTFALL LOCATION
1.1 Provide information on each of the facilif 's outfalls in the table below
Outfall Receiving Water Name Latitude Longitude
Number
SDO 001 FISHING CREEK 36' 23' 14" N 78' 19' 56" W
c
0
0
O
J q r „ q ' •
2
0 c q n
SECTION IMPROVEMENTS
2.1 Are you presently required by any federal,state,or local authority to meet an implementation schedule for constructing,
upgrading,or operating wastewater treatment equipment or practices or any other environmental programs that could
affect the discharges described in this application?
❑ Yes ✓❑ No 4 SKIP to Section 3,
2.2 Briefly identify each applicable project in the table below.
Brief Identification and Affected Outfalls Source(s)of Discharge Final Compliance Dates
Description of Project (iistoulfall numbers)
Required Projected
Y
C
Ql
E
m
a
0
cs
E
2.3 Have you attached sheets describing any additional water pollution control programs(or other environmental projects
that may affect your discharges)that you now have underway or planned?(Optional Item)
❑ Yes ❑ No
EPA Form 3510-2F(Revised 3-19) Pagel

EPA Identification Number NPDES Permil Number Facility Name Form Approved 03105119
110004037612 NCS000132 C.M.TUCKER LUMBER OF NC,LLC OMB No.2040-0004
SECTIOND- • ;
0 3.1 Have you attached a site drainage map containing all required information to this application?(See instructions for
c C specific guidance.)
o Z Yes ❑ No
SECTIONPOLLUTANT SOURCES1
4.1 Provide information on the facility's pollutant sources in the table below.
Outfall Impervious Surface Area Total Surface Area Brained
Number (within a mile radius of the facility) (within a mile radius of the facility)
specify units specify units
SDO 001 10.63 ACRES 44.3 ACRES
specify units specify units
specify units specify units
specify units specify units
specify units specify units
specify units specify units
4.2 Provide a narrative description of the facility's significant material in the space below.(See instructions for content
requirements.)
THE SIGNIFICANTY EXPOSED MATERIAL ON SITE IS TREATED LUMBER,AND THIS AMOUNT OF THE SIGNIFICANTLY
a)a) EXPOSED MATERAL HAS STAYED CONSISTENT OVER THE PAST 3 YEARS.POST TREATM ENT THE LUMBER IS STORED ON
A DRIP PAD THAT 15 UNDER COVER AND BERMED TO NOT ALLOW THE TREATMENT CHEMICALS FROM COMING INTO
0
CONTACT WITH STORMWATER.ONCE THE TREATED LUMBER IS COMPLETED DRIP DRYING ON THE PAD,THE LUMBER
IS THEN STORED ON GRAVEL/PAVED LOTS THROUGHOUT THE PROPERTY.
0
n.
4.3 Provide the location and a description of existing structural and non-structural control measures to reduce pollutants in
stormwater runoff. See instructions forspecificguidance.)
Stormwater Treatment
Codes
Outfall from
Number Control Measures and Treatment Exhibit
2F—f
list
SDO 001 COVERED TREATMENT AREAS,CONCRETE BERMED DRIP PADS,SPCC PLAN, EMPLOYEE
TRAINING,VISUAL INSPECTIONS
EPA Form 3510-2F(Revised 3-19) Page 2

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03105119
110004037612 NCS000132 C.M.TUCKER LUMBER OF NC,LLC OMB No.2040-0004
SECTIONsN STORMWATER • t
5.1 1 certify under penalty of law that the outfall(s) covered by this application have been tested or evaluated for the
presence of non-stormwater discharges. Moreover, I certify that the outfells identified as having non-stormwater
discharges are described in either an accompanying NPDES Form 2C, 2D,or 2E application.
Name(print or type first and last name) Official title
DAVID TUCKER CEO
Signature Date signed
rn 5.2 Provide the testing information requested in the table below.
Outfali Onsite Drainage Points
a Number Description of Testing Method Used Date(s)of Testing Directly Observed
During Test
4)
w
SDO 001 VISUAL 03/02/2022 QUTFALL
O
SDO 001 VISUAL 6/30/2021 QUTFALL
a
z
S00 001 VISUAL 12/25/2020 QUTFALL
SDO 001 VISUAL 6/29/2020 QUTFALL
SDO 001 VISUAL 7/30/2019 QUTFALL
SDO 001 VISUAL 12/23/2018 OUTFALL
SECTIONOR 1
6.1 Describe any significant leaks or spills of toxic or hazardous pollutants in the last three years.
y NO SIGNIFICANT LEAKS OR SPILLS OF TOXIC OR HAZARDOUS POLLUTANTS IN THE LAST THREE YEARS.
.Q
`o
1A
Y
IO
N
J
C
R
V
S1�
SECTION •' •
See the instructions to determine the pollutants and parameters you are required to monitor and,in turn,the tables you must
o complete.Not all applicants need to complete each table.
7.1 Is this a new source or new discharge?
Yes 4 See instructions regarding submission of No 4 See instructions regarding submission of
estimated data. actual data.
Tables A,13,C,and D
7.2 Have you completed Table A for each outfall?
�] Yes ❑ No
EPA Form 3510-2F(Revised 3-19) Page 3

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110004037612 NCS000132 C.M.TUCKER LUMBER OF INC,LLC OMB No.2040-0004
7.3 Is the facility subject to an effluent limitation guideline(ELG)or effluent limitations in an NPDES permit for its process
wastewater?
=''=' ❑ Yes ❑ No 4 SKIP to Item 7.5.
7.4 Have you completed Table B by providing quantitative data for those pollutants that are(1)limited either directly or
r :r indirectly in an ELG and/or(2)subject to effluent limitations in an NPDES permit for the facility's process wastewater?
❑ Yes ❑ No
7.5 Do you know or have reason to believe any pollutants in Exhibit 2F-2 are present in the discharge?
..� ❑✓ Yes ❑ No 4SKIP to Item 7.7.
7.6 Have you listed all pollutants in Exhibit 2F-2 that you know or have reason to believe are present in the discharge and
provided quantitative data or an explanation for those pollutants in Table C?
r ❑✓ Yes ❑ No
7.7 Do you qualify for a small business exemption under the criteria specified in the Instructions?
❑ Yes 4SKIP to Item 7.18. ❑✓ No
lag
7.8 Do you know or have reason to believe any pollutants in Exhibit 2F-3 are present in the discharge?
❑✓ Yes ElNo-+ SKIP to Item 7.10.
fs+ T
7.9 Have you listed all pollutants in Exhibit 2F-3 that you know or have reason to believe are present in the discharge in
r Table C?
o ❑✓ Yes ❑ No
wxo 7.10 Do you expect any of the pollutants in Exhibit 2F-3 to be discharged in concentrations of 10 ppb or greater?
�5n�S
== j ❑✓ Yes ❑ No 4 SKIP to Item 7.12.
�- 7.11 Have you provided quantitative data in Table C for those pollutants in Exhibit 2F-3 that you expect to be discharged in
concentrations of 10 b or greater?
PP
n ❑✓ Yes ❑ No
7.12 Do you expect acrolein,acrylonitrile,2,4-dinitrophenol,or 2-methyl-4,6-dinitrophenol to be discharged in concentrations
of 100 ppb or greater?
❑ Yes ❑✓ No 4 SKIP to Item 7.14.
7.13 Have you provided quantitative data in Table C for the pollutants identified in Item 7.12 that you expect to be
W, .fl
discharged in concentrations of 100 ppb or greater?
El Yes ❑ No
7.14 Have you provided quantitative data or an explanation in Table C for pollutants you expect to be present in the
NOW,
discharge at concentrations less than 10 ppb(or less than 100 ppb for the pollutants identified in Item 7.12)?
=== ❑✓ Yes ❑ No
7.15 Do you know or have reason to believe any pollutants in Exhibit 2F4 are present in the discharge?
❑ Yes ❑✓ No 4 SKIP to Item 7.17.
7.16 Have you listed pollutants in Exhibit 2F4 that you know or believe to be present in the discharge and provided an
explanation in Table C?
❑ Yes ❑ No
7.17 Have you provided information for the storm event(s)sampled in Table D?
❑✓ Yes ❑ No
EPA Form 3510-2F(Revised 3-19) Page 4

EPA Identification Number NPOES Permit Number Facility Name Form Approved 03/05119
110004037612 NCS000132 C.M.TUCKER LUMBER OF NC,LLC OMB No.2040-0004
Used or Manufactured Toxics
c 7.18 Is any pollutant listed on Exhibits 21=-2 through 2F-4 a substance or a component of a substance used or
manufactured as an intermediate or final product or byproduct?
0
`C r❑ Yes ❑ No 3 SKIP to Section B.
0
ra 7.19 List the pollutants below,including TCDD if applicable,
2
'I.Copper 4. 7.
a)
2. 5. 8.
0
0 3. 6. 9.
SECTION •GICAL TOXICITY TESTING D, i
8.1 Do you have any knowledge or reason to believe that any biological test for acute or chronic toxicity has been made on
any of your discharges or on a receiving water in relation to your discharge within the last three years?
0
❑ Yes ❑ No 4 SKIP to Section 9.
F 8.2 Identify the tests and their purposes below,
y
U Test(s) Purpose of Test(s) Submitted to NPDES Date Submitted
M Permitting Authority?
0
m
❑ Yes 0 No
U
0 ❑ Yes ❑ No
0
+n
❑ Yes ❑ No
SECTIONiNTRACT ANALYSIS INFORMATION(41
9.1 Were any of the analyses reported in Section 7(on Tables A through C)performed by a contract laboratory or
consulting firm?
❑✓ Yes ❑ No 3 SKIP to Section 10.
9.2 Provide information for each contract laboratory er consulting firm below.
Laboratory Number 1 Laboratory Number 2 Laboratory Number 3
Name of laboratory/firm
CONVERSION TECHNOLOGY PACE ANALYTICAL SERVICES,
0 INC. INC.
(CONSULTING FIRM)
0
Laboratory address 2190 N.NORCROSS TUCKER 110 TECHNOLOGY PARKWAY,
Lo
2 RD,NORCROSS,GA 30071 NORCROSS,GA 30092
c
U
Rs
o 'Phone number
U [phone] (7701734-4200
Pollutant(s)analyzed N/A pH
BOD
TOTAL NITROGEN
TOTAL PHOSPHOROUS
COD
TOTALCOPPER
EPA Form 3510-2F(Revised 3-19) Page 5

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03105/19
110004037612 NCS000132 C.M.TUCKER LUMBER OF NC,LLC OMB No.2040-0004
SECTION1 CHECKLIST AND CERTIFICATION STATEMENT(40
10.1 In Column 1 below, mark the sections of Form 2F that you have completed and are submitting with your application.For
each section,specify in Column 2 any attachments that you are enclosing to alert the permitting authority. Nate that not
all applicants are required to complete all sections or provide attachments.
Column 1 Column 2
❑✓ Section 1 ❑ w/attachments(e.g.,responses for additional outfalls)
M Section 2 ❑ wl attachments
El Section 3 ❑ wl site drainage map
✓❑ Section 4 ❑ w/attachments
Q Section 5 ❑ wl attachments
® Section 6 ❑ wl attachments
E 0 Section 7 ❑ Table A ❑ wl small business exemption request
0
❑ Table B ❑ wl analytical results as an attachment
2 ® Table C ❑ Table D
❑✓ Section 8 ❑ wlattachments
V
r
N Q Section 9 ❑ wlattachments(e.g.,responses for additional contact laboratories or firms)
❑✓ Section 10 ❑
U
10.2 Certification Statement
/certify under penalty of law that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel properly gather and evaluate the information
submitted. Based on my inquiry of the person or persons who manage the system or those persons directly responsible
for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. 1 am aware that there are significant penalties for submitting false information,including the possibility of fine
and imprisonment for knowing violations.
Name(print or type first and last name) Official title
DAVID TUCKER CEO
Signature Date signed
0,� 6 � I I-? I.;l a-A k
EPA Form 3510-2F(Revised 3.19) Page 6

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Farm Approved 03/05/19
110004037612 NCS000132 C.M.TUCKER LUMBER OF NC,LLC SDO 001 OMB No.2040-0004
TABLE A, • •NAL AND NON CONVENTIONALI
You must provide the results of at least one anal sis for every pollutant in this table. Complete one table for each outf all.See instructions for additional details and re uirements.
Maximum Daily Discharge Average Daily Discharge Source of
(specify units) (specify units) Number of Storm Information
Pollutant or Parameter Grab Sample Taken Grab Sample Taken (new sourcelnew
During First Flow-Weighted ed During First Flow-Weighted Events Sampled dischargers only;use
30 Minutes Composite 30 Minutes Composite codes in instructions)
1. Oil and grease N/A NOT REQUIRED
2. Biochemical oxygen demand(BOD5) <2,000 ug/L 5 HISTORICAL DATA
3. Chemical oxygen demand(COD) <25,000 ug/L 5 HISTORICAL DATA
4, Total suspended solids(TSS) N/A NOT REQUIRED
5. Total phosphorus 10.6 ug/L 5 HISTORICAL DATA
6. Total Kjeldahl nitrogen(TKN) <50 ug/L 5
7. Total nitrogen(as N) 3,372 ug/L 5 HISTORICAL DATA
pH(minimum) 6.1 S.U. 5 HISTORICAL DATA
8.
pH(maximum) 7.1 s.u. S HISTORICAL DATA
3 Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or O. See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-21'(Revised 3-19) Page 7

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EPA Identification Number NPDES Permit Number Facility Name Gutfall Number Form Approved 031D5/19
110004037612 NC5000132 C.M.TUCKER LUMBER OF NC,LLC 5DO 001 OMB No.2040-0004
TABLE B.CERTAIN CONVENTIONAL AND NON CONVENTIONAL POLLUTANTS(40 CFR 122.26(c)(1)(i)(E)(4)and 40 CFR 122.211(g)(7)(vi)(A))'
List each pollutant that is limited in an effluent limitation guideline(ELG)that the facility is subject to or any pollutant listed in the facility's NPDES permit for its process wastewater(if the
facility is operating under an existing NPDES permit).Complete one table for each outfall.See the instructions for additional details and requirements.
Maximum Daily Discharge Average Daily Discharge Source of
s eci units s eci units) Number of Storm Information
Pollutant and CAS Number(if available) Grab Sample Taken Grab Sample Taken (new source/new
During First Flow-Weighted ed During First Flow-Weighted Events Sampled dischargers only;use
30 Minutes Composite 30 Minutes Composite codes in instructions)
Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2F(Revised 3-19) Page 9

This page intentionally left blank.

EPA Identifcation Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05119
110004037612 NCS000132 C.M.TUCKER LUMBER OF NC,LLC SDO 001 OMB No.2040-0004
TABLE C.TOXIC POLLUTANTS,CERTAIN HAZARDOUS SUBSTANCES,AND ASBESTOS(40 CFR 122.26(c)(1)(i)(E)(4)and 40 CFR 122.21(g)(7)(vi)(B)and(vii))'
List each pollutant shown in Exhibits 2F-2,2F-3,and 2F4 that you know or have reason to believe is present.Complete one table for each outfall.See the instructions for additional
details and requirements.
Maximum Daily Discharge Average Daily Discharge Source of
s ea units s eci units Number of Storm Information
Pollutant and CAS Number(if available) Grab Sample Taken Grab Sample Taken (new source/new
During First Flow-Weighted ed During First Flow-Weighted site Events Sampled dischargers only;use
30 Minutes Composite 30 Minutes Composite codes in instructions)
Total Copper N/A NIA. 60 ug/L N/A 5 HISTORICAL DATA
Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2F(Revised 3-19) Page 11

This page intentionally left blank.

EPA Identification Number NPDES Permit Number Facility name Outfall Number Form Approved 03105/19
110004037512 NCS000132 C.M.TUCKER LUMBER OF NC,LLC SDO 001 OMB No.2040.0004
TABLE D.STORM EVENT INFORMATION1
Provide data for the storm event(s)that resulted in the maximum daily discharges for the flow-weighted composite sample.
Number of Hours Between
Total Rainfall During Maximum Flaw Rate
Date of Storm Event
Duration of Storm Event Storm Event Beginning of Storm Measured and During Rain Event Total Flow from Rain Event
(in hours) tin inches) End of Previous Measurable Rain (in gpm or specify units) (in gallons or specify units)
Event
Provide a description of the method of flaw measurement or estimate.
EPA Form 3510-2F(Revised 3-19) Page 13