NC0001058_Fact Sheet_20200108

FACT SHEET FOR EXPEDITED PERMIT RENEWALS
This form must be completed by Permit Writers for all expedited permits which do not require full Fact
Sheets. Expedited permits are generally simple 100% domestics (e.g., schools, mobile home parks, etc)
that can be administratively renewed with minor changes, but can include facilities with more complex
issues (Special Conditions, 303(d) listed water, toxicity testing, instream monitoring, compliance
concerns).
Basic Information for Expedited Permit Renewals
Permit Writer/Date
Emily DelDuco 7/16/2019
Permit Number
NC0001058
Facility Name
Patheon Manufacturing Services
Permit Type
Industrial Process & Commercial WW
Basin Name/Sub-basin number
03-03-05
Receiving Stream
Parker Creek
Stream Classification in Permit
C-NSW
Does permit need Daily Max NH3 limits?
N/A
Does permit need TRC limits/language?
No — already present
Does permit have toxicity testing?
No
Does permit have Special Conditions?
Biocide condition
Does permit have instream monitoring?
No
Is the stream impaired (on 303(d) list)?
For what parameter?
Not impaired on 2018 list
Any permit modifications since last permit?
Facility upgraded cooling tower system,
installed 2 new towers.
New expiration date
10/31/2024
Comments on Draft Permit
➢ Updated eDMR requirements
➢ Added regulatory citations
➢ Added HUC and stream index # to
outfall description on supplement to
cover page.
This discharge is classified as industrial process & commercial wastewater discharge, but is not
subject to pharmaceutical industry limits and monitoring requirements, per 40 CFR § 439.1 (m)
This facility may qualify for coverage under the general permit NCG50000, but may not have
been issued a CoC under it due to use of chemical additives/biocides. The fact sheet for the
general permit advises: "Discharges will not typically include any type of chemical additive;
however, some discharges incorporate chemical additives such as biocides or corrosion inhibitors.
Such discharges contain materials that (if accumulated and not discharged) would constitute a
pollutant in high concentrations. All chemical additives must be reviewed and approved by the
Division before usage can begin." Ethelyne glycol monitoring was included in original permit,
which may be why NCG50 wasn't considered. Ethelyne glycol monitoring was removed in 2012.
The facility was approved for use of Spectrus OX 109 as a biocide in 2006, but it is unclear
whether this would prevent it from being covered under NCG50.
Compliance History
No enforcements on record. Last violation was in 2009.
Changes to renewed permit
Added regulatory citations
Added HUC and stream index number to supplement to cover page
Updated eDMR requirements

eDMR summary for Outfalls 001 and 002 from July 2015-Jules
Outfall 001
10 - Temperature, Water Deg. Centigrade
00 - pH
50 - Flow, in conduit or thru treatment plant
60 - Chlorine, Total Residual
Outfall 002
10 - Temperature, Water Deg. Centigrade
00 - pH
50 - Flow, in conduit or thru treatment plant
60 - Chlorine, Total Residual
23.77 17.50 27.70 42
7.37 6.10 8.90 42
0.02 0.00 0.07 42
15.53 1.00 46.00 43
23.52 19.50 27.90 46
7.71 6.70 8.80 46
0.01 0.00 0.0146
15.72 0.00 46.00 46

From:
Vinson, Scott
To:
DelDuco, Emilv
Cc:
Bullock, Robert
Subject:
RE: Pantheon, NC0001058, Staff Report
Date:
Friday, September 20, 2019 4:57:26 PM
Attachments:
image003.pnng
imaae001.pnno
Emily,
We haven't heard anything, so we think they've had plenty of time to get back to us and if you want
to go ahead and issue their renewal that's absolutely fine with us. If they ever do want to go to the
general permit, they can contact us back and submit an application at that time. Robbie & I don't
think we need to keep waiting, we've contacted them once since that initial contact and still have
not heard back whether or not they actually want to go under the general permit.
Let's just issue the renewal to move forward. Thanks and have a good weekend.
Robbie & Scott
Scott Vinson
Environmental Engineer
Division of Water Resources, WQROS
Department of Environmental Quality
252 946 6481 office
252 948 3844 direct
Scott.Vinson&ncdenr.gov
943 Washington Square Mall
Washington, NC 27889
DEQ:>
� nr E.n.omyner ¢�.riy
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties
From: DelDuco, Emily <[e-mail]>
Sent: Friday, September 20, 2019 1:40 PM
To: Vinson, Scott <[e-mail]>
Cc: Bullock, Robert <[e-mail]>
Subject: RE: Pantheon, NC0001058, Staff Report
Hi Scott,
Have you heard any updates from the permittees regarding this issue yet?
From: DelDuco, Emily
Sent: Thursday, August 15, 2019 10:17 AM
To: Vinson, Scott <scott.vinson(@ncdenr.gov>

Cc: Bullock, Robert <robert.e.bullock(@ncdenr.gov>
Subject: Re: Pantheon, NC0001058, Staff Report
Scott,
Thanks for getting in touch with them. I can definitely hold off on sending this permit to
public notice while they consider. They won't need to submit an application, but someone
with permit signature authority will need to notify me in writing that they are requesting to
switch over.
-Emily
Get Outlook for Android
From: Vinson, Scott <scott.vinsonCcDncdenr.gov>
Sent: Wednesday, August 14, 2019 4:19:46 PM
To: DelDuco, Emily <Emily.DelDuco(@ncdenr.gov>
Cc: Bullock, Robert <robert.e.bullock( ncdenr.gov>
Subject: RE: Pantheon, NC0001058, Staff Report
Emily,
We don't see why they couldn't go to the General Permit is they want. We have contacted
Pantheon and sent them a copy of the General Permit to review. They are considering it and will get
back to us asap.
If we can hold off issuing their renewal for a short period it may play out to issue them coverage
under the General. I don't think they will need to submit an application for the General will they?
Thanks,
Scott
Scott Vinson
Environmental Engineer
Division of Water Resources, WQROS
Department of Environmental Quality
252 946 6481 office
252 948 3844 direct
Scott.Vinson(g ncdenr.gov
943 Washington Square Mall
Washington, NC 27889
z:5:�D 1E
.. '. .� :.m Q
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties

From: DelDuco, Emily <Emily.Del Duco(@ncdenr.gov>
Sent: Wednesday, August 7, 2019 4:04 PM
To: Vinson, Scott <scott.vinson(@ncdenr.gov>
Subject: RE: Pantheon, NC0001058, Staff Report
Hey Scott,
I'm wondering if you know of any reason this permit wouldn't qualify for the NCG50?
Reviewing the permit history, it may not have been issued a CoC under it due to use of chemical
additives/biocides. The fact sheet for the general permit advises:
"Discharges will not typically include any type of chemical additive; however, some discharges
incorporate chemical additives such as biocides or corrosion inhibitors. Such discharges contain
materials that (if accumulated and not discharged) would constitute a pollutant in high
concentrations. All chemical additives must be reviewed and approved by the Division before usage
can begin."
Ethelyne glycol monitoring was included in original permit, which may be why NCG50 wasn't
considered. Ethelyne glycol monitoring was removed in 2012. The facility was approved for use of
Spectrus OX 109 as a biocide in 2006, but it is unclear whether this would prevent it from being
covered under NCG50.
Any insight or opinion on this?
From: Vinson, Scott
Sent: Tuesday, July 16, 2019 3:42 PM
To: DelDuco, Emily <Emily.Del Duco(cDncdenr.gov>
Subject: Pantheon, NC0001058, Staff Report
Emily,
Please find attached a copy of the regional staff report for Pantheon, permit no. NC0001058.
We have no issues or problems with renewing this permit.
If you have any questions please call or write.
Sincerely,
Scott Vinson
Environmental Engineer
Division of Water Resources, WQROS
Department of Environmental Quality
252 946 6481 office
252 948 3844 direct
Scott.Vinsonna ncdenr.gov
943 Washington Square Mall
Washington, NC 27889

D.E
rl� NA
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties

State of North Carolina
Division of Water Resources
Water Quality Regional Operations Section
Environmental Staff Report
Quality
To: ® NPDES Unit ❑ Non -Discharge Unit Application No.: NC0001058
Attn: Emily DelDuco Facility name: Patheon Manufacturing Services
From: Scott Vinson
Washington Regional Office
Note: This form has been adapted from the non -discharge fg acili , staff report to document the review of both non -
discharge and NPDES permit applications and/or renewals. Please complete all sections as they are applicable.
I. GENERAL AND SITE VISIT INFORMATION
1. Was a site visit conducted? ❑ Yes or ® No
a. Date of site visit:
b. Site visit conducted by:
c. Inspection report attached? ❑ Yes or ® No
d. Person contacted: Kent Cutler and their contact information: (252) 707 - 7341 ext.
e. Driving directions: The facility is located at 5900 Martin Luther King, Jr. Hijzhwgy, Greenville, in Pitt Co",
North Carolina.
2. Discharge Point(s): Outfall 001 Latitude: 35.65564 Longitude:-77.35655
Outfall 002 Latitude: 35.65837 Longitude:-77.36294
3. Receiving stream or affected surface waters: Parker Creek
Classification: C; NSW, Index: 28-95
River Basin and Subbasin No.: Tar -Pamlico River Basin / 03-03-05
Describe receiving stream features and pertinent downstream uses: The receiving stream is flanked by
commercial development, farmland, wetlands and minimal residential for approximately 4.5 miles
downstream from discharge point prior to entering the Tar River
II. PROPOSED FACILITIES: NEW APPLICATIONS n/a
III. EXISTING FACILITIES: MODIFICATION AND RENEWAL APPLICATIONS
1. Are there appropriately certified Operators in Charge (ORCs) for the facility? ® Yes ❑ No ❑ N/A
ORC: Kent Cutler Certificate #: 1001047 Backup ORC: Toby Woolard Certificate #:986422
2. Are the design, maintenance and operation of the treatment facilities adequate for the type of waste and disposal
system? ® Yes or ❑ No
If no, please explain:
Description of existing facilities: None other than the dechlorination used for chlorine added to the cooling tower
water.
Proposed flow: n/a
Current permitted flow: n/a
FORM: WQROSSR 04-14 Pagel of 3

Explain anything observed during the site visit that needs to be addressed by the permit, or that may be important
for the permit writer to know (i.e., equipment condition, function, maintenance, a change in facility ownership,
etc.)
3. Are the site conditions (e.g., soils, topography, depth to water table, etc) maintained appropriately and adequately
assimilating the waste? ® Yes or ❑ No
If no, please explain:
4. Has the site changed in any way that may affect the permit (e.g., drainage added, new wells inside the compliance
boundary, new development, etc.)? ❑ Yes or ® No
If yes, please explain:
5. Is the residuals management plan adequate? ❑ Yes or ❑ No ® N/A
If no, please explain:
6. Are the existing application rates (e.g., hydraulic, nutrient) still acceptable? ❑ Yes or ❑ No ® N/A
If no, please explain:
7. Is the existing groundwater monitoring program adequate? ❑ Yes ❑ No ® N/A
If no, explain and recommend any changes to the groundwater monitoring program:
8. Are there any setback conflicts for existing treatment, storage and disposal sites? ❑ Yes or ® No
If yes, attach a map showing conflict areas.
9. Is the description of the facilities as written in the existing permit correct? ® Yes or ❑ No
If no, please explain:
10. Were monitoring wells properly constructed and located? ❑ Yes ❑ No ® N/A
If no, please explain:
11. Are the monitoring well coordinates correct in BIMS? ❑ Yes ❑ No ® N/A
If no, please complete the following (expand table if necessary):
12. Has a review of all self -monitoring data been conducted (e.g., DMR, NDMR, NDAR, GW)? ® Yes or ❑ No
Please summarize any findings resulting from this review: No major problems found with the self -monitoring
data submitted by Patheon.
Provide input to help the permit writer evaluate any requests for reduced monitoring, if applicable.
13. Are there any permit changes needed in order to address ongoing BIMS violations? ❑ Yes or ® No
If yes, please explain:
14. Check all that apply:
® No compliance issues ❑ Current enforcement action(s) ❑ Currently under JOC
❑ Notice(s) of violation ❑ Currently under SOC ❑ Currently under moratorium
Please explain and attach any documents that may help clarify answer/comments (i.e., NOV, NOD, etc.)
If the facility has had compliance problems during the permit cycle, please explain the status. Has the RO been
working with the Permittee? Is a solution underway or in place?
Have all compliance dates/conditions in the existing permit been satisfied? ® Yes ❑ No ❑ N/A
If no, please explain:
15. Are there any issues related to compliance/enforcement that should be resolved before issuing this permit?
❑ Yes ®No❑N/A
If yes, please explain:
16. Possible toxic impacts to surface waters: None that WaRO is aware.
17. Pretreatment Program (POTWs only): n/a
FORM: WQROSSR 04-14 Page 2 of 3

IV. REGIONAL OFFICE RECOMMENDATIONS
1. Do you foresee any problems with issuance/renewal of this permit? ❑ Yes or ® No
If yes, please explain:
2. List any items that you would like the NPDES Unit or Non -Discharge Unit Central Office to obtain through an
additional information request:
Item Reason
None.
3. List specific permit conditions recommended to be removed from the permit when issued:
Condition Reason
None
4. List specific special conditions or compliance schedules recommended to be included in the permit when issued:
Condition Reason
None
5. Recommendation: ❑ Hold, pending receipt and review of additional information by regional office
® Hold, pending review of draft permit by regional office
❑ Issue upon receipt of needed additional information
❑ Issue
❑ Deny (Please state reasons: )
6. Signature of report preparer:
Signature of regional supervisor:
Date: 7/9/2019
Plow T441.4441l
V. ADDITIONAL REGIONAL STAFF REVIEW ITEMS
Patheon Manufacturing Services, LLC, previously known as DSM Pharmaceuticals, Inc., is operating within it's
permit conditions and limits. Patheon has requested the renewal of Permit No. NC0001058 and the Washin on
Regional Office recommends renewing the permit.
FORM: WQROSSR 04-14 Page 3 of 3

VO4
�
Media of Eastern North Carolina
The Daily Reflector - The Daily Advance - The Rocky Mount Telegram
Bertie Ledger- Chowan Herald - Duplin Times - Farmville Enterprise - Perquimans Weekly
Standard Laconic -Tarboro Weekly - Times Leader- Wlliamston Enterprise
PO Box 1967. Greenville NC 27835
[phone]
NCDEQ - DIVISION OF WATER RESOURCES
ATTN: WREN THEDFORD
1617 MAIL SERVICE CENTER
RALEIGH NC 27699
Account: 133315
NORTH CAROLINA
Pitt County
Ticket: 314664
PAD VIA
❑Cash ❑Credit Card
❑Check #_
Date Paid
Copy Line: public notice
Lines: 37
Total Price: $82.70
PUBLISHER'S AFFIDAVIT
Ibj.Q \ affirms that he/she is clerk of Daily
Reflecto , a newspaper published dail at Greenville, North Carolina, and that the
advertisement, a true copy of which is hereto attached, entitled public notice was
published in said Daily Reflector on the following dates:
Thursday, October 3, 2019
and that the said newspaper in which such notice, paper, document or legal
advertisement was published, was at the time of each and every publication, a
newspaper meeting all of the requirements and qualifications of Chapter 1, Sec-
tion 597 of the General Statutes of North Carolina and was a qualified newspaper
within the meaning of Chapter 1, Section 597 of the General Statutes of North
C roli a.
A ed and subscribed before me this 3rd day of October 2019
lei J 1� `blx0� /
(Notary Public
'oill,N11 yx,._
Ara1A t iia. 9�ial p� y J�GbMwWI
(Notary Public Printed Name) �y.•yG Mac;.
My commission expires Al1GUST21
2ON
Public Notice
North Carolina Environmental
Management Commission/NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Notice of Intent to Issue a NPDES
Wastewater Permit
The North Carolina Environmental
Management Commission proposes to
issue a NPDES wastewater discharge
permit to the persons) listed below.
Written comments regarding the pro-
posed permit will be accepted until 30
days after the publish date of this no-
tice. The Director of the NC Division
of Water Resources (DWR) may hold a
public hearing should there be a signif.
icant degree of public interest. Please
mail comments and/or information re.
quests to DWR at the above address. in.
terested persons may visit the DWR at
512 N. Salisbury Street, Raleigh, NC to
review information on file. Additional
information on NPDES permits and this
notice may be found on our website:
ces ,or by calling (919) 707-
306058: Patheon Manufac-
n es requested renewal of
its Pitt County manufactur-
Facility discharges to Park-
n the Tar -Pamlico River Ba-
tly no parameters are water

Thermo Fisher
S C I E N T I F I C
May 3, 2019
NCDEQ
Division of Water Quality / NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Thermo Fisher Scientific
5900 Martin Luther King Jr. Highway
Greenville, NC 27834
[phone]
www.thermofisher.com
1W9WD/NCDM/DWQ
MAY 0 9 20i9
Water Quality
Permitting Section
Subject: Renewal Application for Patheon Manufacturing Services LLC
Patheon Manufacturing Services, LLC is submitting a renewal request for their NPDES
permit NC0001058. This permit is for the non -contact cooling water blowdown at the
Patheon site. Please find the attached original and two copies required for renewal,
along with supporting documentation.
If you need any additional information please contact me at (252-714-3969) or via email
at [e-mail]
Sincerely,
ACU&W &Y%-__�
Natalie Brown
Senior EHS Specialist
Pharma Services
Patheon, part of Thermo Fisher Scientific

NPDES PERMIT APPLICATION - SHORT FORM C - Minor Industrial
Minor industrial, manufacturing and commercial facilities.
Mail the complete application to:
N. C. Department of Environment and Natural Resources
Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit Number INC001058
Please print or type.
1. Contact Information:
Owner Name
Facility Name
Mailing Address
City
State / Zip Code
Telephone Number
Fax Number
e-mail Address
Patheon Manufacturing Services LLC
Patheon Manufacturing Services LLC
P.O. Box 1887
Greenville
N.C. 27835
252-714-3969
N/A
[e-mail]
2. Location of facility producing discharge:
Check here if same as above ❑
Street Address or State Road 5900 Martin Luther King Jr Highway
City Greenville
State / Zip Code N.C. 27835
County Pitt
3. Operator Information:
Name of the firm, consultant or other entity that operates the facility. (Note that this is not referring to the
Operator in Responsible Charge or ORC)
Name Natalie Brown
Mailing Address P.O. Box 1887
City Greenville
State / Zip Code N.C. 27835
Telephone Number 252-714-3969
Fax Number N/A
4. Ownership Status:
Federal ❑ State ❑ Private ® Public ❑
Page 1 of 5 C-MI 10/08

NPDES PERMIT APPLICATION - SHORT FORM C - Minor Industrial
Minor industrial, manufacturing and commercial facilities.
S. Standard Industrial Classification (SIC) code(s): 2833 / 2834
6. Number of employees:+/- 1500
7. Describe the treatment system List all installed waste treatment components with capacities,
describe the processes that generate wastewaters. If the space provided is not sufficient attach a
separate sheet of paper with the system description.
Cooling tower - non -contact cooling water. System is equipped with dechlorination units
at each blowdown location.
8. Is facility covered under federal effluent limitation guidelines? No ❑ Yes
If yes, specify the category? 439
9. Principal product(s) produced: Pharmaceuticals (oral solids / sterile products)
Principal raw material(s) consumed: Active pharmacuetical ingredients and excipients.
Briefly describe the manufacturing process(es):
Raw materials consumed via batch process to manufacture a variety of pharmaceutical products (oral
solids and sterile products) for customers.
Page 2 of 5 C-MI 10/08

NPDES PERMIT APPLICATION - SHORT FORM C - Minor Industrial
Minor industrial, manufacturing and commercial facilities.
10. Amount of principal product produced or raw material consumed
(List specific amounts consumed and/or units of production over the last three years)
Product Produced or Raw Material
Product Produced or Raw Material
Consumed
Consumed
AVERAGE
PEAK
per Day
per Month
2,999 tons
2,999 tons
per Year
11. Frequency of discharge: Continuous ❑
If intermittent:
Days per week discharge occurs: 7
Intermittent
Duration: 24
12. Types of wastewater discharged to surface waters only
Discharge
Flow
GALLONS PER DAY
Sanitary - monthly average
Utility water, etc. - monthly average
Process water - monthly average
Stormwater - monthly average
Other - monthly average
Explain: non-conact cooling tower
Outfall 001: 14,818.41 gpd
blowdown (see attached)
Outfall 002: 4,207.6 gpd
Monthly Average
Outfall 001: 14,818.41 gpd
total discharge (all types)
Outfall 002: 4,207.6 gpd
13. Number of separate discharge points: 2 Outfall Identification number(s) 001 & 002
14. Name of receiving stream(s) (Provide a map shoufing the exact location of each outfall, including
latitude and longitudes
Parker Creek
Page 3 of 5 C-MI 10/08

NPDES PERMIT APPLICATION - SHORT FORM C - Minor Industrial
Minor industrial, manufacturing and commercial facilities.
15. Effluent Data [for new or proposed discharges]
Provide data for the parameters listed. Temperature and pH shall be grab samples, for all other parameters 24-hour
composite sampling shall be used. If more than one analysis is reported, report daily maximum and monthly average.
If only one analysis is reported, report as daily maximum.
NOTE: Permittees requesting renewal should complete the table ONLY for the parameters
currently monitored. Summarize the ast 3 years of e uent data.
Daily
Monthly
Units of
Parameter
Maximum
Average
Measurement
Biochemical Oxygen Demand (BOD5)
Chemical Oxygen Demand (COD)
Total Organic Carbon
Total Suspended Solids
Ammonia as N
001: 24.6
001: 24.5
Degrees C
Temperature (Summer)
002: 27.0
002: 27.8
001: 22.5
001: 22.9
Degrees C
Temperature (Winter)
002: 25.1
002: 26.9
001: 7.3
001: 7.7
pH
pH
002: 8.0
002: 8.8
Fecal Coliform (If sanitary waste is
present)
Total Residual Chlorine ( if chlorine is
001: 46.0
001: 46.0
ppb
used)
002: 16.0
002: 16.0
16. List all permits, construction approvals and/or applications (check all that apply and provide permit
numbers or check none if not applicabler
Type Permit Number Type Permit Number
Hazardous Waste (RCRA)
UIC (SDWA)
NPDES
PSD (CAA)
Non -attainment program (CAA)
NCD047375766 NESHAPS (CAA)
NCO01058
Ocean Dumping (MPRSA)
Dredge or fill (Section 404 or CWA)
Other: Air Quality: Title V
05754T97
17. List any chemicals that may be discharged (Please list and explain source and potential
amounts.)
Sulfuric Acid 93% *see attached
Spectrus OX109 *see attached
Gengard 8300 *see attached
Spectrus DT1404 *see attached
Page 4 of 5 C-MI 10/08

NPDES PERMIT APPLICATION - SHORT FORM C - Minor Industrial
Minor industrial, manufacturing and commercial facilities.
Spectrus BD1500 *see attached
Gengard 8214 *see attached
Page 5 of 5 C-MI 10/08

NPDES PERMIT APPLICATION - SHORT FORM C - Minor Industrial
Minor industrial, manufacturing and commercial facilities.
18. Is this facility located on Indian country? (check one)
Yes ❑ No
19. Applicant Certification
I certify that I am familiar with the information contained in the application and that to the
best of my knowledge and belief such information is true, complete, and accurate.
Natalie Brown
Printed name of Person Signing
Signature of Applicant
Sr. EHS Specialist
Title
C� MAW ON
Date
North Carolina General Statute 143-215.6 (b)(2) provides that: Any person who knowingly makes any false
statement representation, or certification in any application, record, report, plan, or other document files or
required to be maintained under Article 21 or regulations of the Environmental Management Commission
implementing that Article, or who falsifies, tampers with, or knowingly renders inaccurate any recording or
monitoring device or method required to be operated or maintained under Article 21 or regulations of the
Environmental Management Commission implementing that Article, shall be guilty of a misdemeanor punishable
by a fine not to exceed $25,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section
1001 provides a punishment by a fine of not more than $25,000 or imprisonment not more than 5 years, or both,
for a similar offense.)
Page 6 of 5 C-MI 10/08

rs.a •� r
to
Bufaf»a 8 Ch
am-
123
\ O
Yd
1 , •r S1�
V
1 2 1
_ Y
Pat_k
—• .ra 1rp* n a .. L 8 posaa�i We ast( —
_ f < , OUTFALL
002
OUTFALL`
001
_-r
.._
�o Y, A •: Gam
To
At
tR
r
4
..
-'GREEN LI.E �,, ,.......;°.�— r' � "'�. �;� r�„"�-'a.�.»�..� .3� �, •. _ .
Patheon Manufacturing Services LLC
FACILITY
County Pitt Stream Claw C•NSW
LOCATION X
Rccelvfna Stream: Parker Cmck S 0adn: 03-03-05
(not to scale)
Laillude (0011; 35` 39' 30" USGS Ouad: Grcrnville NE
Loneitada (001):. 77' 21' 29"
LOW& (002): 35' 39' 20"
l.onallude (002): 77` 21' 24"
1 .Nadh
NPDES Permit NC0001058

Blowdown Rates
P001
P002
Ma -16
662000
157840
Jun-16
672000
175246
Jut-16
844287
214526
Au -16
801945
253286
Se -16
352768
140975
Oct-16
306000
98080
Nov-16
202115
37355
Dec-16
498885
14495
Jan-17
364000
108
Feb-17
647000
0
Mar-17
585000
35470
A r-17
565000
162572
Ma -17
617000
186561
Jun-17
479000
216809
Jul-17
595641
193970
Au -17
531359
12056
Se -17
492000
126695
Oct-17
318273
125823
Nov-17
144178
84568
Dec-17
113549
65378
Jan-18
87000
106793
Feb-18
195000
81586
Mar-18
94865
63556
A r-18
145500
84582

c
c
N Q
O F
O
01
a
'a c
E
F
c
LL
c
c
LL
O r
n0ran0
--
OMr
O)NM
COI-
Q
W.
.-
N
cD
OMO.-
n
1
.-n
g000coo6wwwI-w
wr=cor
rr-r
r r-
r�nr;r�mr-o5rlr-co
(D1-0
N r
r
0 tD
r r
Kf N
r r
M M
O
w
N
N N
O r
Q
COcoQ
M
coM
M
O
N
O N
r r
cO Q
N
M tO
.—
a0
M
onnMoo�
'Q
td cDPMNOIV
�rn
QmQ,mMQNrco
Nc0
MQNNN00
n
nmrnrnT
QQmNrLQ
rnv�
N
N
N N
N N
N
N
N
N N
N N
N
N C,
N
QC,,
N
N
N N
V'NMNOOi
N
N
N r
cV
N
Q
N N
c0 c0
0 0
CO
0 O
-' c0
0 0
'r O
0 O
O
O
O
O
M
cO
W O)
O O
Q
O O
N( 1
O
N N
1n
VM)
Q Q
O O
M O
O O
r M
O
c0 M
O O
cn
O
M M
O
O O
O
O O
O 0
0
0
O 0
O O
O 0
O O
0
O
0 0
0
0
0 co:,
0 0
0 0
0 0
0 0
0 0
0
0 0
0
C C
C O
0 0
0 0
0
0
0 0
o o
o 0
0 0
0 0
O
O O
O O
O O
O 0010101
o 0
r-: o
r` w
O N
cO co O C
N
M O O O) cn t4
N N N N N N
M O n
o 0 0
o O O O
¢ r2 am Q z
_T T T
>> m omp> CE c0-
c c c E E
>°o0m0cmaW 4)mmo(DmEE
2- ay0z0--)LL co0z0aana(nOzOLL ca06ca U)d
in
T T T T T a
O�Ort0
a0OItQ
NQ
o00)C)
0nm
QnNMQMCOQMr
MNn
ad
C666n
OM
r•n
c�rnnIh
OOOOOLD
t0
(O cO
c0 cD
cD c0
elf
r
0 Q
cod co
aD
O)
N
O
O) O
Q
r 0
r-
0 0
M
N
M cD
N Q
N
M .—
01
c0 (I
Cq n
r O
n
cM
;
r
O)
Q ih
cO 0
O M
n
M n
u) oD
cO n
N M
cD n
cO
w
N
w Q
N N
V) N
N
N N
N N
O)
N
cn
N
O
N
Q
N N
Q r-
N r
O N
N N
ch
N
o r
N N
c0 M
N N
Q Q
N N
Q O
N N
O O
N N
N Q
N
00
00 7
N iD
O
0 t0
N
(O
O
O
c!
n
0
In W
W 0Q
CO
M
c0 V'
V M
.— M_
n Q
(O m
Q Q_
N
0
V V'
0 0
M
0
O
0 0
00
1
c O
0
O
O
O O
O O
OONCD
00000000
O
O O
0 0
CD, O
0O
O
C000p0
0
0
0
0
ICD
00
0 0
0 0
0
000
0
0 0
0 0
0 0
0 0
'.. O
o
O O
Y7 O
r-� co
n rr Un 7 cn 0
.'.�V N N N N N
coo N N
O O O
n O O O
¢ ¢ Q
T T T T T T
rc�n�mipeommn_�nnnnnrr^'nnooaoaoaoeow�oomooc�aomrnmrn��M � � `yam �
may>QCd race may>uca �c may>uca� 000coc_oEoE
m>>>arcrodm0,room3>>d�owmm�QW>>�m�OmRm`tla���'�� �E�E
-��¢u>OzDnLL mOzinIu -,tnOZo-3uL ¢ S >
as oC od o8 os In oa cn
T T a T T T
0 0 0 0 0 0

&AD suet
SAFETY DATA SHEET
GENGARD* GN8214
1. Identification
Product identifier
GENGARD GN8214
Other means of identification
None.
Recommended use
Corrosion inhibitor
Recommended restrictions
None known.
Company/undertaking identification
SUEZ WTS USA, Inc.
4636 Somerton Road
Trevose, PA 19053
T 215 355 3300, F 215 953 5524
Emergency telephone
[phone]
2. Hazard(s) identification
Version: 2.1
Effective Date: Dec-20-2017
Previous Date: Jan-26-2016
Physical hazards Corrosive to metals Category 1
Health hazards Skin corrosion/irritation Category 1
Serious eye damage/eye irritation Category 1
Specific target organ toxicity, single exposure Category 3 respiratory tract irritation
OSHA defined hazards Not classified.
Label elements
1
Signal word Danger
Hazard statement May be corrosive to metals. Causes severe skin burns and eye damage. Causes serious eye
damage. May cause respiratory irritation.
Precautionary statement
Prevention Keep only in original container. Do not breathe mist or vapor. Wash thoroughly after handling.
Use only outdoors or in a well -ventilated area. Wear protective gloves/protective clothing/eye
protection/face protection.
Response If swallowed: Rinse mouth. Do NOT induce vomiting. If on skin (or hair): Take off immediately all
contaminated clothing. Rinse skin with water/shower. If inhaled: Remove person to fresh air and
keep comfortable for breathing. 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/. Wash contaminated clothing before reuse. Absorb spillage to prevent material
damage.
Storage Store in a well -ventilated place. Keep container tightly closed. Store locked up. Store in corrosive
resistant container with a resistant inner liner.
Disposal Dispose of contents/container in accordance with local/regional/national/international regulations.
Hazard(s) not otherwise None known.
classified (HNOC)
Page: 1 / 8

Supplemental information None.
3. Composition/information on ingredients
Mixtures
Components
CAS # Percent
Chlorotolyltriazole sodium salt
202420-04-0 1 - 2.5
Sodium hydroxide
1310-73-2 1 - 2.5
Composition comments
Information for specific product ingredients as required by the U.S. OSHA HAZARD
COMMUNICATION STANDARD is listed. Refer to additional sections of this SDS for our
assessment of the potential hazards of this formulation.
4. First -aid measures
Inhalation
Remove victim to fresh air and keep at rest in a position comfortable for breathing. Call a POISON
CENTER or doctor/physician if you feel unwell.
Skin contact
Take off immediately all contaminated clothing. Rinse skin with water/shower. Call a physician or
poison control center immediately. Chemical burns must be treated by a physician. Wash
contaminated clothing before reuse.
Eye contact
Immediately flush eyes with plenty of water for at least 15 minutes. Remove contact lenses, if
present and easy to do. Continue rinsing. Call a physician or poison control center immediately.
Ingestion
Call a physician or poison control center immediately. Rinse mouth. Do not induce vomiting. If
vomiting occurs, keep head low so that stomach content doesn't get into the lungs.
Most important
Burning pain and severe corrosive skin damage. Causes serious eye damage. Symptoms may
symptoms/effects, acute and
include stinging, tearing, redness, swelling, and blurred vision. Permanent eye damage including
delayed
blindness could result. May cause respiratory irritation.
Indication of immediate Provide general supportive measures and treat symptomatically. Chemical burns: Flush with water
medical attention and special immediately. While flushing, remove clothes which do not adhere to affected area. Call an
treatment needed ambulance. Continue flushing during transport to hospital. Keep victim under observation.
Symptoms may be delayed.
General information If you feel unwell, seek medical advice (show the label where possible). Ensure that medical
personnel are aware of the material(s) involved, and take precautions to protect themselves.
5. Fire -fighting measures
Suitable extinguishing media Water fog. Foam. Dry chemical powder. Carbon dioxide (CO2)
Unsuitable extinguishing
Do not use water jet as an extinguisher, as this will spread the fire.
media
Specific hazards arising from
During fire, gases hazardous to health may be formed.
the chemical
Special protective equipment
Self-contained breathing apparatus and full protective clothing must be worn in case of fire.
and precautions for firefighters
Fire fighting
Move containers from fire area if you can do so without risk.
equipment/instructions
Specific methods
Use standard firefighting procedures and consider the hazards of other involved materials.
6. Accidental release measures
Personal precautions,
Keep unnecessary personnel away. Keep people away from and upwind of spill/leak. Wear
protective equipment and
appropriate protective equipment and clothing during clean-up. Do not breathe mist or vapor. Do
emergency procedures
not touch damaged containers or spilled material unless wearing appropriate protective clothing.
Ensure adequate ventilation. Local authorities should be advised if significant spillages cannot be
contained. For personal protection, see section 8 of the SDS.
Methods and materials for
Large Spills: Stop the flow of material, if this is without risk. Dike the spilled material, where this is
containment and cleaning up
possible. Cover with plastic sheet to prevent spreading. Absorb spillage to prevent material
damage. Use a non-combustible material like vermiculite, sand or earth to soak up the product and
place into a container for later disposal. Prevent entry into waterways, sewer, basements or
confined areas. Following product recovery, flush area with water.
Small Spills: Wipe up with absorbent material (e.g. cloth, fleece). Clean surface thoroughly to
remove residual contamination.
Never return spills to original containers for re -use. For waste disposal, see section 13 of the SDS.
Environmental precautions Avoid discharge into drains, water courses or onto the ground.
Material name: GENGARD* GN8214 Page: 2 / 8
Version number: 2.1

7. Handling and storage
Precautions for safe handling
Do not breathe mist or vapor. Do not get in eyes, on skin, or on clothing. Avoid prolonged
exposure. Provide adequate ventilation. Take precautions to minimize foaming. Wear appropriate
personal protective equipment. Observe good industrial hygiene practices. Use care in
handling/storage.
Conditions for safe storage,
Store locked up. Do not store in aluminum containers. Store in a cool, dry place out of direct
including any incompatibilities
sunlight. Store in corrosive resistant container with a resistant inner liner. Keep only in the original
container. Store away from incompatible materials (see Section 10 of the SDS). Store in
accordance with local/regional/national/international regulation.
8. Exposure controls/personal protection
Occupational exposure limits
US. OSHA Table Z-1 Limits for Air Contaminants (29 CFR 1910.1000)
Components
Type Value
Sodium hydroxide (CAS
PEL 2 mg/m3
1310-73-2)
US. ACGIH Threshold Limit
Values
Components
Type Value
Sodium hydroxide (CAS
Ceiling 2 mg/m3
1310-73-2)
US. NIOSH: Pocket Guide to Chemical Hazards
Components
Type Value
Sodium hydroxide (CAS
Ceiling 2 mg/m3
1310-73-2)
Biological limit values
No biological exposure limits noted for the ingredient(s).
Appropriate engineering
Good general ventilation (typically 10 air changes per hour) should be used. Ventilation rates
controls
should be matched to conditions. If applicable, use process enclosures, local exhaust ventilation,
or other engineering controls to maintain airborne levels below recommended exposure limits. If
exposure limits have not been established, maintain airborne levels to an acceptable level. Eye
wash facilities and emergency shower must be available when handling this product.
Individual protection measures,
such as personal protective equipment
Eye/face protection
Splash proof chemical goggles.
Skin protection
Hand protection
Wear appropriate chemical resistant gloves. The choice of an appropriate glove does not only
depend on its material but also on other quality features and is different from one producer to the
other. Glove selection must take into account any solvents and other hazards present.
Other
Wear appropriate chemical resistant clothing.
Respiratory protection
If engineering controls do not maintain airborne concentrations below recommended exposure
limits (where applicable) or to an acceptable level (in countries where exposure limits have not
been established), an approved respirator must be worn. A RESPIRATORY PROTECTION
PROGRAM THAT MEETS OSHA'S 29 CFR 1910.134 AND ANSI Z88.2 REQUIREMENTS MUST
BE FOLLOWED WHENEVER WORKPLACE CONDITIONS WARRANT A RESPIRATOR'S 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
Color
Amber to brown
Physical state
Liquid
Odor
Slight ammonia
Odor threshold
Not available.
pH (concentrated product)
13.3
pH in aqueous solution
12.4 (5% SOL.)
Melting point/freezing point
20 °F (-7 -C)
Initial boiling point and boiling
Not available.
range
Flash point
Not applicable.
Material name: GENGARD* GN8214
Page: 3 / 8
Version number: 2.1

Evaporation rate
< 1 (Ether = 1)
Flammability (solid, gas)
Not applicable.
Upper/lower flammability or explosive limits
Flammability limit - lower
Not available.
(%)
Flammability limit - upper
Not available.
(%)
Explosive limit - lower (°I°)
Not available.
Explosive limit - upper (%)
Not available.
Vapor pressure
18 mm Fig
Vapor pressure temp.
70 T (21 °C)
Vapor density
< 1 (Air = 1)
Relative density
1.19
Relative density temperature
70 T (21 °C)
Solubility(ies)
Solubility (water)
100 %
Partition coefficient
Not available.
(n-octanol/water)
Auto -ignition temperature
Not available.
Decomposition temperature
Not available.
Viscosity
26 cps
Viscosity temperature
70 T (21 °C)
Other information
Pour point
25 T (4 °C)
Specific gravity
1.191
VOC
0 % (Estimated)
10. Stability and reactivity
Reactivity
May be corrosive to metals.
Chemical stability
Material is stable under normal conditions.
Possibility of hazardous
Hazardous polymerization does not occur.
reactions
Conditions to avoid
None under normal conditions.
Incompatible materials
Strong acids. Strong oxidizing agents. Aluminum.
Hazardous decomposition
Oxides of carbon evolved in fire.
products
11. Toxicological information
Information on likely routes of exposure
Inhalation May cause irritation to the respiratory system. Prolonged inhalation may be harmful.
Skin contact Causes severe skin burns.
Eye contact Causes serious eye damage.
Ingestion Causes digestive tract burns.
Symptoms related to the Burning pain and severe corrosive skin damage. Causes serious eye damage. Symptoms may
physical, chemical and include stinging, tearing, redness, swelling, and blurred vision. Permanent eye damage including
toxicological characteristics blindness could result. May cause respiratory irritation.
Information on toxicological effects
Acute toxicity May cause respiratory irritation.
Material name: GENGARD" GN8214 Page: 4 / 8
Version number: 2.1

Product
Species
Test Results
GENGARD GN8214 (CAS Mixture)
Acute
Dermal
LD50
Rabbit
> 5000 mg/kg, (Calculated according to
GHS additivty rule)
Oral
LD50
Rat
> 5000 mg/kg, (Calculated according to
GHS additivity rule)
Components
Species
Test Results
Chlorotolyltriazole sodium salt (CAS 202420-04-0)
Acute
Dermal
LD50
Rat
> 5000 mg/kg
Oral
LD50
Rat
3100 mg/kg
Sodium hydroxide (CAS 1310-73-2)
Acute
Dermal
LD50
Rabbit
1350 mg/kg
Oral
LD50
Rabbit
> 500 mg/kg
* Estimates for product may be based on additional component data not shown.
Skin corrosion/irritation Causes severe skin burns and eye damage.
Serious eye damage/eye Causes serious eye damage.
irritation
Respiratory or skin sensitization
Respiratory sensitization
Not available.
Skin sensitization
This product is not expected to cause skin sensitization.
Germ cell mutagenicity
No data available to indicate product or any components present at greater than 0.1% are
mutagenic or genotoxic.
Carcinogenicity
This product is not considered to be a carcinogen by [ARC, ACGIH, NTP, or OSHA.
IARC Monographs. Overall Evaluation of Carcinogenicity
Not listed.
OSHA Specifically Regulated
Substances (29 CFR 1910.1001-1050)
Not regulated.
US. National Toxicology Program (NTP) Report on Carcinogens
Not listed.
Reproductive toxicity
This product is not expected to cause reproductive or developmental effects.
Specific target organ toxicity -
May cause respiratory irritation.
single exposure
Specific target organ toxicity -
Not classified.
repeated exposure
Aspiration hazard
Based on available data, the classification criteria are not met. May be harmful if swallowed and
enters airways.
Chronic effects
Prolonged inhalation may be harmful.
12. Ecological information
Ecotoxicity
Components Species Test Results
Chlorotolyltriazole sodium salt (CAS 202420-04-0)
Aquatic
Algae EbC50 Algae 6.84 mg/I
Material name: GENGARD* GN8214 Page: 5 / 8
Version number: 2.1

Components
Species Test Results
ErC50 Algae 18.6 mg/I
Bioaccumulative potential
Mobility in soil
No data available.
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.
Persistence and degradability
No data is available on the degradability of this product.
13. Disposal considerations
Disposal instructions
Collect and reclaim or dispose in sealed containers at licensed waste disposal site. Incinerate the
material under controlled conditions in an approved incinerator. Dispose of contents/container in
accordance with local/regional/national/international regulations.
Local disposal regulations
Dispose in accordance with all applicable regulations.
Hazardous waste code
D002: Waste Corrosive material [pH <=2 or=>12.5, or corrosive to steel]
The waste code should be assigned in discussion between the user, the producer and the waste
disposal company.
Waste from residues I unused
Dispose of in accordance with local regulations. Empty containers or liners may retain some
products
product residues. This material and its container must be disposed of in a safe manner (see:
Disposal instructions).
Contaminated packaging
Empty containers should be taken to an approved waste handling site for recycling or disposal.
Since emptied containers may retain product residue, follow label warnings even after container is
emptied.
14. Transport information
DOT
UN number UN1760
UN proper shipping name Corrosive liquids, n.o.s. (CHLOROTOLYLTRIAZOLE SODIUM SALT, Sodium hydroxide)
Transport hazard class(es)
Class 8
Subsidiary risk -
Packing group III
Special precautions for user Read safety instructions, SDS and emergency procedures before handling.
ERG number 154
Some containers may be exempt from Dangerous Goods/Hazmat Transport Regulations, please check BOL for exact container
classification.
IATA
UN number
UN1760
UN proper shipping name
Corrosive liquid, n.o.s. (CHLOROTOLYLTRIAZOLE SODIUM SALT, Sodium hydroxide)
Transport hazard class(es)
Class
8
Subsidiary risk
-
Packing group
III
Environmental hazards
No.
ERG Code
154
Special precautions for user Read safety instructions, SDS and emergency procedures before handling.
IMDG
UN number
UN1760
UN proper shipping name
CORROSIVE LIQUID, N.O.S. (CHLOROTOLYLTRIAZOLE SODIUM SALT, Sodium hydroxide)
Transport hazard class(es)
Class
8
Subsidiary risk
-
Packing group
III
Environmental hazards
Marine pollutant No.
EmS F-A, S-B
Special precautions for user Read safety instructions, SDS and emergency procedures before handling.
Material name: GENGARD' GN8214 Page: 6 / 8
Version number: 2.1

DOT
IATA; IMDG
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)
Not regulated.
CERCLA Hazardous Substance List (40 CFR 302.4)
Sodium hydroxide (CAS 1310-73-2) Listed.
SARA 304 Emergency release notification
Not regulated.
OSHA Specifically Regulated Substances (29 CFR 1910.1001-1050)
Not regulated.
Superfund Amendments and Reauthorization Act of 1986 (SARA)
Hazard categories Immediate Hazard - Yes
Delayed Hazard - No
Fire Hazard - No
Pressure Hazard - No
Reactivity Hazard - No
SARA 302 Extremely hazardous substance
Not listed.
SARA 311/312 Hazardous Yes
chemical
SARA 313 (TRI reporting)
Not regulated.
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.
Safe Drinking Water Act Not regulated.
(SDWA)
Inventory status
Country(s) or region
Canada
Canada
Inventory name
Domestic Substances List (DSL)
Non -Domestic Substances List (NDSL)
On inventory (yes/no)*
Yes
No
Material name: GENGARD* GN8214
Version number: 2.1
Page: 7 / 8

Country(s) or region Inventory name On inventory (yes/no)*
United States & Puerto Rico Toxic Substances Control Act (TSCA) Inventory Yes
*A "Yes" indicates that all components of this product comply 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).
NSF Registered and/or meets Registration No. — 152132
USDA (according to 1998 Category Code(s):
guidelines): G5 Cooling and retort water treatment products G7 Boiler, steam line treatment products —
nonfood contact
US state regulations
US - California Proposition 65 - CRT: Listed date/Carcinogenic substance
No ingredient listed.
US - California Proposition 65 - CRT: Listed date/Developmental toxin
No ingredient listed.
US - California Proposition 65 - CRT: Listed date/Female reproductive toxin
No ingredient listed.
US - California Proposition 65 - CRT: Listed date/Male reproductive toxin
No ingredient listed.
US - Massachusetts RTK - Substance List
Sodium hydroxide (CAS 1310-73-2)
US - Pennsylvania RTK - Hazardous Substances
Sodium hydroxide (CAS 1310-73-2) Listed.
US - Rhode Island RTK
Sodium hydroxide (CAS 1310-73-2)
US. New Jersey Worker and Community Right -to -Know Act
Sodium hydroxide (CAS 1310-73-2) Listed.
US. California Proposition 65
Not Listed.
16. Other information, including date of preparation or last revision
Issue date Jul-30-2015
Revision date Dec-20-2017
Version # 2.1
List of abbreviations CAS: Chemical Abstract Service Registration Number
TSRN indicates a Trade Secret Registry Number is used in place of the CAS number.
ACGIH: American Conference of Governmental Industrial Hygienists
NOEL: No Observed Effect Level
STEL: Short Term Exposure Limit
LC50: Lethal Concentration, 50%
TWA: Time Weighted Average
BOD: Biochemical Oxygen Demand
COD: Chemical Oxygen Demand
TOC: Total Organic Carbon
IATA: International Air Transport Association
IMDG: International Maritime Dangerous Goods Code
LD50: Lethal Dose, 50%
References: No data available
Disclaimer 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, unless specified in the text.
Revision information Other information, including date of preparation or last revision: Prepared by
Prepared by This SDS has been prepared by SUEZ Regulatory Department (1-215-355-3300).
* Trademark of SUEZ. May be registered in one or more countries.
Material name: GENGARD* GN8214 Page: 8 / 8
Version number: 2.1

BIOCIDE/CHEMICAL TREATMENT
WORKSHEET-FORM 101
The following calculations are to be performed on any biocidal products ultimately discharged to the surface waters of
North Carolina. This worksheet must be completed separately for each biocidal product in use. This worksheet is to be
returned with all appropriate data entered into the designated areas with calculations performed as indicated.
I. Facility Name: Patheon Manufacturing Services LLC
NPDES # NC: 0001068 Outfall #: 001 & 002
County: Pitt
Receiving Stream: Parker's Creek 7Q10: 0.38 (cfs)
(All above information supplied by the Division of Water Quality)
What is the Average Daily Discharge (A.D.D.) volume of the water handling systems to the receiving water body?
A.D.D. = 0.044 (in M.G.D.)
Please calculate the Instream Waste Concentration (IWC in percent) of this discharge using the data entered
above.
IWC _ (A.D.D.) X 100 _ ( ) X 100 _15.19967 %
(7Q 10)(0.646) + (A. D. D) - ( )(0.646) + ( )
This value (IWC) represents the waste concentration to the receiving stream during low flow conditions.
II. What is the name of the whole product chemical treatment proposed for use in the discharge identified in Part I?
Spectrus BD1500
Please list the active ingredients and percent composition:
What feed or dosage rate (D.R.) is used in this application? The units must be converted to maximum grams
of whole product used in a 24hr period.
D.R.= 3,489 grams/24hr period
Please note, fluid ounces (a volume) must be converted to grams (a mass). The formula for this conversion is:
Grams of product = fluid oz. of product X 1 gal. water X 8.34 lbs. X specific gravity of product X 453.59g.
128 fl. oz. 1 gal. water 1 lb.

Facility Name: DSM Pharmaceuticals, Inc
NPDES #: NC0001058
Estimate total volume of the water handling system between entry of biocidal product and NPDES discharge point.
On an attached sheet please provide justification for this estimate (system volume, average cycles per blowdown,
holding lagoon size, etc.)
Volume= 0.16 million gallons
What is the pH of the handling system prior to biocide addition? If unknown, enter N/A.
What is the decay rate (D.K.) of the product? If unknown, assume no decay (D.K.=O) and proceed to asterisk.
The degradation must be stated at pH level within 1 /2 pH standard unit within handling system. Enter the half life
(Half Life is the time required for the initial product to degrade to half of its original concentration). Please provide
copies of the sources of this data.
H.L. = Days
The decay rate is equal to H1L X 0.69 =
=Decay Rate (D.K.)
Calculate degradation factor (D.F.). This is the first order loss coefficient.
* D.F. = A� D.D. + + ( D.K.) _ �—� ( ) = 0.275
(Volume) ( )
Calculate Steady State Discharge Concentration
Dischg Conc. _ (D.R.) _ ( )
(D.F.)(Volume)(3785) - ( )( )(3785) = 20.95 mg/I
Calculate concentration of biocide instream during low flow conditions.
(Receiving Stream Concentration)
(Dischg. Conc.) x (IWC%) _ ( ) x ( ) - 3.18 mg/I
100 - 100 -
Receiving Stream Concentration
III. Calculate regulated limitation.
List all LC50 and EC50 data available for the whole product according to the following columns. (Note that units
should be in mg/1). Please provide copies of the sources of this data.
Organism
Daphnia magn
Fathead Minnc
Test Duration
48 Hour
96 Hour
LC50/EC50 (mg/I)
2000
2000
D. W. Q. Form 101 (612000) 2

Facility Name: DSM Pharmaceuticals, Inc
NPDES #: NC0001058
Choose the lowest LC50/EC50 listed above:
Enter the LC50/EC50: 2000
If the half life (H.L.) is less than 4 days, perform the following calculation.
Regulated Limitation = 0.05 x LC50 = mg/I
If the half life (H.L.) is greater than or equal to 4 days or unknown, perform the following calculation.
Regulated Limitation = 0.01 x LC50 = 20 mg/I
Choose the appropriate regulated limitation from the calculations immediately above and place in this blank:
20 mg/liter
From Part II enter the receiving stream concentration:
3.18 mg/liter
IV. Analysis.
If the receiving stream concentration is greater than the calculated regulated limitation, then this biocide is
unacceptable for use.
Person in Responsible Charge
Name (Print)
o�'Mziq
Signature Date
Person Completing This Worksheet (If different from above)
Name (Print)
Signature Date
Please submit to: Division of Water Quality
Aquatic Toxicology Unit
1621 Mail Service Center
Raleigh, NC 27699-1621
Contact info: Cindy Moore ([e-mail]) or John Giorgino [e-mail])
D. W. Q. Form 101 (612000) 3

Facility Name: DSM Pharmaceuticals, Inc
NPDES #: NC0001058
Supplemental Metals Analysis
If copper, zinc, or chromium are present in the proposed biocidal compound, complete this worksheet. A separate form
must be used for each metal and/or metal compound present in the biocide. List the metal, its chemical formula, molecular
weight (MW), formula weight (FW), and the concentration of the metal compound in the biocide (MCC). Complete a
separate form for every metal present in the biocide.
Metal
EXAMPLE
Copper
Chemical Formula Molecular Weight of Metal Formula Weight Concentration in Biocide
CuSO4.5H2O 63.546 g/mole 249.680 g/mole 0.2 %
Dosage rate of Biocide (DR) (from page 1):
Lem
ms/day
Average Daily Discharge (ADD) (from page 1):
ADD = million gallons/day
Discharge Concentration (DC) of Biocide:
( grams/day)
DC = ADD = (_million gallons/day) = grams/million gallons
Convert DC to micrograms/liter (ppb):
DC (Ng/1) = DC (grams/million gal) x 1 x 106 pg/g = Ng/I
3.785 x 106 liters/million gal.
Calculate the fraction of metal in the metal -containing compound (MF):
MF = MW _ ( grams/mole) _
FW - ( grams/mole)
Calculate the fraction of metal in the biocidal compound (BF):
MCC (%) %
BF = MF x 100 = x (100) _
Calculate the concentration of metal in the discharge (M):
M = DC x BF = pg/I x
Ng/I
Calculate the instream metal concentration (IMC) at low -flow conditions:
° ) °
IMC = M x IWC
100 ° = Ng/I x 100 ° = Ng/I
Regulated limitation of metal (from below): Ngll
NC General Statutes 15A NCAC 26.0211 define:
Copper- 7 pgll water quality action level` Zinc- 50 pg/I water quality action level*
Chromium- 50 pgll water quality standard
('Values which exceed action levels must be addressed directly by aquatic toxicity testing.)
D. W. Q. Form 101 (612000) 4

CMAD suet
SAFETY DATA SHEET
SPECTRUS* BD1500
1. Identification
Product identifier
Other means of identification
Recommended use
Recommended restrictions
SPECTRUS BD1500
None.
Water based deposit control agent.
None known.
Company/undertaking identification
SUEZ WTS USA, Inc.
4636 Somerton Road
Trevose, PA 19053
T 215 355 3300, F 215 953 5524
Emergency telephone
[phone]
2. Hazard(s) identification
Physical hazards Not classified.
Health hazards Not classified.
OSHA defined hazards Not classified.
Version: 2.2
Effective Date: Dec-16-2017
Previous Date: Aug-31-2016
Label elements
Hazard symbol None.
Signal word None.
Hazard statement The mixture does not meet the criteria for classification.
Precautionary statement
Prevention Observe good industrial hygiene practices.
Response Wash hands after handling.
Storage Store away from incompatible materials.
Disposal Dispose of waste and residues in accordance with local authority requirements.
Hazard(s) not otherwise None known.
classified (HNOC)
Supplemental information None.
3. Composition/information on ingredients
Mixtures
The manufacturer lists no ingredients as hazardous according to OSHA 29 CFR 1910.1200.
Composition comments Information for specific product ingredients as required by the U.S. OSHA HAZARD
COMMUNICATION STANDARD is listed. Refer to additional sections of this SDS for our
assessment of the potential hazards of this formulation.
4. First -aid measures
Inhalation Move to fresh air. For breathing difficulties, oxygen may be necessary. If breathing stops, provide
artificial respiration. Get medical attention immediately.
Skin contact Wash with plenty of soap and water. Get medical attention if irritation develops or persists.
Page: 1 / 7

Eye contact Immediately flush eyes with plenty of water for at least 15 minutes. Remove contact lenses, if
present and easy to do. Continue rinsing. Get medical attention if irritation develops and persists.
Ingestion Do not induce vomiting. Rinse mouth. Get medical attention if symptoms occur.
Most important Direct contact with eyes may cause temporary irritation.
symptoms/effects, acute and
delayed
Indication of immediate Treat symptomatically.
medical attention and special
treatment needed
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 Water fog. Foam. Dry chemical powder. Carbon dioxide (CO2).
Unsuitable extinguishing None known.
media
Specific hazards arising from During fire, gases hazardous to health may be formed.
the chemical
Special protective equipment Wear full protective clothing, including helmet, self-contained positive pressure or pressure
and precautions for firefighters demand breathing apparatus, protective clothing and face mask.
Fire fighting In case of fire and/or explosion do not breathe fumes. Use standard firefighting procedures and
equipment/instructions consider the hazards of other involved materials. Move containers from fire area if you can do so
without risk. Cool containers / tanks with water spray.
Specific methods Use standard firefighting procedures and consider the hazards of other involved materials.
General fire hazards No unusual fire or explosion hazards noted.
6. Accidental release measures
Personal precautions,
Alkaline. Wear appropriate protective equipment and clothing during clean-up. See Section 8 of
protective equipment and
the SDS for Personal Protective Equipment. Ventilate area, use specified protective equipment.
emergency procedures
Methods and materials for
Stop the flow of material, if this is without risk. Following product recovery, flush area with water.
containment and cleaning up
Never return spills to original containers for re -use. For waste disposal, see section 13 of the SDS.
Environmental precautions
Water contaminated with this product may be sent to a sanitary sewer treatment facility, or a
permitted waste treatment facility, in accordance with any local agreements.
7. Handling and storage
Precautions for safe handling
Alkaline. Do not mix with acidic material. Observe good industrial hygiene practices.
Conditions for safe storage,
Store in original tightly closed container. Store away from incompatible materials (see Section 10
including any incompatibilities
of the SDS).
8. Exposure controls/personal protection
Biological limit values
No biological exposure limits noted for the ingredient(s).
Appropriate engineering
Good general ventilation (typically 10 air changes per hour) should be used. Ventilation rates
controls
should be matched to conditions. if applicable, use process enclosures, local exhaust ventilation,
or other engineering controls to maintain airborne levels below recommended exposure limits. If
exposure limits have not been established, maintain airborne levels to an acceptable level. Good
general ventilation should be used. Ventilation rates should be matched to conditions. If
applicable, use process enclosures, local exhaust ventilation, or other engineering controls to
maintain airborne levels below recommended exposure limits. If exposure limits have not been
established, maintain airborne levels to an acceptable level.
Individual protection measures,
such as personal protective equipment
Eye/face protection
Splash proof chemical goggles.
Skin protection
Hand protection Wear appropriate chemical resistant gloves. The choice of an appropriate glove does not only
depend on its material but also on other quality features and is different from one producer to the
other. Glove selection must take into account any solvents and other hazards present.
Other Wear suitable protective clothing. Protective clothing if splashing or repeated contact with product
is likely.
Material name: SPECTRUS' BD1500 Page: 2 / 7
Version number: 2.2

Respiratory protection A RESPIRATORY PROTECTION PROGRAM THAT MEETS OSHA'S 29 CFR 1910.134 AND
ANSI Z88.2 REQUIREMENTS MUST BE FOLLOWED WHENEVER WORKPLACE CONDITIONS
WARRANT A RESPIRATOR'S USE. If engineering controls do not maintain airborne
concentrations below recommended exposure limits (where applicable) or to an acceptable level
(in countries where exposure limits have not been established), an approved respirator must be
worn.
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
Color
Colorless
Physical state
Liquid
Odor
Slight
Odor threshold
Not available.
pH (concentrated product) 12.5
Melting point/freezing point 31 °F (-1 °C)
Initial boiling point and boiling 220 °F (104 °C)
range
Flash point
Not applicable.
Evaporation rate
< 1 (Ether = 1)
Flammability (solid, gas)
Not applicable.
Upper/lower flammability or explosive
limits
Flammability limit - lower
Not available.
(%)
Flammability limit - upper
Not available.
(%)
Explosive limit - lower (%)
Not available.
Explosive limit - upper (%)
Not available.
Vapor pressure
18 mm Hg
Vapor pressure temp.
70 °F (21 °C)
Vapor density
< 1 (Air = 1)
Relative density
1.02
Relative density temperature
70 °F (21 -C)
Solubility(ies)
Solubility (water)
100 %
Partition coefficient
Not available.
(n-octanol/water)
Auto -ignition temperature
Not available.
Decomposition temperature
Not available.
Viscosity
11 cps
Viscosity temperature
70 -F (21 °C)
Other information
Pour point
26 °F (-3 °C)
Specific gravity
1.02
VOC
0 % (Estimated)
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.
Possibility of hazardous
reactions
Conditions to avoid
Hazardous polymerization does not occur.
Contact with incompatible materials.
Material name: SPECTRUS' BD1500
Version number: 2.2
Page: 3 / 7

Incompatible materials Strong oxidizing agents.
Hazardous decomposition Oxides of carbon evolved in fire.
products
11. Toxicological information
Information on likely routes of exposure
Inhalation Mists/aerosols may cause irritation to upper respiratory tract.
Skin contact Prolonged or repeated contact may cause transient irritation.
Eye contact Direct contact with eyes may cause temporary irritation.
Ingestion Expected to be a low ingestion hazard.
Symptoms related to the Prolonged and repetitive exposure, depending on the route(s), may develop transient irritation on
physical, chemical and skin, eyes, ingestion tract, and/or respiratory tract.
toxicological characteristics
Information on toxicological effects
Acute toxicity
Product Species Test Results
SPECTRUS BD1500 (CAS Mixture)
Acute
Dermal
LD50 Rabbit > 5000 mg/kg, (Calculated according to
GHS additivity formula)
Oral
LD50 Rat > 5000 mg/kg, (Calculated according to
GHS additivity formula)
* Estimates for product may be based on additional component data not shown.
Skin corrosion/irritation Prolonged skin contact may cause temporary irritation.
Serious eye damage/eye Direct contact with eyes may cause temporary irritation.
irritation
Respiratory or skin sensitization
Respiratory sensitization This product is not expected to cause respiratory sensitization.
Skin sensitization This product is not expected to cause skin sensitization.
Germ cell mutagenicity No data available to indicate product or any components present at greater than 0.1 % are
mutagenic or genotoxic.
Carcinogenicity This product is not considered to be a carcinogen by IARC, ACGIH, NTP, or OSHA.
IARC Monographs. Overall Evaluation of Carcinogenicity
Not listed.
OSHA Specifically Regulated Substances (29 CFR 1910.1001-1050)
Not regulated.
US. National Toxicology Program (NTP) Report on Carcinogens
Not listed.
Reproductive toxicity This product is not expected to cause reproductive or developmental effects.
Specific target organ toxicity -
single exposure
Specific target organ toxicity -
repeated exposure
Aspiration hazard
12. Ecological information
Ecotoxicity
Product
Not classified.
Not classified.
Based on available data, the classification criteria are not met.
SPECTRUS BD1500 (CAS Mixture)
0% Mortality
Species
Fathead Minnow
Test Results
2000 mg/I, Static Bioassay with 48-Hour
Renewal, 96 hour
Material name: SPECTRUS" BD1500
Version number: 2.2
Page: 4 / 7

Product Species Test Results
Aquatic
Crustacea
Fish
Bioaccumulative potential
Mobility in soil
Other adverse effects
Persistence and degradability
- COD (mgO2/g)
- BOD 5 (mgO21g)
- BOD 28 (mgO2/g)
- Closed Bottle Test (%
Degradation in 28 days)
- Zahn-Wellens Test (%
Degradation in 28 days)
- TOC (mg C/g)
Menidia beryllina (Silversides)
5000 mg/l, Static Acute Bioassay, 96
hour
25% Mortality
Mysid Shrimp
5000 mg/I, Static Acute Bioassay, 96
hour
EC50
Selenastrum (algae)
> 8000 mg/I, Growth Inhibition, 96 hour,
(pH adjusted)
IC25
Ceriodaphnia
652 mg/l, Static Renewal Bioassay, 7
day
Fathead Minnow
3000 mg/I, Static Renewal Bioassay, 7
day
LC50
Ceriodaphnia
> 3000 mg/I, Static Renewal Bioassay,
48 hour
Fathead Minnow
> 3000 mg/l, Static Renewal Bioassay, 7
day
NOEL
Mysid Shrimp
2500 mg/I, Static Acute Bioassay, 96
hour
Selenastrum (algae)
8000 mg/I, Growth Inhibition, 96 hour,
(pH adjusted)
0% Mortality Daphnia magna
NOEL Rainbow Trout
Not available.
No data available.
Not available.
2000 mg/I, Static Acute Bioassay, 48
hour
3000 mg/l, Static Renewal Bioassay, 96
hour
Testing has shown product not to be readily biodegradable.
235
13,35
45,3
15 OECD 301D
9 (calculated data)
80 (calculated data)
13. Disposal considerations
Disposal instructions
Collect and reclaim or dispose in sealed containers at licensed waste disposal site.
Local disposal regulations
Dispose in accordance with all applicable 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 of in accordance with local regulations. Empty containers or liners may retain some
products
product residues. This material and its container must be disposed of in a safe manner (see:
Disposal instructions).
Contaminated packaging
Since emptied containers may retain product residue, follow label warnings even after container is
emptied. Empty containers should be taken to an approved waste handling site for recycling or
disposal.
14. Transport information
DOT
Not regulated as dangerous goods.
Material name: SPECTRUS` BD1500 Page: 5 / 7
Version number: 2.2

Some containers may be exempt from Dangerous Goods/Hazmat Transport Regulations, please check BOL for exact container
classification.
IATA
Not regulated as dangerous goods.
IMDG
Not regulated as dangerous goods.
15. Regulatory information
US federal regulations This product is not known to be 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)
Not regulated.
CERCLA Hazardous Substance List (40 CFR 302.4)
Not listed.
SARA 304 Emergency release notification
Not regulated.
OSHA Specifically Regulated Substances (29 CFR 1910.1001-1050)
Not regulated.
Superfund Amendments and Reauthorization Act of 1986 (SARA)
Hazard categories Immediate Hazard - No
Delayed Hazard - No
Fire Hazard - No
Pressure Hazard - No
Reactivity Hazard - No
SARA 302 Extremely hazardous substance
Not listed.
SARA 311/312 Hazardous No
chemical
SARA 313 (TRI reporting)
Not regulated.
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)
Section 112(r) (40 CFR
68.130)
Safe Drinking Water Act
(SDWA)
Inventory status
Country(s) or region
Canada
Canada
Hazardous substance
Not regulated.
Inventory name
Domestic Substances List (DSL)
Non -Domestic Substances List (NDSL)
On inventory (yes/no)*
Yes
No
United States & Puerto Rico Toxic Substances Control Act (TSCA) Inventory Yes
*A "Yes" indicates that all components of this product comply 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).
Food and drug administration 21 CFR 176.170 (components of paper and paperboard in contact with aqueous and fatty foods)
NSF Registered and/or meets Registration No. — 141059
USDA (according to 1998 Category Code(s):
guidelines): G5 Cooling and retort water treatment products
G7 Boiler, steam line treatment products — nonfood contact
US state regulations
US - California Proposition 65 - CRT: Listed date/Carcinogenic substance
No ingredient listed.
Material name: SPECTRUS* BD1500 Page: 6 / 7
Version number: 2.2

US - California Proposition 65 - CRT: Listed date/Developmental toxin
No ingredient listed.
US - California Proposition 65 - CRT: Listed date/Female reproductive toxin
No ingredient listed.
US - California Proposition 65 - CRT: Listed date/Male reproductive toxin
No ingredient listed.
US - Massachusetts RTK - Substance List
Not regulated.
US - Pennsylvania RTK - Hazardous Substances
Not regulated.
US - Rhode Island RTK
Not regulated.
US. California Proposition 65
WARNING: This product contains a chemical known to the State of California to cause cancer and birth defects or other
reproductive harm.
16. Other information, including date of preparation or last revision
Issue date
Dec-03-2014
Revision date
Dec-16-2017
Version #
2.2
List of abbreviations
CAS: Chemical Abstract Service Registration Number
TWA: Time Weighted Average
STEL: Short Term Exposure Limit
LD50: Lethal Dose, 50%
LC50: Lethal Concentration, 50%
NOEL: No Observed Effect Level
COD: Chemical Oxygen Demand
BOD: Biochemical Oxygen Demand
TOC: Total Organic Carbon
IATA: International Air Transport Association
IMDG: International Maritime Dangerous Goods Code
ACGIH: American Conference of Governmental Industrial Hygienists
TSRN indicates a Trade Secret Registry Number is used in place of the CAS number.
References:
No data available
Disclaimer 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, unless specified in the text.
Revision information This document has undergone significant changes and should be reviewed in its entirety.
Prepared by This SDS has been prepared by SUEZ Regulatory Department (1-215-355-3300).
Trademark of SUEZ. May be registered in one or more countries.
Material name: SPECTRUS' BD1500 Page: 7 / 7
Version number: 2.2

BIOCIDE/CHEMICAL TREATMENT
WORKSHEET-FORM 101
The following calculations are to be performed on any biocidal products ultimately discharged to the surface waters of
North Carolina. This worksheet must be completed separately for each biocidal product in use. This worksheet is to be
returned with all appropriate data entered into the designated areas with calculations performed as indicated.
I. Facility Name: Patheon Manufacturing Services LLC
NPDES # NC: 0001058 Outfall #: 001 & 002
County: Pitt
Receiving Stream: Parker's Creek 7Q10: 0.38 (cfs)
(All above information supplied by the Division of Water Quality)
What is the Average Daily Discharge (A.D.D.) volume of the water handling systems to the receiving water body?
A.D.D. = 0.044 (in M.G.D.)
Please calculate the Instream Waste Concentration (IWC in percent) of this discharge using the data entered
above.
IWC = (A.D.D.) X 100 _ ( ) X 100 _15.19967 %
(7Q 10)(0.646) + (A. D. D) - ( )(0.646) + ( )
This value (IWC) represents the waste concentration to the receiving stream during low flow conditions.
II. What is the name of the whole product chemical treatment proposed for use in the discharge identified in Part I?
Spectrus OX109
Please list the active ingredients and percent composition:
Sodium Bromide 40 %
What feed or dosage rate (D.R.) is used in this application? The units must be converted to maximum grams
of whole product used in a 24hr period.
D.R.= 5,841 grams/24hr period
Please note, fluid ounces (a volume) must be converted to grams (a mass). The formula for this conversion is:
Grams of product = fluid oz. of product X 1 gal. water X 8.34 lbs. X specific gravity of product X 453.59g.
128 fl. oz. 1 gal. water 1 lb.

Facility Name: DSM Pharmaceuticals, Inc
NPDES #: NC0001058
Estimate total volume of the water handling system between entry of biocidal product and NPDES discharge point.
On an attached sheet please provide justification for this estimate (system volume, average cycles per blowdown,
holding lagoon size, etc.)
Volume= 0.16 million gallons
What is the pH of the handling system prior to biocide addition? If unknown, enter N/A.
What is the decay rate (D.K.) of the product? If unknown, assume no decay (D.K.=O) and proceed to asterisk.
The degradation must be stated at pH level within 1/2 pH standard unit within handling system. Enter the half life
(Half Life is the time required for the initial product to degrade to half of its original concentration). Please provide
copies of the sources of this data.
H.L. = Days
The decay rate is equal to H1L X 0.69 =
=Decay Rate (D.K.)
Calculate degradation factor (D.F.). This is the first order loss coefficient.
* D.F. = A( D.D.) + + ( D.K.) _ —� ( ) = 0.275
(Volume) ( )
Calculate Steady State Discharge Concentration
Dischg Conc. _ (D.F.)(Volume)(3785) _ ( )( ))(3785) = 35.07 mg/I
Calculate concentration of biocide instream during low flow conditions.
(Receiving Stream Concentration)
(Dischg. Conc.) x (IWC%) ( ) x ( ) - 5.33 mg/I
100 = 100 -
Receiving Stream Concentration
Ill. Calculate regulated limitation.
List all LC50 and EC50 data available for the whole product according to the following columns. (Note that units
should be in mg/1). Please provide copies of the sources of this data.
Organism Test Duration LC50/EC50 (mg/1)
Bluegill Sunfish 96 Hour Static Acute Bioassay (As Bromine) LC50= .52; No Effect Level= .3 mg/L
Bluegill Sunfish 96 Hour Static Acute Bioassay (Product as is) LC50 Greater Than= 1000 mg/L
Daphnia magna 48 Hour Static Acute Bioassay (As Bromine) LC50= .71; No Effect Level= .41 mg/L
D. W. Q. Form 101 (612000) 2

Facility Name: DSM Pharmaceuticals, Inc NPDES #: NC0001058
Choose the lowest LC50/EC50 listed above:
Enter the LC50/EC50: 1000
If the half life (H.L.) is less than 4 days, perform the following calculation.
Regulated Limitation = 0.05 x LC50 = mg/I
If the half life (H.L.) is greater than or equal to 4 days or unknown, perform the following calculation.
Regulated Limitation = 0.01 x LC50 = 10 mg/I
Choose the appropriate regulated limitation from the calculations immediately above and place in this blank:
10 mg/liter
From Part II enter the receiving stream concentration:
5.33 mg/liter
IV. Analysis.
If the receiving stream concentration is greater than the calculated regulated limitation, then this biocide is
unacceptable for use.
Person in Responsible Charge
E Eawn
Name (Print)
'AAkLI mafl 30 1
Signature Date
Person Completing This Worksheet (If different from above)
Name (Print)
Signature Date
Please submit to: Division of Water Quality
Aquatic Toxicology Unit
1621 Mail Service Center
Raleigh, NC 27699-1621
Contact info: Cindy Moore ([e-mail]) or John Giorgino [e-mail])
D. W. Q. Form 101 (612000) 3

Facility Name: DSM Pharmaceuticals, Inc
NPDES #: NC0001058
Supplemental Metals Analysis
If copper, zinc, or chromium are present in the proposed biocidal compound, complete this worksheet. A separate form
must be used for each metal and/or metal compound present in the biocide. List the metal, its chemical formula, molecular
weight (MW), formula weight (FW), and the concentration of the metal compound in the biocide (MCC). Complete a
separate form for every metal present in the biocide.
Metal
EXAMPLE
Copper
Chemical Formula Molecular Weight of Metal Formula Weight Concentration in Biocide
CuSO4.5H2O 63.546 g/mole 249.680 g/mole 0.2
Dosage rate of Biocide (DR) (from page 1):
DR = grams/day
Average Daily Discharge (ADD) (from page 1):
ADD = million gallons/day
Discharge Concentration (DC) of Biocide:
( grams/day)
DC = ADD = ( million gallons/day) = grams/million gallons
Convert DC to micrograms/liter (ppb):
DC (Ng/1) = DC (grams/million gal) x 1 x 106 ug/9= Ng/I
3.785 x 106 liters/million gal.
Calculate the fraction of metal in the metal -containing compound (MF):
MF = MW - ( grams/mole) _
FW - ( grams/mole) -
Calculate the fraction of metal in the biocidal compound (BF):
BF=MFxMC�/) _
100
x (100) _
Calculate the concentration of metal in the discharge (M):
M = DC x BF = pg/I x
Calculate the instream metal concentration (IMC) at low -flow conditions:
pg/I
� °
IMC = M x IW 00% = NgJt x 100 /° = Ng/l
Regulated limitation of metal (from below): pg/I
NC General Statutes 15A NCAC 2B.0211 define:
Copper- 7 pg/I water quality action level* Zinc- 50 pg/I water quality action level*
Chromium- 50 pg/l water quality standard
(*Values which exceed action levels must be addressed directly by aquatic toxicity testing.)
D. W. Q. Form 101 (612000) 4

CMAD suet
SAFETY DATA SHEET
SPECTRUS* OX109
1. Identification
Product identifier SPECTRUS OX109
Other means of identification None.
Recommended use Biocide
Recommended restrictions None known.
Company/undertaking identification
SUEZ WTS USA, Inc.
4636 Somerton Road
Trevose, PA 19053
T 215 355 3300, F 215 953 5524
Emergency telephone
[phone]
2. Hazard(s) identification
Physical hazards Not classified.
Health hazards Not classified.
OSHA defined hazards Not classified.
Version: 4.0
Effective Date: Apr-26-2019
Previous Date: Apr-11-2018
Label elements
Hazard symbol None.
Signal word None.
Hazard statement The mixture does not meet the criteria for classification.
Precautionary statement
Prevention Wash thoroughly after handling. Observe good industrial hygiene practices.
Response Wash hands after handling.
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)
Supplemental information None.
3. Composition/information on ingredients
Mixtures
The manufacturer lists no ingredients as hazardous according to OSHA 29 CFR 1910.1200.
*Designates that a specific chemical identity and/or percentage of composition has been withheld as a trade secret.
Composition comments Information for specific product ingredients as required by the U.S. OSHA HAZARD
COMMUNICATION STANDARD is listed. Refer to additional sections of this SDS for our
assessment of the potential hazards of this formulation.
4. First -aid measures
Inhalation If breathing is difficult, remove to fresh air and keep at rest in a position comfortable for breathing.
Call a physician if symptoms develop or persist.
Page: 1 / 7

Skin contact Rinse skin with water/shower. Get medical attention if irritation develops and persists.
Eye contact Rinse with water. Get medical attention if irritation develops and persists.
Ingestion Rinse mouth. If ingestion of a large amount does occur, call a poison control center immediately.
Most important Direct contact with eyes may cause temporary irritation.
symptoms/effects, acute and
delayed
Indication of immediate Treat symptomatically.
medical attention and special
treatment needed
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 Water fog. Foam. Dry chemical powder. Carbon dioxide (CO2).
Unsuitable extinguishing Do not use water jet as an extinguisher, as this will spread the fire.
media
Specific hazards arising from During fire, gases hazardous to health may be formed.
the chemical
Special protective equipment Self-contained breathing apparatus and full protective clothing must be worn in case of fire.
and precautions for firefighters
Fire fighting
In case of fire and/or explosion do not breathe fumes. Cool containers / tanks with water spray.
equipment/instructions
Specific methods
Use standard firefighting procedures and consider the hazards of other involved materials.
General fire hazards
No unusual fire or explosion hazards noted.
6. Accidental release measures
Personal precautions,
Keep unnecessary personnel away.
protective equipment and
emergency procedures
Methods and materials for
Stop the flow of material, if this is without risk. Following product recovery, flush area with water.
containment and cleaning up
Never return spills to original containers for re -use.
Environmental precautions
Dispose of in approved pesticide facility or according to label instructions.
7. Handling and storage
Precautions for safe handling
Use care in handling/storage.
Conditions for safe storage,
Protect from freezing. Do not store at elevated temperatures. Do not allow material to freeze. Do
including any incompatibilities
not store at elevated temperatures. Shelf life 360 days.
8. Exposure controls/personal protection
Occupational exposure limits
This mixture has no ingredients that have PEL, TLV, or other recommended exposure limit.
Biological limit values
No biological exposure limits noted for the ingredient(s).
Appropriate engineering
Not available.
controls
Individual protection measures,
such as personal protective equipment
Eyelface protection
Splash proof chemical goggles. Wear safety glasses with side shields (or goggles).
Skin protection
Hand protection
USERS OF A PESTICIDAL PRODUCT SHOULD REFER TO THE PRODUCT LABEL FOR
PERSONAL PROTECTIVE EQUIPMENT REQUIREMENTS.
The choice of an appropriate glove does not only depend on its material but also on other quality
features and is different from one producer to the other. Glove selection must take into account
any solvents and other hazards present. Wear appropriate chemical resistant gloves.
Other
Wear suitable protective clothing.
Respiratory protection
If engineering controls do not maintain airborne concentrations below recommended exposure
limits (where applicable) or to an acceptable level (in countries where exposure limits have not
been established), an approved respirator must be worn. A RESPIRATORY PROTECTION
PROGRAM THAT MEETS OSHA'S 29 CFR 1910.134 AND ANSI Z88.2 REQUIREMENTS MUST
BE FOLLOWED WHENEVER WORKPLACE CONDITIONS WARRANT A RESPIRATOR'S USE.
Thermal hazards
Wear appropriate thermal protective clothing, when necessary.
Material name: SPECTRUS` OX109 Page: 2 / 7
Version number: 4.0

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
Color Colorless
Physical state Liquid
Odor Slight
Odor threshold Not available.
pH (concentrated product)
pH in aqueous solution
Melting point/freezing point
Initial boiling point and boiling
range
Flash point
7.5 Neat
8 (5% Solution)
< -30 °F (< -34 °C)
212 -F (100 °C)
Not applicable.
Evaporation rate
Slower than Ether
Flammability (solid, gas)
Not applicable.
Upper/lower flammability or explosive limits
Flammability limit - lower
Not available.
(%)
Flammability limit - upper
Not available.
(%)
Explosive limit - lower {%)
Not available.
Explosive limit - upper (%)
Not available.
Vapor pressure 18 mmHg
Vapor pressure temp. 70 -F (21 °C)
Vapor density < 1
Relative density 1.41
Relative density temperature 70 °F (21 °C)
Solubility(ies)
Solubility (water) 100 %
Partition coefficient Not available.
(n-octanol/water)
Auto -ignition temperature Not available.
Decomposition temperature
Viscosity
Viscosity temperature
Other information
Explosive properties
Oxidizing properties
Pour point
Specific gravity
VOC
10. Stability and reactivity
Reactivity
Chemical stability
Possibility of hazardous
reactions
Conditions to avoid
Incompatible materials
Hazardous decomposition
products
Not available.
12 mPa.s
70 °F (21 °C)
Not explosive.
Not oxidizing.
< -30 *F (< -34 °C)
1.408
0 % ESTIMATED
The product is stable and non -reactive under normal conditions of use, storage and transport.
Material is stable under normal conditions.
Hazardous polymerization does not occur.
Protect from freezing. Contact with incompatible materials. None under normal conditions.
Solid sodium bromide may react with easily oxidizable materials.
Hydrogen bromide. No hazardous decomposition products are known.
Material name: SPECTRUS* OX109 Page: 3 / 7
Version number: 4.0

11. Toxicological information
Information on likely routes of exposure
Inhalation
No adverse effects due to inhalation are expected.
Skin contact
No adverse effects due to skin contact are expected.
Eye contact
Direct contact with eyes may cause temporary irritation.
Ingestion
May cause gastrointestinal irritation.
Symptoms related to the
Direct contact with eyes may cause temporary irritation.
physical, chemical and
toxicological characteristics
Information on toxicological effects
Acute toxicity
Product
Species
Test Results
SPECTRUS OX109 (CAS Mixture)
Acute
Dermal
LD50
Rabbit
> 5000 mg/kg, (Calculated according to
GHS additivity formula)
Inhalation
LC50
Rat
> 5 mg/I, 4 hours, (Calculated according to
GHS additivity formula)
Oral
LD50
Rat
> 5000 mg/kg, (Calculated according to
GHS additivity formula)
* Estimates for product may be based on additional component data not shown.
Skin corrosion/irritation Prolonged skin contact may cause temporary irritation.
Serious eye damageleye Direct contact with eyes may cause temporary irritation.
irritation
Respiratory or skin sensitization
Respiratory sensitization This product is not expected to cause respiratory sensitization.
Skin sensitization This product is not expected to cause skin sensitization.
Germ cell mutagenicity No data available to indicate product or any components present at greater than 0.1 % are
mutagenic or genotoxic.
Carcinogenicity This product is not considered to be a carcinogen by IARC, ACGIH, NTP, or OSHA.
IARC Monographs. Overall Evaluation of Carcinogenicity
Not listed.
OSHA Specifically Regulated Substances (29 CFR 1910.1001-1052)
Not regulated.
US. National Toxicology Program (NTP) Report on Carcinogens
Not listed.
Reproductive toxicity This product is not expected to cause reproductive or developmental effects.
Specific target organ toxicity - Not classified.
single exposure
Specific target organ toxicity -
repeated exposure
Aspiration hazard
Further information
Not classified.
Based on available data, the classification criteria are not met.
This product has no known adverse effect on human health.
Material name: SPECTRUS* OX109
Version number: 4.0
Page: 4 / 7

12. Ecological information
Ecotoxicity
Product
Species
Test Results
SPECTRUS OX109 (CAS Mixture)
Aquatic
Crustacea LC50
Daphnia magna
27500 mg/L, Static Acute Bioassay, 48
hour, (Product as is)
0.71 mg/L, Static Acute Bioassay, 48
hour, (As Bromine)
Mysid Shrimp
0.17 mg/L, Flow-Thru Bioassay, 96 hour,
(As Bromine)
NOEL
Daphnia magna
0.41 mg/L, Static Acute Bioassay, 48
hour, (As Bromine)
Fish LC50
Bluegill Sunfish
> 1000 mg/L, Static Acute Bioassay, 96
hour, (Product as is)
0.52 mg/L, Static Acute Bioassay, 96
hour, (As Bromine)
Fathead Minnow
> 10000 mg/L, Static Renewal Bioassay,
96 hour, (Product as is)
Rainbow Trout > 1000 mg/L, Static Acute Bioassay, 96
hour, (Product as is)
0.23 mg/L, Static Acute Bioassay, 96
hour, (As Bromine)
Sheepshead Minnow 0.19 mg/L, Flow-Thru Bioassay, 96 hour,
(As Bromine)
NOEL Bluegill Sunfish 0.3 mg/L, Static Acute Bioassay, 96
hour, (As Bromine)
Sheepshead Minnow 0.11 mg/L, Flow-Thru Bioassay, 96 hour,
(As Bromine)
Bioaccumulative potential Bioaccumulation is not likely to occur since this material is highly soluble in water.
Mobility in soil No data available.
Other adverse effects Not available.
Persistence and degradability
Negative effects from the recommended use is not expected.
- COD (mgO2/g) No information available.
13. Disposal considerations
Disposal instructions
Collect and reclaim or dispose in sealed containers at licensed waste disposal site.
Local disposal regulations
Dispose in accordance with all applicable 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 of in accordance with local regulations. Empty containers or liners may retain some
products
product residues. This material and its container must be disposed of in a safe manner (see:
Disposal instructions).
Contaminated packaging
Dispose of in approved pesticide facility or according to label instructions. Since emptied
containers may retain product residue, follow label warnings even after container is emptied.
Empty containers should be taken to an approved waste handling site for recycling or disposal.
14. Transport information
DOT
Not regulated as dangerous goods.
Some containers may be exempt from Dangerous Goods/Hazmat Transport Regulations, please check BOL for exact container
classification.
IATA
Not regulated as dangerous goods.
Material name: SPECTRUS' OX109 Page: 5 / 7
Version number: 4.0

IMDG
Not regulated as dangerous goods.
15. Regulatory information
US federal regulations This is an EPA registered biocide and is exempt from TSCA inventory requirements. See FIFRA
registry number. This product is not known to be 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)
Not regulated.
CERCLA Hazardous Substance List (40 CFR 302.4)
Not listed.
SARA 304 Emergency release notification
Not regulated.
OSHA Specifically Regulated Substances (29 CFR 1910.1001-1052)
Not regulated.
Superfund Amendments and Reauthorization Act of 1986 (SARA)
SARA 302 Extremely hazardous substance
Not listed.
SARA 311/312 Hazardous No
chemical
SARA 313 (TRI reporting)
Not regulated.
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.
Safe Drinking Water Act Not regulated.
(SDWA)
Inventory status
Country(s) or region Inventory name On inventory (yes/no)*
Canada Domestic Substances List (DSL) Yes
Canada Non -Domestic Substances List (NDSL) No
United States & Puerto Rico Toxic Substances Control Act (TSCA) Inventory Yes
*A "Yes" indicates that all components of this product comply 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).
FIFRA registration number 3876-159
TSCA This is an EPA registered biocide and is exempt from TSCA inventory requirements.
Food and drug administration The ingredients in this product are approved by FDA under 21 CFR 176.300.
NSF Registered and/or meets Registration No. — 141127
USDA (according to 1998 Category Code(s):
guidelines): G5 Cooling and retort water treatment products
G7 Boiler, steam line treatment products — nonfood contact
US state regulations
US. California Proposition 65
California Safe Drinking Water and Toxic Enforcement Act of 2016 (Proposition 65): This material is not known to contain
any chemicals currently listed as carcinogens or reproductive toxins. For more information go to www.P65Warnings.ca.gov.
US - California Proposition 65 - CRT: Listed date/Carcinogenic substance
No ingredient listed.
US - California Proposition 65 - CRT: Listed date/Developmental toxin
No ingredient listed.
US - California Proposition 65 - CRT: Listed date/Female reproductive toxin
No ingredient listed.
Material name: SPECTRUS* OX109 Page: 6 / 7
Version number: 4.0

US - California Proposition 65 - CRT: Listed date/Male reproductive toxin
No ingredient listed,
16. Other information, including date of preparation or last revision
Issue date
Oct-31-2014
Revision date
Apr-26-2019
Version #
4.0
NFPA ratings
Health: 0
Flammability: 0
Instability: 0
NFPA ratings
411 0
List of abbreviations CAS: Chemical Abstract Service Registration Number
TWA: Time Weighted Average
STEL: Short Term Exposure Limit
LD50: Lethal Dose, 50%
LC50: Lethal Concentration, 50%
NOEL: No Observed Effect Level
COD: Chemical Oxygen Demand
BOD: Biochemical Oxygen Demand
TOC: Total Organic Carbon
IATA: International Air Transport Association
IMDG: International Maritime Dangerous Goods Code
ACGIH: American Conference of Governmental Industrial Hygienists
TSRN indicates a Trade Secret Registry Number is used in place of the CAS number.
References: No data available
Disclaimer 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, unless specified in the text.
Revision information Composition / Information on Ingredients: Ingredients
Handling and storage: Conditions for safe storage, including any incompatibilities
Stability and reactivity: Conditions to avoid
Regulatory information: California Prop 65
Other information, including date of preparation or last revision: Disclaimer
GHS: Classification
* Trademark of SUEZ. May be registered in one or more countries.
Material name: SPECTRUS* OX109 Page: 7 / 7
Version number: 4.0

BIOCIDE/CHEMICAL TREATMENT
WORKSHEET-FORM 101
The following calculations are to be performed on any biocidal products ultimately discharged to the surface waters of
North Carolina. This worksheet must be completed separately for each biocidal product in use. This worksheet is to be
returned with all appropriate data entered into the designated areas with calculations performed as indicated.
I. Facility Name: Patheon Manufacturing Services LLC
NPDES # NC: 0001058 Outfall #: 001 & 002
County: Pitt
Receiving Stream: Parker's Creek 7Q10: 0.38 (cfs)
(All above information supplied by the Division of Water Quality)
What is the Average Daily Discharge (A.D.D.) volume of the water handling systems to the receiving water body?
A.D.D. = 0.044 (in M.G.D.)
Please calculate the Instream Waste Concentration (IWC in percent) of this discharge using the data entered
above.
IWC - (A.D.D.) X 100 _ ( ) X 100 =15.199
(7Q 10)(0.646) + (A. D. D) - ( )(0.646) + ( )
This value (IWC) represents the waste concentration to the receiving stream during low flow conditions.
II. What is the name of the whole product chemical treatment proposed for use in the discharge identified in Part I?
Sulfuric Acid 93%
Please list the active ingredients and percent composition. -
Sulfuric Acid 93% 93% %
What feed or dosage rate (D.R.) is used in this application? The units must be converted to maximum grams
of whole product used in a 24hr period.
D.R.= 26,097 grams/24hr period
Please note, fluid ounces (a volume) must be converted to grams (a mass). The formula for this conversion is:
Grams of product = fluid oz. of product X 1 gal. water X 8.34 lbs. X specific gravity of product X 453.59cl.
128 fl. oz. 1 gal. water 1 lb.

Facility Name: DSM Pharmaceuticals, Inc
NPDES #: NC0001058
Estimate total volume of the water handling system between entry of biocidal product and NPDES discharge point.
On an attached sheet please provide justification for this estimate (system volume, average cycles per blowdown,
holding lagoon size, etc.)
Volume= 0.06 million gallons
What is the pH of the handling system prior to biocide addition? If unknown, enter N/A.
What is the decay rate (D.K.) of the product? If unknown, assume no decay (D.K.=O) and proceed to asterisk.
The degradation must be stated at pH level within 1 /2 pH standard unit within handling system. Enter the half life
(Half Life is the time required for the initial product to degrade to half of its original concentration). Please provide
copies of the sources of this data.
H.L. = Days
The decay rate is equal to H1L X 0.69 =
=Decay Rate (D.K.)
Calculate degradation factor (D.F.). This is the first order loss coefficient.
A( D. D.) �_�
* D.F. _ (Volume) + (D.K.) _ ( ) + ( ) = 0.733
Calculate Steady State Discharge Concentration
Dischg Conc. _ (D.F.)(Volume)(3785) _ ( )( ))(3785) = 156.70 mg/I
Calculate concentration of biocide instream during low flow conditions.
(Receiving Stream Concentration)
(Dischg. Conc.) x (IWC%) ) x ( ) 23.82 m /I
100 = 100 = g
Receiving Stream Concentration
III. Calculate regulated limitation.
List all LC50 and EC50 data available for the whole product according to the following columns. (Note that units
should be in mg/1). Please provide copies of the sources of this data.
Organism
Blue Gill- Fresh Water -
Prawn
Test Duration
24 Hour
48 Hour.
LC50/EC50 (mg/1)
24.5
42.5
D. W. Q. Form 101 (612000) 2

Facility Name: DSM Pharmaceuticals, Inc NPDES #: NC0001058
Choose the lowest LC50/EC50 listed above:
Enter the LC50/EC50: 24.6
If the half life (H.L.) is less than 4 days, perform the following calculation.
Regulated Limitation = 0.05 x LC50 = 1.23 mg/I
If the half life (H.L.) is greater than or equal to 4 days or unknown, perform the following calculation.
Regulated Limitation = 0.01 x LC50 = mg/I
Choose the appropriate regulated limitation from the calculations immediately above and place in this blank:
1.23 mg/liter
From Part II enter the receiving stream concentration:
23.82 mg/liter
IV. Analysis.
If the receiving stream concentration is greater than the calculated regulated limitation, then this biocide is
unacceptable for use.
Person in Responsible Charge
L�(It6t(I e Enz o
Name (Print)
Signature Dbte
Person Completing This Worksheet (If different from above)
Name (Print)
Signature Date
Please submit to: Division of Water Quality
Aquatic Toxicology Unit
1621 Mail Service Center
Raleigh, NC 27699-1621
Contact info: Cindy Moore ([e-mail]) or John Giorgino [e-mail])
D. W. Q. Form 101 (612000) 3

Facility Name: DSM Pharmaceuticals, Inc
NPDES #: NC0001058
Supplemental Metals Analysis
If copper, zinc, or chromium are present in the proposed biocidal compound, complete this worksheet. A separate form
must be used for each metal and/or metal compound present in the biocide. List the metal, its chemical formula, molecular
weight (MW), formula weight (FW), and the concentration of the metal compound in the biocide (MCC). Complete a
separate form for every metal present in the biocide.
Metal
EXAMPLE
Copper
Chemical Formula Molecular Weight of Metal Formula Weight Concentration in Biocide
CuSO4.5H2O 63.546 g/mole 249.680 g/mole 0.2
Dosage rate of Biocide (DR) (from page 1):
DR = grams/day
Average Daily Discharge (ADD) (from page 1):
ADD = million gallons/day
Discharge Concentration (DC) of Biocide:
DR ( grams/day)
DC = ADD - (_million gallons/day) - grams/million gallons
Convert DC to micrograms/liter (ppb):
DC (pg/1) = DC (grams/million gal) x 1 x 106 N9/9 = pg/1
3.785 x 106 liters/million gal.
Calculate the fraction of metal in the metal -containing compound (MF):
MF = MW _ ( grams/mole) _
FW - ( grams/mole)
Calculate the fraction of metal in the biocidal compound (BF):
BF=MFxMCC/% _
100
x (100)
Calculate the concentration of metal in the discharge (M):
M = DC x BF = pg/I x
Calculate the instream metal concentration (IMC) at low -flow conditions:
Ng/I
o
IMC = M x IW10(0o °) = Ngll x 100 /° = Ng/I
Regulated limitation of metal (from below): ug/l
NC General Statutes 15A NCAC 213.0211 define:
Copper- 7 Ng/I water quality action level* Zinc- 50 pg/I water quality action level*
Chromium- 50 Ng/I water quality standard
(*Values which exceed action levels must be addressed directly by aquatic toxicity testing.)
D. W. Q. Form 101 (612000) -4

A/ANTOM
1. Identification
Version: 2.0
Revision Date: 02-02-2015
SAFETY DATA SHEET
Product identifier: Sulfuric Acid
Other means of identification
Product No.: 9661, 3780, 9704, 9682, V648, V225, V186, V008, 6902, 2900, 2879, 2878, 2877, 2874, 6163,
H996, H976, 5859, 2876, 5815, 5802, 9691, 9690, 9684, 9681, 9675, 9674, 9673, 9671, 5557, 5374, 21208,
21201
Recommended use and restriction on use
Recommended use: Not available.
Restrictions on use: Not known.
Manufacturer/Importer/Supplier/Distributor Information
Manufacturer
Company Name:
Avantor Performance Materials, Inc.
Address:
3477 Corporate Parkway, Suite 200
Center Valley, PA 18034
Telephone:
Customer Service: 855-282-6867
Fax:
Contact Person:
Environmental Health & Safety
e-mail:
[e-mail]
Emergency telephone number:
24 Hour Emergency: 908-859-2151
C h e m t re c: 800-4 24-9 30 0
2. Hazard(s) identification
Hazard Classification
Physical Hazards
Corrosive to metals
Health Hazards
Skin Corrosion/Irritation
Serious Eye Damage/Eye Irritation
Carcinogenicity
Specific Target Organ Toxicity -
Single Exposure
Environmental Hazards
Acute hazards to the aquatic
environment
Label Elements
Hazard Symbol:
Signal Word:
Category 1
Category 1
Category 1
Category 1A
Category 3
Category 3
�OOO
Danger
SDS US - SDSMIX000168 1/10

AC ANTOR
w0-M�raGc wutamue
Version: 2.0
Revision Date: 02-02-2015
Hazard Statement: May be corrosive to metals.
Causes severe skin burns and eye damage.
May cause respiratory irritation.
May cause cancer if inhaled.
Harmful to aquatic life.
Precautionary
Statement
Prevention:
Obtain special instructions before use. Do not handle until all safety
precautions have been read and understood. Keep only in original
container. Wash thoroughly after handling. Do not breathe
dust/fume/gas/mist/vapors/spray. Use only outdoors or in a well -ventilated
area. Wear protective gloves/protective clothing/eye protection/face
protection.
Response:
IF exposed or concerned: Get medical advice/attention. Absorb spillage to
prevent material damage. Immediately call a POISON CENTER or
doctor/physician. IF SWALLOWED: Rinse mouth. Do NOT induce vomiting.
IF ON SKIN (or hair): Remove/take off immediately all contaminated
clothing. Rinse skin with water/shower. Wash contaminated clothing before
reuse. IF IN EYES: Rinse cautiously with water for several minutes. Remove
contact lenses, if present and easy to do. Continue rinsing. IF INHALED:
Remove victim to fresh air and keep at rest in a position comfortable for
breathing.
Storage:
Store locked up. Store in corrosive resistant container with a resistant inner
liner. Store in a well -ventilated place. Keep container tightly closed.
Disposal:
Dispose of contents/container to an appropriate treatment and disposal
facility in accordance with applicable laws and regulations, and product
characteristics at time of disposal.
Other hazards which do not
None.
result in GHS classification:
3. Composition/information on ingredients
Substances
Chemical Identity
Common name
CAS
Content in percent (%)
and synonyms
number
SULFURIC ACID
7664-93-9
90 - 100%
' All concentrations are percent by weight unless ingredient is a gas. Gas concentrations are in percent by volume.
4. First -aid measures
General information: Get medical advice/attention if you feel unwell. Show this safety data sheet
to the doctor in attendance.
Ingestion: Call a physician or poison control center immediately. Do NOT induce
vomiting. If vomiting occurs, keep head low so that stomach content doesn't
get into the lungs.
Inhalation: Move to fresh air. Call a physician or poison control center immediately.
Apply artificial respiration if victim is not breathing If breathing is difficult,
give oxygen.
SDS US - SDSMIX000168 2/10

VONANTOR
Version: 2.0
Revision Date: 02-02-2015
Skin Contact: Immediately flush with plenty of water for at least 15 minutes while
removing contaminated clothing and shoes. Call a physician or poison
control center immediately. Wash contaminated clothing before reuse.
Destroy or thoroughly clean contaminated shoes.
Eye contact: Immediately flush with plenty of water for at least 15 minutes. If easy to do,
remove contact lenses. Call a physician or poison control center
immediately. In case of irritation from airborne exposure, move to fresh air.
Get medical attention immediately.
Most important symptoms/effects, acute and delayed
Symptoms: Corrosive to skin and eyes.
Indication of immediate medical attention and special treatment needed
Treatment: Treat symptomatically. Symptoms may be delayed.
5. Fire -fighting measures
General Fire Hazards: In case of fire and/or explosion do not breathe fumes.
Suitable (and unsuitable) extinguishing media
Suitable extinguishing Foam, carbon dioxide or dry powder.
media:
Unsuitable extinguishing Do not use water as an extinguisher.
media:
Specific hazards arising from Fire may produce irritating, corrosive and/or toxic gases.
the chemical:
Special protective equipment and precautions for firefighters
Special fire fighting Move containers from fire area if you can do so without risk. Fight fire from
procedures: a protected location. Use water SPRAY only to cool containers! Do not put
water on leaked material. Cool containers exposed to flames with water
until well after the fire is out.
Special protective equipment Firefighters must use standard protective equipment including flame
for fire-fighters: retardant coat, helmet with face shield, gloves, rubber boots, and in
enclosed spaces, SCBA.
6. Accidental release measures
Personal precautions,
Keep unauthorized personnel away. Keep upwind. Use personal protective
protective equipment and
equipment. See Section 8 of the SDS for Personal Protective Equipment.
emergency procedures:
Ventilate closed spaces before entering them. Do not touch damaged
containers or spilled material unless wearing appropriate protective
clothing.
Methods and material for
Neutralize spill area and washings with soda ash or lime. Absorb spill with
containment and cleaning
vermiculite or other inert material, then place in a container for chemical
up:
waste. Clean surface thoroughly to remove residual contamination. Dike far
ahead of larger spill for later recovery and disposal.
Notification Procedures: Dike for later disposal. Prevent entry into waterways, sewer, basements or
confined areas. Stop the flow of material, if this is without risk. Inform
authorities if large amounts are involved.
SDS US - SDSMIX000168 3/10

A�s R'
Version: 2.0
.iAN _-
Revision Date: 02-02-2015
Environmental Precautions:
Do not contaminate water sources or sewer. Prevent further leakage or
spillage if safe to do so. Avoid discharge into drains, water courses or onto
the ground.
7. Handling and storage
Precautions for safe handling:
Do not get in eyes, on skin, on clothing. Do not taste or swallow. Wash
hands thoroughly after handling. Do not eat, drink or smoke when using the
product. Use caution when adding this material to water. Add material
slowly when mixing with water. Do not add water to the material; instead,
add the material to the water. Do not handle until all safety precautions
have been read and understood. Obtain special instructions before use.
Use personal protective equipment as required.
Conditions for safe storage,
Do not store in metal containers. Keep in a cool, well -ventilated place. Keep
including any
container tightly closed. Store in a dry place.
incompatibilities:
8. Exposure controls/personal protection
Control Parameters
Occupational Exposure Limits
Chemical Identity
Type
Exposure Limit Values
source
SULFURIC ACID - Thoracic
TWA
0.2 mg/m3
US. ACGIH Threshold Limit Values (2011)
fraction.
SULFURIC ACID
REL
1 mg/m3
US. NIOSH: Pocket Guide to Chemical
Hazards 2010
PEL
1 mg/m3
US. OSHA Table Z-1 Limits for Air
Contaminants 29 CFR 1910.1000 02 2006
TWA
1 mg/m3
US. OSHA Table Z-1-A (29 CFR 1910.1000)
1989
Appropriate Engineering No data available.
Controls
Individual protection measures, such as personal protective equipment
General information: Good general ventilation (typically 10 air changes per hour) should be used.
Ventilation rates should be matched to conditions. If applicable, use
process enclosures, local exhaust ventilation, or other engineering controls
to maintain airborne levels below recommended exposure limits. If
exposure limits have not been established, maintain airborne levels to an
acceptable level. An eye wash and safety shower must be available in the
immediate work area.
Eye/face protection: Wear safety glasses with side shields (or goggles) and a face shield.
Skin Protection
Hand Protection: Chemical resistant gloves
Other: Wear suitable protective clothing.
Respiratory Protection: In case of inadequate ventilation use suitable respirator. Chemical
respirator with acid gas cartridge.
Hygiene measures: Provide eyewash station and safety shower. Always observe good personal
hygiene measures, such as washing after handling the material and before
eating, drinking, and/or smoking. Routinely wash work clothing to remove
contaminants. Discard contaminated footwear that cannot be cleaned.
9. Physical and chemical properties
SDS_US - SDSMIX000168 4/10

A'VANTOR
Appearance
Physical state: Liquid
Form: Liquid
Color: Colorless
Odor:
Odorless
Odor threshold:
No data available.
pH:
0.3 (1 N aqueous solution)
Melting point/freezing point:
3 °C
Initial boiling point and boiling range:
337 °C
Flash Point:
Not applicable
Evaporation rate:
No data available.
Flammability (solid, gas):
No data available.
Upper/lower limit on flammability or explosive limits
Flammability limit - upper (%):
No data available.
Flammability limit - lower (%):
No data available.
Explosive limit - upper (%):
No data available.
Explosive limit - lower (%):
No data available.
Vapor pressure:
No data available.
Vapor density:
No data available.
Relative density:
1.84 (20 °C)
Solubility(ies)
Solubility in water:
Miscible with water.
Solubility (other):
No data available.
Partition coefficient (n-octanol/water):
No data available.
Auto -ignition temperature:
No data available.
Decomposition temperature:
No data available.
Viscosity:
No data available.
10. Stability and reactivity
Version: 2.0
Revision Date: 02-02-2015
Reactivity: Reacts violently with strong alkaline substances.
Chemical Stability: Material is stable under normal conditions.
Possibility of Hazardous Hazardous polymerization does not occur. Material reacts with water.
Reactions:
Conditions to Avoid: Moisture. Heat. Contact with incompatible materials.
Incompatible Materials: Water. Cyanides. Strong oxidizing agents. Strong reducing agents. Metals.
Halogens. Organic compounds. Potassium.
Hazardous Decomposition Oxides of sulfur.
Products:
11. Toxicological information
Information on likely routes of exposure
Ingestion: May cause burns of the gastrointestinal tract if swallowed.
Inhalation: May cause damage to mucous membranes in nose, throat, lungs and
bronchial system.
Skin Contact: Causes severe skin burns.
Eye contact: Causes serious eye damage.
SDS US - SDSMIX000168 5/10

A' 'ANTOR
Information on toxicological effects
Acute toxicity (list all possible routes of exposure)
Oral
Product: No data available.
Dermal
Product:
No data available.
Inhalation
Product: No data available.
Specified substance(s):
SULFURIC ACID LC 50 (Guinea pig, 8 h): 0.03 mg/I
LC 50 (Rat, 4 h): 0.375 mg/I
Repeated Dose Toxicity
Product: No data available.
Skin Corrosion/Irritation
Product: Causes severe skin burns.
Serious Eye Damage/Eye Irritation
Version: 2.0
Revision Date: 02-02-2015
Product: Causes serious eye damage.
Respiratory or Skin Sensitization
Product: Not a skin sensitizer.
Carcinogenicity
Product: May cause cancer.
IARC Monographs on the Evaluation of Carcinogenic Risks to Humans:
SULFURIC ACID Overall evaluation: 1. Carcinogenic to humans.
US. National Toxicology Program (NTP) Report on Carcinogens:
SULFURIC ACID Known To Be Human Carcinogen.
US. OSHA Specifically Regulated Substances (29 CFR 1910.1001-1050):
No carcinogenic components identified
Germ Cell Mutagenicity
In vitro
Product: No mutagenic components identified
In vivo
Product: No mutagenic components identified
Reproductive Toxicity
Product: No components toxic to reproduction
Specific Target Organ Toxicity - Single Exposure
Product: Respiratory tract irritation.
Specific Target Organ Toxicity - Repeated Exposure
Product: None known.
Aspiration Hazard
Product: Not classified
SDS US - SDSMIX000168 6/10

fANTOR-
Other Effects:
12. Ecological information
Ecotoxicity:
No data available.
Version: 2.0
Revision Date: 02-02-2015
Acute hazards to the aquatic environment:
Fish
Product:
No data available.
Specified substance(s):
SULFURIC ACID
LC 50 (Starry, european flounder (Platichthys flesus), 48 h): 100 - 330 mg/I
Mortality
LC 50 (Western mosquitofish (Gambusia affinis), 96 h): 42 mg/I Mortality
LC 50 (Goldfish (Carassius auratus), 96 h): 17 mg/I Mortality
Aquatic Invertebrates
Product:
No data available.
Specified substance(s):
SULFURIC ACID
LC 50 (Common shrimp, sand shrimp (Crangon crangon), 48 h): 70 - 80
mg/I Mortality
LC 50 (Aesop shrimp (Pandalus montagui), 48 h): 42.5 mg/I Mortality
Chronic hazards to the aquatic environment:
Fish
Product:
No data available.
Aquatic Invertebrates
Product: No data available.
Toxicity to Aquatic Plants
Product: No data available.
Persistence and Degradability
Biodegradation
Product: There are no data on the degradability of this product.
BOD/COD Ratio
Product: No data available.
Bioaccumulative Potential
Bioconcentration Factor (BCF)
Product: No data available on bioaccumulation.
Partition Coefficient n-octanol / water (log Kow)
Product: No data available.
Mobility in Soil: The product is water soluble and may spread in water systems.
Other Adverse Effects: The product contains a substance which is harmful to aquatic organisms.
The product may affect the acidity (pH -factor) in water with risk of harmful
effects to aquatic organisms.
13. Disposal considerations
Disposal instructions: Discharge, treatment, or disposal may be subject to national, state, or local
laws.
SDS US - SDSMIX000168 7/10

AGANTOR
Version: 2.0
Revision Date: 02-02-2015
Contaminated Packaging: Since emptied containers retain product residue, follow label warnings even
after container is emptied.
14. Transport information
DOT
UN Number: UN 1830
UN Proper Shipping Name: Sulfuric acid
Transport Hazard Class(es)
Class(es): 8
Label(s): 8
Packing Group: II
Marine Pollutant: No
IMDG
UN Number: UN 1830
UN Proper Shipping Name: SULPHURIC ACID (WITH MORE THAN 51% ACID)
Transport Hazard Class(es)
Class(es): 8
Label(s): 8
EmS No.: F-A, S-B
Packing Group: II
Marine Pollutant: No
IATA
UN Number: UN 1830
Proper Shipping Name: Sulphuric acid
Transport Hazard Class(es):
Class(es): 8
Label(s): 8
Marine Pollutant: No
Packing Group: II
15. Regulatory information
US Federal Regulations
TSCA Section 12(b) Export Notification (40 CFR 707, Subpt. D)
US. OSHA Specifically Regulated Substances (29 CFR 1910.1001-1050)
None present or none present in regulated quantities.
CERCLA Hazardous Substance List (40 CFR 302.4):
SULFURIC ACID Reportable quantity: 1000 lbs.
Superfund Amendments and Reauthorization Act of 1986 (SARA)
Hazard categories
—XI Acute (Immediate) �X Chronic (Delayed)1-1 Fire1-1 Reactive FPressure Generating
SARA 302 Extremely Hazardous Substance
Chemical Identity RQ Threshold Planning Quan
SULFURIC ACID 1000 lbs. 1000 lbs.
SARA 304 Emergency Release Notification
Chemical Identity RQ
SULFURIC ACID 1000 lbs.
SDS US - SDSMIX000168 8/10

A'GANTOR Version: 2.0
.M- Revision Date: 02-02-2015
SARA 311/312 Hazardous Chemical
Chemical Identity Threshold Planning Quantity
SULFURIC ACID 500lbs
SARA 313 (TRI Reporting)
Reporting Reporting threshold for
threshold for manufacturing and
Chemical Identity other users processing
SULFURIC ACID 10000 Ibs 25000 lbs.
Clean Water Act Section 311 Hazardous Substances (40 CFR 117.3)
SULFURIC ACID Reportable quantity: 1000 Ibs.
Clean Air Act (CAA) Section 112(r) Accidental Release Prevention (40 CFR 68.130):
SULFURIC ACID Threshold quantity: 10000 Ibs
US State Regulations
US. California Proposition 65
SULFURIC ACID Carcinogenic.
US. New Jersey Worker and Community Right -to -Know Act
SULFURIC ACID Listed
US. Massachusetts RTK - Substance List
SULFURIC ACID Listed
US. Pennsylvania RTK - Hazardous Substances
SULFURIC ACID Listed
US. Rhode Island RTK
SULFURIC ACID Listed
Inventory Status:
Australia AICS:
Canada DSL Inventory List:
EU EINECS List:
EU ELINCS List:
Japan (ENCS) List:
EU No Longer Polymers List:
China Inv. Existing Chemical Substances
Korea Existing Chemicals Inv. (KECI):
Canada NDSL Inventory:
Philippines PICCS:
US TSCA Inventory:
New Zealand Inventory of Chemicals:
Switzerland Consolidated Inventory:
Japan ISHL Listing:
Japan Pharmacopoeia Listing:
On or in compliance with the inventory
On or in compliance with the inventory
On or in compliance with the inventory
Not in compliance with the inventory.
On or in compliance with the inventory
Not in compliance with the inventory.
On or in compliance with the inventory
On or in compliance with the inventory
Not in compliance with the inventory.
On or in compliance with the inventory
On or in compliance with the inventory
On or in compliance with the inventory
Not in compliance with the inventory.
Not in compliance with the inventory.
Not in compliance with the inventory.
16.Other information, including date of preparation or last revision
NFPA Hazard ID
Flammability
1 Health
W
SDS US - SDSMIX00016 99/10

AOANTon,
Reactivity
Special hazard.
Hazard rating: 0 - Minimal; 1 - Slight; 2 - Moderate; 3 - Serious; 4 - Severe
W: Water -reactive
Version: 2.0
Revision Date: 02-02-2015
Issue Date:
02-02-2015
Revision Date:
No data available.
Version #:
2.0
Further Information:
No data available.
Disclaimer:
THE INFORMATION PRESENTED IN THIS MATERIAL SAFETY DATA
SHEET (MSDS/SDS) WAS PREPARED BY TECHNICAL PERSONNEL
BASED ON DATA THAT THEY BELIEVE IN THEIR GOOD FAITH
JUDGMENT IS ACCURATE. HOWEVER, THE INFORMATION PROVIDED
HEREIN IS PROVIDED "AS IS," AND AVANTOR PERFORMANCE
MATERIALS MAKES AND GIVES NO REPRESENTATIONS OR
WARRANTIES WHATSOEVER, AND EXPRESSLY DISCLAIMS ALL
WARRANTIES REGARDING SUCH INFORMATION AND THE PRODUCT
TO WHICH IT RELATES, WHETHER EXPRESS, IMPLIED, OR
STATUTORY, INCLUDING WITHOUT LIMITATION<(>,<)> WARRANTIES
OF ACCURACY, COMPLETENESS, MERCHANTABILITY, NON -
INFRINGEMENT, PERFORMANCE, SAFETY, SUITABILITY, STABILITY,
AND FITNESS FOR A PARTICULAR PURPOSE, AND ANY WARRANTIES
ARISING FROM COURSE OF DEALING, COURSE OF PERFORMANCE,
OR USAGE OF TRADE. THIS MSDS/SDS IS INTENDED ONLY AS A
GUIDE TO THE APPROPRIATE PRECAUTIONARY HANDLING OF THE
MATERIAL BY A PROPERLY TRAINED PERSON USING THIS PRODUCT,
AND IS NOT INTENDED TO BE COMPREHENSIVE AS TO THE MANNER
AND CONDITIONS OF USE, HANDLING, STORAGE, OR DISPOSAL OF
THE PRODUCT. INDIVIDUALS RECEIVING THIS MSDS/SDS MUST
ALWAYS EXERCISE THEIR OWN INDEPENDENT JUDGMENT IN
DETERMINING THE APPROPRIATENESS OF SUCH ISSUES.
ACCORDINGLY, AVANTOR PERFORMANCE MATERIALS ASSUMES NO
LIABILITY WHATSOEVER FOR THE USE OF OR RELIANCE UPON THIS
INFORMATION. NO SUGGESTIONS FOR USE ARE INTENDED AS, AND
NOTHING HEREIN SHALL BE CONSTRUED AS, A RECOMMENDATION
TO INFRINGE ANY EXISTING PATENTS OR TO VIOLATE ANY FEDERAL,
STATE, LOCAL, OR FOREIGN LAWS. AVANTOR PERFORMANCE
MATERIALS REMINDS YOU THAT IT IS YOUR LEGAL DUTY TO MAKE
ALL INFORMATION IN THIS MSDS/SDS AVAILABLE TO YOUR
EMPLOYEES.
SDS US - SDSMIX000168 10/10

BIOCIDE/CHEMICAL TREATMENT
WORKSHEET-FORM 101
The following calculations are to be performed on any biocidal products ultimately discharged to the surface waters of
North Carolina. This worksheet must be completed separately for each biocidal product in use. This worksheet is to be
returned with all appropriate data entered into the designated areas with calculations performed as indicated.
I. Facility Name: Patheon Manufacturing Services LLC
NPDES # NC: 0001058 Outfall #: 001 & 002
County: Pitt
Receiving Stream: Parker's Creek 7Q10: 0.38 (cfs)
(All above information supplied by the Division of Water Quality)
What is the Average Daily Discharge (A.D.D.) volume of the water handling systems to the receiving water body?
A.D.D. = 0.044 (in M.G.D.)
Please calculate the Instream Waste Concentration (IWC in percent) of this discharge using the data entered
above.
IWC = (A.D.D.) X 100 _ ( ) X 100 _15.19967 %
(7Q 10)(0.646) + (A. D. D) - ( )(0.646) + ( )
This value (IWC) represents the waste concentration to the receiving stream during low flow conditions.
II. What is the name of the whole product chemical treatment proposed for use in the discharge identified in Part I?
Spectrus DT1404
Please list the active ingredients and percent composition:
Sodium Bisulfite 30 - 60 %
What feed or dosage rate (D.R.) is used in this application? The units must be converted to maximum grams
of whole product used in a 24hr period.
D.R.= 3,480 grams/24hr period
Please note, fluid ounces (a volume) must be converted to grams (a mass). The formula for this conversion is. -
Grams of product = fluid oz. of product X 1 gal. water X 8.34 lbs. X specific gravity of product X 453.59a.
128 fl. oz. 1 gal. water 1 lb.

Facility Name: DSM Pharmaceuticals, Inc
NPDES #: NC0001058
Estimate total volume of the water handling system between entry of biocidal product and NPDES discharge point.
On an attached sheet please provide justification for this estimate (system volume, average cycles per blowdown,
holding lagoon size, etc.)
Volume= 0.16 million gallons
What is the pH of the handling system prior to biocide addition? If unknown, enter N/A.
What is the decay rate (D.K.) of the product? If unknown, assume no decay (D.K.=O) and proceed to asterisk.
The degradation must be stated at pH level within 1 /2 pH standard unit within handling system. Enter the half life
(Half Life is the time required for the initial product to degrade to half of its original concentration). Please provide
copies of the sources of this data.
H.L. = Days
The decay rate is equal to H1L X 0.69 =
=Decay Rate (D.K.)
Calculate degradation factor (D.F.). This is the first order loss coefficient.
* D.F. _ (Vo(A. D.) D+ (D.K.) _ + ( ) = 0.275
lum
Calculate Steady State Discharge Concentration
Dischg Conc. _ (D.F.)(Volume)(3785) - ( )( ))(3785) = 20.90 mg/I
Calculate concentration of biocide instream during low flow conditions.
(Receiving Stream Concentration)
(Dischg. Conc.) x (IWC%) ( ) x ( ) - 3.18 mg/I
100 = 100 -
Receiving Stream Concentration
III. Calculate regulated limitation.
List all LC50 and EC50 data available for the whole product according to the following columns. (Note that units
should be in mg/I). Please provide copies of the sources of this data.
Organism
Daphnia magna
Fathead Minnow
Rainbow Trout
Test Duration
48 Hour
96 Hour
96 Hour
LC50/EC50 (mq/I)
175
175
330
D. W. Q. Form 101 (612000) 2

Facility Name: DSM Pharmaceuticals, Inc
NPDES #: NC0001058
Choose the lowest LC50/EC50 listed above:
Enter the LC50/EC50: 17
If the half life (H.L.) is less than 4 days, perform the following calculation.
Regulated Limitation = 0.05 x LC50 = mg/I
If the half life (H.L.) is greater than or equal to 4 days or unknown, perform the following calculation.
Regulated Limitation = 0.01 x LC50 = 1.75 mg/I
Choose the appropriate regulated limitation from the calculations immediately above and place in this blank:
1.75 mg/liter
From Part II enter the receiving stream concentration:
3.18 mg/liter
IV. Analysis.
If the receiving stream concentration is greater than the calculated regulated limitation, then this biocide is
unacceptable for use.
Person in Responsible Charge
maiywe- '6rbNn
Name (Print)
AfadS�1 d A
Signature Dafe
Person Completing This Worksheet (If different from above)
Name (Print)
Signature Date
Please submit to: Division of Water Quality
Aquatic Toxicology Unit
1621 Mail Service Center
Raleigh, NC 27699-1621
Contact info : Cindy Moore ([e-mail]) or John Giorgino [e-mail])
D. W. Q. Form 101 (612000) 3

Facility Name: DSM Pharmaceuticals, Inc NPDES #: NC0001058
Supplemental Metals Analysis
If copper, zinc, or chromium are present in the proposed biocidal compound, complete this worksheet. A separate form
must be used for each metal and/or metal compound present in the biocide. List the metal, its chemical formula, molecular
weight (MW), formula weight (FW), and the concentration of the metal compound in the biocide (MCC). Complete a
separate form for every metal present in the biocide.
Metal
EXAMPLE
Copper
Chemical Formula Molecular Weight of Metal Formula Weight Concentration in Biocide
CuSO4.5H2O 63.546 g/mole 249.680 g/mole 0.2
Dosage rate of Biocide (DR) (from page 1):
DR = grams/day
Average Daily Discharge (ADD) (from page 1):
ADD = million gallons/day
Discharge Concentration (DC) of Biocide:
DR ( grams/day)
DC = ADD = ( million gallons/day) = grams/million gallons
Convert DC to micrograms/liter (ppb):
DC (Ng/1) = DC (grams/million gal) x 1 x 106 u9/9 = Ng/I
3.785 x 106 liters/million gal.
Calculate the fraction of metal in the metal -containing compound (MF):
MF=MW =
ms/mole) _
_grams/mole)
Calculate the fraction of metal in the biocidal compound (BF):
BF=MFxMC�/) _
100
x
Calculate the concentration of metal in the discharge (M):
M = DC BF = ug/I x
(100)
Calculate the instream metal concentration (IMC) at low -flow conditions:
IMC = M x IW = Ng/I x 100 % = Ng/I
Regulated limitation of metal (from below): ug/l
NC General Statutes 15A NCAC 26.0211 define:
Copper- 7 pg/I water quality action level* Zinc- 50 Ng/I water quality action level*
Chromium- 50 pg/I water quality standard
(*Values which exceed action levels must be addressed directly by aquatic toxicity testing.)
D. W Q. Form 101 (612000) 4

suet
SAFETY DATA SHEET
SPECTRUS* DT1404
1. Identification
Product identifier
Other means of identification
Recommended use
Recommended restrictions
SPECTRUS DT1404
None.
Chemical cleaning compound
None known.
Company/undertaking identification
SUEZ WTS USA, Inc.
4636 Somerton Road
Trevose, PA 19053
T 215 355 3300, F 215 953 5524
Emergency telephone
[phone]
2. Hazard(s) identification
Physical hazards
Health hazards
OSHA defined hazards
Label elements
Signal word
Hazard statement
Precautionary statement
Prevention
Response
Storage
Disposal
Hazard(s) not otherwise
classified (HNOC)
Supplemental information
Version: 2.1
Effective Date: Dec-15-2017
Previous Date: Apr-07-2016
Not classified.
Serious eye damage/eye irritation Category 2B
Specific target organ toxicity, single exposure Category 3 respiratory tract irritation
Not classified.
•
Warning
Causes eye irritation. May cause respiratory irritation.
Avoid breathing mist or vapor. Wash thoroughly after handling. Use only outdoors or in a
well -ventilated area.
If inhaled: Remove person to fresh air and keep comfortable for breathing. If in eyes: Rinse
cautiously with water for several minutes. Remove contact lenses, if present and easy to do.
Continue rinsing. Call a poison center/doctor if you feel unwell. If eye irritation persists: Get
medical advice/attention.
Store in a well -ventilated place. Keep container tightly closed. Store locked up.
Dispose of contents/container in accordance with local/regional/national/international regulations.
None known.
None.
3. Composition/information on ingredients
Mixtures
Page: 1 / 8

Components
CAS # Percent
Sodium bisulphite
7631-90-5 40 - 60
"Designates that a specific chemical identity and/or percentage of composition has been withheld as a trade secret.
Composition comments
Information for specific product ingredients as required by the U.S. OSHA HAZARD
COMMUNICATION STANDARD is listed. Refer to additional sections of this SDS for our
assessment of the potential hazards of this formulation.
4. First -aid measures
Inhalation
Remove victim to fresh air and keep at rest in a position comfortable for breathing. Call a POISON
CENTER or doctor/physician if you feel unwell.
Skin contact
Wash off with soap and water. Get medical attention if irritation develops and persists.
Eye contact
Immediately flush eyes with plenty of water for at least 15 minutes. Remove contact lenses, if
present and easy to do. Continue rinsing. Get medical attention if irritation develops and persists.
Ingestion
Rinse mouth. Get medical attention if symptoms occur.
Most important
Irritation of eyes. Exposed individuals may experience eye tearing, redness, and discomfort. May
symptoms/effects, acute and
cause respiratory irritation.
delayed
Indication of immediate
Provide general supportive measures and treat symptomatically. Keep victim under observation.
medical attention and special
Symptoms may be delayed.
treatment needed
General information
If you feel unwell, seek medical advice (show the label where possible). Ensure that medical
personnel are aware of the material(s) involved, and take precautions to protect themselves.
5. Fire -fighting measures
Suitable extinguishing media Water fog. Foam. Dry chemical powder. Carbon dioxide (CO2).
Unsuitable extinguishing Do not use water jet as an extinguisher, as this will spread the fire.
media
Specific hazards arising from During fire, gases hazardous to health may be formed.
the chemical
Special protective equipment Wear full protective clothing, including helmet, self-contained positive pressure or pressure
and precautions for firefighters demand breathing apparatus, protective clothing and face mask.
Fire fighting
In case of fire and/or explosion do not breathe fumes. Use standard firefighting procedures and
equipment/instructions
consider the hazards of other involved materials. Move containers from fire area if you can do so
without risk. Cool containers / tanks with water spray.
Specific methods
Use standard firefighting procedures and consider the hazards of other involved materials.
General fire hazards
No unusual fire or explosion hazards noted.
6. Accidental release measures
Personal precautions,
Keep unnecessary personnel away. Keep people away from and upwind of spill/leak. Wear
protective equipment and
appropriate protective equipment and clothing during clean-up. Avoid breathing mist or vapor. Do
emergency procedures
not touch damaged containers or spilled material unless wearing appropriate protective clothing.
Ensure adequate ventilation. Local authorities should be advised if significant spillages cannot be
contained. For personal protection, see section 8 of the SDS.
Methods and materials for
Large Spills: Stop the flow of material, if this is without risk. Dike the spilled material, where this is
containment and cleaning up
possible. Cover with plastic sheet to prevent spreading. Absorb in vermiculite, dry sand or earth
and place into containers. Following product recovery, flush area with water.
Small Spills: Wipe up with absorbent material (e.g. cloth, fleece). Clean surface thoroughly to
remove residual contamination.
Never return spills to original containers for re -use. For waste disposal, see section 13 of the SDS.
Environmental precautions
Avoid discharge into drains, water courses or onto the ground. Water contaminated with this
product may be sent to a sanitary sewer treatment facility, or a permitted waste treatment facility,
in accordance with any local agreements.
7. Handling and storage
Precautions for safe handling
Vent carefully before opening. Sulfur dioxide can be formed during the normal use and handling of
this product. Avoid breathing mist or vapor. Avoid contact with eyes. Avoid prolonged exposure.
Provide adequate ventilation. Wear appropriate personal protective equipment. Observe good
industrial hygiene practices.
Material name: SPECTRUS' DT1404 Page: 2 / 8
Version number: 2.1

Conditions for safe storage, Store in original tightly closed container. Store containers closed when not in use. Protect from
including any incompatibilities freezing. If frozen, thaw completely and mix thoroughly prior to use. Shelf life 270 days. Store
locked up. Store away from incompatible materials (see Section 10 of the SDS).
8. Exposure controls/personal protection
Occupational exposure limits
US. ACGIH Threshold Limit Values
Components Type Value
Sodium bisulphite (CAS TWA 5 mg/m3
7631-90-5)
US. NIOSH: Pocket Guide to Chemical Hazards
Components Type
Sodium bisulphite (CAS
7631-90-5)
TWA
Value
5 mg/m3
Biological limit values No biological exposure limits noted for the ingredient(s).
Appropriate engineering Good general ventilation (typically 10 air changes per hour) should be used. Ventilation rates
controls should be matched to conditions. If applicable, use process enclosures, local exhaust ventilation,
or other engineering controls to maintain airborne levels below recommended exposure limits. If
exposure limits have not been established, maintain airborne levels to an acceptable level. Provide
eyewash station.
Individual protection measures, such as personal protective equipment
Eye/face protection Splash proof chemical goggles.
Skin protection
Hand protection
Wear appropriate chemical resistant gloves. The choice of an appropriate glove does not only
depend on its material but also on other quality features and is different from one producer to the
other. Suitable gloves can be recommended by the glove supplier. Glove selection must take into
account any solvents and other hazards present.
Other
Wear appropriate chemical resistant clothing.
Respiratory protection
If engineering controls do not maintain airborne concentrations below recommended exposure
limits (where applicable) or to an acceptable level (in countries where exposure limits have not
been established), an approved respirator must be worn. A RESPIRATORY PROTECTION
PROGRAM THAT MEETS OSHA'S 29 CFR 1910.134 AND ANSI Z88.2 REQUIREMENTS MUST
BE FOLLOWED WHENEVER WORKPLACE CONDITIONS WARRANT A RESPIRATOR'S 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
Color
Physical state
Odor
Odor threshold
pH (concentrated product)
pH in aqueous solution
Melting point/freezing point
Initial boiling point and boiling
range
Flash point
Evaporation rate
Flammability (solid, gas)
Yellowish to green
Liquid
Mild
Not available.
3.8 Neat
4 (5% Solution)
27 °F (-3 °C)
Not available.
> 199 *F (> 93 °C) P-M(CC)
Slower than Ether
Not applicable.
Upper/lower flammability or explosive limits
Flammability limit - lower Not available.
(%)
Flammability limit - upper Not available.
(%)
Explosive limit - lower (%) Not available.
Material name: SPECTRUS* DT1404 Page: 3 / 8
Version number: 2.1

Explosive limit - upper (%)
Vapor pressure
Vapor pressure temp.
Vapor density
Relative density
Relative density temperature
Solubility(ies)
Solubility (water)
Partition coefficient
(n-octanollwater)
Auto -ignition temperature
Decomposition temperature
Viscosity
Viscosity temperature
Other information
Explosive properties
Oxidizing properties
Pour point
Specific gravity
VOC
10. Stability and reactivity
Reactivity
Chemical stability
Possibility of hazardous
reactions
Conditions to avoid
Incompatible materials
Hazardous decomposition
products
Not available.
18 mmHg
70 -F (21 °C)
<1
1.36
70 °F (21 -C)
100 %
Not available.
Not available.
Not available.
20 mPa.s
70 -F (21 -C)
Not explosive.
Not oxidizing.
32 °F (0 °C)
1.359
0 % ESTIMATED
The product is stable and non -reactive under normal conditions of use, storage and transport.
Material is stable under normal conditions.
Hazardous polymerization does not occur.
Avoid temperatures exceeding the flash point. Contact with incompatible materials.
Avoid contact with strong oxidizers. and Amines.
Oxides of sulphur evolved in fire.
11. Toxicological information
Information on likely routes of exposure
Inhalation May cause irritation to the respiratory system. Prolonged inhalation may be harmful.
Skin contact No adverse effects due to skin contact are expected.
Eye contact Causes eye irritation.
Ingestion Expected to be a low ingestion hazard.
Symptoms related to the Irritation of eyes. Exposed individuals may experience eye tearing, redness, and discomfort. May
physical, chemical and cause respiratory irritation.
toxicological characteristics
Information on toxicological effects
Acute toxicity May cause respiratory irritation.
Product Species Test Results
SPECTRUS DT1404 (CAS Mixture)
Acute
Dermal
LD50 Rabbit > 5000 mg/kg, (Calculated according to
GHS additivity formula)
Inhalation
LC50 Rat > 5.5 mg/I, 4 Hours, (Calculated according
to GHS additivity formula)
Material name: SPECTRUS* DT1404 Page: 4 / 8
Version number: 2.1

Components Species Test Results
Sodium bisulphite (CAS 7631-90-5)
Acute
Dermal
LD50 Rabbit
> 2000 mg/kg
Inhalation
LC50 Rat
> 5.5 mg/I, 4 Hour
Oral
LD50 Rat
1420 mg/kg
* Estimates for product may be based on additional component data not shown.
Skin corrosion/irritation
Prolonged skin contact may cause temporary irritation.
Serious eye damage/eye
Causes eye irritation.
irritation
Respiratory or skin sensitization
Respiratory sensitization
Not available.
Skin sensitization
This product is not expected to cause skin sensitization.
Germ cell mutagenicity
No data available to indicate product or any components present at greater than 0.1 % are
mutagenic or genotoxic.
Carcinogenicity
This product is not considered to be a carcinogen by IARC, ACGIH, NTP, or OSHA.
[ARC Monographs. Overall Evaluation
of Carcinogenicity
Sodium bisulphite (CAS 7631-90-5) 3 Not classifiable as to carcinogenicity to humans.
OSHA Specifically Regulated Substances (29 CFR 1910.1001-1050)
Not regulated.
US. National Toxicology Program (NTP) Report on Carcinogens
Not listed.
Reproductive toxicity
This product is not expected to cause reproductive or developmental effects.
Specific target organ toxicity -
May cause respiratory irritation.
single exposure
Specific target organ toxicity -
Not classified.
repeated exposure
Aspiration hazard
Not available.
Chronic effects
Prolonged inhalation may be harmful.
12. Ecological information
Ecotoxicity
Product Species Test Results
SPECTRUS DT1404 (CAS Mixture)
EC50 Scenedesmus (algae) 48 mg/I, Growth Inhibition, 72 hour
LC50 Fathead Minnow 175 mg/I, Static Renewal Bioassay, 96
hour
NOEL Fathead Minnow 125 mg/l, Static Renewal Bioassay, 96
hour
Aquatic
Crustacea LC50
Daphnia magna
175 mg/I, Static Renewal Bioassay, 48
hour
NOEL
Daphnia magna
125 mg/I, Static Renewal Bioassay, 48
hour
Fish LC50
Rainbow Trout
330 mg/l, Static Renewal Bioassay, 96
hour, (pH adjusted)
NOEL
Rainbow Trout
125 mg/l, Static Renewal Bioassay, 96
hour, (pH adjusted)
Bioaccumulative potential No data available.
Mobility in soil No data available.
Other adverse effects Not available.
Material name: SPECTRUS* DT1404
Version number: 2.1
Page: 5 / 8

Persistence and degradability
- COD (mgO2/g) 165
13. Disposal considerations
Disposal instructions
Collect and reclaim or dispose in sealed containers at licensed waste disposal site. Dispose of
contents/container in accordance with local/regional/national/international regulations.
Local disposal regulations
Dispose in accordance with all applicable 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 of in accordance with local regulations. Empty containers or liners may retain some
products
product residues. This material and its container must be disposed of in a safe manner (see:
Disposal instructions).
Empty containers or liners may retain some product residues. This material and its container must
be disposed of in a safe manner.
Contaminated packaging
Since emptied containers may retain product residue, follow label warnings even after container is
emptied. Empty containers should be taken to an approved waste handling site for recycling or
disposal.
14. Transport information
DOT
UN number UN3082
UN proper shipping name Environmentally hazardous substance, liquid, n.o.s. (SODIUM BISULFITE), RQ(SODIUM
BISULFITE)
Transport hazard class(es)
Class 9
Subsidiary risk -
Packing group III
Special precautions for user Read safety instructions, SDS and emergency procedures before handling.
ERG number 171
Some containers may be exempt from Dangerous Goods/Hazmat Transport Regulations, please check BOL for exact container
classification.
IATA
Not regulated as dangerous goods.
IMDG
UN number UN3082
UN proper shipping name ENVIRONMENTALLY HAZARDOUS SUBSTANCE, LIQUID, N.O.S. (SODIUM BISULFITE),
RQ(SODIUM BISULFITE)
Transport hazard class(es)
Class 9
Subsidiary risk -
Packing group III
Environmental hazards
Marine pollutant No.
Ems F-A, S-F
Special precautions for user Read safety instructions, SDS and emergency procedures before handling.
DOT
Material name: SPECTRUS* DT1404 Page: 6 / 8
Version number: 2.1

IMDG
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)
Not regulated.
CERCLA Hazardous Substance List (40 CFR 302.4)
Sodium bisulphite (CAS 7631-90-5) Listed.
SARA 304 Emergency release notification
Not regulated.
OSHA Specifically Regulated Substances (29 CFR 1910.1001-1050)
Not regulated.
Superfund Amendments and Reauthorization Act of 1986 (SARA)
Hazard categories Immediate Hazard - Yes
Delayed Hazard - No
Fire Hazard - No
Pressure Hazard - No
Reactivity Hazard - No
SARA 302 Extremely hazardous substance
Not listed.
SARA 311/312 Hazardous Yes
chemical
SARA 313 (TRI reporting)
Not regulated.
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.
Safe Drinking Water Act Not regulated.
(SDWA)
Inventory status
Country(s) or region Inventory name On inventory (yesino)'
Canada Domestic Substances List (DSL) Yes
Canada Non -Domestic Substances List (NDSL) No
United States & Puerto Rico Toxic Substances Control Act (TSCA) Inventory Yes
'A "Yes" indicates that all components of this product comply 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).
US state regulations
US - California Proposition 65 - CRT: Listed date/Carcinogenic substance
No ingredient listed.
US - California Proposition 65 - CRT: Listed date/Developmental toxin
No ingredient listed.
US - California Proposition 65 - CRT: Listed date/Female reproductive toxin
No ingredient listed.
US - California Proposition 65 - CRT: Listed date/Male reproductive toxin
No ingredient listed.
Material name: SPECTRUS` DT1404 Page: 7 / 8
Version number. 2.1

US - Massachusetts RTK - Substance List
Sodium bisulphite (CAS 7631-90-5)
US - Pennsylvania RTK - Hazardous Substances
Sodium bisulphite (CAS 7631-90-5) Listed.
US - Rhode Island RTK
Sodium bisulphite (CAS 7631-90-5)
US. New Jersey Worker and Community Right -to -Know Act
Sodium bisulphite (CAS 7631-90-5) Listed.
US. California Proposition 65
California Safe Drinking Water and Toxic Enforcement Act of 1986 (Proposition 65): This material is not known to contain
any chemicals currently listed as carcinogens or reproductive toxins.
16. Other information, including date of preparation or last revision
Issue date
Nov-19-2014
Revision date
Dec-15-2017
Version #
2.1
List of abbreviations
CAS: Chemical Abstract Service Registration Number
TWA: Time Weighted Average
STEL: Short Term Exposure Limit
LD50: Lethal Dose, 50%
LC50: Lethal Concentration, 50%
NOEL: No Observed Effect Level
COD: Chemical Oxygen Demand
BOD: Biochemical Oxygen Demand
TOC: Total Organic Carbon
IATA: International Air Transport Association
IMDG: International Maritime Dangerous Goods Code
ACGIH: American Conference of Governmental Industrial Hygienists
TSRN indicates a Trade Secret Registry Number is used in place of the CAS number.
References:
No data available
Disclaimer
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, unless specified in the text.
Revision information Hazard(s) identification: Hazard statement
Hazard(s) identification: Response
First -aid measures: Eye contact
First -aid measures: Ingestion
Physical and chemical properties: Color
Stability and reactivity: Conditions to avoid
Stability and reactivity: Hazardous decomposition products
Stability and reactivity: Incompatible materials
Toxicological Information: Toxicological Data
Ecological information: Persistence / degradability
Transport Information: Material Transportation Information
Other information, including date of preparation or last revision: Prepared by
Other information, including date of preparation or last revision: List of abbreviations
GHS: Supplements
Prepared by This SIDS has been prepared by SUEZ Regulatory Department (1-215-355-3300).
* Trademark of SUEZ. May be registered in one or more countries.
Material name: SPECTRUS* DT1404 Page: 8 / 8
Version number: 2.1

BIOCIDE/CHEMICAL TREATMENT
WORKSHEET-FORM 101
The following calculations are to be performed on any biocidal products ultimately discharged to the surface waters of
North Carolina. This worksheet must be completed separately for each biocidal product in use. This worksheet is to be
returned with all appropriate data entered into the designated areas with calculations performed as indicated.
I. Facility Name: Patheon Manufacturing Services LLC
NPDES # NC: 0001058
County: Pitt
Receiving Stream: Parker's Creek
Outfall #: 001 & 002
7Q10: 0.38 (cfs)
(All above information supplied by the Division of Water Quality)
What is the Average Daily Discharge (A.D.D.) volume of the water handling systems to the receiving water body?
A.D.D. = 0.044 (in M.G.D.)
Please calculate the Instream Waste Concentration (IWC in percent) of this discharge using the data entered
above.
IWC - (A.D.D.) X 100 _ ( ) X 100 _15.19967 %
(7Q10)(0.646) + (A.D.D) - ( )(0.646) + ( )
This value (IWC) represents the waste concentration to the receiving stream during low flow conditions.
What is the name of the whole product chemical treatment proposed for use in the discharge identified in Part I?
GenGard GN8300
Please list the active ingredients and percent composition:
Phosphoric Acid 7664-38-2 60-80 %
What feed or dosage rate (D.R.) is used in this application? The units must be converted to maximum grams
of whole product used in a 24hr period.
D.R.= _79.4 grams/24hr period
Please note, fluid ounces (a volume) must be converted to grams (a mass). The formula for this conversion is:
Grams of product = fluid oz. of product X 1 gal. water X 8.34 lbs. X specific gravity of product X 453.59a.
128 fl. oz. 1 gal. water 1 lb.

Facility Name: DSM Pharmaceuticals, Inc
NPDES #: NC0001058
Estimate total volume of the water handling system between entry of biocidal product and NPDES discharge point.
On an attached sheet please provide justification for this estimate (system volume, average cycles per blowdown,
holding lagoon size, etc.)
Volume= 0.10 million gallons
What is the pH of the handling system prior to biocide addition? If unknown, enter N/A.
What is the decay rate (D.K.) of the product? If unknown, assume no decay (D.K.=O) and proceed to asterisk.
The degradation must be stated at pH level within 1/2 pH standard unit within handling system. Enter the half life
(Half Life is the time required for the initial product to degrade to half of its original concentration). Please provide
copies of the sources of this data.
H.L. = Days
The decay rate is equal to H1L X 0.69 =
=Decay Rate (D.K.)
Calculate degradation factor (D.F.). This is the first order loss coefficient.
* D.F. _ (Volume)
+ (D.K.) _ + ( ) = 0.44
Calculate Steady State Discharge Concentration
Dischg Conc. _ (D.F.)(Volume)(3785) - ( )( ))(3785) = 31.57 mg/I
Calculate concentration of biocide instream during low flow conditions.
(Receiving Stream Concentration)
(Dischg. Conc.) x (IWCZ.l x ( ) - 4.80 mg/I
100 - 100 -
Receiving Stream Concentration
Ill. Calculate regulated limitation.
List all LC50 and EC50 data available for the whole product according to the following columns. (Note that units
should be in mg/1). Please provide copies of the sources of this data.
Organism Test Duration LC50/EC50 (mg/1)
Scenedesmus (algae) 72 hours >100 mg/l
Fathead Minnow 96 hours 4200 mg/I
Choose the lowest LC50/EC50 listed above:
Enter the LC50/EC50: 72 hours
If the half life (H.L.) is less than 4 days, perform the following calculation.
Regulated Limitation = 0.05 x LC50 = mg/I
D. W. Q. Form 101 (612000) 2

Facility Name: DSM Pharmaceuticals, Inc
NPDES #: NC0001058
If the half life (H.L.) is greater than or equal to 4 days or unknown, perform the following calculation.
Regulated Limitation = 0.01 x LC50 = 1.25 mg/I
Choose the appropriate regulated limitation from the calculations immediately above and place in this blank:
1.25
mg/liter
From Part II enter the receiving stream concentration:
4.80
IV. Analysis.
mg/liter
If the receiving stream concentration is greater than the calculated regulated limitation, then this biocide is
unacceptable for use.
Person in Responsible Charge
Nat&U e F)n)vyn
Name (Print)
Signature Ddte
Person Completing This Worksheet (If different from above)
Name (Print)
Signature Date
Please submit to: Division of Water Quality
Aquatic Toxicology Unit
1621 Mail Service Center
Raleigh, NC 27699-1621
Contact info: Cindy Moore ([e-mail]) or John Giorgino [e-mail])
D. W. Q. Form 101 (612000) 3

Facility Name: DSM Pharmaceuticals, Inc
NPDES #: NC0001058
Supplemental Metals Analysis
If copper, zinc, or chromium are present in the proposed biocidal compound, complete this worksheet. A separate form
must be used for each metal and/or metal compound present in the biocide. List the metal, its chemical formula, molecular
weight (MW), formula weight (FW), and the concentration of the metal compound in the biocide (MCC). Complete a
separate form for every metal present in the biocide.
Metal
EXAMPLE
Copper
Chemical Formula Molecular Weight of Metal Formula Weight Concentration in Biocide
CuSO4.5H2O 63.546 g/mole 249.680 g/mole 0.2
Dosage rate of Biocide (DR) (from page 1):
DR = grams/day
Average Daily Discharge (ADD) (from page 1):
ADD = million gallons/day
Discharge Concentration (DC) of Biocide:
DC = DR _ ( grams/day) _ grams/million gallons
ADD - ( million gallons/day)
Convert DC to micrograms/liter (ppb):
DC (pg/1) = DC (grams/million gal) x 1 x 106 ug/g = Ng/I
3.785 x 106 liters/million gal.
Calculate the fraction of metal in the metal -containing compound (MF):
MF = MW _ ( grams/mole) _
FW - ( grams/mole)
Calculate the fraction of metal in the biocidal compound (BF):
BF = MF x MCC (/°) _
100
x (100)
Calculate the concentration of metal in the discharge (M):
M=DCxBF= Pg/Ix
Calculate the instream metal concentration (IMC) at low -flow conditions:
Ng/I
%) °
IMC = M x IW1C00% = u9/I x 100 ° = Ng/I
Regulated limitation of metal (from below): Ng/I
NC General Statutes 15A NCAC 26.0211 define:
Copper- 7 pg/I water quality action level" Zinc- 50 pg/I water quality action level*
Chromium- 50 pg/I water quality standard
(*Values which exceed action levels must be addressed directly by aquatic toxicity testing.)
D. W. Q. Form 101 (612000) 4

Gesue,2
SAFETY DATA SHEET
GENGARD* GN8300
1. Identification
Product identifier
GENGARD GN8300
Other means of identification
None.
Recommended use
Corrosion inhibitor
Recommended restrictions
None known.
Company/undertaking identification
SUEZ WTS USA, Inc.
4636 Somerton Road
Trevose, PA 19053
T 215 355 3300, F 215 953 5524
Emergency telephone
[phone]
2. Hazard(s) identification
Version: 3.0
Effective Date: Nov-28-2018
Previous Date: Dec-16-2017
Physical hazards Corrosive to metals Category 1
Health hazards Acute toxicity, oral Category 4
Skin corrosion/irritation Category 1 B
Serious eye damage/eye irritation Category 1
Specific target organ toxicity, single exposure Category 3 respiratory tract irritation
OSHA defined hazards Not classified.
Label elements
0< I >
Signal word
Danger
Hazard statement
May be corrosive to metals. Harmful if swallowed. Causes severe skin burns and eye damage.
Causes serious eye damage. May cause respiratory irritation.
Precautionary statement
Prevention
Keep only in original container. Do not breathe mist or vapor. Wash thoroughly after handling. Do
not eat, drink or smoke when using this product. Use only outdoors or in a well -ventilated area.
Wear protective gloves/protective clothing/eye protection/face protection.
Response
Immediately call a poison center/doctor. Wash contaminated clothing before reuse. Absorb
spillage to prevent material damage. If swallowed: Rinse mouth. Do NOT induce vomiting. If on
skin (or hair): Take off immediately all contaminated clothing. Rinse skin with water/shower. If
inhaled: Remove person to fresh air and keep comfortable for breathing. If in eyes: Rinse
cautiously with water for several minutes. Remove contact lenses, if present and easy to do.
Continue rinsing.
Storage
Store in a well -ventilated place. Keep container tightly closed. Store locked up. Store in corrosive
resistant container with a resistant inner liner.
Disposal
Dispose of contents/container in accordance with local/regional/national/international regulations.
Page: 1 / 9

Hazard(s) not otherwise None known.
classified (HNOC)
Supplemental information None.
3. Composition/information on ingredients
Mixtures
Components CAS # Percent
Phosphoric Acid
7664-38-2 60 - 80
Composition comments
Information for specific product ingredients as required by the U.S. OSHA HAZARD
COMMUNICATION STANDARD is listed. Refer to additional sections of this SDS for our
assessment of the potential hazards of this formulation.
4. First -aid measures
Inhalation
Remove victim to fresh air and keep at rest in a position comfortable for breathing. Call a poison
center or doctor/physician if you feel unwell.
Skin contact
Take off immediately all contaminated clothing. Rinse skin with water/shower. Call a physician or
poison control center immediately. Chemical burns must be treated by a physician. Wash
contaminated clothing before reuse.
Eye contact
Immediately flush eyes with plenty of water for at least 15 minutes. Remove contact lenses, if
present and easy to do. Continue rinsing. Call a physician or poison control center immediately.
Ingestion
Do not feed anything by mouth to an unconscious or convulsive victim. Do not induce vomiting.
Call a physician or poison control center immediately. Rinse mouth. If vomiting occurs, keep head
low so that stomach content doesn't get into the lungs.
Most important
Burning pain and severe corrosive skin damage. Causes serious eye damage. Symptoms may
symptoms/effects, acute and
include stinging, tearing, redness, swelling, and blurred vision. Permanent eye damage including
delayed
blindness could result. May cause respiratory irritation.
Indication of immediate Provide general supportive measures and treat symptomatically. Chemical burns: Flush with water
medical attention and special immediately. While flushing, remove clothes which do not adhere to affected area. Call an
treatment needed ambulance. Continue flushing during transport to hospital. Keep victim warm. Keep victim under
observation. Symptoms may be delayed.
General information If you feel unwell, seek medical advice (show the label where possible). Ensure that medical
personnel are aware of the material(s) involved, and take precautions to protect themselves. Show
this safety data sheet to the doctor in attendance.
5. Fire -fighting measures
Suitable extinguishing media Water fog. Foam. Dry chemical powder. Carbon dioxide (CO2).
Unsuitable extinguishing Do not use water jet as an extinguisher, as this will spread the fire.
media
Specific hazards arising from During fire, gases hazardous to health may be formed.
the chemical
Special protective equipment Wear full protective clothing, including helmet, self-contained positive pressure or pressure
and precautions for firefighters demand breathing apparatus, protective clothing and face mask.
Fire fighting In case of fire and/or explosion do not breathe fumes. Use standard firefighting procedures and
equipment/instructions consider the hazards of other involved materials. Cool containers / tanks with water spray.
Specific methods Use standard firefighting procedures and consider the hazards of other involved materials.
6. Accidental release measures
Personal precautions,
Keep unnecessary personnel away. Keep people away from and upwind of spill/leak. Wear
protective equipment and
appropriate protective equipment and clothing during clean-up. Do not breathe mist or vapor. Do
emergency procedures
not touch damaged containers or spilled material unless wearing appropriate protective clothing.
Ensure adequate ventilation. Local authorities should be advised if significant spillages cannot be
contained. For personal protection, see section 8 of the SDS.
Methods and materials for
Prevent entry into waterways, sewer, basements or confined areas.
containment and cleaning up
Large Spills: Stop the flow of material, if this is without risk. Dike the spilled material, where this is
possible. Absorb spillage to prevent material damage. Use a non-combustible material like
vermiculite, sand or earth to soak up the product and place into a container for later disposal.
Following product recovery, flush area with water.
Small Spills: Wipe up with absorbent material (e.g. cloth, fleece). Clean surface thoroughly to
remove residual contamination.
Never return spills to original containers for re -use. For waste disposal, see section 13 of the SDS.
Material name: GENGARD' GN8300 Page: 2 / 9
Version number: 3.0

Environmental precautions Avoid discharge into drains, water courses or onto the ground.
7. Handling and storage
Precautions for safe handling Acidic. Corrosive to skin or eyes. Do not mix with alkaline material. Avoid prolonged exposure.
Provide adequate ventilation. Wear appropriate personal protective equipment. Observe good
industrial hygiene practices. Do not get in eyes, on skin, or on clothing. Do not taste or swallow.
When using, do not eat, drink or smoke. Wash hands thoroughly after handling. Use care in
handling/storage.
Conditions for safe storage, Store locked up. Store in corrosive resistant container with a resistant inner liner. Contact with
including any incompatibilities metals may release flammable hydrogen gas. Keep only in the original container. Store in a cool,
dry place out of direct sunlight. Store in tightly closed container. Store away from incompatible
materials (see Section 10 of the SDS). Store in accordance with
local/regional/national/international regulation.
8. Exposure controls/personal protection
Occupational exposure limits
The following constituents are the only constituents of the product which have a PEL, TLV or other recommended exposure limit.
At this time, the other constituents have no known exposure limits.
US. OSHA Table Z-1 Limits for Air Contaminants (29 CFR 1910.1000)
Components
Type
Value
Phosphoric Acid (CAS
PEL
1 mg/m3
7664-38-2)
US. ACGIH Threshold Limit Values
Components
Type
Value
Phosphoric Acid (CAS
STEL
3 mg/m3
7664-38-2)
TWA
1 mg/m3
US. NIOSH: Pocket Guide to Chemical Hazards
Components
Type
Value
Phosphoric Acid (CAS
STEL
3 mg/m3
7664-38-2)
TWA
1 mg/m3
Biological limit values No biological exposure limits noted for the ingredient(s).
Appropriate engineering Eye wash facilities and emergency shower must be available when handling this product.
controls
Individual protection measures, such as personal protective equipment
Eye/face protection Wear safety glasses with side shields (or goggles) and a face shield.
Skin protection
Hand protection Wear appropriate chemical resistant gloves. The choice of an appropriate glove does not only
depend on its material but also on other quality features and is different from one producer to the
other. Glove selection must take into account any solvents and other hazards present.
Other Wear appropriate chemical resistant clothing.
Respiratory protection If engineering controls do not maintain airborne concentrations below recommended exposure
limits (where applicable) or to an acceptable level (in countries where exposure limits have not
been established), an approved respirator must be worn. A RESPIRATORY PROTECTION
PROGRAM THAT MEETS OSHA'S 29 CFR 1910.134 AND ANSI Z88.2 REQUIREMENTS MUST
BE FOLLOWED WHENEVER WORKPLACE CONDITIONS WARRANT A RESPIRATOR'S USE.
Thermal hazards Wear appropriate thermal protective clothing, when necessary.
General hygiene Keep away from food and drink. Always observe good personal hygiene measures, such as
considerations washing after handling the material and before eating, drinking, and/or smoking. Routinely wash
work clothing and protective equipment to remove contaminants.
9. Physical and chemical properties
Appearance
Color
Physical state
Odor
Odor threshold
pH (concentrated product)
pH in aqueous solution
Material name: GENGARD' GN8300
Version number: 3.0
Colorless to light yellow
Liquid
Mild
Not available.
< 1 Neat
1.2 (5% Solution)
Page: 3 / 9

Melting point/freezing point < -30 °F (< -34 °C)
Initial boiling point and boiling Not available.
range
Flash point
Not applicable.
Evaporation rate
Slower than Ether
Flammability (solid, gas)
Not applicable.
Upper/lower flammability or explosive
limits
Flammability limit - lower
Not available.
Flammability limit - upper
Not available.
(%)
Explosive limit - lower (%)
Not available.
Explosive limit - upper (%)
Not available.
Vapor pressure
15 mmHg
Vapor pressure temp.
70 °F (21 °C)
Vapor density
> 1
Relative density
1.58
Relative density temperature
70 °F (21 °C)
Solubility(ies)
Solubility (water)
100 %
Partition coefficient
Not available.
(n-octanol/water)
Auto -ignition temperature
Not available.
Decomposition temperature
Not available.
Viscosity
44 mPa.s
Viscosity temperature
70 °F (21 °C)
Other information
Explosive properties
Not explosive.
Oxidizing properties
Not oxidizing.
Percent volatile
25
Pour point
< -25 °F (< -32 °C)
Specific gravity
1.579
VOC
0 % ESTIMATED
10. Stability and reactivity
Reactivity
May be corrosive to metals.
Chemical stability
Material is stable under normal conditions.
Possibility of hazardous
Hazardous polymerization does not occur.
reactions
Conditions to avoid
Contact with incompatible materials. Contact with metals may release flammable hydrogen gas.
Contact with strong bases may cause a violent reaction releasing heat. Avoid contact with strong
oxidizers. Keep away from heat, hot surfaces, sparks, open flames and other ignition sources.
Incompatible materials
Strong oxidizing agents. Metals.
Hazardous decomposition
Oxides of carbon and phosphorus evolved in fire.
products
11. Toxicological information
Information on likely routes of exposure
Inhalation May cause irritation to the respiratory system. Prolonged inhalation may be harmful.
Skin contact Causes severe skin burns.
Eye contact Causes serious eye damage.
Ingestion Causes digestive tract burns. Harmful if swallowed.
Material name: GENGARD" GN8300 Page: 4 / 9
Version number: 3.0

Symptoms related to the Burning pain and severe corrosive skin damage. Causes serious eye damage. Symptoms may
physical, chemical and include stinging, tearing, redness, swelling, and blurred vision. Permanent eye damage including
toxicological characteristics blindness could result. May cause respiratory irritation.
Information on toxicological effects
Acute toxicity Harmful if swallowed.
Product Species
GENGARD GN8300 (CAS Mixture)
Acute
Dermal
LD50 Rabbit
Oral
LD50 Rat
Components Species
Test Results
3650 mg/kg, (Calculated according to GHS
additivity formula)
400 mg/kg, (Calculated according to GHS
additivity formula)
Test Results
Phosphoric Acid (CAS 7664-38-2)
Acute
Dermal
LD50 Rabbit 2740 mg/kg
Oral
LD50 Rat 300 mg/kg
Skin corrosion/irritation Causes severe skin burns and eye damage.
Serious eye damage/eye Causes serious eye damage.
irritation
Respiratory or skin sensitization
Respiratory sensitization This product is not expected to cause respiratory sensitization.
Skin sensitization This product is not expected to cause skin sensitization.
Germ cell mutagenicity No data available to indicate product or any components present at greater than 0.1 % are
mutagenic or genotoxic.
Carcinogenicity
IARC Monographs. Overall Evaluation of Carcinogenicity
Not listed.
OSHA Specifically Regulated Substances (29 CFR 1910.1001-1062)
Not regulated.
US. National Toxicology Program (NTP) Report on Carcinogens
Not listed.
Reproductive toxicity This product is not expected to cause reproductive or developmental effects.
Specific target organ toxicity - May cause respiratory irritation.
single exposure
Specific target organ toxicity - Not classified.
repeated exposure
Aspiration hazard Aspiration of this product may cause the same corrosiveness/irritation impacts as if it were
ingested.
Chronic effects Prolonged inhalation may be harmful.
12. Ecological information
Ecotoxicity
Product Species
GENGARD GN8300 (CAS Mixture)
5% Mortality Ceriodaphnia
85% Mortality Ceriodaphnia
EC50 Scenedesmus (algae)
Test Results
500 mg/L, Static Screen, 48 hour, (pH
adjusted)
2500 mg/L, Static Screen, 48 hour, (pH
adjusted)
> 100 mg/I, 72 Hours
Material name: GENGARD* GN8300
Version number: 3.0
Page: 5 / 9

Product
Species
Test Results
LC50
Fathead Minnow
4200 mg/L, Static Renewal Bioassay, 96
hour, (pH adjusted)
NOEL
Fathead Minnow
2100 mg/L, Static Renewal Bioassay, 96
hour, (pH adjusted)
Aquatic
Crustacea
LC50
Daphnia magna
3540 mg/L, Static Renewal Bioassay, 48
hour, (pH adjusted)
NOEL
Daphnia magna
2100 mg/L, Static Renewal Bioassay, 48
hour, (pH adjusted)
Persistence and degradability
Not available.
Bioaccumulative potential
No information available.
Mobility in soil
No data available.
Other adverse effects
Not available.
13. Disposal considerations
Disposal instructions Collect and reclaim or dispose in sealed containers at licensed waste disposal site. Incinerate the
material under controlled conditions in an approved incinerator. Dispose of contents/container in
accordance with local/regional/national/international regulations.
Local disposal regulations Dispose in accordance with all applicable regulations.
Hazardous waste code D002: Waste Corrosive material [pH —2 or=>12.5, or corrosive to steel]
The waste code should be assigned in discussion between the user, the producer and the waste
disposal company.
Waste from residues / unused Empty containers or liners may retain some product residues. This material and its container must
products be disposed of in a safe manner (see: Disposal instructions).
Contaminated packaging Since emptied containers may retain product residue, follow label warnings even after container is
emptied. Empty containers should be taken to an approved waste handling site for recycling or
disposal.
14. Transport information
DOT
UN number
UN1805
UN proper shipping name
Phosphoric acid solution, RQ(PHOSPHORIC ACID)
Transport hazard class(es)
Class
8
Subsidiary risk
-
Packing group
III
Special precautions for user Read safety instructions, SDS and emergency procedures before handling.
ERG number
154
Some containers may be exempt from Dangerous Goods/Hazmat Transport Regulations, please check BOL for exact container
classification.
IATA
UN number
UN1805
UN proper shipping name
Phosphoric acid, solution
Transport hazard class(es)
Class
8
Subsidiary risk
-
Packing group
III
Environmental hazards
No.
ERG Code
154
Special precautions for user Read safety instructions, SDS and emergency procedures before handling.
IMDG
UN number
UN1805
UN proper shipping name
PHOSPHORIC ACID SOLUTION, RQ(Phosphoric Acid)
Transport hazard class(es)
Class
8
Subsidiary risk
-
Material name: GENGARD* GN8300 Page: 6 / 9
Version number. 3.0

Packing group III
Environmental hazards
Marine pollutant No.
EmS F-A, S-B
Special precautions for user Read safety instructions, SDS and emergency procedures before handling.
DOT
IATA; IMDG
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)
Not regulated.
CERCLA Hazardous Substance List (40 CFR 302.4)
Phosphoric Acid (CAS 7664-38-2) Listed.
SARA 304 Emergency release notification
Not regulated.
OSHA Specifically Regulated Substances (29 CFR 1910.1001-1052)
Not regulated.
Superfund Amendments and Reauthorization Act of 1986 (SARA)
SARA 302 Extremely hazardous substance
Not listed.
SARA 311/312 Hazardous Yes
chemical
Classified hazard Corrosive to metal
categories Acute toxicity (any route of exposure)
Skin corrosion or irritation
Serious eye damage or eye irritation
Specific target organ toxicity (single or repeated exposure)
SARA 313 (TRI reporting)
Not regulated.
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)
Material name: GENGARD* GN8300 Page: 7 / 9
Version number: 3.0

Safe Drinking Water Act Not regulated.
(SDWA)
FEMA Priority Substances Respiratory Health and Safety in the Flavor Manufacturing Workplace
Phosphoric Acid (CAS 7664-38-2) High priority
Inventory status
Country(s) or region Inventory name On inventory (yes/no)"
Canada Domestic Substances List (DSL) Yes
Canada Non -Domestic Substances List (NDSL) No
United States & Puerto Rico Toxic Substances Control Act (TSCA) Inventory Yes
*A "Yes" indicates that all components of this product comply 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).
NSF Registered and/or meets Registration No. — 142961
USDA (according to 1998 Category Code(s):
guidelines): G5 Cooling and retort water treatment products
G7 Boiler, steam line treatment products — nonfood contact
US state regulations
US. California Proposition 65
California Safe Drinking Water and Toxic Enforcement Act of 2016 (Proposition 65): This material is not known to contain
any chemicals currently listed as carcinogens or reproductive toxins. For more information go to www.P65Warnings.ca.gov.
US - California Proposition 65 - CRT: Listed date/Carcinogenic substance
No ingredient listed.
US - California Proposition 65 - CRT: Listed date/Developmental toxin
No ingredient listed.
US - California Proposition 65 - CRT: Listed date/Female reproductive toxin
No ingredient listed.
US - California Proposition 65 - CRT: Listed date/Male reproductive toxin
No ingredient listed.
16. Other information, including date of preparation or last revision
Issue date
Revision date
Version #
NFPA ratings
NFPA ratings
Oct-29-2014
Nov-28-2018
3.0
Health: 3
Flammability: 0
Instability: 0
List of abbreviations CAS: Chemical Abstract Service Registration Number
TWA: Time Weighted Average
STEL: Short Term Exposure Limit
LD50: Lethal Dose, 50%
LC50: Lethal Concentration, 50%
NOEL: No Observed Effect Level
COD: Chemical Oxygen Demand
BOD: Biochemical Oxygen Demand
TOC: Total Organic Carbon
IATA: International Air Transport Association
IMDG: International Maritime Dangerous Goods Code
ACGIH: American Conference of Governmental Industrial Hygienists
TSRN indicates a Trade Secret Registry Number is used in place of the CAS number.
References: No data available
Disclaimer 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, unless specified in the text.
Material name: GENGARD* GN8300 Page: 8 / 9
Version number: 3.0

Revision information This document has undergone significant changes and should be reviewed in its entirety.
Prepared by This SIDS has been prepared by SUEZ Regulatory Department (1-215-355-3300).
Trademark of SUEZ. May be registered in one or more countries.
Material name: GENGARD' GN8300 Page: 9 / 9
Version number: 3.0