NCG500624_Regional Office Physical File Scan Up To 6/2/2020

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E C `� 140 a ImaaDepartment of Environment and Naturall'R66U6
Division of Water Quality 11
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Alan W Klimek, P.E., Director
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WATER 0.uA 17Y 8,'_rrcN NOTICE OF RENEWAL INTENT
n Rom.-u Ir Rece� n=rres
Application for renewal of existing coverage under General Permit NCG500000
Existing Certificate of Coverage (CoC): NCG500 624
(Please print or type)
1) Mailing address" of facility owner/operator:
Company Name Charles D. Owen Mianufacturing Company
Owner Name Springs Global DS, Inc
Street Address 875 Warren Wilson College Road
City Swannanoa, State NC ZIPCode 28778
828-298-6802 x216 828-299-8262
Telephone Number Fax:
Email address Rob. Clowers@Springs . com
Address to which all permit correspondence should be mailed
2) Location of facility producing discharge:
Facility Name Charles D. Owen Manufacturing Company
Rob Clowers, EHS Manager
Facility Contact
Street Address 875 Warren Wilson College Road
City Swannanna, State NC ZIPCode 29779
County Buncombe
Telephone Number 828-298-6802 x216 Fax: [phone]
Email address Rob. Clowers@Springs . com
8) Description of Discharge:
a) Is the discharge directly to the receiving stream? ❑Yes ?h No
(If no,submit a site map with the pathway to the potential receiving waters clearly mareed.This includes tracing the pathway of the
storm sewer to the discharge point,if the storm sewer is the only viable means of discharge.)
_ b) Number of discharge outfalls(ditches,pipes,channels, etc.that convey wastewater from the property):
1
c) What type of wastewater is discharged?Indicate which discharge points,if more than one.
A Non-contact cooling water Outfall(s)#:
❑ Boiler Slowdown Outfall(a)#:
Page 1 of 3

NCG500000 renewal application
Additional Application Requirements:
The following information must be included in triplicate [original+2 copies] with this application or it will
be returned as incomplete.
➢ Site map. If the discharge is not directly to a stream,the pathway to the receiving stream must
be clearly indicated. This includes tracing the pathway of a storm sewer to its discharge point.
➢ Authorization for representatives. If this application will be submitted by a consulting
engineer(or engineering firm),include documentation from the Permittee showing that the
consultant submitting the application has been designated an Authorized Representative of the
applicant.
Certification
I certify that I am familiar with the information contained in this application and that to the best of my
knowledge and belief such information is true, complete,and accurate.
Printed Name of Person Signing: RP L p k A O b o in y -Tr-
Title: �. FNI tI�'roNM2N�al. 4v. 1 Anl a. SA }y
/ - f2. -6
(Signature o Ap icant) (Date Signed)
North Carolina General t tute 143-215.6 b (i)provides that:
Any person who knowingly makes any false statement, representation,or certification in any application, record, report,plan or other document
filed 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.)
This Notice of Renewal Intent does NOT require a separate fee.
The permitted facility already pays an annual fee for coverage under NCG500000.
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Mail the original and two copies of the entire package to:
Mr. Charles H. Weaver
NCDENR/DWQ/NPDES
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Page 3 of 3

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�OFWATA Michael F.Feeley,Governor
Q William G.Ross Jr.,Secretary,
h r North Carolina Department of Environment and Natural Resources
5 Alan W.Klimek,P.H.Director
17 'Y DiviaianofWater Quality
January 17,2006
Ivlr.Ralph A.Odom,Jr.
Vice President—EHS/Claims
PO Box 70
Fort Mill,SC 29716
Subject: NPDES Permit Modification-Nome and/or
Ownership Change
Permit NCG500624
Charles D.Owen Mfg.Co.
Formerly Owen Manufacturing Co.
Buncombe County
Dear Mr.Odom: . ..
Division personnel have reviewed and approved your request to transfer ownership of the subject permit,
received on January 12,2006. This permit modification documents the change in ownership. -
Please find enclosed the revised permit. All other terms and conditions contained in the original permit remain
unchanged and in full effect. This permit modification is issued under die requirements of North Carolina General
Statutes 143-215.1 and the Memorandum of Agreement between North Carolina and the U.S.Environmental
Protection Agency. -
If you have any questions concerning Us permit modification,please contact the Point Source Branch at(919)
733-5083,extension 520.
Sincerely,
p Ala k,P E
cc Central Files
Asheville Office,Surface Water Protection _. . -
' NPDFSUnitFile
Technical&Certification Unit � )
JAN 132006
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North Carolina Division of WaterQuality 1617 Mail Service Center Raleigh,NC 27699-1617 Phone[phone] Customer Smice
Intemet h2o.em.state.nc.us 512N.Saiisbury St Raleigh,NC.27604 PAX [phone] - 1-877-623-6748
An Equal OpportunitylAXirmative Action Employer-50%RecydeNlO%post Consumer Paper

Permit NCG500624
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
General Permit NCG500000
Certificate of CoverageNCG500624
TO DISCHARGE NON-CONTACT COOLING WATER,COOLING TOWER AND BOILER
SLOWDOWN,CONDENSATE,AND SIMILAR WASTEWATERS
- UNDER THE -
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
NPDES
In compliance with the provisions of North Carolina General Statute 143-215.1,other lawful standards
and regulations promulgated and adopted by the North Carolina Environmental Management
Commission,and the Federal Water Pollution Control Act, as amended,
Springs Global US, Inc.
is hereby authorized to discharge wastewater from a facility located at the
Charles A Owen Mfg. Co.
875 Warren Wilson College Road,
Swannanoa, North Carolina
Buncombe County
to receiving waters designated as an unnamed tributary to the Swannanoa River located within the
French Broad Basin,in accordance with effluent limitations,monitoring requirements,and other
conditions set forth in Parts I,II, III and IV of the General Permit NCG 500000, as attached.
This permit shall become effective January 17, 2006.
i
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
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Signed this day January 17, 2006.
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4C '. Alan W.Rlimek,P.E.,Director
Division of Water Quality
By Authority of the Environmental Management Commission

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Charles D. Owen Mfg. Co.
875 Warren Wilson College Road I ity
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Swannanoa,NC 28778 Location
Allow
Rtecivil Swml River not to scale
Stream Class: c Malarial FeerehB,cli'd
L.Il 35-36'39"N Longitude, 82-25'49"W NPDES GeneralPermit NCG500624
State Grid/USGS Oul E 9 SW/Otero,NC 04- North Buncombe County

PIMARA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Michael F. Easley,Governor William G. Ross,Jr.,Secretary
Alan W.Klimek, P.E., Director
November 15,2006
Brad Speaks
Springs Global US,Inc.
875 Warren Wilson College Rd
Swannanoa,NC 28778
Subject: NPDES Permit NGG500000 renewal
Certificate of Coverage(CoC)NCG500624
Owen Manufacturing Company
Buncombe County
Dear Permittee:
The facility listed above is covered under NPDES General Permit NCG500000. NCG500000 expires
on July 31,2007. Federal(40 CFR 122.41)and North Carolina(15A NCAC 2H.0105(e))regulations require
that permit renewal applications must be filed at least 180 days prior to expiration of the current permit. If
you have already mailed a renewal request,you may disregard this notice.
To satisfy this requirement,the Division must receive a renewal request postmarked no later than
February 1.2007. Failure to request renewal by this date may result in a civil penalty assessment. Larger
penalties may be assessed depending upon the delinquency of the request. This renewal notice is being sent
well in advance of the due date so that you have adequate time to prepare your application.
If any discharge previously covered under NCG500000 will occur after July 31, 2007,the
CoC must be renewed. Discharge of wastewater without a valid permit would violate North Carolina
General Statute 143-215.1;unpermitted discharges of wastewater may be assessed civil penalties of up to
$25,000 per day.
I£all discharge has ceased at your facility and you wish to rescind this CoC [or if you have other _
questions],contact me at the telephone number or e-mail address listed below.
Sincerely,
Vtumv`7
Charles H. Weaver,Jr.
NPDES Unit
cc: Central Files ----.
NPDES File �� [
1617 Mall Service Center,Raleigh,North Carolina 27699-1617 r.r ..,.t
512 North Salisbury Street,Raleigh,North Carolina 27604 r 1V Qn1t1{C$I'OI111A
Phone: [phone],extension 511/FA%gig 733-0719/charles.weaver0ncmail,not oft h' ar ohn
An Equal Opportunity/Affirmative Action Employer—50%Recycled/10%Post Consumer Paper l/ VLL IZI K((

State of North Carolina
Department of Environment ` •
and Natural Resources ��� �
qrn'
Division of Water Quality �'� �
Michael F. Easley, Governor NCDENR
William G. Ross Jr., Secretary NORTFt{G1fid LMADEPARTMENT OF
Alan W. Klimek, Director e" 'RgNMENT AND NaruRA REsouR`Es
q�0`3
August 1,2003 �,)G
Robert Clowers
Owen Manufacturing
875 Warren Wilson College Road
Swannanoa, North Carolina 28778 "
Subject: General Permit No. NCG170000
Owen Manufacturing
COC NCGI70398
Buncombe County
Dear Mr. Clowers:
In accordance with your application for discharge permit received on July 21, 2003, we are
forwarding herewith the subject certificate of coverage to discharge under the subject state - NPDES
general permit. This permit is issued pursuant to the requirements of North Carolina General Statute
143-215.1 and the Memorandum of Agreement between North Carolina and the US Environmental
Protection agency dated May 9, 1994(or as subsequently amended).
If any parts, measurement frequencies, or sampling requirements contained in this permit are
unacceptable to you, you have the right to request an individual permit by submitting an individual
permit application. Unless such demand is made, this certificate of coverage shall be final and binding.
Please take notice that this certificate of coverage is not transferable except after notice to the
Division of Water Quality. The Division of Water Quality may require modification or revocation and
reissuance of the certificate of coverage.
This permit does not affect the legal requirements to obtain other permits which may be required
by the Division of Water Quality or permits required by the Division of Land Resources, Coastal Area
Management Act, or any other Federal or Local governmental permit that may be required.
If you have any questions concerning this permit, please contact Ken Pickle at telephone number
[phone] ext. 584.
Sincerely,
ORIGINAL
ADLEY Y
BENNETBT
BR
Alan W. Klimek,P. E.
_ cc: ¢Asheville:Regional Office
Central Files
Stormwater and General Permits Unit Files
ewu-ssc.imm
1617 Mail service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50%recycled/ 10%post-consumer paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG170000 ;.
CERTIFICATE OF COVERAGE No. NCG170398
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1,other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission,and the
Federal Water Pollution Control Act,as amended,
Springs Industries,Inc. _
is hereby authorized to discharge stormwater from a facility located at
Owen Manufacturing
875 Warren Wilson College Road
Swannanoa,North Carolina
Buncombe County
i
to receiving waters designated as Beetree Creek,a class C water in the French Broad River Basin 't
in accordance with the effluent limitations,monitoring requirements,and other conditions set forth in Parts I,II,III,
IV,V, and VI of General Permit No.NCG170000 as attached
This certificate of coverage shall become effective August 1,2003.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day August 1,2003. ORIGINAL SIGNED BY i.
BRADLEY SENNETT
Alan W.Klimek,Director
Division of Water Quality
By Authority of the Environmental Management Commission

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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Michael F. Easley,Governor William G. Ross,Jr.,Secretary
f - S i�W� limek,PE.,Director
April 15, Q
R.A.Odom, Jr.,Vice President.E. H. S. J An 2 0 2007
Springs Industries,Inc.
205 North White Street, W„ran oiiat.ITv secnom
Fort Mill,South Carolina 29716 Astiavlu�e gErloNnl.orFlce
Subject: General Permit NCG5O0000
Certificate of Coverage NCG500624
Owen Manufacturing Company
875 Warren Wilson College Road
Swanmanoa,North Carolina
Dear Mr.Odom: Buncombe County
The Division is forwarding herewith the attached Certificate of Coverage to discharge under the NPDES General
Permit for Non-Contact Cooling Water and similar wastewaters(NCG5O00OO). This Certificate of Coverage is
issued pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of
Agreement between North Carolina and the US Environmental Protection agency dated May 9, 1994 for as
subsequently amended].
If any parts,measurement frequencies or sampling requirements contained in the General Permit are
unacceptable to you,you have the right to request an individual permit by submitting an individual permit
application.Unless such demand is made,this Certificate of Coverage shall be final and binding.
The Certificate of Coverage is not transferable except after notice to the Division.You must notify the Division if
you sell or otherwise transfer ownership of the subject facility.The Division may require modification or
revocation and re-issuance of the Certificate of Coverage.
If your facility ceases discharge of wastewater before the expiration date of this permit,contact the Regional
Office listed below. Once discharge from your facility has ceased,this permit may be rescinded,This permit does
not affect the legal requirements to obtain other permits which may be required by the Division of Water Quality,
the Division of Land Resources,Coastal Area Management Act or any other Federal or Local government,If you
have any questions concerning this permit,please contact Joe Corporon at the telephone number or address listed
at the bottom of this page.
Sincerel ,
e0/Alan �
W.Klimek
cc: iskintralfutse yr.
Asheville Regional Office-Water Quality Section
NPDRS file
Technical Assistance&Certification Unit
1617 Mail Service Center,WlnstomSalem,North Caroline 27699-1617 One
512 N.Salisbury St.,Winston-Salem,North Caroline 27604 NoT[I1Carolina
Phone: [phone]/FAX [phone]/Internet:h2o.encstate.nc.us t[�N�//�
An Equal Opportunity/Allinnallve Action Employer—50%RecycleNlO-A Post Consumer Paper ATL /� ((

Pemtit NCG500624
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
General Permit NCG500000
Certificate of Coverage NCG500624
TO DISCHARGE NON-CONTACT COOLING WATER,COOLING TOWER AND BOILER
BLOWDOWN,CONDENSATE,AND SIMILAR WASTEWATERS
UNDERTHE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
QWDES)
In compliance with the provisions of North Carolina General Statute 143-215.1,other lawful standards
and regulations promulgated and adopted by the North Carolina Environmental Management
Commission,and the Federal Water Pollution Control Act,as amended,
Springs Industries, Inc.
is hereby authorized to discharge wastewater from a facility located at the
Owen Manufacturing Company
875 Warren Wilson College Road,
Swannanoa, North Carolina
Buncombe County
to receiving waters designated as an unnamed tributary to the Swannanoa River located within the
French Broad Basin,in accordance with effluent limitations,monitoring requirements,and other
conditions set forth in Parts I,H,III and IV of the General Permit NCG 500000,as attached.
This permit shall become effective April 15, 2005.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April 15, 2005.
Alan W.Klimek,P.E.,Director
Division of Water Quality
By Authority of the Environmental Management Commission

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United States Environmental Pmtedlon Agency
EPA Washington D.0 20460 Form Approved.
OMB No.2040-0057
Water om ianc Ins ction BEDO APprova l expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 INI 2 1,1 31 NCGS00624 11 121 OS/04/06 17 18LL] 19L 201J
Remarks
271111111111111111111111111IIIIIIIIIIIIIIIIIII11166
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 CA --------------------------Reserved-----------------------
671 69 70 u 71 LI 72 U4 73 W 74 75 I 180
Section B: Facility Data
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number)
Owen Mann faltri ring Co. 10:55 AM 05/04/06
015 warren Wilson College 1w Exit Tlme/Date Permit Expiration Date
Swannanoa NC 281/8
12:06 ens 05/04/06
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Numbers) Other Facility Data
Name,Address of Responsible Official/Title/Phone and Fax Number
ttnad Speake,878 rra ['ea Wilton College Rd Bwazuranoa NC Contacted
28778//826-296-6802/8282101899 No
Section C: Areas Evaluated During Inspection(Check only those areas evaluated)
Facility Site Review
Section D: Summary of Finding/Comments Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s)and Signature(s)of Inspectors) AgencylOffce/Phone and Fax Numbers Date
i,a=ry Pros[ � i� ARO w9//628-296-9500 lixf.4658/
/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.

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)yATy Michael F.Feeley
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North CmolimDepomomn oYnvwovmmt and Nam,vl Reeamre
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Ja iary 7,2005
Keith Griffin
Springs b3dustnes,lac.
205 North White Street
Fort MiA,South Carolina 297
Subject: .Application Acknowledgement
for General Permit Coverage for the
OweaManufectaring Company
875 Warren Wilson College Road
COC# NCU500624
Buncombe County
Dear Mr.Champion:
The Division of Warta.Quali (the Division)Las received you application for coverage under
GenomtPomrit NCG500000. you applicatianhas been assigned to Joe Corpown.with the
NPD13S unit,and itt is commily scheduled forxevie;w.You maybe contacted if additional
imomsation is needed.The DES unit is also requesting a Staff Fepart from the DAMMOrt'E
Asheville Regional Offrca m tcuumg Your facl7ity.
if you have questions cmc=iug You application,Please a-mail me(ion-corrooronfa�cmaiLuetl
or contact me by telephone[phone],extension 597).
S-
oe R.Co ,P.G-
NPDES
cc: NPDBS General Peo oit Files
Asheville Regional £fire,Water
N.C.OMsla at WE rgaelity I KPOM Unit PMna:(919)733-5O6a
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NCGS00960
NOTICE OF INTENT
rmwal Poitumat Dischwas I limination System appteaUon for coverage under General Permit
NCGSgeaeo: Non-comadt cook 19 water, cooling tower and holler blowdawn, condensate, exempt
sfaramaer,coo5ng water,ess,pahrod Aft hydmelentric opembone and similar wastewaters
tPleaae pdntor(ype)
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Company Name: 5pr
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Fadlity Name: ow
Contact Person: o-
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Y slater./ ZIP Cade: 2$77S
County:
Telephone No.:
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and disianceana dirCJion amadway intersection):
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5) Thil NPDSS Permit APPM anter APPM"to vmrch of the following+
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DM'0 POINT SOURCE Fax:[phone] Mar 16 2005 12:01 P. 05
NCG500000 N.01.
8) goes thisfaeility haveanY I thinNPDES penance,Including stamtmStOrgenOnd Perm1169
❑No ul Yee
If yes,net the permit numbers forthis lac9ity. Ateq Qo398
7) What is the nature otthe bu alness applying for this Permit?_
TE YL6 w k + iN
8) poserlpton urrnscharge:
e) Total rumberofclischarg Pdntsthafdom)eYWaetewelecfrom the Property Including ditches,pipes.
channels,etc.:
b) Whattype cfinetmvater a disoiturged andfromwhichdisoharga paints?
w NWD�ntad cooling ler Discharge Polnt(s)#: SPn $'4-
13BoilerBlowdown Disrhalgapdottb)#'
❑Cooling Tower Bloacl(wn Discharge Poim(s)#:
❑condensate Discharge Palm(s)#:
❑Other Discharge poing0#:
(Please tlesaibe•Of f):D'SC�'1aj� 1' e'I goe.ra.4cer rys4%()f�J.—ov a,rf
c) APpmAmtevdumeaf hargaturaad'disrriargepclnt in GPD): pr-65 r bJa q.7a�+H.
9) Please checkthe type of Che nM added to the xeslswalw'for eesananttor each sepmate dscharga
point(Bappowble,use We ate sheet):
0 Elocid" Nam : MMUL
❑Carmsian in hihitore Nam : Pdanut:
❑Chlorine Warn . P&p.:
Amado de Ida Manuf.:
❑Other Nlanuf.:
�[ None
If any box above,ether thi A none, was checked. a mmpiated Blocide, 101 Form and manufacturers
(rdomielion.Including MSID 3 sheets on the addMive IS REQUIRED to be submitted with the aPpPcslion
for the Divisions review.
10) Discharge Frequency:
s) Thedischsrgelm Continuum ❑ Intennitent ❑ Bassonst
g Ifthe discharge Is It temridard,describe when the discharge.11 occur:
0) 1fasaerml check I aft MMOB)the dscharge ocarm:❑Jan. 0 Feb. ❑Mac ❑Apr.
❑May (]Jun. L I,let, 11 Aug. 0 Sept, O Oct. 0 Nov- 0 Dec
b) How marry days Wm ak Is(hare a discharge? 7
111 Reeeiviag,saten:
a) "mi is the mime of i he body or bodies of water(creak stream. river, lake, e1e)that the fadlaY
wastewater discharge end up in7 If U,e site wea0cweter di�ltatg� la a sepaMe atdrtn sewer
system(45),name operemturthe 45(e.g.City of Raleigh): 4.ur�.av2voa- fLl!t
b) Stream Classlllcatbn 5-IV,NSYJ,erc.): 00 9.1
Page 2cf4
SWu4,2-0Bat@

DYO POINT SOURCE Fax:[phone] Mar 16 2005 12:02 P. 06
NC650000O N.O.I.
c) I,lhdl,,hgdiwdyk thereCelvingwaler7 ❑Yes 14No
If no.a site map Web the I ath"y to the potential ramfvht9 watem aleartY MEWIM4 IS P6QUIREO Is
be wbmitted with the 6 pIIWMon. This Wastes Uadng the psthieaY of the sfbrnn saver to the
discharge pobtt.Y the atd aewer lu iho onlyi(able mwm of discharge.
12)Is there any type of bpair"r t being provided to the Wastewater before dlwhwgo(i.e., retention ponds,
settling ponds.efc.)? ❑Yes XNo
U yes. please Include des% n specifics (%.e.. design volume. retention time, surface arw, etc.) with
subcni" Package. Eldstlrql heatment facifilies should be dewAbed in dated. Design afterla and
aperadorrel data Ondudsrg k:uhi%ans)shout,be limvidad Io ensure that Nre facility could ear with
the requimmanls of the Go,eral Perm t. The treelmem shell be sulfielent to most the limes act by the
general permits.
Note: Coratrucdon of an vestewarar aeetmenl fwilitias requima submission of ttnnea(3)Ulu of plats
and spetifxeHorns ang wllh the apWicdian. U%IgnoftreatmamfedR(lesmustcomplYvAththe
regmrements of 15 k NCAC 211.0138. if wnshudtion applies to this discharge,indude the three
sets of plans ands cificafmrewith this application.
13) pogutantam
planes list any klwwnpollu arks thdem present In the discharge.Per spell saparala diwharge poim frf
applicable.uee separates ):
14)Altemstives to Direct Win hatow:
Address the feasibflity of lm AOM001ing a"of the fallowing nondischarge alternatives:
a) Connec5on to a Regto ]Sewer Cdlecdon System
b) SubsuderP disPoed li uding nSdgreHon field.iMdlratian gallery,mjectbn wens.etc.)
c) Sprayin-193110n
The dtemethas in diechaf,a anmyde should Include boning logs andlor emermfarrai Indicating that
wb9aface system is nal her tons-ibis nor prece®l es well es written confine awn intimating this
=Mellon b a POTW Is not an option. M 1Amdd also indude a Present valve of ones anatysls se
Ounmed to One Div%iaW," nca Forge EeiaaWn of WeetswalarafsposslAlfemadvw.
15)Additional Appfiwflen R uiremerda:
For new or pmpoeed d1sat argw,the fosowing inrormallon MUST BE INCLUDED in tdplicale Win 11111
application or IlwYl be ret,mad de incomplete.
✓a) 7-5 minute series UISC 8 topographic(quad)men(or a pnotacap%ad portion thereof)with dochame
Iocatbn dearly indkea . .
v b) Silo map• %ftha dlech is no md[y to a sheam,the pathwayta the receiving mroam thus(he
cI,Wy ltxocated. Thk IneWes tracing the pdhu gy of a emfm sewerhr its discharge point.
o) N[his application is bF hig submitted by a mnwlgng enti%near(or engineering firm),lack de
documentagan ftm 11 a applicant dweingthat the engir+ear(Orlimi)wbmltting the application has
been designated an a JthQrZW RePresentagen of the npp`c Rl`
all Flrrd PlansfarthetrelMrnsyssem(Uappltmbfe). Trta Wens must be signed and seeded bye Nomr
Carollns reglsieredP 1o:rd Englneerand stamped"FYrrdl Dasigrr-Not released toreotrsbudlen".
Page 3of 4
afur 2-0ep102

n
DWO POINT SOURCE Fax:[phone] Mar 16 2005 12:02 P. 07
KGG300000 N.O.I.
el Final specd rdione for all nalor treatment camponante(If OPPllrabla). Tha spadfwa0ons moat be
signed and sealed by a N dh Carolina registered Pmfesslanal Engineer and shall Include a nanalhe
description of the lremme I system to be Constructed.
I cerkry that l am familiar with he information contained in thia epPlicstian and that to the best of my
knovdadge and belief soon to ,miaaan is trees mmplme,end eosurete.
Printed Name of Person Sign all: A o' In
tale:
)z
(SigneskreWAPPlicvnU (Dah,-Silned)
North Cambria General Sta ule 143-215.6 b(i)provides that:
dnyP.e -ArWMWn Yfa4e star neat rq+wasbdua au adxrmfm record.�IOrr-On
a oemr dmnavd dad ar b 4e ma=Md,rids MN 0 a Me do u d the r eswwama 4feru9a
(wreNWw hapkeenthw ant N » 19i0fea, opera M w%aafnw menders rnma4affi ae'r —o v or
nnN6oriog deekea maw bee aperakd a axknraawr agar A ll or mak4eao-,rs N r Ene4araawdN
hpem MVNR adtla,A V he WdY�e Msdaeemar Pm W-by afire eM to—s
b1d0p0.artykmpk .ant tort ro sacred sM maM4 o-eymrb.(is e.3d Satan loaf Pranfal a pads4awm by fine
boar.Man 410.100 a' not.aan 5 Y¢4rs,araoie,aNashnAr oawev)
Nubm oflnterd must be ex mmponled by a check or money order for$80.00 made payable to:
NCOENIR
Mail three(3)copfas atflu entire package ta:
0 �` f$W .ems
Stdrmoater and General ermas Ural
Divislan of Water Quality a
1617 Mail Service Cents
Raleigh,hladh Carolina 699-1617 - -
Prom Checklist
This application will be re turned as iaCrmPllae unless Cal ofthe rellowing"we"mane been
included:
'Check for$00 made P 4ybt,to NCOENR
aM 3 eoplea of mumy rre p or U5G5 Wad sboat with location of fac0itY 4aady marked on maP
❑3 rapist,of cola moral 3W applieetlan end aR supporting do loaahl
❑3 sale of plans and ap acticatieris signed and armed by a Nadh Carolina P.E.
❑AVt AeAUva6 analvir 1 1cluding Present wklua Of Cams far rot 410maMes
Nglp
Theoidard alonof dceumant doer not guarantee the issuance air an NPOES,ov"If
Page 4 of 4
sWu4rfM001o2

Dwo POINT SOURCE Fax:919733O719 Mar 16 2005 12:02 P.O8
Alternatives to Direct Discharge
The three aternafives w evaluated and now of the alternatives was found to be
feasible for nun<li altematives.
• Connection to the regional sewer system is prohibitedby their sewer use
ordinance Section 5,03.13
• Subsurface dispos d is not feasible due to depth to bedrock at the site.
• Spray irrigation is not an option due to land availability.
_y

�4 Off.WAT, ,��G �� Incident Report t�'t
O Y
Report Number: 200402764
Incident Type: Spill(Oil,Chemical,non-sewage) On-Site Contact:
Incident Started: 12/22/04 First/Mid/Last Name:
County: Company Name:
City: Phone:
Responsible Party: Pager/Mobile Phone:
Fimt Name: Reported By:
Middle Name: Firet/Mid/Last Name:
Last Name: Company Name:
Owner: Address:
Address:
City/State/Zip:
City/State/Zip: Phone:
Phone: Pager/Mobile Phone:
Permit
Material Category: Estimated Qty: UOM Chemical Name Reportable City.Ibs. Reportable City.kips.
Location of Incident: Springs Industries Charles D.Owen Manufacturing Plant
Cause/Observation: Directions:
Loss ofpumps intheprosess waterpamp station IWanen Wilson Road
contains mewma water and glue(water soluahad
Action Taken: Comments:
spill bcgaa at 0800 and was halted strata 5 day report will be faxed-no surface water impacted at this time
The pumped around the failed pump station
spill contained in the parking lot and storm drain
parking lot is being cleaned end the storm drain will be pumped
Report Created 12/22/04 01:04 PM Page I

Incident Questions:
Did the Material reach the Surface Water? No Surface Water Name?
Did the Spill result in a Fish Kill? Unknown Estimated Number of fish?
If the Spill was from a storage tank indicate type. (Above Ground or Under Ground)
Containment? Unknown
Cleanup Complete? Unknown
Standard Agencies Notified:
Agency Name Phone First Name M.I. Last Name Contact Dale
Other Agencies Notified:
Agency Name Phone First Name M.I. Last Name Contact Date
DWQ Information:
Report Taken By: Report Entered By: Regional Contact:
Larry Frost Larry Frost Larry Frost
Phone:
Date/Time: 2004-12-22 12:30:00 PM 2004-12-2212:58:17 PM
Referred Via: Phone
Did DWQ request an additional written report?
If yes,What additional information is needed?
it
Report Created 12/22/04 01:04 PM Page 2

n
0 EN B78 WARREN WIL80N COLLEGE RO,
P.O. BOX 457
BWANNRNOAOA, C 2B]]B
PHOME 828-288-8802
FAX [phone]
MANUFACTURING CO .
Wednesday,December 29, 2004
NCDENR
Water Quality
2090 US Highway 70
Swannanoa,NC 28778
Attention: Larry Frost
Re: Spill
Dear Mr. Frost,
This letter is to review the spill at Owen Manufacturing on 12-22-04.
The spill occurred at 10:00 AM on the 12-22-04. A company representative notified your
office of the pump station overflow at 12:00 PM.The parking lot at Owen was cleared of
the spill by 2:00 PM. Approximately 20 to 25 gallons of Tubvinyl entered a Storm drain.
Shamrock Environmental was dispatched and collected 2000 gallons of water from the
parking lot, storm drain and pooled area at the end of the storm drain. No material left our
property.
Sincerely,
Korr�iaRer..l-
Rob Clowers
Safety Manager,Finishing
CC: Brad Speaks
Enclosure
DEC 3 0 2004
WATER QUALITY SECTION
ASHEVILLE REGIONAL OFFICE
MAKERS OF FINE QUALITY BLANKETS, WOVEN BEDSPREADS, MATTRESS PADS, CRIB ENSEMBLES

TUHVINYL C-1916
MSDS Numbe[: 2005469
CHT 0..BEIiHCN CORP.
October 14, 2003 : Page 1
MATERIAL SAFETY DATA SHEET
1 . CHEMICAL .PRODUCT AND COMPANY IDENTIFICATION
Productldenti£ication
Product Name: TUBVINYL C-1916
Product Number: 2005469
Chemical Family: Aqueous dispersion of an acrylic
polymer
CAS Number: Blend
Company Identification
CHT R. Beitlich Corp.
5046 Old Pineville Rd
Charlotte, NC 28210 USA
704-523-4242 (For product information)
704-523-4242 (For emergencies)
1-800-424-9300 or 1-703-527-3887 (CHEMTREC)
2 . COMPOSITION/INFORMATION ON INGREDIENTS
COMPONENTLISTING:
Chemical Name Amount CAS Number
DIETHYLENE GLYCOL 1.0 - 2.5 8 111-46-6
FORMALDEHYDE - < 390.0 pp, 50-00-0
(See Section 8 for exposure guidelines)
(See Section 15 for regulatory information)
3. HAZARDS IDENTIFICATION
DEC 3 0 2004
WATER QIJALITV SECTION
ASHEVILLE REGIONAL OFFICE

TUWINYL C-1916
MSDS Number: 2005469 CHI R.B[ITUCH CORP.
October 14, 2003 :. Page 2
+++***x***+***x** EMERGENCY OVERVIEW. *w*****xx*ww+**xx
y x
* CAUTION w
y *
* May cause eye irritation. x
* x
HMIS Rating - Health: 1
Flammability: 0
Reactivity: 0
Farsonal Protection Index: H
POTENTIAL HEALTH EFFECTS
EYE:
Contact may cause eye irritation.
SKIN:
Not expected to be a skin irritant.
INHALATION:
No known hazards in normal industrial use.
INGESTION:
Ingestion is not considered a potential route of exposure. No information
regarding ingestion available.
4 . FIRST AID MASURES
EYE CONTACT FIRST AID:
Hold eyelids apart and flush eyes with plenty of water for at least 15
minutes. Consult a doctor if symptoms occur.
SKIN CONTACT FIRST AID:
Immediately wash skin with plenty of soap and water while removing
contaminated clothing and shoes. Wash contaminated clothing before reuse.
INHALATION FIRST AID:
Remove to fresh air. No specific treatment is necessary since this
material is not likely to be hazardous by inhalation.

TUWINYL C-1916
MSDS Number: 2005469 CHT R.RCITHCH CORP.
October 14, 2003 : Page 3
(section 4 continued)'
INGESTION FIRST AID:
If swallowed, immediately give 2 glasses Of water. Get immediate medical
attention.
5. FIRE FIGHTING MEASURES
�LE PROPERTIES
COC Flash Point: > 100 C (> 2 12.0 F)
Autoignition Temperature: N/A
AT.aMMLnT.x LIMITS IN AIR
LEL: N/A
UEL: N/A
EXTINGUISHINGNEDIA:
Water, carbon ddoxide, foam or dry powder.
FIRE 6 EXPLOSION HAZARDS:
No known unusual hazards in a fire/explosion situation.
FIRE FIGHTING INSTRUCTIONS:
Avoid breathing smoke, fumes, and decomposition products. As in any fire,
wear self-contained breathing apparatus pressure-demand MSHA/NIOSH
(approved or equivalent) and full protective gear.
COMSUSTIGNPRODUCTS:
In the case of a fire, oxides of carbon, hydrocarbons, fumes, and smoke
may be produced. Oxides of nitrogen. Isocyanate vapors. Traces of
hydrogen cyanide (HCN) .
6. ACCIDENTAL RELEASE MEASURES
SAFEGUARDS(PEASONNELI :
Protect skin and eyes from exposure. Wear appropriate personal protective
equipment.
INITIAL CONTAIMMM:
Contain spilled material. Absorb spills with inert material. Treat or
dispose of waste material in accordance with all local, state/provincial,
and national requirements.

TUDVINYL C-1916
MSDS Number: 2005469
October 14, 2003 Page 4 CRT 0..BEITNCH CORP.
(section 6 continued)
LARGE SPILLS PROCEDURE:
Contain spilled material. Avoid runoff into storm sewers and ditches
which lead to waterways. Large spillage should be dammed-off and pumped
into containers. Take up the remainder by absorbent material. Treat or
dispose of waste material in accordance with all local, state/provincial,
and national requirements.
SMALL SPILLS PROCEDURE:
Absorb spills with inert material. Treat or dispose of waste material in
accordance with all local, state/provincial, and national requirements.
7 . HANDLING AND STORAGE
RECODTIENDED STORAGE TEMPERATURE
Minimum: 1 C (33.8 F)
Maximum: 30 C (86.0 F)
SHELF LIFE: (in original, sealed containers)
6 months @ 1 C
6 months @ 30C
HANDLING(PERSONNEL) :
Avoid contact with skin and eyes. Wash hands thoroughly after handling.
HANDLING (PHYSICAL ASPECTS) : -
Agitate containers before use. Avoid extreme temperatures. Close
container after each use. Keep from freezing.
STORAGE PRECAUTIONS:
Avoid extreme temperatures. Keep container closed to prevent drying out.
Store in a cool dry place. Keep from freezing.
8 . EXPOSURE CONTROLS / PERSONAL PROTECTION
ENGINEERINGCONTROLS:
Facilities storing or utilizing this material should be equipped with an
eyewash facility and a safety shower. Good general ventilation should be
sufficient to control airborne levels.

TURVINYL C-1916
MSUS Number: 2005469 CRY RAMILICR CORP.
October 14, 2003 :. Page 5
(section 8 continued) '
EYE / FACE PROTECTION REQUIREMENTS:
Wear safety glasses. Where contact with this material is likely, chemical
goggles are recommended.
SKIN PROTECTION REQUIREMENTS:
Wear protective gloves to minimize skin contamination.
RESPIRATORY PROTECTIONREQUIFiEMENTS:
When there is potential for airborne exposures in excess of applicable
limits, wear NIOSH/MSRA approved respiratory protection.
EXPOSUREGUIDELINES:
No Information Available.
9. PHYSICAL AND CHEMICAL PROPERTIES
FORM . . . . . . . . . . . . . . . . . . : Liquid
COLOR . . . . . . . . . . . . . . . . . : white
ODOR . . . . . . . . . . . . . . . . . . : Characteristic
BOILING POINT . . . . . . . . . : 100 C
SOLUBILITY IN WATER . . . : Miscible
SPECIFIC GRAVITY . . . . . . . 1.0 (Water = 1)
PH 8-10
VISCOSITY . . . . . . . . . . . . . : 7,000-10,000 cps
10 . STABILITY AND .REACTIVITY
STABILITY:
This compound is stable at ambient conditions.
POLYMERIZATION:
Hazardous polymerization will not occur.
INCOMPATIBILITY WITH OTHER MATERIALS:
None known.
DECOMPOSITION:
In the case of a fire, oxides of carbon, hydrocarbons, fumes, and smoke
may be produced.

TUBVINYL C-1916
MSDS Number: 2005469 CRT R.9EITEICN CORP.
October 14, 2003 :Page 6
(section 10 continued)
CONDITIONS TO AVOID:
None known.
11 . TOXICOLOGICAL INFORMATION
EYE EFFECTS:
Direct contact may cause irritation.
SKIN EFFECTS:
Direct contact may cause irritation.
ACUTE ORAL EFFECTS:
Not determined.
MISCELLANEOUS:
No sensitization effects axe known.
12 . ECOLOGICAL INFORMATION
No information available.
13 . DISPOSAL CONSIDERATIONS
WASTE DISPOSAL:
Treat or dispose of waste material in accordance with all 'local,
state/provincial, and national requirements.
CONTAMINATEDMATERIALS:
Treat or dispose of waste material in accordance with all local,
state/provincial, and national requirements.
CONTAINERDISPOSAL:
This material and its container must be disposed of in a safe way.

TUBVINYL C-1916
M505 Number: 2005469 CHT R.RRITHCH CORP.
October 14, 2003 Page
14 . TRANSPORTATION INFORMATION
PRODUCT LABEL TUBVINYL C-1916
D.O.T. SHIPPING NAME . . . . . . : Cotton Softener
TECHNICAL SHIPPING NAME . . . : N/A
D.O.T. HAZARD CLASS . . . . . . . : Non-Hazardous
UN NUMBER N/A
D.O.T. LABEL N/A
D.O.T. PLACARD . . . . . . . . . . . . : N/A
BULK CLASS . . . . . . . . . . . . . . . . : N/A
PACKAGE CLASS . . . . . . . . . . . . . : N/A
15. REGULATORY INFORMATION
CERCLA Hazardous Substances
FORMALDEHYDE (50-00-0) -- RQ 100 lb
RCRA Hazardous Substances
FORMALDEHYDE (50-00-0) -- RCRA Code: U122
Clean Air Act - Section 112
FORMALDEHYDE (50-00-0)
Title V
FORMALDEHYDE (50-00-0)
CA Proposition 65
FORMALDEHYDE (50-00-0)
SC Toxic Air Pollutants List
FORMALDEHYDE (50-00-0)
MISCELLANEOUsniFORmATION:
This material or all of its components are listed on the Inventory of
Existing Chemical Substances under the Toxic Substance Control Act (TSCA) .

TUBVINYL C-1916
MSDS Number: 20D5469 CST E.EEIWCS CORP.
October 14, 2003 : Page 8
16. OTHER INFORMATION
REASON FOR ISSUE . . . : New item
PREPARED BY. . . . . . . . . : CHT R. Beitlich
APPROVED BY . . . . . . . . : CHT R. Beitlich
TITLE MSDS Administrator
APPROVAL DATE . . . . . . : October 14, 2D03
SUPERCEDES DATE . . . . : October 14, 2003
MSDS NUMBER . . . . . . . . : 2005469
RTN NUMBER . . . . . . . . . : 02005553 (Official Copy)
ADDITIONALINF'ORMATION:
The data in this Material Safety Data Sheet relates only to the specific
material designated herein. It does not relate to use in combination
with any other material or in any process.
**w**#**ww+##wwxw**xx*W**##*wwaw+#www**x***W**x##a##a#aa##x xx**W***ww#
This information is furnished without warranty, expressed or implied, .
except that it is accurate to the best knowledge of CHT R. Beitlich
Corp. . The data on this sheet are related only to the specific material
designated herein. CHT R. Beitlich Corp. assumes no legal responsibility
for use or reliance upon these data.
Wa*aW*wwW*W*x*x**xx*a+xw+#w**x**WW*****Ww*****xwa*wa#*****WWW*****a*x*
END OF MSDS
*WWx***W****a#*WW#4#w#****WW*W***W***#*aax#w#awW#*WW****x******x*+**#W

n �
OWEN MFG HEALTH CTR 8282998262 12/29 '04 14:32 NO.715 01/10
To Lally Rost,NCCENR Pr Rob Clovers
F , (SM 2WM43 P.B— w A2
w� (sas)2gsasw Dubin %WnesOey,Og�bw29,2OQ4
no spN ccr
010rood ❑FwRW w ow....eamm@K ❑rb,e.R.Mq oll.m.a.Wd.
NIAlfing herd mpyvie USPG'fetlgy.
DEC 2 9 2004
WATER QUALITY SECTION
ASHEVILLE REGIONAL OFFICE

n
ONEN MFG HEALTH CTR 8282998262 12/29 '04 14:32 N0.715 02/10
���� W9��PEN WILSON WLLCG6 Rp.
RO.p0X YSl
BWLNNpNOP.ryC 8p116
RXY NC OR9P9YD1002
MANUFACTURING CO .
Wednesday,December 29,2004
NCDENIL
Water Quality
2m us Highway 70
SwannamU,NC 29778
Attention:Larry Frost
Re: Spill
Deer Mr.Frost,
This letter is to review the spill at Owen Mmwf wwdng no,12-22-04.
The spill occurred at 10:00 AM on the 12-22-04.A company representative notified.your
eMce ofthe pump station overflow at 12:00 PM.The parking lot at Owen was cleared of
the spill by 2:00 PM.Approximately 20 to 25 gallons of Tubvinyl emered a atom drain.
Sbamrock Environmental was dispatched and coilected 2000 gallons of water tinm the
parking lot, storm dram and pooled axes at the end ofthe storm drain.No maxeaiat left our
Property.
Sincerely,
Rob Clews
Safety Manager,rimshmg
CC:Brad spooks
Enclosure
MAK6R8 OF FINE QUALITY ELANK.TA,wovRry QEOSPREAO$ mwMgQq.Q ppO6,CR19 KNUEMBLE9

n n
OWEN MFG HEALTH CTR 5282998262 12/29 '04 14:32 NO.715 03/10
New Xri c-1916
Wto er 14,: 0009969
aceoter �a, 3tl03 t vaga 1 fNfaa6[IaX[eH.
MATERIAL SAFETY DATA SHEET
I. CHWECAL PRODUCT AND 00WAW IDENTIFICATUM
erwivetlaentl.£ication
Product Name: TO TNYL C-1916
Product Number: 2005469
Chemical Family: Aqueous disparaion of an acrylic
polymer
CAS Number: Slend
Oommonsldecti£ieati.
C R. seitlxch C1orp.
Cha Old
NC 11Z8210 USA
704-523-4242 (Por product information)
704-523-4242 4Faxcm=,enciea)
1-800-424-9500 or 1-703-527-3887 (CF¢AP1'BgC)
2_ c0UW05zTj40N/INMRWATI0N ON INcaWSSNTS
TLxU•L'1[NGx
Chemical Name Amouct CAS Number
5
FIETEYLENE GLYCOL 1.0 - k 111-46-6
FORMALDEHYDE 390.0 pp. 50�00-0
(See section Q for bxponure gaiddlinea)
(See Section 15 for regulatory information)
9. HAZARDS IA$NTIFICATI014

n r-)
OWEN MFG HEALTH CTR 8282998262 12l29 '04 14:32 NO.715 04l10
Mate Number: 0359
tnb Ocex 19. 2003 :..PP
age 2 MYa.rt191q:CMy.
f#w#}avwww#wwwww PSCy pagryyxgp wtwtt*#twwaaatt#t
f #
a CHDTlO P
* #
a QSC.Y CaV30 eye iYL1t6t£VL. w
w f
Y1lI*1(##f#1f#ff*****w**1r###11ft1tR1}}}R#########}Rw}Re##Sww
was hating - wealth: 1
r1ammnbiLityt a
Aamativlty: a
Personal Prataotaon Ina": a
EO'�NTIi1L HEALTH HPPACTs
nrm:
Contact may sauce eye Irritation.
8W f:
Not expected to be a akin irritant.
NoKnown h
No naMA hararda in nox3n32 Sndustrlal use.
aw lhgTLWf:
xngastion is not considered a potential route of expos No infermak£on
xegardl.ng ingestion erei].able.
4. FIRST AID MEASURES
ZWK LmPPACT PIIL9T'Arc:
$old eyelids apart and hush eyes with plenty of water for at least 15
mluut'es. Cgnoult a doctor if symptoms occur.
96�M LffiTACT rxRST AID:
lunediately wash akin with plenty of soap and water while rmnaving
contaminated clothing and shoes. Wash contaminated clothing before reuse.
xNHALATlON PSAAT♦}IA:
Remove to fresh H No specific treatment is necessary since this
material is not likely to be hazardous by inhalation.

OWEN MFG HEALTH CTR 8282998262 12/29 '04 14:33 N0.715 05/10
5 t-;. TupozFlL 4-SB16
6flma numbers 2OO5461
Octobme 14, 2003 Pegg 3 CMf&a6MICN LGV.
(section 4 continued)'
I f swallowed, immediately
.
If swallowed,ed, i>Rnsdiately give 2 glasses of water. C.et ia.nadtnte medical
attention.
Cos amaash Point: xaa
> Igo c (> 212.0 a)
Autoignition Temperature: N/A '
� LINL4x xN A
LEL: N/A
MW N/A
W.t.n, gxbon dioxide,
saran, ca.xbon dioxide, Saaa ar dry powder.
Fxxz �a�LoxxoN xaxrdma:
We known ...I hazer,g in a fire/exploa.tou aituatice.
FLxx Fimermsx LNslaliC2x@fx:
Avoid breathing smoke, fomea, and deConposition products. he in any fire,
waar self-contained breathing apparatus preasure-demand NSRA/NIoxR
(approved or equivalent) and full protective gear.
CBIDaxixTIGNEROLpCix:
In the GOOD of a fire: oxidca of carbon, hydrocarbons, fu4gas, and ..kc
may be produced. oxides of nitrogen, xsoeyanate vapore. Traces or
hydrogen cyanide (NCN) .
6. A,C =ESTAL vxrrxmn¢a bffASt 9
ProtectiO)a(PEPd eyes].
evipmt akin end eyes from exposure. wsar appropriate personal protective
equipment.
tha 1tw�x��.LCGslAINla<NT:
erein spilled material. Absorb spills with inert aatarial. Treat or
dispose of waste material in accordance with all local, state/provimeial,
and national requirements.

OMEN MFG HEALTH CTR 8282998262 12/29 '04 14:33 NO.715 06/10
Otto ffuer 14L: 003 !
MLOtaL 14r 2003 Pogo 9 dLIILVEYe:LOA.
(section 6 continued)
UMM 6MLL.9 PRO=Uss:
rentain spiked eateriai. Avoid runoff Into storm rtarere and ditches
which lead to waterways. Large spillage should be amened-ofI and pupped
into captainera. Take up the remainder by absorbent material. Treat ,
dispose of waste material in accordance with all local, state/ppevineial,
and natioaal requirements.
Absorb spills with Trent materiel. .Treat or dispose of waste material in
. aeeerdance with all local. state/provincials and national X@quitaments.
7. HAlH Z= AM STORAGE
atccbffi 9�TEI@SRATME
min.: 1 C (33.3 F)
piaximem: 30 C (B&O T)
SHELF wro: (in original, asslsd co¢taInora)
6 months @ 1 C
6 months g 30 C
,m�nrosxHc ceEEsuIIaiz>
Awid contact with sry.n, and eyes. mash hands thoroughly after handling.
HniafLIEd(P9YaICaLABmaCTe):
Agitate containers rotors use. Avetd extreme temperatures. .close
container after each use. Keep Prom preening.
avoid es r,se, torTe
Avoid in a co l cry place-
Keep container closed to Hrevent drying out.
Store in a cool pry.place- Keep from freezing.
8. MXROSQRR CONTROLS / PRRSONAL PROTECTION
FQciliEies Storing
O
Taciliti.es stating or utilizing this material should en equipped with an
ay�ash nt to
anal a safety shower. C,oad general ve�ltilnt m should be
sufficient tc control airborne levels.

OWEN MFG HEALTH CTR 8282998262 12/29 '04 14:33 NO.715 07/10
'LYBYtNYL C-].9I5
NSW Nam1 20U94E9
xcB+EaL 14,4, 2x03 4 P09e 5 CML�61NWCap.
(section a continued}
= /Naafi aNaTBarxw BA.PJLR844W'1'0:
Near safety glasses. "mrs contact wlth this material in liKely, chemical
goggles are recommended.
wear Protective gloves,
to minimize akin eenteminatien.
when there s Potential for
orn
when there is potential far airborne eypoaurea in. excess at applicable
limits, steer NTOSN/IdSNA approved rpspiraLPry protection. '
No Info natioEL veil
No Informatlan Available.
9. PSYSTCAL AM CHnff= PRORMTIRS
FORM ........... .... ...: Liquid
COLOR .. ........ .......: whits
.-_. CDOR ............... ...: Characteristic
FOILING POIM ........ .: 100 C
SOLaxILI= IN WATER .. : Miscible
SPECIFIC G VITF ,... 1.0 (water ® 1(
PH .... ......... .......: a-la
vlscaxlrx .... .........: 7,000-10,000 cpa
10. STAgILTTY A1m .1UMCT1VZ=
T
thhisis C conpompound As stable at ambient eopaitiapa.
POL�staaxoN: .
Naz..dro.polymezizatiou will not occur.
None known.
LtTr wITN OTT@R DIA'Fx4{'(}a,9:
None known.
In the case of a fire, oxides of carbon, Hydrocarbons, Fumes, and anoKe
may be produced.

OWEN MFG HEALTH CTR 8282998262 12129 '04 14:33 NO.715 08/10
TU9VIIIYL C-1916 '•
Oa . J4,I 0005469
Ocb�be[ 14, 2003 Pn9a 6 [N[0.p3Nm1MF•
(5ectim 10 COntinuad)
0DNDITIONS m 1PoID:
None known.
i1. mncoLoGICAL nmoyAat TION
Es81m's'SCm t
Direct contact nay cause irritation.
,Dire Direct
contact vay cause irritation..
ECDTE ORAL EFFECTS:
Not detenained.
No senziti.aa:
No sans*kization effects are known.
12. ECOLOGICAL zxrc mTIoN
No information available.
13. DIS8O= CaRilm m mioNS
Wha'1•EDISPDEAL:
Treat or dispose of waste material in accordance with all locale
state/provincial, and national ragµirelaenta.
' Treat or dispose of waste material in accoxaetc¢with all local,
state/prw*ncial, and national requireme[tts.
coR•riixl>&RnxspasAL:
This material end its container at be disposed of,in a sage way.

OWEN MFG HEALTH CTR 8282998262 12129 '04 14:34 NO.715 09/10
' NHJINYL L-1916 ^
M505 Number: P0l15469
octabex 19, 2003 Pere � MxemDIG WIF.
14. TRANSPORTATMN INFORMATION
MO➢UCT LAPIL .... .........: TUBVINYL C-1916
D.O.T. SHIPPING N ......: cotton Se£tener
TECHNICAL SNIPPING NANE . N/A
A.O.T.. HAZARD CLA55 ....... Non-HAEaYd=S
UN NONffiER .................: NIA
D.O.T. LABEL ..............: N/A
D.R.T. PLACARD ............: N/A
SULKCLASS ................: NIA .
PACE E CLASS .. ...........: N/A
15. R33GULATORY MOR WICN
cHHCLAHa:andaus S+fESteae9e
H'OHNALDEHXDE 150-00-0) -- R4 100 7.b
fa_`P0.La:axdons g,ma�a®a
Y'gAMALDESYDE (50-00-0) -- ACRA Code: U122
Gran Aix ACE - Section 112'
PgIIINALI DE (50-00-0)
Titln v
EOHMALDMHYDM (50-00^07
CA Prapoaltion 88 _
FORMALDEHYDE
Tb id Air Pollutants List
FOF6PILDEHY➢E 150-00-D)
ffi8C&IS.SW EOaa.[tLLbla@1T]CCIN:
This material, 0r s1l of its componeuts are listed ml the Inventory of
E2isting Chemical Substances under the T"ie Subatanea C fttml Apt (TSCA).

OWEN MFG HEALTH CTR 8282998262 12/29 '04 14:34 NO.715 10/10
2mm awnyee: 9005469
WWeex 14, 2603 Pflge B dnLVx{Lx 9qV.
3.6. OTHER INEKMATION
REASON FOR ISSUE . New it.
PREPARED BY ...... = R. Heitlich
APPROVED BY ........: CRT R. Heitlich
TITLE ..... .....——: mm Administrator .
APPROVAL DATE ...: October 14, 201D3
SDPERCEDES DATE ....: botcher 14, 2003
NSDS N ER ........ : 2005469
RTN NOMSER .. .......: 0200555S {official Copy)
The data in this
taxi
The date de this Material Safety Data Sheet relates only to the specific
material any designated herein. It does not islets t0 use in p�nbinatioa
with any outer :9Atsxial or in any process.
#}t1r444;4#;#}#q;#{,#4}4H:;}ti##}}#4:Y+x1444}#;4ff4fffefril;Rlfffii#Y411f
This information is furnished xithouk Warrenty, expressed or implied,
except that it it accurate to the beat knowledge of CRT R. Reltlieh
Cnrp.. The dath on this sheet are related only to the specific material
designated herein. CST R. Deltlieh Corp. assumes no legal responsibility,
for use or reliance upon these data.
ffxiiiiiiii##i#tt;;;1r14iiiiiii###44#14!#iiii»mtxiir;#;#;Y#;wt14r4+
ST}D O]P 24SDS
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