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HomeMy WebLinkAboutNCG500354_Renewal (Application)_20200113 ROY COOPER li 41 ` Gown., 4' MICHAEL S.REGAN '- 0A` J�s�' Secretor} °'W4,O ' LINDA CULPEPPER NORTH CAROLINA Director Environmental Quality January 13, 2020 Slurry Pavers, Inc. Attn: Phillip Tarsovich, VP 3617 Nine Mile Rd Richmond, VA 23223 Subject: Permit Renewal Application No. NCG500354 Slurry Pavers - Morehead City Carteret County Dear Applicant: The Water Quality Permitting Section acknowledges the January 13, 2020 receipt of your permit renewal application and supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW permitting branch. Per G.S. 150B-3 your current permit does not expire until permit decision on the application is made. Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit. The permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a timely manner to requests for additional information necessary to allow a complete review of the application and renewal of the permit. Information regarding the status of your renewal application can be found online using the Department of Environmental Quality's Environmental Application Tracker at: https://dea.nc.gov/permits-regulations/permit-guidance/environmental-application-tracker If you have any additional questions about the permit, please contact the primary reviewer of the application using the links available within the Application Tracker. Sincerely, I odAclet Wren Thedford Administrative Assistant Water Quality Permitting Section ec: WQPS Laserfiche File w/application r Dap' , - North Carl .a D_pa rt^*_rt:�f EnvEronmente Qua' I D vsan of Water Fesoura�s D E )4 W m ngton Reg ora Cif os 1127 cordate!Dr+ve Extenson I W`ny-ngton, North Caro ra 28405 :.; a . /-' 810 Th 7215 Atra NCDENR North Carolina Department of Environment and Natural Resources Division of Water Resources Pat McCrory Thomas A. Reeder John E. Skvarla, III Governor Director Secretary NOTICE OF RENEWAL INTENT [Required by 15A NCAC 02H.0127(d)]; [term definition see 15A NCAC 02H.0103(19)] Application for renewal of existing coverage under General Permit NCG500000 RECEIVED Existing Certificate of Coverage (CoC): NCG50354 JAN 13 2020 (Press Tab to navigate form) NCDEQIDWRINPDES 1) Mailing address of facility owner/operator: (address to which all correspondence should be mailed) Company Name Slurry Pavers,Inc. Owner Name Slurry Pavers,Inc. Street Address 3617 Nine Mile Road City Richmond State VA ZIP Code 23223 - Telephone# 804-264-707 Fax# 804-264-0219 Email Address paul.tarsovich@slurrypavers.com 2) Location of facility producing discharge: Facility Name Slurry Pavers-Morehead City Facility Contact David Callahan Street Address 107 Arendell Street • City Morehead City State NC ZIP Code 28557- County Carteret Telephone# 252 -222 -3332 Fax# 252 -222 -3339 Email Address david.callahan@asphalt-emulsion.com 3) Description of Discharge: a) Is the discharge directly to the receiving stream? ❑ Yes ® No—Please submit a site map with the pathway to the potential receiving waters clearly marked. 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 Page 1 of 3 NCG500000 Renewal Application c) What type of wastewater is discharged?Indicate which discharge points, if more than one. ❑ Non-contact cooling water Outfall(s)#: ❑ Boiler Blowdown Outfall(s)#:2 ❑ Cooling Tower Blowdown Outfall(s)#: ❑ Condensate Outfall(s)#: ❑ Other Outfall(s)#: (Please describe "Other"): d) Volume of discharge per each discharge point(in GPD): #001: GPD #002: 1700 GPD #003: GPD #004: GPD 4) Please check the type of chemical's] added to the wastewater for treatment, per each separate discharge point(if applicable, use separate sheet): ❑Chlorine ❑Biocides ❑ Corrosion inhibitors ❑Algaecide ® Other ❑None If any box other than None is checked, a completed Biocide 101 Form and manufacturers' information on the additive must be submitted to the following address for approval: NC DENR/DWR/Environmental Sciences Section Aquatic Toxicology Unit 1621 Mail Service Center Raleigh,NC 27699-1621 5) Is there any type of treatment being provided to the wastewater before discharge? (i.e., retention ponds, settling ponds, etc.) n Yes-Please include design specifics(i.e., design volume,retention time, surface area, etc.)with submittal package. Existing treatment facilities should be described in detail. ® No 6) Discharge Frequency: a) The discharge is: ❑ Continuous ❑ Intermittent ® Seasonal i) If the discharge is intermittent, describe when the discharge will occur: once per 24 hour period ii) If seasonal, check the month(s)the discharge occurs: ❑ Jan ❑Feb ®Mar. ®Apr ® May ®Jun ®Jul ®Aug. ® Sept. ® Oct. ❑Nov. ❑Dec. b) How many days per week is there a discharge? 6 c) Please check the days discharge occurs: ❑ Sat. ® Sun. ® Mon. ® Tue. ® Wed. ® Thu. ®Fri. Page 2 of 3 NCG500000 Renewal Application Additional Application Requirements: The following information must be included in duplicate [original + 1 copy] 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, per 15A NCAC 02H .0138(b)(1). 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: Paul P.Tarsovich Title: Vice President (Please review 15A NCAC 02H.0106(e)for authorized signing officials) �... January 7,2020 Signature of Applicant Date Signed North Carolina General Statute$ 143-215.6B 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 this Article or a rule implementing this Article; or who knowingly makes a false statement of a material fact in a rulemaking proceeding or contested case under this Article; or who falsifies,tampers with, or knowingly renders inaccurate any recording or monitoring device or method required to be operated or maintained under this Article or rules of the Commission implementing this Article, shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed ten thousand dollars ($10,000). 18 U.S.C. Section 1001 provides a punishment by a fine 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. ♦ ♦ ♦ ♦ ♦ Mail the original and one copy of the entire package to: NC DENR/DWR/Water Permitting Section 1617 Mail Service Center Raleigh,North Carolina 27699-1617 Attn: Charles Weaver Page 3 of 3 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. Facility Name Slurry Pavers, Inc-Asphalt Emulsion Ind. Morehead City Terminal NPDES NCG500354 Outfall_2 County Carteret Receiving Stream Morehead City Harbor 7Q1 O_Morehead City Harbor Tidal Waters N/A_(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. =_0.001 (in M.G.D.) Please calculate the Instream Waste Concentration (IWC in percent) of this discharge using the data entered above. (A.D.D.) X 100 ( ) X 100 IWC = N/A (7Q10)(0.646) + (A.D.D) = ( )(0.646) + ( ) = /o 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? ChemTreat BL1258 Please list the active ingredients and percent composition: Potassium sulfite 10-30 ok EDTA, tetrasodium salt _0.1 — 1.0 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.= _113.6 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 453.59q. 128 fl. oz. 1 gal. water 1 lb. Facility Name: Morehead City Terminal NPDES#: NCG500354 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= 0.001 million gallons What is the pH of the handling system prior to biocide addition? If unknown, enter N/A. N/A What is the decay rate (D.K.) of the product? If unknown, assume no decay (D.K.=0) 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. = N/A Days The decay rate is equal to H1L X 0.69 = N/A =Decay Rate (D.K.) Calculate degradation factor(D.F.). This is the first order loss coefficient. * D.F. _ (A.D.D.) + D.K.) = —+ ( 0 ) = N/A (Volume) Calculate Steady State Discharge Concentration: Dischg Conc. = (D.R.) N/A mg/I (D.F.)(Volume)(3785) Calculate concentration of biocide instream during low flow conditions. (Receiving Stream Concentration) (Dischg. Conc.) x (IWC%) _- _ N/A mg/I 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 Test Duration LC50/EC50 (mg/I) Fathead Minnow 96 hr 3536 _Ceriodaphnia dubia _48hr 342 D.W.Q. Form 101 (6/2000) 2 Facility Name: Morehead City Terminal NPDES#: NCG500354 Choose the lowest LC50/EC50 listed above: Enter the LC50/EC50: 342 If the half life (H.L.) is less than 4 days, perform the following calculation. Regulated Limitation = 0.05 x LC50 = 17.1 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: 17.1 mg/liter From Part II enter the receiving stream concentration: N/A 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 David Callahan: David Callahan Name (Print) �.f 1/7/2020 Signature Date Person Completing This Worksheet(If different from above) Christine Lipka Name (Print) arastiae 1/3/2020 Signature Date Please submit to: Division of Water Quality Aquatic Toxicology Unit 1621 Mail Service Center Raleigh, NC 27699-1621 Attn: Todd Christenson D.W.Q. Form 101 (6/2000) 3 Facility Name: Morehead City Terminal NPDES#: NCG500354 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 Chemical Formula Molecular Weight of Metal Formula Weight Concentration in Biocide EXAMPLE Copper CuSO4.5H2O 63.546 g/mole 249.680 g/mole 0.2 % None 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/I) = DC (grams/million gal) x 1 x 106 pg/g = pg/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 (%) iu BF = MF x 100 = x (100) = Calculate the concentration of metal in the discharge (M): M = DC x BF = pg/I x = pg/I Calculate the instream metal concentration (IMC) at low-flow conditions: IMC = M x I 100%) = pg/I x 100 % pg/I 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/I water quality standard (*Values which exceed action levels must be addressed directly by aquatic toxicity testing.) D.W.Q. Form 101 (6/2000) 4 4ChemTreat 1111-\111 SDS SAFETY DATA SHEET Section 1. Chemical Product and Company Identification Product Name: ChemTreat BL1258 Product Use: Boiler Water Treatment Supplier's Name: ChemTreat, Inc. Emergency Telephone Number: (800)424-9300 (Toll Free) Address (Corporate Headquarters): 5640 Cox Road Glen Allen, VA 23060 Telephone Number for Information: (800)648-4579 Date of SDS: February 7, 2019 Revision Date: February 7, 2019 Revision Number: 19020701AN Section 2. Hazard(s) Identification Signal Word: DANGER GHS Classification(s): Acute Toxicity Oral - Category 4 Specific Target Organ Toxicity - Single Exposure - Category 3 Carcinogenicity - Category 2 Sensitization Skin - Category 1 Respiratory sensitization - Category 1 Hazard Statement(s): H302 Harmful if swallowed. H335 May cause respiratory irritation. H351 Suspected of causing cancer. H334 May cause allergy or asthma symptoms or breathing difficulties if inhaled. H317 May cause an allergic skin reaction. Precautionary Statement(s): Prevention: P261 Avoid breathing dust/fume/gas/mist/vapors/spray. P284 Wear respiratory protection. P202 Do not handle until all safety precautions have been read and understood. P264 Wash thoroughly after handling. P270 Do not eat, drink, or smoke when using this product. P280 Wear protective gloves/protective clothing/eye protection/face protection. 19020701AN 02/07/19 Page 1 of 11 ChemTreat BL1258 4ChemTreat SDS Response: P301 + P310 IF SWALLOWED: Immediately call a POISON CENTER or doctor/physician. P330 Rinse mouth. P308 + P311 IF exposed or concerned: Call a POISON CENTER/doctor. P314 Get medical advice/attention if you feel unwell. P302 + P352 IF ON SKIN: Wash with plenty of soap and water. P333 + P313 If skin irritation or rash occurs: Get medical advice/attention. P362 + P364 Take off contaminated clothing and wash it before reuse. P308 + P313 IF exposed or concerned: Get medical advice/attention. Storage: P405 Store locked up. Disposal: P501 Dispose of contents and container in accordance with applicable local, regional, national, and/or international regulations. System of Classification Used: Classification under 2012 OSHA Hazard Communication Standard (29 CFR 1910.1200). Hazards Not Otherwise None. Classified: Section 3. Composition/Hazardous Ingredients Component CAS Registry# Wt.% Potassium hydroxide 1310-58-3 3-7 Ethylene diamine tetraacetic acid,tetrasodium salt 64-02-8 0.1 -1.0 Sodium bisulfite 7631-90-5 15-40 Comments If chemical identity and/or exact percentage of composition has been withheld, this information is considered to be a trade secret. 19020701AN 02/07/19 Page 2 of 11 ChemTreat BL1258 4ChemTreate SDS Section 4. First Aid Measures Inhalation: Remove to fresh air and keep at rest in a position comfortable for breathing. Call a poison center or doctor/physician if you feel unwell. Eyes: Rinse cautiously with water for several minutes. Remove contact lenses, if present and easy to do. Continue rinsing. If eye irritation persists, get medical advice/attention. Skin: Wash with plenty of soap and water. Ingestion: DO NOT INDUCE VOMITING. Rinse mouth. Call a POISON CENTER or doctor/physician. Most Important Symptoms: N/D Indication of Immediate N/A Medical Attention and Special Treatment Needed, If Necessary: Section 5. Fire Fighting Measures Flammability of the Product: Not flammable. Suitable Extinguishing Media: Use extinguishing media suitable to surrounding fire. Specific Hazards Arising from Use water spray to keep containers cool. the Chemical: Protective Equipment: If product is involved in a fire, wear full protective clothing including a positive-pressure, NIOSH approved, self-contained breathing apparatus. 19020701AN 02/07/19 Page 3 of 11 ChemTreat BL1258 4ChemTreat® SDS Section 6. Accidental Release Measures Personal Precautions: Use appropriate Personal Protective Equipment (PPE). Environmental Precautions: Avoid dispersal of spilled material and runoff and contact with soil, waterways, drains, and sewers. Methods for Cleaning up: Contain and recover liquid when possible. Flush spill area with water spray. Other Statements: If RQ (Reportable Quantity) is exceeded, report to National Spill Response Office at 1-800-424-8802. Section 7. Handling and Storage Handling: Wear appropriate Personal Protective Equipment (PPE) when handling this product. Do not get in eyes, or on skin and clothing. Wash thoroughly after handling. Do not ingest. Avoid breathing vapors, mist or dust. Storage: Store away from incompatible materials (see Section 10). Store at ambient temperatures. Keep container securely closed when not in use. Label precautions also apply to empty container. Recondition or dispose of empty containers in accordance with government regulations. For Industrial use only. Store above Freeze Point. Section 8. Exposure Controls/Personal Protection • Exposure Limits Component Source Exposure Limits Potassium hydroxide ACGIH TLV 2 mg/m3 Ceiling Ethylene diamine tetraacetic acid,tetrasodium salt N/E N/E Sodium bisulfite ACGIH TLV 5 mg/m3 TWA Engineering Controls: Use only with adequate ventilation. The use of local ventilation is recommended to control emission near the source. 19020701AN 02/07/19 Page 4 of 11 ChemTreat BL1258 4ChemTrear - SDS Personal Protection Eyes: Wear chemical splash goggles or safety glasses with full-face shield. Maintain eyewash fountain in work area. Skin: Maintain quick-drench facilities in work area. Wear butyl rubber or neoprene gloves. Wash them after each use and replace as necessary. If conditions warrant, wear protective clothing such as boots, aprons, and coveralls to prevent skin contact. Respiratory: If misting occurs, use NIOSH approved organic vapor/acid gas dual cartridge respirator with a dust/mist prefilter in accordance with 29 CFR 1910.134. Section 9. Physical and Chemical Properties Physical State and Appearance: Liquid, Straw, Clear Specific Gravity: 1.244 @ 20°C pH: 6.5 @ 20°C, 100.0% Freezing Point: 19°F Flash Point: N/D Odor: Mild Melting Point: N/A Initial Boiling Point and Boiling Range: N/D Solubility in Water: Complete Evaporation Rate: N/D Vapor Density: N/D Molecular Weight: N/D Viscosity: <100 CPS @ 20°C Flammability (solid, gas): N/D Flammable Limits: N/A Autoignition Temperature: N/A Density: 10.38 LB/GA Vapor Pressure: N/D % VOC: 0 Odor Threshold N/D n-octanol Partition Coefficient N/D Decomposition Temperature N/D 19020701AN 02/07/19 Page 5 of 11 ChemTreat BL1258 4ChemTreat 111111 SDS Section 10. Stability and Reactivity Chemical Stability: Stable at normal temperatures and pressures. Incompatibility with Various Strong oxidizers, Strong acids. Substances: Hazardous Decomposition Oxides of sulfur. Products: Possibility of Hazardous None known. Reactions: Reactivity: N/D Conditions To Avoid: N/D Section 11. Toxicological Information Acute Toxicity Chemical Name Exposure Type of Effect Concentration Species Potassium hydroxide Oral LD50 365 MG/KG Rat Ethylene diamine tetraacetic acid,tetrasodium salt Oral LD50 3030 MG/KG Rat Dermal LD50 >5000 MG/KG Rabbit Sodium bisulfite Oral LD50 2000 MG/KG Rat Carcinogenicity Category Component Source Code Brief Description Potassium hydroxide N/E N/E N/E Ethylene diamine tetraacetic acid,tetrasodium salt N/E N/E N/E Sodium bisulfite N/E N/E N/E Likely Exposure:of Ex osure: N/D Symptoms Inhalation: N/D Eye Contact: N/D Skin Contact: N/D 19020701AN 02/07/19 Page 6 of 11 ChemTreat BL1258 4ChemTreat® SDS Ingestion: N/D Skin Corrosion/Irritation: N/D Serious Eye Damage/Eye N/D Irritation: Sensitization: N/D Germ Cell Mutagenicity: N/D Reproductive/Developmental N/D Toxicity: Specific Target Organ Toxicity Single Exposure: N/D Repeated Exposure: N/D Aspiration Hazard: N/D Comments: None. Section 12. Ecological Information Ecotoxicity Species Duration Type of Effect Test Results Fathead Minnow 96h LC50 3536 mg/I 7d NOEC 2500 mg/I 7d LOEC 5000 mg/I .7d IC25 >5000 mg/I Ceriodaphnia dubia 48h LC50 342 mg/I 7d NOEC 50 mg/I 7d LOEC 100 mg/I 7d IC25 84 mg/I Persistence and N/D Biodegradability: Bioaccumulative Potential: N/D Mobility In Soil: N/D Other Adverse Effects: N/D Comments: None. 19020701AN 02107/19 Page 7 of 11 ChemTreat BL1258 4ChemTreat® SDS Section 13. Disposal Considerations Dispose of in accordance with local, state and federal regulations. Not a RCRA-regulated hazardous waste when disposed in the original product form. Section 14. Transport Information Controlling Packing Regulation UN/NA#: Proper Shipping Name: Technical Name: Hazard Class: Group: DOT N/A COMPOUND,INDUSTRIAL N/A N/A N/A _WATER TREATMENT,LIQUID IMDG N/A COMPOUND, INDUSTRIAL N/A N/A N/A WATER TREATMENT,LIQUID ICAO N/A COMPOUND, INDUSTRIAL N/A N/A N/A WATER TREATMENT,LIQUID TDG N/A COMPOUND, INDUSTRIAL N/A N/A N/A WATER TREATMENT,LIQUID Note: N/A Section 15. Regulatory Information Inventory Status United States (TSCA): All ingredients listed. Canada (DSL/NDSL): All ingredients listed. 19020701AN 02/07/19 Page 8 of 11 ChemTreat BL1258 4ChemTreat® 4111 SDS Federal Regulations SARA Title III Rules Sections 311/312 Hazard Classes Fire Hazard: No Reactive Hazard: No Release of Pressure: No Acute Health Hazard: Yes Chronic Health Hazard: Yes Other Sections Section 313 Section 302 EHS Component Toxic Chemical TPQ CERCLA RQ Potassium hydroxide N/A N/A 1000 Ethylene diamine tetraacetic acid,tetrasodium salt _N/A N/A N/A Sodium bisulfite N/A N/A 5000 Comments: None. State Regulations California Proposition 65: None known. Special Regulations Component States Potassium hydroxide MA,MN,NY,PA,WA Ethylene diamine tetraacetic acid,tetrasodium salt None. Sodium bisulfite MA,MN,NY,PA,WA Compliance Information NSF: N/A Food Regulations: FDA: All ingredients in this product are authorized in 21 CFR 173.310 for use as "Boiler Water Additives" where the steam may contact food. KOSHER: This product is certified by the Orthodox Union as kosher pareve. Only when prepared by the following ChemTreat facilities: Ashland, VA; Eldridge, IA; Nederland, TX; Fontana, CA. Halal: This product has not been evaluated for Halal approval. FIFRA: N/A 19020701AN 02/07/19 Page 9 of 11 ChemTreat BL1258 4ChemTreat® SDS Other: None Comments: None. Section 16. Other Information HMIS Hazard Rating Health: 2 Flammability: 1 Physical Hazard: 0 PPE: X Notes: The PPE rating depends on circumstances of use. See Section 8 for recommended PPE. The Hazardous Material Information System (HMIS) is a voluntary, subjective alpha-numeric symbolic system for recommending hazard risk and personal protection equipment information. It is a subjective rating system based on the evaluator's understanding of the chemical associated risks. The end-user must determine if the code is appropriate for their use. Abbreviations Abbreviation Definition Less Than > Greater Than ACGIH American Conference of Governmental Industrial Hygienists EHS Environmental Health and Safety Dept t N/A Not Applicable N/D _Not Determined N/E Not Established OSHA Occupational Health and Safety Dept PEL Personal Exposure Limit STEL Short Term Exposure Limit TLV Threshold Limit Value TWA Time Weight Average UNK ,Unknown Prepared by: Product Compliance Department; ProductCompliance@chemtreat.com Revision Date: February 7, 2019 19020701AN 02/07/19 Page 10 of 11 ChemTreat BL1258 4ChemTreat - SDS Disclaimer Although the information and recommendations set forth herein(hereinafter"information")are presented in good faith and believed to be correct as of the date hereof,ChemTreat,Inc.makes no representations as to the completeness or accuracy thereof.Information is supplied upon the condition that the persons receiving same will make their own determination as to its suitability for their purposes prior to use.In no event will ChemTreat,Inc.be responsible for damages of any nature whatsoever resulting from the use or reliance upon information.No representation or warranties,either expressed or implied,of merchantability,fitness for a particular purpose,or of any other nature are made hereunder with respect to information or the product to which information refers. ii 19020701AN 02/07/19 Page 11 of 11 ChemTreat BL1258 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. Facility Name Slurry Pavers, Inc-Asphalt Emulsion Ind. Morehead City Terminal NPDES NCG500354 Outfall 2 County Carteret Receiving Stream Morehead City Harbor 7Q1O_Morehead City Harbor Tidal Waters N/A (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. = 0.001 (in M.G.D.) Please calculate the Instream Waste Concentration (IWC in percent) of this discharge using the data entered above. (A.D.D.) X 100 ( ) X 100 IWC - N/A (7Q10)(0.646) + (A.D.D) - ( )(0.646) + ( ) = /o 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? ChemTreat BL1541 Please list the active ingredients and percent composition: Diehtylethanolamine 7 - 13 Cyclohexylamine _7 - 13 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.= _56.78 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: Morehead City Terminal NPDES#: NCG500354 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= 0.001 million gallons What is the pH of the handling system prior to biocide addition? If unknown, enter N/A. _N/A What is the decay rate (D.K.) of the product? If unknown, assume no decay (D.K.=0) 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. = N/A Days The decay rate is equal to H1L X 0.69 = N/A =Decay Rate (D.K.) Calculate degradation factor(D.F.). This is the first order loss coefficient. * D.F. _ (A.D.D.) + (D.K.) = —+ ( 0 ) = N/A (Volume) Calculate Steady State Discharge Concentration: Dischg Conc. = (D.R.) N/A mg/I (D.F.)(Volume)(3785) Calculate concentration of biocide instream during low flow conditions. (Receiving Stream Concentration) (Dischg. Conc.) x (IWC%) _- _ N/A mg/I 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 Test Duration LC50/EC50 (mg/I) Fathead Minnow 96 hr _>10000 _Ceriodaphnia dubia 48hr 654.5 D.W.Q. Form 101 (6/2000) 2 Facility Name: Morehead City Terminal NPDES#: NCG500354 Choose the lowest LC50/EC50 listed above: Enter the LC50/EC50: 654.5 If the half life (H.L.) is less than 4 days, perform the following calculation. Regulated Limitation = 0.05 x LC50 = 32.73 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: 32.73 mg/liter From Part II enter the receiving stream concentration: N/A 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 David Callahan: David Callahan Name (Print) 1/7/2020 Signature Date Person Completing This Worksheet(If different from above) Christine Lipka Name (Print) Z 1/3/2020 Signature Date Please submit to: Division of Water Quality Aquatic Toxicology Unit 1621 Mail Service Center Raleigh, NC 27699-1621 Attn: Todd Christenson D.W.Q. Form 101 (6/2000) 3 Facility Name: Morehead City Terminal NPDES#: NCG500354 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 Chemical Formula Molecular Weight of Metal Formula Weight Concentration in Biocide EXAMPLE Copper CuSO4.5H2O 63.546 g/mole 249.680 g/mole 0.2% None 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): 16 DC (pg/I) = DC (grams/million gal) x 3.785 x 106 l ersgmgllion gal. pg/I 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 = pg/I Calculate the instream metal concentration (IMC) at low-flow conditions: IMC = M x IWCO(0%) _ _Ng/I x 100 % = pg/I 1Regulated 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/I water quality standard (*Values which exceed action levels must be addressed directly by aquatic toxicity testing.) D.W.Q. Form 101 (6/2000) 4 C 4ChemTreat SDS SAFETY DATA SHEET Section 1. Chemical Product and Company Identification Product Name: ChemTreat BL1541 Product Use: Steam Line Treatment Supplier's Name: ChemTreat,Inc. Emergency Telephone Number: (800)424-9300 (Toll Free) Address(Corporate Headquarters): 5640 Cox Road Glen Allen,VA 23060 Telephone Number for Information: (800)648-4579 Date of MSDS: September 14,2015 Revision Date: September 14,2015 Revision Number: 15091401AN Section 2. Hazard(s) Identification Signal Word: DANGER GHS Classification(s): Skin corrosion/irritation—Category lb Eye damage/irritation—Category 1 Acute Toxicity Dermal—Category 4 Acute Toxicity Inhalation—Category 4 Acute Toxicity Oral—Category 4 Hazard Statement(s): Causes severe skin bums and eye damage. Causes serious eye damage. Harmful in contact with skin. Harmful if inhaled. Harmful if swallowed. Precautionary Statement(s): Wear protective gloves/clothing and eye/face protection. Do not breathe dust/fume/gas/mist/vapors/spray. Do not eat, drink or smoke when using this product. Wash hands thoroughly after handling. Use only outdoors or in a well—ventilated area. System of Classification Used: Classification under 2012 OSHA Hazard Communication Standard (29 CFR 1910.1200). Hazards Not Otherwise None. Classified: 15091401AN 09/14/15 Page 1 of 9 ChemTreat BL1541 ( ChemTreat SDS Section 3. Composition/Hazardous Ingredients Component CAS Registry# Wt.% 2—diethylaminoethanol 100-37-8 7—13 Cyclohexylamine 108-91-8 7—13 Comments If chemical identity and/or exact percentage of composition has been withheld, this information is considered to be a trade secret. Section 4. First Aid Measures Inhalation: Remove victim to fresh air and keep at rest in a position comfortable for breathing. Immediately call a poison center or doctor/physician. Eyes: Rinse cautiously with water for several minutes. Remove contact lenses, if present and easy to do. Continue rinsing. Immediately call a poison center or doctor/physician. Skin: Immediately remove/take off all contaminated clothing. Rinse skin with water/shower. Wash contaminated clothing before re—use. Immediately call a poison center or doctor/physician. Ingestion: DO NOT INDUCE VOMITING. Rinse mouth. Call a POISON CENTER or doctor/physician. Notes to Physician: N/A Additional First Aid Remarks: N/A Section 5. Fire Fighting Measures Flammability of the Product: Negative results obtained in sustained combustion test. Suitable Extinguishing Media: Use extinguishing media suitable to surrounding fire. Specific Hazards Arising from Product may emit toxic gases or fumes under fire conditions. the Chemical: Protective Equipment: If product is involved in a fire,wear full protective clothing including a positive—pressure,NIOSH approved, self—contained breathing apparatus. 15091401AN 09/14/15 Page 2 of 9 ChemTreat BL1541 C (4emTreat - SDS Section 6. Accidental Release Measures Persna1 Precautions: Use appropriate Personal Protective Equipment(PPE). Environmental Precautions: Avoid dispersal of spilled material and runoff and contact with soil, waterways, drains, and sewers. Methods for Cleaning up: Contain and recover liquid when possible. Flush spill area with water spray. Other Statements: If RQ(Reportable Quantity)is exceeded,report to National Spill Response Office at 1-800-424-8802. Section 7. Handling and Storage Handling: Wear appropriate Personal Protective Equipment(PPE)when handling this product. Do not get in eyes, or on skin and clothing. Wash thoroughly after handling.Do not ingest. Avoid breathing vapors,mist or dust. Storage: Store away from incompatible materials(see Section 10). Store at ambient temperatures.Keep container securely closed when not in use. Label precautions also apply to empty container. Recondition or dispose of empty containers in accordance with government regulations. For Industrial use only. Protect from heat and sources of ignition. Store above Freeze Point. Section 8. Exposure Controls/Personal Protection Exposure Limits Component Source Exposure Limits 2-diethylaminoethanol ACGIH 9.6 mg/in'TWA Skin TLV OSHA PEL 50 mg/m'TWA Skin Cyclohexylamine ACGIH 41 mg/m'TWA TLV Engineering Controls: Use only with adequate ventilation. The use of local ventilation is recommended to control emission near the source. 15091401AN 09/14/15 Page 3 of 9 ChemTreat BL1541 ( ChemTreat SDS Personal Protection Eyes: Wear chemical splash goggles or safety glasses with full—face shield. Maintain eyewash fountain in work area. Skin: Maintain quick—drench facilities in work area. Wear butyl rubber or neoprene gloves. Wash them after each use and replace as necessary. If conditions warrant, wear protective clothing such as boots,aprons, and coveralls to prevent skin contact. Respiratory: If misting occurs,use NIOSH approved organic vapor/acid gas dual cartridge respirator with a dust/mist prefilter in accordance with 29 CFR 1910.134. Section 9. Physical and Chemical Properties Physical State and Appearance: Liquid, Colorless, Clear Specific Gravity: 0.988 @ 20°C pH: 12.2 @ 20°C, 100.0% Freezing Point: 32°F Flash Point: 143.6°F Odor: Strong Melting Point: N/A Initial Boiling Point and Boiling Range: 212°F Solubility in Water: Complete Evaporation Rate: N/D Vapor Density: As Water Molecular Weight: N/D Viscosity: N/A Flammability(solid,gas): N/D Flammable Limits: N/A Autoignition Temperature: N/A Density: 8.24 LB/GA Vapor Pressure: As Water % VOC: 20 Odor Threshold N/D n—octanol Partition Coefficient N/D Decomposition Temperature N/D 15091401AN 09/14/15 Page 4 of 9 ChemTreat BL1541 ( ChemTreat - SDS Section 10. Stability and Reactivity Chemical Stability: Stable at normal temperatures and pressures. Incompatibility with Various Strong oxidizers,Acids. Substances: Hazardous Decomposition Oxides of carbon, Oxides of nitrogen. Products: Possibility of Hazardous None known. Reactions: Section 11. Toxicological Information Chemical Name Exposure Type of Effect Concentration Species IP 2-diethylaminoethanol Oral LD50 1300 MG/KG Rat Dermal LD50 1260 MG/KG Rabbit Cyclohexylamine Oral LD50 156 MG/KG Rat Dermal LD50 277 MG/KG Rabbit Carcinogenicity Category Component Source Code Brief Description 2-diethylaminoethanol N/E N/E N/E Cyclohexylamine ACGIH TLV-A4 Not classifiable as a human carcinogen. Comments: None. Section 12. Ecological Information Species Duration Type of Effect Test Results Fathead Minnow 96h LC50 >1000 mg/1 Ceriodaphnia dubia 48h LC50 654.5 mg/1 Sheepshead Minnow 96h LC50 >1000 mg/1 Mysid Shrimp 48h LC50 >1000 mg/1 Comments: None. 15091401AN 09/14/15 Page 5 of 9 ChemTreat BL1541 4ChemTreat SDS Section 13. Disposal Considerations Dispose of in accordance with local, state and federal regulations. Section 14. Transport Information Controlling Packing Regulation UN/NA#: Proper Shipping Name: Technical Name: Hazard Class: Group: DOT UN2715 AMINES,LIQUID, (CYCLOHEXYLAMINE AND S PGll1 CORROSIVE,N.O.S. N,N—DIETHYLETHANOLAMINE) TDG UN2735 AMINES,LIQUID, (CYCLOHEXYLAMINE AND 8 PGIII CORROSIVE,N.O.S. N,N—DIETHYLETHANOLAMINE) ICAO UN2735 AMINES,LIQUID, (CYCLOHEXYLAMINE AND 8 PGIII CORROSIVE,N.O.S. N,N—DIETHYLETHANOLAMINE) Note: N/A Section 15. Regulatory Information Inventory Status United States (TSCA): All ingredients listed. Canada (DSL/NDSL): All ingredients listed. Federal Regulations SARA Title III Rules Sections 311/312 Hazard Classes Fire Hazard: Yes Reactive Hazard: No Release of Pressure: No Acute Health Hazard: Yes Chronic Health Hazard: No 15091401AN 09/14/15 Page 6 of 9 ChemTreat BL1541 4ChemTreat. - SDS Other Sections Section 313 Section 302 Component Toxic Chemical EHS TPQ CERCLA RQ 2—diethylaminoethanol N/A N/A N/A Cyclohexylamine N/A 10000 10000 Comments: None. State Regulations California Proposition 65: None known. Special Regulations Component States 2—diethylaminoethanol MA,MN,PA,WA Cyclohexylamine MA,MN,NJ,NY,PA,WA International Regulations Canada WHMIS Classification: D2B (Toxic Material) E(Corrosive Material) Controlled Product Regulations This product has been classified in accordance with (CPR): the hazard criteria of the Controlled Products Regulations(CPR) and the MSDS contains all the information required by the CPR. Compliance Information NSF: N/A FDA/USDA/GRAS: All ingredients in this product are authorized in 21 CFR 173.310(d)for use as "Boiler Water Additives" where the steam may contact food,not to exceed the listed limitations,and excluding use of such steam in contact with milk and milk products. KOSHER: This product is certified by the Orthodox Union as Kosher for Passover and year—round use. Only when prepared by the following ChemTreat facilities: Ashland, VA;Eldridge, IA;Nederland,TX;Vernon, CA. FIFRA: N/A Other: None 15091401AN 09/14/15 Page 7 of 9 ChemTreat BL1541 4ChemTreat SDS Comments: None. Section 16. Other Information HMIS Hazard Rating Health: 2 Flammability: 1 Physical Hazard: 0 PPE: X Notes: The PPE rating depends on circumstances of use. See Section 8 for recommended PPE. The Hazardous Material Information System(HMIS)is a voluntary, subjective alpha—numeric symbolic system for recommending hazard risk and personal protection equipment information. It is a subjective rating system based on the evaluator's understanding of the chemical associated risks. The end—user must determine if the code is appropriate for their use. Abbreviations Abbreviation Definition < Less Than > Greater Than ACGIH American Conference of Governmental Industrial Hygienists EHS Environmental Health and Safety Dept N/A Not Applicable N/D Not Determined N/E Not Established OSHA Occupational Health and Safety Dept PEL Personal Exposure Limit STEL Short Term Exposure Limit TLV Threshold Limit Value TWA Time Weight Average UNK Unknown Prepared by: Product Compliance Department; ProductCompliance@chemtreat.com Revision Date: September 14,2015 15091401AN 09/14/15 Page 8 of 9 ChemTreat BL1541 4ChemTrear SDS Disclaimer Although the information and recommendations set forth herein(hereinafter"information")are presented in good faith and believed to be correct as of the date hereof, ChemTreat,Inc.makes no representations as to the completeness or accuracy thereof.Information is supplied upon the condition that the persons receiving same will make their own determination as to its suitability for their purposes prior to use.In no event will ChemTreat,Inc.be responsible for damages of any nature whatsoever resulting from the use or reliance upon information.No representation or warranties,either expressed or implied,of merchantability,fitness for a particular purpose,or of any other nature are made hereunder with respect to information or the product to which information refers. 15091401AN 09/14/15 Page 9 of 9 ChemTreat BL1541 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. Facility Name Slurry Pavers, Inc-Asphalt Emulsion Ind. Morehead City Terminal NPDES NCG500354 Outfall 2 County Carteret Receiving Stream Morehead City Harbor 7Q1 O_Morehead City Harbor Tidal Waters N/A_(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. =_0.001 (in M.G.D.) Please calculate the Instream Waste Concentration (IWC in percent) of this discharge using the data entered above. (A.D.D.) X 100 ( ) X 100 IWC - N/A (7Q10)(0.646) + (A.D.D) - ( )(0.646) + ( ) = /o 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? ChemTreat BL4350 Please list the active ingredients and percent composition: 1-hydroxyethylidene-1,1-diphosphonic acid 1 - 5 ok Potassium hydroxide _5 - 10 0/0 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.= _94.68 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: Morehead City Terminal NPDES#: NCG500354 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= 0.001 million gallons What is the pH of the handling system prior to biocide addition? If unknown, enter N/A. N/A What is the decay rate (D.K.) of the product? If unknown, assume no decay (D.K.=0) 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. = N/A Days The decay rate is equal to H1L X 0.69 = N/A =Decay Rate (D.K.) Calculate degradation factor(D.F.). This is the first order loss coefficient. * D.F. _ (A.D.D.) + D.K.) = —+ ( 0 ) = N/A (Volume) Calculate Steady State Discharge Concentration: Dischg Conc. = (D.R.) N/A mg/I (D.F.)(Volume)(3785) Calculate concentration of biocide instream during low flow conditions. (Receiving Stream Concentration) (Dischg. Conc.) x (IWC%) - N/A mg/I 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 Test Duration LC50/EC50 (mq/I) Fathead Minnow 96 hr 3409 _Ceriodaphnia dubia 48hr 1786 D.W.Q. Form 101 (6/2000) 2 Facility Name: Morehead City Terminal NPDES#: NCG500354 Choose the lowest LC50/EC50 listed above: Enter the LC50/EC50: 1786 If the half life (H.L.) is less than 4 days, perform the following calculation. Regulated Limitation = 0.05 x LC50 = 89.9 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: 89.9 mg/liter From Part II enter the receiving stream concentration: N/A 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 David Callahan: David Callahan Name (Print) �.f 1/7/2020 Signature Date Person Completing This Worksheet(If different from above) Christine Lipka Name (Print) ? tOte 4 1/3/2020 Signature Date Please submit to: Division of Water Quality Aquatic Toxicology Unit 1621 Mail Service Center Raleigh, NC 27699-1621 Attn: Todd Christenson D.W.Q. Form 101 (6/2000) 3 Facility Name: Morehead City Terminal NPDES#: NCG500354 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 Chemical Formula Molecular Weight of Metal Formula Weight Concentration in Biocide EXAMPLE Copper CuSO4.5H20 63.546 g/mole 249.680 g/mole 0.2% None 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 DC = ADD = ( ( million gallons/day) =grams/day) grams/million gallons Convert DC to micrograms/liter(ppb): DC (pg/I) = DC (grams/million gal) x 1 x 106 pg/g = pg/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 (%) oL BF = MF x 100 = x (100) = Calculate the concentration of metal in the discharge (M): M = DC x BF = pg/I x = pg/I Calculate the instream metal concentration (IMC) at low-flow conditions: 0 IMC = M x IW100%) = pg/I x 100 = pg/I 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/I water quality standard (*Values which exceed action levels must be addressed directly by aquatic toxicity testing.) D.W.Q. Form 101 (6/2000) 4 ( ChemTreat SDS SAFETY DATA SHEET Section 1. Chemical Product and Company Identification Product Name: ChemTreat BL4350 Product Use: Boiler Water Treatment Supplier's Name: ChemTreat,Inc. Emergency Telephone Number: (800)424-9300 (Toll Free) Address (Corporate Headquarters): 5640 Cox Road Glen Allen,VA 23060 Telephone Number for Information: (800)648-4579 Date of MSDS: September 14, 2015 Revision Date: September 14, 2015 Revision Number: 15091401AN Section 2. Hazard(s) Identification Signal Word: WARNING GHS Classification(s): Acute Toxicity Dermal—Category 5 Acute Toxicity Inhalation—Category 5 Acute Toxicity Oral—Category 5 Hazard Statement(s): May be harmful in contact with skin. May be harmful if inhaled. May be harmful if swallowed. Precautionary Statement(s): No significant health risks are expected from exposures under normal conditions of use. System of Classification Used: Classification under 2012 OSHA Hazard Communication Standard (29 CFR 1910.1200). Hazards Not Otherwise None. Classified: 15091401AN 09/14/15 Page 1 of 9 ChemTreat BL4350 CChemTreat41111, SDS Section 3. Composition/Hazardous Ingredients Component CAS Registry# Wt.% 1—Hydroxyethylidene-1,l—diphosphonic acid,tetrapotassium salt 14860-53-8 1 —5 Comments If chemical identity and/or exact percentage of composition has been withheld,this information is considered to be a trade secret. Section 4. First Aid Measures Inhalation: Remove to fresh air and keep at rest in a position comfortable for breathing. Call a poison center or doctor/physician if you feel unwell. Eyes: Rinse cautiously with water for several minutes. Remove contact lenses, if present and easy to do. Continue rinsing. If eye irritation persists, get medical advice/attention. Skin: Wash with plenty of soap and water. Call a poison center or doctor/physician if you feel unwell. Ingestion: DO NOT INDUCE VOMITING. Rinse mouth. Call a POISON CENTER or doctor/physician if you feel unwell. Notes to Physician: N/A Additional First Aid Remarks: N/A Section 5. Fire Fighting Measures Flammability of the Product: Not flammable. Suitable Extinguishing Media: Use extinguishing media suitable to surrounding fire. Specific Hazards Arising from None known. the Chemical: Protective Equipment: If product is involved in a fire,wear full protective clothing including a positive—pressure,NIOSH approved, self—contained breathing apparatus. 15091401AN 09/14/15 Page 2 of 9 ChemTreat BL4350 ChemTreat` - SDS Section 6. Accidental Release Measures Personal Precautions: Use appropriate Personal Protective Equipment(PPE). Environmental Precautions: Avoid dispersal of spilled material and runoff and contact with soil, waterways, drains, and sewers. Methods for Cleaning up: Contain and recover liquid when possible. Flush spill area with water spray. Other Statements: None. Section 7. Handling and Storage Handling: Wear appropriate Personal Protective Equipment(PPE)when handling this product. Do not get in eyes, or on skin and clothing. Wash thoroughly after handling. Do not ingest. Avoid breathing vapors,mist or dust. Storage: Store away from incompatible materials(see Section 10). Store at ambient temperatures.Keep container securely closed when not in use. Label precautions also apply to empty container. Recondition or dispose of empty containers in accordance with government regulations. For Industrial use only. Store above Freeze Point. Section 8. Exposure Controls/Personal Protection Exposure Limits Component Source Exposure Limits 1—Hydroxyethylidene-1,1—diphosphonic acid, V;l{ N I tetrapotassium salt Engineering Controls: Use only with adequate ventilation. The use of local ventilation is recommended to control emission near the source. 15091401AN 09/14/15 Page 3 of 9 ChemTreat BL4350 demTreat 111111 SDS Personal Protection Eyes: Wear chemical splash goggles or safety glasses with full—face shield. Maintain eyewash fountain in work area. Skin: Maintain quick—drench facilities in work area. Wear butyl rubber or neoprene gloves. Wash them after each use and replace as necessary. If conditions warrant,wear protective clothing such as boots, aprons, and coveralls to prevent skin contact. Respiratory: If misting occurs,use NIOSH approved organic vapor/acid gas dual cartridge respirator with a dust/mist prefilter in accordance with 29 CFR 1910.134. Section 9. Physical and Chemical Properties Physical State and Appearance: Liquid,Light Straw,Clear Specific Gravity: 1.134 @ 20°C pH: 9.2 @ 20°C, 100.0% Freezing Point: 30°F Flash Point: N/D Odor: Mild Melting Point: N/D Initial Boiling Point and Boiling Range: 212°F Solubility in Water: Complete Evaporation Rate: N/D Vapor Density: As Water Molecular Weight: N/D Viscosity: <100 CPS @ 20°C Flammability(solid, gas): N/D Flammable Limits: N/A Autoignition Temperature: N/A Density: 9.46 LB/GA Vapor Pressure: As Water % VOC: 0 Odor Threshold N/D n—octanol Partition Coefficient N/D Decomposition Temperature N/D 15091401AN 09/14/15 Page 4 of 9 ChemTreat BL4350 ChemTreat (11111 SDS Section 10. Stability and Reactivity Chemical Stability: Stable at normal temperatures and pressures. Incompatibility with Various Strong oxidizers, Strong acids. Substances: Hazardous Decomposition None known. Products: Possibility of Hazardous None known. Reactions: Section 11. Toxicological Information Chemical Name Exposure Type of Effect Concentration Species 1—Hydroxyethylidene-1,1—diphosphonic acid, Oral LD50 2400 MG/KG Rat tetrapotassium salt Dermal LD50 >7940 MG/KG Rabbit Carcinogenicity Category Component Source Code Brief Description 1—Hydroxyethylidene-1,1—diphosphonic acid, N/E N N'F tetrapotassium salt Comments: None. Section 12. Ecological Information Species Duration Type of Effect Test Results Ceriodaphnia dubia 48h LC50 >1000 mg/1 Fathead Minnow 96h LC50 >1000 mg/1 48h LC50 1768 mg/1 Daphnia pulex 48h LC50 1708 mg/I Comments: None. 15091401AN 09/14/15 Page 5 of 9 ChemTreat BL4350 4ChemTreat SDS Section 13. Disposal Considerations Dispose of in accordance with local, state and federal regulations. Not a RCRA—regulated hazardous waste when disposed in the original product form. Section 14. Transport Information Controlling Packing Regulation UN/NA#: Proper Shipping Name: Technical Name: Hazard Class: Group: DOT N/A COMPOUND,INDUSTRIAL N/A N/A N/A WATER TREATMENT,LIQUID IMDG N/A COMPOUND,INDUSTRIAL N/A N/A N/A WATER TREATMENT,LIQUID TDG N/A COMPOUND,INDUSTRIAL N/A N/A N/A WATER TREATMENT,LIQUID ICAO N/A COMPOUND,INDUSTRIAL N/A N/A N/A WATER TREATMENT,LIQUID Note: N/A Section 15. Regulatory Information Inventory Status United States (TSCA): All ingredients listed. Canada (DSL/NDSL): All ingredients listed. 15091401AN 09/14/15 Page 6 of 9 ChemTreat BL4350 4ChemTreat 4111 SDS Federal Regulations SARA Title III Rules Sections 311/312 Hazard Classes Fire Hazard: No Reactive Hazard: No Release of Pressure: No Acute Health Hazard: Yes Chronic Health Hazard: No Other Sections Section 313 Section 302 Component Toxic Chemical EHS TPQ CERCLA RQ 1—Hydroxyethylidene—1,1—diphosphonic acid, N/A N/A N/A tetrapotassium salt Comments: None. State Regulations California Proposition 65: None known. Special Regulations Component States 1—Hydroxyethylidene-1,1—diphosphonic acid,tetrapotassium None. salt International Regulations Canada WHMIS Classification: N/A Controlled Product Regulations N/A (CPR): 15091401AN 09/14/15 Page 7 of 9 ChemTreat BL4350 ( ChemTreat 4111 SDS Compliance Information NSF: N/A FDA/USDA/GRAS: All ingredients in this product are authorized in 21 CFR 173.310 for use as "Boiler Water Additives" where the steam may contact food. KOSHER: This product is certified by the Orthodox Union as Kosher for Passover and year—round use. Only when prepared by the following ChemTreat facilities: Ashland, VA; Eldridge, IA;Nederland, TX; Vernon, CA. FIFRA: N/A Other: None Comments: None. Section 16. Other Information HMIS Hazard Rating Health: 1 Flammability: 0 Physical Hazard: 0 PPE: X Notes: The PPE rating depends on circumstances of use. See Section 8 for recommended PPE. The Hazardous Material Information System(HMIS) is a voluntary, subjective alpha—numeric symbolic system for recommending hazard risk and personal protection equipment information. It is a subjective rating system based on the evaluator's understanding of the chemical associated risks. The end—user must determine if the code is appropriate for their use. Abbreviations Abbreviation Definition Less Than > Greater Than ACGIH American Conference of Governmental Industrial Hygienists EHS Environmental Health and Safety Dept N/A Not Applicable N/D Not Determined N/E Not Established 15091401AN 09/14/15 Page 8 of 9 ChemTreat BL4350 4ChemTreat 41111 SDS Abbreviation Definition OSHA Occupational Health and Safety Dept PEL Personal Exposure Limit STEL Short Term Exposure Limit TLV Threshold Limit Value TWA Time Weight Average UNK Unknown Prepared by: Product Compliance Department;ProductCompliance@chemtreat.com Revision Date: September 14,2015 Disclaimer Although the information and recommendations set forth herein(hereinafter"information")are presented in good faith and believed to be correct as of the date hereof, ChemTreat,Inc.makes no representations as to the completeness or accuracy thereof.Information is supplied upon the condition that the persons receiving same will make their own determination as to its suitability for their purposes prior to use.In no event will ChemTreat,Inc.be responsible for damages of any nature whatsoever resulting from the use or reliance upon information.No representation or warranties,either expressed or implied,of merchantability,fitness for a particular purpose,or of any other nature are made hereunder with respect to information or the product to which information refers. 15091401AN 09/14/15 Page 9 of 9 ChemTreat BL4350 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. Facility Name Slurry Pavers, Inc. -Asphalt Emulsion Ind. Morehead City Terminal NPDES#NC NCG500354 Facility ID# 1600074 Outfall#2 County Carteret Receiving Stream Morehead City Harbor 7Q10 Morehead City Fi�fpr Tidal Waters N/A (All above information supplied by the Division of Water Quality) l` 11 What is the Average Daily Discharge (A.D.D.)volume of the water handling systems to the receiving water body? A.D.D. = •001 (in M.G.D.) Please calculate the Instream Waste Concentration (IWC in percent)of this discharge using the data entered above. (A.D.D.) X 100 ( ) X 100 _N/A o IWC = (7Q10)(0.646) + (A.D.D) — ( )(0.646) + ( ) — /o 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 Please list the active ingredients and percent composition: Sulfuric Acid 6-100 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.= 1020 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 453.59q. 128 fl. oz. 1 gal. water 1 lb. SlurryPavers, Inc. Morehead CityTerminal NCG500354 Facility Name: NPDES#: NC Facility ID# 1600074 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= .001 million gallons What is the pH of the handling system prior to biocide addition? If unknown, enter N/A. N/A What is the decay rate (D.K.) of the product? If unknown, assume no decay(D.K.=0) 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. = N/A Days The decay rate is equal to H1L X 0.69 = N/A =Decay Rate (D.K.) Calculate degradation factor(D.F.). This is the first order loss coefficient. D.F. - (A.D.D.) + (D.K.) _ ( ) + ( ) = N/A - (Volume) ( ) Calculate Steady State Discharge Concentration: Dischg Conc. - (D.R.) - ( ) N/A(D.F.)(Volume)(3785)(D.F.)(Volume)(3785) - ( )( )(3785) Calculate concentration of biocide instream during low flow conditions. (Receiving Stream Concentration) (Dischg. Conc.) x (IWC%) ( ) x ( ) - N/A 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 Test Duration LC50/EC50 (mg/I) Bluegill Sunfish 48hr . 49 Flounder 48hr. 100-330 D.W.Q. Form 101 (1/2019) 2 NCG500354 Facility Name: Slurry Pavers, Inc. Morehead City Terminal NPDES#: NC Facility ID# 1600074 Choose the lowest LC50/EC50 listed above: Enter the LC50/EC50: 49 If the half life (H.L.) is less than 4 days, perform the following calculation. Regulated Limitation = 0.05 x LC50 = 2.45 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: 2.45 mg/liter From Part II enter the receiving stream concentration: N/A mg/liter IV. Analysis. I If the receiving stream concentration is greater than the calculated regulated limitation, then this biocide is unacceptable for use. Person in Responsible Charge David Callahan david.callahan@asphalt-emulsion.com 252 222-3332 Name(Print) Email Address & Phone Number Z7a-wd� G: ri 1/7/2020 Signature Date Person Completing This Worksheet(If different from above) David Callahan david.callahan@asphalt-emulsion.com 252 222-3332 Name(Print) Email Address & Phone Number Z ay.e G 1/7/2020 Signature Date Please submit to: Division of Water Resources Aquatic Toxicology Branch 1621 Mail Service Center Raleigh, NC 27699-1621 Contact Info: Cindy Moore (cindy.a.moore@ncdenr.gov) or Susan Meadows (susan.meadows@ncdenr.gov) D.W.Q. Form 101 (1/2019) 3 Facility Name: NPDES#: NC 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 Chemical Formula Molecular Weight of Metal Formula Weight Concentration in Biocide EXAMPLE Copper 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): 1 x 106 pg/g DC (pg/I) = DC (grams/million gal) x = pg/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 = pg/I Calculate the instream metal concentration (IMC) at low-flow conditions: IMC = M x I 1000%) = pg/I x 100 % = leg/1 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 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 (1/2019) 4 SAFETY DATA SHEET Sulfuric Acid Lirig CHEMICAL 657175 A Du!ony Industries Company Where reliability.consistency,and quality of product and service are our goals 1600 E. President Street; Savannah GA 31404 P 912-232-1 101 F 912-232-1 103 Distributed by: 4620 Highway 421 North; Wilmington, NC 28402 AMEROCHEM CORPORATION 1885 Old Airport Rd. P 910-762-5054 F 910-762-1600 New Bern,NC 28562 Tel: 800 990-4949 252 634-9344 Page I I IDENTIFICATION Trade Name: SULFURIC ACID CAS Number: 7664-93-9 Synonym: OIL OF VITRIOL Primary Use: Industrial raw material or processing agent Supplier: Southern States Chemical Southern States Chemical 1600 E. President Street 4620 Highway 421 North Savannah GA 31404 Wilmington NC 28402 p (912) 232-1 101 p (910) 762-5054 f(912) 232-1103 f(910) 762-1600 24 Hour Emergency Assistance: General Assistance: [8 AM-5 PM (M-F EST)] Chemtrec: 800-424-9300 Savannah GA 9 1 2-232-I I 0 I Wilmington NC 910-762-5054 2 HAZARDS IDENTIFICATION • CLASSIFICATION: Skin Corrosion, Category IA LABELING: See right: SIGNAL WORD: Danger AEI HAZARD PICTOGRAM: Corrosive HAZARD STATEMENT: Causes severe skin burns and eye damage PRECAUTIONARY STATEMENTS: Do not breath dust/fume/ gas/ mist/vapors/ spray. Wash hands, face and skin thoroughly after handling. Wear protective gloves/ protective clothing/ eye protection/face protection. 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 INHALED: Remove victim to fresh air and keep at rest in a position comfortable for breathing. Immediately call a POISON CENTER or doctor/physician. Specific treatment (see on this label). IF IN EYES: Rinse cautiously with water for several minutes. Remove contact lenses, if present and easy to do. Continue rinsing. Dispose of contents/ container in full compliance with Federal, State, and local regulations. OTHER HAZARDS: Extremely corrosive. Harmful or fatal if swallowed. Harmful if inhaled. Severe eyes and skin irritation. Possibility of damage to the upper respiratory tract and lung tissues. ENVIRONMENTAL HAZARDS: Strong acid. Highly toxic to plants and aquatic organisms Page 2 3 COMPOSITION / INFORMATION ON INGREDIENTS Ingredient Name Synonym CAS Number Concentration SULFURIC ACID or OIL of VITROL 7664-93-9 6-100% SULPHURIC ACID 4 FIRST AID MEASURES SKIN: Immediately flush skin with plenty of water, for at least 15 minutes, while removing contaminated clothing and shoes. GET IMMEDIATE MEDICAL ATTENTION! Place contaminated clothing in closed container for storage until laundered or discarded, If clothing is to be laun- dered, inform person performing operation of contaminants hazardous properties. Discard contaminated leather goods. EYE: Flush immediately with large amounts of water for at least 15 minutes. Eyelids should be held away from the eye- ball to ensure thorough rinsing. GET IMMEDIATE MEDICAL ATTENTION! INHALATION: Remove to fresh air. If not breathing, institute rescue breathing. If breathing is difficult, ensure airway is clear and give oxygen. Keep affected person warm and at rest. GET IMMEDIATE MEDICAL ATTENTION! INGESTION: If victim is conscious and alert, give 1-3 glasses of water to dilute stomach contents. Rinse mouth out with water. Do not induce vomiting unless directed by medical personnel. Never give anything by mouth to an unconscious person. If spontaneous vomiting occurs keep head below hips to prevent aspiration and monitor for breathing diffi- culty. Keep affected person warm and at rest. GET IMMEDIATE MEDICAL ATTENTION! 5 FIRE FIGHTING MEASURES FLASH POINT Not available FLAMMABLE LIMITS Not available AUTOIGNITION TEMP Not available HAZARDOUS COMBUSTION PRODUCTS: Decomposes to form sulfur dioxide and sulfur trioxide. FIRE HAZARD Not flammable EXPLOSION HAZARD Reacts with most metals (especially dilute concentrations): Hydrogen gas release (EXTREMELY FLAMMABLE, EXPLOSIVE). Risk of explosion if acid combined with water, organic materials or base solutions in enclosed spaces (Vacuum trucks, tanks). Mixing acids of different strengths can also pose an explosive risk in an enclosed space/container. EXINGUISHING MEDIA ERG (Emergency Response Guidebook): Guide 137 When material is not involved in fire, do not use water on material itself. Page 3 SOUTHERN STATES CHEMICAL, INC. 5 FIRE FIGHTING MEASURES (CONT) EXTINGUISHING MEDIA: Small fire: Use carbon dioxide or dry chemical to extinguish fire. Large fire: Flood fire area with large quantities of water, while knocking down vapors with fog. If insufficient water supply, knock down vapors only Tank fire: Cool containers with flooding quantities of water until well after fire is out. Do not get water inside containers. Evacuate immediately if sound from safety vents or discoloration of tank. Stay clear of tanks engulfed in fire. PROTECTIVE EQUIPMENT: Evacuate personnel to a safe area. Keep personnel removed and upwind of fire. Generates heat upon addition of water, with possibility of spattering. Wear full protective clothing. Runoff from fire control may cause pollution. Neutralize run-off with sodium bicarbonate or soda ash to prevent corrosion of metals and formation of hydrogen gas. Wear self-contained breathing apparatus if fumes or mists are present. 6 ACCIDENTAL RELEASE MEASURES EMERGENCY PROCEDURES: Review Fire and Explosion Hazards [Section #5] . Take immediate steps to stop and contain release if possible. CLEAN-UP METHODS: Soak up small spills with dry sand or diatomaceous earth. Contain large spills and cautiously dilute and neutralize with lime or soda ash. Caution should be exercised regarding personnel safety and exposure to the released product. Notify local authorities and the National Response Center, if required. If the product is spilled and not recovered, or is recovered as a waste for treatment or disposal, the Reportable Quantity (US DOT) is 1,000 lbs (based on the sulfuric acid content of the solution spilled). PROTECTIVE EQUIPMENT: See "Exposure Controls/Personal Protection" [Section#8]. 7 HANDLING AND STORAGE HANDLING: DO NOT get in eyes, on skin, or on clothing. Avoid breathing vapors or mist. Wear approved respirators if adequate ventilation can not be provided. Wash thoroughly after handling. Do not eat, drink or smoke in areas of use or storage. NEVER add water to acid. STORAGE: Avoid contact with combustible materials, water, metals and alkalis. Store in a vented container. This material should be stored and shipped in containers specially designed for sulfuric acid. DO NOT add water or other products to contents in containers as violent reactions with resulting high heat, pressure, and/or generation of hazardous acid mists. Page 4 8 EXPOSURE CONTROLS / PERSONAL PROTECTION r t _ ENGINEERING CONTROLS: Ventilation and other forms of engineering controls are the preferred means for controlling exposures. PERSONAL PROTECTION: Chemical splash goggles; Full-length face shield/chemical splash goggles combination; Acid-proof gauntlet gloves, and boots; Appropriate NIOSH approved respiratory protection if acid mist is present. r igir 1 P Pr ir r/ 1 itbr_J� An apron can be used in place of acid proof suit if the employer's risk assessment deems it is safe for the type of handling taking place (i.e. laboratories and small quantities). For emergencies where possibility of exposure is high, wear complete acid suit with hood, boots, and gloves. NIOSH approved respiratory protection should be worn if acid mist is present or exposure limits are exceeded. EXPOSURE LIMITS / HEALTH HAZARDS: I mg/m3 8-Hour PEL-TWA (OSHA) 0.2 mg/m3 8-Hour TLV-TWA (ACGIH) (thoracic fr.) I mg/m3 NIOSH REL-TWA (. 10 hours) 15 mg/m3 IDLH 9 PHYSICAL AND CHEMICAL PROPERTIES APPEARANCE: Colorless to cloudy, oily looking liquid ODOR: Odorless ODOR THRESHOLD: N/A VAPOR PRESSURE: <0.3 mmHg @ 75°F (77°C), <0.6 mmHg @ 100°F (38°C) VAPOR DENSITY: 3.4 RELATIVE DENSITY: 1.84 >93% pH: <1.0 FREEZING POINT: 30°F- -40°F (6-85%), 46°F (85%), -20°F (93%), 5.5°F (96%), 40°F (99%) BOILING POINT: 215° - 440°F (6-85%), 541°F (93%), 621°F (98%), 625°F (99%) @ 760 mmHg SOLUBILITY: 100% in Water PARTITION COEEFICIENT: N/A EVAPORATION RATE: N/A FLAMMABILITY: N/A UELJLEL: N/A AUTO-IGNTION TEMP: N/A DECOMPOSITION TEMP: 340°C VISCOSITY: Negligible MOLECULAR FORMULA HZS04 MOLECULAR WEIGHT 98.08 CHEMICAL FAMILY MINERAL ACID Page 5 SOUTHERN STATES CHEMICAL, INC. 10 STABILITY AND REACTIVITY STABILITY: Stable under normal, ambient conditions REACTIVITY: Reacts violently with water, organic substances and base solutions with evolution of heat and hazardous mists. DECOMPOSITION: Possibility of hazardous decomposition if heated and in contact with sources of ignition. Release of toxic gases and vapors (Sulfur oxides (SO2, S03)). POLYMERIZATION: Will not occur MATERIALS TO AVOID: Water; alkaline solutions; metals, metal powder; carbides; chlorates; fulminates; nitrates; picrates; strong oxidizing, reducing or combustible organic materials. Hazardous gases are evolved on contact with chemicals such as cyanides, sulfides, and carbides. I I TOXICOLOGICAL INFORMATION ROUTES OF ENTRY: Ingestion. Inhalation. Skin and eye contact. CARCINOGENICITY: IARC has determined that there is sufficient evidence for the carcinogenicity of occupational exposure to strong inorganic acid mists containing sulfuric acid in humans (IARC Class I) ACUTE TOXICITY: ORAL acute (LD50): 2140 mg/kg (Rat). TOXILOGICAL Acute or chronic overexposure to this material or its components may cause INFORMATION: systemic toxicity, including adverse effects to the following: kidney, liver, teeth, respiratory and cardiovascular systems. Exposure to components of this material may cause the following specific symptoms, depending on the concentration and duration of exposure: attacks enamel of teeth, vomiting, clammy skin, weak and rapid pulse. Other symptoms of exposure may include the following: shallow respiration, chronic bronchitis, lung function changes and scanty urine. PRE-EXISTING CONDITIONS AGGRAVATED BY EXPOSURE: dexposure include Pre-existingmedical conditions which maybe aggravated bye gg P disorders of the skin and respiratory system. I2 ECOLOGICAL INFORMATION ALL WORK PRACTICES MUST BE AIMED AT ELIMINATING ENVIRONMENTAL CONTAMINATION. ENVIRONMENTAL MOBILITY (SOIL & AIR): When released into the soil, this material may leach into groundwater. When released into the air, this material may be removed from the atmosphere to a moderate extent by dry deposition. ECOTOXICITY: Aquatic toxicity range—Slightly to moderately toxic Bluegill sunfish, 48 Hour; LC50, 49 mg/L (Tap water, 20`C) Flounder, 48 Hour; LC50, 100-330mg/L (Aerated water, conditions of bioassay not specified) Shrimp, 48 Hour; LC50, 80-90mg/L (Aerated water, conditions of bioassay not specified) Page 6 13 DISPOSAL CONSIDERATIONS WASTE DISPOSAL: This product as supplied, when discarded or disposed of, is a hazardous waste according to Federal regulations (40 CFR 261) due to its corrosiveness and reactivity. Under the Resource Conservation and Recovery Act (RCRA), it is the responsibility of the user of the product to determine, at the time of disposal, whether the material is a haz- ardous waste subject to RCRA. The transportation, storage, treatment and disposal of RCRA waste material must be conducted in compliance with 40 CFR 262, 263, 264, 268, 270. Disposal can occur only in properly permitted facilities. Check state and local regulations for any additional requirements as these may be more restrictive than federal laws and regulations. Chemical additions, processing or otherwise altering this material may make the waste management information presented in this MSDS incomplete, inaccurate or otherwise inappropriate. Disposal of this material must be con- ducted in compliance with all federal, state and local regulations. 14 TRANSPORT INFORMATION BILL OF LADING - BULK (U. S. DOT): Hazardous Material - UN 1830, Sulfuric Acid, 8, PG II, RQ (use with more than 51% acid) Hazardous Material - UN 2796, Sulfuric Acid, 8, PG II, RQ (use with not more than 51% acid) BILL OF LADING - NON-BULK (U. S. DOT) Hazardous Material - UN 1830, Sulfuric Acid, 8, PG II, RQ (use with more than 51% acid) Hazardous Material - UN 2796, Sulfuric Acid, 8, PG II, RQ (use with not more than 51% acid) U. S. DEPARTMENT OF TRANSPORTATION (DOT) REQUIREMENTS: General Transportation Information for Bulk Shipments �� 1 Proper Shipping Name Sulfuric Acid Hazard Class 8 ERG Guide 137 UN/NA Code UN 1830, UN 2796 8 Packaging Group PG II Labels Required Corrosive Placards Required Corrosive, UN 1830 (>51%), UN 2796 (5.51%) Reportable Quantity See Regulatory Information [Section #15] General Transportation Information for Non-Bulk Shipments Proper Shipping Name Sulfuric Acid Hazard Class 8 ERG Guide 137 UN/NA Code UN 1830, UN 2796 Packaging Group PG II Labels Required Corrosive Reportable Quantity See Regulatory Information [Section #15] (The above description may not cover shipping in all cases.Please consult 49 CFR 172.101 for specific shipping information) Page 7 SOUTHERN STATES CHEMICAL, INC. I5 REGULATORY INFORMATION FEDERAL REGULATIONS: TSCA Inventory: Listed CERCLA Section 103 Hazardous Substances SARA Section 302 Extremely Hazardous Substance: Yes SARA Title III, Toxic Chemicals: Immediate: X Delayed: X Fire: Pressure: Reactivity: X Reportable Quantity (Sulfuric Acid): 1,000 pounds. This product contains one or more components designated as hazardous substances or toxic pollutants under Section 112 of the Clean Air Act. HCS CLASSIFICATION: Corrosive Liquid STATE REGULATIONS: Based on available information this product contains components or chemicals currently known to the state of California to cause cancer. Reformulation, use or processing of this product may affect its composition and require re-evaluation. NFPA RATINGS Health 3 Flammability 0 Reactivity 2 Special Hazards W HMIS RATINGS Health 3 Flammability 0 Reactivity 2 Following ingred ients of this product are listed in SARA 3 13 g SARA Listed Ingredient Name CAS Number Maximum% SULFURIC ACID 7664-93-9 100.0 16 OTHER INFORMATION DISCLAIMER: NOTICE:The information presented herein is based on data considered to be accurate as of the date of preparation of this Material Safety Data Sheet.However, MSDS may not be used as a commercial specification sheet of manufacturer or seller,and no warranty or representa- tion,expressed or implied,is made as to the accuracy or comprehensiveness of the foregoing data and safety information,nor is any authori- zation given or implied to practice any patented invention without a license.In addition,no responsibility can be assumed by vendor for any damage or injury resulting from abnormal use,from any failure to adhere to recommended practices,or from any hazards inherent in the nature of the product. C NrMICAI svarHCAl r�,rfs A Ovloriy!edustnt;s Con•.per', PO Box 546 4620 Highway 421 N. 1600 E.President St. Savannah,GA 31402 Wilmington,NC 28402 Savannah,GA 31404 Phone:912-232-1101 Phone:910-762-5054 Phone: 912-232-1101 Fax:912-232-1103 Fax:910-762-1600 Fax:912-232-1103 Last Updated 04/20/15 Page 8 ''s,„ ...4...,,,,,,.. ""--\.......... , i 1 . w t \-• fi —......-- ir ,..., 4." ' tri f I , .,„.., \ \,., ,/ (--,„,,S/,,, . ,,,,,,, , _."..„„,,t i .„, /.. \ 7 i ,ff wo rii,.. l P ,; , ...4 „....... ...... .„,.. t 1 ,// it iiinim / ,.........-..... - f t A" . .., P 4 , . ?. m ., .. ....._ 0 i /1) tv rs, i ‘.... - t3 ky. i 1 ,...- e z ------ k, ,,,,....."" i ' - ., 0 , /..(.:41 ., rt 1 1 . , 1 i ..... 7 1, r.; ; .....\ _ --, 11 .1 ..... \ 4., 1 4" 11 141 1 Z C73 7 ' ___.„.....,.....„----- . 01 / I - , i I i I 1 1 1 ',......"-''......r...(' .,..... --"""" — ....-- / 5 ... 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