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HomeMy WebLinkAboutNC0023884_Industrial User_20220818 Saffskry-R4wan August 12, 2022 Mr. Michael Montebello RECEIVED NCDEQ - DWR- PERCS Unit AUGA 8 2022 1617 Mail Service Center Raleigh, NC 27699-1617 NCDEQ/DWR/NPDES Re: Transmittal of Permits 0038-Innospec Active Chemicals Dear Mr. Montebello: Please find enclosed the following permit and the reason for reissuing: IUP Reason for Reissuing 0038—Innospec Active Chemicals Renewal Company entity name changed to Innospec Active Chemicals, LLC. Added Roxanne Fincher as alternate contact. Added Dissolved Air Flotation (DAF unit)to IU Treatment Units List Added new diagram to Section 5: Schematic of Monitoring Location. Increased daily max. Flow from .070 to .080 mgd Increased the following #'s/day limits: BOD limit (Apr. 1- Oct. 31) from 550 to 629 & BOD (Nov. 1 — Mar. 31) from 825 to 943; COD limit (Apr. 1- Oct31) from 1100 to 1257 & COD (Nov. 1- Mar. 31) from 1650 to 1886; TSS from 75 to 86; TKN from 15 to 17. Added parameter Aluminum at a 1/6 self-monitoring frequency. Added in Part III Special Conditions to implement a standard operating procedure and contingency plan for the prevented discharge of odors, gases, and solids. 1915 Grubb Ferry Road Salisbury-Rowan Utilities Telephone(704)638-5375 Salisbury,NC 28144 Environmental Services Division Fax (704)638-8476 Page 2 Re: Transmit of Permits (Continued) 0038-Innospec Active Chemicals If you need any additional information, or have any questions, you may contact me at(704)216- 2729. S' cerely, Jeffery Greer Pretreatment Program Coordinator cc: PT Files ENCLOSURES 1915 Grubb Ferry Road Salisbury-Rowan Utilities Telephone(704)638-5375 Salisbury,NC 28144 Environmental Services Division Fax (704)638-8541 ui1 August 12,2022 Mr. Allen Robey Innospec Performance Chemicals 500 Hinkle Lane Salisbury,N.C. 28144 Subject: Renewal of Pretreatment Discharge Permit,#0038 Innospec Performance Chemicals Dear Mr. Robey: You will find enclosed the renewal of pretreatment discharge permit #0038 for Innospec Performance Chemicals located in Salisbury,Rowan County. The permit renewal includes the following changes: • Company entity name changed to Innospec Active Chemicals, LLC. • Added Roxanne Fincher as alternate contact. • Added Dissolved Air Flotation(DAF unit)to IU Treatment Units List. • Added new diagram to Section 5: Schematic of Monitoring Location. • Increased daily max. Flow limit from .070 to .080 mgd. • Increased the following pounds per day limits: BOD(Apr. 1- Oct. 31) from 550 to 629 & BOD(Nov. 1- Oct. 31) from 825 to 943; COD (Apr. 1 — Oct. 31) from 1100 to 1257 & COD (Nov. 1- Mar 31) from 1650 to 1886; TSS from 75 to 86; TKN from 15 to 17. • Added parameter Aluminum at a 1/6 self-monitoring frequency. • Added in Part III Special Conditions to implement a standard operating procedure and contingency plan for the prevented discharge of odors,gases,and solids. Please read this permit carefully so that you will be fully aware of these changes. It is the permittee's responsibility to do so, and to fully comply with all of the permit's requirements. If any requirements contained in this permit are unacceptable, you have the right to an adjudicatory hearing upon written request within thirty (30) days following receipt of this letter. Unless such demand is made, the provisions of the enclosed permit shall be final and binding. If you have questions regarding this permit or related matters, please do not hesitate to contact me or Sonja Basinger at(704)638-5375. incerely, /4(4- fery Greer Pretreatment Program Coordinator Enclosure cc: IPC file 1915 Grubb Ferry Road Salisbury-Rowan Utilities Telephone(704)638-5375 Salisbury,NC 28144 Environmental Services Division Fax (704)63 8-854 1 iij) PERMIT INDUSTRIAL USER PRETREATMENT PERMIT(IUP)TO DISCHARGE WASTEWATER UNDER THE CITY OF SALISBURY INDUSTRIAL PRETREATMENT PROGRAM 0038 N/A IUP Number 40 CFR Category In compliance with the provisions of North Carolina General Statute 143-215.1, any applicable Federal categorical pretreatment regulations, all other lawful standards and regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the City of Salisbury Sewer Use Ordinance. The following industry, hereafter referred to by name or as the permittee: Industry Name,Permittee: Iruiospec Active Chemicals, LLC SIC Code: 2843 Facility Location: 500 Hinkle Lane Mailing Address: 500 Hinkle Lane Salisbury North Carolina 28144 Contact&Phone: Allen Robey,SHE Director,NA (336)847-5061 Alternate Contact&Phone: Roxanne Fincher,Senior SHE Officer (803)439-3371 is hereby authorized to discharge wastewater from the facility located at the above listed address into the sanitary sewer collection system and the Grant Creek Wastewater Treatment Train of the City of Salisbury listed below: Name of City Facility: City of Salisbury WWTP Name of Treatment Train Grant Creek Treatment Train NPDES Number: NC0023884 Treatment Facility Physical Location 1915 Grubb Ferry Road _Salisbury,NC 28144-1248 in accordance with effluent limitations, monitoring requirements, and all other conditions set forth in Parts I, II, and III of this Industrial User Pretreatment Permit(IUP). This permit and the authorization to discharge shall become effective at midnight on: October 1, 2022 This permit and the authorization to discharge shall expire at midnight on: September 30, 2027 ru6i6T- 12 j 2022- Date Signed Sonja finger,Envir ental Services Manager SIU CODE: IPC IUP No.0038 Page 1 of 18 Part I Specific Conditions .05 A. IUP Basic Information: Receiving Control Authority&WWTP Name: POTW NPDES#: City of Salisbury/Grant Creek WWTT NC0023884 IUP Name: IUP Number: Innospec Active Chemicals,LLC. 0038 IUP Effective Date: Pipe Number: October 1 ,2022 01 IUP Expiration Date: IUP 40 CFR#: September 30,2027 N/A B. IUP Modification History: Effective Date Renewal or Modification Description of changes over previous IUP 11/01/10 New Changed from a local SIU to SW. 11/01/11 Modification New permit format. Added state language for Part II General Conditions(2)Reporting;decreased due date for permit renewal applications and notification of process changes from 180 to 90 days;added Slug/Spill chart to Special Conditions;decreased POTW monitoring frequency from 1/6 to 1/12;revised Part I Specific Conditions (9)(a)Monitoring by the Permittee(Self-Monitoring); updated Part III Special Conditions(4);added Part III Special Conditions(5)Certified Laboratory Analysis; changed Part I Special Conditions(10)(A)(3)from 0.5 hours to 1.0 hour;updated Part I Specific Conditions(8)(e&f) Definitions; increased pH range from 6-9 s.u.to 6-10 s.u.; approval to discharge a new process:Pureact SFS to the pretreatment system; increased permit limits for BOD,COD, Zn,and Chromium;removed monitoring requirements for Silver;removed maximum monthly average flow permit limit;updated Description of SIU's Pretreatment System Units;added monitoring requirement for Phenols at 1/6. 11/01/12 Renewal Removed self-monitoring requirements for pH and Temperature. Updated permit language in the following sections:Part I,Sec.3(a);Part II,Sec.2(a),5,16,& 17. Updated Plant Diagram Part 1,Sec.5. 2/22/13 Modification Revised expiration date due to SIU completing a new permit application. Also,this modification represents a name change (from Innospec Active Chemicals to Innospec Performance Chemicals)and address change per SIU's notification. 11/22/13 Modification Added self-monitoring requirements for pH and Temperature.Updated the term"Division of Water Quality" to"Division of Water Resources". 3/9/2015 Modification Interim increase for TSS limits to manage freeboard issues in aeration basins.Interim period=30 days.Increased sampling frequency during interim period for all parameters with limits to once per week. 3/24/2015 Modification Removed interim TSS limit and reinstated 75 lb/day daily max;decreased monitoring frequency for all parameters with limits from weekly to 2/6. SIU CODE: IPC IUP No.0038 Page 2 of 18 Part I Specific Conditions B. 1UP Modification History(Continued): Effective Date Renewal or Modification Description of changes over previous IUP 10/01/2017 Renewal Updated format to reflect state model;changed all references of NCDENR to NCDEQ;Temperature and pH IU monitoring frequency changed to Daily; Changed flow reports due date to postmarked no later than the 7th of each month; revised Special Conditions Section 5 Flow Measurement Requirements to include sampling equipment Maintenance and pH meter calibration requirements;Increased Daily Max.Flow Limit from.060 MGD to.070 MGD;decreased IU monitoring from 2/6 to 1/6 for the Chromium and Lead parameters. 7/25/2018 Modification Interim increase for TSS,COD,TKN and BOD limits to manage freeboard issues in aeration basin.Interim Period=14 days.Increased sampling frequency during interim period for all parameters,with limits,to once per week. 8/8/2018 Modification Removed interim limit for BOD and reinstated 550 lb/day daily max limit; removed interim limit for COD and reinstated 1100 lb/day daily max limit; removed interim limit for TSS and reinstated 75 lb/day daily max limit; Removed interim limit for TKN and reinstated 15 lb/day daily max limit. Decreased sampling monitoring frequency for parameters BOD,COD,TSS, TKN,Cn,Cd,Cu,Ni,and Zinc from weekly to 2/6.Decreased sampling monitoring frequency for parameters Cr and Pb from weekly to 1/6. 10/1/2020 Modification Added seasonal limits for BOD of 825 pounds/day and COD of 1650 pounds/day during timeframe of November 1-March 31.Increased Self- monitoring Frequency for BOD,COD,and TSS from 2/6 to 3/6. 11/13/2020 Modification Changed language in Part III Specific Conditions Section 2.Total Mercury to reflect test method EPA 1631E will be used for mercury monitoring and changed the minimum quantitation detection level to 1 ng/L.Removed IU self-monitoring 1/6 frequency for Mercury and added additional laboratory detection levels on Effluent Limits Table BOD,COD,TSS,TKN,NH3N,Cn, N+N,Cn,N+N,Phosphorus,Chloride,and Phenols. 4/25/2022 Modification Updated and changed the following Laboratory Detection Levels: COD 10 mg/I to 20 mg/I;TKN 1 mg/I to 1.5 mg/I;Ammonia 0.1 to 0.5 mg/I;Chloride 10 mg/I to 1 mg/I;Cyanide 10 pg/I to 5 pg/1;Nitrite+Nitrate 0.05 mg/I to 0.5 mg/I;Total Phosphorus.01 mg/I to 0.2 mg/I;Total Chromium 10 pg/I to 5.0 pg/I;Total Nickel 5.0 pg/I to 2.0 pg/l; Phenols 0.02 mg/I to 0.01 mg/I. Removed parameter Mercury from Effluent Limits Table under Section F: Effluent Limits and Monitoring Requirements.Removed all language Part III Special Conditions pertaining to Total Mercury. 10/1/2022 Renewal Added Roxanne Fincher as Alternate Contact;Added Dissolved Air Flotation(DAF unit)to IU Treatment Units List;Added new diagram to Part I Specific Conditions E: Schematic of Monitoring Location; Increased daily max.Flow from.070 to.080 mgd.Increased the following#'s/day limits:BOD limit(Apr. 1-Oct.31)from 550 to 629& BOD(Nov. 1-Mar.31)from 825 to 943#'s/day;COD limit(Apr. 1— Oct.31)from 1100 to 1257&COD(Nov.1-Mar.31)from 1650 to 1886; TSS from 75 to 86;TKN from 15 to 17;Added parameter Aluminum at a 1/6 self-monitoring frequency;Company entity name changed to Innospec Active Chemicals,LLC.Added in Part III Special Conditions (#5)to implement a standard operating procedure and contingency plan For the prevented discharge of odors,gases and solids. SIU CODE: IPC IUP No.0038 Page 3 of 18 1 Part I Specific Conditions C. Authorization Statement: 1)The permittee is hereby authorized to discharge wastewater in accordance with the effluent limitations, monitoring requirements, and all other conditions set forth in this Industrial User Pretreatment Permit (IUP) into the sewer collection system and the Grant Creek Wastewater Treatment Train of the City of Salisbury. 2)The permittee is hereby authorized to continue operation of and discharge wastewater from the following treatment or pretreatment facilities. These facilities must correspond to the units listed on both the application and inspection forms. IU Treatment Units 1. Influent flow measurement 8. Dissolved Air Floatation(DAF unit) 2. Bar Screen 9. Secondary clarification with chemical precipitation 3. Biological treatment activated sludge 10. Effluent lift station 4. 8000 gallon sludge tank 11. Effluent flow measurement at sewer discharge 5. Flow equalization 6. Defoamer 12. Spill protection throughout facility 7. Neutralization 3) The permittee is hereby authorized to, if required by the City of Salisbury, and after receiving Authorization to Construct (A to C) from the City, construct and operate additional pretreatment units as needed to meet the effluent limitations. D. Description of IUP Dischar2e(s): Pipe 01 Discharge Point Pipe 01 is located in the sump directly between the effluent side of the biological lagoons.The sump is encased in a vault and has a metal lid.Treated effluent from clarifier is piped into sump,then pumped into main sewer line.Effluent is an intermittent process discharge from the manufacture of surfactants and emollients for personal care industry and surfactants for emulsion polymerization.IU has capability of discharging treated unclarified wastewater to spray irrigation fields as an alternative to sewer discharge. SIU CODE: IPC IUP No.0038 Page 4 of 18 Part I Specific Conditions E. Schematic of Monitoring Locations: The facility schematic and description of monitoring location(s) given below must show enough detail such that someone unfamiliar with the facility could readily find and identify the monitoring location(s) and connection to the sewer. Include and identify all regulated pipes. The location of the above discharge point(s) is shown in the diagram below: r 7 I I 4444 I I I Mg > II i II II r, ' E • I II I ra9v I I 0.17 I WSW! I l±� 1 I C sew 1 _ t I I m -II I 1 11 MIA III 1----\I— --1---/ t ( , IIfaN SW IA ( L . -1 AO 0 r II 1ou1 s J I I I II ', I II Ai L rows J I I I I A M I I M I I i 1 I � I F. „ oath IM DOM J i I 5 / 1 I i Mu I molgc 1114 auvrus a sots Ke WITOTIMai S.I CFI .1. I DAF SYSTEM " SIU CODE: IPC IUP No.0038 Page 5 of 18 Part I Specific Conditions F: Effluent Limits and Monitoring Requirements: EFFLUENT LIMITS TABLE I - Pipe #01 WWTP Treatment Train: Grant Creek Treatment Train SIU Name: Innospec Active Chemicals,LLC POTW: City of Salisbury POTW NPDES#: NC0023884 Permit#: 0038 Effective Date: October 1 ,2022 Pipe#: #01 Expiration Date: September 30, 2027 40 CFR#: N/A THE LIMITS IN THIS TABLE ARE: DISCHARGE FLOW LIMITS 1)Limits for the Entire Permit Period. X Daily Maximum Monthly Avg. 2)Interim Limits for Period#1: 3)Interim Limits for Period#2: 0.080 MGD --------- 4)Final Limits 1. pH Limit-The pH of this discharge, identified by the pipe number indicated above, shall be within the range of 6.00 to 10.00 standard units at all times. 2. Temperature Limit-The temperature of the discharge, identified by the pipe number stated above, shall be less than 65.5 degrees Celsius at all times. Limited Parameter Daily Industry POTW Sample Laboratory and Maximum Monitoring Monitoring Collection Detection Level Units Limit Frequency Frequency Method Flow,MGD 0.080 *Daily 1/12 Discharge flow meter H p ,s.u.(1) *Daily 1/12 Grab Temperature,Celsius(2) *Daily 1/12 Grab BOD,lb/day(April 1-October 31) 629 3/6 1/12 Composite 2 mg/L BOD,lb/day(November 1-March 31) 943 3/6 1/12 Composite 2 mg/L COD,lb/day(April 1-October 31) 1257 3/6 1/12 Composite 20 mg/1 COD,lb/day(November I-March 31) 1886 3/6 1/12 Composite 20 mg/L TSS,lb/day 86 3/6 1/12 Composite 2.5 mg/L TKN,lb/day 17 2/6 1/12 Composite 1.5 mg/L Cyanide,mg/L 0.010 2/6 1/12 Grab 5 pg/I Total Cadmium,lb/day .005 2/6 1/12 Composite 0.50 pg/1 Total Copper,lb/day 0.025 2/6 1/12 Composite 2.0 pg/1 Total Nickel,lb/day 0.015 2/6 1/12 Composite 2.0 pg/1 Total Zinc,lb/day 0.500 2/6 1/12 Composite 10 pg/1 Total Nitrite+Nitrate,mg/L Monitor 2/6 1/12 Composite 0.5 mg/L Total Lead,lb/day 0.005 1/6 1/12 Composite 2.0 pg/1 Total Chromium,lb/day .008 1/6 1/12 Composite 5 pg/I Total Aluminum,mg/L Monitor 1/6 1/12 Composite .050 mg/L Ammonia,mg/L Monitor 1/6 1/12 Composite 0.5 mg/L Chloride,mg/L Monitor 1/6 1/12 Composite 1.0 mg/L Total Phosphorus,mg/L Monitor 1/6 1/12 Composite 0.2 mg/L Phenols,mg/L Monitor 1/6 1/12 Grab 0.010 mg/L *Record flow meter reading daily.Monitor and record pH and Temperature each day in which a wastewater discharge occurs. There shall be no discharge of floating solids or visible foam in other than trace amounts. SIU CODE: IPC IUP No.0038 Page 6 of 18 Part I Specific Conditions G. Definitions and Limit Pa2e(s)notes: In addition to the definitions in the City of Salisbury Sewer Use Ordinance,the following definitions and requirements apply: a. The "City" when referred to in the text of this permit shall mean the Environmental Services Division of Salisbury- Rowan Utilities. b. "Daily" shall mean any day or any part of a day during which the permittee's process operates or on which a wastewater discharge occurs. c. A "grab sample," for monitoring requirements, shall mean a single "dip and take" sample, not exceeding fifteen minutes total collection time,taken at a representative point in the discharge stream. d. A "composite sample," for monitoring requirements of this IUP, is defined as the automatic or manual collection of one grab sample of constant volume,not less than 100 ml,collected every hour during the entire discharge period of 24 hours. Sampling day shall be a typical production,and discharge day. e. A "daily average" shall mean the sum of all values obtained for a parameter in any twenty-four hour period divided by the number of results for that parameter from analysis of samples collected during that twenty-four hour period. f.A"daily maximum" shall mean the largest numerical result obtained for a parameter in any twenty-four hour period, from analysis of samples collected during that twenty-four hour period. g.A"four-day average"for a parameter shall mean the average value obtained for a parameter from a minimum of four individual composite samples collected within the same calendar month. h. A "monthly average" shall mean the sum of all values obtained for a parameter in a calendar month,divided by the number of results for that parameter in that calendar month. i. A "sampling event" shall mean the collection of a grab or composite sample at the discharge point(s) described in Part I.A.of this permit and the proper preservation of those samples during and after collection. j. A "monitoring event" shall mean a sampling event, followed by proper analysis of the samples collected within the regulated holding time, completion of required chain-of-custody, IDMR forms, and other documentation, and filing with the Environmental Services Division the required analytical reports by the applicable deadline(reference General Conditions Part 2). k. "TTO"or"Total Toxic Organics" shall mean the sum of the concentrations of the toxic organic compounds listed in 40 CFR 433.11 (e)that apply to the permittee's process discharge. 1. "Toxicity" shall mean the qualitative characteristic of a discharge which is measured by the bioassay procedure currently approved by the State of North Carolina which uses live Ceriodaphnia to indicate the presence or absence of toxic substances in wastewater discharges. m. "Priority Pollutants" shall mean those organic chemicals, metals, and other substances defined in the Federal Register 40 CFR Part 122,Appendix D. n.The "Semi-Annual Report Periods"shall mean the intervals of January through June,and July through December of each year. o. The term "Sewer Use Ordinance" shall mean the most recent revision of those parts of the City of Salisbury's Utilities Ordinance which regulate discharges to the City of Salisbury collection system, particularly Chapter 25, Article VIII,Sewer Use Regulations. SIU CODE: IPC IUP No.0038 Page 7 of 18 Part I Specific Conditions p. A "slug" or "slug discharge" is any discharge of a non-routine, episodic nature, including but not limited to an accidental spill or a non-customary batch discharge. q. A "three-day average" for a parameter shall mean the average value obtained for a parameter from a minimum of three individual composite samples collected within the same calendar month. -Definitions of Monitoring Frequency- A monitoring frequency of 1/12 when applied to monitoring of SIU's by the City shall mean a minimum of one monitoring event during a calendar year. Monitoring frequency for industrial dischargers is designated as a fraction of each semi-annual report period. The fractional designations used in this permit shall have the following meanings when applied to self-monitoring by SIU's. 1. 1/6 Shall mean one monitoring event during January or February and one monitoring event during July or August. 2.2/6 Shall mean one monitoring event during each calendar month of January,February,July,and August. 3.3/6 Shall mean one monitoring event during each calendar month of January,February,March,July,August, and September. 4.4/6 Shall mean one monitoring event during each calendar month of January,February,March,April,July, August,September,and October. 5.5/6 Shall mean one monitoring event during every calendar month except the months of June and December. 6.6/6 Shall mean one monitoring event during every calendar month. 7. 1/12 Shall mean one monitoring event during each calendar year,with that monitoring event being completed during one of the following months:January,February,March,July,August,or September. SIU CODE: IPC IUP No.0038 Page 8 of 18 PART II General Conditions Part II General Conditions Outline: 1. Representative Sampling 16. Federal and/or State Laws 2. Reporting 17. Penalties 3. Test Procedures 18. Need to Halt or reduce 4. Additional Monitoring by Permittee 19. Transferability 5. Duty to Comply 20. Property Rights 6. Duty to Mitigate 21. Severability 7. Facilities Operation,Bypass 22. Modification,Revocation,Termination 8. Removed Substances 23. Reapplication 9. Upset Conditions 24. Dilution Prohibition 10. Right of Entry 25. Reports of Changed Conditions 11. Availability of Records 26. Construction of Pretreatment Facilities 12. Duty to provide Information 27. Reopener 13. Signatory Requirements 28. Categorical Reopener 14. Toxic Pollutants 29. General Prohibitive Standards 15. Civil and Criminal Liability 30. Reports of Potential Problems 1. Representative Sampling Samples and measurements taken as required herein shall be representative of the volume and nature of the monitored discharge. All samples shall be taken at the monitoring points specified in this permit and, unless otherwise specified, before the effluent joins or is diluted by any other wastestream,body of water,or substance.Monitoring points shall not be changed without notification to and approval by,the permit issuing authority. 2. A. Reporting 1)Monitoring results obtained by the permittee shall be summarized and reported on Indirect Discharge Monitoring Report Forms(IDMR),postmarked no later than the last calendar day following the month in which the samples were taken. If no discharge occurs during a calendar month in which a sampling event was to have occurred,an IDMR form with the phrase"no discharge"shall be submitted for that month.Copies of these and all other reports required herein shall be submitted to the following address: Salisbury-Rowan Utilities Environmental Services Division Pretreatment Program Coordinator 1915 Grubb Ferry Road Salisbury,N.C.28144-1248 2)If the sampling performed by the permittee indicates a violation,the permittee shall notify the City within 24 hours of becoming aware of the violation.The permittee shall also repeat the sampling and analysis and submit the results of the repeat analysis to the City within 30 days after becoming aware of the violation. B. Flow Measurement Reporting Requirements: 1.Measurement Frequency and Reporting a) The flow measurement frequency for each discharge point regulated by this permit is batch. b) The total discharge volume from each sampling event shall be recorded in gallons per day or million gallons per day and shall be reported to the City in those units along with the analytical data from the sampling event.A State-approved Indirect Discharge Monitoring Report(IDMR)form shall also be submitted for each sampling event. The flow recorded during the sampling event shall be converted to thousands of gallons per day,and shall be indicated in those units on the IDMR form. SIU CODE: IPC IUP No.0038 Page 9 of 18 PART II General Conditions c) During every calendar month, the permittee shall maintain a log of readings from the totalizer of each discharge flow meter. The permittee shall record a totalizer entry for each day of the month that a discharge occurred. For any day during which a totalizer reading did not increase, a notation shall be made on the log indicating the reason there was no change. Daily totalizer readings shall be recorded at 24 hour intervals, within+/- 1.0 hours of a regular time established by the permittee. d) The permittee shall submit to Environmental Services postmarked no later than the 7th of each month, copies of all totalizer logs compiled during the previous month. Each monthly log submitted must clearly show the meter manufacturer's name, the serial number of the device, the original date of installation, the units of flow(gallons,cubic feet,etc.),and the factor by which the difference in consecutive totalizer readings must be multiplied to obtain the actual volume discharged. Logs may be faxed or emailed to the Pretreatment Program Coordinator. e) Permittee shall also show on each monthly log, a calculation of: (a) The total flow from the first day of each month through the first day of the following month,and(b)The total flow for each 24 hour period.The calculated flow must be converted by the permittee to units of gallons or million gallons as appropriate. C. Calibration of Flow Measurement Devices Each permittee required to measure discharge flow must consistently maintain such equipment in operating condition and within design accuracy specifications. Calibration shall be performed at least once during each semi-annual report period. D. Semi-Annual Reports-Requirements for Industrial Dischargers: The permittee, whether subject to Federal categorical standards or not [40 CFR 403.12(e)&40 CFR 403.12(h)], shall submit Semi-Annual Reports covering the months of January through June, and the months of July through December. The report for the period of January through June shall be postmarked no later than July 10th. The report for July through December shall be postmarked no later than January 10th,and must contain the following information listed below. 1.Non-Categorical Dischargers shall submit: (a)A description of the nature, concentration, and flow rate for anynew or previously unreported p s y u eported discharge containing any substance limited by this permit or prohibited by the Salisbury Sewer Use Ordinance. (b)The results of any monitoring in excess of that required by this permit, if the results were determined by a North Carolina certified laboratory. Monitoring results obtained from a laboratory not certified by the state of North Carolina must also be reported, but the wording "Non-certified results" must be clearly indicated on each page of data submitted. (c)A written description of any change or modification to the permittee's pretreatment process equipment that has not previously been submitted in writing. (d)A report of any increase or decrease in average water consumption of more than ten percent of the amount consumed during the previous semi-annual report period. (e) A report of any change in production rate that amounted to more than ten percent of the rate during the previous semi-annual report period. (f) A report containing a description of any unreported modification of manufacturing facilities that has occurred since the last semi-annual report, if that modification had the potential of affecting any wastewater discharged by the permittee. SIU CODE: 1PC IUP No.0038 Page 10 of 18 PART II General Conditions (g) Copies of Material Safety Data Sheets not previously submitted for any substance present on the permittee's premises during the period covered by the report, if that substance contains pollutants limited by this permit or prohibited by the Salisbury Sewer Use Ordinance. (h) At least once during the six-month period covered by each semi-annual report, a letter, calibration certificate, or similar documentation signed by a qualified professional who has the ability to calibrate the permittee's discharge flow monitoring equipment to design accuracy specifications. The documentation submitted shall also indicate whether any adjustment was required to bring the flow measurement system within specifications. 2.Categorical Dischargers shall submit: In addition to the above reporting requirements for non-categorical dischargers, the permittee whose process is subject to Federal categorical production-based limits shall keep records of average daily production rates for that categorical process.The permittee shall include a summary of average production rates in each semi-annual report. The average production rate that is reported shall be based on the past two six-month compliance periods. The months on which the permittee bases the average production rates must be clearly noted on the production report. 3. Test Procedures Test procedures for the analysis of pollutants shall be performed in accordance with the techniques prescribed in 40 CFR Part 136 and amendments thereto unless specified otherwise in the monitoring conditions of this permit. In addition,the test procedure shall be conducted utilizing recognized techniques that will produce the lowest practical detection limit for each analyte and sample matrix. 4. Additional Monitoring by Permittee If the permittee monitors any pollutant at the location(s)designated herein(Pipe 01)more frequently than required by this permit,using approved analytical methods as specified above,the results of such monitoring shall be submitted to the City. The City may require more frequent monitoring,or the monitoring of other pollutants not required in this permit by written notification. 5. Duty to Comply The permittee must comply with all conditions of this permit.Any permit noncompliance constitutes a violation of the City of Salisbury Sewer Use Ordinance and is grounds for possible enforcement action. 6. Duty to Mitigate-Prevention of Adverse Impact The permittee shall take all reasonable steps to minimize or prevent any discharge in violation of this permit,which has a reasonable likelihood of adversely affecting human health,the POTW,the waters receiving the POTW's discharge,or the environment. 7. Facilities Operation,Bypass The permittee shall at all times maintain in good working order and operate as efficiently as possible,all control facilities or systems installed or used by the permittee to achieve compliance with the terms and conditions of this permit. Bypass of treatment facilities is prohibited except when approved in advance by the City.Bypass approval shall be given only when such bypass is in compliance with 40 CFR 403.17. 8. Removed Substances Solids,sludges,filter backwash,or other pollutants removed in the course of treatment or control of wastewaters shall be disposed of in a manner such as to prevent any pollutants from such materials from entering the sewer system. The permittee is responsible for assuring its compliance with any requirements regarding the generation, treatment,storage,and/or disposal of"Hazardous waste"as defined under the Federal Resource Conservation and Recovery Act. SIU CODE: IPC IUP No.0038 Page 11 of 18 PART II General Conditions 9. Upset Conditions An "upset"means an exceptional incident in which there is an unintentional and temporary noncompliance with the effluent limitations of this permit because of factors beyond the reasonable control of the permittee.An upset does not include noncompliance to the extent caused by operational error,improperly designed or inadequate treatment facilities, lack of preventative maintenance,or careless or improper operations. An upset may constitute an affirmative defense for action brought for the noncompliance. The permittee has the burden of proof to provide evidence and demonstrate that none of the factors specifically listed above were responsible for the noncompliance. 10. Right of Entry The permittee shall allow the staff of the State of North Carolina Department of Environmental Quality,Division of Water Resources,the Regional Administrator of the Environmental Protection Agency,the City and/or their authorized representatives,upon the presentation of credentials: 1)To enter upon the permittee's premises where a real or potential discharge is located or in which records are required to be kept under the terms and conditions of this permit;and 2)At reasonable times to have access to and copy records required to be kept under the terms and conditions of this permit;to inspect any monitoring equipment or monitoring method required in this permit;and to sample any discharge of pollutants. 11. Availability of Records and Reports The permittee shall retain records of all monitoring information, including all calibration and maintenance records as well as copies of reports and information used to complete the application for this permit for at least three years. All records that pertain to matters that are subject to any type of enforcement action shall be retained and preserved by the permittee until all enforcement activities have concluded and all periods of limitation with respect to any and all appeals have expired. These,and any other records and data maintained by the permittee which provide information related to the operation of the permittee's pretreatment system or which may influence the quality of the permittee's discharge, shall be made available by the permittee during inspections by the City;the Department of Environmental Quality; and by the Environmental Protection Agency. Exceptfor determined o data dete med to be confidential under the Sewer Use Ordinance,all reports prepared in accordance with the terms of this permit shall be available for public inspection at the Environmental Services Division Office. As required by the Sewer Use Ordinance,effluent data shall not be considered confidential. 12. Duty to Provide Information The permittee shall furnish to the Utilities Director or his/her designees,within a reasonable time,any information which the Director,his/her designee,or the Division of Water Resources may request to determine whether cause exists for modifying,revoking and reissuing,or terminating this permit or to determine compliance with this permit. The permittee shall also furnish,upon request,copies of records that are required to be kept by this permit. 13. Signatory Requirements All reports or information submitted pursuant to the requirements of this permit must be signed and certified by the Authorized Representative as defined under the Sewer Use Ordinance. If the designation of an Authorized Representative is no longer accurate because a different individual or position has responsibility for the overall operation of the facility,or overall responsibility for environmental matters for the company,a new authorization satisfying the requirements of this section must be submitted to the Utilities Director prior to or together with any reports to be signed by an authorized representative. SIU CODE: IPC IUP No.0038 Page 12 of 18 PART II General Conditions 14. Toxic Pollutants If a toxic effluent standard or prohibition(including any schedule of compliance specified in such effluent standard or prohibition)is established under Section 307(a)of the Federal Clean Water Act for a toxic pollutant which is present in the discharge and such standard or prohibition is more stringent than any limitation for such pollutant in this permit,this permit may be revised or modified in accordance with the toxic effluent standard or prohibition and the permittee so notified. 15. Civil and Criminal Liability Nothing in this permit shall be construed to relieve the permittee from civil or criminal penalties for noncompliance. 16. Federal and/or State Laws Nothing in this permit shall be construed to preclude the institution of any legal action or relieve the permittee from any responsibilities, liabilities,or penalties established pursuant to any applicable Federal and/or State law or regulation,which includes the City of Salisbury Code of Ordinances. 17. Penalties The Sewer Use Ordinance of the City of Salisbury provides that any person who violates a permit condition is subject to a civil penalty not to exceed$25,000 dollars per day of such violation. Under state law,(NCGS 143-215.6B),under certain circumstances it is a crime to violate terms,conditions,or requirements of pretreatment permits. It is a crime to knowingly make any false statement,representation,or certification in any record or other document submitted or required to be maintained under this permit,including monitoring reports or reports of compliance or noncompliance.These crimes are enforced at the prosecutorial discretion of the local District Attorney. 18. Need to Halt or Reduce not a Defense It shall not be a defense for a permittee in an enforcement action that it would have been necessary to halt or reduce the permitted activity to maintain compliance with the conditions of the permit. 19. Transferability This permit shall not be reassigned or transferred or sold to a new owner,new user,different premises,or a new or changed operation without approval of the City. 20. Property Rights This permit does not convey any property rights in either real or personal property,or any exclusive privileges,nor does it authorize any injury to private property or any invasion of personal rights,nor any infringement of Federal, State or local laws or regulations. 21. Severability The provisions of this permit are severable and,if any provision of this permit or the application of any provision of this permit to any circumstance is held invalid,the application of such provision to other circumstances and the remainder of this permit shall not be affected thereby. 22. Permit Modification,Revocation,Termination This permit may be modified,revoked and reissued or terminated with cause in accordance to the requirements of the City of Salisbury Sewer Use Ordinance and North Carolina General Statute or implementing regulations. SIU CODE: IPC IUP No.0038 Page 13 of 18 PART II General Conditions 23. Re-Application for Permit Renewal The permittee is responsible for filing an application for re-issuance of this permit at least 90 days prior to its expiration date. One TTO analysis is required to be submitted with every permit renewal application. 24. Dilution Prohibition The permittee shall not increase the use of potable or process water or in any other way attempt to dilute the discharge as a partial or complete substitute for adequate treatment to achieve compliance with the limitations contained in this permit. 25. Reports of Changed Conditions The permittee shall give notice to the City of any planned significant changes to the permittee's operations or system,which might alter the nature,quality,or volume of its wastewater at least 90 days before the change.The permittee shall not begin the changes until receiving written approval from the City. Also see Part II, Section 30 of this permit for additional reporting requirements for spill/slug issues. Significant changes may include but are not limited to: (a) increases or decrease to production; (b) increases in discharge of previously reported pollutants; (c) discharge of pollutants not previously reported to the City; (d) new or changed product lines; (e) new or changed manufacturing processes and/or chemicals;or (f) new or changed customers. 26. Construction No construction of pretreatment facilities or additions thereto shall be begun until Final Plans and Specifications have been submitted to the City and written approval and an Authorization to Construct(A to C)have been issued. 27. Reopener This permit shall be modified or,alternatively,revoked and reissued to comply with any applicable effluent standard or limitation for the control of any pollutant shown to contribute to toxicity of the WWTP effluent or any pollutant that is otherwise limited by the POTW discharge permit.The permit as modified or reissued under this paragraph may also contain any other requirements of State or Federal pretreatment regulations then applicable. 28. Categorical Reopener This permit shall be modified,or alternatively,revoked and reissued,to comply with any applicable effluent standard or limitation issued or approved under Sections 302(b)(2)(C)and(D),304(b)(2),and 307(aX2)of the Clean Water Act,if the effluent standard or limitation so issued or approved: 1)contains different conditions or is otherwise more stringent than any effluent limitation in this permit;or 2)controls any pollutant not limited in this permit. The permit as modified or reissued under this paragraph shall also contain any other requirements of the Act then applicable. 29. General Prohibitive Standards The permittee shall comply with the general prohibitive discharge standards in 40 CFR 403.5(a)and(b)of the Federal pretreatment regulations. SIU CODE: 1PC IUP No.0038 Page 14 of 18 PART II General Conditions 30. Reports of Potential Problems The permittee shall notify the Environmental Services Division immediately by telephone of all discharges that could cause problems to the POTW, including any slug loadings as defined by 40 CFR 403.5(b). The permittee shall provide protection from accidental and slug discharges of prohibited materials and other substances regulated by this permit.The permittee shall also notify the POTW which it's facility discharges to and Environmental Services Division immediately of any changes at its facility affecting the potential for spills and other accidental discharge,discharge of a non-routine,episodic nature,a non-customary batch discharge,or a slug load as defined in the Sewer Use Ordinance. If the permittee experiences such a discharge,the permittee shall inform the Environmental Services Division immediately upon the first awareness of the commencement of the discharge. Notification shall include location of the discharge,type of waste,concentration,and volume-if known-and corrective actions taken by the permittee.A written follow-up report thereof shall be filed by the permittee within five(5)days,unless waived by the Environmental Services Division. Additionally,the permittee in the event of the release of a slug discharge which may present a hazard to the public, to municipal employees,or which may do harm to the collection system,treatment facilities or the treatment process,the discharger must notify by telephone immediately the following persons or agencies until the accidental spill has been reported: o City of Salisbury Fire Department 704-638-5351 o Environmental Services Division,Pretreatment Department,704-638-5375,(8:O0am-4:30pm) o Water/Sewer Maintenance&Construction Division (Emergencies affecting water or sewer service.)704-638-5339 o Grant Creek Treatment Train(24 hr.-7 days/wk)704-638-5374* o Town Creek Treatment Train (24 hr.-7 days/wk)704-638-5377* *Notify the municipal treatment train plant operator on duty at the facility into which you are permitted to discharge.That information is available on the cover page of this permit. Such notification will not relieve the permittee from any liability,which may be incurred as a result of the discharge, but failure to notify shall be a violation of this permit and subject to enforcement action,including revocation or termination of this permit. SIU CODE: IPC IUP No.0038 Page 15 of 18 PART II General Conditions 31. Signatory Requirements All reports or information submitted to fulfill the requirements of this permit must be signed and certified by a ranking and duly-authorized agent of the permittee. The following certification statement must be included as an integral part of each report listed above under "Signatory Requirements"and must be signed by the permittee's authorized agent: "I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons directly responsible for gathering the information,the information submitted is,to the best of my knowledge and belief,true,accurate,and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. (Signature) (Date) (Title) SIU CODE: IPC IUP No.0038 Page 16 of 18 PART III Special Conditions 1. spill/Slug Control Plan: The permittee shall provide protection from accidental discharges of prohibited materials or other substances regulated by this permit. The permittee is hereby notified that he shall develop,submit,obtain City approval of,and implement a written Slug Control Plan within 90 days of the effective date of this permit. Description of Measure,Activity,Plan,etc. Required Completion/Implementation Date 1. Implementation of current and updated Slug/Spill Continuous Control Plan upon POTW approval 2. Review and update Slug/Spill Control Plan to assure Annual update(based on calendar year) continuous effectiveness Submit to POTW for approval within 30 days of update The plan submitted shall include the following measures as necessary to assure protection of the POTW from slug loads: the construction of containment dikes around pretreatment units, around process units containing liquids, and floor drains in manufacturingareas to a holdingarealocated upstream of the chemical storage areas;the rerouting of e discharge to the pretreatment unit; and the plugging of floor drains in chemical storage areas, and in other areas as needed to protect the POTW. The permittee shall provide updates to the City as required by Part II,Section 30 of this permit. Modifications to the measures shall be approved by the City prior to installation/ implementation. If a measure fails, Environmental Services shall be notified within 24 hours. 2. Conditions Affecting WWTP Performance: Should pollutants discharged by the permittee contribute to a degradation of the performance of the POTW,the City may require the permittee to conduct a treatability study for the suspect pollutant(s).In addition,the City may reopen and modify this permit as necessary to further regulate any pollutants causing such degradation of performance. 3. Certified Laboratory Analysis: Pollutant analysis shall be performed by a North Carolina Division of Water Resources Certified Laboratory that is certified in the analysis of the pollutant in wastewater. 4. Flow Measurement and Sampling Point Requirements: a) The permittee shall maintain appropriate discharge flow measurement devices and methods consistent with approved scientific practices to ensure the accuracy and reliability of measurements of the volume of monitored discharges. Devices installed shall be continuous recording flow meter capable of measuring flows with a maximum deviation of less than 10% from true discharge rates throughout the range of expected discharge volumes. The totalizer shall be non-resettable. The devices shall be installed, calibrated and maintained to ensure accuracy. The meter shall be calibrated at a minimum of once every six months. Modifications to the flow metering equipment shall be approved by the City prior to installation. If a required flow measurement device fails, Environmental Services shall be notified within 24 hours.The permittee has 72 hours to return to compliance(and report total water consumption in the interim). b) The sampling point and any associated sampling equipment (including sampling tubing) shall be properly maintained at all times. c) Calibration and documentation of the pH meter is required for all wastewater needing pH adjustment. pH must be compliant with effluent limits prior to discharge into City sewer. Record of the initial pH and the adjusted pH shall be documented. SIU CODE: IPC IUP No.0038 Page 17 of 18 PART III Special Conditions 5. Standard Operating Procedure and Contingency Plan implementation for prevention of effluent malodourous liquids,gases,and solids: As referenced in the City of Salisbury Sewer Use Ordinance Chapter 25 Article VIII Section 25-202(a)(2)(i)stating that any noxious or malodorous liquids,gases,or solids which are sufficient to create a public nuisance or hazard to life or are sufficient to prevent entry into the sewer for maintenance and repair is a prohibited discharge. Therefore, for the prevention of these prohibited discharges,the permittee shall submit by November 1,2022 a standard operating procedure and contingency plan.The procedure and plan shall,at a minimum, include continuous monitoring of wastewater effluent equipment conditions,proper operation of treatment equipment, identification and reporting a prohibited discharge,emergency contacts and corrective actions to be taken to rectify the prohibited discharge condition. SIU CODE: IPC IUP No.0038 Page 18 of 18 Sa/isbu!J'Riwa +UTILITIES IUP SYNOPSIS CITY OF SALISBURY- INDUSTRIAL PRETREATMENT PROGRAM August 12,2022 A. IUP Basic Information Name of City Facility: City of Salisbury WWTP POTW NPDES#: NC0023884 Name of Treatment: Grant Creek IUP Name: Innospec Performance IUP Number: 0038 Chemicals IUP Effective Date: October 1,2022 Pipe Numbers of 01 all regulated pipes: IUP Expiration Date: September 30,2027 IUP 40 CFR N/A Category, If Applicable: B. IU Survey/Application Form Enclosed C. IUP-Inspection Form: A copy of the most recent inspection report is attached. D. Rationale for Limitations RATIONALE#1 -Review of IU Monitoring Data with no Over-Allocation: The following pollutants were assigned numerical limits in this IUP based on a review of monitoring data for the permittee to determine what range of concentrations are currently being discharged. Based on the City's 2012 headworks analysis currently on file with the NCDENR PERCS Office, the following limits do not result in over- allocation for any pollutant: Insert Limit Page(As listed on the 1UP Limits Page(s),Part 1-Specific Conditions-Section F of the IUP). SIU CODE: IPC PERMIT #0038 Page 1 r , EFFLUENT LIMITS TABLE I-Pipe#01 WWTP Treatment Train: Grant Creek Treatment Train SIU Name: Innospec Active Chemicals,LLC POTW: City of Salisbury POTW NPDES#: NC0023884 Permit#: 0038 Effective Date: October 1,2022 Pipe#: #01 Expiration Date: September 30,2027 40 CFR#: N/A THE LIMITS IN THIS TABLE ARE: DISCHARGE FLOW LIMITS 1)Limits for the Entire Permit Period. X Daily Maximum Monthly Avg. 2)lnterim Limits for Period#1: 3)Interim Limits for Period#2: 0.080 MGD 4)Final Limits I. pH Limit - The pH of this discharge, identified by the pipe number indicated above, shall be within the range of 6.00 to 10.00 standard units at all times. 2. Temperature Limit-The temperature of the discharge, identified by the pipe number stated above,shall be less than 65.5 degrees Celsius at all times. Limited Parameter Daily Industry POTW Sample Laboratory and Maximum Monitoring Monitoring Collection Detection Level Units Limit Frequency Frequency Method Flow,MGD 0.080 *Daily 1/12 Discharge flow meter pH,s.u.(1) *Daily 1/12 Grab Temperature,Celsius(2) *Daily 1/12 Grab BOD,lb/day(April 1-October 31) 629 3/6 1/12 Composite 2 mg/L BOD,lb/day(November 1-March 31) 943 3/6 1/12 Composite 2 mg/L COD,lb/day(April 1-October 31) 1257 3/6 1/12 Composite 20 mg/1 COD, lb/day(November 1-March 31) 1886 3/6 1/12 Composite 20 mg/L TSS,lb/day 86 3/6 1/12 Composite 2.5 mg/L TKN,lb/day 17 2/6 1/12 Composite 1.5 mg/L Cyanide,mg/L 0.010 2/6 1/12 Grab 5 µg/1 Total Cadmium,lb/day .005 2/6 1/12 Composite 0.50 µg/1 Total Copper,lb/day 0.025 2/6 1/12 Composite 2.0 µg/1 Total Nickel,lb/day 0.015 2/6 1/12 Composite 2.0 µg/1 Total Zinc, lb/day 0.500 2/6 1/12 Composite 10 µg/1 Total Nitrite+Nitrate,mg/L Monitor 2/6 1/12 Composite 0.5 mg/L Total Lead, lb/day 0.005 1/6 1/12 Composite 2.0 µg/I Total Chromium,lb/day .008 1/6 1/12 Composite 5 µg/I Total Aluminum,mg/L Monitor 1/6 1/12 Composite .050 mg/L Ammonia,mg/L Monitor 1/6 1/12 Composite 0.5 mg/L j Chloride,mg/L Monitor 1/6 1/12 Composite 1.0 mg/L Total Phosphorus,mg/L Monitor 1/6 1/12 Composite 0.2 mg/L Phenols,mg/L Monitor 1/6 1/12 Grab 0.010 mg/L *Record flow meter reading daily.Monitor and record pH and Temperature each day in which a wastewater discharge occurs. There shall be no discharge of floating solids or visible foam in other than trace amounts. SIU CODE: IPC PERMIT #0038 Page 2 RATIONALE#2-Categorical Industrial Limits,with no Over-Allocation: N/A RATIONALE#3a-Over Allocation Prevention,with IU Pollutant Reduction: N/A RATIONALE#3b-Interim Limits for IU Pollutant Reduction: N/A RATIONALE#4-Other Rationale for IUP Limits: N/A RATIONALE#5-No IUP Limit Needed or Assigned: N/A E.General Comments by POTW: Renewal permit. Please note changes: • Added Roxanne Fincher as Alternate Contact. • Added Dissolved Air Flotation(DAF unit)to IU Treatment Units List. • Added new diagram to Section 5: Schematic of Monitoring Location • Increased daily max. Flow from.070 to.080 mgd. • Increased the following#'s/day limits: BOD limit(Apr. 1-Oct.31)from 550 to 629& BOD(Nov. 1-Mar.31)from 825 to 943#'s/day;COD limit(Apr. 1—Oct.31)from 1100 to 1257&COD (Nov. 1-Mar.31)from 1650 to 1886;TSS from 75 to 86;TKN from 15 to 17. • Added parameter Aluminum at a 1/6 self-monitoring frequency • Added in Part III Special Conditions to implement a standard operating procedure and contingency plan for the prevented discharge of odors,gases, and solids. • Company entity name changed to Innospec Active Chemicals, LLC. SIU CODE: IPC PERMIT #0038 Page 3 innospec > performance chemicals June 22,2022 Salisbury-Rowan Utilities Attn: Jeff Greer 1915 Grubb Ferry Rd. Salisbury,NC 28144-1248 Subject: Industrial Permit#0038 Permit Renewal Application Dear Mr.Otten: Please find attached a completed Industrial Permit Application for renewal of the above referenced permit. Please contact me at the numbers or email below if you have any questions or need additional information. Regards, tba,—/4, Signature Date Allen Robey SHE Director, NA Innospec Performance Chemicals High Point Office: +1336-882-3308 Spencer Office: +1704-633-8028 Mobile:+1336-847-5061 allen.robev@innospecinc.com Innospec Active Chemicals LLC 500 Hinkle Lane Salisbury, NC 28144 sa/ishimai ae UTILITIES SALISBURY-ROWAN UTILITIES ENVIRONMENTAL SERVICES DIVISION INDUSTRIAL USER WASTEWATER SURVEY AND DISCHARGE PERMIT APPLICATION The information provided on this questionnaire serves two functions. 1. To determine if your facility is in need of a Significant Industrial User(SIU) Industrial User Pretreatment Permit(IUP)for the discharge of wastewater to the City of Salisbury's Publicly Owned Treatment Works (POTW) sanitary sewer system. 2. If a SIU IUP is required,this survey shall serve as the application for that IUP and the information will be used to issue the IUP. PLEASE REFER TO THE GUIDANCE FOR COMPLETING THE INDUSTRIAL USER SURVEY/APPLICATION INSTRUCTIONS, INCLUDED WITH THIS APPLICATION. Submit this application along with a non-refundable application fee of$250.00 to: Salisbury-Rowan Utilities Environmental Services Division 1915 Grubb Ferry Road Salisbury, N.C. 28144-1248 Attn.: Pretreatment Program Coordinator Your permit application cannot be processed until all analytical results from a North Carolina certified laboratory are submitted. A representative list of N.C. certified laboratories may be obtained from the Pretreatment Program Coordinator if not supplied with this application. The applicant is responsible for verifying that the laboratory's North Carolina certification is current before contracting for analytical work. Unless instructed otherwise, each applicant must submit the results of the following effluent analyses: BOD Nitrate+Nitrite Total Zinc pH* Total Arsenic Temperature* Total Cadmium Total Phosphorus Total Chromium Total Suspended Solids Total Copper Total Kjeldahl Nitrogen Total Lead Chemical Oxygen Demand Total Mercury Cyanide Total Nickel Ammonia Total Silver Analyses indicated by '*" must be performed on grab samples. The remaining analyses listed above must be performed on a 1 hr. x 24 hr. composite sample preserved according to EPA protocols.Analytical reports must be accompanied by sample preservation and chain-of-custody documentation. Additional sampling and analysis may be required, depending on the characteristics of the discharge,the nature of the process, and whether your facility's discharge is subject to Federal Categorical Standards. INDUSTRIAL USER WASTEWATER SURVEY AND DISCHARGE PERMIT APPLICATION STATUS of APPLICANT/APPLICATION - PLEASE CHECK ONE [ ] New Permit for Proposed Discharge Anticipated Date of initial process wastewater discharge [ ] Existing Unpermitted Discharge [ X] Permit Renewal for Existing SIU Permit,existing non-SIU permit,or other written permission from POTW. Note If this application requests a greater amount of wastewater discharge[flow], a greater amount of pollutant discharge or a discharge of different pollutants than specified in the last wastewater permit application for this facility,or any other significant changes, please indicate this as needed in the applicable Questions,especially Questions A8 and E7. Note to Signing Official: In accordance with Title 40 of the Code of Federal Regulations Part 403.14, information and data provided in this questionnaire which identifies the content,volume, and frequency of discharge shall be available to the public without restriction. Requests for confidential treatment of other Information shall be governed by procedures specified in 40 CFR Part 2. This is to be signed by the Authorized Representative of your firm,as defined in 40 CFR Part 403.12(1)and Section 25-1 of the Code of the City of Salisbury,after adequate completion of this form and review of the information by the signing representative. I, Allen Robey (print name), SHE Director (print title), Performance Chemicals, North America certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information submitted is,to the best of my knowledge and belief, accurate and complete. I am an authorized representative of the user and am authorized to execute this certification on behalf of the user. I am aware that there are significant penalties for submitting false information in violation of this certification, including the possibility of fines and/or imprisonment. I also certify that I have completed the necessary notification as required by the POTW to document my qualification as an Authorized Representative as set forth in 40 CFR Part 403.12 (1) and Section 25-1 of the Code of the City of Salisbury. Date Signature of Repr entative (Seal, if applicable) Innospec Industrial Permit Application-Waste Survey form 220622 Page 2 of 24 INDUSTRIAL USER WASTEWATER SURVEY AND DISCHARGE PERMIT APPLICATION SECTION A—GENERAL INFORMATION 1. For the production or manufacturing facility for which this application is being completed: Facility name Innospec Active Chemicals Physical address 500 Hinkle Lane, Salisbury,NC 28144 Mailing address(if different) Same General Telephone Number 704-633-8028 General Fax Number 704-633-6746 Website www.innospecinc.com 2. If applicable, general information about the corporate office, parent company,etc. [ ] N/A Company name Innospec Inc. Physical address 8310 S.Valley Hwy, Ste. 350, Englewood, CO 80112 Mailing address(if different) Same General Telephone Number 303-792-5554 General Fax Number 303-792-5668 Website www.innospeci nc.com 3. Primary Authorized Representative authorized to represent this firm in official dealings with the Publicly Owned Treatment Works(POTW). Name Allen Robey Title SHE Director, NA Telephone/Cell/Fax 336-847-5061 Email allen.robey@innospecinc.com Primary work _X_Facility _Corporate Office X Other—List address here: location: Time is split 50/50 between the two NC sites 510 W.Grimes Ave., High Point, NC 27260 4. Alternate Authorized Contact for when the Primary Authorized Representative is not available. Name Roxanne Fincher Title Senior SHE Officer Telephone/Cell/Fax 803-439-3371 Email Roxanne.Fincher(a�innospecinc.com Primary work _X Facility _Corporate Office Other—List address here: location: 5. On-Site Contact. If neither person identified in items 3 and 4 above are located at the production or manufacturing facility for which this application is being completed provide an on-site contact person available to answer questions regarding statements made on this survey as well as conduct a walkthrough of the facility: _Name Title Telephone/Cell/Fax Email Innospec Industrial Permit Application-Waste Survey form 220622 Page 3 of 24 INDUSTRIAL USER WASTEWATER SURVEY AND DISCHARGE PERMIT APPLICATION SECTION A—GENERAL INFORMATION-continued 6. Identify the general type of manufacturing, production and/or service(s)conducted at the site(i.e. electroplating, printing, painting, food processing,warehousing, meat packing, machine shop, etc.). Greater detail to be provided in question A.7. The site manufactures surfactants for use in the personal care market. It is comprised of batch manufacturing of primarily esterification processes. Our products are used in soaps, shampoos, body washes and other personal care products. 7. Provide a detailed narrative description of the manufacturing/production process(es)and/or service activities identified in question A.6. and conducted at the facility identified in question A. 1. Batch Manufacturing of personal care products. 8. Are anyprocess changes or expansionsplanned duringthe next fiveyears? X YesNo 9 P [ ] [ ] If yes, describe the nature of the planned changes or expansions. As needed,clarify if answers to other application questions are for before or after the change/expansion. If the facility has an existing permit, indicate if these changes could or will result in the facility requesting changes to their existing permit. The facility is planning the following expansions and changes: • Increase in wastewater capacity by installing a biological reactor and DAF unit to include all ancillary equipment due to anticipated growth. • Increase in number of reactors and flaker belts in already approved Building 7 • Addition of a building 8 with reactors and mix tanks primarily for our Betaine lines of products • Addition of an Employee Building(break room, lockers,offices,etc.). There will be no wastewater impacts since all water will go to our existing septic tank system. • Installation of a fire protection system for Buildings 7 and 8. This will include a large above ground water tank and foam systems. Note: An Authorization to Construct will be requested ahead of the projects. 9. List the Standard Industrial Classification Number(s) (SIC#)or North American Industry Classification System (NAICS)codes for your facility. If listing more than one code, indicate the percentage of production. SIC/NAICS code: _ 2843 Percentage of production 100% 10. In what month and year were the facility's operation(s)at this location(as specified in A. 7.above) established and under what name? Facility Name Month _ Year Finetex Unknown 1975 11. Has your facility undergone any changes in licensed ownership since the date noted in question A. 10? [X ]Yes [ ] No If yes, complete table. Facility Name Month Year Octel Unknown 2005 Innospec December 2006 Innospec Industrial Permit Application-Waste Survey form 220622 Page 4 of 24 INDUSTRIAL USER WASTEWATER SURVEY AND DISCHARGE PERMIT APPLICATION Section B—Flow Diagram/Schematics,Site Layout,and Pretreatment System Flow Diagram [See the Guidance Document for Completing the Industrial User Wastewater Survey and Discharge Permit Application included with this application. PRODUCTION/PROCESS SCHEMATIC FLOW DIAGRAM(REQUIRED) General Production Flow Diagram for all processes Raw Material Receipt Charge to Vessels/Reactors j Water of reaction - - - -- ---- ' is removed,if • applicable Wastewater Reaction or Blend - - .. .__ ti.r , • Pretreatment Reactor/Vessel -- --.. "-". ; clean out after l : production Package: Pail, To Salisbury/ Drum,Tote, Rowan Utilities Storage tank or . Cooling tower, POTW Bulk Truck vacuum jet water, "' and boiler blow down as Average:42,031 GPDD „z�_ applicable Maximum: 70,000 GPD Jan 2021—May 2022 Move packaged goods to Shipping Warehouse Ship to customer Innospec Industrial Permit Application-Waste Survey form 220622 Page 5 of 24 INDUSTRIAL USER WASTEWATER SURVEY AND DISCHARGE PERMIT APPLICATION Section B—Flow Diagram/Schematics, Site Layout,and Pretreatment System Flow Diagram [See the Guidance Document for Completing the Industrial User Wastewater Survey and Discharge Permit Application included with this application. 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Y O 0.M awa M Baron a.a.ur a.o r cram n NW Ca a 0202/010 ..r 1 i�' iw ii Bala ea mmaw®amw .m. / a.�.a ar / — OSLO ow we w WO a nal,a r Wean.®an. d ffi ,emo: s I or. 11,WO TA r. v.'r(Ma all slookall NOT ttWii / WC. 1,NORTH CPROUNA 2 —___Ma al s VC MAO i �� a l acE.�Oi.Y MS IMMO VI AI, fa.da taaar r.Yn O.a CO.r[r, w a i..ara W ; a a ras. `-/ P Rort arka[, ma oT it l' rl lM1P[DO MO m _Li ♦ s iOY.Y1 Or Ill VAln all �14 0® nu Waal IsaLa a� Z K .vwe WOW Grime ) rb0a.a um Nrr.ai t-ara awn _ .a.eu.CCCO.amok 0.mr'00•M) 2 ina err INDUSTRIAL USER WASTEWATER SURVEY AND DISCHARGE PERMIT APPLICATION Section B—Flow Diagram/Schematics, Site Layout,and Pretreatment System Flow Diagram [See the Guidance Document for Completing the Industrial User Wastewater Survey and Discharge Permit Application included with this application. WASTEWATER PRETREATMENT SYSTEM FLOW DIAGRAM(IF APPLICABLE) Innospec Industrial Permit Application-Waste Survey form 220622 Page 7 of 24 r Alt I aulKE 1 Imo,E — 4YOQ fWV R.NIIILI nNFIFOm CLARIFIFR )� o L——' mon 4d . 1 1 a — COW*91 j 1 1 `oa r, axli y0 I I I -cw rumor soJ I I M wig L t I _ J 1 a r , fl I 0 �-ar 1 LAGOON LAGOON 1 \ 1 r 1 1 1 N I 1 Imll MN INNDSPEC ACTIVE CHEMICALS INC. SPENCER N.C. DAF SYSTEM L J PkID PLOW DIAGRAM SN. I OF I A N'7" DAF SYSTEM 7 INDUSTRIAL USER WASTEWATER SURVEY AND DISCHARGE PERMIT APPLICATION SECTION C—FACILITY OPERATION CHARACTERISTICS Office/Administrative Staff(includes customer service and Research and Development Monday Tuesday Wednesday _ Thursday Friday Saturday Sunday #Employees 31 31 31 _ 31 31 N/A N/A Start/End Time 8:00/5:00 8:00/5:00 8:00/5:00 8:00/5:00 8:00/5:00 N/A , N/A Production Staff(includes operators,Q/A,Q/C,maintenance and shipping/warehouse) Facility operates 7 day X 12 hour rotating shifts Monday Tuesday Wednesday Thursday Friday Saturday Sunday 1st Shift #Employees 35 35 35 35 35 16 16 Start Time 7:00AM 7:00AM 7:00AM 7:00AM 7:00AM 7:00AM 7:00AM End Time 7:00PM 7:00PM 7:00PM 7:00PM 7:00PM 7:00PM 7:00PM 2nd Shift #Employees 16 16 16 16 16 16 16 Start Time 7:00PM 7:00PM 7:00PM 7:00PM 7:00PM 7:00PM 7:00PM End Time 7:00AM 7:00AM 7:00AM 7:00AM 7:00AM 7:00AM 7:00AM 3rd Shift #Employees N/A N/A N/A N/A N/A N/A N/A Start Time N/A N/A N/A N/A N/A N/A N/A EndTime N/A N/A N/A N/A N/A N/A N/A Shift Activities SHIFT DESCRIPTION OF SHIFT ACTIVITIES Monday 1st Administration, Full Manufacturing, clean-up of manufacturing areas, equipment maintenance,janitorial, Research and Development 2nd Full Manufacturing, clean-up of manufacturing areas, maintenance as needed 3' No 3rd Shift Tuesday 1st Administration, Full Manufacturing, clean-up of manufacturing areas, equipment maintenance,janitorial, Research and Development 2" Full Manufacturing, clean-up of manufacturing areas, maintenance as needed 3rd No 3' Shift Wednesday 1st Administration, Full Manufacturing, clean-up of manufacturing areas, equipment maintenance,janitorial, Research and Development 2nd Full Manufacturing, clean-up of manufacturing areas, maintenance as needed 3rd No 3rd Shift Thursday 1st Administration, Full Manufacturing, clean-up of manufacturing areas, equipment maintenance,janitorial, Research and Development 2nd Full Manufacturing, clean-up of manufacturing areas, maintenance as needed 3rd No 3rd Shift Friday 1st Administration, Full Manufacturing, clean-up of manufacturing areas, equipment maintenance, janitorial, Research and Development 2nd Full Manufacturing, clean-up of manufacturing areas, maintenance as needed 3rd No 3'd Shift Saturday 1st Full Manufacturing, clean-up of manufacturing areas, maintenance as needed 2' Full Manufacturing, clean-up of manufacturing areas, maintenance as needed 3rd No 3' Shift lnnospec Industrial Permit Application-Waste Survey form 220622 Page 8 of 24 r — - INDUSTRIAL USER WASTEWATER SURVEY AND DISCHARGE PERMIT APPLICATION Sunday 1st Full Manufacturing, clean-up of manufacturing areas, maintenance as needed 2nd Full Manufacturing, clean-up of manufacturing areas, maintenance as needed 3' No 3rd Shift SECTION D—PROCESS INFORMATION NOTE: The following information must be completed for each product line. Please make copies of this page if necessary. Information revealed in this section may be held confidential and proprietary under 40 CFR 403.14 at the request of the Industrial User and the approval of the POTW. The request for confidentiality must be made at the time of the initial submission of the application. Should such a request be made and accepted in compliance with Section 25-207 of the Code of the City of Salisbury these page(s)will be removed before review by any non- regulatory personnel. 1. Principal product(s) produced: Surfactants 2. Raw materials and process additives used: See attached list 3. Maximum and average production rate of this particular product line(please specify units being reported): Average Production Rate Maximum Production Rate Units 5,881,574 pounds/month previous 8,150,362 Pounds/month previous Pounds 12 months 12 months 4. The production process is[ X] Batch [ ] Continuous If batch, please enter the average number of batches per 24 hours. [8 ] If both, please enter%or production [ 100 %] Batch [ %] Continuous 5. Days and hours of operation for this product line: From: 24/7 to 6. Days and Hours of discharge for this product line: From: 24/7 to 7. Is production subject to seasonal variation? [ ]Yes [X ] No If yes, briefly describe the seasonal production cycles: SECTION E—WATER USE AND WASTEWATER DISCHARGE INFORMATION 1. Please indicate source(s)of water used at your facility: 376 Source Type Check One If yes,... Well [X]Yes [ ] No How many are there? 5 How many are in use at this time? 5 City [X]Yes [ ] No List all Account numbers: 3018479-0060 City Water supplies the administration building (discharge to septic system), and the new R&D Facility, Building 6, Building 4, and the facility wide safety shower and eyewashes(discharge to wastewater) Surface Water [X]Yes [ ] No Identify the source: On site cooling water pond for non- contact cooling water; water is returned to the cooling water pond not to the WWTP Other [ ]Yes [X] No Explain: Innospec Industrial Permit Application-Waste Survey form 220622 Page 9 of 24 INDUSTRIAL USER WASTEWATER SURVEY AND DISCHARGE PERMIT APPLICATION 2. Does this facility provide any treatment to the incoming water to improve the water quality prior to its use in the facility, (i.e. deionization, reverse osmosis, ultra filtration, pH adjustment, etc.)? [X]Yes [ ] No If yes, complete table. Treatment Process Chemicals Used Wastewater Generated and Volume(gpd) Softened water for process Salt Pellets Used for deaning equipment —40,000 3. This facility uses water for the following: (Please record"n/a"if the application/use does not apply to the operations at your facility.) Detailed Description of Maximum Average [E]stimated Type of Application/Use Applicable Operation(s) Volume Volume or and/or Equipment Used Used [M]easured (gallons/day) (gallons/day) Process Process water not 8,300 3,200 [X] E [ ]M otherwise specified below Water Into Product Water used to dilute 4,000 3,000 [ ]E IX] M products and used as solvents Process Related Facility/Equipment Reactor boilouts, 20,000 17,500 [X]E [ ] M Washdown* equipment washes, floor cleaning Process Contact Cooling or Warming Process cooling towers(2), 12,000 10,700 [ ]E [X] M Water vacuum jet cooling, and hot water tank Process Related Air-Pollution Control Hydrochloric acid gas 2,000 1,000 [X ] E [ ] M Unit absorber DPTL-90 Caustic Scrubber Flaker Scrubbers Process Related Employee Showers N/A discharge to septic [ ] c [ ]M tank/drain field Lab Lab ware cleaning 100 50 [X]E [ ]M Maintenance Shop N/A [ ] E [ ]M Boilers(Please specify if live and/or dry Live Steam 15,000 12,000 [ ]E [X]M steam is used.) Backwash Water Water softener 50 100 [ ] E [ ]M Pump Sealant Water N/A No liquid ring vacuum [ ] E [ ] M pumps General Facility/Equipment Washdown* Included above [ ]E [ ]M Other non-contact water uses: boilers; N/A non-contact cooling [ ] E [ ] M non-contact cooling/warming water, water is returned to cooling general air conditioning, cooling towers, water pond chillers, HVAC, etc. Domestic(e.g. restroom(s), non-process N/A discharge to septic [ ] E [ ]M related employee showers, cafeteria, tank/drain field kitchen, breakroom etc.) Other, please describe N/A [ ] E [ ]M Total 61,450 47,550 *Please document clean up schedules in Shift activities in Section C. Innospec Industrial Permit Application-Waste Survey form 220622 Page 10 of 24 INDUSTRIAL USER WASTEWATER SURVEY AND DISCHARGE PERMIT APPLICATION SECTION E—WATER USE AND WASTEWATER DISCHARGE INFORMATION (continued) 4. The facility generates wastewater from the following areas and that water is discharged where If the source of wastewater discharged does not exist at your facility record"n/a". If there is no discharge from the applicable source, record"no discharge". Wastewater is Source of Wastewater Discharged Pretreated? Volume Estimated(E)or To Where Discharged Measured(M) (gallons/day) a. Process Wastewater Treatment [X] yes [ ] no 3,200 [X ] E [ ] M Plant(WWTP) b.Water Into Product Into products as a diluent [X] yes [ ] no 3,000 [ X ]E [ I M c. Process Related WWTP [X ] yes [ ] no 17,500 [ ] E IX] M Facility/Equipment Washdown* d.Process Contact Cooling WWTP [X] yes [ ] no 10,700 [ ] E [X] M or Warming Water e.Process Related Air- WWTP(after [ ] yes [ ] no 1,000 [ ] E [ ] M Pollution Control Unit neutralization) f. Process Related N/A discharge to septic [ ] yes [ ] no [ ] E [ ] M Employee Showers tank/drain field g.Lab WWTP [ ] yes [ ] no 50 [X]E [ ] M h.Maintenance Shop N/A [ ] yes [ ] no [ ] E I ] M i. Backwash Water WWTP [X] yes [ ] no 100 [ ] E [ ] M j. Pump Sealant Water N/A No liquid ring [ ] yes [ ] no [ ] E [ ] M vacuum pumps k.General Include above [X] yes [ ] no [ ] E [ ] M Facility/Equipment Washdown* I. Other non-contact water WWTP [ ] yes [ ] no 12,000 [ ] E [X] M uses: boilers; non-contact cooling/warming water, general air conditioning, cooling towers, chillers, HVAC, etc. m. Domestic(e.g. Septic tank/drain field [ ] yes [X] no [ ] E [ ] M restroom(s), non-process related employee showers, cafeteria, kitchen, breakroom etc.) n.Groundwater/Remediated N/A [ ] yes [ ] no [ ] E [ ] M Groundwater o.Storm Water Runoff Cooling water pond [ ] yes [X ] [ ] E [ ] M overflows into tributary to no Yadkin River p.Tank Bottoms Off site disposal [ ] yes [ ] no [ ] E [ ] M q.Other, please specify N/A [ ] yes [ ] no [ ]E [ ] M r. Total Discharged to 47,550 POTW *Please document clean up schedules in Shift activities in Section C. 5. Identify the daily maximum flow limit requested. Please explain any differences between the requested flow limit and actual flows listed in E.4. Requested Daily Maximum Flow Limit,gpd: 80,000 Requested Monthly Average Flow Limit,gpd: None Explanation: Business is expected to grow over the next few years. Innospec Industrial Permit Application-Waste Survey form 220622 Page 11 of 24 INDUSTRIAL USER WASTEWATER SURVEY AND DISCHARGE PERMIT APPLICATION SECTION F—CHEMICALS, POLLUTANTS,WASTES 1. Complete Checklist for Priority, Conventional, Non-Conventional,and Other Pollutants. All chemicals require that TWO columns are checked NOTE:VALUES REPORTED ARE HIGHEST KNOWN HISTORICAL VALUES Chemical Abstract Present in Absent in Concentration Number Present Absent Discharge to Discharge to in Discharge, Chemical Name (CAS#] at Facility at Facility POTW POTW (mg/I) Acid Extractable Organic Compounds(EPA Method 625) 2-Chlorophenol 95-57-8 X X 2,4-Dichlorophenol 120-83-2 X X 2,4-Dimethylphenol 105-67-9 X X 2,4-Dinitrophenol 51-28-5 X X 2-Methyl-4,6-dinitrophenol 534-52-1 X X 4-Chloro-3-methylphenol 59-50-7 X X 2-Nitrophenol 88-75-5 X X 4-Nitrophenol 100-02-7 X X Pentachlorophenol 87-86-5 X X Phenol 108-95-2 X X 0.217 2,4,6-Trichlorophenol 88-06-2 X X Base Neutral Organic Compounds(EPA Method 625) 1,2,4-Trichlorobenzene 120-82-1 X X 1,2-Dichlorobenzene 95-50-1 X X 1,2-Diphenylhydrazine 122-66-7 X X 1,3-Dichlorobenzene 541-73-1 X X 1,4-Dichlorobenzene 106-46-7 X X 2,4-Dinitrotoluene 121-14-2 X X 2,6-Dinitrotoluene 606-20-2 X X 2-Chloronaphthalene 91-58-7 X X 3,3-Dichlorobenzidine 91-94-1 X X 4-Bromophenyl phenyl ether 101-55-3 X X 4-Chlorophenyl phenyl ether 7005-72-3 X X Acenaphthene 83-32-9 X X Acenaphthylene 208-96-8 X X Anthracene 120-12-7 X X Benzidine 92-87-5 X X Benzo(a)anthracene 56-55-3 X X Benzo(a)pyrene 50-32-8 X X Benzo(b)fluoranthene 205-99-2 X X Benzo(ghi)perylene 191-24-2 X X Benzo(k)fluoranthene 207-08-9 X X Bis(2-chloroethoxy)methane 111-91-1 X X Bis(2-chloroethyl)ether 111-44-4 X X Bis(2-chloroisopropyl)ether 102-60-1 X X Bis(2-ethylhexyl) phthalate 117-81-7 X X [DEHP] Butyl benzyl phthalate[BBP] 85-68-7 X X Chrysene 218-01-9 X X Innospec Industrial Permit Application-Waste Survey form 220622 Page 12 of 24 INDUSTRIAL USER WASTEWATER SURVEY AND DISCHARGE PERMIT APPLICATION Di-n-butyl phthalate[DBP] 84-74-2 X X Di-n-octyl phthalate[DOP] 117-84-0 X X SECTION F—CHEMICALS, POLLUTANTS, WASTES (continued) All chemicals require that TWO columns are checked Chemical Abstract Present in Absent in Concentration Number Present Absent Discharge to Discharge to in Discharge, Chemical Name [CAS#j at Facility at Facility POTW POTW (mg/I) Base Neutral Organic Compounds (continued) Dibenzo(a,h) anthracene 53-70-3 X X Diethyl phthalate[DEP] 84-66-2 X X Dimethyl phthalate[DMP] 131-11-3 X X Fluoranthene 206-44-0 X X Fluorene 86-73-7 X X Hexachlorobenzene 118-74-1 X X Hexachlorobutadiene 87-68-3 X X Hexachlorocyclopentadiene 77-47-4 X X Hexachloroethane 67-72-1 X X Indeno (1,2,3-cd) pyrene 193-39-5 X X lsophorone 78-59-1 X X N-nitroso-di-n-propylamine 621-64-7 X X N-nitrosodimethylamine 62-75-9 X X N-nitrosodiphenylamine 86-30-6 X X Naphthalene 91-20-3 X X Nitrobenzene 98-95-3 X X Phenanthrene 85-01-8 X X Pyrene 129-00-0 X X Metals Aluminum X* X Not sampled Antimony 7440-36-0 X X Arsenic 7440-38-2 X X Beryllium 7440-41-7 X X Cadmium 7440-43-9 X* X 0.0024 Chromium 7440-47-3 X* X 0.004 Copper 7440-50-8 X* X 0.045 Lead 7439-92-1 X* X 0.0112 Mercury 7439-97-6 X** X Molybdenum 7439-98-7 X X Nickel 7440-02-0 X* X 0.024 Selenium 7782-49-2 X X Silver 7440-22-4 X X Thallium 7440-28-0 X X Zinc 7440-66-6 X X 1.04 Other Inorganic Pollutants Barium 7440-39-3 X* X 0.0234 Chloride X X 610 Cyanide 57-12-5 X X Fluoride X* X 0.044 Innospec Industrial Permit Application-Waste Survey form 220622 Page 13 of 24 INDUSTRIAL USER WASTEWATER SURVEY AND DISCHARGE PERMIT APPLICATION *Present at the facility as components of structures, piping, incoming city water, or well water. They are not present in any raw material. ** Present at the facility in fluorescent bulbs that are shipped off-site for recycling. It is also a contaminant in diesel fuel burned in mobile sources. SECTION E—SECTION F —CHEMICALS, POLLUTANTS, WASTES (continued) All chemicals require that TWO columns are checked Chemical Abstract Present in Absent in Concentration Number Present Absent Discharge to Discharge to in Discharge, Chemical Name [CAS#] at Facility at Facility POTW POTW (mg/I) Purgeable Volatile Organic Compounds [VOCs](EPA Method 624) 1,1,1-Trichloroethane 71-55-6 X X 1,1,2,2-Tetrachloroethane 79-34-5 X X 1,1,2-Trichloroethane 79-00-5 X X 1,1-Dichloroethane 75-34-3 X X 1,1-Dichloroethylene 75-35-4 X X 1,2-Dichloroethane 107-06-2 X X 1,2-Dichloropropane 78-87-5 X X 2-Chloroethyl vinyl ether 110-75-8 X X Acrolein 107-02-8 X X Acrylonitrile 107-13-1 X X Benzene 71-43-2 X X Bromodichloromethane 75-27-4 X X Bromoform 75-25-2 X X Bromomethane 74-83-9 X X Carbon tetrachloride 56-23-5 X X Chlorobenzene 108-90-7 X X Chloroethane 75-00-3 X X Chloroform 67-66-3 X X Chloromethane 74-87-3 X X Cis 1,3-Dichloropropene X X Dibromochloromethane 594-18-3 X X Ethylbenzene 100-41-4 X X Methylene chloride 75-09-2 X X Tetrachloroethylene 127-18-4 X X Toluene 108-88-3 X X Trans 1,3-Dichloropropene X X Trans-1,2-Dichloroethylene 156-60-5 X X Trichloroethylene 79-01-6 X X Trichlorofluoromethane X X Vinyl chloride 75-01-4 X X Other Pollutants of Concern(Last Reported Results January/February/March 2022) Xylene X X BOD X X 1314 TSS X X 2132 Ammonia X X 23.07 Total Phosphorus X X 1.5 Total Nitrogen X X Oil&Grease X X 16(July 2017) range of pH X X 6.21-6.99(March 2022) Innospec Industrial Permit Application-Waste Survey form 220622 Page 14 of 24 INDUSTRIAL USER WASTEWATER SURVEY AND DISCHARGE PERMIT APPLICATION SECTION F—CHEMICALS, POLLUTANTS, WASTES (continued) 2. If any wastewater analyses have been performed on the wastewater discharge(s)from your facilities, please attach to this survey a copy of the lab report, chain of custodies and location of where the samples were taken for the most recent sampling date. Do not attach analyses performed by the POTW or analytical data already delivered to the POTW. 3. Does your facility complete a Toxic Release Inventory?[X]Yes [ ] No If yes, most recent copy attached X OR POTW already has 4. Please list boiler and cooling tower treatment additives or MSD sheets and dosage rates for each. Type of Boiler or Treatment Additive Name Purpose of Additive Dosage,with units Cooling Unit Gas Fired steam X 4 AQJ425 scale and corrosion 2 quarts/day AQJ544 inhibitors 4 quarts/day ' B043P 0.5 quarts/dam I Package Unit Cooling C995L scale and corrosion 1 pint/day Towers X 3 inhibitor S100L chlorine cleaner 1 pint/2 days ABQ-004 Biocide 1 pint/week 5. Do you have any storage tank(s) at your facility? [ X]Yes [ ] No If yes, complete the chart below. Associated Spill with Containment Process; Devices 13 c Wastewater 7 treatment; 0 m 0 Groundwater -0 3 remediation a) v m c O COo N O d to d E a— ql aO 7 N N SS 1 Outside Above 8,000 2-Ethyl Hexanol P Secondary Containment Dike IS 11 Outside Above 2,000 Stearic Acid P Secondary Containment Dike IS 17 Outside Above 5,500 N Methyl Taurine P Secondary Containment Dike IS 18 Outside Above 5,500 N Methyl Taurine P Secondary Containment Dike FE 19 Outside Above 5,000 50% Liquid Caustic P Secondary Soda Containment Dike Innospec Industrial Permit Application-Waste Survey form 220622 Page 15 of 24 INDUSTRIAL USER WASTEWATER SURVEY AND DISCHARGE PERMIT APPLICATION SS 20 Outside Above 10,000 SMI P Secondary Containment Dike SS 21 Outside Above 10,000 SMI P Secondary Containment Dike SS 22 Outside Above 6,000 Neodol 25 P Secondary Containment Dike SS 23 Outside Above 6,000 Lauric Acid P Secondary Containment Dike IS 24 Outside Above 8,000 C-101 P Secondary Containment Dike IS 25 Outside Above 7,000 SI P Secondary Containment Dike SS 26 Outside Above 7,500 n-Methyl Taurine P Secondary Containment Dike IS 28 Outside Above 5,000 Potable Hot Water P Secondary Containment Dike IS 29 Outside Above 7,000 Gemtex 691-40 MC P Secondary Containment Dike SS-30 Outside Above 20,000 n-Methyl Taurine P Secondary Containment Dike SS-31 Outside Above 20,000 n-Methyl Taurine P Secondary Containment Dike SS-32 Outside Above 20,000 SMI P Secondary Containment Dike SS-33 Outside Above 20,000 SI P Secondary Containment Dike IS-34 Outside Above 20,000 Stearic Acid P Secondary Containment Dike IS-35 Outside Above 20,000 SLG-U P Secondary Containment Dike IS-36 Outside Above 20,000 Lauric Acid P Secondary Containment Dike IS-37 Outside Above 20,000 C-101 P Secondary Containment Dike IS-38 Outside Above 20,000 C-101 P Secondary Containment Dike IS-39 Outside Above 20,000 DPT-L30 P Secondary Containment Dike IS-40 Outside Above 20,000 DPT-L30 P Secondary Containment Dike Innospec Industrial Permit Application-Waste Survey form 220622 Page 16 of 24 INDUSTRIAL USER WASTEWATER SURVEY AND DISCHARGE PERMIT APPLICATION Spray Field Outside Above 8,000 Wastewater W Secondary Tank Containment Dike Wastewater Outside Above 8,000 Wastewater sludge W Secondary Sludge Containment Dike Tank R-3/R-5 Inside Above 500 Hot Oil P Secondary Hot Oil Containment Dike R-8/R-10 Inside Above 660 Hot Oil P Secondary Hot Oil Containment Dike R-12/R-15 Inside Above 500 Hot Oil P Secondary Hot Oil Containment Dike BULDING 6 Inside Above 500 Hot Oil P Secondary HOT OIL Containment Dike SYSTEM WW-1 Outside Above 16,000 Wastewater W Secondary Containment Dike WW-2 Outside Above 16,000 Wastewater W Secondary Containment Dike WW-3 Outside Above 4,000 Wastewater W Secondary Containment Dike T1 Outside Above 8,000 No. 2 Fuel Oil/Diesel P Secondary Containment Dike 6. Are anyliquidsludges wastes or slud es(i.e. acids, alkalies, heavy metal sludges, inks, dyes, oil, grease, organic compounds, paints, pesticides, plating wastes, pretreatment sludges, solvents,thinners,waste product, etc.) I from this firm disposed of by means other than discharge to the sewer system? [ X ]Yes [ ] No If yes, please complete the following: Nature of Waste hauler's Treatment Facility's Disposal facility's Est. Gallons or hauled name, Name, EPA ID#and Name, EPA ID#and Pounds per Waste and date EPA ID#and address Address Year hauled off Last hauled address Hydrochloric Acid Univar Solutions AES Environmental N/A 150,000 pounds/year OHR000162800 KYD985073196 3930 Glenwood Drive 1689 Shar Cal Rd Charlotte NC 28208 Calvert City, KY 42029 Fatty Acid CTW Specialties HOH Corp N/A 1,700,000 pounds/year Chloride NCR000143537 1701 Vargrave St. Neutralized EPA ID: N/A(non Winston Salem, NC Waste(non- RCRA Waste) 27108 RCRA) (non RCRA Waste) Wastewater Terra Renewal N/A Various Land 6,300,000 pounds/year Sludge(non- 15797 St. Hwy. 155 Application Sites in RCRA) Dardanelle,AR South Carolina, 72834 Georgia, and EPA ID: N/A(non (non RCRA Waste) RCRA waste) - Lab Waste Univar Solutions N/A Tradebe Treatment 2,000 pounds/year OHR000162800 and Recycling 3930 Glenwood Drive TND000772186 Innospec Industrial Permit Application-Waste Survey form 220622 Page 17 of 24 INDUSTRIAL USER WASTEWATER SURVEY AND DISCHARGE PERMIT APPLICATION Charlotte NC 28208 5485 Victory Lane Millington TN 38053 Waste(non- CCI Environmental N/A Solidification and 950,000 pounds/year RCRA), off spec NCR000175042 Landfill products, 708 MLK Jr. Dr. recovered Thomasville, NC distillates 27360 7. Is this facility a small quantity, large quantity, or conditionally exempt Hazardous Waste Generator? [ ] Small Quantity [ X] Large Quantity [ ] Conditionally Exempt [ ] Not Applicable Facility's EPA Hazardous Waste Generator ID#: NCD066327313 Waste Codes: D001, D002, D007, D009, D011, D022, D035, F002, F003, P028, U239 SECTION G—WASTEWATER TREATMENT, FLOW,AND SAMPLING EQUIPMENT 1. Is the wastewater generated by this facility treated prior to discharge to the POTW? [X]Yes [ ] No If yes, please complete the chart below. If a particular pretreatment unit only treats part of the wastewater, indicate this below and in the diagram required by Section B. Pretreatment Unit [lies[N]o Additional Information Chemicals Used Activated Carbon N Air Stripping N Biological Treatment Y X Activated Sludge Coagulant and Flocculant Rotating Biological Contactor(RBC) Trickling Filter Sequencing Batch Reactor(SBR) 9 ( ) Other Chemical Precipitation N Chlorination,for N disinfection Cyanide Destruction N Defoaming Agents Y As needed Defoamer Dissolved Air Floatation Y list all individual units of DAF here Coagulant and Flocculant (DAF) equalization pH adjustment _X_chemical precipitation Other Flow equalization, aerated Y Size(gallons) 2 X 250,000 qal each Before X After Pretreatment Flow equalization, N Size(gallons) not aerated Before After Pretreatment Grease and Oil Removal N Grease Trap, Size for employee cafeteria, Oil Water Separator kitchen, breakroom, etc. Other Grease and Oil Removal N Grease Trap, Size for food manufacturing Oil Water Separator process wastewater Other Grease and Oil Removal N Grease Trap, for non-food Oil Water -.. - . manufacturing process Other wastewater Heat N Reclamation/Exchange Ion Exchange(for N wastewater treatment) Neutralization, pH Y As needed Potassium Hydroxide adjustment Ozonation N Innospec Industrial Permit Application-Waste Survey form 220622 Page 18 of 24 INDUSTRIAL USER WASTEWATER SURVEY AND DISCHARGE PERMIT APPLICATION Reverse Osmosis(for N wastewater treatment) Septic Tank Y _ For building restrooms Silver Recovery N Solids Separation, Y Belt Press Centrifugation Clarification, Dewatering, X Clarification Cyclone Removal, etc. Filter Press Filtration X Flocculation Grit Removal Microfiltration Nanofiltration Screening Sedimentation Septic Tank Ultrafiltration Other _ Solvent Separation N Spill protection Y 2 16,000 gallon storage Note: Facility treats with potassium permanganate for H2S odor control. SECTION G—WASTEWATER TREATMENT, FLOW, AND SAMPLING EQUIPMENT (continued) 2 Describe wastewater flow measuring methods and/or equipment. If applicable, list the meter's current interval, flow volume, pulse frequency and reporting units: On site Flow Calibration Certificate Endress+Hauser +I Endressi-Hauser Sales Center People for Process Automation 2350 Endress Place,Greenwood,IN 46143 USA Tel 800-642-8737-Fax 317-535-1495 Certificate n° InnSa111120221039 Calibration date 1/11/2022 Customer information Place of calibration Company name Innospec Company name Innaspec Address 500 Hinkle Ln Salisbury NC 28144 Address 500 Hinkle Ln Salisbury NC 28144 Contact John Wasmund Instrument information(UUT) UUT:Unit Under Test Instrument(UUT) AXFOSOC-DIAHIN-AA1-22B/FFI Measuring range 0.00 to 300.00 gal/min Description Magnetic Flow Meter Output : Current 4.00 to 20.00 mA Manufacturer Yokogawa Totalized Units gal Serial n° UIR301796 Calibrated range 50.23 to 86.02 gal/min Tag of EFFLUENT METER Max permissible error(MPE) 1.0 K-factor 0 Zero Point 0 Standards used This calibration cem&cate documents the traceability to national standards,which states the units of measurernent according to the International System of Units(SI) II Type --- 1_-- Description L Serial n• I_ ID _-L_ Certificate I - Due date Coriolis Mass E&H 2"83F50-AAASACAABAAA F2040316000 1017000609 tddc2t21202t91555 21/01/22 3. List procedures employed to ensure the accuracy of flow measurement method/equipment. Frequency of Cleaning: None Calibration method: On-site Calibration Flow To ensure accurate process control, metrological performance is checked by comparing results from instruments and suitably accurate references. Qualified calibration technicians apply standard operating procedures and traceable references onsite. Calibration certificates reflects the end results. calibration performed by: Endress and Hauser Training/credentials of calibration See above staff: Date of most recent calibration: 1/11/22 Copy of Calibration Certificate POTW already has OR Copy attached_X_ Innospec Industrial Permit Application-Waste Survey form 220622 Page 19 of 24 INDUSTRIAL USER WASTEWATER SURVEY AND DISCHARGE PERMIT APPLICATION 4. Describe the sampling method and associated equipment utilized at the facility. Identify staff or contract lab responsible for sampling. Describe sampling technician training. Sampling Equipment/Method: ISCO automatic sampler and refrigerated Sampling staff: _ Zach Keever, Roxanne Fincher Training/credentials of sampling staff: Under direction of a NC Certified Wastewater Treatment Operator SECTION H—CATEGORICAL STATUS 1. Check any products listed below that are manufactured or activities that are performed at this facility: [ ]40 CFR 467 Aluminum Forming [ ]40 CFR 432 Meat Products [ ]40 CFR 427 Asbestos Manufacturing [ ]40 CFR 433 Metal Finishing [ ]40 CFR 461 Battery Manufacturing [ ]40 CFR 464 Metal Molding&Casting [ ]40 CFR 431 Builders Paper&Board Mills [ 140 CFR 436 Mineral Mining&Processing [ ]40 CFR 407 Canned&Preserved Fruits&Veg. [ ]40 CFR 471 Nonferrous Metal, Form&Powders [ ]40 CFR 408 Canned&Preserved Seafood [ ]40 CFR 421 Nonferrous Metals Manufacturing [ ]40 CFR 458 Carbon Black Manufacturing [ ]40 CFR 414 OCPSF [ ]40 CFR 411 Cement Manufacturing [ ]40 CFR 435 Oil&Gas Extraction [ ]40 CFR 437 Centralized Waste Treatment [ ]40 CFR 440 Ore Mining&Dressing [ ]40 CFR 434 Coal Mining [ ]40 CFR 446 Paint Formulating [ ]40 CFR 465 Coil Coating [ ]40 CFR 443 Paving&Roofing Materials Mfg. [ ]40 CFR 468 Copper Forming [ ]40 CFR 455 Pesticide Manufacturing [ ]40 CFR 405 Dairy Products Processing [ ]40 CFR 419 Petroleum Refining [ ]40 CFR 469 Electrical, Electronics Components [ ]40 CFR 439 Pharmaceutical Manufacturing [ ]40 CFR 413 Electroplating [ ]40 CFR 422 Phosphate Manufacturing [ 140 CFR 457 Explosives Manufacturing [ ]40 CFR 459 Photographic Supplies [ ]40 CFR 412 Feedlots [ ]40 CFR 463 Plastics Molding&Forming [ ]40 CFR 424 Ferroalloy Manufacturing [ ]40 CFR 466 Porcelain Enameling [ ]40 CFR 418 Fertilizer Manufacturing [ ]40 CFR 430 Pulp, Paper, &Paperboard [ ]40 CFR 464 Foundries, Metal Mold&Casting [ ]40 CFR 428 Rubber Manufacturing [ ]40 CFR 426 Glass Manufacturing [ ]40 CFR 417 Soap&Detergent Manufacturing [ ]40 CFR 406 Grain Mills [ ]40 CFR 423 Steam Electric Power Generation [ ]40 CFR 454 Gum&Wood Chemical Manufacturing [ ]40 CFR 460 Hospitals [ ]40 CFR 409 Sugar Processing [ ]40 CFR 447 Ink Formulating [ ]40 CFR 410 Textile Mills [ ]40 CFR 415 Inorganic Chemical Manufacturing [ ]40 CFR 429 Timber Products Processing [ ]40 CFR 420 Iron&Steel Manufacturing [ ]40 CFR 442 Transportation Equipment Cleaning [ ]40 CFR 425 Leather Tanning&Finishing [ ]OTHER If any are checked,continue with Questions 2 and 3 of this Section Otherwise, check here X and skip to next Section. SECTION H—CATEGORICAL STATUS -continued Innospec Industrial Permit Application-Waste Survey form 220622 Page 20 of 24 INDUSTRIAL USER WASTEWATER SURVEY AND DISCHARGE PERMIT APPLICATION 2. Is there a discharge from any of the above checked categorical operations to the POTW? [ ]Yes [ ] No If Yes, complete table. Process operation name 40 CFR,subpart, 40 CFR New Date initial Date(s)major operations, etc Source Date process start-up change* Date(s)of commencement of construction of any major upgrades, updates, refits, or reinstallations of the operation since the start-up date. From the above, is this facility a [ ] New Source [ ] Existing Source [ ] Unknown 3. Are there any"dilution"wastestreams that flow through the current/proposed monitoring point? Yes [ ] No [ ] If Yes,ensure these wastestreams are clearly identified as such in question E,4. SECTION I—SLUG/SPILL PREVENTION and WASTE MINIMIZATION Enter employees responsible for notifying the POTW in the event of a spill, bypass, pretreatment facility upset, or other unusual discharge or problem and employees authorized to close down production if needed, along with information about training and procedures. If information is formalized in a Plan of some kind, list Plan Number and page#. Notification of POTW Plan Name, Authority to close Plan Name, page# down production page# Designated All Employees SPCC Plan All Employees SPCC Plan Employee(s) Pg. 6 Pg. 6 Training of those SHE Director employees Annual Training Procedures SHE Director How other staff know Training on SPCC Plan when and how to annually contact designated individuals? 2. Does the facility have measures, equipment, and/or plans to protect the POTW and/or sanitary sewer in the event of accidental spills, slugs, or other inappropriate discharges)? [X]Yes [ ] No If yes, complete table. For measures that are formalized in a Plan of some kind(eg., Spill Prevention Control and Countermeasure Plan, Spill/Slug Control Plan, Toxic Organic Management Plan), list Plan Number and page#. Note: the POTW may request copies of the identified plans. Measures to protect POTW and/or sanitary sewer Plan Name and page#s, if applicable 2 X 16,000 gallon storage tanks prior to the WWTP that can be SPCC Plan (submitted to POTW shut in the event of a spill to prevent entry into the WWTP previously) 3. Does your company have a pollution prevention/waste minimization/recycling/reuse program established, or have had a pollution prevention or other waste minimization audit conducted? [X ]Yes [ ] No If yes, complete Table. Innospec Industrial Permit Application-Waste Survey form 220622 Page 21 of 24 INDUSTRIAL USER WASTEWATER SURVEY AND DISCHARGE PERMIT APPLICATION Name of Plan/Audit Most recent copy POTW already has copy attached _ Waste Minimization Plan N Y 4. Please check"current", "projected"or"N/A"for all codes below relating to your facility's wastewater discharge. N/A Current Projected Code Description [ ] [ X ] [ ] W13 Improved maintenance scheduling, record keeping,or procedures [ X] [ ] [ ] W14 Changed production schedule to minimize equipment and feedstock changeovers [ X] [ ] [ ] W19 Other changes in operating practices(please explain) [ ] [ X ] [ ] W21 Instituted procedures to insure that materials do not stay in inventory beyond shelf life [X ] [ ] [ ] W22 Began to test outdated material—continue to use if still effective [X ] [ ] [ ] W23 Eliminated shelf-life requirements for stable materials [ ] [X ] [ ] W24 Instituted better labeling procedures [X ] [ ] [ ] W25 Instituted clearinghouse to exchange materials that would otherwise be discarded [ ] [X] [ ] W29 Other changes in inventory control (please explain) Utilizing Microsoft Dynamix AX for inventory control and ERP [ ] [X ] [ ] W31 Improved storage or stacking procedures [ X] [ ] [ ] W32 Improved procedures for loading, unloading and transfer operations [ ] [X ] [ ] W33 Installed overflow alarms, and/or automatic shutoff valves [ ] [X ] [ ] W34 Installed secondary containment [X ] [ ] [ ] W35 Installed vapor recovery systems [ ] [ X] [ ] W36 Implemented inspections or monitoring program of potential spill or leak sources [X ] [ ] [ ] W39 Other spill and leak prevention (please explain) [X ] [ ] [ ] W41 Increased purity of raw materials [X ] [ ] [ ] W42 Substituted raw materials [ X] [ ] [ ] W49 Other raw materials modifications(please explain) [X ] [ ] [ ] W51 Instituted recirculation within a process [X ] [ ] [ ] W52 Modified equipment, layout, and/or piping [ X] [ ] [ ] W53 Use of different process catalyst [ ] [ X] [ ] W54 Instituted better controls on operating bulk containers to minimize discarding of empty containers [ ] [X ] [X ] W55 Change from small volume containers to bulk containers to minimize discarding of empty containers Innospec Industrial Permit Application-Waste Survey form 220622 Page 22 of 24 INDUSTRIAL USER WASTEWATER SURVEY AND DISCHARGE PERMIT APPLICATION N/A Current Projected Code Description [ X] [ ] [ ] W58 Other process modifications(please explain) [X ] [ ] [ ] W59 Modified stripping/cleaning equipment [X ] [ ] [ ] W60 Changed to mechanical stripping/deaning devices(from solvents or other materials) [X ] [ ] [ ] W61 Changed to aqueous deaners(from solvents or other materials) [X ] [ ] [ ] W62 Reduced the number of solvents used to make waste more amendable to recycling [X ] [ ] [ ] W63 Modified containment procedures for cleaning units [X ] [ ] [ ] W64 Improved draining procedures [ X] [ ] [ ] W66 Modified or installed rinse systems [X ] [ ] [ ] W67 Improved rinse equipment design [X ] [ ] [ ] W68 Improved rinse equipment operation [ X] [ ] [ ] W71 Other cleaning and degreasing operation(please explain) [X ] [ ] [ ] W72 Modified spray systems or equipment [ X] [ ] [ ] W73 Substituted coating materials used [X ] [ ] [ ] W74 Improved application techniques [ X] [ ] [ ] W75 Changed from spray to other system [X ] [ ] [ ] W78 Other surface preparation and finishing(please explain) [X ] [ ] [ ] W81 Changed product specifications [X ] [ ] [ ] W82 Modified design or composition of product [ X] [ ] [ ] W83 Modified packaging [X ] [ ] [ ] W89 Other product modifications(please explain) [X ] [ ] [ ] W99 Other(please explain) Innospec Industrial Permit Application-Waste Survey form 220622 Page 23 of 24 INDUSTRIAL USER WASTEWATER SURVEY AND DISCHARGE PERMIT APPLICATION SECTION J—OTHER PERMITS 1. List all environmental control permits currently managed for or by this facility. Examples: air, National Pollutant Discharge Elimination System(NPDES), Industrial User Permits(IUP), Resources Conservation and Recovery Act(RCRA), groundwater, storm water,general, non-discharge, and septic tank. Be prepared to provide the POTW with copies of identified permits and related records. Permit Type Permit Number Issuing Agency Spray Irrigation/Land WQ0001077 NC DEQ Application General Stormwater Permit NCG060000 (NCG060230) NC DEQ associated with Industrial Activities IUP 0038 Salisbury/Rowan Utilities Air Permit 08504R09 NC DEQ General Stormwater Permit NCC202883 NC DEQ associate with construction activities 2. With regard to the parent company and all subsidiaries, list all wastewater discharge permits issued to cover similar operations to those at this facility. Examples: National Pollutant Discharge Elimination System (NPDES), Industrial User Permits(IUP), groundwater,general, non-discharge, and septic tank. Be prepared to provide the POTW with copies of identified permits and related records. Facility and Permit Type Permit Number Issuing Agency Location Innospec IUP 0120 City of High Point 510 W. Grimes Ave. High Point, NC 27260 Innospec General Stormwater NCG060000 NC DEQ 510 W. Grimes Ave. Permit associated with (NCG060359) High Point, NC Industrial Activities 27260 3. With regard to the parent company and all subsidiaries, list all environmental permits applied for in the United States where issuance was denied OR the permit was terminated prior to the expiration date. Examples: air, NPDES, IUP, RCRA, groundwater storm water, general, non-discharge, and septic tank. Be prepared to provide the POTW with copies of identified permits and related records. Reason for Permit Type Issuing Agency Date Facility Name Denial/Termination and Location NONE Innospec Industrial Permit Application-Waste Survey form 220622 Page 24 of 24 Inventory closing balance Innospec Active Chemicals LLC,Salisbury To date:6/20/2022 Item number Name Closing stock quantity, Pounds 000289 ISOPROPANOL(IPA)in TOTES 5,641.00 000301 METHANOL IN TOTES 13,505.00 000437 ETHYLENE GLYCOL 6,734.00 001268 50%CITRIC ACID 17,179.00 001269 CITRIC ACID-ANHYDROUS 1,225.00 001272 1 3 BUTYLENE GLYCOL 1,940.00 001276 2 ETHYL HEXANOL 13,653.00 001279 ACETIC ACID GLACIAL 4,800.00 001282 AEEA 34,427.23 001283 ALPHA OLEFIN EPDXIDE C-16 865.00 001286 AW HYFLOW SUPER CEL NF 200.00 001287 BENZOIC ACID 655.10 001289 SILICONE DEFOAMER 5,042.00 001290 COCONUT FATTY ACID, 230,620.10 001292 COCO FATTY ACID STRIPPED IV 5-12 25,336.00 001296 CALCIUM CHLORIDE DIHYDRATE USP 165.35 001297 CAUSTIC POTASH 45%LIQUID 0.00 001298 CAUSTIC POTASH FLAKE 1,543.22 001299 CAUSTIC SODA BEADS 674.00 001301 CAUSTIC SODA LIQUID 50% 52,452.85 001305 COCONUT OIL 76 FULLY REFINED 14,123.00 001306 CORN OIL NF 1,930.00 001307 CYCLOHEXANOL 45,624.00 001310 DIETHANOLAMINE 99% 6,821.00 001311 DIETHYL SULFATE 3,017.00 001316 METHYL OLEATE 2,380.97 001317 OLEIC ACID SINGLE DISTILLED(TALLOW) 403.00 001318 STEARIC ACID TRIPLE PRESSED VEG<_25 1,102.30 001325 LAUROYL SARCOSINATE ACID 4,595.00 001326 LAURIC ACID 99%(C12-99)FLAKE 14,441.92 001332 GERMABEN II 224.00 001335 SODIUM ISETHIONATE 262,287.32 001336 HYDROGEN PEROXIDE 35% 5,726.00 001339 HYPOPHOSPHOROUS ACID 50% 881.84 001342 KATHON CG 326.51 001348 ISO BUTANOL 13,122.00 001355 MAGNESOL POLYSORB 30/40 75.00 001357 MALEIC ANHYDRIDE BRIQUETTES 64,865.68 001366 MONOISOPROPANOLAMINE 6,472.00 001367 MURIATIC ACID 970.00 001368 N METHYL TAURINE 36% 1,126.00 001369 N METHYL TAURINE 62% 35,252.00 Item number Name Closing stock quantity, Pounds 001372 ALCOHOL ETHOXYLATE C12-13 6.5 1.00 001373 ALCOHOL C12-15 -17,674.00 001376 NEOLONE PE 395.00 001381 TALL OIL FATTY ACID 9,003.00 001382 PEG 400 NF SENTRY GRADE 2,940.00 001383 PEG 400 tech 0.00 001386 PHOSPHORUS PENTOXIDE 1,202.00 001387 PHOSPHORUS TRICHLORIDE in Drum 57,146.60 001388 POLYCAT 15 3,794.00 001391 POTASSIUM CARBONATE 1,618.41 001392 POTASSIUM CHLORIDE 0.00 001395 PROPYLENE GLYCOL IND 23,121.00 001396 PROPYLENE GLYCOL USP 1,277.00 001399 TRIDECYL ALCOHOL ETHOXYLATE 6 16,101.00 001400 RICINOLEIC ACID 25.00 001402 SODIUM CHLORIDE 9,508.00 001403 SDA 3A 190 PROOF 8,464.98 001406 PEG 8 DIMETHICONE 1,425.00 001407 SODA ASH DENSE 3,872.00 001408 SODIUM ACETATE ANHYDROUS 6,050.00 001409 SODIUM BENZOATE NF 7,509.05 001410 SODIUM BOROHYDRIDE 66.20 001411 SODIUM HYPOCHLORITE SOL 12.5% 22,255.00 001413 SODIUM METABISULFITE NF 47,554.00 001414 SODIUM METHYLATE 25% 1,728.00 001415 SODIUM METHYL ISETHIONATE 234,579.96 001416 SODIUM MONOCHLORO ACETATE 40,354.52 001417 SODIUM SARCOSINE 40% 70,549.96 001419 SODIUM SULFITE 18,050.00 001420 SODIUM TRIPOLYPHOSPHATE 2,430.69 001421 SOLKA-FLOC 10 NF 150.00 001423 STANNOUS OXALATE in Pails 8,267.64 001424 SULFURIC ACID 98 797.00 001425 SURFYNOL 420 2,008.00 001428 TITANIUM DIOXIDE 1,031.30 001432 TRIETHANOLAMINE 85% 306.00 001434 TETRASODIUM EDTA(CHELATE 100) 2,309.50 001435 DE-IONIZED WATER -32,378,472.45 001437 ZINC OXIDE USP#66 16,552.00 001455 METHANE SULFONIC ACID 70% 1,880.00 002683 COCAMIDE MIPA 27,650.00 002791 TERGITOL L-81 1,220.00 003073 CAPRYLIC ACID 98%(C8) 6,732.00 003326 GLYCINE 295.25 003330 CAPRIC ACID(C10) 2,734.97 003346 GLYCERIN 99.7% 3,121.00 003444 LAURIC ACID 98%MOLTEN 21,550.00 Item number Name Closing stock quantity, Pounds 003449 OLEIC ACID(VEG) 27,732.06 003485 COCAMIDOPROPYL BETAINE, 0.00 003601 MYRISTIC ACID FLAKES(C14) 533.00 003881 NONYLPHENOL ETHOXYLATE 9 MOLE 3,680.00 019732 EVA WAX AC400 0.00 020467 METHYL SALICYLATE 0.00 020502 LAURIC ACID COCONUT BASED MOLTEN 0.00 020554 VVF SOAP(TALLOW) 4,138.00 020579 CALCIUM HYPOPHOSPHITE 33,182.55 021937 LAURIC ACID(C12)(MASS BALANCE) 14,703.08 022135 CHLORPHENESIN 378.04 022136 SOPALTERIC CHS(Cocamidopropyl 27,070.00 022171 SODIUM LAUROYL LACTYLATE(DERMOL 6,710.00 022178 STEARIC ACID-VEG-MOLTEN 165,503.00 022202 AW HYFLOW SUPER CEL NFB 4,200.00 022456 AMINOSYL L30PF(Sodium Lauroyl 2,169.00 022539 LAURYL DIMETHYLAMINE 1214 1,100.00 023591 SMCA-TA 14,495.25 024088 TOPPED COCONUT FATTY ACID ASF90 620.00 024388 MYRISTIC ACID(CO) 22,540.00 024604 Colateric CCBS-PC 444.00 024861 N METHYL TAURINE 40% 250,524.00 025121 CITY WATER-SALISBURY -8,102,153.00 025162 SODIUM BENZOATE SOLN 33% 32,413.00 025180 Chembetaine CGF 1,600.00 Do not send to EPA This is the final copy of your form."* Form Approved CtvB Nixrber:2070-0212 Approval Expires:2024-03-31 Page 1of5 Complete form online via TRI-MEweb.For a trade secret submission,send completed forms to TRI Reporting Center,P.O.Box 10163,Fairfax,VA 22038.The annual public burden related to the Form R is estimated to average 35.71 hours per response for a facility filing a report on one chemical.See the Reporting Forms and Instructions for more information on submissions and the Paperwork Reduction Act. TR Facifty D ivin EPA FORM R Lhited Sates Section 313 of the Errergency Ranning and Corunrnity Right-to- 28159FNT)CM85AN Environmental know Act of 1986, Ro tection also known as Title III of the Supertax]Arrerxdner its and Toxic Chemical,Category,or Generic Narre Agency Reauthorization Act. Zinc compounds This section only applies if you are revising or Revision(Enter up to two oode(s)) ] Withdrawal(Enter up to two code(s)) withdrawing a previously s ubmitted form,otherwise leave blank: [ l[ ] [ ][ ] Important See instructions to determine w hen"Not Applicable(NA)"boxes should be checked. Part I.FACLfTY ICENTFICATION INFORMATION SEC 1CN 1.REFCRTINGYEAR:2020 SECTION 2-RACE Sir PFCRAN110N Are you claiming the toxic chemical identified on page 2 trade secret? 2.1 []Yes(Answer question 22;attach substantiation fours) [X]NO(Do not answer 2Z go to Section 3) Is this copy 22 []Sanitized[l Lhsartlized (Answer only if"Yes"in 2.1) SECTION 3.C ERTFICATTON(Important:Fiend and sign after corrpletirtg all form sectors.) I hereby certify that I have reviewed the attached documents and that,to the best ci ny knowledge an belief,the submitted infonration is true and complete aid that the an:utls and values in this r'lout are accurate based on reasonable estimates using data available to the preparers of this report. Name and official title of owner/operator or senior rimreytxrernt official: Signature: Date Signed: Vic Jameson Vice President,Operations Reference Copy:Copy of Record Resides in CDX 2021-06-29 SIECTION4.FACILITY CENITFICATICN Facility or Estadislmerl Name TRI Facili ID NuiLia B1A Code INNOSPEC ACTIVE CI-EWCALS 28159R1TXNI85AN Facility or Estadislrrerl tvl3 hr Pd tress(if different from Street 4.1 500 HNQ.E LAPS physical )street address). City/Couty/State/ZIPCode Gt /State/ZIPCode Carlrv(Noi-US) SAIJSBURY /Rowan /NC /28144 I / / 4.2 report contains information for: a.[X]An Entire facility b.[]Part of a facility c.[]A Federal facility d.[]GC CO (Important check a or b;check c a d if applicable) 4.3 Technical Contact narre AI 1 FN RpgEY Erna)Address Tdenccne Nurber(include area code and ext.) ALLEN.ROBEY@INPK)SPEC INC.0 MA 336-847-5061 4.4 Rhblic Contact name ALL9d ROBEY Email Pddess Telednne Nurber(include area code and ext.) ALLEN.ROBEY@INPK)SPBCINC.0 MA 336-847-5061 4.5 NAICS Code(s)(6 digits) a.325613 b. c. d. e. f. (Primary) Dun and Bradstreet Naitur(s)(9dgits) 4.6 a.NA b. SECT1CN5.PAFB'ITCCIvFTAM'IPFCRAT1ON 5.1 Fianna of US.Parent Company(for TR Fbporting INNosPa INC Nb U.S.Parent Company(for Tfd purposes) Reporting purposes)[ 5.2 Parent Company's Dun&Bradstreet%t r he NA[X] EPA Form9350-1(Rev.)-Revious editions are obsolete. Panted using TFt-YEINeb Page 2 of 5 ***Do not send to EPA This is the final copy of your form." TR1 Facility D Nlorber EPA FORM R 28159R1DCM85AN PART IL CHEMICAL-SPECIFIC INFORMATION Toxic Chemical,Category,or Generic Name Zinc compounds SiTICIN 1.TCDOC 043/104L 1:84111Y (1,11.1111 tat CO NM-carplete this section if ycu are reporting a mixture component in Section 2 below.) CAS Rinter(In-portant Enter only one number exactly as it appears an the Section 313 list.Bier category code if reporting a titITILAI category.) 1.1 N982 Toxic Cher/tat or Chemical Category Mire(trpocrtant Enter only one narre exactly as it appears cri the Section 313 list) 1.2 Zinc compounds Generic Chemical Name(kiwi tail Complete only if Part I,Section 21 is checked"Yes".Generic Name mist be structurally descriptive). 1.3 NA. S/71CN 2 WOLF CCINFCN3Y1-ICENTITY(trpertant CO NDT conplete this section if you completed Section 1.) Generic Oren ical Narre Resided by Supplier(k ruu la it Maxie 70 characters,including nut rbei s,spaces,and purictuation.) 21 NA. SECDCIN 3.ACTWIT1ES AND USES CF 11-E TOXIC CI-EMCAL AT 11-E FACUTY (Inportant Check all that apply.) 3.1 'Manufacture the toxic chemical: 3.2 Rocess the toxic chemical: I 3.3 lOtherw ise use the toxic cherricat a[J Produce b.[]kmort a[]As a reactant Sub-Uses: a.[X]As a chemical processing ad If prortirp or inport: b.[]As a fom-ulation corrponent Sub-Uses:I Z102 c.H For on-site use/processing Sub-ltes: b.[]As a manufacturing ad d.[1 For saldistributico c.[]As an article component Sub-Uses: e.[]As a byproduct d.[]Repackaging c.[]Ancillary or other use f.[i As arl irrPurilY e.[]As an impurity Sub-Ltes: f.[]Racycling SECT1CN 4.rovivim AMOUNT CFIFETIOACCHEMCAL ON-WE AT ANY TINE DURING TI-E CALBADAR YEAR 4.1 I[03 ](Biter two-digit rri from instruction package.) SECTION 5.QUANTITY OF IFE TOXIC CHEMCAL ENTERING EACH ENV RONVENTAL liiEDIUM ON-SITE A.Total Release(pounds/year*) B.Basis of Estirrate C Fercent from Storm ater (Bier range(TAP or estimate") (Biter code) I 5.1 Fugitive or non-point NAH 26A 0 1 air enissions Stack or point 5.2 NA[X] air emissions Dscharges to receiving strearrs or 5.3NA water bodies(Biter one name per box) [ Stream or Water Body Mere Mach Code(optional) 5.3.1 !Unnamed water body 03040103000593 0 0 100% *For Cioxin and Dioxin-We Conpounds,report in gram/year EPA Form9350-1(Rev.)-Previous editions are obsolete. **Range Codes:A=1-10 pounds;E11-499 pounds;C=500-939 pounds. Page 3 of 5 ***Do not send to EPA This is the final copy of your form*** IFI Facility DNurt� EPA FORM R 28159FNTXM85AN PART II.CHEMICAL-SPECIFIC INFORMATION(CONTINUED) Tcodc O>enical,Category,or Generic Nare Zinc compounds SMITCN5.CUWNTTfYCFTI-E TOM O-Bv1CAL ENTERING EACH ENA/R v \11ALMET3Q 1ONSfTE(Catirued) NA A.Total F tease(pocnds/year')(Biter range code"or estimate) B.Basis of Estinete(Enter code) 5.45.5 Elsposal to land on site (7ac5 l Thderground 5.4.1 [Yia,tiuiwells X l Class II-V thderground ] 5.4.2 [X Y yec liu r wells 5.5.1ARCRA subtitle Clndfills [X] 5.5.1.E Other landfills [X] 5.5.2 fLand treatment/application [X] am ing 5.5.3ARCRA Subtitle [X] surface impoundments 5.5.36 Other surface irpoundr r e,its [X] 5.5.4 Other cisposal [] 42.2 Optional Waste Rick Ries trifamation You may check this box if your Section 5.5 quantities include"waste rock piles."[l Enter quantity of"waste rock piles"(pounds/year*) SMT1ON6.TRAN FE S)CF11-ETOXICO- v1CALINWASIh,TOOFFSITELOCATlCt`S 6.1 CISCHAFGE,S TOR PI ICLY(7J \M TFEA-TM3.TT V OFFS(FO1iA ) IN4[ 6.1.1 CITY OF SAL ISBURY W WTP FOTW Narre EOM Address 1915 GRUBB FERRY RD. y ntry SALJSBURY minty Rowan sate NC ZIP 28145 ((b L ) A Cluantity Transferred to this ROTW B.Basis of Estimate C Type of Waste TreatnenUDsposal (pourlds/year*)(Biter range code"or estimate) (Enter code) (Enter code) 1.30.9 1.M2 1.P30 "For Dioxin and Dcsin-like Compounds,report in grarrs/year EPA Form935O-1(Rev.)-Fte✓ious editions are obsolete. "Range axles:A=1-10 pounds;B=11-499 pounds;("N 999 pounds. Page 4 of 5 '""Do not send to EPA This is the final copy of your form."" TR Facility O Nirrber BA FORM R 28159FNTXN185AN PART II. CHEMICAL-SPECIFIC INFORMATION(CONTINUED) Toxic therrical y or Comic Narre Zinc compounds SECTION 6.2 TRANS TO OTHER OFF SfTE LOCATUNS J NA[] 6.21 Cff-Site EPA Identification Nbrber(RCRA ID No.) NA Off-Site Location Name: Terra Renewal Services Off-Site Address: 201 S Denver Avenue Country City Russellville County Pope State AR ZIP 72801 (N 1 Is location under control of reporting facility or parent company? [1 Yes[X]ND • A.Total Transfer(pounds/year') B.Basis of fstinate C Type of Waste Tr t/CisposaV (Enter range cede*or estinste) (Enter cry-la) Facy gy RecOVwy(Enter code) 1.1155 1.M2 1.M94 SECT1CN 7A CPSlTE WASTE TFEAIIVIENF IVE1HSD6 AND E FRCENCY - [X]Nit Appliraha(NA)-Check here if no on-site waste treatrrerd is applied to any waste stream containing the toxic chemical or chemical category. a General c.VlFaste Treatment b.Waste Treatrrent N�tt�od(s)SequencelAtaste Stream (enter code) Efficiency [enter 3-character code(s)] tstinete 'For[ioxin and Doxin-llw O orrpounds,report in grans/year EPA Form9350-1(Rev.)-Revious editions are obsolete. "Range(odes:A=1-10 pounds;E=11-499 pounds;C500-999 pounds. Page 5 of 5 Do not send to EPA: This is the final copy of your form" TFa Facility ID NLrrber EPA FORM R 28159FNTXN85AN PART II.CHEMICAL-SPECIFIC INFORMATION(CONTINUED) Toxic che,rir.al,actegory,or Generic N3rre Zinc compounds SECTION 7B.ON-SITE BAY REIDNE Y FFCCESSES [X]NA-Check here if no on-site energy recovery is applied to any waste stream containing the toxic chemical or chemical category. Energy Recovery Methods[Biter 3-ohoracter code(s)] SECTION 7G CN-SITE F ECYCLING FFCCESSES [X]NA-Check here if no on-site recycling is applied to any waste stream containing the toxic chenical or chenical category. Fiacycling Methods[Enter 3-character code(s)] SECTION8.SOURCE R131.010NANDWAS1hMP,NACEvB\ff (Munn A (blurm B Column C Q lurm D Rai Year Current%porting Fol ces ing Year S ccnd Following Year Year (PoundsNear') (p ounds/y�*) (Pounds/year`) (pounds/yam') 8.1-8.7 Roduction-Felated Waste Mt inaged Total on-site disposal to Cass I 8.1a lhdergrouxt Injection Wells,FC A NA NA NA NA Subtitle C landfills,and other land ils 8.1bTotal other on site dsposal or other NA 68.55 68.55 68.55 releases Total off-site disposal to Cass I 8.1c Uhdergrouhd Vlklls,FtRA NA NA NA NA Subtitle C landfills,and other landfills T8.1d el�easother off-site disposal or other NA 1185.9 1185.9 1185.9 r8.2 Cry used for energy recovery NA NA NA NA on-site a3 Quantity used for energy recovery NA NA NA NA off-site • 8.4 Cuantity recycled on-site NA NA NA NA 8.5 C.hahtity recycled off-site NA NA NA NA 8.6 Cuantity treated on-site NA NA NA NA 8.7 Cjantity treated off-site NA NA NA NA 8.8 Non-production-related waste managed" 0.05 8.9 []Roduction ratio or[X]Activity ratio(select one arid enter value to right) 1.16 Cid you facility engage in any newly implemented source reduction activities for this chenical during the reporting 8.10 year? N4[X] If so,complete the following section;if not,check N4. Source R:duction Activities Methods to Identify Activity(Eater code(s)) Estimated annual reduction (Biter code(s)) (Enter code(s))(optional) 8.10.1 NA 'For Dioxin and Cioxin-ttce Ow-pounds,report in grarrstyear f3'4 Form9350F1(Fev.)-Revious editions are obsolete. "Includes quantitiesreleased to the environrrer It or transferred off-site as a result of remedial actions,catastrophic events,or otter one-tine events not associated with production processes TF Facility ID%libel 28159FN1X1185AN Toxic Chemical,Category,or tic%re Zinc compounds Additional optional information on source reduction,recycling,or pollution control activities. Section 8.11:If you wish to submit additional optional information on source reduction,recycling,or pollution control activities,provide it here. Topic Comment B7-rb know n substitutes or alternative technologies. Section 9.1:If you wish to submit any miscellaneous,additional,or optional information regarding your Form Rsubmission,provide it here. Topic Comment You have entered a value for a nal andlor a metal corrpand fa Error I%viewed/No Comment. Transfers to Ftbicy avned Treatment V11xis(FCMAt) You checked the"Not Applicable" box for the cff-site location EPA Error Ibviewed/No Comment. Identification Nnber ***Do not send to EPA: This is the final copy of your form.' FormApproved Cfv6 NA rt. :2070-0212 Approval Expires:2024-03-31 Page 1of5 Complete form online via TRI-MEweb.For a trade secret submission,send completed forms to TRI Reporting Center,P.O.Box 10163,Fairfax,VA 22038.The annual public burden related to the Form R is estimated to average 35.71 hours per response for a facility n9 fill a reportReporting on one chemical.See the Re orti Forms and Instructions for more information on submissions and the Paperwork Reduction Act. rF 1 Facility DNmt�, EPA FORM R lhded States Section 313 of the E rergency Planning and Oxrmmity Fight-to- 28159Rfl XN85AN Environmental know Act of 1986, Rotection also known as Title Ill of the Sliperfund Arrendrrents and Toxic Chemical,Category,or(aneric Name Agency Feauthorizalion Act. Gycktttexanol This section only applies if you are revising or Revision(Enter up to two code(s)) Withdrawal(Enter up to two code(s)) withdrawing a pre viouslysubmitted form,otherwise leave blank: [ ][ ] [ ][ ] Important See hstructions to detemine when"Nbt Applicable(N4)"boxes should be ct daubed. Part I.FACUTY IEBJFFKATICN INFCFMATCN SECT10N 1.FEFCRT1NG YEAR:2020 SECT1CN 2 TRACE Sir PFCFMNTCN Are you claming the toxic chemical identified on page 2 trade secret? 21 []Yes(Answer question 2.2;attach substattiation farts) [X]NJ(Do not answer 2Z go to Section 3) Is this copy 22 []Sanitized[1 Lhsanitized (Answer oriy if"Yes"in 2.1) SEL`T10N 3.CBRTFI ATICN(Y µr Lint.Fad and sign after corrnleling all form sections.) I hereby certify that I have reviewed the dttdt hed documents and that,to the best of ny knowledge and belief,the sutxritted information is true and complete and that the moults and values in this report are accurate based on reasonable estimates using data available to the preparers of this report Nacre and official title of owner/operator or senior manager ent official: Signature: ,Ciate Signed: Vic Jameson Vice President,Operations Reference Copy.Copy of Record Resides in CDX 2021-06-29 SECT1CN4.FACILfrY IDBYTIRCATKJN Facility a Estadishi t Name TRI Faci ID Number BIA Code INNOSPEC ACTIVE CI-EMICALS 28159FN1XN85AN Facility a Establishment f taihno Address(if different flue Street 4.1 500 HINFQE LANE physical street address) City/Carty/State/ZIP Code C /State/ZIP Crrie Carty(Non-US) SALISBURY /Rowan /NC /28144 / / 4.2 This report contains Infomtation for. a.[X]An Entire facility b.[]Part of a facility c.[]A Federal facility d.[]CXJOO (important check a or b;check c or d if applicable) _ 4.3 Technical Contact name AI l FU ROBEY Email Address Telephone Nu rr rber(include area rie and ext.) ALLEN.ROBEY@INNOSPBgNC.COM 336-847-5061 4.4 Riblic Cbrntact name ALLBV ROBE`( Email Address Telephone Nu rber(include area code ad ext.) ALLH'LROBEY@INNOSPB 1NC.COM 336-847-5061 4.5 N4ICS axle(s)(6 digits) a.3 b. c. d e. f. (Primary) D n and Bradstreet Nrntx,(s)(9 digits) 4.6 a.NA b. SECTION 5.PARENT CCNP4NY IPFCRVATION 5.1 Name of US.Parent Oxrpany(for TRI Reporting INNOSPEc INC W U.S.Parent Company(for TR purposes) WPorbrg ITxees)El 5.2 Parent Cbrrpan is Eun&Bradstreet Nirrber N4[X] EPA Form935O-1(Rev.)-Revious editions are obsolete. Panted using TT TvEveb Page 2 of 5 '*"Do not send to EPA: This is the final copy of your form.*** TR Facility D Nnber EPA FORM R 28159FNTX185AN PART II.CHEMICAL-SPECIFIC INFORMATION Toxic Chemical Otegory,or Generic Name Cyclohexanol SECTION 1.TOXIC O-U lCAL CB'(T1TY (Important CO NOT carplete this section if you are reporting a mixture conportent in Section 2 bebw.) CAS Number(trportant:Enter only me number exactly as it appears on the Section 313 list.Enter category mine if reporting a chemical category.) 1.1 108930 Toocic Oienical or Onerrical Category N3rre(important Biter any one nave exactly as it appears on the Section 313 list) 1.2 Uydohexanol Generic Chenical N3rre(hportant Complete only if Part I,Section 2.1 is checked"Yee.Generic Naas mist be structurally descriptive). 1.3 NA SECTION 2.MXTLPEC ARNE JT[ENTITY(hportant CO NOrc atplete this section if you completed Section 1.) Generic Orrarir-al N3rre Rovided by Supplier(i,pulad.M3xinumof 70 characters,inckufng numbers,spaces,and punctuation.) 21 NA SECTION 3.ACTNfTIE AND USES OF1FE TOXIC CHENACAL AT II-E FACLITY (In IaiL Check althat apply.) 3.1 IM3rxfa tune the toxic chemical: 3.2 IF7ocess the toxic chemical: I 3.3 ICXherw use use the toxic chemical: a[]Fhauceb.[]krport a[X]Asareactant Sub-Uses:L P102 a[X]As a cherrical processing aid If produce or irrpat: b.[X]As a formulation composer t Sub-l.Ges:I Z101 c.[]Fbr on-site use/processing � l a;: P203 b.[]As a manufacturing aid e.[]As byproduct c bon c.[]As an article corrpornent Sub-Uses: f.[]As an hpurity d[]Fcicaging c.[]Ancillary or other use e.[]As an impurity &b-Ll es: f.[]%cycling SECTION 4.MAXMMAMXNr CF Tt-ETOX IC O-evICAL ONSTrEATANY TIVE CL.RNG Tl-E CAL EN:ARYEAR 4.1 I[04 ](Enter two-dgit code from instruc.tonpackage.) SECTION 5.C ANTTTY C F Tlf TLIXIC O-Bv1CAL l3VfTR1G EACH f3'.NFONv13NflAL MEOW( SITE A Total release(pounds/year*) B.Basis of Estirr to from ater (Biter range code or estimate'*) (Enter code) C Fbrcent Stomw 5.1 Fugitive or non-point NA[] 12 El air emssions 5.2 Stark or point [] 129.1El Nnkair errissicrs Cfschages to receiving streams or ] 5.3 NoqX water bodes(Enter me name per box) Streams Water Body N3rre Peach Code(optional) 5.3.1 INA 'For Doxin and Cfoxin-like Cbrrpouaxls,report it grans/year EPA Form9350-1(Pev.)-Frevaus editions are obsolete. *`range Codes:A=1-10 pounds;lE11-499 pounds;O5500-999 pounds. Page 3 of 5 """Do not send to EPA This is the final copy of your form.'" TRI Facility D Nrrber EPA FORM R 28159RdTX14185AN PART IL CHEMICAL-SPECIFIC INFORMATION(CONTINUED) Toxic Orenical Or Cris Nl3rre Cyclohexard SMTICN5.QL14NfTYOF TEE TOXIC CHBv1CAL[ENTERING EACHBW ITALMEDILIv1CN-STfE(Contirued) NA A.Total Release(pards/year)(Enter range code"or estirrate) B.Basis of Fstirrete(Enter cr rie) 5.4-5.5 I7sposal to land on-site 5.4.1 O cs I L.hdergrard [X] Injection wells Class II-V Lhderground 5.4.2 [X] Injection wells 5.5.1 A F subtitle C landfills [X] Other landfills 5.5.1.E X [ ] 5.5.2 Land treatrrarrt/applicati n [X] fanrug 5.5.3A FtRA Subtitle C [X] surface irrpotrxhrents Cther surface irrpourdnanfs 5.5.36 [X] 5.5.4 C>ther dsposal [X] Cptional Waste Fbck Ries Frfomation You rray check this box if your Section 5.5 quantities include"waste rock piles."[]Enter quantity of"waste rock piles"(pou ds/year') SELMCN 6.TRANSFBR(S)CF TI-E TOXIC C1$v1CAL IN VVAS I hs TO CFF-SfTE LOCATIONS 6.1 DISCHARGES TO FUBL.ICLY O )TFAATfv 'ff VAC WS(fOTV%) RNA[X] 'For Doxin and Doxin-life Co rpo jnc ,report in grans/year EPA Form 9350-1(Rey.)-Revious editions are obsolete. "Range Cbdes:A=1-10 pounds;B=11-499 pounds;G5500-999 pounds. [Page 4 of 5 **'`Do not send to EPA: This is the final copy of your form.*** TR Facility ID(\briber EPA FORM R 28159MT/0185M PART II. CHEMICAL-SPECIFIC INFORMATION(CONTINUED) oxic cnenica,03tewry,or Generic N3-re Oiclohexanol SECT1CN6.2 TRANSFERS TOOTI-HNC F-SITELOCATKT€ IN`>[] 6.2.1 Cff-Ste EPA Identification Uinta(RZRA ID Nb.) SCD003368891 Off-Site Location Narre: I-KLCIM US INC(BOCYCLE LLC Off-Site Address: 2175 GARDIER BLVD Oty HOLLY FILL aunty Orangeburg State SC ZIP 29059 Country (SUS) Is location under catrd cf reporting facility or parent ccxrpany? []Yes[X]NJ A.Total Transfer(pounds/year') B.Basis of Estimate C Type of Waste Treatmnt/Dsposal/ Bit rangecnde—a esthete (Biter code Rec cG Recovery(Enter code) (Biter ) ) Y r>��9)' erY 1.51139 1.M2 1.M56 6.2.2 Cff-Ste EPA Identification N riba(FUFA ID Nb.) IND006419212 Off-Site Location Name: LONE STAR( CASTLE WDF Off-Site Address: 3301 SO C R 150 WEST Chun Oty ( CASTLE County Putnam State IN ZP 46135 (Non-y Is location untie control of reporting facility or parent company? [)Yes[X]Nb A Total Transfer(pouuxis/year') B.Basis of fstirete C Type of Waste Treatrrent/C sposal/ (Enter range code"a estimate) (Biter code) Recycling/Energy Racovery(Etta code) 1.96852 1.M2 1.M26 SECTION 7A(MBE WASTETFE41NBJT tvE7I-13C6 AND EFROE Y [X]Nbt Applicable(N4)-Check here if no on-site waste treatrrent is applied to any waste stream containing the toxic chemical or chemical category. a General c.Waste Treatment b.Waste Treatrrent Method(s)Sequence Waste Stream( ) Efficiency [enter 3-character code(s)] enter code Estirrete 'For Doxin and Darin-Idae Cbnpouxds,report in grarrs/year EPA Form9350-1(Ftv.)-Reviaus editions are obsdete. '"Range Oxdes:A=1-10 pounds;B=11-499 pounds;O 00-999 pounds. Page 5 of 5 ***Do not send to EPA: This is the final copy of your form.**" T}a Facifty ID NJ'bet EPA FORM R 28159FNTXNI85AN PART II. CHEMICAL-SPECIFIC INFORMATION(CONTINUED) Toxic chooiced,139tegory,ar Generic Nairn= Cyclohexanol SETTICN7B.CNSITEBNERGY RECOVERY Fib [X]NA-Check here if no cc-site energy recovery is applied to any waste stream containing the toxic chemical Cr chenical category. Energy Recovery M hods[Enter 3-character code(s)] SECT CN 7C ON-SITE RECYCLN3 FRCCESSES [X]N4-Check here if no on-site recycling is applied to any waste strewn containing the toxic chenical or cherrical category. Recycling What[Enter 3-character code(s)] SECTICN8.S LFCE RECIETICNANDWASItM4NAC vBSJT Colo m A Golurm B O*im C Cdurm D Rior Year arrant Fearting FollowingYear Second Following Year Year (Pca N ') (per h'�*) (parxis/year`) (p /y *) 8.1-8.7 Roductiori-Falated Waste Managed - Total co-site disposal to Class I 8.1 a Uidergrand Injection V halls,FORA NA NA NA NA Subtitle C landflls,and other landfills 81 b Total�on-site disposal a other 241.8 141.1 141.1 141.1 Tahal off-site disposal to Cass I 8.1c lhdergarxJ Injection Walls,KRA NA NA NA NA Subtitle Clan landfills,and other tendrils 8.1d Total other off-site disposal Cr other NA NA NA NA releases 8.2 CuantitY used for energy recovery NA NA NA NA on-site a3 Clardity used for energy recovery NA 51139 51139 51139 off-site a4 Cumlty recycled on-site NA NA NA NA 8.5 recycled off-site 72984 96852 96852 96852 8.6 (laitity treated on-site NA NA NA NA 8 7 Cuantity treated off-site NA NA NA NA 8.8 Ncrrproductior related waste managed" NA 8.9 []Production ratio or[X]Activity ratio(select one and enter value to right) 0.8 ❑d yocr facility engage ri any newly implemented source reduction activities for this chemical during the reporting 8.10 yea? NA[X] If so,complete the following section;if not,check N4. Source Reduction Activities tvf thocJs to Identify Activity(Enter code(s)) Estirreted annual reducton (Ender code(s)) (Biter code(s))(optional) 8.10.1 NA For[toxin and Cfoxin-lilw Compounds,report in grars/year IEF'A Form93541(Rev.)-Previous editions are obsolete. Includes quantities released to the environment a transferred off-site as a resat of remedial adios,catastrophic events,or other ane-tirre events not associated with production processes TRI Faciity D Nrrba 28159R'ITXNI85AN Toxic Oienical,allegory,or Gineric Nbrre Cyclohexanol Additional optional information on source reduction,recycling,or pollution control activities. i information on source reduction,recyding,orpollution control activities,provide it here. Section 8.11:If you wish to submit additional optionalcyd ng, Topic Comment B7-ND known substitutes or alternative technologies. 'Section 9.1:If you wish to submit any miscellaneous,additional,or optional information regarding your Form R submission,provide it here. Topic Comment Change n the total quantity of This change in release totals was expected. production-related waste Do not send to EPA This is the final copy of your form. ForraApproved QvB N.jrt,rx:2070-0212 Approval Expires:2024-03-31 Page 1of5 Complete form online via TRI-MEweb.For a trade secret submission,send completed forms to TRI Reporting Center,P.O.Box 10163,Fairfax,VA 22038.The annual public burden related to the Form R is estimated to average 35.71 hours per response for a facility filing a report on one chemical.See the Reporting Forms and Instructions for more information on submissions and the Paperwork Reduction Act. TR Facility O Nn Loa EPA FORM R 28159FNTX1185AN lhited Rates Section 313 of the Bier gency Hawing and Q rminity Fight-to-. Environmental know Act of 1986, Toxic Chenical,Category,or Generic Nave Rotection also known as Title II of the Superf and At r a di r er cis and Agency ration Act. Hydrochloric acid(acid aerosols inc[udng mists,vapors,gas,fog,and other airborne forms of any particle size) This section only applies if you are revising or Revision(Enter up to two code(s)) Withdrawal(Enter up to two code(s)) withdrawing a pre.iously submitted form,otherwise leave blank [ If ] LIE ] important See tstructions to determine when"Not Applicable(NA)'boxes should be checlaed. Part I.FACIJ1Y CIENT1FICATEN PFCI ATtN SECTION 1.REFORTNG YEAR:2020 SEC f IxN 2 TRACE SECRET PFCRVAITCN Are you darting the toxic cherrical identified on page 2 trade secret? 2.1 []Yes(Answer question 22 attach substantiation fours) [X)ND(Do not answer 22;go to Section 3) Is this ccpy 2.2 []Sanitized[I Lhsanitized (Answer only if"Yes"in 21) SECTION 3.CBRTFICAl1CN(trportat:Ind and sign after completing all form sections.) I hereby certify that I have reviewed the attached documents and that,to the best of ny know ledge and belief,the sitriitted information is true and complete and that the amounts and values in the teµrt are accurate based on reasonable esthetes using data available to the preparers of this report Name and official title of owner/operator or senior n rt owl et official: Signature: Cate Signed: Vic Jameson Vice President,operations Reference Copy Copy of Record Resides in CDX 2021-06-29 SE;TION4.FACILITY CENTFTCATICN Facility a Est&iiishnert Nane 1121 Facirrty ID Number (BIA Cert. INNOSPEC ACTIVE CHEMICALS 28159FNTXN85AN StreetFacility a Estatislrrral Malang Address(if cifferert fran 4.1 500 HINFQE LANEphysical street address). City/Carty/State/ZIP Curia i /StatelZIP Curia Country(Nor-US( SALISBIRY /Rowan /NC /28144 / / 4.2 This report contains information fa: a. X An Entire facility b. Part d a foci (t portant check a a b;check c a d if applirahta) [ J tY [] �Y c.[J A Federal facility d.[]GOO 4.3 Teclx ical Contact nacre gLLg�ROBEY Errol Actress Telephone Nutter(include area code and ext.). AL LEN.ROBEY@INNOSPECINC.0 OM 336-847-5061 4.4 FLbI c Contact nacre ALLg i ROBEY Erna!Pddess Telephone Nutter(include area code ad ed.). ALLBd.ROBEY(aINNOSPECINC.COM 336-847-5061 4.5 NAKS CTrir(s)(6 digits) a.325613 b. c. d. e. f. (Primary) ail and Bradstreet Nrrtrer(s)(9 digits) 4.6 a.NA b. SECTION 5.PARENT C>CNPANY I'FCFdvh TION Nacre of US Parent Ccepeny(for TR Raporting Pb US Parent Company(for TR 5.1 purposes) INNOSPEC INC Rvorling PtiPoses)[ 52 Parent(brrpeny's On&Bradstreet Haber NA[X] EPA Farm935O-1(Rev.)-Revious e36ors are obsolete. ',tinted tang TRI-NEweb Page *".Do not send to EPA This is the final copy of your form.*** TPo Facility D Nnber 28159FNTXM85AN EPA FORM R PART II. CHEMICAL-SPECIFIC INFORMATION Tact Chemical,()teary,a Generic Nacre Hydrochloric acid(acid aerosols inducing mists,vapors,gas,fog,and other airborne forms of any particle size) SECTION 1.TGIOCC Hv1CAL[ENTITY (hpatant:CO NOT complete this section if you are reporting a nt hre component in Section 2 below.) GAS Niter(hpc tant:Futter only one ru artier exactly as it appears on the Section 313 list Biter category code if reporting a chemical category.) 1.1 7647010 Toxic Chanced or Qienica Category Nacre(hpafat Enter only one nacre exactly as it appears on the Section 313 fst) 1.2 Hydrochloric acid(acid aerosols including mists,vapors,gas,fog,and other airborne forms of any particle size) Generic Chenical Nacre(h µa la it Complete only if Part I,Section 2.1 is checked"Yes".Generic Nare roust be struchralty descriptive). 1.3 NA SEC110N2 MXR CCM:ONE JTE MIfTTY(hpcttatt wwrcorrpletettis section if you cortpleted Section 1.) Generic Chhancel Nacre Fhovided by Soppier(hporbat ainumcf 70 characters,inducing cumbers,spaces,and punctuation.) 21 NA SH:iu.i 3.ACTIVITIES AND USES CF11-ElOACCH3ACAL ATTI-E FACILITY (hportatt Check all that apply.) a 1 IManufactcre the toxic cherical: 3.2 IRrrps the toxic cherical: -I 3.3 IC>ti,erw ise use the toxic chemical: a[X]Roduce b.[]In to t a[l As a reactant if txoduce a import: Sub L es: a[]As a chemical processing aid c.[]Far on-site use/processingb.[]As a formulation component Sub-LLes: d.[1 Ffa salektistribution Sub-ltes: b.[]As a manufacturing aid e.[X]As a byproduct c.[]As an article component Sub-lies: f.[]As an trpurity d.[]Repackaging C.[]Ancillary or other use a[]As an impurity Sub-L;es: f.[]F3cycling SECTION4.MVIvLMAMJWTCFTFETONCCFEvTCALONSITEAT ANY TINE WRING Tl-EC41.BEARYEAR 4.1 I[01 ](Etter two-dgit code from instruction package.) SEBTK7J 5.QUANTTTY OF TF-E TOXIC G-BvICAL BJTERI G EACH ENV AC v81ITAL IvECIl.M CN-SBTE A.Total RAaace(pounds/year) B.Basis of Estirrate (Biter range code oxestimate") (Biter code) C Facentfrom Storm ater 5.1 Fugitive or air errssions non-pointNA[] 0 O clack ci"paint 5.2 air emissions N°[] 0 E2 harg 5.3es to receiving strearrs or NA[X] water bodies(enter me rare per box) Stream orWater Body Nacre Roach Cbde(optional) 5.3.1 INA `For❑oxin and Cfoxin-like Compounds,report in garrs/ye r EPA Form9350-1 )-Revbus editions are obsolete. "Ra ye Godess:A=1-10 pounds;8=11-499 pounds;C`5 999 pounds. Page 3 of 5 **''Do not send to EPA This is the final copy of your form.*** TFa Facrbty D hLrrber 28159FNiXM85AN EPA FORM R PART II. CHEMICAL-SPECIFIC INFORMATION(CONTINUED) Toxic Chemical,03te97y,or Gellert Narre Hydrochloric acid(acid aerosols including mists,vapors,gas,fog,and other airborne forms of any particle size) SE]CTION 5.a1 NTTTY CF TEE TO)OC CHEN1CAL R4Tffd 3 EACH B'WRNvB'ITAL MEI:U'l Ctab1 I t(Cartirued) N4 k Total Fblease(pouxis/year')(Biter range code'or estirrate) B.Basis of Estimate(Biter code) 5.4-5.5 Cfsposal to land on-site 5.4.1 (lass I lhdergrond [X] Yrjec,tiui wells Oass 5.4.2 ` VwU�hd�ergr°und [X] jection5.5.1 ARCRA subtitle C landfills [X] 5.5.1.B Other landfils [X] 5.5.2 Land ti re-it/application [X] fdnary Subtitle C 5.5.3A siturface i [X] rrpoundriEnts 5.5.3B OUrer surface irpoirxkrents [X] 5.5.4 ()her disposal [X] Optional Waste Fdxk Ries Monretiai You ray check this boot if your Section 5.5 quantities include"waste rock piles."[]Enter quantity of'Waste rock piles"(poinds/year') SECTION 6.TRANS)CF T1-ETOXICO-Bv1CAL W WAS ES TO OFF-SITE LOCAT NS 6.1 DSCHAFGES TO R.BUCLY C1/MIDTF E TM3s1T1ACfdtS(F011/t) INN[X] 'Far Doxn and Cioxin-floe Compounds,report it grans/year BDA Form 9350-1(Poi.)-Revicus editions are obsolete. "Range Cbdes:A=1-10 ponds;B=11-499 pounds;G-500-999 pounds. Page 4 of 5 *"Do not send to EPA This is the final copy of your form''" Ira Facility ID Nm bier 28159FNTXN85AN EPA FORM R PART II. CHEMICAL-SPECIFIC INFORMATION(CONTINUED) Toxic Oienical,C itegay,or GBrierio Narre Hydrochloric acid(acid aerosols including mists,vapors,gas,fog,and other airborne forms of any particle size) SECTION 6.2 TRANSFERS TOOT}ERCFF-SITELCCATCS IN [X] 6.2.1 Off-Site EPA Identification PLrrber(Fd" A DNS.) Off-Site Location Narre: NA Off-Site Address: Oty County State ZIP Nxr� ntry ) Is location under control of reporting facility or parent company? []Yes A.Total Transfer(pounds/ye r*) B.Basis of Esthete C Type of Waste Treatnent/DsposaV (Enter range rule"or estimate) (Enter code) Racycing/Erergy Recovery(Enter code) SECTION 7A CISI TE WASTETR54TNENT IvEI}{CB AND EFFICIENCY BNCY - [X]Not AppIoable(N4)-Check here if no on-site waste treatrent is appied to my waste stream cataining the toxic chemical or charical category. a General c.Waste Treatrrernt b.Waste Treah7ent Iv1,Urod(s)Sequence Waste Stream Efficiency (enter code) [enter 3-character code(s)] Estimate 'For[Satin and Doxin-liw Oxrporuids,report in grarrs/year BT4 Form9350-1(Rev.)-Revious editions are obsolete. **Range Codes:A=1-10 pounds;1 11-499 pounds;('-500-999 pounds. Page 5 of 5 **"Do not send to EPA This is the final copy of your form.*** TFd Faciity D Nrrber 28159FNTXI185AN EPA FORM R PART II.CHEMICAL-SPECIFIC INFORMATION(CONTINUED) Toxic C1errxal,Cato9ory.Cr Generic Naos Hydrochloric acid(acid aerosols including mists,vapors,gas,fog,and other airborne forms of any particle size) SECTICN7B.CfaSITEBEY FMCVERY FFCCESSM [X]NA-Check here if no orrsite energy recovery is applied to any waste streamcantain ng the toxic chemical or cherrical category. Energy RaCovery Methods[Biter 3cheracter code(s)] SECTICN7C OtaSfTEFECYC I GFRSES [X]NA-Check here if noon-site recycing is applied to any waste streamcontainiig the toxic chemical or chemical category. Recycling Mathods[Biter 3-cha ac ter code(s)] SECTION8.SCCFCEF 1 flCNAPDWASTEM4NAGE EN T- Colurm A Q�lurm B Cdurm C Column D Fria YearCurrent Reporting Following Year Second Fdlow ing YearYear (pounds/yam') (pounds/year') (Pounds/year') (Pou /year') 8.1-8.7 Rodiction-Falated Waste Managed Total on-site disposal to Cass I 8.1a lhdergrcxnd hjection V\s,FCR4 NA NA NA NA Subtitle C landfills,and other landfills 81b Total other on-site disposal or other 659 0 5 0 releases Total off-site disposal to Cass I 8.1c Lhderground hjectionlAtis,FORA NA NA NA NA Subtitle Clandfills,and other Iadls 8.1 d Total other off-site disposal or other NA NA NA NA releases 8.2y used for energy recovery NA NA NA NA on-site 8.3 Quantity used for energy recovery NA NA NA NA off-site 8.4 0 recycled on-site NA NA NA NA 8.5 Clierttity recycled off-site NA NA NA NA 8.6 e'er tth treated on-site 65225 NA 71572 71572 8.7 Quaitity treated off-site NA NA NA NA 8.8 Non-production-related waste managed" NA 8.9 (]Roduction ratio or[X]Activity ratio(select one and enter value to right) 1.1 Cid your faciity engage in any newly imple rented source reduction activities for this chemical drug the reporting 8.10 year? NA[X] If so,complete the following section;if not,check NA,. Source Reduction Activities Estimated annual reduction Mathods to Identify Activity(Enter code(s)) (Fitter code(s)) (Enter code(s))(optioned) 8.10.1 NA 'For Cloxin and Cboxin-like Qxrpourtds,report in grarrs/year EPA Form 93541(Rev.)-Revious editions are obsolete. "hdudes quantities released to the environs er itor transferred off-site as a result cf remedial auticx Fs,calash optic events,or other one-time events not associated with production processes TR Facility D Nrrber — — 28159RdTXM85AN Tonic Chemical,Category,or Generic Nacre Hydrochloric acid(acid aerosols inducing mists,vapors,gas,fog,and other airborne forms of any particle size) Additional optional information on source reduction,recycling,or pollution control activities. Section 8.11:If you wish to submit additional optional information on source reduction,recycling,or pollution control activities,provide it here. Topic Comment B99-Cther Alternate chemistry is more dangerous. Section 9.1:If you wish to submit any miscellaneous,additional,or optional information regarding your Form Rsubmission,provide it here. Topic !Comment "F""File Copy Only: Do Not Submit Paper Form to EPA*** FormApproved CtMB Nnber:2070-0212 Approval Expires:2024.03-31 United States TOXICS CHEMICAL RELEASE INVENTORY TRI FdY DNrrber Environmental Protection Agency FORM A 28159FNTXN85AN Omplete form online via T I-NEweb.For a trade secret stbnissan,send completed forms to 1T Feportng Center,P.Q Boot 10163,Fairfax,VA 22038.The an pubic burden related to the FamA is estimated to average 21.96 hours per response for a facility filing a report on one chemical.See the FFpotting Fours and Instructions for more information on submissions and the Paperwork Reduction Act. This section only applies if you are revising or Revision(Enter up to two code(s)) Withdrawal(Enter up to two code(s)) withdrawing a previously submitted form,otherwise leave blank: [ ][ 1 [ I[ ] trportant See hstructiors to determine when"Nit Applicable(N4)"boxes should be checked. Part I.FACLITY ICENT1 1 Y TICN IITCRv TICN SECTION 1.F BINS YEAR:2020 SECT1CN 2 TRACE SECRET PFCRVATIDN Are you claming the tcocic chemical identified on page 2 trade secret? 21 [I Yes(Answer question 22 attach substantiation fours) [X]ND(Do not answer 2Z go to Section 3) Is this copy 22 [I Sanitized[]lhsanit¢ed (Answer only if"Yes"in 21) SECTION 3.CB7TIFICATICN(trportant Fbad and sign after coupleting all form sections.) I hereby certify that to the best of rry knowledge and belief,for each toxic chemical fisted in the statement,the arxial reportable amount as defined in 40 CFR 372.27(a),cid not exceed 500 pounds for this reporting year and the chemical was manufactured,processed,or otherw ee used in an amount not exceeding 1 million pounds thing this reporting ea. Name and official title of owner/operahor or senior tier rays ra it official: Signature: Date S knot: Vic Jameson Vice President,Operations Reference Copy Copy of Record Resides in CDX 2021-06-29 SE T1CN4.FACLfTY IDENTIFICATION Facility or Establishment ent Name TRI Facility ID Noma IeA Code INNOSPEC ACME C EIVICALS 28159FNTXN85AN Street Facility a Eataastmet rota fire Fddsss(if 6ffead fran physical street adders) 4.1 500 FIN L E LANE City/Cwty/State/ZI P Code City/State ZIP Code Co rtry(Nei-US) SALJSBURY /Rowan /NC /28144 / / / 4.2 This report contains information for:( rportant:check c or d if applicable) c.HA A Federal facility d.[]CCM 4.3 Technical Contact r arre ALLJ3V ROBEY t ph Attess Teleone Nurtur(include area cede aid ext.) ALLEN.ROBEY@JNNOSPECINC.CCM 336-847-5061 4.4 Relic Contact name ALLEN R0l3EY Emal Pdd Telephone Nurter f rndude aee cede aid ext.) ALLB.LROBEY@INNOSPECINC.COM 336-847-5061 4.5 NAICS Code(s)(6 digits) a.325613 b. c. d. e. f. (Primary) an and Bradstreet Nnber(s)(9 digits) 4.6 aNA b. SE3 TICK 5.PAFB'JT CX7vPANY N CFd/P TION 5.1 Name of US Parent Company(for TR Reporting INJOSPEC INC Nb U.S.Parent Company(for TR%porting purposes)[] put p oes) 5.2 Parent(onpaiys Dun&Bradstreet Na i ief N4[X] EI-14 Form9350-2(Rev.)-Fte✓ious editions are obsolete. Parted using TR-tvEweb elaPapp eE apace s o -( a)Zi>366 wJ vd3 elxrucklie0 elturPCI PE utm!I Patel-R11 a41 Al P1FN flail p awoJ 6u!Podeld Ni a4l eeS• wuewuiooj oldol 'well!8131AOJd'uolsslwc>ns V uuoj moA 6ugue6eJ uopewUol4 leiofdo JO'RuoNppe' noeue eoslw Aue;lupus o14s!M flG A Z6 uolPeS VN lZ (l ogenland PLY'seoeds'siaquu 6uPnpu!'SsloeJalo OL pun-uPeaN llePod11)Je9ddrLS A9 PePV'i aL1eN 0 ('l uo(PaS FEIPIduco noA p wgoes a!LIleleICIU031CN QO 4)AlllN311N8J41NJ03!RlluN Z NO!L'HS VN E'L •(en9dlJ3seP 4=37 s eq> alY.1 0asu69".SeA.PePalos L Z 109oas ti 1.Yd P luo aJeIdizD 111eV0d4)alEN leo!18(0 mouse ePIVALlUe olelew Z' ('lag£LE u'!1ta5 a41 uo sEadt 11 se 411 e(e aia an Japg:l<EwCiel)eweN A elep p D leou9-0 9L£80L Vl (Aromeo leo!11e40 e CX1lJodeJ 1!woo Ax 6eeJ JeQu3 is!£L£tripes out w s. edde p se Jaquru euo Apo Jelu3 luelbd4)Je41+N s o L!O L Ind% A1llN371c/.1 O3D01 L NOJ.'BS NS2MCINH6S L8Z .SPunodJco etN{J!coo Pue up:o13 6IJQJOdeJ esn 1Qu Q3 NOLLV31:111NBOI 1VDIN313 1121dd JaWN O Awed ea V NR10l WEI ***Do not send to EPA This is the final copy of your form.*** Form Approved CIvB IWnter:2070-0212 Approval Expires:2024-03-31 Page 1of5 Complete form online via TRI-MEweb.For a trade secret submission,send completed forms to TRI Reporting Center,P.O.Box 10163,Fairfax,VA 22038.The annual public burden related to the Form R is estimated to average 35.71 hours per response for a facility filing a report on one chemical.See the Reporting Forms and Instructions for more information on submissions and the Paperwork Reduction Act. TRI Fealty D(Artier EPA FORM R Lhted States Section 313 of the Errergency Panting and Oprmurtity Aght-to. 28159R'IT)OVBSAN Environrrental know Act of 1986, FTotection also known as Title III of the Superf and Amendments and Toxic Chemical,Category,a Generic Name Agency Reauthorizaticn Act. Methanol This section only applies if you are revising or Revision(Enter up to two code(s)) Wthdrawal(Enter up to two code(s)) withdrawing a previouslysubmitted form,otherwise leave blank: [ ][ ] [ it ] Important See Instructions to determine w hen"ttbt ApptcatiP(NA)"boxes should be checked. Part I.FACILITY IDB,ITFICATti N INFCR TION SECT1CN 1.REFORTTGYEAR:2020 SECT10N2 TRACESECRETNFOF4v1AT1ON Are you claming the toxic chemical identified an page 2 trade secret? 21 []Yes(Answer question 22;attach substantiation fans) [X]NO(Do not answer 2.Z go to Section 3) Is this copy 22 []Sanitized[]Uisw itized (Answer oriy if"Yes"in 21) SIECT10N3.CERTIFICATION(tripodal.Faad and sign after corrpleting all form sections.) I hereby certify that I have reviewed the attached documents and that,to the best of ny k cmledge and belief,the submitted inforrration is true and complete and that the arramts and values in the report are accurate based on reasonable estimates using data available to the preparers of this report. N3rre and official title of owner/operator or senior rrHnagerent official: Signature: rate Signed: Vic Jameson Vice President,Operations Reference Copy:Copy of Record Resides in COX 2021-06-29 SECTION 4.FACILITY CH'ITFKAT1CN Fatality or Estadisl rent Name TRI Fad ID Number BIA Code INNOSPEC ACTIVE CHEMICALS 28159FNTXN85AN Facility a Estabisfrrsl li/eitra Address fat different from 4.1 Street chysical street oddest 500 HNKLE LANE City/Carty/State/ZIP Uinta Get /Staae/ZIP role Cartry(NarUS) SAWSBIJRY /Rowan /NC /28144 / / 4 2 This report contains inf xrretion for. a.[X]An Entire facility b.[]Part of a facility c.[]A Federal facility d.[]GOCO (trportant check a or b;check c a d it applicable) 4.3 Technical Contact noire ALLHd ROBEY Email Address Teleacine Number(include arise code and ext.) ALLB'J.ROBEY@IMIOSPECINC.COM 336-847-5061 4.4 fib c OJrttact name ALL RC/BEYEmail l Address TelephoneNtrrber(include area af cafe and ext.) ALLEN ROBEY( MIOSPBCINC.COM 336-847-5061 4.5 NAICS Code(s)(6 digits) a.3 b c d. e. f. (Primary) an and Bradstreet Nu r bet(s)(9 digits) 4.6 a NA b. SECTION 5.PAF'fT COrvfAM'PFOR A4T1ON 5.1 Nerre of US Parent Company(for TRJ Reporting INNospEcINC Nb U.S.Parent Company(for IR purposes) meting purposes)[ 5.2 Parent C orrpany's Dun&Bradstreet N rrber NA[Xi EPA Form9350-1(Rev.)-Revious editions are obsolete. Ainted using T I-NEweb Page 2 of 5 ***Do not send to EPA: This is the final copy of your form:*1" TRI Facility ID Ni Ayer EPA FORM R 28159FNTXM85AN PART II.CHEMICAL-SPECIFIC INFORMATION Toxic Oterrical Category,or Generic Narre Methanol SECTION 1.TCDCIC C]-Bv1CAL((TTTY (trportar t DO NOT complete this section if you are reportirxf a ntchre corrporent in Section 2 below.) CAS Nr r bar(Y r pu to a.Enter or*y one rxrrber exactly as it appears on the Section 313 list Bier category axle if reporting a chemical category.) 1.1 67561 Toxic Chemical or Chemical Category Narre(Important Enter only one name exactly as it appears on the Section 313 Est) 1.2 — Methanol Generic Cherrical Name(Yrpatart Complete only if Fart I,Section 21 is checked"Yes".Generic Name mist be structurally descriptive). 1.3 NA SECTIC 112 MXTuRE()OvFOfvB'1T EENTTTY(irportat CO NOV complete this section if you completed Section 1.) Generic Chemical Name Resided by Supplier(Input Litt Maxirnmof 70 characters,including rxrrbers,spaces,and pcnchetion.) 21 NA SECT1CN 3.ACTNTTE S AND LEES OF 1FETCDOCO-Bv'C4L ATTFEFACIJ'TY (hpu tad.Check al that apply.) 3.1 Itvl3rxufachre the toxic chemical: 3.2 IRocess the toxic chemical: I 3.3 Otherwise use the toxic ch arto : a I]Radice b.[]Import a[]As a reactant If produce x ii p,t: Sub-Uses: a.[X]As a ctxriical processing aid c.[]For on-site use/prcrpssing b.[X]As a farrulation carporxrrt Sib—Uses:I Z101 I d.[ For sale/distribution S jb-1 ses:I P203 I b.[]As a manufacturing aid c.[(As an article conponen t St -Les. e.[]Asa byproduct d[] g c.[]Ancillary or other use f.[]Asanvrpurty e.[]Asan irrptrity Si Les: f.[]Racycling SECTION4.maim AMJINTCFTT-E TOM O-3v1CAL ON-MEAT AM'TivECLRIJ 3TFE CALENDAR YEAR 4.1 '[04 ](Biter two-digit cede from instruction package.) SEC DON 5.QUANTITY CF TFE TOXIC O$v1CAL ENTERNG EACH B IRCNNH'TfAL IVH]IUv1 C SITE A.Total Fie(pounds/year') B.Basis of Estimate C Percent fromStamvater (Ender range code or estimate") (Biter crxia) 5.1 Fugitive or non-pant NY1[1 66.4 El air errssicrs Stack 5.2s°r ia� N�[1 38 El air Cischarges to receiving stream a 5.3 NA water bodies(Biter one rare per box) [X] Streamer Water Body Name Reach Oode(optional) 5.3.1 INA 'For[toxin and Cfoxin-bke Oxrpands,report it grarrs/year EPA Form9350-1(Rev.)-Aevicus editions are obsolete. "Ralye Codes:A=1-10 pounds; 1-499 pounds;0500-999 ponds. Page 3 of 5 "**Do not send to EPA This is the final copy of your form.'' TFa Facility D Mintier EPA FORM R 28159FNTXN85AN PART II. CHEMICAL-SPECIFIC INFORMATION(CONTINUED) Toxic Chemical,°Amory,or Generic N3rre Methanol SECTION 5.OlANTTTY CF TI-E TOM CHBv1CAL BNTB4'K'EACH BNNFCNvB'JTAL AfIl M CNSTTE(Continued) NA A.Total Rase(potndsNesr•)(Enter range code"or estimate) B.Basis of Estimate(Enter code) 5.45.5 Osposal to hand on-site lhdergroin 5.4.1 Yilection wells 1 [X] 5.4.2 wUol�agramd [Xhjection1 5.5.1 AFCFIA subtitle C lar>dfills [X] 5.5.1.E Otter landflls [X] Land 5.5.2 apphcamon [X] farrring FaRA Witte C 5.5.3A surface in pour Kilo its [X] 5.5.3E Other surface impoundments [X] 5.5.4 Other disp [X] C ptional Waste Frock Ries Information You nay check this box if your Section 5.5 quantities include'waste rock piles."[]Enter quantity of'waste rock piles"(pounds/yeaP) SECTION 6.TRANSFER(S)CF TFETOXIC O-Bv1CAL IN WASTES TO OFF-SfTE LCCAT)Ct' 6.1 OSCHNIGESTORBLICLYOJNDTFEAWENfWO (14711.%) View 6.1.1 CTFYOFSALISBURYWWTP FC3TwN3rre FCFTWAdrfess 1915 GRUBB FERRY RD. SALISBLRi Carty Spate NC ZIP 28145 Country OtyUS) A Ouardity Transferred to this fDVN B.Basis of Estimate C.Type of Waste Treatrrent/Dspxsal (pounds/year")(Biter range code"or estimate) (Biter code) (Bier code) 1.0 1.M1 1.P30 'For Cioxin and Cfcain-life Compounds,report in grarrsyear EPA Farm9350-1(Rev.)-Re✓ious editions are obsolete. ye(odes:A=1-10 pounds;8=11-499 pounds;C&00-999 pounds. Y e4of5 ***Do not send to EPA:This is the final copy of your form.**" 1R Facility D Ntrrtxi EPA FORM R 28159FNTXM85AN PART II. CHEMICAL-SPECIFIC INFORMATION(CONT1NUI3)) Tnxir:Chemical,Category,a Claieric Nacre Methanol SECTION 6.2 TRANSFERS TO OTt-BR C FF-SITE LOCATIONS N4[] 6.21 Cif-Site EPA Identification Nmtxa(PIMA D Nb.) KYD985073196 Cff-Ste Location Nacre: AES ASSET ACQUISITION CORD,MA CLEAN EARTH OF CALVERT CITY Off-Ste Address: 1689 SHAR-CAL ROAD try Oty ICALVT CITY County Marshall State KY ZIP 42029 Co' (BLS) Is location Lit Kiei control of reporting facility or parent company? []Yes[X]Nb • A Total Transfer(pounds/year') B.Basis of Estivate C Type of Waste Treabent/lDsposaV (Erma range code"or estimate) (Enter code) Recycling/Energy Recovery(Biter code) 1.3213 1.M2 1.M56 6.2.2 Cff-Site EPA Identificaticn NLntxr(FAA D Na) TND000772186 Cif-Site Location Nfarre: TRADE TREATMENT&RECYCLING OF TBWESSEE,LLC Cif-Ste Address: 5485 VICTORY LANE Country Oty MIWNGTON County Shelby State TN ZIP 38053 ( US) Is location under contra of reporting facility or parent company? Mies Yes[X]Nb A Total Transfer(pounds/year*) B.Basis of Estimate C Type of Waste Treatrrent/Eisposall (Eder rot rye code"or estimate) (Enter code) Recycling/Energy Recovery(Enter code) 1.4629 1.M2 1.M56 6.2.3 Cif-Ste EPA Identification Nrrba(RFA ID Nb.) SC0003368891 Cif-Ste Location Nave: HOLCIM US INC(EOCYCLE LLC Off-Ste Address: 2175 GARDNER BLVD ODu Oty HOLLY FILL County Orangeburg State SC ZIP 29059 dry (Non-US) Is location under carol of reporting facility or parent company? []Yes[X]Nb A Total Transfer(pounds/year') B.Basis of Estimate C Type of Waste Treat ent/CisposaV (Enter range code"or estivate) (Enter code) Recyctrx3/Energy Recovery(Biter rode) 1.75272 1.M2 1.M56 6.2.4Cif-Ste EPA Identification Nrrbet(RNA DNb.) SCD036275626 Cif-Site Location Nbrre: GIANT RESOURCE RECOVERY SUMTER INC Off-Site Address: 755 INDUSTRIAL BLVD Oty SUMTBR County Sumter State SC ZIP 291506705 CO1 ntry (SUS) Is kx.ation under control of reporting facility or parent company? []Yes[X]Nb A Total Transfer(pounds/yer') B.Basis of Estimate C Type of Waste Treai rent/CisposaV (Biter range crxi."or estivate) (Enter rule) RecychngfEnergy Recovery(Enter crrie) 1.3020 1.M2 1.M56 SEC DJ 7A CiFERTE WAS I E Tf ATNE'JT I ETHCD6 AND E FFIC7E'Y - 1 [X]NX Applirahle(NA)-Check here if no on-site waste treatment is applied to any waste streemcortaining the toxic chemical a chemical category. a General b.Waste Treatment Nbthod(s)SequenceVVaste Stream c.Waste Treatrrent (enter rider) [enter 3-character code(s)] � y tirrete `For Cloxin and Cloxin-like Ccnpourxls,report in grarrs/year EPA Form 9350-1(Rev.)-Ftevious editions are obsolete. —Range(Ides:A=1-10 pounds;E=11-499 pounds;C=500-999 pounds. Page ***Do not send to EPA This is the final copy of your form.*** TFd Facility Disinter EPA FORM R 28159FNTXM85NI PART II. CHEMICAL-SPECIFIC INFORMATION(CONTINUED) Toxic O, ical,aiegay,a.Genet Name Methanol SECTKC:N7B,CN-SITEBNERGY EE7U✓E RY FFCCESSES [X]N4-Check here if no co-site energy recovery is applied to my waste stream containing the toxic chemical a ctsenical category. Energy Fdecovery M ands[Enter 3-character code(s)] SECT1CN 7C CI-SITE FE YCLI3 FRCCESSES [X]N4-Check here if noon-site recycling is applied to any waste stream containing the toxic chemical or chemical category. Recycling Methods[Bier 3-character code(s)] SB TK:N 8.SCCFCE RECUCT1CN AND WAS l t M4N4GEN/H'TT _ Oolurm B Column D ColRua Year Current meting Folcas g Year Seccod Following YearYear (pands/year') (pards/year.) (yards/year*) (I,xxx,xisNear') 8.1-8.7 Reduction-Related Waste Managed Total on-site disposal to Cass I 8.1 a LI der o nd hlex.'tion)Atells,FtPA NA NA NA NA Subtitle C landfills,and other landfill Total ether on-site disposal or other 8.1 b releases175.4 104.4 104.4 104.4 Total off-site disposal to Gass I 8.1c lhdergrand hjection RJ A NA NA NA NA Subtitle C landfills,and ether lardf ils Total ether off-site dsposal a other 8.1d NA 0 0 0 releases 8 2 on-sit used for energy recovery NA NA NA NA e 8.3 ' used fa energy recovery 71071 86134 86134 86134 off-site 8.4 Cdratxty recycled ore-site NA NA NA NA 8.5 '�recycled off-sole 59924 NA NA NA 8.8 Csuantity treated an-site NA NA NA NA 8.7 OJantity treated off-site NA NA NA NA 8.8 Non-pro:Wie -related waste managed"' NA 8.9 []Rodxxtion ratio or[X]Activity ratio(select one aid enter value to right) 0.71 Lid your fadity engage in any newly crilarented source reduction activities for this chemical during the reporting 8.10 year? N4[X] i so,complete the folaw rig section;if net,check N4. Source Reduction Activities fvtthods to Identify Activity(Biter code(s)) Estimated ualreduction (Biter code(s)) (Enter code(s))(option) 8.10.1 NA `For Doxin and Doxin-like Compounds,report in gars/year EPA Form 935a 1(Fev.)-Reviaus editions are obsolete. "Includes quantities released to the environment a transferred off-site as a result of rerredial actbns,catastrophic events,or other one-time events not as_ariated with production processes ZRI Facility D Nthtxa 28159R1D M85AN Toxic therrical,Category,or Generic eric Mire Methanol Additional optional information on source reduction,recycling,or pollution control activities. Section 8.11:If you wish to submit additional optional information on source reduction,recycling,or pollution control activities,provide it here. Topic Comment B7-Nb lvrow n substitutes or alternative technologies. Section 9.1:If you wish to submit any miscellaneous,additional,or optional information regarding your Form Rsubmission,provide it here. Topic 'Comment ii On site Flow Calibration Certificate Endress+Hauser I +1 r Endress+Hauser Sales Center People for Process Automation 2350 Endress Place,Greenwood,IN 46143 USA Tel 800-642-8737-Fax 317-535-1495 Certificate n° InnSa11 1 1 20221 039 Calibration date 1/11/2022 Customer information Place of calibration Company name Innospec Company name Innospec Address 500 Hinkle Ln Salisbury NC 28144 Address 500 Hinkle Ln Salisbury NC 28144 Contact John Wasmund Instrument information(UUT) UUT:Unit Under Test Instrument(UUT) AXF050C-DIAHIN-AA1-22B/FF1 Measuring range 0.00 to 300.00 gal/min Description Magnetic Flow Meter Output : Current 4.00 to 20.00 mA Manufacturer Yokogawa Totalized Units gal Serial n° U1R301796 Calibrated range 50.23 to 86.02 gal/min Tag n° EFFLUENT METER Max permissible error(MPE) 1.0 % K-factor 0 Zero Point 0 Standards used This calibration certificate documents the traceability to national standards,which states the units of measurement according to the International System of Units(SI) L_ _ Type Description Serial n° M Certificate Due date J Coriolis Mass E&H 2"83F50-AAASACAABAAA F2040316000 1017000609 EndGre121202191555 21/01/22 On site Flow Calibration Certificate Endress+Hauser Ea Endress+Hauser Sales Center People for Process Automation 2350 Endress Place,Greenwood,IN 46143 USA Tel 800-642-8737-Fax 317-535-1495 Certificate n° InnSa111120221039 Calibration date 1/11/2022 Customer Information Place of calibration Company name Innospec Company name Innospec Address 500 Hinkle Ln Salisbury NC 28144 Address 500 Hinkle La Salisbury NC 28144 Contact John Wasmund Instrument information(UUT) UUT:Unit Under Test Instrument(UUT) AXF050C-D1AHIN-AAI-22B/FF1 Measuring range 0.00 to 300.00 gal/min Description Magnetic Row Meter Output : Current 4.00 to 20.00 mA Manufacturer Yokogawa Totalized Units gal Serial n° U111301796 Calibrated range 50.23 to 86.02 gal/min Tag n° EFFLUENT METER Max permissible error(MPE) 1.0 % K-factor 0 Zero Point 0 Standards used This calibration certificate documents the traceability to national standards,which states the units of measurement according I to the International System of Units(SI) Type Description Serial n° ID Certificate Due date Corlotls Mass EBB 2°83F50-AAASACAABAAA F2040316000 1017000609 EndGm121202191555 21/01/22 Calibration Method Description Row Calibration In the Field. Document(s) SOPS en-DZ/QI-511 Environmental conditions Ambient temperature 28.3 °F Ambient humidity 49.2 % Calibration value(s) ❑� as found ❑ as left Number of test points 4 CaL Measurand Measured value Total Deviation UUT%Error Mean Rowrate Cal Time MPE % point(s) Reference value display UUT from the (During +/- of MPE Reference Calibration) 1 93.221 93.441 0.22 0.24 85.799 60.47 1.00 23.58 2 85.803 86.023 0.22 0.26 82.036 60.15 1.00 25.61 3 50250 50.300 0.05 0.10 50257 60.08 1.00 9.82 4 50.170 50.230 0.06 0.12 50.187 60.05 1.00 12.00 Units* Sal gal gal % gal/min sec % % AVG%Error 0.18 This calibration certificate meets the requirements of the ISO/CEI 17025 standard.It should not be published or reproduced other than in full Service Engineer y VictorJacome Printing date 01/11/22 Signature ,rl// On site Calibration Certificate + EI Endress Hauser Endress+Hauser Sales Center People for Process Automation 2350 Endress Place,Greenwood,IN 46143 USA Tel 800-642-8737-Fax 317-535-1495 Certificate n° InnSal1 1120221039 Certified IS090012000-Certificate n°971210.2 Calibration date 1/11/2022 Customer information Place of calibration Company name Innospec Company name Innospec Address 500 Hinkle Ia Salisbury NC 28144 Address 500 Hinkle I.n Salisbury NC 28144 Contact John Wasmund Instrument information(UUT) UUT:Unit Under Test Instrument(UUT) AXF050C-DIAHIN-AA1-22B/FF1 Measuring range 0.00 to 300.00 gal/min Description Magnetic Row Meter Output : Current 4.00 to 20.00 mA Manufacturer Yokogawa Totalized Units gal Serial n° U1R301796 Calibrated range 50.23 to 86.02 gaVmin Tag n° EFFLUENT METER Max permissible error(MPE) 1.0 Graph 1.50 I.00 0.50 . ♦ a Cralium polnyq ,j 0.00 • I 2 3 4 -0.50 it -1.00 —•—Error in% -+MPE -1.50 --MPE Conformity 2 1JUr conforms ❑ UUT does not conform Remarks Unit within specifications for percent error.Unit calibrated at highest flow achievable on customer 120V circuit.No adjusment required. This calibration certificate meets the requirements of the ISO/CEI 17025 standard.It should not be published or reproduced other than in full Service Engineer „ / VictorJacome Printing date 01/11/22 Signature �j,//g1,0$,// SaliShar iikran SIU INSPECTION FORM Name of Industry: Innospec Performance Chemicals U.S.Company IUP# 0038 Address of Industry: 500 Hinkle Lane IUP Expiration Date:September 30 2022 Salisbury,N.C.28144 Industry Representatives: Title Allen Robey SHE Manager Roxanne Fincher Senior SHE Officer Clay White Operations Coordinator POTW Representatives: Title Jeff Greer Pretreatment Program Coordinator Sonja Basinger Environmental Services Manager Date of Inspection: September 29.2021 Time of Inspection 10 am Purpose of Inspection: Annual X Other(Describe) POTW to which IU discharges Salisbury-Rowan WWTP(Grant Creek WWTTI NPDES#NC0023884 Is SIU currently in SNC?_ No If yes,for what? PART I-INITIAL INTERVIEW Has anything changed since the last inspection or IUP application in the followingareas: COMMENTS Product Yes Industry makes ingredients for personal care products.Products Biomega Surfactant Blend; Pureact BB;and new DPT Process products will soon be produced. Raw materials used Yes Pretreatment Department has on City files raw materials currently being used. Manufacturing processes Yes Expansion construction is on-going and observed during this inspection. Categorical,if applicable N/A SIC#2843 40CFR 414 Production rate Yes 51 million pounds produced(budgeted to increase to 90 million pounds in 2022) Number of employees Yes 95 employees currently(propose expanding to 115 in 2022) Number of shifts NO SIU has a mix of shifts:4-12 hour shifts and 3-8 hour shifts, 7 days per week PART II-PLANT TOUR-Visit all areas where wastewater is generated or where there are drains to thePOTW. Plant Tour Section A-PRODUCTION AND STORAGE AREAS 1.Are there floors drains in the production arm? YES Where do they go? Trench drains located throughout production area are periodically pumped(via pumps with automatic floats)to two16K gallon holding tanks and then pumped to pretreatment system. 2.Are production areas diked,contained,or otherwise construct('in such a way as to prevent harm to the WWTP,especially from spills or slugs? YES 3.Are there floor drains in the storage area? YES Where do they go? Drains are capped in the finished product storage area and the trench drains in the raw materials storage area drain to a sump. Floors are manually swept and mopped. Area in front offlammables shed is graded and paved.Stormwater in this area will be routed to the cooling water pond.IU stated that bulk storage tanks do not have floor drains but are securely contained in the event of a spill. Note:New warehouses constructed do not have floor drains. 4.Are storage tanks and areas diked,contained,or otherwise construct('in such a way as to prevent harm to the WWTP,especially from spills or slugs? YES Comments: Twelve tanks have been commissioned and in service for raw material storage. Tanks are located in an area that is bermed to prevent spills from getting outside containment area. Currently there are 2 storage rail tanks constructed pending commission. 5.Are process and storage tanks and Apes labeled? YES Page 1 Niv:Leo I Zo 1 II 1 r 16.How are off-spec raw materials,and products disposed of? Sludge from off-spec fatty acid chloride process, and/or non-hazardous waste are hauled off-site by one of these haulers: CCI Environmental generally is the hauler; or CTW Specialties in Greensboro, NC whichever is the lowest bidder. Hazardous waste and Hydrochloric Acid is hauled off-site by Univar, Charlotte. Other waste is still hauled anywhere from one week to every three(3) months. 7.When is the production area cleaned? Floors are swept and washed down daily. 8.Is the wastewater from cleaning the production area discharged to the POTW? YES Discharged to trench drains, then to holding tanks and then to pretreatment system. WW discharges from pipe 01 in 700 gallon increments due to volume of manhole sump. 9.What non-process wastewaters are discharged to POTW? N/A Domestic wastewater is discharged to one of two(2)septic tanks at facility.A 3'd septic tank will be installed to accommodate the new Technology Center(R&D). The Technology Center is currently under construction. Comments: SIU continues to use spray fields when wastewater is not being discharged to POTW(in general, 7-8 times per month and less in winter). PART II-Plant Tour Section B-PRETREATMENT SYSTEM Ask the operator to describe pretreatment system. 1.Does operator seem knowledgeable about the system? YES Comments: Allen Robey and wastewater operators are very knowledgeable about the system. Wastewater from the production areas is pumped to two 16K gallon holding tanks. The pH is adjusted in one of the sumps in the production area with potassium hydroxide. The WW is then pumped to the pretreatment system. Two brands of defoamer are used, as needed—Brennfloc BDF-230 brand is used in plant prior to wastewater plant and Cape Fear CFC 8860 brand is used at effluent of wastewater plant. SIU discharges in 700 gallon increments based on the capacity of the manhole sump. Facility utilizes a Dissolved Air Flotation(DAF)unit for wastewater pretreatment prior to clarifier tank Wastewater is then discharge to City Sewer system. The DAF unit is typically ran 8-9 hours a day unless adjustments are needed.A turbidity meter system has been installed on the DAF unit and will go into shutdown mode if a predetermined high turbidity set point is reached. 2. Are all units operational? YES 3. How often does operator/maintenance person check system? Daily Full-time operator operates PT system during day shift and night shift supervisors monitors the system during the night shift. 4.Is there an operator for each shift? NO First shift only;however operations manager is on call 24 hrs. There are high level alarms in production area for 2id&3'd shifts that indicate high water in the effluent sump at pretreatment system.Shift supervisor on 2i°and 3'd contacts Clay White(Certified Operator)if there is a problem. 5.How and when is sludge disposed of? Industry has an 8000 gallon storage tank for sludge. Solids are precipitated out with a coagulant(polyaluminum chloride)and sludge is hauled off by Terra Renewal, South Carolina. Typically,sludge is hauled off once a week and more frequently(twice per week)during the winter months. 6.Is there a schedule for preventative maintenance? YES Comments:Maintenance activities include mechanical maintenance,servicing of pumps and preventative maintenance of the DAF unit. Maintenance is performed on first shift on a quarterly basis. PART II-Plant Tour Section C-SAMPLING POINT(S)AND FLOW MEASUREMENT (Collect a sample if desired.) 1.Does an outside lab complete sampling? NO If yes,name of lab. Statesville Analytical performs all analysis for wastewater,storm water, and spray field. 2.If industry completes sampling,ask the industry representative to describe sampling procedures. SIU collects wastewater samples for their self-monitoring permit requirements.An automatic composite sampler is used to collect the samples. Samples are collected by time composite over a time when discharge occurs. The samples are poured in prepreserved bottles and packed on ice for the contract lab courier to pick up on the sample day. Page 2 3.Is flow measurement equipment operational? YES . Meter Reading: 83683661 Comments: Discharge meters on influent and effluent of pretreatment system. The SJU submits the required effluent flow readings monthly. 4.Is there a calibration log for the flow meter? YES Comments: Meters are recorded daily. Semi-annual calibrations are submitted to Environmental Services. Comments:NU's lab is State Field Certified(#5173)for pH. Annual temperature verification was performed on October 15, 2020. PART III-EXIT INTERVIEW Review monitoring records and other SIU records required by IUP. 1.Are files well organized? YES Comments: 2.Are sample collection/chain-of-custody forms filled out properly? YES Comments: 3.Do results in files agree with reports sent to POTW? YES Comments: 4.Who has authority to shut down production should a spill or slug discharg occur? Allen Robey-Emergency Coordinator; Vick Jameson-VP of Operation; Clay White-Operation Coordinator; Bryan Sepessy-Director of NC operations;and any trained operator. 5.How does SIU inform employees of whom to call at POTW in case of spil/slug? Regular safety meetings are conducted,safety committee meetings are held monthly as well as daily production meetings. Information is posted by employee time clock. 6.Slug/Spill Control Plan Required? YES Last update submitted: October 29, 2020. 7. Is SIU implementing slug/spill plan? YES Review procedures.In general,SIU uses absorbents, diking, and has the ability to shut offflow to ponds. INSPECTION RESULTS Slug/Spill Control Plan Needed? YES Comments,Required or Recommended Actions: • Next Spill/Slug update is due by October 29, 2021. • Annual temperature verification is due by October 15, 2021. • A 3rd Flaker unit is on-line(which now doubles IU's capacity of the flaking process). • IU stated that an outside consultant is currently conducting a study of the process wastewater characteristics. The study is being conducted for a possible future expansion with potential to increase wastewater effluent by 13,000 gpd. This study is in the initial stages at time of this inspection. • IU stated that they are pursuing a chance to purchase approximately 30 acres adjacent to their current property that may be used for future possible expansion. • For odor control, IU is still using Potassium Permanganate(tablets and liquid)in their wastewater pretreatment process. Observed during field inspection that the Potassium Permanganate creates a beige/tan color to the wastewater effluent. IU continues to monitor the City manhole at Hackett Street insuring that no buildup of hydrogen sulfide gases are present. IU plans to continue to maintain the effluent discharge line from IPC's wet well to Hackett Street by occasionally flushing, chlorinating, and then dechlorinating as a preventative measure for odor control. • Discussed Chain-of-custody forms to show representative timeframe(start and finish)of when the facility composite sampler actually collected samples relative to effluent discharge. 107 Signature of Inspector(s) Date: / 9/3 0/2-0-2— Date: Date: Page 3 Workbook Name : Grant Creek_HWA AT 2018_Approved.Draft IPC, Worksheet Nameerie d: 8/12/2022, 12:37 PM Page 1 of 4 Allocation Table Spreadsheet Instructions: Headworks last approved: 02/22/18 1)Applicable Values should be entered in the Heavy Bordered cells. Rest of worksheet is protected,password is"2". 2)Formulas are discussed in the Comprehensive Guidance,Chapter 6,Section C. Allocation Table updated: 08/02/22 3)HWA and AT worksheets in this workbook are linked. Pollutant Names,MAHLs,Basis,and Uncontrollable load in Permits last modified: 05/09/22 this AT worksheet are automatically entered from the HWA spreadsheet. This includes pollutant names in columns AT through BK. Porw=>Grant Creek WWTT NPDESAc>NC0023884 FLOW BOD TSS Industry Type Renewal Modification Date Permit Limits Permit Limits Permit Limits IUP INDUSTRY NAMES Permit Pipe of Effective Effective Permit Conc. Load Conc. Load Count (pleas°list alphabetick) number number Industry Date Date Expires MGD gal/day m I Ibs/da m 1 lbs/da 1 Nouryon 0002 01 2869-414 09/01/19 04/25/22 08/31/24 0.3830 383.000 300.00 500.00 2 Tiejin Automotive Technologies 0036 01 - 3089-463 09/30/19 05/09/22 09/29/24 0.0638 63.800_ 102.00 106.00 3 Freirich Foods 0007 01 2013 03/30/21 04/25/22 03/29/26 0.1500 150.000 1520.00 500.00 • 4 Hitachi Metals 0026 01 3264-471-J 07/01/21 04/25/22 06/30/26 0.2000 200,000 500.40 500.40 5 Innospec Active Chemicals 0038 01 2843 10/01/22 09/30/27 0.0800 80,000 943.00 86.00 6 7 - 8 I - a 9 . ' r r 10 Column Totals=> 0.8768 876.800 33651 1692 Basis=> NPDES Design Design MAHL from HWA(lbs/day)_> NPDES Permitted Flow=> 7.5000 20829 20204 Uncontrollable Loading(lbs/day)_> 5.2390 10923 10923 Total Allowable for Industry(MAIL)(Ibs/day)_> 2.2610 9905.8 9280 Total Permitted to Industry(lbs/day)_> 0.8768 3365 1692 MAIL left(lbs/day)_> 1.3842 6540 7588 Percent Allow.Ind.(MAIL)still available(%)_> 61.2% 66.0% 81.8% Percent MAHL still available(%)_> 18.5% 31.4% 37.6% 5 Percent MAHL(lbs/day)_> 0.3750 1041 1010 HWA.AT Revised:November 2005 Workbook Name : Grant Creek_HWA AT 2018_Approved.Draft IPC, Worksheet Name : 8/12/2022, 12:37 PM Page 2 of 4 Allocation Table Headworks last approved: 02/22/18 Allocation Table updated: 08/02/22 Permits last modified: 05/09/22 PoTw=>Grant Creek WWTT NPDESI >NC0023884 Ammonia Arsenic Cadmium Chromium Copper Cyanide Industry Permit Limits Permit Limits Permit Limits Permit Limits Permit Limits Permit Limits IUP INDUSTRY NAMES Permit Pipe Conc. Load Conc. Load Conc. Load Conc. Load Conc. Load Conc. Load Count (please Its,alphabehcl) number number mg/1 lbs/day mg/I lbs/day mg/1 lbs/day mg/I lbs/day mg/I lbs/day mg/1 lbs/day 1 Nouryon 0002 01 219.00 699.53 0.1500^ � 0.0800 0.4200 2 Tiejin Automotive Technologies 0036 01 8.60 _ 0.0521 3 Freirich Foods 0007 01 -� . 4. ^~ 4 Hitachi Metals 0026 01 0.7100 9.1600 0.1950 5 Innospec Active Chemicals 0038 01 0.0050 0.0080 0.0250 0.0100 0.0067 6 7 8 I I il 9 10 Column Totals=> 708 0.00001 0.00501 0.86801 9.3171 0.6217 AS/Nit/TF Stream AS/Nit/TF AS/Nit/TF AS/Nit/TF Basis=> NPDES inhibition Std inhibition inhibition inhibition MAHL from HWA(lbs/day)=> 6946.28 4.6193 2.1293 18.1999 22.1725 4.6193 Uncontrollable Loading(Ibs/day)_> 1243.07 0.1879 0.1311 2.1847 3.0192 1.7914 Total Allowable for Industry(MAIL)(lbs/day)_> 5703.21 4.4314 1.9982 16.0153 19.1533 2.8279 Total Permitted to Industry(lbs/day)_> 708.13 0.0000 0.0050 0.8680 9.3171 0.6217 MAIL left(Ibs/day)_> 4995.07 4.4314 1.9932 15.1473 9.8362 2.2062 Percent Allow.Ind.(MAIL)still available(%)_> 87.6% 100.0% 99.7% 94.6% 51.4% 78.0% Percent MARL still available(%)_> 71.9% 95.9% 93.6% 83.2% 44.4% 4 5 Percent MAHL(Ibs/day)=> 347.31 0.2310 0.1065 0.9100 1.1086 0.2310 HWA.AT 11 Revised:November 2005 Workbook Name : Grant Creek_HWA AT 2018_Approved.Draft IPC, Worksheet NameprA1d 8/12/2022, 12:37 PM Page 3 of 4 Allocation Table _ Headworks last approved 02/22/18 Allocation Table updated: 08/02/22 Permits last modified: 05/09/22 POTW=>Grant Creek WWTT NPDES#I=>NC0023884 _ Lead Mercury Molybdenum Nickel Selenium Silver Industry Permit Limits Permit Limits Permit Limits Permit Limits Permit Limits Permit Limits IUP INDUSTRY NAMES Permit Pipe Conc. Load Conc. Load Conc. Load Conc. Load Conc. Load Conc. Load Count , (please Iisi alphabeticl) number number mg/1 lbs/day mg/1 lbs/day mg/1 lbs/day mg/I lbs/day mg/I lbs/day mg/1 lbs/day 1 Nouryon _ 0002 01 0.1000 0.1600 2 Tiejin Automotive Technologies 0036 01 3 Freirich Foods 0007 01 _ 4 Hitachi Metals 0026 01 0.3240 0.1600 _ 5 Innospec Active Chemicals 0038 01 0.0050 0.0150 6 7 8 9 - , ate- 10 Column Totals=> 0.4290 0.000000 0.00001 0.33501 0.0000 0.0000 Stream Sludge AS/Nit/TF Sludge Stream Basis=> Std Stream Std Ceiling inhibition Ceiling Std MAHL from HWA(lbs/day)=> 9.3087 0.035133 35.1949 lr 1.5482 8.4280 0.2811 Uncontrollable Loading(lbs/day)=> 2.1410 0.013108 4.6053 0.9176 0.1879 0.2185 Total Allowable for Industry(MAIL)(lbs/day)=> 7.1677 0.022025 30.5896 10.6306 8.2401 0.0626 Total Permitted to Industry(lbs/day)=> 0.4290 0.000000 0.0000 0.3350 0.0000 0.0000 MAIL left(lbs/day)=> 6.7387 0.022025 30.5896 10.2956 8.2401 0.0626 Percent Allow.Ind.(MAIL)still available(%)=> 94.0% 100.0% 100.0% 96.8% 100.0% 100.0% Percent MAHL still available(%)_> 72.4% 62.7% 86.9% 89.2% 97.8% 22.3% 5 Percent MAHL(lbs/day)_> , 0.4654 0.001757 1.7597 , 0.5774 0.4214 0.0141 HWA.AT 1 Revised:November 2005 Workbook Name : Grant Creek HWA AT 2018_Approved.Draft IPC, Worksheet NameerjEtterl: 8/12/2022, 12:37 PM Page 4 of 4 Allocation Table Headworks last approved: 02/22/18 Allocation Table updated: 08/02/22 Permits last modified: 05/09/22 Pores.,Grant Creek WWTT NPDES#l=>NC0023884 Zinc Total Nitrogen Total Phos. Industry Permit Limits Permit Limits Permit Limits IUP INDUSTRY NAMES Permit Pipe Conc. Load Conc. Load Conc. Load Count (please list alphabeticl) number number mg/1 lbs/day mg/1 lbs/day mg/1 lbs/day 1 Nouryon 0002 01 0.4250 130.00 2 Tiejin Automotive Technologies 0036 01 0.1043 _ 3 Freirich Foods 0007 01 4 Hitachi Metals 0026 01 0.2920 5 Innospec Active Chemicals 0038 01 0.5000 6 7 8 9 10 Column Totals=> 1.32131 0.00 130.00 AS/Nit/TF Basis=> inhibition MAHL from HWA(lbs/day)_> 46.1928 Uncontrollable Loading(Ibs/day)_> 9.0969 ####### 334.25 Total Allowable for Industry(MAIL)(lbs/day)_> 37.0958 Total Permitted to Industry(lbs/day)_> 1.3213 0.00 130.00 MAIL left(lbs/day)_> 35.7745 Percent Allow.Ind.(MAIL)still available(%)=> 96.4% ####### ####### Percent MAHL still available(%)_> 77.4% ####### ####### 5 Percent MAHL(lbs/day)=> 2.3096 HWA.AT Revised:November 2005