NCG030257_MONITORING INFO_20050519

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
N CG Q 3 Qa 5 I
DOC TYPE
HISTORICAL FILE
MONITORING REPORTS
DOC DATE
0
YYYYMMDD

I , +
EMERSON.
Climate 7echnologies
RECEIVED
MAY 2 0 2005
BY:
�Civp�arr�nl'
Facstmtle
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4401 E Dbmn OWL
shy, No 2"I2
T MQ U4 9011
F a" 484 UM
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Comments -
MAY 2 5 200 i
WATER a. YSECT10 -
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EMERSOM
❑lmate Technologies
VIA EACSBdHM AND U.S.
Mr. Alan Klimek, P.E.
Director, North Carolina Division
of water Quality
Department of Environment, Health
and Natural Resources
512 N_ Salisbury Street
Raleigh, NC 27604
Copeland Corps
4401 East Dbmn BW
9xIby. NC 29152
USA
T [phone]
F (704)4849723
May 19, 2005
Re: Copeland Corporation Report pursuant to Storm Water General
Permit # NCG030000
Dear Mr. Klimek:
Pu meant to the requirements in Section IH(E)(S) of Copeland Corporation's ("Copeland") Storm
Water General Permit No. NCGO30000 (tire "Permit"), Copeland hereby submits this report
conning a release at its facility in Shelby, North Carohm
At approximately 3:00 AIt'L on May 14, 2005, Copeland experienced a release of approximately
70 gallons of a coolant -water solution into a neighboring storniWater ditch located outside of
Copeland's property. The sohrtion contained. 0.6% coon of a chemical called `Multan
RS". Therefore, approximately 4.2 gallons of Muhau RS was released during this -event. Muhan
RS is composed of the following (an MSDS is attached hereto for reference):
• Rust Inhibitor (10-30%)
• Trietbanolamine (1-10%)
• Diethanolamine (1-10%)
• Hexylene glycol (1-10%)
• �-(Butylamimol (1-10%}
• Fatty acid derivative (1-10%)
• Triazine (l -10%)
• Surlhctaid blend (Less than 1%)
• Petroleum distillates (Less than 1%).
I notified the National Response Center and the North Carolina Spill Hotline of this release at
approximately 11;00 Alit on May 14_ We investigated and determined that the cause of the
release was a blocked valve that could not close and seal because it was clogged with debris. We
Loj�eleR�

have cleaned out the valve and have recovered all of the coolant from the stormwater ditch using
a sump sucker_ We have taken steps to reduce, eliminate, and prevent reoccunwce of a similar
release in the future by forming a team to address the issue; this team is currently in the proem
of drafting a corrective action plan.
Pursiant to Section M(E)(2)_ a copy of this report is being submitted to the Division of Water
Quality's Central Files.
Please feet free to contact me with any motions regarding this report. Thank you.
Sincerely,
Steve Cloy
cc: Division of Water Quality, Central Files

Material Safety Data Sheet
Material Name: MULTAN RS
* * * Section i - Chemical Product and Company Identification * *
Product Trade Name MULTM RS
Manufacturer Information
Henkel Surface Technologies
Henkel Corporation
32100 Stephenson Highway
Madison Heights, MI 48071
Conled Phone: [phone] W
Chembw Emwgency g (800) 424-OWO
* * * Section 2 - Composition rf Information on In redients * * *
ID: 2WO90
CAS 0
Can
Percent
W12--24-4
Rust inhibitor
10-30
102-71-6
TrieUmnoiamine
1-10
111-42-2
Diethandannne
1-10
107-41-5
H l
1-10
111 75-1
?ABanol
1-10
22919-66-8
F acid de Mdive
1-10
4719-0"
Triazine
1-10
Not Available
Surfactant blend
<1
Not Available
1 peftleum dates
<1
I * * * Section 3 - Hazards Identification * * * i
Emergency Overview:
This produci is irritating to the eyes, respiratory system and skin. This product contains a component that may
cause allergic skin reactions. Long4erm exposure can cause lever and kidney damage. Prolonged or repeated
contad with liquid or vapor may affect the nervous system Some effects may be delayed.
Potential Health Effects:
Inhalation and skin contact are expected to be the primary routes of occupational exposure to this material. Based
on its composition. it is antidpated to be severely irritating to corrosive to eyes and skin. Prolonged or repeated
contact may remove offs from the skin and may dry skin and cause irritation, redness and rash. Repeated or
prolonged contact may cause an allergic skin reaction. High vapor conceptions may be irritating to the eyes
and respiratory tract, and may result in central nervous system (CNS) effects such as headache, dimness,
nausea, drowsiness and, in severe exposures, loss of eonsanusness. Precautions should be taken to limit
aerosolization or misting of this material, as repeated exposure to high concentrations of mineral oll mist may
cause lipoid pneumonia. If swallowed, this material may cause severe injury of the mouth, throat and digestive
tract and CNS effects as noted above. Mild to severe lung injury may occur if this material is drawn into the lungs
(pspirated) during swallowing, or during vomiting after swallowing. Symptoms of injury may include increased
breathing and heart rate, m4 thing and recited signs of respiratory distress. Repeated or prolonged costa t may
result in absorption of the material and systemic effects, such as limner or kidney injury. Medical conditions which
may be aggravated by exposure to this material include lung, Over or kidney disease or diminished function of
E * * * Section 4 - First Aid Measures * * * I
Eye Contact:
In case of contact with the eyes, rinse immediately with plenty of water for 15 minutes, and seek immediate
medical attention.
Skin Contact:
For skin contact, flush with large amounts of water. If irritation persrsts, get medical attention.
Ingestion:
If the material is swalkwed, get immediate medical attention or advice — Do not induce vomiting_ Give one to two
glasses of water or milk_ Never give anything by mouth to a victim who is unconscious or Is having convulsions.
Page 1 of a Issue Date: W17104 Revision:1.0001

Material Safety Data Sheet
Material Name: MULTAN IRS
1 -79671�
Inhalation:
if mist or vapor of this product is inhaled, remove person immediately to fresh air. Seek medical attention if
symptom develop or Rersm
* * * Section 5 - Fire Fiahtina Measures * "
Flash Point: , > 200 F Meltwd Used: Flarmnability
clop:
Lipper Ftammaible NA Lower Flan mable NA
Umit (UFLI; Unit (i..lR):
Fire & Expkx;lon Hazards:
This product is an aqueous mixture which will nwt bum. If evaporated to dryness, the solid residue may pose a
moderate fire hazard.
Extinguishing Media:
Use methods for the surrounding fire.
Fire -Fighting Instructions:
Fire fighters and others who may be exposed to products of combustion should wear fun fire fighting turn out gear
(full Bunker Gear) and self -wined breathing apparatus {pressure demand NIOSH approved or equi+ra4e .
Fire fintitinra equipment should be thorounhiv decontaminated after use.
I * * * Section S - Accidental Release Measures * * * I
Clean -Up Procefres:
Collect spOW material with an inert absorbent such as sand or vem*vMe. Place in properly 1a mIW dosed
container. Dispose of collected material according to regulation.
Spill or Leak
Contain spill. Stop leak at source if this can be done safely. Ventilate area. Nonessential personnel should leave
the area until clearap is completed. Pump riquid into DDT -approved drums for disposal_ Absorb remaining liquid
onto inert absorbent and place in DOT approved drams for disposal. Wash area with water. Keep concentrate and
wash water from entering sewers or waterways.
i * * * Section 7 - Handlina and Storage * * * I
Handling Procedures:
Do not get in eyes, an skin or donning. Avoid breaWng vapor or mist. Keep container dosed. -Use only with
adequate ventilation. Wash thoroughly after handring. Empty container may contain hazardous residues.
Storage Procedures:
Store in a cool. dry Dlac:e. Avoid excessive heat. Store out of aired suntiiaht in a cool. well -ventilated glace.
I * * * Section 8 - Exposure Controls I Personal Protection * * * I
TrkWmu olamine (102-71-6)
ACGIR 5 m9/rri3 TWA
Diethanolgmine (11142 2)
ACGIR 2 nVW TWA
skin - potential for cutaneous absorption
NIOSR 3 ppm TWA; 15 mgtm3 TWA
Hexyllene g" (107-41-5)
ACGIR C 25 ppm
NIOSFt C 25 ppm. C 125 mghrt3
Page 2 of 6 Issue Date: M17/04 Revision: 1.0001

Material Safety Data Sheet
Material Name: MULTAN RS
ID: 2313M
Engineering Controls:
Ventilation should eiferlively remove and prevent buildup of any vapor or mist generated from the handling of this
Product -
PERSONAL PROTECTIVE EQUIPMENT
As prescribed in the OSHA Standard for Personal Protective Equipment (29 CFR 1910.132), employers must
perform a Hazard Assessment of afi workplaces to determine the need for, and selection of, proper protective
equipment for each task perfomted.
EyeslFace Protective Equipment:
Wear chemical ical goggles; face shekd (if splashing is possible).
Skin Protection:
Use impervious gloves. Use of impervious apron and boots are recommended.
Respiratory Protection:
ff ventilation is not suffick t to effectively prevent buildup of aerusols or vapors, appropriate NIOSHIMSHA
r+esdirstow Protection must be Provided.
I * * * Section 9 - Phvslcai & Chemical Proaertles * * * I
Physical Stele. liquid Appearance:
Odor Vapor Pressure:
Vapor 0er%y: NE Boiling Paint:
Melting Point NA Spero is Gravity.
pH: 9.3 Vtsaosity:
Voc: Solubl[ity water:
Amber, sfig* hazy fluld
As water
> 200 F
1.03
Soluble
I . '* * * Section 10 - Chemical Stability & •Reactivity Information * * * I
Chemical Stability:
This material is chemically stable under normal and anticipated storage and handling conditions.
Incompatibility:
Strong acids and strong oxxtizers. Contains organic amine compounds. Nitrite based materials should not be
added due to possible nbosoamine formation.
Decomposition Products:
Thermal - oxides of carbon, nitrogen compounds. May release farmaldehyde.
Hazardous Polymerization:
Hazardotts votvmerizalm is not known to occur.
I * * * Section 11 - Toxicoioaical Information * * * I
Acute Toxicity:
A: General Product Information
Based on animal studies, repeated excessive exposures to high amounts of dethanolamine may cause liver and
kidney effects.
B: Component Analysis - LD5011-050
Trielhamoiamine (102--71-6)
Oral LD50 Rat: 4920 uL/kg
Oral LD50 Mouse: 5848 mg/kg
Dermal LD50 RaWl _ >20 mUkg
Diethanolamine (111-42-2)
Oral LD50 Rat, 620 uUkg
Oral LD50 Mouse : 3300 mgikg
Dermal LD50 Rabbit: 7640 uL/kg
Hexyierre glycol 1187-41-6)
Page 3 of 6 issue Date: 08117/04 Revision: 1.000i

Material Safety Data Sheet
Material Name: MULTAN RS
Inhalation LC50 Rat: >310 mWm3flH
Oral LD50 Rat: 3700 mglkg
Oral LD50 Mouse: 3097 mglkg
Dermal LD50 Rabbit: 8560 uLl4cg
2{Buty1amino)8dUw f 011
Oral LD50 Rat: 1150 mglkg
Ttiazine (4719-04-4)
Oral LD50 Rat : 763 mglkg
Component Carcinogenicity
D'tethamd nbe (111-42-2)
IARC: Monograph 77, 20W (Group 3 (not dasssfiable))
Chronic Toxicity
No information available for the product.
Epidemiology:
No information available for the product.
Neurotoxicity:
No information available for the product.
Mutagenicity:
No information available for the product.
Teratogenicity:
No Information avaidatAe for the, oroduct.
I * * * Section 112 - Ecological Information
Ecotoxicity:
A: General Product Information
No infornudion available for ttw product.
B: Component Analysis - Ecotoxicity - Aquatic Toxicity
Triethanolamine (104 71-6)
Teat & sperms Car►dltlons
LC50 (24 hr) goldfish 5000 mglL
DieftwWOM ho (111-42 2)
Test 6 specifies Conditions
LC5Q (96 hr) fathead minhow >100 rnglL Statia
LC50 (24 hr) goldfish 800 rngA- pH 9.6.
LC50 (24 hr) goldfish 5000 MOIL pH 7.0.
EC50 (5 min) Phatobacierium 73 mglL Werotox 15 °C.
phosphoreurn test.
Hexylene glycof (107.41-5)
Test a species Conditions
LC50 (96 hr) fathead minnow 10,700 mg/L Flow#hrough, 24-26 -C, PH 7.5, 45.5 a9t
CaCO3.
LC50 (24 hr) goWlsti 5000 ffol-
EC50 (5 min) Phatahadeftn 3038 mglL Wrotax
phosphoreum test.
TriBAM (47194")
Test & Species conditions
Page 4 of 6 Issue Date: MI 7/04 Revision:1.0001
ID:238090

Material Safety Data Sheet
Material [dame: MULTAN RS
ID: 23BOW
EC50 (15 min) Photobaderium 28.9 mg& M crotox
phosphoreum test.
Environmental Fate:
No data is available concemina the environmental fate, 22ftradation or bioconcentration for this EEWucL
* * Section 13 - Disposal Considerations * * *
'US EPA Waste Numbers & Descriptions:
A: General Product infonration
Recover, redaim or recycle when practical. Dispose of in accordance with federal, state and local regulations.
Note: Chemical additions to, processing of, -or otherwise altering this material may make this waste management
inforrnation incomplete. inaccuride, or otherwise inappropriate. Furthermore, state and local waste disposal
requirements may be more restrictive or otherwise d'dfererd from federal laws and regulations.
B: Component Waste Numbers
No EPA Waste Numbers are applicable for this product's components.
l * * * Section 14 - Transportation Information * * * I
Shipping Name: Please refer to the container label for transportation information.
i * * * Section 15 - Reclulatory Information * * * I
US Federal Regulations
A: General Product Information
This product Is considered hazardous under 29 CFR 1910.1200 (Hazard Communication).
B: Component Analysis
This material contains one or more of the following chemicals required to be identiFied under SARA Section 302
(40 CFR 355 Appendix A), SARA Section 313 (40 CFR 372.65) and/or CERCLA (40 CFR 302.4).
Olethanolasnine (111-42-2)
SARA 313: form R reporting requited for 1.0% de mirumis concentration
CERCLA Brat RQ =100 pounds (45.4 kg)
SARA 3111312: Acute: Y Chromic: Y Fire: N Pressure: N Reactive: N
State Regulations
A: General Product hiformation
No additional information available.
B: Component Analysis - State
The following components appear on one or more of the following state hazardous substances lists:
Cor"POONd
CAS #
I CA
I FL
I MA
I MN I
N.!
PA
Triesthanotiamine
102-71-6
No
Yes
Yes
Yes
No
Yes
Diethanoigmine
11142-2
Yes
Yes
I
I Yee
Yes
I
Yes
Yes
I
HeWene g1vW
10741-5
Yes
Yes
I Yes
Yes
I Yes
Yes
Mer Regulations
A: General Product Information
Alt components are on the U.S. EPA TSCA Inventory List.
Page 5 of 6 Issue Date: 08/17/04 , Revision: 1.0001

Material Safety Data Sheet
Material Name: MULTAN RS
B: Component Analvsis - In verftr,f
ID: 238M
Component
CAS #
TSCA
DSL
EINECS
Rust inhibitor
64812-24-4
Yes
Yes
Yea
Triethanolarrrine
102-7"
Yes
Yes
Yes
Diethanolamine
111422
Yes
Yes
Yes
Hvwlene qlyml
107-41-5
Yes
Yes
Yes
2 amino nol
111-75-1
Yes
Yes
Yes
Fq#y add derivative
22010-5"
Yes
Yes
Yes
Triazine
4719434-1
Yes
Yes
Yes
C: Component Analysis-1NHMIS IDL
The followtno components are identified under the Canadian Hazardous Products Act Inaredient Disclosure List:
Component i
CAS a
mhdrnum Concenta�fan
Triethanolamine
102-71-6
1%, EnglM Item 1621; French
item 1663
Diethanoierrtne
11142 2
1%; English Item S69; French
Itern 693
Hexylene glycol
10741-6
1%; English item 837; French
Item 070
* * * Section 16 - Other Information * * *
NFPA Ratings: Health: 1 Fire: 0 Reactivity: 0
Hazard Scale: 0 = Minimal 1 = Slight 2 = Moderate 3 = Serious 4 = Severe
Key/Legend
EPA = Emvirohmental Protection Agency; TSCA = Toxic Substance Control Act; ACGIH = American Conference
of Govemmental Industrial Hygienists; IARC = International Agency for Research on Cancer, NIOSH = National
Institute for Occupational Safety and Health; NTP = National Toudcology Program; OSHA = Occupational Safety
and Health AdntinisiraUon; NFPA = National Fine Protection Association; HMIS = Hazardous Material
Identification System; CERCLA = Comprehensive Environmental Response, Compensation and Liabfilty Act;
SARA = Superfund Amendments and Reauthorization Act
The irtfomnation presented herein is beiieved to be fackuat as it has been derived from the works and opinions of
persons believed to be qusified experts: however, nothing contained in this information Is to be taken as a
warranty or representation for which Henkel Surface Technologies bears legal responsibility. The user should
review any recommendations in the specific context of the intended use to detemUne whether they are
appropriate.
Contact; Regulatory Affairs and Product Acceptance
Contact Plwne: [phone]
This is the end of MSDS 6 238090 '
Page 6 of 6 Issue Date: M17104 Revision: 1.0001