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Does this facility use any of the following chemicals as raw materials in production, produce them as <br />part of the manufacturing process, or are they present in the wastewater? (The number following the <br />chemical name is the Chemical Abstract Service (CAS) reference number to aid in identifying the <br />compound.) ❑ YES ® NO <br />If yes, specify how the chemical is used and the quantity used or produced (Use additional sheets, if <br />necessary and label as attachment E5): <br />Acrylamide/79-06-1 <br />Acrylonitrile/107-13-1 <br />Aldrin/309-00-2 <br />Aniline/62-53-3 <br />Aramite/140-57-8 <br />Arsenic/7440-38-2 <br />Azobenzene/103-33-3 <br />Benzene/7143-2 <br />Benzidine/92-87-5 <br />Benzo(a)pyrene/50-32-8 <br />Benzotrichloride/98-07-7 <br />Benzyl chloride/100-44-7 <br />Bis(chloroethyl)ether/111-44-4 <br />Bis(chloromethyl)ether/542-88-1 <br />Bis(2-ethylhexyl) phthalate/ 117-81-7 <br />Bromodichloromethane/75-274 <br />Bromoform/75-25-2 <br />Carbazole/86-74-8 <br />Carbon tetrachloride/56-23-5 <br />Chlordane/57-74-9 <br />Chlorodibromomethane/ 124-48-1 <br />Chloroform/67-66-3 <br />Chlorthalonil/189745-6 <br />2,4-D/94-75-7 <br />DDT/50-29-3 <br />Diallate/2303-16-4 <br />1,2 Dibromoethane/106-934 <br />1,4 Dichlorobenzene/10646-7 <br />3,3' Dichlorobenzidine/91-94-1 <br />1,1 Dichloroethane/75-34-3 <br />1,2 Dichloroethane/107-06-2 <br />Nitrofurazone/59-87-0 <br />N-nitrosodiethanolamine/ 1116-54-7 <br />N-nitrosodiethylamine/55-18-5 <br />N-nitrosodimethylamine/62-75-9 <br />N-nitrosodiphenylamine/86-30-6 <br />N-nitroso-di-n-propylamine/ 621-64-7 <br />N-nitrosopyrrolidine/930-55-2 <br />N-nitroso-di-n-butylamine/ 924-16-3 <br />N-nitroso-n-methylethylamine/ <br />10595-95-6 <br />PAH/NA <br />PBBs/NA <br />PCBs/1336-36-3 <br />1,2 Dichloropropane/78-87-5 <br />1,3 Dichloropropene/542-75-6 <br />Dichlorvos/62-73-7 <br />Dieldrin/60-57-1 <br />3,3' Dimethoxybenzidine/119-90-4 <br />3,3 Dimethylbenzidine/119-93-7 <br />1,2 Dimethylhydrazine/540-73-8 <br />2,4 Dinitrotoluene/121-14-2 <br />2,6 Dinitrotoluene/606-20-2 <br />1,4 Dioxane/123-91-1 <br />1,2 Diphenylhydrazine/122-66-7 <br />Endrin/72-20-8 <br />Epichlorohydrin/106-89-8 <br />Ethyl acrylate/140-88-5 <br />Ethylene dibromide/106-93-4 <br />Ethylene thioureae/96-45-7 <br />Folpet/133-07-3 <br />Furmecyclox/60568-05-0 <br />Heptachlor/76-44-8 <br />Heptachlor epoxide/1024-57-3 <br />Hexachlorobenzene/118-74-1 <br />Hexachlorocyclohexane (alpha)/ <br />319-84-6 <br />Hexachlorocyclohexane (tech.)/ <br />608-73-1 <br />Hexachlorodibenzo-p-dioxin, <br />mix/19408-74-3 <br />Hydrazine/hydrazine sulfate/ 302-01-2 <br />Lindane/58-89-9 <br />2 Methylaniline/100-61-8 <br />2 Methylaniline hydrochloride/ <br />636-21-5 <br />4,4' Methylene <br />bis(N,N- dimethyl)aniline/101-61-1 <br />Methylene chloride <br />(dichloromethane)/75-09-2 <br />Mirex/2385-85-5 <br />0-phenylenediamine/ 106-50-3 <br />Propylene oxide/75-56-9 <br />2,3,7,8-Tetrachlorodibenzo-p-dioxin/ <br />1746-01-6 <br />Tetrachloroethylene/127-184 <br />2,4 Toluenediamine/95-80-7 <br />o-Toluidine/95-53-4 <br />Toxaphene/8001-35-2 <br />Trichloroethylene/79-01-6 <br />2,4,6-Trichlorophenol/88-06-2 <br />Trimethyl phosphate/512-56-1 <br />Vinyl chloride/75-014 <br />ECY-040-179 (rev. 08/2012) Page 13 of 21 <br />