ML13289A232
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Form Status: Certified and Sent to USEPA Validation Status: Passed with Possible Errors Form Approved OMB Number: 2025-0009 (IMPORTANT: Read instructions before completing form; type or use fill-and-print form)
Approval Expires: 10/31/2014 Page 1 of 5 EPA FORM R United States Environmental Protection Agency Section 313 of the Emergency Planning and Community Right-to-know Act of 1986, also known as Title III of the Superfund Amendments and Reauthorization Act.
TRI Facility ID Number 37379STVSQSEQUO Toxic Chemical, Category, or Generic Name Lead WHERE TO SEND COMPLETED FORMS:
- 1. TRI Data Processing Center P.O. Box 10163 Fairfax, VA 22038
- File Copy Only: Do Not Submit Paper Form to EPA ***
- 2. APPROPRIATE STATE OFFICE (See instructions in Appendix F)
This section only applies if you are revising or withdrawing a previously submitted form, otherwise leave blank:
Revision (Enter up to two code(s))
[ ] [ ]
Withdrawal (Enter up to two code(s))
[ ] [ ]
Important: See Instructions to determine when "Not Applicable (NA)" boxes should be checked.
Part I. FACILITY IDENTIFICATION INFORMATION SECTION 1. REPORTING YEAR : 2011 SECTION 2. TRADE SECRET INFORMATION 2.1 Are you claiming the toxic chemical identified on page 2 trade secret?
[ ] Yes (Answer questions 2.2; attach substantiation forms)
[ X ] NO (Do not answer 2.2; go to Section 3) 2.2 Is this copy
[ ] Sanitized [ ] Unsanitized (Answer only if "Yes" in 2.1)
SECTION 3. CERTIFICATION (Important: Read and sign after completing all form sections.)
I hereby certify that I have reviewed the attached documents and that, to the best of my knowledge and belief, the submitted information is true and complete and that the amounts and values in this report are accurate based on reasonable estimates using data available to the preparers of this report.
Name and official title of owner/operator or senior management official:
Signature:
Date Signed:
File Copy Only: Do Not Submit Paper Form to EPA File Copy Only: Do Not Submit Paper Form to EPA XX/XX/XXXX SECTION 4. FACILITY IDENTIFICATION 4.1 TRI Facility ID Number 37379STVSQSEQUO Facility or Establishment Name U.S. TVA SEQUOYAH NUCLEAR PLANT Street SEQUOYAH ACCESS RD Mailing Address (if different from physical street address)
PO BOX 2000 City/County/State/ZIP Code SODDY-DAISY / Hamilton / TN / 37379 City/State/ZIP Code SODDY-DAISY / TN / 37384 Country (Non-US) 4.2 This report contains information for :
( Important: check a or b; check c or d if applicable)
- a. [ X ] An Entire facility
- b. [ ] Part of a facility
- c. [ X ] A Federal facility
- d. [ ] GOCO 4.3 Technical Contact name MICHAEL BRODER Email Address mfbroder@tva.gov Telephone Number (include area code) 2563862475 4.4 Public Contact name SHANNON RIDINGER Email Address sjridinger@tva.gov Telephone Number (include area code) 4238437839 4.5 NAICS Code(s) (6 digits)
- a. 221113 (Primary)
- b.
- c.
- d.
- e.
- f.
4.6 Dun and Bradstreet Number(s) (9 digits)
- a. NA
- b.
SECTION 5. PARENT COMPANY INFORMATION 5.1 Name of U.S. Parent Company (for TRI Reporting purposes)
US TENNESSEE VALLEY AUTHORITY No U.S. Parent Company (for TRI Reporting purposes) [ ]
5.2 Parent Company's Dun & Bradstreet Number NA [ X ]
EPA Form 9350-1 (Rev. 10/2011) - Previous editions are obsolete.
Printed using TRIMEweb Page 1 of 6 TRI Reporting Form 06/21/2012 https://trimeweb.epa.gov/trimeweb/formXML?formID=1142684&subID=102934
Page 2 of 5 EPA FORM R PART II. CHEMICAL - SPECIFIC INFORMATION TRI Facility ID Number 37379STVSQSEQUO Toxic Chemical, Category, or Generic Name Lead SECTION 1. TOXIC CHEMICAL IDENTITY (Important: DO NOT complete this section if you are reporting a mixture component in Section 2 below.)
1.1 CAS Number (Important: Enter only one number exactly as it appears on the Section 313 list. Enter category code if reporting a chemical category.)
7439921 1.2 Toxic Chemical or Chemical Category Name (Important: Enter only one name exactly as it appears on the Section 313 list.)
Lead 1.3 Generic Chemical Name (Important: Complete only if Part I, Section 2.1 is checked "Yes". Generic Name must be structurally descriptive).
NA SECTION 2. MIXTURE COMPONENT IDENTITY (Important: DO NOT complete this section if you completed Section 1 above.)
2.1 Generic Chemical Name Provided by Supplier (Important: Maximum of 70 characters, including numbers, spaces, and punctuation.)
NA SECTION 3. ACTIVITIES AND USES OF THE TOXIC CHEMICAL AT THE FACILITY (Important: Check all that apply.)
3.1 Manufacture the toxic chemical:
3.2 Process the toxic chemical:
3.3 Otherwise use the toxic chemical:
- a. [ ] Produce b. [ ] Import If produce or import:
- c. [ ] For on-site use/processing
- d. [ ] For sale/distribution
- e. [ ] As a byproduct
- f. [ ] As an impurity
- a. [ ] As a reactant
- b. [ ] As a formulation component
- c. [ ] As an article component
- d. [ ] Repackaging
- e. [ ] As an impurity
- a. [ ] As a chemical processing aid
- b. [ ] As a manufacturing aid
- c. [ X ] Ancillary or other use SECTION 4. MAXIMUM AMOUNT OF THE TOXIC CHEMICAL ON-SITE AT ANY TIME DURING THE CALENDAR YEAR 4.1 [ 02 ] (Enter two-digit code from instruction package.)
SECTION 5.QUANTITY OF THE TOXIC CHEMICAL ENTERING EACH ENVIRONMENTAL MEDIUM ON-SITE A. Total Release (pounds/year*)
(Enter range code or estimate**)
B. Basis of Estimate (Enter code)
C. Percent from Stormwater 5.1 Fugitive or non-point air emissions NA [ ] 0.7 E1 5.2 Stack or point air emissions NA [ ] 0 E1 5.3 Discharges to receiving streams or water bodies (Enter one name per box)
NA [ ]
Stream or Water Body Name 5.3. 1 TENNESSEE RIVER 0
M2 0%
- For Dioxin and Dioxin-like Compounds, report in grams/year EPA Form 9350-1 (Rev. 10/2011) - Previous editions are obsolete.
- Range Codes: A=1-10 pounds; B=11-499 pounds; C=500-999 pounds.
Page 2 of 6 TRI Reporting Form 06/21/2012 https://trimeweb.epa.gov/trimeweb/formXML?formID=1142684&subID=102934
Page 3 of 5 EPA FORM R PART II. CHEMICAL - SPECIFIC INFORMATION (CONTINUED)
TRI Facility ID Number 37379STVSQSEQUO Toxic Chemical, Category, or Generic Name Lead SECTION 5. QUANTITY OF THE TOXIC CHEMICAL ENTERING EACH ENVIRONMENTAL MEDIUM ON-SITE (Continued)
NA A. Total Release (pounds/year*) (Enter range code** or estimate)
B. Basis of Estimate (Enter code) 5.4.1 Underground Injection on-site to Class I wells
[ X ]
5.4.2 Underground Injection on-site to Class II-V wells
[ X ]
5.5 Disposal to land on-site 5.5.1.A RCRA subtitle C landfills
[ X ]
5.5.1.B Other landfills
[ X ]
5.5.2 Land treatment/application farming
[ X ]
5.5.3A RCRA Subtitle C surface impoundments
[ X ]
5.5.3B Other surface impoundments
[ X ]
5.5.4 Other disposal
[ ]
380 C
SECTION 6. TRANSFER(S) OF THE TOXIC CHEMICAL IN WASTES TO OFF-SITE LOCATIONS 6.1 DISCHARGES TO PUBLICLY OWNED TREATMENT WORKS (POTWs)
NA [ X ]
- For Dioxin and Dioxin-like Compounds, report in grams/year EPA Form 9350-1 (Rev. 10/2011) - Previous editions are obsolete.
- Range Codes: A=1-10 pounds; B=11-499 pounds; C=500-999 pounds.
Page 3 of 6 TRI Reporting Form 06/21/2012 https://trimeweb.epa.gov/trimeweb/formXML?formID=1142684&subID=102934
Page 4 of 5 EPA FORM R PART II. CHEMICAL - SPECIFIC INFORMATION (CONTINUED)
TRI Facility ID Number 37379STVSQSEQUO Toxic Chemical, Category, or Generic Name Lead 6.2 TRANSFERS TO OTHER OFF-SITE LOCATIONS NA [ ]
6.2.1 Off-Site EPA Identification Number (RCRA ID No.)
ALD000622464 Off-Site Location Name:
CHEMICAL WASTE MANAGEMENT Off-Site Address:
36964 AL HWY 17 City EMELLE County Sumter State AL Zip 35459 Country (Non-US)
Is location under control of reporting facility or parent company?
[ ] Yes [ X ] No A. Total Transfer (pounds/year*)
(Enter range code** or estimate)
B. Basis of Estimate (Enter code)
C. Type of Waste Treatment/Disposal/
Recycling/Energy Recovery (Enter code) 1..9 1. O 1. M65 6.2.2 Off-Site EPA Identification Number (RCRA ID No.)
TNR000012088 Off-Site Location Name:
HOLSTON COMPANIES Off-Site Address:
1000 BUSINESS PARK DRIVE City CHATTANOOGA County Hamilton State TN Zip 37419 Country (Non-US)
Is location under control of reporting facility or parent company?
[ ] Yes [ X ] No A. Total Transfer (pounds/year*)
(Enter range code** or estimate)
B. Basis of Estimate (Enter code)
C. Type of Waste Treatment/Disposal/
Recycling/Energy Recovery (Enter code) 1. 3.7 1. O 1. M99 6.2.3 Off-Site EPA Identification Number (RCRA ID No.)
AL2640090005 Off-Site Location Name:
US TVA MUSCLE SHOALS Off-Site Address:
HWY 133N NEAR WILSON DAM City MUSCLE SHOALS County Colbert State AL Zip 356621010 Country (Non-US)
Is location under control of reporting facility or parent company?
[ ] Yes [ X ] No A. Total Transfer (pounds/year*)
(Enter range code** or estimate)
B. Basis of Estimate (Enter code)
C. Type of Waste Treatment/Disposal/
Recycling/Energy Recovery (Enter code) 1. 0 1. O 1. M94 6.2.4 Off-Site EPA Identification Number (RCRA ID No.)
ALD983167891 Off-Site Location Name:
TCI OF ALABAMA Off-Site Address:
101 PARKWAY EAST COGSWELL INDUST PARK City PELL CITY County St Clair State AL Zip 35125 Country (Non-US)
Is location under control of reporting facility or parent company?
[ ] Yes [ X ] No A. Total Transfer (pounds/year*)
(Enter range code** or estimate)
B. Basis of Estimate (Enter code)
C. Type of Waste Treatment/Disposal/
Recycling/Energy Recovery (Enter code) 1..1 1. O 1. M99 SECTION 7A. ON-SITE WASTE TREATMENT METHODS AND EFFICIENCY
[ ] Not Applicable (NA) - Check here if no on-site waste treatment is applied to any waste stream containing the toxic chemical or chemical category.
- a. General Waste Stream (Enter code)
- b. Waste Treatment Method(s) Sequence
[Enter 3-character code(s)]
- c. Waste Treatment Efficiency Estimate 7A. 1 a 7A. 1 b 7A. 1 c W
2 : H081 3 : H129 E6
- For Dioxin and Dioxin-like Compounds, report in grams/year EPA Form 9350-1 (Rev. 10/2011) - Previous editions are obsolete.
- Range Codes: A=1-10 pounds; B=11-499 pounds; C=500-999 pounds.
Page 4 of 6 TRI Reporting Form 06/21/2012 https://trimeweb.epa.gov/trimeweb/formXML?formID=1142684&subID=102934
Page 5 of 5 EPA FORM R PART II. CHEMICAL - SPECIFIC INFORMATION (CONTINUED)
TRI Facility ID Number 37379STVSQSEQUO Toxic Chemical, Category, or Generic Name Lead SECTION 7B. ON-SITE ENERGY RECOVERY PROCESSES
[ 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 [Enter 3-character code(s)]
SECTION 7C. ON-SITE RECYCLING PROCESSES
[ X ] NA - Check here if no on-site recycling is applied to any waste stream containing the toxic chemical or chemical category.
Recycling Methods [Enter 3-character code(s)]
SECTION 8. DISPOSAL OR OTHER RELEASES, SOURCE REDUCTION, AND RECYCLING ACTIVITIES Column A Prior Year (pounds/year*)
Column B Current Reporting Year (pounds/year*)
Column C Following Year (pounds/year*)
Column D Second Following Year (pounds/year*)
8.1 8.1a Total on-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills NA NA NA NA 8.1b Total other on-site disposal or other releases 440 380 380 380 8.1c Total off-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills 4.9
.9
.9
.9 8.1d Total other off-site disposal or other releases
.3 3.8 3.8 3.8 8.2 Quantity used for energy recovery on-site NA NA NA NA 8.3 Quantity used for energy recovery off-site NA NA NA NA 8.4 Quantity recycled on-site NA NA NA NA 8.5 Quantity recycled off-site NA NA NA NA 8.6 Quantity treated on-site NA NA NA NA 8.7 Quantity treated off-site NA NA NA NA 8.8 Quantity released to the environment as a result of remedial actions, catastrophic events, or one-time events not associated with production processes (pounds/year)
NA 8.9 Production ratio or activity index 0.86 8.10 Did your facility engage in any newly implemented source reduction activities for this chemical during the reporting year?
If so, complete the following section; if not, check NA.
NA [X]
Source Reduction Activities (Enter code(s))
Methods to Identify Activity (Enter code(s))
8.10. 1 NA EPA Form 9350-1 (Rev. 10/2011) - Previous editions are obsolete.
- For Dioxin and Dioxin-like Compounds, report in grams/year Page 5 of 6 TRI Reporting Form 06/21/2012 https://trimeweb.epa.gov/trimeweb/formXML?formID=1142684&subID=102934
TRI Facility ID Number 37379STVSQSEQUO Toxic Chemical, Category, or Generic Name Lead Additional optional information on source reduction, recycling, or pollution control activities.
Miscellaneous, additional, or optional information regarding the Form R submission Page 6 of 6 TRI Reporting Form 06/21/2012 https://trimeweb.epa.gov/trimeweb/formXML?formID=1142684&subID=102934
Form Status: Certified and Sent to USEPA Validation Status: Passed with No Errors Form Approved OMB Number: 2025-0009 (IMPORTANT: Read instructions before completing form; type or use fill-and-print form)
Approval Expires: 10/31/2014 United States Environmental Protection Agency TOXIC CHEMICAL RELEASE INVENTORY FORM A TRI Facility ID Number 37379STVSQSEQUO WHERE TO SEND COMPLETED FORMS:
- 1. TRI Data Processing Center P.O. Box 10163 Fairfax, VA 22038
- File Copy Only: Do Not Submit Paper Form to EPA ***
- 2. APPROPRIATE STATE OFFICE (See instructions in Appendix F)
This section only applies if you are revising or withdrawing a previously submitted form, otherwise leave blank:
Revision (Enter up to two code(s))
[ ] [ ]
Withdrawal (Enter up to two code(s))
[ ] [ ]
Important: See Instructions to determine when "Not Applicable (NA)" boxes should be checked.
Part I. FACILITY IDENTIFICATION INFORMATION SECTION 1. REPORTING YEAR : 2011 SECTION 2. TRADE SECRET INFORMATION 2.1 Are you claiming the toxic chemical identified on page 2 trade secret?
[ ] Yes (Answer questions 2.2; attach substantiation forms)
[ X ] NO (Do not answer 2.2; go to Section 3) 2.2 Is this copy
[ ] Sanitized [ ] Unsanitized (Answer only if "Yes" in 2.1)
SECTION 3. CERTIFICATION (Important: Read and sign after completing all form sections.)
I hereby certify that to the best of my knowledge and belief, for each toxic chemical listed in the statement, the annual reportable amount as defined in 40 CFR 372.27 (a), did not exceed 500 pounds for this reporting year and the chemical was manufactured, processed, or otherwise used in an amount not exceeding 1 million pounds during this reporting year.
Name and official title of owner/operator or senior management official:
Signature:
Date Signed:
File Copy Only: Do Not Submit Paper Form to EPA File Copy Only: Do Not Submit Paper Form to EPA XX/XX/XXXX SECTION 4. FACILITY IDENTIFICATION 4.1 TRI Facility ID Number 37379STVSQSEQUO Facility or Establishment Name U.S. TVA SEQUOYAH NUCLEAR PLANT Street SEQUOYAH ACCESS RD Mailing Address (if different from physical street address)
PO BOX 2000 City/County/State/ZIP Code SODDY-DAISY / Hamilton / TN / 37379 City/State/ZIP Code SODDY-DAISY / TN / 37384 Country (Non-US)
/
4.2 This report contains information for : ( Important: check c or d if applicable)
- c. [ X ] A Federal facility
- d. [ ] GOCO 4.3 Technical Contact name MICHAEL BRODER Email Address mfbroder@tva.gov Telephone Number (include area code) 2563862475 4.4 Public Contact name SHANNON RIDINGER Email Address sjridinger@tva.gov Telephone Number (include area code) 4238437839 4.5 NAICS Code(s) (6 digits)
- a. 221113 (Primary)
- b.
- c.
- d.
- e.
- f.
4.6 Dun and Bradstreet Number(s) (9 digits)
- a. NA
- b.
SECTION 5. PARENT COMPANY INFORMATION 5.1 Name of U.S. Parent Company (for TRI Reporting purposes)
US TENNESSEE VALLEY AUTHORITY No U.S. Parent Company (for TRI Reporting purposes) [ ]
5.2 Parent Company's Dun & Bradstreet Number NA [ X ]
EPA Form 9350-2 (Rev. 10/2011) - Previous editions are obsolete.
Printed using TRIMEweb Page 1 of 2 TRI Reporting Form 06/21/2012 https://trimeweb.epa.gov/trimeweb/formXML?formID=1142683&subID=102934
IMPORTANT: Read instructions before completing form; type or use fill-and-print form EPA FORM A PART II. CHEMICAL IDENTIFICATION Do not use this form for reporting Dioxin and Dioxin-like Compounds*
TRI Facility ID Number 37379STVSQSEQUO SECTION 1. TOXIC CHEMICAL IDENTITY Report 1 of 1 1.1 CAS Number (Important: Enter only one number as it appears on the Section 313 list. Enter category code if reporting a chemical category.)
302012 1.2 Toxic Chemical or Chemical Category Name (Important: Enter only one name exactly as it appears on the Section 313 list.)
Hydrazine 1.3 Generic Chemical Name (Important: Complete only if Part I, Section 2.1 is checked "Yes". Generic Name must be structurally descriptive).
NA SECTION 2. MIXTURE COMPONENT IDENTITY (Important: DO NOT complete this section if you completed Section 1.)
2.1 Generic Chemical Name Provided by Supplier (Important: Maximum of 70 characters, including numbers, spaces, and punctuation.)
NA
- See the TRI Reporting Forms and Instructions Manual for the TRI-listed Dioxin and Dioxin-like Compounds EPA Form 9350-2 (Rev. 10/2011) - Previous editions are obsolete.
Page 2 of 2 TRI Reporting Form 06/21/2012 https://trimeweb.epa.gov/trimeweb/formXML?formID=1142683&subID=102934
In addition to the information on this page, you can print or download other important information related to this submission for your records. After this submission has been certified, return to the "Reporting Summary" page, select this submission, and click Recordkeeping.
Transaction ID:
_63e53c91-e67c-4007-9b3b-50aeec33bc4f USEPA Submission Status:
Certified and Sent to USEPA Transmitted by:
Mrs. Toree Cook tmcook@tva.gov Transmission date:
06/18/2012 Certified by:
JOHN CARLIN JTCARLIN@TVA.GOV Certification date/time:
06/18/2012 10:49 AM State Submission State:
Tennessee TDX Participant?:
Yes: USEPA will automatically forward to or make available via download for your state agency (listed below) a copy of your electronic CDX submission, once your submission has been certified.
State Office:
the Tennessee Emergency Management Agency Certifying Official(s) Notified Primary Certifier:
JOHN CARLIN JTCARLIN@TVA.GOV Alternate Certifier:
No Alternate Certifier Identified Facility Information TRIFID:
37379STVSQSEQUO Name:
U.S. TVA SEQUOYAH NUCLEAR PLANT Address:
SEQUOYAH ACCESS RD SODDY-DAISY, TN 37379 Forms Transmitted CAS No.
Chemical Name Year Form Revision?
000302012 Hydrazine 2011 Form A No 007439921 Lead 2011 Form R No Page 1 of 1 502110 06/20/2012 https://trimeweb.epa.gov/trimeweb/workflow/502110R