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Vol. 144, No. 27 — July 3, 2010

DEPARTMENT OF THE ENVIRONMENT

CANADIAN ENVIRONMENTAL PROTECTION ACT, 1999

Proposed notice requiring the preparation and implementation of pollution prevention plans in respect of specified substances on Schedule 1 of the Canadian Environmental Protection Act, 1999, implicated in the polyurethane and other foam sector (except polystyrene)

The Minister of the Environment proposes to publish the annexed Notice under section 56 of the Canadian Environmental Protection Act, 1999 (hereinafter referred to as the “Act”). This proposed Notice will initiate a 60-day comment period. Following the comment period and after review of the comments received, the Minister intends to publish a Final Notice requiring the preparation and implementation of pollution prevention plans in the Canada Gazette, Part I.

The Final Notice will require the preparation and implementation of a pollution prevention plan in respect of the substances listed in this Notice which are specified on Schedule 1 of the Act. The Final Notice will apply to persons within the polyurethane and other foam sector (except polystyrene) who own or operate a facility that purchases or uses one or more of the substances listed in this Notice in quantities that meet or exceed the thresholds listed.

More information on pollution prevention planning can be found in the Guidelines for the Implementation of the Pollution Prevention Planning Provisions of Part 4 of the Act. These guidelines and other information related to pollution prevention and pollution prevention planning can be found at the “Pollution Prevention” section of Environment Canada’s Web site at www.ec.gc.ca/planp2-p2plan.

MARGARET KENNY
Director General
Chemicals Sector Directorate
On behalf of the Minister of the Environment

PROPOSED NOTICE REQUIRING THE PREPARATION AND IMPLEMENTATION OF POLLUTION PREVENTION PLANS IN RESPECT OF SPECIFIED SUBSTANCES ON SCHEDULE 1 OF THE CANADIAN ENVIRONMENTAL PROTECTION ACT, 1999, IMPLICATED WITHIN THE POLYURETHANE AND OTHER FOAM SECTOR (EXCEPT POLYSTYRENE)

Notice is hereby given that, pursuant to the provisions of Part 4 of the Canadian Environmental Protection Act, 1999, the Minister of the Environment requires any person or a class of persons, described in section 2 of the Notice, to prepare and implement a pollution prevention plan in respect of the substances listed in the Table in section 3 of the Notice (hereinafter referred to as the “Table”) which are specified on Schedule 1 of the Canadian Environmental Protection Act, 1999.

 1. Definitions

The definitions in this section apply to the Notice.

“Act” means the Canadian Environmental Protection Act, 1999.

“Plan” means a pollution prevention plan.

“Polyurethane and other foam sector (except polystyrene)” comprises facilities that purchase or use one or more of the substances listed in column 2 of the Table, in quantities that equal or exceed the purchase and/or use threshold listed in column 4 of the Table, and engage in the activities listed in column 5 of the Table to produce all types of foam (except polystyrene). The word “other” in “polyurethane and other foam sector (except polystyrene)” refers to all foam made of materials that are different from polyurethane and polystyrene.

In “Best available techniques economically achievable,” the word “techniques” embraces both the plant equipment used in the process and how the process is operated. It includes, but is not limited to, matters such as the number of employees, their qualifications and experience, working methods, training, supervision and the manner the process is operated. It also includes the design, construction, lay-out and maintenance of the plant and buildings.

 2. Person or class of persons required to prepare and implement a plan

(1) The Notice applies to any person or class of persons who, on the date of publication of the Final Notice and anytime thereafter,

(a) owns or operates a facility within the polyurethane and other foam sector (except polystyrene) which, at any time, purchases or uses one or more of the substances listed in column 2 of the Table, in quantities that equal or exceed the purchase and/or use threshold listed in column 4 of the Table (if applicable); and

(b) is involved in the substance-specific activities listed in column 5 of the Table in the Notice.

(2) The Notice applies to any person or class of persons who is the successor or a person appointed by the persons identified in subsection 2(1).

 3. Substance-specific activities, risk management objectives, and factors to consider, in relation to which the plan is to be prepared

The Minister requires all persons or class of persons identified in section 2 of the Notice to prepare and implement a plan in relation to the substance-specific activities, risk management objectives, and factors to consider listed below involving the substances and their corresponding thresholds (if applicable).

The Government of Canada will take action on chemical substances through the Chemicals Management Plan, and may amend the Notice from time to time to add additional substances which are specified on Schedule 1 of the Act.

The following Table lists the substances targeted within the Notice, along with

  • substance-specific activities for which the plan is to be prepared; and
  • substance-specific risk management objectives.

Substance-specific factors to consider when preparing the plan appear following the Table.

Item Number

Substance Name

CAS Number1

Substance Use/Purchase Threshold (if Applicable)

Activities for Which the Plan Is to Be Prepared

Substance-specific Risk Management Objective

(1)

Toluene Diisocyanates (TDI):

(Benzene, 1,3-diisocyanato-2-methyl- or 2,6-TDI);

(Benzene, 2,4-diisocyanato-1-methyl- or 2,4-TDI); and

(Benzene, 1,3-diisocyanatomethyl- or mixed isomers of 2,4-TDI and 2,6-TDI).

 

91-08-7

584-84-9

26471-62-5

100 kg/year

— Manufacturing of flexible slabstock foam (including TDI storage in tanks and cutting and shaping of foam)

— Manufacturing of flexible moulded foam (including TDI storage in tanks and cutting and shaping of foam)

— Manufacturing of rigid foam (including TDI storage in tanks and cutting and shaping of foam)

— Manufacturing of structural foam (including TDI storage in tanks and cutting and shaping of foam)

— Rebonding of foam (including cutting and shaping of foam)

Reduction of TDI releases to the environment to the greatest extent possible using best available techniques economically achievable.

1  The Chemical Abstracts Service (CAS) Information is the property of the American Chemical Society and any use or redistribution, except as required in supporting regulatory requirements and/or for reports to the Gvernment when the information and the reports are required by law or administrative policy, is not permitted without the prior, written permission of the American Chemical Society.

Substance-specific factors to consider when preparing the plan

3(1)1. TDI was concluded to meet subsection 64(c) criterion of the Canadian Environmental Protection Act, 1999 (CEPA 1999) and was added to Schedule 1 of the Act on May 12, 2010. It is considered that TDI is entering or may enter the environment in a quantity or concentration or under conditions that constitute or may constitute a danger in Canada to human life or health. The final screening assessment report concludes that TDI does not meet the criteria for persistence and does not meet the criteria for bioaccumulation, as defined by the Persistence and Bioaccumulation Regulations made under CEPA 1999.

3(1)2. The final Screening Assessment for TDI published by Environment Canada and Health Canada in July 2008. Available at www.ec.gc.ca/substances/ese/eng/challenge/batch1/batch1_TDI_en.pdf.

3(1)3. The Risk Management Objective for TDI, as stated in the above table.

3(1)4. In order to ensure that environmental releases of TDI and human health risks due to exposure to TDI are adequately addressed, persons subject to the Notice shall consider to proceed, during normal conditions of operations related to the activities listed in the above table, with either 3(1)4a or [3(1)4b, 3(1)4c and 3(1)4d]:

3(1)4a. Conducting either air dispersion modelling or sampling and testing for TDI in ambient air at or beyond facility site boundaries at locations that ensure measurement of maximum exposure at ground level, by taking into account the latest version of one or more of the following sources:

  • Any standard method to sample and measure TDI in ambient air at or beyond facility site boundaries, with a detection limit of 0.2 µg/m3 in 24 hours;
  • The United States Environmental Protection Agency (US EPA) Conditional Test Method 036A — Analysis of Isocyanates, 2000 and revised in 2004. Available at www.epa.gov/ttn/emc/ctm.html;
  • The AERMOD dispersion model made available on the Internet by the US EPA, as amended from time to time.

3(1)4b. Conducting sampling and testing for TDI in stack releases, including exhaust air volume rates and typical/current TDI concentration in extracted air, by taking into account the latest version of one or more of the following sources:

3(1)4c. Measuring or estimating emissions of TDI from storage tanks by taking into account the latest version of one or more of the following sources:

3(1)4d. Estimating or measuring fugitive emissions of TDI by taking into account the latest version of one or more of the following sources:

3(1)5. In accordance with the data resulting from considering factors 3(1)1 to 3(1)4, factors 3(1)5a, 3(1)5b, 3(1)5c and one or more of the factors 3(1)5d to 3(1)5j must be considered by facilities, who at any time within the period to implement the plan, released to air more than 100 kg per year of TDI OR by facilities with a TDI concentration at or beyond facilities site boundaries greater than 0.2 µg/m3 in 24 h.

3(1)5a. Best available techniques to prevent and/or control the release of TDI to the air from point/stack. Fugitive and storage sources shall also be considered.

3(1)5b. Establishing and implementing a leak detection and repair (LDAR) program which includes the use of the latest version of one or more of the following sources:

  • US EPA Method 21 — Determination of Volatile Organic Compound Leaks. Available at www.epa.gov/ttn/emc/promgate/m-21.pdf;
  • Component testing frequency equivalent to the CCME Environmental Code of Practice for the Measurement and Control of Fugitive VOC Emissions from Equipment Leaks (CCME-EPC-73E), 1993. Available at www.ccme.ca/assets/pdf/pn_1106_e.pdf;
  • The National Emission Standards for Hazardous Air Pollutants (NESHAP) LDAR programs.

3(1)5c. The recommended practices contained in DOW Chemical. Voranate T-80 — Toluene Diisocyanates — Safe Handling and Storage Guide. Available at www.dow.com/polyurethane/la/en/lit.htm;

3(1)5d. US EPA. Manual — Best Management Practices for Pollution Prevention in the Slabstock and Molded Flexible Polyurethane Foam Industry, EPA/625/R-96/005, September 1996. Available at www.epa.gov/nrmrl/pubs/625r96005/625r96005.pdf;

3(1)5e. Allport, D. (Editor), Gilbert, D. (Editor), and Outterside, S. (Editor). MDI & TDI: Safety, Health and the Environment — A Source Book and Practical Guide, Wiley Editions, May 2003;

3(1)5f. European Commision. Integrated Pollution Prevention and Control (IPPC) —Reference Document on Best Available Techniques in the Large Volume Organic Chemical Industry, February 2003. Available at ftp://ftp.jrc.es/pub/eippcb/doc/lvo_bref_0203.pdf;

3(1)5g. Federal Ministry for the Environment, Nature Conservation and Nuclear Safety. Technical Instructions on Air Quality Control — TA Luft, Germany, 2002. Available at www.bmu.de/english/air_pollution_control/ta_luft/doc/36958.php;

3(1)5h. US EPA, Title 40 CFR Part 63 — Subpart III National Emission Standards for Hazardous Air Pollutants (NESHAP) for Flexible Polyurethane Foam Production, Final Rule, October 1998;

3(1)5i. US EPA, Title 40 CFR Part 63 — Subpart MMMMM National Emission Standards for Hazardous Air Pollutants (NESHAP) for Polyurethane Foam Fabrication Operations; Final Rule, 2003. Available at www.epa.gov/ttn/atw/foam2/foam2pg.html;

3(1)5j. CCME Environmental Guidelines for Controlling Emissions of Volatile Organic Compounds for Aboveground Storage Tanks, 1995. Available at www.ccme.ca/assets/pdf/pn_1180_e.pdf.

 4. Other factors to consider in preparing the plan

The Minister requires all persons identified in section 2 of the Notice to also consider the following factors when preparing their plan:

(1) The use of pollution prevention planning as a means of addressing the release to the environment of substances on Schedule 1 of CEPA 1999, or other pollutants. In preparing a plan, a person or class of persons subject to the Notice is to give priority to pollution prevention activities. “Pollution prevention” (P2), as defined in section 3 of the Act, means “the use of processes, practices, materials, products, substances or energy that avoid or minimize the creation of pollutants and waste and reduce the overall risk to the environment or human health.”

(2) The evaluation, by the Minister, of the effectiveness of the Notice with respect to the risk management objectives set out in subsection 4(1) of the Notice. This evaluation will determine whether other measures, including regulations, are needed to further prevent or reduce negative impacts on the environment and human health from the releases of substances listed in the Notice.

 5. Period within which the plan is to be prepared

(1) For a person or class of persons subject to the Notice or to an Amendment to the Notice on the date of publication in the Canada Gazette, Part I, the Minister requires that the plan be prepared and implementation initiated no later than 12 months from the date of publication of the Notice or any Amendments to the Notice, as applicable.

(2) For a person or class of persons becoming subject to the Notice or to an Amendment to the Notice after the date of publication in the Canada Gazette, Part I, the Minister requires that the plan be prepared and implementation initiated within 12 months from becoming subject to the Notice or any Amendments to the Notice, as applicable.

 6. Period within which the plan is to be implemented

(1) For a person or class of persons subject to the Notice or to an Amendment to the Notice on the date of publication in the Canada Gazette, Part I, the Minister requires that the plan be implemented no later than 48 months from the publication date of the Notice or any Amendments to the Notice, as applicable.

(2) For a person or class of persons becoming subject to the Notice or to an Amendment to the Notice after the date of publication in the Canada Gazette, Part I, the Minister requires that the plan be implemented no later than 48 months from becoming subject to the Notice or any Amendments to the Notice, as applicable.

 7. Content of plan

A person or class of persons identified in section 2 of the Notice is to determine the appropriate content of that person’s plan; however, the plan must meet all the requirements of the Notice and any Amendments to the Notice. The plan must also contain the information required to file the Declaration of Preparation referred to in section 9 of the Notice and have the capacity to generate the information required to file the Declaration of Implementation referred to in section 10 and the Interim Progress Reports referred to in section 12 of the Notice.

 8. Requirement to keep plan

Under section 59 of the Act, any person or class of persons identified in section 2 of the Notice must keep a copy of the plan at the place in Canada in relation to which the plan is prepared. Where a single plan is prepared for more than one facility, a copy of that plan must be kept at each location.

 9. Declaration of Preparation

Under subsection 58(1) of the Act, any person or class of persons identified in section 2 of the Notice must file, within 30 days after the end of the period within which the plan is to be prepared as specified in section 5 or extended under section 14, a written “Declaration that a Pollution Prevention Plan Has Been Prepared and Is Being Implemented — Pollution Prevention Planning Notice in Respect of Specified Substances on Schedule 1 of the Canadian Environmental Protection Act, 1999, Implicated within the Polyurethane and Other Foam Sector (except Polystyrene)” to the Minister, using the form that the Minister provides and that contains the information set out in Schedule 1 of the Notice. Where a person has prepared a single plan for several facilities, a separate Declaration of Preparation must be filed for each facility.

If this Notice is amended to add other substances, a separate set of substance-specific Schedules may be published, if necessary, as a part of the amendment.

10. Declaration of Implementation

Under subsection 58(2) of the Act, any person or class of persons identified in section 2 of the Notice must file, within 30 days after the end of the period within which the plan is to be implemented as specified in section 6 or extended under section 14, a written “Declaration that a Pollution Prevention Plan Has Been Implemented — Pollution Prevention Planning Notice in Respect of Specified Substances on Schedule 1 of the Canadian Environmental Protection Act, 1999, Implicated within the Polyurethane and Other Foam Sector (except Polystyrene)” to the Minister, using the form that the Minister provides that contains the information set out in Schedule 5 of the Notice. Where a person has prepared a single plan for several facilities, a separate Declaration of Implementation must be filed for each facility.

If this Notice is amended to add other substances, a separate set of substance-specific schedules may be published, if necessary, as a part of the amendment.

11. Filing of amended declarations

Under subsection 58(3) of the Act, where a person or class of persons specified in section 2 has filed a Declaration of Preparation or a Declaration of Implementation, referred to in sections 9 and 10 of the Notice, and the Declaration contains information that, at any time after the filing, has become false or misleading, that person or class of persons must file an amended Declaration to the Minister within 30 days after the time that the information became false or misleading, using the appropriate form referred to in section 9 or 10 of the Notice.

12. Interim progress reports

A person or class of persons identified in section 2 of the Notice must file, on or before each of the dates below, a written “Interim Progress Report — Pollution Prevention Planning Notice in Respect of Specified Substances on Schedule 1 of the Canadian Environmental Protection Act, 1999, Implicated within the Polyurethane and Other Foam Sector (except Polystyrene)”, to the Minister, using the form that the Minister provides and that contains the information set out in Schedule 4 of the Notice. If a Declaration of Implementation is submitted before an Interim Progress Report is due, the requirement to submit such an Interim Progress Report is nullified.

The interim progress reports must be filed on each first of June after the filing of the Declaration of Preparation. However, the first Interim Progress Report must be filed at least 24 months after the date the person becomes subject to the Notice.

Each Interim Progress Report will report data pertaining to the previous calendar year. Where a person or class of persons has prepared a single plan for several facilities, a separate Interim Progress Report must be filed for each facility.

If this Notice is amended to add other substances, a separate set of substance-specific schedules may be published, if necessary, as a part of the amendment.

13. Use of a plan prepared or implemented for another purpose

Under subsection 57(1) of the Act, a person or class of persons may use a pollution prevention plan prepared or implemented for another purpose to satisfy the requirements of sections 2 to 8 of the Notice or any amendments to the Notice. Under subsection 57(2) of the Act, where a person or class of persons uses a plan that does not meet all the requirements of the Notice or any amendments to the Notice, the person or class of persons must either amend the plan so that it meets all of those requirements or prepare an additional plan that meets the remainder of those requirements. Persons or class of persons using existing plans must still file the Declaration of Preparation referred to in section 9 of the Notice, the Declaration of Implementation referred to in section 10 of the Notice, and any amended declarations under section 11 of the Notice, where applicable, and any Interim Progress Reports required under section 12 of the Notice.

14. Extension of time

Under subsection 56(3) of the Act, where the Minister is of the opinion that further time beyond the period referred to in section 5 is needed to prepare the plan, or that further time beyond the period referred to in section 6 is needed to implement the plan, the Minister may extend the period for a person or class of persons who submits a written “Request for Time Extension — Pollution Prevention Planning Notice in Respect of Specified Substances on Schedule 1 of the Canadian Environmental Protection Act, 1999, Implicated within the Polyurethane and Other Foam Sector (except Polystyrene)”. The written request must be submitted through the form that the Minister provides, contain the information set out in Schedule 3 of the Notice, and be made before the expiry of the date referred to in the applicable section 5 or section 6 of the Notice or before the expiry of any extended period.

If this Notice is amended to add other substances, a separate set of substance-specific schedules may be published, if necessary, as a part of the amendment.

15. Application for waiver of factors to consider

Under subsection 56(5) of the Act, the Minister may waive the requirement for a person or class of persons to consider a factor specified in section 4 or under the heading “Substance-specific factors to consider when preparing the plan” or any amendment to the Notice where the Minister is of the opinion that it is neither reasonable nor practicable to consider that factor on the basis of reasons provided by that person or class of persons when submitting a written “Request for Waiver of the Requirement to Consider a Factor or Factors — Pollution Prevention Planning Notice in Respect of Specified Substances on Schedule 1 of the Canadian Environmental Protection Act, 1999, Implicated within the Polyurethane and Other Foam Sector (except Polystyrene).” The written request must be submitted through the form that the Minister provides and contain the information set out in Schedule 2 of the Notice. Such a request must be made before the expiry of the period within which the plan is to be prepared as referred to in section 5 of the Notice or before the expiry of any extended period.

If this Notice is amended to add other substances, a separate set of substance-specific schedules may be published, if necessary, as a part of the amendment.

16. More information on pollution prevention planning

(1) Additional information and guidance on preparing plans may be obtained from

(a) the Pollution Prevention Planning section of Environment Canada’s Web site (www.ec.gc.ca/planp2-p2plan);

(b) the Pollution Prevention Planning Online Reporting Tool section of Environment Canada’s Web site (www.ec.gc.ca/cepap2);

(c) the Canadian Pollution Prevention Information Clearinghouse Web site (www.ec.gc.ca/cppic); and

(d) the CEPA Environmental Registry (www.ec.gc.ca/CEPARegistry/plans/P2/).

(2) Copies of Environment Canada’s Pollution Prevention Planning Handbook, including a model plan and other support tools, are available at www.ec.gc.ca/planp2-p2plan.

17. Reference Code: P2POF

For administrative purposes, all communication with Environment Canada concerning the Notice should refer to the following reference code: P2POF.

18. Forms

Forms referred to in the Notice (Schedules 1 to 5) are published as part of the Notice and are to be filled out electronically using the Pollution Prevention Planning Online Reporting Tool found on Environment Canada’s Web site at www.ec.gc.ca/planp2-p2plan.

The Notice for the polyurethane and other foam sector (except polystyrene) may be amended from time to time as appropriate for the purpose of adding substances which are specified on Schedule 1 of the Act, along with any other required amendments. If this Notice is amended to add other substances, a separate set of substance-specific schedules may be published, if necessary, as a part of the amendment.

The Minister of the Environment intends to publish, in part, the information submitted in response to the Notice on the Pollution Prevention Planning section of Environment Canada’s Web site. All persons submitting information to the Minister are entitled to submit a written request under section 313 of the Act that specific information be treated as confidential. Persons submitting such a request must include the reasons for that request.

19. Environment Canada contact information

For technical questions or comments about this proposed Notice, please contact or send queries to

Bernard Madé
Director
Chemical Production Division
Environment Canada
351 Saint-Joseph Boulevard, 19th Floor
Gatineau, Quebec
K1A 0H3
Telephone: 819-994-4404
Fax: 819-994-5030
Email: pgpc-cmp.dppc-cpd@ec.gc.ca

For more information about pollution prevention planning, please contact

Regulatory Innovation and Management Systems
c/o Innovative Measures Section
Environment Canada
351 Saint-Joseph Boulevard
Gatineau, Quebec
K1A 0H3
Telephone: 819-994-0186
Fax: 819-953-7970
Email: LCPEPlansP2-CEPAP2Plans@ec.gc.ca

EXPLANATORY NOTE

(This note is not part of the Notice.)

The Notice for the polyurethane and other foam sector (except polystyrene) may be amended from time to time as appropriate for the purpose of adding substances which are specified on Schedule 1 of the Canadian Environmental ProtectionAct, 1999, along with any other required amendments. If this Notice is amended to add other substances, a separate set of substance-specific schedules may be published, if necessary, as a part of the amendment.

A notice issued under section 56 of the Act is binding at law, and compliance with the Act is mandatory under subsection 272(1) of the Act. Subsection 272(2) of the Act defines the penalties for persons who commit offences under the Act. Subsections 273(1) and 273(2) further outline the terms and penalties of those persons providing false or misleading information. Penalties under both subsections 272(2) and 273(2) include fines of not more than $1 million, imprisonment for a term of not more than three years, or both.

For additional information on the Act, the Compliance and Enforcement Policy for the Canadian Environmental Protection Act, 1999 and on applicable penalties, please contact the Enforcement Branch by email at environmental.enforcement@ec.gc.ca. The Policy is available at www.ec.gc.ca/CEPARegistry/enforcement/CandEpolicy.pdf.

NOTE: Do not fill out this form. Please contact Environment Canada for more information about electronic reporting, as provided in section 18 of the Notice.

Schedule 1: Declaration That a Pollution Prevention Plan Has Been Prepared and
Is Being Implemented
Pollution Prevention Planning Notice in Respect of
Specified Substances on Schedule 1 of the Canadian Environmental
Protection Act, 1999 , Implicated within the Polyurethane and
Other Foam Sector (except Polystyrene) Toluene Diisocyanates
(TDI) [Subsection 58(1) of CEPA 1999]

Notice Reference Code:    P2POF-TDI

Is this an amendment to a Declaration previously submitted?

check box Yes

check box No

If yes, complete Parts 1.0 and 9.0 and any other Parts of this Declaration where previously reported information has become false or misleading. Previously reported information that is unchanged need not be resubmitted.

1.0 Information on the Person or Class of Persons Subject to the Notice

Name of the Person or Class of the Persons Subject to the Notice:

Facility Name: ______________________________________________

Street Address of Facility: ______________________________________________

City: ______________________________________________

 Province/Territory: ______________________________________________

 Postal Code: ______________________________________________

Telephone Number: _______________________
(with area code)

 Email (if available): ______________________________________________

If different from Street Address Mailing Address of Facility: ________________

City: ______________________________________________

 Province/Territory: ______________________________________________

 Postal Code: ______________________________________________

National Pollutant Release Inventory ID (if no ID, leave blank): _______________

6-digit North American Industry Classification System (NAICS) Code: ___________

Facility Technical Contact: ______________________________________________

Email: ______________________________________________

Telephone Number: ________________________
(with area code)

 Fax Number (if available): _________________________
(with area code)

2.0 Use of Plans Prepared or Implemented for Another Purpose

Is the pollution prevention plan used to fulfill the obligations of the Notice:

  • a pollution prevention plan that was previously prepared on a voluntary basis?
    check box Yes  check box No
  • a pollution prevention plan that was previously prepared for another government or under another act of Parliament?
    check box Yes  check box No

If yes, identify the other government requirement(s) or act(s) of Parliament.

 

3.0 Substance and Activity

Substance and Activity for which information is required (choose all that apply):

check box TDI1 & Manufacturing of flexible slabstock foam (including TDI storage in tanks and cutting and shaping of foam)

check box TDI & Manufacturing of flexible moulded foam (including TDI storage in tanks and cutting and shaping of foam)

check box TDI & Manufacturing of rigid foam (including TDI storage in tanks and cutting and shaping of foam)

check box TDI & Manufacturing of structural foam (including TDI storage in tanks and cutting and shaping of foam)

check box TDI & Rebonding of foam (including cutting and shaping of foam)

1 TDI collectively refers to 2,6-Toluene Diisocyanate (CAS2 Number 91-08-7); 2,4-Toluene Diisocyanate (CAS Number 584-84-9); and the Mixture of 2,6-Toluene Diisocyanate and 2,4-Toluene Diisocyanate (CAS Number 26471-62-5).

2 The Chemical Abstracts Service (CAS) Information is the property of the American Chemical Society and any use or redistribution, except as required in supporting regulatory requirements and/or for reports to the government when the information and the reports are required by law or administrative policy, is not permitted without the prior, written permission of the American Chemical Society.

4.0 Baseline Information Prior to Implementation of the Pollution Prevention (P2) Plan

Notes:

a) The data collected in part 4.1 and 4.4 of this Declaration are consistent with the reporting requirements of the National Pollutant Release Inventory (NPRI) where possible.

b) Use the following Basis of Estimate Codes where indicated, listed in declining order of expected accuracy, to describe how each quantity reported in this Part of the Declaration was determined:

M1 Continuous Emission Monitoring System

M2 Predictive Emission Monitoring

M3 Source Testing

C Mass balance

E1 Site-specific and Published Emission Factors

E2 Published Emission Factors

O Engineering estimates

c) This Declaration requires reporting of data from the 2012 Preparation Year (January 1 to December 31).

If the person(s) subject to the Notice has (have) been granted a time extension to prepare a plan that requires reporting for a year other than 2012, all references to 2012 in this Declaration are considered to represent the new Preparation Year for which the person(s) is (are) required to report.

If applicable, indicate the new Preparation Year for which you are reporting: _____________

4.1  Nature of Activity

For the activity identified in Part 3.0 of this Declaration, indicate whether the Substance was manufactured, processed, distributed or otherwise used, and the nature of such activity at the facility for the Preparation Year 2012. More than one nature of activity may be identified.

Manufacture:

check box For on-site use/processing

check box For sale/distribution

check box As a by-product

check box As an impurity

Description: ____________________

Process:

check box As a reactant

check box As formulation component

check box As an article component

check box Repackaging only

check box As a by-product

Description: ____________________

Distribution:

check box Sold or distributed on its own

check box Sold or distributed as part of a product

Description: ____________________

Other Use:

check box As a physical or chemical processing aid

check box As a manufacturing aid

check box Ancillary or other use

check box As a by-product

Description: ____________________

4.2  On-Site Uses

For the activity identified in Part 3.0 of this Declaration, did this facility use the Substance on-site in the Preparation Year 2012?

Preparation Year 2012  check box Yes  check box No

If yes, report below the quantity of all on-site uses of the Substance, in kg for that year in the appropriate field.

If no, proceed to Part 4.3 of this Declaration.

For the activity identified in Part 3.0 of this Declaration, report the total quantity of all on-site uses of the Substance with the basis of estimate code (see Part 4.0, Note b), indicating how the Substance is used.

A. Total On-Site Use for the Preparation Year [kg]

Basis of Estimate Code

Type of On-Site Use

     

4.3  On-Site Releases — No data is required for Part 4.3 of this Declaration

4.4  Off-Site Transfers

4.4.1 Product Distribution

For the activity identified in Part 3.0 of this Declaration, did this facility distribute the Substance off-site as a product or part of a product in the Preparation Year 2012?

Preparation Year 2012  check box Yes  check box No

If yes, report below the quantity of all off-site transfers of the Substance for distribution, in kg, as a product or part of a product for that year in the appropriate field.

If no, proceed to Part 4.4.2 of this Declaration.

For the activity identified in Part 3.0 of this Declaration, report the quantity of all off-site transfers of the Substance for distribution with the basis of estimate code (see Part 4.0, Note b). Indicate the expected use of the Substance and the expected disposal method, if known.

Type of Transfers for Distribution

Quantity Transferred for the Preparation Year [kg]

Basis of Estimate Code

Expected Use (if known)

Expected Disposal (if known)

a) Substance on its own

       

b) As a component of or ingredient in a product

       

G. TOTAL

 

G1

   

4.4.2 Off-Site Transfers for Disposal

For the activity identified in Part 3.0 of this Declaration, did this facility transfer the Substance off-site for disposal in the Preparation Year 2012?

Preparation Year 2012  check box Yes  check box No

If yes, report below the quantity of all off-site transfers of the Substance for disposal, in kg, for that year in the appropriate field.

If no, proceed to Part 4.4.3 of this Declaration.

For the activity identified in Part 3.0 of this Declaration, report the total quantity of all off-site transfers of the Substance for disposal with the basis of estimate code (see Part 4.0, Note b), indicating the type(s) of transfer(s). Report only the net mass of the Substance that was sent off-site, not the total mass of the mixture containing the Substance. Report transfers to the first off-site location only and not any subsequent transfers by the waste disposal company.

check box Physical treatment

check box Chemical treatment

check box Biological treatment

check box Incineration/thermal

check box Containment

check box Municipal Sewage Treatment Plant (MSTP)

check box Underground injection

check box Land treatment

H1. Total Quantity Transferred for Disposal for the Preparation Year [kg]

Basis of Estimate Code

   

4.4.3 Off-Site Transfers for Recycling

For the activity identified in Part 3.0 of this Declaration, did this facility transfer the Substance off-site for recycling in the Preparation Year 2012?

Preparation Year 2012   check box Yes  check box No

If yes, report below the quantity of all off-site transfers of the Substance for recycling, in kg, for that year in the appropriate field.

If no, proceed to Part 4.5 of this Declaration.

For the activity identified in Part 3.0 of this Declaration, report the total quantity of all off-site transfers of the Substance for recycling with the basis of estimate code (see Part 4.0, Note b), indicating the type(s) of transfer(s). Report only the net mass of the Substance that was sent off-site, not the total mass of the mixture containing the Substance. Report transfers to the first off-site location only and not any subsequent transfers by the recycling facility.

check box Energy recovery

check box Recovery of solvents

check box Recovery of organic substances (not solvents)

check box Recovery of metals and metal compounds

check box Recovery of inorganic materials (not metals)

check box Recovery of acids or bases

check box Recovery of catalysts

check box Recovery of pollution abatement residues

check box Refining or reuse of used oil

check box Other

I1. Total Quantity Transferred for Recycling for the Preparation Year [kg]

Basis of Estimate Code

   

4.5  Additional Baseline Information

4.5.1 Sampling and Testing

For the activity identified in Part 3.0 of this Declaration, which sampling and testing option given by factor to consider 3(1)4 under the heading “Substance-specific factors to consider when preparing the plan” in Section 3 of the Notice was chosen to measure environmental releases of TDI?

check box 3(1)4a. Conducting either air dispersion modelling or sampling and testing for TDI in ambient air at or beyond facility site boundaries at locations that ensure measurement of maximum exposure at ground level.

OR

check box 3(1)4b. Conducting sampling and testing for TDI stack releases, and

3(1)4c. Measuring or estimating emissions of TDI from storage tanks, and

3(1)4d. Estimating or measuring fugitive emissions of TDI.

If you chose option 3(1)4a, fill out the following table for Reporting TDI concentration at or beyond facilities site boundaries in 24 hours, and report the concentration of TDI at or beyond the facilities site boundaries in 24 hours, the method used to measure or predict the concentration of TDI at the fence line, and the date the measurement or estimation was completed.

J1. Concentration of TDI in 24 hours at or beyond facilities site boundaries for the Preparation Year [µg/m3]

Measurement or Estimation Method

Annual Operation Time [h]

Date of Test Completion

       

If you used the air dispersion model AIRMOD to estimate concentration of TDI in 24 hours at or beyond facilities site boundaries, include the model input and output data in the box below.

 

If you chose sampling and testing option 3(1)4b, 3(1)4c, and 3(1)4d, fill out the following table for Reporting actual TDI releases to air, and report the quantity of all releases of the Substance to air with the method used to measure or estimate the quantity of TDI released, and the date the measurement or estimation was completed. For 3(1)4b, additionally indicate the exhaust air volume rate and the typical/current TDI concentration in extracted air. Include both routine and accidental or non-routine releases.

Type of Releases to Air

Quantity Released for the Preparation Year [kg]

Exhaust Air Volume Rate [m3/s]

Annual Operation Time [h]

Typical/
Current TDI Concentration in Extracted Air [mg/m3]

Measurement or Estimation Method

Date of Test Completion

a) Stack or point releases (including process building vents) [Factor 3(1)4b in Section 3 of the Notice]

           

b) Storage tanks or handling releases [Factor 3(1)4c in Section 3 of the Notice]

 

n/a

       

c) Fugitive releases [Factor 3(1)4d in Section 3 of the Notice]

 

n/a

       

d) Spills

 

n/a

       

e) Other releases — please specify

           

J1. TOTAL

       

J1

 

5.0 Anticipated Actions and Results

5.1  Anticipated Action(s)

In Part 5.1.1, describe for the activity identified in Part 3.0 of this Declaration, the anticipated action to be taken in implementing the Pollution Prevention Plan.

5.1.1 Anticipated Action: ________________________________________________

In Parts 5.1.2 and 5.1.3, identify whether the anticipated action represents pollution prevention method(s) or other environmental protection method(s), by selecting from the list of options provided below.

5.1.2 Type of Pollution Prevention Method(s):

For a detailed description of pollution prevention methods, please refer to the Pollution Prevention Planning Handbook (www.ec.gc.ca/planp2-p2plan/default.asp?lang=En&n=56875F44-1#howto).

check box Material or feedstock substitution

check box Product design or reformulation

check box Equipment or process modifications

check box Spill and leak prevention

check box On-site reuse, recycling or recovery

check box Inventory management or purchasing techniques

check box Good operating practices or training

check box Other: _________________________________________

5.1.3 Other Type of Environmental Protection Method(s):

check box Energy recovery

check box Off-site recycling

check box Incineration with energy recovery

check box Waste treatment

check box Pollution control

check box Disposal

check box Other: _________________________________________

In Part 5.1.4, report, where possible, the corresponding change to annual uses, releases and/or transfers of the Substance anticipated to be achieved from implementation of that action in kg. Indicate a decrease with a negative sign (“–”) and an increase with a positive sign (“+”) in front of the reported quantity. Note that predicting a quantitative change for some anticipated actions, such as training, may not be possible.

5.1.4 Anticipated Change(s):_________________________________________

In Part 5.1.5, relate these changes to a specific element(s) of the baseline information described in Part 4 of this Declaration using the appropriate alphabetical label. Refer to the Instruction Booklet for a listing of alphabetical labels.

5.1.5 Baseline Element(s) Affected:______________________________________

Finally, in Part 5.1.6, identify the planned completion date for the anticipated action.

5.1.6 Planned Completion Date (year/month/day): __________________________

5.2  Total Anticipated Results

The table below summarizes, for the activity identified in Part 3.0 of this Declaration, the total anticipated change to annual uses, releases and/or transfers of the Substance in kg and as a percentage relative to the Preparation Year 2012.

In the two columns, relative to the Preparation Year 2012, report the total changes anticipated to be achieved from implementing only the anticipated actions described in Part 5.1 of this Declaration.

Important: Indicate a decrease with a negative sign (“–”) and an increase with a positive sign (“+”) in front of the reported quantity.

Type of Use/Release/Transfer

Total Anticipated Change Relative to the Preparation Year [kg]

Total Anticipated Change Relative to the Preparation Year (%)

5.2.1 On-site uses

   

5.2.2 On-site releases

n/a

n/a

5.2.3 Off-site transfers for distribution

   

5.2.4 Off-site transfers for disposal

   

5.2.5 Off-site transfers for recycling

   

5.3  Detailed Anticipated Results Information

5.3.1 Detailed Anticipated Results for Sampling and Testing

If for the sampling and testing identified in Part 4.5.1, for the activity identified in Part 3.0 of this Declaration, you chose option 3(1)4a, fill out the following table for Detailed Anticipated Results Information onTDI concentration at or beyond facilities site boundaries in 24 hours, and report the anticipated change to annual on-site releases of the Substance in kilograms per year for TDI and as a percentage relative to the Preparation Year 2012.

In the two columns relative to the Preparation Year 2012, report the total changes anticipated to be achieved from implementing only the anticipated actions described in Part 5.1 of this Declaration.

Important: Indicate a decrease with a negative sign (“–”) and an increase with a positive sign (“+”) in front of the reported quantity.

Concentration of TDI

Total Anticipated Change Relative to the Preparation Year [µg/m3]

Total Anticipated Change Relative to the Preparation Year ( % )

Concentration of TDI in 24 hours at or beyond facilities site boundaries

   

If for the sampling and testing identified in Part 4.5.1, for the activity identified in Part 3.0 of this Declaration, you chose option 3(1)4b, 3(1)4c, and 3(1)4d, fill out the following table for Detailed Anticipated Results Information on Reporting actual TDI releases to air, and report the anticipated change to annual on-site releases of the Substance in kilograms per year for TDI and as a percentage relative to the Preparation Year 2012.

In the two columns relative to the Preparation Year 2012, report the total changes anticipated to be achieved from implementing only the anticipated actions described in Part 5.1 of this Declaration.

Important: Indicate a decrease with a negative sign (“–”) and an increase with a positive sign (“+”) in front of the reported quantity.

Type of Releases to Air

Total Anticipated Change Relative to the Preparation Year [kg/year]

Total Anticipated Change Relative to the Preparation Year ( % )

a) Stack or point releases (including process building vents) [Factor 3(1)4b in Section 3 of the Notice]

   

b) Storage tanks or handling releases [Factor 3(1)4c in Section 3 of the Notice]

   

c) Fugitive releases [Factor 3(1)4d in Section 3 of the Notice]

   

d) Spills

   

e) Other releases — please specify

   

TOTAL

   

6.0 Monitoring and Reporting

Describe the anticipated monitoring and reporting that will be used to track progress in implementing the pollution prevention plan.

 

7.0 Risk Management Objective

Describe how the pollution prevention plan outlined in this Declaration will meet the risk management objective for TDI identified in Column 6 of the Table in Section 3 of the Notice. If this plan will not meet the risk management objective, explain why.

 

8.0 Factors to Consider

Describe what was done by the person or class of persons subject to the Notice to take into account the “Factors to Consider” in subsections 4(1), 4(2) and the substance-specific factors to consider 3(1)3, 3(1)4a or [3(1)4b, 3(1)4c, and 3(1)4d], 3(1)5a, 3(1)5b, 3(1)5c and one or more of the factors 3(1)5d to 3(1)5j listed under the heading “Substance-specific factors to consider when preparing the plan” in Section 3 of the Notice, except those factors for which a waiver has been granted by the Minister of the Environment.

 

8.1  Factors to Consider Only by Facilities who Surpass the Emissions Thresholds

For facilities who, at any time within the period to implement the plan, released to air more than 100 kg per year of TDI OR by facilities with a TDI concentration at or beyond facilities site boundaries greater than 0.2 µg/m3 in 24 h, describe what was done by the person or class of persons subject to the Notice to take into account the substance-specific factors to consider 3(1)5a, 3(1)5b, 3(1)5c and one or more of the factors 3(1)5d to 3(1)5j listed under the heading “Substance-specific factors to consider when preparing the plan” in Section 3 of this Notice.

 

9.0 Certification

I hereby certify that a Pollution Prevention Plan has been prepared and is being implemented in respect of TDI and that the information provided in this Declaration is true, accurate and complete.

_________________________________
Signature of the Person(s) Subject to the Notice
or Duly Authorized Representative

_________________________________
Date

Name: _________________________________
Please Print

Title/Position: _________________________________
Please Print

NOTE: Do not fill out this form. Please contact Environment Canada for more information about electronic reporting, as provided in section 18 of the Notice.

Schedule 2: Request for Waiver of the Requirement to Consider a Factor or Factors Pollution Prevention Planning Notice in Respect of Specified Substances on Schedule 1 of the Canadian Environmental Protection Act, 1999 , Implicated within the Polyurethane and Other Foam Sector (except Polystyrene) Toluene Diisocyanates (TDI) [Subsection 56(5) of CEPA 1999]

Notice Reference Code:      P2POF-TDI

Is this an amendment to a Declaration previously submitted?

check box Yes

check box No

If yes, complete Parts 1.0 and 4.0 and any other Parts of this Declaration where previously reported information has become false or misleading. Previously reported information that is unchanged need not be resubmitted.

1.0 Information on the Person or Class of Persons Subject to the Notice

Name of Person or Class of Persons Subject to the Notice:

Facility Name: ________________________________________

Street Address of Facility: ________________________________________

City: ________________________________________

 Province/Territory: ________________________________________

 Postal Code: ________________________________________

Telephone Number: ________________________________________
(with area code)

 Email: ________________________________________

If different from Street Address:
Mailing Address of Facility: ________________________________________

City: ________________________________________

 Province/Territory: ________________________________________

 Postal Code: ________________________________________

National Pollutant Release Inventory ID (if no ID, leave blank): ________________________________________

6-digit North American Industry Classification System (NAICS) Code: ________________________________________

Facility Technical Contact: ________________________________________

Email: ________________________________________

Telephone Number: ________________________________________
(with area code)

 Fax Number (if available): ________________________________________
(with area code)

2.0 Factor(s) for Which a Waiver is Requested

Identify exactly for which factor(s) listed in the Notice a waiver is requested.

 

3.0 Rationale for Request

Explain why it would not be reasonable or practicable to consider each factor for which a waiver is requested.

 

Explain how the outcome of the P2 plan will be affected if this “factor to consider” is not taken into account.

 

Explain which, if any, additional factor(s) you propose to consider in preparing the pollution prevention plan (optional).

 

4.0 Certification

I hereby certify that the information provided in this Request in respect of TDI is true, accurate and complete.

_______________________________
Signature of the Person(s) subject to the Notice
or Duly Authorized Representative

______________________________
Date

Name: _________________________
Please Print

Title/Position: ____________________
Please Print

NOTE: Do not fill out this form. Please contact Environment Canada for more information about electronic reporting, as provided in section 18 of the Notice.

Schedule 3: Request for Time Extension Pollution Prevention Planning Notice in Respect of Specified Substances on Schedule 1 of the Canadian Environmental Protection Act, 1999, Implicated within the Polyurethane and Other Foam Sector (except Polystyrene) — Toluene Diisocyanates (TDI) [Subsection 56(3) of CEPA 1999]

Notice Reference Code:    P2POF-TDI

Is this an amendment to a Declaration previously submitted?

check box Yes

check box No

If yes, complete Parts 1.0 and 4.0 and any other Parts of this Declaration where previously reported information has become false or misleading. Previously reported information that is unchanged need not be resubmitted.

1.0 Information on the Person or Class of Persons Subject to the Notice

Name of Person or Class of Persons Subject to the Notice: ___________________________

Facility Name: ___________________________

Street Address of Facility: ___________________________

City: ___________________________

 Province/Territory: ___________________________

 Postal Code: ___________________________

Telephone Number: ___________________________
(with area code)

 Email: ___________________________

If different than Street Address
Mailing Address of Facility: ___________________________

City: ___________________________

 Province/Territory: ___________________________

 Postal Code: ___________________________

National Pollutant Release Inventory ID (if no ID, leave blank): ___________________________

6-digit North American Industry Classification System (NAICS) Code: ___________________________

Facility Technical Contact: ___________________________

Email: ___________________________

Telephone Number: ___________________________
(with area code)

 Fax Number (if available): ___________________________
(with area code)

2.0 Request for Time Extension

Identify for which of the following a time extension is requested (choose one):

check box to prepare a pollution prevention plan

check box to implement a pollution prevention plan

For the person(s) identified in Part 1.0, it is requested that the date be extended to: _____________________

(specify exact date — month/day/year)

3.0 Rationale for Request

Explain why further time is necessary to prepare or implement a pollution prevention plan.

 

4.0 Certification

I hereby certify that the information provided in this Request in respect of TDI is true, accurate and complete.

___________________________
Signature of the Person(s) subject to the Notice
or Duly Authorized Representative

___________________________
Date

Name: ___________________________
Please Print

Title/Position: ___________________________
Please Print

NOTE: Do not fill out this form. Please contact Environment Canada for more information about electronic reporting, as provided in section 18 of the Notice.

Schedule 4: Interim Progress Report Pollution Prevention Planning Notice in Respect
of Specified Substances on Schedule 1 of the Canadian Environmental Protection Act, 1999, Implicated within the Polyurethane and Other Foam Sector (except Polystyrene) Toluene Diisocyanates (TDI)

Notice Reference Code:   P2POF-TDI

Is this an amendment to a Report previously submitted?

check box Yes

check box No

If yes, complete Parts 1.0 and 9.0 and any other Parts of this Report where previously reported information has become false or misleading. Previously reported information that is unchanged need not be resubmitted.

1.0 Information on the Person or Class of Persons Subject to the Notice

Name of Person or Class of Persons Subject to the Notice: ___________________________

Facility Name: ___________________________

Street Address of Facility: ___________________________

City: ___________________________

 Province/Territory: ___________________________

 Postal Code: ___________________________

Telephone number: ___________________________
(with area code)

 Email (if available): ___________________________

If different than Street Address
Mailing Address of Facility: ___________________________

City: ___________________________

 Province/Territory: ___________________________

 Postal Code: ___________________________

National Pollutant Release Inventory ID (if no ID, leave blank): ___________________________

6-digit North American Industry Classification System (NAICS) Code: ___________________________

Facility Technical Contact: ___________________________

Email: ___________________________

Telephone Number: ___________________________
(with area code)

 Fax Number (if available): ___________________________
(with area code)

2.0 Use of Plans Prepared or Implemented for Another Purpose — No data is required for Part 2.0 of this Report

3.0 Substance and Activity

Substance and Activity for which information is required (choose all that apply):

check box TDI1 & Manufacturing of flexible slabstock foam (including TDI storage in tanks and cutting and shaping of foam)

check box TDI & Manufacturing of flexible moulded foam (including TDI storage in tanks and cutting and shaping of foam)

check box TDI & Manufacturing of rigid foam (including TDI storage in tanks and cutting and shaping of foam)

check box TDI & Manufacturing of structural foam (including TDI storage in tanks and cutting and shaping of foam)

check box TDI & Rebonding of foam (including cutting and shaping of foam)

1 TDI collectively refers to 2,6-Toluene Diisocyanate (CAS2 Number 91-08-7); 2,4-Toluene Diisocyanate (CAS Number 584-84-9); and the Mixture of 2,6-Toluene Diisocyanate and 2,4-Toluene Diisocyanate (CAS Number 26471-62-5).

2 The Chemical Abstracts Service (CAS) Information is the property of the American Chemical Society and any use or redistribution, except as required in supporting regulatory requirements and/or for reports to the government when the information and the reports are required by law or administrative policy, is not permitted without the prior, written permission of the American Chemical Society.

4.0 Progress Information During Implementation of the Pollution Prevention (P2)

The Preparation Year refers to the year identified in your Schedule 1 submission — Declaration that a Pollution Prevention Plan has been Prepared and is Being Implemented Pollution Prevention Planning Notice in Respect of Specified Substances on Schedule 1 of the Canadian Environmental Protection Act, 1999, Implicated within the Polyurethane and Other Foam Sector (except Polystyrene) Toluene Diisocyanates (TDI).

Notes:

a) The data collected in Parts 4.1 and 4.4 of this Report are consistent with the reporting requirements of the National Pollutant Release Inventory (NPRI) where possible.

b)  Use the following Basis of Estimate Codes where indicated, listed in declining order of expected accuracy, to describe how each quantity reported in this Part of the Report was determined:

M1 Continuous Emission Monitoring System

M2 Predictive Emission Monitoring

M3 Source Testing

C Mass balance

E1 Site-specific and Published Emission Factors

E2 Published Emission Factors

O Engineering estimates

c)  The Interim Progress Reports must be filed every June 1st after the filing of Schedule 1 — Declaration that a Pollution Prevention Plan has been Prepared and is Being Implemented. However, the first Interim Progress Report must be filed at least 24 months after the date the person becomes subject to the Notice. The Notice (Reference Code [P2POF]) requires reporting of data in an Interim Progress Report for the following calendar year (January 1 to December 31):

Interim Progress Report

Reporting Year

Interim Progress Report No. 1

Preparation Year + 1

Interim Progress Report No. 2

Preparation Year + 2

Indicate on which Interim Progress Report number the person(s) is (are) reporting: ___________ (The Reporting Year associated with this Interim Progress Report Number is referred to as the Reporting Year throughout this report).

If applicable, indicate the new Reporting Year for which the person(s) is (are) reporting: ___________ (This is referred to as the Reporting Year throughout this report).

4.1 Nature of Activity

For the activity identified in Part 3.0 of this Report, indicate whether the Substance was manufactured, processed, distributed or otherwise used, and the nature of such activity at the facility in the Reporting Year. More than one nature of activity may be identified.

Manufacture:

check box For on-site use/processing

check box For sale/distribution

check box As a by-product

check box As an impurity

Description: ___________________

Process:

check box As a reactant

check box As a formulation component

check box As an article component

check box Repackaging only

check box As a by-product

Description: ____________________

Distribution:

check box Sold or distributed on its own

check box Sold or distributed as part of a product

Description: ____________________

Other Use:

check box As a physical or chemical processing aid

check box As a manufacturing aid

check box Ancillary or other use

check box As a by-product

Description: ____________________

4.2 On-Site Uses

For the activity identified in Part 3.0 of this Report, did this facility use the Substance on-site in the Reporting Year? check box Yes  check box No

If yes, report below the quantity of all on-site uses of the Substance, in kg for that year, in the appropriate field.

If no, proceed to Part 4.3 of this Report.

For the activity identified in Part 3.0 of this Report, report the total quantity of all on-site uses of the Substance with the basis of estimate code (see Part 4.0, Note b), indicating how the Substance is used.

A. Total On-Site Use for the Reporting Year [kg]

Basis of Estimate Code

Type of On-Site Use

     

4.3 On-Site Releases — No data is required for Part 4.3 of this Report

4.4 Off-Site Transfers

4.4.1 Product Distribution

For the activity identified in Part 3.0 of this Report, did this facility distribute the Substance off-site as a product or part of a product in the Reporting Year?  check box Yes  check box No

If yes, report below the quantity of all off-site transfers of the Substance, in kg for that year, for distribution as a product or part of a product in the appropriate field.

If no, proceed to Part 4.4.2 of this Report.

For the activity identified in Part 3.0 of this Report, report the quantity of all off-site transfers of the Substance for distribution with the basis of estimate code (see Part 4.0, Note b). Indicate the expected use of the Substance and the expected disposal method, if known.

Type of Transfers for Distribution

Quantity Transferred for the Reporting Year [kg]

Basis of Estimate Code

Expected Use (if known)

Expected Disposal Method (if known)

a) Substance on its own

       

b) As a component of or ingredient in a product

       

G. TOTAL

 

G

   

4.4.2  Off-Site Transfers for Disposal

For the activity identified in Part 3.0 of this Report, did this facility transfer the Substance off-site for disposal in the Reporting Year?  check box Yes  check box No

If yes, report below the quantity of all off-site transfers of the Substance for disposal, in kg for that year, in the appropriate field.

If no, proceed to Part 4.4.3 of this Report.

For the activity identified in Part 3.0 of this Report, report the total quantity of all off-site transfers of the Substance for disposal with the basis of estimate code (see Part 4.0, Note b), indicating the type(s) of transfer(s). Report only the net mass of the Substance that was sent off-site, not the total mass of the mixture containing the Substance. Report transfers to the first off-site location only and not any subsequent transfers by the waste disposal company.

check box Physical treatment

check box Containment

check box Chemical treatment

check box Municipal Sewage Treatment Plant (MSTP)

check box Biological treatment

check box Underground injection

check box Incineration/thermal

check box Land treatment

H. Total Quantity Transferred for Disposal for the Reporting Year [kg]

Basis of Estimate Code

   

4.4.3 Off-Site Transfers for Recycling

For the activity identified in Part 3.0 of this Report, did this facility transfer the Substance off-site for recycling in the Reporting Year?  check box Yes  check box No

If yes, report below the quantity of all off-site transfers of the Substance, in kg for that year, for recycling in the appropriate field.

If no, proceed to Part 5.0 of this Report.

For the activity identified in Part 3.0 of this Report, report the total quantity of all off-site transfers of the Substance for recycling with the basis of estimate code (see Part 4.0, Note b), indicating the type(s) of transfer(s). Report only the net mass of the Substance that was sent off-site, not the total mass of the mixture containing the Substance. Report transfers to the first off-site location only and not any subsequent transfers by the recycling facility.

check box Energy recovery

check box Recovery of acids or bases

check box Recovery of solvents

check box Recovery of catalysts

check box Recovery of organic substances (not solvents)

check box Recovery of pollution abatement residues

check box Recovery of metals and metal compounds

check box Refining or reuse of used oil

check box Recovery of inorganic materials (not metals)

check box Other

I. Total Quantity Transferred for Recycling for the Reporting Year [kg]

Basis of Estimate Code

   

4.5  Additional Progress Information

4.5.1 Sampling and Testing

For the activity identified in Part 3.0 of this Declaration, which sampling and testing option given by factor to consider 3(1)4 under the heading “Substance-specific factors to consider when preparing the plan” in Section 3 of the Notice was chosen to measure environmental releases of TDI?

check box 3(1)4a. Conducting either air dispersion modelling or sampling and testing for TDI in ambient air at or beyond facility site boundaries at locations that ensure measurement of maximum exposure at ground level.

OR

check box 3(1)4b. Conducting sampling and testing for TDI stack releases, and

3(1)4c. Measuring or estimating emissions of TDI from storage tanks, and

3(1)4d. Estimating or measuring fugitive emissions of TDI.

If you chose option 3(1)4a, fill out the following table for Reporting TDI concentration at or beyond facilities site boundaries in 24 hours, and report the concentration of TDI at or beyond the facilities site boundaries in 24 hours, the method used to measure or predict the concentration of TDI at the fence line, and the date the measurement or estimation was completed.

J1. Concentration of TDI in 24 hours at or beyond facilities site boundaries for the Preparation Year [µg/m3]

Measurement or Estimation Method

Annual Operation Time [h]

Date of Test Completion

       

If you used the air dispersion model AIRMOD to estimate concentration of TDI in 24 hours at or beyond facilities site boundaries, include the model input and output data in the box below.

 

If you chose sampling and testing option 3(1)4b, 3(1)4c, and 3(1)4d, fill out the following table for Reporting actual TDI releases to air, and report the quantity of all releases of the Substance to air with the method used to measure or estimate the quantity of TDI released, and the date the measurement or estimation was completed. For 3(1)4b, additionally indicate the exhaust air volume rate and the typical/current TDI concentration in extracted air. Include both routine and accidental or non-routine releases.

Type of Releases to Air

Quantity Released for the Preparation Year [kg]

Exhaust Air Volume Rate [m 3 /s]

Annual Operation Time [h]

Typical/
Current TDI Concentration in Extracted Air [mg/m 3 ]

Measurement or Estimation Method

Date of Test Completion

a) Stack or point releases (including process building vents) [Factor 3(1)4b in Section 3 of the Notice]

           

b) Storage tanks or handling releases [Factor 3(1)4c in Section 3 of the Notice]

 

n/a

       

c) Fugitive releases [Factor 3(1)4d in Section 3 of the Notice]

 

n/a

       

d) Spills

 

n/a

       

e) Other releases — please specify

           

J1. TOTAL

       

J1

 

5.0 Action(s) Taken and Results Achieved To Date

5.1  Action(s) taken to date

In Part 5.1.1, describe for the activity identified in Part 3.0 of this Report, the actions taken to date in implementing the Pollution Prevention Plan. For the purpose of this report, “to date” refers to December 31 of the Reporting Year specified in Section 4.0 of this Report. For the first Interim Progress Report, report actions taken since initiating the implementation of the Pollution Prevention Plan. For all subsequent Interim Progress Reports report actions taken since filing of the previous Interim Progress Report.

5.1.1 Action taken to date: _________________________________________

In Parts 5.1.2 and 5.1.3, identify whether the action taken to date represents pollution prevention method(s) or other environmental protection method(s), by selecting from the list of options provided below.

5.1.2 Type of Pollution Prevention Method(s):

For a detailed description of pollution prevention methods, please refer to the Pollution Prevention Planning Handbook (www.ec.gc.ca/planp2-p2plan/default.asp?lang=En&n=56875F44-1#howto).

check box Material or feedstock substitution

check box On-site reuse, recycling or recovery

check box Product design or reformulation

check box Inventory management or purchasing techniques

check box Equipment or process modifications

check box Good operating practices or training

check box Spill and leak prevention

Other: __________________________________

5.1.3 Other Type of Environmental Protection Method(s):

check box Energy recovery

check box Pollution control

check box Off-site recycling

check box Disposal

check box Incineration with energy recovery

check box Waste treatment

check box Other: __________________________________

In Part 5.1.4, report, where possible, the corresponding change to annual uses, releases or transfers of the Substance achieved to date from implementation of that action in kg. Indicate a decrease with a negative sign (“–”) and an increase with a positive sign (“+”) in front of the reported quantity. Note that predicting a quantitative change for some actions taken, such as training, may not be possible.

5.1.4 Change(s) Achieved to date: ____________________________________________________________________

In Part 5.1.5, relate these changes to a specific element(s) of the baseline information described in Part 4 of this Report using the appropriate alphabetical. Refer to the Instruction Booklet for a listing of alphabetical labels.

5.1.5 Baseline Element(s) Affected: ___________________________________________________________________

Finally, in Part 5.1.6, identify the completion date for the action taken.

5.1.6 Completion Date (year/month/day): _______________________________________________________________

5.2  Total Results Achieved To Date

The table below summarizes, for the activity identified in Part 3.0 of this Report, the total achieved change to date to annual uses, releases and/or transfers of the Substance in kg and as a percentage relative to the Preparation Year 2012, as reported in the “Declaration that a Pollution Prevention Plan has been Prepared and is being Implemented — Pollution Prevention Planning Notice in Respect of Specified Substances on Schedule 1 of the Canadian Environmental Protection Act, 1999, Implicated within the Polyurethane and Other Foam Sector (except Polystyrene) — Toluene Diisocyanates (TDI) [Subsection 58(1) of CEPA 1999]” (Declaration of Preparation).

In the two columns, (relative to Preparation Year 2012), report those changes achieved from ALL actions taken to date in implementting the pollution prevention plan.

Important: Indicate a decrease with a negative sign (“–”) and an increase with a positive sign (“+”) in front of the reported quantity.

Type of Use/Release/Transfer

Total Achieved Change To Date Relative to Preparation Year [kg]

Total Achieved Change To Date Relative to Preparation Year(%)

5.2.1 On-site uses

   

5.2.2 On-site releases

n/a

n/a

5.2.3 Off-site transfers for distribution

   

5.2.4 Off-site transfers for disposal

   

5.2.5 Off-site transfers for recycling

   

5.3  Detailed Results Achieved To Date Information

5.3.1 Detailed Anticipated Results for Sampling and Testing

If for the sampling and testing identified in Part 4.5.1, for the activity identified in Part 3.0 of this Declaration, you chose option 3(1)4a, fill out the following table for Detailed Anticipated Results Information onTDI concentration at or beyond facilities site boundaries in 24 hours, and report the anticipated change to annual on-site releases of the Substance in kilograms per year for TDI and as a percentage relative to the Preparation Year 2012.

In the two columns relative to the Preparation Year 2012, report the total changes anticipated to be achieved from implementing only the anticipated actions described in Part 5.1 of this Declaration.

Important: Indicate a decrease with a negative sign (“–”) and an increase with a positive sign (“+”) in front of the reported quantity.

Concentration of TDI

Total Anticipated Change Relative to the Preparation Year [µg/m 3 ]

Total Anticipated ChangeRelative to the Preparation Year (%)

Concentration of TDI in 24 hours at or beyond facilities site boundaries

   

If for the sampling and testing identified in Part 4.5.1, for the activity identified in Part 3.0 of this Declaration, you chose option 3(1)4b, 3(1)4c, and 3(1)4d, fill out the following table for Detailed Anticipated Results Information onReportingactualTDI releases to air, and report the anticipated change to annual on-site releases of the Substance in kilograms per year for TDI and as a percentage relative to the Preparation Year 2012.

In the two columns relative to the Preparation Year 2012, report the total changes anticipated to be achieved from implementing only the anticipated actions described in Part 5.1 of this Declaration.

Important: Indicate a decrease with a negative sign (“–”) and an increase with a positive sign (“+”) in front of the reported quantity.

Type of Releases to Air

Total Anticipated Change Relative to the Preparation Year [kg/year]

Total Anticipated ChangeRelative to the Preparation Year(%)

a) Stack or point releases (including process building vents) [Factor 3(1)4b in Section 3 of the Notice]

   

b) Storage tanks or handling releases [Factor 3(1)4c in Section 3 of the Notice]

   

c) Fugitive releases [Factor 3(1)4d in Section 3 of the Notice]

   

d) Spills

   

e) Other releases — please specify

   

TOTAL

   

6.0 Monitoring and Reporting

Describe the monitoring and reporting used to track progress in implementing the Pollution Prevention Plan.

 

7.0 Risk Management Objective — No data is required for Part 7.0 of this Report

8.0 Factors to Consider

Describe any progress made in this reporting year towards taking into account the “Factors to Consider” in subsection 4(1), 4(2) and the substance-specific factors to consider 3(1)3, 3(1)5a, 3(1)5b, 3(1)5c and one or more of the factors 3(1)5d to 3(1)5j listed under the heading “Substance-specific factors to consider when preparing the plan” in Section 3 of the Notice, except those factors for which a waiver has been granted by the Minister of the Environment.

 

8.1  Factors to Consider Only by Facilities who Surpass the Emissions Thresholds

For facilities who, at any time within the period to implement the plan, released to air more than 100 kg per year of TDI or by facilities with a TDI concentration at or beyond facilities site boundaries greater than 0.2 µg/m3 in 24 h, describe what was done by the person or class of persons subject to the Notice to take into account the substance-specific factors to consider 3(1)5a, 3(1)5b, 3(1)5c and one or more of the factors 3(1)5d to 3(1)5j listed under the heading “Substance-specific factors to consider when preparing the plan” in Section 3 of this Notice.

 

9.0 Certification

I hereby certify that the information provided in this Report in respect of TDI is true, accurate and complete.

_________________________
Signature of the Person(s) subject to the Notice
or Duly Authorized Representative

_________________________
Date

Name: _________________________
Please Print

Title/Position: ________________________
Please Print

NOTE: Do not fill out this form. Please contact Environment Canada for more information about electronic reporting, as provided in section 18 of the Notice.

Schedule 5: Declaration That a Pollution Prevention Plan Has Been Implemented Pollution Prevention Planning Notice in Respect of Specified Substances on Schedule 1 of the Canadian Environmental Protection Act, 1999, Implicated within the Polyurethane and Other Foam Sector (except Polystyrene) Toluene Diisocyanates (TDI) [Subsection 58(2) of CEPA 1999]

Notice Reference Code:     P2POF-TDI

Is this an amendment to a Declaration previously submitted?

check box Yes

check box No

If yes, complete Parts 1.0 and 9.0 and any other Parts of this Declaration where previously reported information has become false or misleading. Previously reported information that is unchanged need not be resubmitted.

1.0 Information on the Person or Class of Persons Subject to the Notice

Name of the Person or Class of Persons Subject to the Notice:

Facility Name: _______________________________________

Street Address of Facility: _______________________________________

City: _______________________________________

 Province/Territory: _______________________________________

 Postal Code: _______________________________________
(with area code)

Telephone number: _______________________________________

 Email (if available): _______________________________________

If different from Street Address
Mailing Address of Facility: _______________________________________

City: _______________________________________

 Province/Territory: _______________________________________

 Postal Code: _______________________________________

National Pollutant Release Inventory ID (if no ID, leave blank): _______________________________________

6-digit North American Industry Classification System (NAICS) Code: _______________________________________

Facility Technical Contact: _______________________________________

Email: _______________________________________

Telephone Number: _______________________________________
(with area code)

 Fax Number (if available): _______________________________________
(with area code)

2.0 Use of Plans Prepared or Implemented for Another Purpose — No data are required for Part 2.0 of this Declaration

3.0 Substance and Activity

Substance and Activity for which information is required (choose all that apply):

check box TDI1 & Manufacturing of flexible slabstock foam (including TDI storage in tanks and cutting and shaping of foam)

check box TDI & Manufacturing of flexible moulded foam (including TDI storage in tanks and cutting and shaping of foam)

check box TDI & Manufacturing of rigid foam (including TDI storage in tanks and cutting and shaping of foam)

check box TDI & Manufacturing of structural foam (including TDI storage in tanks and cutting and shaping of foam)

check box TDI & Rebonding of foam (including cutting and shaping of foam)

1 TDI collectively refers to 2,6-Toluene Diisocyanate (CAS2 Number 91-08-7); 2,4-Toluene Diisocyanate (CAS Number 584-84-9); and the Mixture of 2,6-Toluene Diisocyanate and 2,4-Toluene Diisocyanate (CAS Number 26471-62-5).

2 The Chemical Abstracts Service (CAS) Information is the property of the American Chemical Society and any use or redistribution, except as required in supporting regulatory requirements and/or for reports to the government when the information and the reports are required by law or administrative policy, is not permitted without the prior, written permission of the American Chemical Society.

4.0 Information after Implementation of the Pollution Prevention (P2) Plan

Notes:

The Preparation Year refers to the year identified in your Schedule 1 submission — Declaration that a Pollution Prevention Plan has been Prepared and is Being ImplementedPollution Prevention Planning Notice in Respect of Specified Substances on Schedule 1 of the Canadian Environmental Protection Act, 1999, Implicated within the Polyurethane and Other Foam Sector (except Polystyrene) Toluene Diisocyanates (TDI).

a) The data collected in Parts 4.1 and 4.4 of this Declaration are consistent with the reporting requirements of the National Pollutant Release Inventory (NPRI) where possible.

b) Use the following Basis of Estimate Codes where indicated, listed in declining order of expected accuracy, to describe how each quantity reported in this Part of the Declaration was determined:

M1 Continuous Emission Monitoring System

M2 Predictive Emission Monitoring

M3 Source Testing

C Mass balance

E1 Site-specific and Published Emission Factors

E2 Published Emission Factors

O Engineering estimates

c) This Declaration requires reporting of data for the year of implementation (January 1 to December 31) of the pollution prevention plan (as specified in the Notice or any other year specified to a person who has been granted an extension of time to implement a plan).

Indicate the year of implementation for which you are reporting: _______________________ (This will be referred to as the Implementation Year throughout this Declaration).

4.1  Nature of Activity

For the activity identified in Part 3.0 of this Declaration, indicate whether the Substance was manufactured, processed, distributed or otherwise used, and the nature of such activity at the facility in the Implementation Year. More than one nature of activity may be identified.

Manufacture:

check box For on-site use/processing

check box For sale/distribution

check box As a by-product

check box As an impurity

Description: ___________________

Process:

check box As a reactant

check box As a formulation component

check box As an article component

check box Repackaging only

check box As a by-product

Description: ____________________

Distribution:

check box Sold or distributed on its own

check box Sold or distributed as part of a product

Description: ____________________

Other Use:

check box As a physical or chemical processing aid

check box As a manufacturing aid

check box Ancillary or other use

check box As a by-product

Description: ____________________

4.2  On-Site Uses

For the activity identified in Part 3.0 of this Declaration, did this facility use the Substance on-site in the Implementation Year? check box Yes  check box No

If yes, report below the quantity of all on-site uses of the Substance, in kg for that year, in the appropriate field.

If no, proceed to Part 4.3 of this Declaration.

For the activity identified in Part 3.0 of this Declaration, report the total quantity of all on-site uses of the Substance with the basis of estimate code (see Part 4.0, Note b), indicating how the Substance is used.

Total On-Site Uses for the Implementation Year [kg]

Basis of Estimate Code

Type of On-Site Use

     

4.3  On-Site Releases — No data is required for Part 4.3 of this Declaration

4.4  Off-Site Transfers

4.4.1   Product Distribution

For the activity identified in Part 3.0 of this Declaration, did this facility distribute the Substance off-site as a product or part of a product in the Implementation Year?  check box Yes  check box No

If yes, report below the quantity of all off-site transfers of the Substance for distribution, in kg for that year, as a product or part of a product in the appropriate field.

If no, proceed to Part 4.4.2 of this Declaration.

For the activity identified in Part 3.0 of this Declaration, report the quantity of all off-site transfers of the Substance for distribution with the basis of estimate code (see Part 4.0, Note b). Indicate the expected use of the Substance and the expected disposal method, if known.

Type of Transfers for Distribution

Quantity Transferred for the Implementation Year [kg]

Basis of Estimate Code

Expected Use (if known)

Expected Disposal Method (if known)

a) Substance on its own

       

b) As a component of or ingredient in a product

       

G. TOTAL

 

G

   

4.4.2  Off-Site Transfers for Disposal

For the activity identified in Part 3.0 of this Declaration, did this facility transfer the Substance off-site for disposal in the Implementation Year?  check box Yes  check box No

If yes, report below the quantity of all off-site transfers of the Substance for disposal, in kg for that year, in the appropriate field.

If no, proceed to Part 4.4.3 of this Declaration.

For the activity identified in Part 3.0 of this Declaration, report the total quantity of all off-site transfers of the Substance for disposal with the basis of estimate code (see Part 4.0, Note b). Report only the net mass of the Substance that was sent off-site, not the total mass of the mixture containing the Substance. Report transfers to the first off-site location only, and not any subsequent transfers by the waste disposal company.

check box Physical treatment

check box Chemical treatment

check box Biological treatment

check box Incineration/thermal

check box Containment

check box Municipal Sewage Treatment Plant (MSTP)

check box Underground injection

check box Land treatment

H. Total Quantity Transferred for Disposal for the Implementation Year [kg]

Basis of Estimate Code

   

4.4.3  Off-Site Transfers for Recycling

For the activity identified in Part 3.0 of this Declaration, did this facility transfer the Substance off-site for recycling in the Implementation Year?  check box Yes  check box No

If yes, report below the quantity of all off-site transfers of the Substance for recycling, in kg for that year, in the appropriate field.

If no, proceed to Part 4.5 of this Declaration.

For the activity identified in Part 3.0 of this Declaration, report the total quantity of all off-site transfers of the Substance for recycling with the basis of estimate code (see Part 4.0, Note b). Report only the net mass of the Substance that was sent off-site, not the total mass of the mixture containing the Substance. Report transfers to the first off-site location only and not any subsequent transfers by the recycling facility.

check box Energy recovery

check box Recovery of solvents

check box Recovery of organic substances (not solvents)

check box Recovery of metals and metal compounds

check box Recovery of inorganic materials (not metals)

check box Recovery of acids or bases

check box Recovery of catalysts

check box Recovery of pollution abatement residues

check box Refining or reuse of used oil

check box Other

Total Quantity Transferred for Recycling for the Implementation Year [kg]

Basis of Estimate Code

   

4.5  Additional Information after Implementation of the Pollution Prevention (P2) Plan

4.5.1 Sampling and Testing

For the activity identified in Part 3.0 of this Declaration, which sampling and testing option given by factor to consider 3(1)4 under the heading “Substance-specific factors to consider when preparing the plan” in Section 3 of the Notice was chosen to measure environmental releases of TDI?

check box 3(1)4a Conducting either air dispersion modelling or sampling and testing for TDI in ambient air at or beyond facility site boundaries at locations that ensure measurement of maximum exposure at ground level.

OR

check box 3(1)4b Conducting sampling and testing for TDI stack releases, and

3(1)4c Measuring or estimating emissions of TDI from storage tanks, and

3(1)4d Estimating or measuring fugitive emissions of TDI.

If you chose option 3(1)4a, fill out the following table for Reporting TDI concentration at or beyond facilities site boundaries in 24 hours, and report the concentration of TDI at or beyond the facilities site boundaries in 24 hours, the method used to measure or predict the concentration of TDI at the fence line, and the date the measurement or estimation was completed.

J. Concentration of TDI in 24 hours at or beyond facilities site boundaries for the Preparation Year [µg/m3]

Measurement or Estimation Method

Annual Operation Time [h]

Date of Test Completion

       

If you used the air dispersion model AIRMOD to estimate concentration of TDI in 24 hours at or beyond facilities site boundaries, include the model input and output data in the box below.

 

If you chose sampling and testing option 3(1)4b, 3(1)4c, and 3(1)4d, fill out the following table for Reporting actual TDI releases to air, and report the quantity of all releases of the Substance to air with the method used to measure or estimate the quantity of TDI released, and the date the measurement or estimation was completed. For 3(1)4b, additionally indicate the exhaust air volume rate and the typical/current TDI concentration in extracted air. Include both routine and accidental or non-routine releases.

Type of Releases to Air

Quantity Released for the Preparation Year [kg]

Exhaust Air Volume Rate [m3/s]

Annual Operation Time [h]

Typical/
Current TDI Concentration in Extracted Air [mg/m3]

Measure-
ment or Estimation Method

Date of Test Completion

a) Stack or point releases (including process building vents) [Factor 3(1)4b in Section 3 of the Notice]

           

b) Storage tanks or handling releases [Factor 3(1)4c in Section 3 of the Notice]

 

n/a

       

c) Fugitive releases [Factor 3(1)4d in Section 3 of the Notice]

 

n/a

       

d) Spills

 

n/a

       

e) Other releases — please specify

           

J. TOTAL

       

J1

 

5.0 Action(s) Taken and Results Achieved

5.1  Action(s) Taken

In Part 5.1.1, describe for the activity identified in Part 3.0 of this Declaration, the action taken in implementing the Pollution Prevention Plan. If you have previously filed an Interim Progress Report, report only those actions that have been taken since the last Interim Progress Report.

5.1.1 Action Taken: _________________________________________________________________________

In Parts 5.1.2 and 5.1.3, identify whether the action represents pollution prevention method(s) or other environmental protection method(s), by selecting from the list of options provided below.

5.1.2 Type of Pollution Prevention Method(s):

For a detailed description of pollution prevention methods, please refer to the Pollution Prevention Planning Handbook (www.ec.gc.ca/planp2-p2plan/default.asp?lang=En&n=56875F44-1#howto).

check box Material or feedstock substitution

check box Product design or reformulation

check box Equipment or process modifications

check box Spill and leak prevention

check box On-site reuse, recycling or recovery

check box Inventory management or purchasing techniques

check box Good operating practices or training

check box Other: __________________________________

5.1.3 Other Type of Environmental Protection Method(s):

check box Energy recovery

check box Off-site recycling

check box Incineration with energy recovery

check box Waste treatment

check box Pollution control

check box Disposal

check box Other: __________________________________

In Part 5.1.4, report, where possible, the corresponding change to annual uses, releases and/or transfers of the Substance achieved from implementation of that action in kg. Indicate a decrease with a negative sign (“–”) and an increase with a positive sign (“+”) in front of the reported quantity. Note that estimating a quantitative change for some actions taken, such as training, may not be possible.

5.1.4 Change(s) Achieved: ____________________________________________________

In Part 5.1.5, relate these changes to a specific element(s) of the baseline information described in Part 4 of this Declaration using the appropriate alphabetical label. Refer to the Instruction Booklet for a listing of alphabetical labels.

5.1.5 Baseline Element(s) Affected: ______________________________________________

Finally, in Part 5.1.6, identify the completion date for the action taken.

5.1.6 Completion Date (year/month/day): ___________________________________________

5.2  Total Results Achieved

The table below summarizes, for the activity identified in Part 3.0 of this Declaration, the total achieved change to annual uses, releases and/or transfers of the Substance in kg and as a percentage relative to the Preparation Year 2012 as reported in the “Declaration that a Pollution Prevention Plan has been Prepared and is being Implemented — Pollution Prevention Planning Notice in Respect of Specified Substances on Schedule 1 of the Canadian Environmental Protection Act, 1999, Implicated within the Polyurethane and Other Foam Sector (except Polystyrene) — Toluene Diisocyanates (TDI) [Subsection 58(1) of CEPA 1999]” (Declaration of Preparation).

In the two columns, (relative to Preparation Year 2012), report the changes achieved from ALL actions taken as a result of implementing the pollution prevention plan.

Important: Indicate a decrease with a negative sign (“–”) and an increase with a positive sign (“+”) in front of the reported quantity.

Type of Use/Release/Transfer

Total Change Achieved Relative to Preparation Year [kg]

Total Change Achieved Relative to Preparation Year ( % )

5.2.1 On-site uses

   

5.2.2 On-site releases

n/a

n/a

5.2.3 Off-site transfers for distribution

   

5.2.4 Off-site transfers for disposal

   

5.2.5 Off-site transfers for recycling

   

5.3  Detailed Results Achieved Information

5.3.1 Detailed Results Achieved for Sampling and Testing

If for the sampling and testing identified in Part 4.5.1, for the activity identified in Part 3.0 of this Declaration you chose option 3(1)4a, fill out the following table for Detailed Achieved Results Information onTDI concentration at or beyond facilities site boundaries in 24 hours, and report the achieved change to annual on-site releases of the Substance in kilograms per year for TDI and as a percentage relative to the Preparation Year.

In the two columns relative to the Preparation Year 2012, report the total changes achieved from implementing all the actions described in Part 5.1 of this Declaration.

Important: Indicate a decrease with a negative sign (“–”) and an increase with a positive sign (“+”) in front of the reported quantity.

Concentration of TDI

Total Change Achieved Change Relative to the Preparation Year [µg/m3]

Total Change Achieved ChangeRelative to the Preparation Year ( % )

Concentration of TDI in 24 hours at or beyond facilities site boundaries

   

If for the sampling and testing identified in Part 4.5.1, for the activity identified in Part 3.0 of this Declaration you chose option 3(1)4b, 3(1)4c, and 3(1)4d, fill out the following table for Detailed Achieved Results Information onReportingactualTDI releases to air, and report the achieved change to annual on-site releases of the Substance in kilograms per year for TDI and as a percentage relative to the Preparation Year.

In the two columns relative to the Preparation Year 2012, report the total changes achieved from implementing all the actions described in Part 5.1 of this Declaration.

Important: Indicate a decrease with a negative sign (“–”) and an increase with a positive sign (“+”) in front of the reported quantity.

Type of Releases to Air

Total Change Achieved Change Relative to the Preparation Year [kg/year]

Total Change Achieved Change Relative to the Preparation Year ( % )

a) Stack or point releases (including process building vents) [Factor 3(1)4b in Section 3 of the Notice]

   

b) Storage tanks or handling releases [Factor 3(1)4c in Section 3 of the Notice]

   

c) Fugitive releases [Factor 3(1)4d in Section 3 of the Notice]

   

d) Spills

   

e) Other releases — please specify

   

TOTAL

   

6.0 Monitoring and Reporting

Describe the monitoring and reporting used to track progress in implementing the pollution prevention plan.

 

7.0 Risk Management Objective

Describe how the pollution prevention plan met the risk management objective for TDI identified in Column 6 of the Table in Section 3 of the Notice. If this plan did not meet the risk management objective, explain why.

 

8.0 Factors to Consider

Describe any additional details or changes in how you took into account the “Factors to Consider” in subsection 4(1), 4(2) and the substance-specific factors to consider 3(1)3, 3(1)4a or [4(b), 3(1)4c, and 3(1)4d], 3(1)5a, 3(1)5b, 3(1)5c and one or more of the factors 3(1)5d to 3(1)5j listed under the heading “Substance-specific factors to consider when preparing the plan” in Section 3 of the Notice.

 

8.1  Factors to Consider Only by Facilities who Surpass the Emissions Thresholds

For facilities who, at any time within the period to implement the plan, released to air more than 100 kg per year of TDI or by facilities with a TDI concentration at or beyond facilities site boundaries greater than 0.2 µg/m3 in 24 h, describe what was done by the person or class of persons subject to the Notice to take into account the substance-specific factors to consider 3(1)5a, 3(1)5b, 3(1)5c and one or more of the factors 3(1)5d to 3(1)5j listed under the heading “Substance-specific factors to consider when preparing the plan” in Section 3 of this Notice.

 

9.0 Certification

I hereby certify that a pollution prevention plan has been implemented in respect of TDI and that the information provided in this Declaration is true, accurate and complete.

________________________________
Signature of the Person(s) subject to the
Notice or Duly Authorized Representative

_____________________
Date

Name: _______________________
Please Print

Title/Position: _________________________
Please Print