Document 7M6YXxO55V2edg4gkoVe3v3qE

U.S. Environmental Protection Agency Region 4 61 Forsyth Street Atlanta, GA 30303 Chemical Management and Emergency Planning Section EPCRA Inspection Checklist/Inspection Report Company Name Crown Bakeries SIC/NAICS 31181 Lead Inspector Name Jordan Noles Inspection Date June 23, 2021 Inspection Team Members ___Bethany Terpin_ 1. State purpose of the inspection and present credentials 2. Record names and titles of the facility representatives participating in the inspection Name/Title T.J. Evert Phone (615) 454-22133 Name/Title Phone 3. Obtain exact name and address of the facility being inspected, as well as any Parent Company information Facility Name: Crown Bakeries ____________ Address: 1905 Hackworth Street, Nashville, TN 37210 County: Davidson Owner/Operator/Parent Company (Name, Address, Phone): How long owned/operated, recent sale of facility (date)? 1989 4. Obtain/review facility description a. Officers' names and titles b. Incorporation date and location c. Other facilities owned by the company d. Number of employees ~75-100 FTE e. Annual Corporate Sales not known at time of inspection f. Process Description and Process Diagrams Facility uses anhydrous ammonia and glycol chillers to freeze croissants g. Jurisdictional Fire Department Nashville FD Inspection Identifier: EPCRA 06/23/2021 Page 1 of 3 5. Compliance Review by Statute: Section 302 a. EHSs present above TPQ? b. Notification to SERC and LEPC of EHSs c. Obtained list of inventory of EHSs Y N N/A Y N N/A Y N N/A Section 303 (if subject to 302) d. Facility Emergency Coordinator e. Date identified to LEPC? f. Emergency Contingency Plan submitted (date)? g. Obtained copies of notification letters and verified mail return receipts, where appropriate? Section 304/CERCLA 103 h. Has facility had reportable emergency release? i. Release reported to: NRC? SERC/ Follow-up? LEPC/Follow-up? j. Obtained copy of facility's incident report Y N N/A Y N N/A Y N N/A Y N N/A Y N N/A Section 311 k. MSDS to SERC, LEPC, fire dept (Haz. Chem 10,000 lbs)? Y N N/A l. MSDS to SERC, LEPC, fire dept (EHSs 500 lbs or TPQ)? Y N N/A m. Reviewed documentation of submissions? Y N N/A Section 312 n. Obtained chemical inventory list Y N N/A o. View purchase records (where applicable) Y N N/A p. Tier II reports to SERC, LEPC, fire dept (Haz. Chem 10,000 lbs)? Y N N/A q. Tier II reports to SERC, LEPC, fire dept (EHSs 500 lbs or TPQ)? Y N N/A r. Reviewed documentation of maximum daily amounts stored? Y N N/A s. Reviewed MSDSs? Y N N/A t. Reviewed documentation of submissions? Y N N/A Section 313 u. Form R/A to State and EPA for Toxic Chemicals: Manufactured, processed, and caused to be imported 25,000lbs, otherwise used 10,000 lbs Y N N/A v. Obtained list of 313 chemicals MPOU at the facility Y N N/A w. Obtained documentation of submissions? Y N N/A Inspection Identifier: EPCRA 06/23/2021 Page 2 of 3 Report Prepared By: Name (Printed): Jordan Noles Title: Lead Inspector, North Air Section, Air Enforcement Branch Signature: Date: 08/12/21 Report Authorized By: Name (Printed): Jason Dressler Title: Signature: Chief, North Air Enforcement Section, Air Enforcement Branch Digitally signed by JASON JASON DRESSLER DRESSLER Date: 2021.08.17 16:54:09 -04'00' Date: 8/17/2021 Inspection Identifier: EPCRA 06/23/2021 Page 3 of 3