Document B8JzG2RnZvN6p2vwa519n4yO8

U.S. Environmental Protection Agency Region 4 61 Forsyth Street Atlanta, GA 30303 Emergency Planning and Community Right-to-Know Act (EPCRA) Inspection Report Company Name Custom Foods of America SIC/NAICS 311412 Lead Inspector Name Justin Stark Inspection Date 07/18/23 Inspection Team Members_ Jordan Noles, Chetan Gala _ 1. Record names and titles of the facility representatives participating in the inspection. Name/Title Name/Title Name/Title Name/Title Name/Title Mitch Harrison/ Refrigeration Contractor Phone: (704) 200-4464 Grant Archdale Phone: (865) 335-8222 Charle LeCroy/ Maintenance/Refrigeration Manager Phone: (865) 307-2430 Carter Breeding Phone: (865) 525-0401 Tony Williams/ VP of Operations Phone: (865) 525-0401 2. Obtain exact name and address of the facility being inspected, as well as any Parent Company information. Facility Name: Custom Foods of America Address: 3600 Pleasant Ridge Road, Knoxville TN 37921 County: Knox Owner/Operator/Parent Company (Name, Address, Phone): Custom Foods of America, 3600 Pleasant Ridge Road, Knoxville TN 37921, (865) 525-0401 How long owned/operated, recent sale of facility (date)? N/A 3. Obtain/review facility description. a. Officers' names and titles: Tony Williams/ VP of Operations. b. Incorporation date and location: Building built in 1950s. c. Other facilities owned by the company: No d. Number of employees: 550 e. Annual Corporate Sales: N/A f. Process Description and Process Diagrams: This facility uses anhydrous ammonia for refrigeration purposes. g. Jurisdictional Fire Department: Knoxville Fire Department 4. Compliance Review by Statute: Inspection Identifier: J.S. EPCRA 07/18/2023 Page 1 of 3 Section 312 a. Obtained chemical inventory list Y N N/A b. View purchase records (where applicable) Y N N/A c. Tier II reports to SERC, LEPC, fire dept (Haz. Chem 10,000 lbs)? Y N N/A d. Tier II reports to SERC, LEPC, fire dept (EHSs 500 lbs or TPQ)? Y N N/A e. Reviewed documentation of maximum daily amounts stored? Y N N/A f. Reviewed MSDSs? Y N N/A g. Reviewed documentation of submissions? Y N N/A h. Has each report from the past 3 years been submitted by March 1? Y N N/A Section 313 i. Form R/A to State and EPA for Toxic Chemicals: Manufactured, Processed 25,000lbs, Otherwise Used 10,000 lbs Y N N/A j. Obtained list of 313 chemicals MPOU at the facility Y N N/A k. Obtained documentation of submissions? Y N N/A l. Has each report from the past 3 years been submitted by July 1? Y N N/A Additional Observations: Inspection Identifier: J.S. EPCRA 07/18/2023 Page 2 of 3 Report Prepared By: Name (Printed): Justin Stark Title: Signature: Inspector-In-Training JUSTIN STARK Digitally signed by JUSTIN STARK Date: 2023.09.25 12:35:54 -04'00' Name (Printed): Jordan Noles Title: Inspector Signature: JORDAN NOLES Date: 2023.09.25 12:55:23 -04'00' Digitally signed by JORDAN NOLES Report Authorized By: Name (Printed): Jason Dressler Title: Signature: Chief, North Air Enforcement Section Digitally signed by JASON JASON DRESSLER DRESSLER Date: 2023.09.25 14:27:29 -04'00' Inspection Identifier: J.S. EPCRA 07/18/2023 Page 3 of 3