Document D9r2Gyvv9JxGB8z55dnB8zxB

version 9.27.2022 HFC Import Inspection Worksheet Insp. No: 20230223-0925 Insp. Date: 2/23/2023 This workskeet is for inspection of Imported Hydrofluorocarbons (HFCs) subject to 40 CFR Part 84 Inspector(s): E. Felix N. Dancher Start Time/Stop Time: 9:25 - 10:20am A. Isin J. Iatropulos Facility Name: East Coast Warehouse Address: 1150 Polaris Street, Elizabeth, NJ 07102 Indicate here if entry was not filed at time of inspection Importer Name: Autozone Parts, Inc. Importer Address: 123 South Front Street, Memphis, TN 38103 Importer No : 66-055731900 Location of Inspection Facility Type: Customs and Border Protection (CBP) Warehouse CBP POC Contact Information: Alexey Shalashov (alexey.shalashov@cbp.dhs.gov) Importer Information (from Entry Documents) Indicate here if consignee is the same as importer Consignee Name: Consignee Address: POC Contact Information: Carla Boyland (carla.boyland@autozone.com) Product Description: Floron 134a Chemical name/formula: 1,1,1,2-Tetrafluoroethane (HFC-134a) Container Type: Service Can Ton Tank ISO Tank Refillable Cylinder Disposable Cylinder Visual Inspection HFC #1 Shipment/ Entry No: 442-67533642 Shipping Container No: UACU3442430 Arrival Date: 2/16/2023 Listed Qty: 1,140 Listed Mass: 13.6 Actual Mass: 16 lb kg ton Visual Inspection Notes: Cylinder # R12224Y0783 and Cylinder # R1023AG1011 was screened. Product Description: Chemical name/formula: Container Type: Visual Inspection Notes: Service Can Ton Tank ISO Tank Refillable Cylinder Disposable Cylinder Visual Inspection HFC #2 Shipment/ Entry No: Shipping Container No: Arrival Date: Listed Qty: Listed Mass: Actual Mass: lb kg ton Product Description: Chemical name/formula: Container Type: Visual Inspection Notes: Service Can Ton Tank ISO Tank Refillable Cylinder Disposable Cylinder Visual Inspection HFC #3 Shipment/ Entry No: Shipping Container No: Arrival Date: Listed Qty: Listed Mass: Actual Mass: lb kg ton Inspection Summary Evidence/Samples taken and Description: Used Bacharach Legend analyzer YF144618. There was a loose alignment of the valve fitting from the analyzer to the sampled HFC cylinders. Potential Follow-Up/Areas of Concern (e.g. potential deficiencies, actions taken by facility (if applicable)): N/A Inspection photo numbers: DSCN1005.jpg-DSCN1044.jpg Camera Information: Nikon Coolpix WD300 Sony Olympos Lead Inspector Signature: Digitally signed by AMELIE ISIN Date: 2023.04.11 AMELIE ISIN 13:33:05 -04'00' Inspector should obtain copies of the following when conducting inspections for CBP: Entry documents Invoice/Packing lists Bill of lading Inspector should obtain the following key photographs: All sides of container to include any labels. Other: Photographer: E. Felix Supervisor Signature: MARK PALERMO Guidance for Inspectors: N. Dancher A. Isin Digitally signed by MARK PALERMO Date: 2023.04.14 11:14:26 -04'00' J. Iatropulos