Document KREDBwJedYg8YmLDKJN2xxaVx

version 9.27.2022 HFC Import Inspection Worksheet Insp. No: 20230314-1045 Insp. Date: 3/14/2023 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: 10:45 - 11:05am A. Isin J. Iatropulos Facility Name: East Coast Warehouse Address: 3433 Moore St., Philadelphia, PA 19145 Indicate here if entry was not filed at time of inspection Importer Name: National Refrigerants Inc. Importer Address: 11401 Roosevelt Blvd., Philadelphia, PA 19154 Importer No : 23-222977200 Location of Inspection Facility Type: Customs and Border Protection (CBP) Warehouse CBP POC Contact Information: Jason Arnesen / 215-717-5893 Importer Information (from Entry Documents) Indicate here if consignee is the same as importer Consignee Name: Consignee Address: POC Contact Information: nscamardi@refrigerants.com Product Description: 410A Chemical name/formula: Difluoromethane / Pentafluoroethane Container Type: Service Can Ton Tank ISO Tank Refillable Cylinder Disposable Cylinder Visual Inspection HFC #1 Shipment/ Entry No: 334-70661241 Shipping Container No: FCIU8536073 Arrival Date: 3/1/2023 Listed Qty: 2,310 Listed Mass: 10.3 Actual Mass: 8 lb kg ton Visual Inspection Notes: 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 Evidence/Samples taken and Description: None Inspection Summary Potential Follow-Up/Areas of Concern (e.g. potential deficiencies, actions taken by facility (if applicable)): Did not provide timely entry information under 40 CFR 84.31(c)(7) Inspection photo numbers: DSCN1077.jpg-DSCN1092.jpg Camera Information: Nikon Coolpix WD300 Sony Olympos Lead Inspector Signature: Digitally signed by AMELIE ISIN Date: 2023.04.11 AMELIE ISIN 13:42:19 -04'00' Other: Photographer: E. Felix Supervisor Signature: MARK PALERMO 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. Guidance for Inspectors: N. Dancher A. Isin Digitally signed by MARK PALERMO Date: 2023.04.14 11:12:42 -04'00' J. Iatropulos