Document MnjVjj9x9q7ZnLDNM8rK7yzk

version 9.27.2022 HFC Import Inspection Worksheet Insp. No: 20230223-1022 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 A. Isin Start Time/Stop Time: Start 10:22am, End 11:30am 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: Mexichem Fluor Inc. Importer Address: 4990B ICI Road, St. Gabriel, LA 70776 Importer No : 27-178566700 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: Mexichem Fluor Inc. Consignee Address: PO Box 30, St. Gabriel, LA 70776 POC Contact Information: sean.cunningham@mexichem.com Product Description: Zephex 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: 916-48959616 Shipping Container No: SUTU-1044806 Arrival Date: 2/8/2023 Listed Qty: 1 Listed Mass: 20,000 Actual Mass: Unable to weigh 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: N/A Inspection Summary Potential Follow-Up/Areas of Concern (e.g. potential deficiencies, actions taken by facility (if applicable)): N/A Inspection photo numbers: DSCN1045.jpg - DSCN1076.jpg (photographs taken by Cassidy Owen, EPA Contractor) Camera Information: Nikon Coolpix WD300 Sony Olympos Lead Inspector Signature: Digitally signed by AMELIE ISIN Date: 2023.04.11 AMELIE ISIN 13:37:00 -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 11:16:33 -04'00' J. Iatropulos