Document Vj58wLbLonDjbmZe977DdMoeN

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 Southern States Coop 14242 SIC/NAICS 424910 Lead Inspector Name Justin Stark Inspection Date 08/08/2023 Inspection Team Members_ Jordan Noles, Chetan Gala _ 1. Record names and titles of the facility representatives participating in the inspection. Name/Title Joe Thomas/ Manager Name/Title Kristin White/ Bookkeeper Phone: (270) 826-4366 Phone: (270) 389-1656 2. Obtain exact name and address of the facility being inspected, as well as any Parent Company information. Facility Name: Southern States Coop 14242 Address: 5290 Highway 425 Bypass, Henderson KY 42420 County: Henderson Owner/Operator/Parent Company (Name, Address, Phone): Southern State Inc, 6606 W Broad Street, Richmond, VA 23230 How long owned/operated, recent sale of facility (date)? N/A 3. Obtain/review facility description. a. Officers' names and titles: Joe Thomas/ Manager b. Incorporation date and location: Operating since 1999 c. Other facilities owned by the company: Yes d. Number of employees: 12 e. Annual Corporate Sales: N/A f. Process Description and Process Diagrams: The facility stores and distributes anhydrous ammonia to end users for use as a fertilizer. The facility also distributes Farming Supplies. g. Jurisdictional Fire Department: Cairo Fire Department 4. Compliance Review by Statute: Section 312 a. Obtained chemical inventory list Y N N/A Inspection Identifier: J.S. EPCRA 08/08/2023 Page 1 of 3 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 08/08/2023 Page 2 of 3 Report Prepared By: Name (Printed): Justin Stark Title: Inspector-In-Training JUSTIN Signature: STARK Digitally signed by JUSTIN STARK Date: 2023.10.04 15:07:31 -04'00' Name (Printed): Jordan Noles Title: Inspector JORDAN Signature: NOLES Digitally signed by JORDAN NOLES Date: 2023.10.04 14:59:19 -04'00' Report Authorized By: Name (Printed): Jason Dressler Title: Chief, North Air Enforcement Section JASON Signature: DRESSLER Digitally signed by JASON DRESSLER Date: 2023.10.04 13:56:49 -04'00' Inspection Identifier: J.S. EPCRA 08/08/2023 Page 3 of 3