Document YG25go002GJqXYpL8zxQJBRJy

version 9.27.2022 HFC Import Inspection Worksheet Insp. No: 202404171145 -001 Insp. Date: 4/17/2024 This workskeet is for inspection of Imported Hydrofluorocarbons (HFCs) subject to 40 CFR Part 84 Inspector(s): Hendrick, Prendergast, Felix Start Time/Stop Time: 11:45am - 12:05pm Facility Name: Custom Goods, LLC Address: 9431 Bay Area Blvd, Pasadena, TX 77507 Indicate here if entry was not filed at time of inspection Importer Name: Technical Chemical Corp Importer Address: 3327 Pipeline Rd, Cleburne, TX 76033 Importer No : 75-100247200 Location of Inspection Facility Type: CES Warehouse CBP POC Contact Information: CBPO Darden; shamia.l.darden@cbp.dhs.gov Importer Information (from Entry Documents) Indicate here if consignee is the same as importer Consignee Name: Consignee Address: POC Contact Information: Salvatore Distefano 516-887-2400 Visual Inspection #1 Product Description: 410A - 25lb tank(s) Shipment/ Entry No: BNI-01254976 Chemical name/formula: Difluoromethane and Pentafluoroethane Shipping Container No: MEDU5307158 Container Type: Service Can Ton Tank ISO Tank Arrival Date: 4/6/2024 Refillable Cylinder Disposable Cylinder Listed Qty: 1,140 Listed Mass: 12882.0 Actual Mass: Not Obs. lb kg ton Visual Inspection Notes: Tailgate inspection, no blend percentages markings observed on containers or packagaing. Evidence/Samples taken and Description: None Inspection Summary Potential Follow-Up/Areas of Concern (e.g. potential deficiencies, actions taken by facility (if applicable)): Listed in ACE as importing R152A, upon physical inspection 410A was observed. Inspectors-in-training Hendrick & Prendergast led this inspection while being observed by credentialled inspector Felix. Additional EPA inspectors-in-training accompanied for this inspection. Inspection photo numbers: 7829-7844 Camera Information: Nikon Coolpix A900 Lead Inspector Signature: Other: Digitally signed by Parker Hendrick Date: 2024.05.15 09:26:07 -04'00' Photographer: Prendergast Supervisor Signature: Digitally signed by AMELIE ISIN Date: 2024.05.28 AMELIE ISIN 16:09:29 -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. Guidance for Inspectors: